Legal Document: FRANK SHEE vs. ALBERTO BOLANOS, MD, et al

On February 08, 2021 a 8 MSJ-Kao Decl was filed involving a dispute between Shee, Frank, and Bolanos, Alberto, Md, Sutter Bay Hospital, for (45) Unlimited Medical Malpractice in the District Court of San Mateo County.

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1 HASSARD BONNINGTON LLP
Robert S. Willoughby, Esq. (#189464) rsw@hassard.com
2 Alexandra C. Seibert, Esq. (#283008) acs@hassard.com
275 Battery St., Suite 1600
3 San Francisco, CA 94111
Telephone: (415) 288-9800
4 Fax: (415) 288-9801

5 Attorneys for Defendant
SUTTER BAY HOSPITALS dba MILLS
6 PENINSULA HEALTH SERVICES
(erroneously sued herein as MILLS
7 HEALTH CENTER)

9 IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA

10 IN AND FOR THE COUNTY OF SAN MATEO

11 UNLIMITED JURISDICTION

13 FRANK SHEE, Case No. 21-CIV-00632
14 Plaintiff, DECLARATION OF JOHN KAO, M.D.
IN SUPPORT OF MOTION FOR
15 vs. SUMMARY JUDGMENT, OR IN THE
ALTERNATIVE, SUMMARY
16 ALBERTO BOLANOS, MILLS HEALTH ADJUDICATION
CENTER and DOES 1 through 100,
17 inclusive Complaint Filed: February 8, 2021
Trial Date: not yet set
18 Defendants.
19

20 I, John Kao, M.D., declare as follows:

21 1. I am a physician and have been duly licensed to practice

22 medicine in the State of California since 1988. I received my Bachelor of Science

23 degree in Chemical Engineering from the University of California at Berkeley in 1982.

24 I completed post-baccalaureate work at San Francisco State University in 1983. I

25 received my medical degree from Howard College of Medicine in Washington, D.C.,

26 in 1987. I have been a board-certified orthopedic surgeon since 1995, with the added

27 qualification for sports medicine since 2009. For further information regarding my

28 qualifications, please see my Curriculum Vitae, a copy of which is attached here as

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DECLARATION OF JOHN KAO, M.D. IN SUPPORT OF MOTION FOR SUMMARY JUDGMENT, OR IN THE ALTERNATIVE,
SUMMARY ADJUDICATION
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1 Exhibit A.

2 2. Based on my background, education, training, and professional

3 experience as an orthopedic surgeon, I am familiar with the standard of care

4 applicable to physicians practicing orthopedic surgery in the same or similar

5 community/locale, as well as under the same circumstances, such as that which was

6 rendered to Frank Shee in this case.

7 3. I have been provided with, and have reviewed, the following

8 materials relating to Frank Shee including the following:
a. Declaration of Dr. Alberto Bolanos;
9 b. Medical records from Mills Peninsula;
10 c. Medical records from the Orthopedic Institute of Bay Area;
and
11 d. Declaration of Brittany Hennin.

12 4. I understand that Mr. Shee contends Dr. Bolanos negligently

13 performed the November 11, 2019 surgery and failed to provide adequate informed

14 consent for the biceps tenodesis procedure. It is my opinion that Dr. Bolanos

15 complied with the applicable standard of care with respect to all of Mr. Shee’s medical

16 care and treatment, and there were no negligent acts or omissions to act with respect

17 to Mr. Shee’s medical care and treatment. It is also my opinion that the hospital staff

18 assisting Dr. Bolanos with the procedure also met the standard of care in all respects.

19 Furthermore, it is my opinion that no act or omission to act on the part of Dr. Bolanos

20 caused or contributed to Mr. Shee’s claimed injuries.

21 5. I also understand that Mr. Shee contends that Sutter Bay

22 Hospitals dba Mills Peninsula Medical Center (hereafter, “Sutter”) was negligent by

23 doing an optional procedure without their policy for physicians to fully explain the

24 importance of a possible permanent removal of the patient’s body part prior to

25 surgery. It is my opinion that Sutter complied with the applicable standard of care for

26 a hospital in providing procedures, policies, facilities, supplies and qualified personnel

27 reasonably necessary for the treatment of its patient Mr. Shee. Further, it is also my

28 opinion to a reasonable degree of medical certainty that no act or omission by Sutter

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DECLARATION OF JOHN KAO, M.D. IN SUPPORT OF MOTION FOR SUMMARY JUDGMENT, OR IN THE ALTERNATIVE,
SUMMARY ADJUDICATION
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1 caused or contributed to Mr. Shee’s claimed injuries.

