OMB No. 0925-0001/0002 (Rev. 08/12 Approved Through 8/31/2015)

BIOGRAPHICAL SKETCH

Provide the following information for the Senior/key personnel and other significant contributors.
Follow this format for each person.  DO NOT EXCEED FIVE PAGES.

A.              Personal Statement

I currently am Professor, Orthopaedic Surgeon-in-Chief and Department Director, Johns Hopkins Hospital. I retired from 30 years Active Duty in the United States Army, where I led a Department of Orthopaedics and Rehabilitation at Brooke Army Medical Center, and was also the Senior Orthopaedic Advisor for the US Army Surgeon General. I have focused my career on research and clinical program development, and following transition to civilian leadership, I have continued to build programs as the Chair of the American Academy of Orthopaedic Surgeons Extremity War Injuries Project Team for over 10 years. This program has directly led to formation of the Congressionally Directed Peer-Reviewed Orthopaedic Research Program, now 5 years old and responsible for over $300 million dollars of basic, translational and clinical research, including 2 major Consortia Awards in Trauma (METRC) and Rehabilitation (BADER). I have little personal grant support, as I have deliberately chosen to direct this program. I have continued an active clinical practice focused on caring for patients with arthritis, and as such will contribute clinical perspective. I place the highest value on my commitment to bridging the clinician-scientist gap and enhancing meaningful education in research, and this effort led by Dr Xu Cao represents the strongest assemblage of like-minded people.

B. Positions and Honors

Positions and Employment

2013- present  Professor and Chair, Department of Orthopaedic Surgery, Johns Hopkins School of Medicine

2007 – 2013     Chair, Department of Orthopaedics and Rehabilitation, Brooke Army Medical Center

2006 – 2013     Orthopaedic Surgery Consultant to the Surgeon General, US Army

2004 – 2007     Chief Orthopaedic Surgery Service Brooke Army Medical Center, San Antonio, Texas

2004 – 2005     Deputy Commander Clinical Services 228th Combat Support Hospital, Mosul, Iraq

2004 – 2005     Orthopaedic Surgery Consultant, 44th Medical Command, Baghdad, Iraq, 2005

2001 – 2004     Assistant Chief, Orthopaedic Surgery Service, Brooke Army Medical Center

1998 – 2001     Chief, Foot and Ankle Section, Orthopaedic Surgery Service, Brooke Army Medical Center

1997 – 1998     Chief, Department of Surgery, Munson Army Community Hospital, Fort Leavenworth, KS

1994 – 1996     Staff Orthopaedic Surgeon, Irwin Army Hospital, Fort Riley, KS

Other Experience and Professional Memberships

2013- present      Chair (2105) Leadership Development Committee, American Orthopaedic Association

2013- present      Chair (2105) Central Program Committee, American Academy of Orthopaedic Surgeons

2009- 2015          Chair, Integration Panel, Peer-Reviewed Orthopaedic Research Program

2009- 2013          DoD Extremity Injury and Amputee Center Of Excellence Working Group

2008- 2011          Board of Directors, Extremity War Trauma Research Foundation

2007- 2012          DoD Joint Graduate Medical Education Selection Board- Chair 2008, 2010, 2012

2007- 2011          Executive Committee, DoD Military Amputee Research Program

2006- 2013          Board of Directors, Society of Military Orthopaedic Surgeons

2006- 2009          Membership Committee, American Orthopaedic Foot & Ankle Society

2006, 2007, 2009 Grant Reviewer, Orthopaedic Extremity Trauma Research Program

Honors

2013    Legion of Merit, US Army; Distinguished Member US Army Medical Regiment

2010    Colonel Brian Allgood Award- top award, Society of Military Orthopaedic Surgeons- career leadership

2010    MG Lewis A. Malogne Award for academic excellence, top Career award in US Army Medicine

2009    US Army Medical Research &Materiel CMD- Combat Casualty Care Research Award for Excellence

2006    US Army “A Designator” for Clinical Proficiency   (Military Equivalent of rank of Professor)

2007     Order of St. Maurice – Legionaire #02018 (Lifetime contribution to the Infantry Corps)

2004     Order of Military Medical Merit # 6921 (Lifetime contribution to the Army Medical Department)

2003     Outstanding Outside Faculty Educator, Brooke Army Medical Center, Dept of Medicine

2001     Outstanding Outside Faculty Educator Brooke Army Medical Center, Dept of Medicine

1994     Outstanding Resident Educator Tripler Army Medical Center (presented by intern class)

C.              Contribution to Science

1. Preparedness of Orthopaedic Surgeons for Modern Battlefield Surgery

The education of our orthopaedic operative teams is of paramount importance to maximizing successful outcomes of treatment of battlefield injuries. Education begins with providing surgeons with the best predeployment training to augment their previous residency and fellowship training. In addition to medical, surgical and physical preparedness, mental preparedness is essential.  By identifying deficiencies in preparedness, and understanding of injury patterns and demographics, training can be focused to optimize care.

