Harvard Global Orthopaedics Collaborative

Logo for the Harvard Global Orthopaedic Collaboration

Our Work
The Harvard Global Orthopaedics Collaborative (HGOC) is a group of Harvard-affiliated orthopaedic surgery faculty and trainees who share a passion for improving access to musculoskeletal health care globally. We engage in clinical research, surgical education, care delivery, and health systems development with our global partners in Cameroon, Colombia, Haiti, India, Malawi, and South Africa. We collaborate with the Harvard Program for Global Surgery and Social Change (PGSSC), the Orthopaedic and Arthritis Center for Outcomes Research (OrACORe), and the Harvard Medical School Orthopaedic Trauma Initiative (HMS OTI).

Our Team
Founder and Director: Kiran J. Agarwal-Harding, MD MPH (email)

Board of Faculty Advisors

  • George S.M. Dyer, MD - Brigham and Women’s Hospital
  • John Y. Kwon, MD - Beth Israel Deaconess Medical Center
  • Collin May, MD MPH - Boston Children’s Hospital
  • Chaitanya S. Mudgal, MD - Massachusetts General Hospital
  • Edward K. Rodriguez, MD PhD - Beth Israel Deaconess Medical Center

Affiliated Faculty & Staff

  • Soheil Ashkani-Esfahani, MD - Foot & Ankle Research and Innovation Laboratory, MGH
  • Rohan Bhimani, MD MBA - Foot & Ankle Research and Innovation Laboratory, MGH
  • Michelle Joseph, MD PhD - Program in Global Surgery and Social Change, HMS
  • Bart Lubberts, MD PhD - Foot & Ankle Research and Innovation Laboratory, MGH

Residents

  • Myles Dworkin, MD - Brown University Orthopaedic Residency Program
  • Aron Lechtig, MD - Harvard Combined Orthopaedic Residency Program
  • Andrew Usoro, MD - Harvard Combined Orthopaedic Residency Program
  • Jason Young, MD - Harvard Combined Orthopaedic Residency Program

Research Associates

  • Michael Amick - Yale School of Medicine
  • Lahin Amlani - Johns Hopkins School of Medicine
  • Louise Atadja- UT Southwestern Medical School
  • Ami Kapadia - UT Southwestern Medical School
  • Kush Mody - Drexel University College of Medicine/Columbia Business School
  • Kenneth Nanyumba - Harvard Extension School
  • Taylor Ottesen - Yale School of Medicine/University of Cambridge
See photos of the HGOC around the world.

 

Our Projects

Haitian Annual Assembly of Orthopaedic Trauma (HAAOT), Port-au-Prince, Haiti
HAAOT is an annual conference started in 2013 as a collaboration between the AAOS, the Foundation for Orthopaedic Trauma, Partners in Health, Project Hope, and SIGN Fracture Care International. The HAAOT conference consists of research paper presentations, case discussions, didactic lectures, and workshops, all of which are presented in both English and French. It is the only high-level academic orthopaedic conference in Haiti. It is organized every year in conjunction with the Harvard Combined Orthopedic Residency Program alongside all three major orthopedic residency programs in Haiti.

Delivering high quality pediatric orthopedic surgery for the rural poor in Neiva, Colombia
Every year, Harvard orthopaedic residents and faculty from Boston Children’s Hospital travel to Neiva for one week to provide specialized pediatric orthopaedic services to the local community. We screen ~200 patients and prioritize surgery for ~35 patients per year. Most cases address untreated DDH and clubfoot. We are working with local partners to improve operational efficiency, as well as improve longitudinal clinical documentation for quality improvement and research on surgical outcomes.

Creating a sustainable education symposium in Neiva, Colombia on common pediatric orthopedic conditions
We organize an annual educational symposium on developmental dysplasia of the hip (DDH) and clubfoot for the community in Neiva, primarily targeting local students in the health sector. The symposium includes hands-on skills training and testing to measure the session’s educational effectiveness. We collaborate with local orthopedic surgeons and health advocates to maintain education programs that encourage early diagnosis and treatment of DDH and clubfoot. Ultimately, we aim to decrease the prevalence of neglected orthopedic conditions that significantly impact productivity and quality of life for patients in Neiva.

Improving access to musculoskeletal trauma care in Malawi
We are working in collaboration with Beit Cure Hospital, Queen Elizabeth Central Hospital, Kamuzu Central Hospital, the AO Alliance Foundation, and the Malawian Ministry of Health on a variety of projects aimed at improving access to musculoskeletal trauma care in Malawi, particularly for the rural poor. We are examining risk factors for delayed presentation to hospital, health system navigation by patients with femoral fractures, the financial impact of injury on patients with femur fracture as well as the cost effectiveness of treatment (in collaboration with UCSF IGOT), and the capacity to manage musculoskeletal trauma in the public hospitals.

Low-cost negative pressure wound therapy in Cameroon
Learning from our colleagues in Haiti, and addressing a need expressed by our colleagues in Cameroon, we built low-cost negative pressure wound therapy pumps which are now being used for clinical care by our partners in the Cameroon Baptist Convention Health Services hospitals. We are investigating the feasibility and clinical efficacy of using these devices in the Cameroonian context to help manage open fractures.

The need for hand surgery in sub-Saharan Africa
This study is in collaboration with our partners in Queen Elizabeth Central Hospital, Malawi; Sourou Sanou University Hospital of Bobo-Dioulasso, Burkina Faso; CHU Aristide Le Dantec, Sénégal; Omdurman Islamic University, Sudan; and the AO Alliance. We are working with clinical providers across sub-Saharan Africa to identify the most common hand and upper extremity pathologies in each country and the local capacity to manage these conditions. The goal is to develop priorities and core competencies for training in hand surgery by country and region.

HGOC educational videos, digital distance learning
We are developing high-yield educational videos on a variety of orthopaedic topics relevant to orthopaedic residents, surgeons, non-physician clinicians, and non-surgeon physicians who manage patients with musculoskeletal injuries or diseases in the low resource setting. Check out our series of videos on ankle fracture here.

 

Our Publications
See a list of HGOC publications.

HGOC research strategy