2 6. From my review of the materials outlined above, I understand the

3 facts of the case are as follows:

4 a. On July 2, 2019, Plaintiff was seen by Dr. Bolanos and

5 Brittany Hennin, PA at the Orthopedic Institute of Bay Area in San Mateo. Plaintiff

6 was playing tennis, felt pain in his left shoulder, rested the shoulder, and the pain

7 improved after a few months. Then the pain in the left shoulder returned after 4

8 months and had been persistent. (Bolanos Decl., Exhibit A (Orthopedic Institute of

9 Bay Area)(“OIBA”) at pp. 15.)

10 b. A physical exam was performed which revealed

11 tenderness to palpation at the bicipital groove. An x-ray of the shoulder performed in

12 June showed mild acromioclavicular osteoarthritis. The plan was to perform an MRI

13 of the left shoulder and to follow up after. (Bolanos Decl., Exhibit A (OIBA) at pp. 15.)

14 c. Plaintiff returned on August 8, 2019 and was seen by Dr.

15 Bolanos and Brittany Hennin, PA. The MRI of the left shoulder performed on July 25,

16 2019 showed a full thickness rotator cuff tear, moderate-severe atrophy

17 supraspinatus and infraspinatus muscle belly, mild bicep tendinosis and moderate

18 acromioclavicular osteoarthritis. Dr. Bolanos and Ms. Hennin discussed a rotator cuff

19 repair which plaintiff was considering if pain persisted after a steroid injection and

20 physical therapy. (Bolanos Decl., Exhibit A (OIBA) at pp. 14.)

21 d. On October 10, 2019, plaintiff was seen again by Dr.

22 Bolanos and Ms. Hennin. Plaintiff reported that the pain improved after the steroid

23 shot but it only lasted 1 month. Plaintiff played tennis 1 month prior to the visit and

24 his left shoulder pain worsened. The plan was to proceed with the left rotator cuff

25 repair on November 11, 2019 at Mills Peninsula Hospital. The plan was also to obtain

26 an addendum to the MRI report with the rotator cuff tear size in mm. Plaintiff was to

27 follow up for a pre-operative visit as well. (Bolanos Decl., Exhibit A (OIBA) at pp. 13.)

28 e. Plaintiff was seen by Dr. Bolanos and Ms. Hennin on
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DECLARATION OF JOHN KAO, M.D. IN SUPPORT OF MOTION FOR SUMMARY JUDGMENT, OR IN THE ALTERNATIVE,
SUMMARY ADJUDICATION
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1 October 24, 2019. Dr. Bolanos noted that an MRI of the left shoulder performed on

2 July 25, 2019 was consistent with a full thickness rotator cuff tear, 4.7 cm, moderate-

3 severe atrophy supraspinatus and infraspinatus muscle belly, mild bicep tendinosis

4 and moderate acromioclavicular osteoarthritis. (Bolanos Decl., Exhibit A (OIBA) at

5 pp. 12.)

6 f. The plan was to proceed with arthroscopic left rotator cuff

7 repair, possible mini-open and mumford on November 11, 2019 at Mills Peninsula

8 Hospital. The procedure, alternatives, and risks were discussed in detail with Plaintiff

9 who understood and wished to proceed with the surgery. (Bolanos Decl., Exhibit A

10 (OIBA) at pp. 12.)

11 g. On November 11, 2019 at 6:15 am, plaintiff was presented

12 and signed the Verification of Informed Consent to Surgery or Special Procedure

13 form. The form specifically said on page one under the heading, “Your doctor(s) or

14 practitioner(s) have recommended the following operation(s) or procedure(s): Left

15 shoulder arthroscopic assisted rotator cuff repair and possible biceps tenodesis.”

16 (Seibert Decl., Exhibit B (Mills Peninsula) at pp. 115-116.)