1. Kearney SP Bluman EM, Lonergan KT, Arrington ED, Ficke JR. Preparedness of Orthopaedic Surgeons for Modern Battlefield Surgery, Military Medicine, Sept 2012: 177(9): 1058-1064; PMID:23025135
2. Patzkowski JC, Cross JD, Ficke JR, Wenke JC. The Changing Face of Army Disability: The Operation Enduring Freedom and Operation Iraqi Freedom Effect, J Am Acad Orthop Surg. 2012;20 Suppl 1:S23-30. PMID: 22865131.
3. Ficke JR, Obremskey WT, Gaines RJ, Pasquina PF, Bosse MJ, Mamczak CN, O'Toole RV, Archer KR, Born CT, Fleming ME, Watson JT, Gordon WT, Stannard JP, Rispoli DM, Mackenzie EJ, Wenke JC, Hsu JR, Pollak AN, Andersen RC. Reprioritization Of Research For Combat Casualty Care. J Am Acad Orthop Surg. 2012;20 Suppl 1:S99-102. PMID: 22865148.
4. Masini B, Waterman S, Wenke J, Owens B,  Hsu J, Ficke J,  “Resource Utilization and Disability Outcome Assessment of Combat Casualties From Operation Iraqi Freedom and Operation Enduring Freedom” in J Ortho Trauma 2009 Apr:23:261–266. PMID 19318869

2. Complex Blast Injuries

My research interests include the study of the causes, prevention, protection, treatment, and long-term care options of warriors with multiple, complex injuries. Dismounted Complex Blast Injury (DCBI) is characterized by high-energy injuries to the bilateral lower extremities (usually proximal transfemoral amputations) and/or upper extremity (usually involving the non-dominant side), in addition to open pelvic injuries, genitourinary, and abdominal trauma. Initial resuscitation and multidisciplinary surgical management appear to be the keys to survival. Definitive treatment follows general principals of open wound management and includes decontamination through aggressive and frequent debridement, hemorrhage control, viable tissue preservation, and appropriate timing of wound closure. These devastating injuries are associated with paradoxically favorable survival rates, but associated injuries and higher amputation levels lead to more difficult reconstructive challenges.

1. Ficke JR, Eastridge BJ, Butler FK, Alvarez J, Brown T, Pasquina PF, Stoneman P, Caravalho JC, Jr, Dismounted Complex Blast Injury: Report of the Army Dismounted Complex Blast Injury Task Force, J Trauma Acute Care Surg 2012 Dec; 73(6 Suppl 5): S520-534.
2. Andersen RC, Fleming M, Forsberg JA, Gordon WT, Nanos GP, Charlton MT, Ficke JR, Dismounted Complex Blast Injury, J Surg Orthop Adv. 2012 Spring;21(1):2-7. PMID 22381504.
3. Cross JD, Ficke JR, Hsu JR, Masini BD, Wenke JC. “Battlefield Orthopaedic Injuries Cause the Majority of Long Term Disabilities,” JAAOS. 2011. S1-S7. PMID 21304041.
4. Cross JD, Johnson AE, Wenke JC, Bosse MJ, Ficke JR.  “Mortality in Female War Veterans From Operations Enduring Freedom and Iraqi Freedom,” Clin Orth Rel Res. 2011 Jul; 469(7):1956-61. PMID 21390560

3. Amputations and Limb Salvage

Major lower-limb trauma sustained on the battlefield results in substantial long-term disability. I have been a co-investigator in the Military Extremity Trauma Amputation/Limb Salvage (METALS) study. In a comparison of the outcomes of patients that underwent amputation to patients with limb salvage, we found that patients with an amputation had better scores in all Short Musculoskeletal Function Assessment domains compared with those whose limbs had been salvaged (p < 0.01). There were no significant differences between the groups with regard to the percentage of patients with depressive symptoms, pain interfering with daily activities (pain interference), or work/school status.

1. Krueger CA, Wenke JC, Ficke JR; Ten years at war: Comprehensive analysis of Amputation Trends, J Trauma Acute Care Surg. 2012 Dec; 73(6 Suppl 5):S438-44. PMID 23192067
2. Stinner DJ, Burns TC, Kirk KL, Scoville CR, Ficke J, Hsu JR. Prevalence of Delayed Amputations in Our Combat Wounded. Mil Med 2010. PMID 21265314.
3. Doukas WC, Hayda RA, Frisch HM, Andersen RC, Mazurek MT, Ficke JR, Keeling JJ, Pasquina PF, Wain HJ, Carlini AR, MacKenzie EJ. The Military Extremity Trauma Amputation/Limb Salvage (METALS) study: outcomes of amputation versus limb salvage following major lower-extremity trauma. J Bone Joint Surg Am. 2013 Jan 16;95(2):138-45. doi: 10.2106/JBJS.K.00734. PMID: 23324961
4. Stinner DJ, Burns T, Kirk K, Ficke J. “Return to Duty Rate of Amputee Soldiers in the Current Conflicts in Afghanistan and Iraq.” J Trauma. 2010 Jun;68(6):1476-9. PMID 20068483
5. Mitchell SL, Hayda RA, Chen AT, Carlini AR, Ficke JR, MacKenzie EJ; METALS Study Group. The Military Extremity Trauma Amputation/Limb Salvage (METALS) Study: Outcomes of Amputation Versus Limb Salvage Following Major Upper Extremity Trauma. J Bone Joint Surg Am. 2019;

Complete List of Published Work in MyBibliography:

http://www.ncbi.nlm.nih.gov/sites/myncbi/1lGK4299-v3QO/bibliography/48127679/public/?sort=date&direction=ascending.

D.              Research Support

Current: No active research support at this time.

Completed Research Support:

W81XWH-07-1-0243 (Schmidt, PI) 2007-2010

$4,666,367 DoD through University of Minnesota, Randomized Clinical Trial of Tissue Ultrafiltration and Pressure Monitoring for the Diagnosis and Prevention of Compartment Syndrome, BAMC protocol C.2008.191

Role: Principal Investigator on site.

W81XWH-06-0361 (MacKenzie, PI) 2005-2009

$1,169,339 Military Amputee Research Program grant (congressional funding) administered through

John Hopkins University, 2005-2009 METALS (Military Extremity Trauma Amputation and Limb Salvage Study) Multicenter study

Role: Co-investigator