17 h. Directly above plaintiff’s signature, the form confirmed the

18 following:
Your signature on this form indicates that:
19 • You have read and understand the information
20 provided in this form;
• Your doctor or practitioner has adequately explained to
21 you the operation or procedure and the anesthesia plan along
with the risks, benefits, and alternatives, and the other
22 information described above in this form;
• You have had a chance to ask your doctor or
23
practitioner questions;
24 • You have received all of the information you desire
concerning the operation or procedure and the anesthesia;
25 • You authorize and consent to the performance of the
operation or procedure and the anesthesia.
26

27 (Seibert Decl., Exhibit B (Mills Peninsula) at pp. 115-116.)
i. The anesthesiologist’s pre-procedure note on November
28
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SUMMARY ADJUDICATION
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1 11, 2019 states the plan was to perform: Left shoulder arthroscopic assisted rotator

2 cuff repair and possible biceps tenodesis. The anesthesia pre-operative evaluation

3 was signed by plaintiff on November 11, 2019 at 6:15 am. (Seibert Decl., Exhibit B

4 (Mills Peninsula) at pp. 111-112.)

5 j. Dr. Bolanos began the procedure on November 11, 2019

6 at approximately 8:15 am pursuant to the anesthesia procedure summary. (Seibert

7 Decl., Exhibit B (Mills Peninsula) at pp. 130.) A regional block and general

8 anesthesia were administered by the anesthesiologist and local anesthesia was

9 administered by Dr. Bolanos. (Seibert Decl., Exhibit B (Mills Peninsula) at pp. 54-58.)

10 k. Plaintiff was placed in a beach chair position and the

11 operative shoulder was then prepped and draped in the standard sterile fashion. A

12 posterior portal was created using standard technique. Examination of the

13 glenohumeral joint showed mild articular degeneration of the humeral head. The

14 rotator cuff tear was found to be massive. The lateral portal was created and an

15 arthroscopic Bovie was used to visualize a subacromial spur. A shaver was used to

16 perform a bursectomy and also to debride the rotator cuff remnant. An arthroscopic

17 burr was then placed through the posterior portal and a subacromial decompression

18 was performed. A subclavicular decompression was also performed. The lateral

19 portal was then extended and a deltoid split approach was taken. The rotator cuff

20 tear was massive. Remnants were found to be retracted medinal to the glenoid, and

21 were noted to be poor quality, tearing with minor retraction. It was deemed to be

22 irreparable. (Seibert Decl., Exhibit B (Mills Peninsula) at pp. 54-58.)

23 l. The biceps tendon was found to be frayed. A #2 fiber wire

24 suture was placed in a Krakow fashion at the level of the bicipital groove. A swivel

25 lock anchor was used to perform a bicipital tenodesis at the level of the bicipital

26 groove. (Seibert Decl., Exhibit B (Mills Peninsula) at pp. 54-58.)

27 m. The deltoid musculature was then reapproximated using 0

28 Vicryl. The hypodermis and epidermis were reapproximated using 0 Vicryl
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1 subicuticularly followed by Steri-Strips. Sterile dressing was then applied followed by

2 a shoulder immobilizer. (Seibert Decl., Exhibit B (Mills Peninsula) at pp. 54-58.)

3 7. The basis for my opinions that the medical care and treatment

4 provided to Mr. Shee by Dr. Bolanos at all times satisfied the standard of care, and for

5 the lack of a causal relationship between Mr. Shee’s alleged injuries and the medical

6 care and the treatment provided by Dr. Bolanos, are as follows:

7 a. Dr. Bolanos and Ms. Hennin examined plaintiff on July 2,

8 2019. A physical exam of plaintiff’s shoulder was performed based on plaintiff’s

9 complaints of recurrent shoulder pain. The standard of care would require a shoulder

10 examine, including palpating the bicipital groove. Because Dr. Bolanos did so at this

11 visit, his care and treatment complied with the standard of care. It would also be

12 appropriate to order an MRI of the shoulder to determine whether there were any

13 tears or other damage. Because Dr. Bolanos did so, he further complied with the

14 standard of care.

15 b. On August 8, 2019, Dr. Bolanos reviewed the July 25,

16 2019 MRI with plaintiff which showed a full thickness rotator cuff tear, moderate-

17 severe atrophy supraspinatus and infraspinatus muscle belly, mild bicep tendinosis

18 and moderate acromioclavicular osteoarthritis. The rotator cuff contributes to both

19 stability and movement of the glenohumeral joint and is vital to the function of the

20 upper limb. Injury to the rotator cuff is common and progression of injury typically

21 begins in the supraspinatus tendon mostly as a result of an intrinsic attritional process

22 that leads to partial and eventually full-thickness tearing. Full thickness tearing is

23 characterized by the complete removal of the tendon from the bone. This includes

24 large tears (3-5 cm) and massive tears (>5cm). Surgical treatments include

25 arthroscopic repairs, open repairs, mini open repairs, tendon reconstruction and

26 reverse shoulder arthroplasty. Non-surgical treatments consist of physiotherapy or

27 injection. The choice of, and response to, rotator cuff tear treatment may vary with

28 age due to differences in etiology and pathogenesis. Some studies suggest that
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DECLARATION OF JOHN KAO, M.D. IN SUPPORT OF MOTION FOR SUMMARY JUDGMENT, OR IN THE ALTERNATIVE,
SUMMARY ADJUDICATION
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1 young patients with traumatic tears may be best managed with surgery while many

2 atraumatic rotator cuff tear, which is common in older patients, may be amenable to

3 non-surgical treatment.

4 i. Associated lesions of the biceps tendon are

5 commonly found during arthroscopic repair of the rotator cuff tears. These lesions

6 are treated with tenodesis. Surgery for a diseased biceps tendon is needed in about

7 25% of patients with a rotator cuff tear. Sometimes, biceps disease is not seen until

8 the time of surgery, as damage is not always seen on an MRI or ultrasound. Surgery

9 for a torn biceps tendon involves removing it from inside the joint and reattaching it

10 where it exits the joint. In some cases, the surgeon will cut the tendon and allow it to

11 retract from the joint. The negative consequences of this procedure are possible

12 asymmetry of the biceps muscles (that it will look different from side to side) and

13 possibly some spasm in the muscle belly which routinely resolves. This rarely causes

14 a problem, and removing the long head of the biceps tendon from the shoulder does

15 not affect shoulder function. The biceps muscle continues to work at the elbow and

16 moving or releasing this tendon does not affect motion or strength of the shoulder.

17 Sometimes a biceps tenodesis can be performed arthroscopically.

18 ii. Here, Dr. Bolanos and Ms. Hennin discussed a

19 rotator cuff repair which plaintiff was considering if the pain persisted after a steroid

20 injection and physical therapy. The standard of care was therefore met by Dr.

21 Bolanos in discussing a rotator cuff repair should non-surgical treatment (steroid

22 injection and PT) fail to resolve the pain.

23 c. Plaintiff returned to Dr. Bolanos on October 10, 2019

24 following steroid injection. The pain persisted so they discussed performing the

25 rotator cuff repair on November 11, 2019. The plan also included an addendum to

26 the MRI report with the rotator cuff tear size in mm. This was appropriate under the

27 circumstances. Plaintiff had failed conservative non-surgical management, so the

28 next logical step would be a rotator cuff repair given plaintiff was still active and
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DECLARATION OF JOHN KAO, M.D. IN SUPPORT OF MOTION FOR SUMMARY JUDGMENT, OR IN THE ALTERNATIVE,
SUMMARY ADJUDICATION
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1 playing sports. It was also appropriate for Dr. Bolanos to request an addendum of the

2 MRI to identify the actual size of the rotator cuff tear. This would allow for appropriate

3 staging of the full-thickness tear. Therefore, Dr. Bolanos’ plan and recommendations

4 here met the standard of care.

5 d. On October 24, 2019, plaintiff returned to Dr. Bolanos who

6 noted that the July 25, 2019 MRI was consistent with a full-thickness rotator cuff tear

7 of 4.7 cm which would be categorized as a large tear appropriate for surgical repair.

8 Similarly, the bicep tendinosis was appropriate for surgical repair given that plaintiff’s

9 pain had persisted. The plan was for an arthroscopic rotator cuff repair, possible

10 mini-open and mumford. Dr. Bolanos also discussed a possible bicep tenodesis

11 repair at this time, given that the MRI findings showed mild bicep tendinosis. Dr.

12 Bolanos appropriately counseled plaintiff that depending on what the findings were

13 intraoperatively, the bicep tenodesis repair surgery may need to be performed. This

14 complied with the standard of care in all respects.

15 e. Plaintiff was presented and signed the Verification of

16 Informed Consent to Surgery or Special Procedure form on November 11, 2019

17 before the procedure. The form specifically identified the biceps tenodesis as a

18 possible procedure that would be performed at the time the arthroscopic rotator cuff

19 repair was done. The form further confirmed that plaintiff read and understood the

20 information in the form, Dr. Bolanos fully explained the operation and procedure,

21 along with the risks, benefits and alternatives. Finally, the form confirmed that plaintiff

22 authorized and consented to Dr. Bolanos performing the operation identified therein.

23 Of importance, the anesthesiologist’s pre-procedure note also identified the left

24 shoulder arthroscopic assisted rotator cuff repair and possible biceps tenodesis.

25 Plaintiff signed this note as well. Both forms adequately relayed to plaintiff that there

26 was a possibility of biceps tenodesis procedure performed at the same time as the

27 rotator cuff repair. Plaintiff was thus fully informed that the biceps tenodesis may be

28 performed, he was adequately informed of the risks, benefits, and alternatives to the
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DECLARATION OF JOHN KAO, M.D. IN SUPPORT OF MOTION FOR SUMMARY JUDGMENT, OR IN THE ALTERNATIVE,
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1 procedure, and he consented to same. Therefore, the forms and Dr. Bolanos

2 informed consent discussion regarding same fully complied with the standard of care.

3 f. Intraoperatively, the rotator cuff tear was determined to be

4 massive with remnants found to be retracted medial to the glenoid and were noted to

5 be of poor quality with further tearing on attempts of minor retraction. Because of

6 this, Dr. Bolanos determined that the tear was irreparable. Irreparable rotator cuff

7 tears are common conditions seen by shoulder surgeons, characterized by a torn and

8 retracted tendon associated with muscle atrophy and impaired mobility. Direct

9 fixation of the torn tendon is not possible due to the retracted tendon and lack of

10 healing potential which result in poor outcome. Because this is a condition that may

11 not be appreciated until intraoperatively, it was not surprising that Dr. Bolanos first

12 appreciated this after the procedure had started. These “irreparable” tears provide an

13 ongoing challenge for the orthopedic surgeon, with reported treatment failure rates as

14 high as 40% for massive rotator cuff tears. Thus, it was appropriate for Dr. Bolanos

15 to abort the rotator cuff tear and move to the bicipital tenodesis.

16 i. Dr. Bolanos noted that the biceps tendon had been

17 found to be frayed. Biceps tendon tears can be either partial or complete. Partial

18 tears do not completely sever the tendon, whereas complete tears will split the tendon

19 into two pieces. In many cases, torn tendons begin by fraying. As the damage

20 progresses, the tendon can completely tear, sometimes when lifting a heavy object.

21 Because of the likelihood of a complete tear with the tendon already showing signs of

22 fraying, it was completely appropriate for Dr. Bolanos to proceed with the bicipital

23 tenodesis repair while he was already operating on plaintiff at that time. The

24 alternative would have been to do nothing and just wait until the tendon completely

25 tore and then proceed with another surgery. Therefore, Dr. Bolanos’ decision to

26 perform the bicipital tenodesis at that time complied with the standard of care.

27 g. Plaintiff’s allegation that the bicipital tenodesis procedure

28 involved “permanent removal of his bicep” is simply an incorrect statement. To
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SUMMARY ADJUDICATION
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1 perform this procedure, the surgeon will cut into the area where the top of the biceps

2 tendon connects to the labrum. The biceps tendon is then pulled through the incision

3 and released from the labrum. A strong non-absorbable suture is then placed (in this

4 case, in a Krakow fashion) at the level of the bicipital groove, and ultimately a swivel

5 lock anchor is used to perform the biceps tenodesis at the bicipital groove level. This

6 is exactly what Dr. Bolanos did during the procedure. Therefore, plaintiff's assertion

7 that his bicep was “permanently” removed is nonsensical. The bicep was never

8 “removed” rather, its attachment point was just repositioned to prevent a future full

9 tear. Dr. Bolanos’ performance of the bicipital tenodesis therefore complied with the

10 standard of care in all respects, and did not cause any injury to plaintiff.

11 8. In summary, and for the reasons set forth above, it is my opinion

12 that Dr. Bolanos complied at all times with the applicable standard of care in his

13 medical care and treatment of Mr. Shee. It is also my opinion that the hospital staff

14 assisting Dr. Bolanos with the procedure also met the standard of care in all respects.

15 It is also my opinion to a reasonable degree of medical certainty that no act or

16 omission on the part of Dr. Bolanos in the course of managing Mr. Shee’s medical

17 care and treatment caused or contributed to Mr. Shee’s claimed injuries.

18 9. It is also my opinion, based on my education, experience and

19 training, and based on the documents and medical records I have reviewed in this

20 case, that Sutter met the standard of care in providing procedures, policies, facilities,

21 supplies and qualified personnel reasonably necessary for the treatment of its patient

22 Mr. Shee. Dr. Bolanos’ declaration outlines his medical training. He was competent

23 and qualified to render the subject care to Mr. Shee. Further, it is also my opinion to

24 a reasonable degree of medical certainty that no act or omission by Sutter caused or

25 contributed to Mr. Shee’s claimed injuries.

26 ///

27 ///

28 ///
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DECLARATION OF JOHN KAO, M.D. IN SUPPORT OF MOTION FOR SUMMARY JUDGMENT, OR IN THE ALTERNATIVE,
SUMMARY ADJUDICATION
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1 I declare under penalty of perjury under the laws of the State of

2 California that the foregoing is true and correct.

3 Executed on this ____ 16 day of November 2022, in Santa Clara, California

5 ________________________________

6 John Kao, M.D.

20
21

28
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EXHIBIT A
JOHN T. KAO, M.D.
Curriculum Vitae

West Coast Sports Institute
900 Lafayette St. #105
Santa Clara, CA 95050
(408) 293-7767

PROFESSIONAL TRAINING:

1992 - 1993 Sports Medicine Orthopaedic Fellowship
Kerlan-Jobe Orthopaedic Clinic
Inglewood, California

1988 - 1992 Orthopaedic Surgery Residency
Stanford University Hospital
Stanford, California

1987 - 1988 General Surgery Internship
Stanford University Hospital
Stanford, California

EDUCATION:

1983 - 1987 Howard University College of Medicine M.D.
Washington, D.C.

1982 - 1983 San Francisco State University Post-Baccalaureate
San Francisco, CA Emphasis: Biology Studies

1978 - 1982 University of California at Berkeley B.S.Ch.E.
Berkeley, CA Major: Chem. Engineering

APPOINTMENTS:

2007 - 2010 Associate Fellowship Director
Sports Medicine
SOAR Medical Clinic
Redwood City, CA

1994 - 2001 Clinical Instructor
Division of Hand Surgery
Department of Functional Restoration
Stanford University Medical Center
Stanford, CA

1993 - 1999 & Orthopaedic Consultant
2009 - 2013 Division of Orthopaedic Surgery
Department of Surgery
Palo Alto Veterans Administration Hospital
Palo Alto, CA

WORK EXPERIENCE:

09/14 – present Team Physician. Coverage for high school football, baseball, basketball, etc.
Bellarmine College Preparatory School, San Jose, CA.

01/07 - present Orthopedic Medical Staff. Aid in care of intercollegiate sports. Santa Clara
University, Santa Clara, CA.

02/19 – present Staff Orthopedist. Sports medicine orthopedist. West Coast Sports Institute.
San Jose and Santa Clara, CA.

02/19 - present Team Orthopedist. Team orthopedic surgeon for the minor league Jose Giants.
San Jose, CA.

07/01 – 06/18 Team Physician. Coverage for intercollegiate football, basketball, baseball, etc.
West Valley Community College, Saratoga, CA.

01/07 – 02/19 Staff Orthopedist. Sports medicine orthopedist. SOAR Medical Clinic.
Redwood City and San Jose, CA.

03/11 – 06/18 Orthopedic Medical Staff. Aid in the care of intercollegiate sports. University of
California at Berkeley, Berkeley, CA

02/08, 02/09 & Associate Master Instructor. Master’s Course Hip Arthroscopy. Rosemont, IL
07/11 and elbow disorders. San Jose, CA

01/01 – 12/06 Private Practice. Solo Orthopaedic practice emphasizing sports medicine,
shoulder,
and elbow disorders. San Jose, CA

4/97 - 1/01 Staff Orthopaedist. Clinical practice with a focus on sports medicine, upper
extremity, injuries. Kaiser Permanente, Santa Clara, CA.

9/93 - 4/97 Staff Orthopaedist. Work emphasizing sports medicine, general orthopaedics,
and resident training in a major metropolitan area. Kaiser Permanente,
San Francisco, CA.

10/93 – 6/99 & Orthopaedic Consultant. Teach and supervise orthopaedic residents
01/09 – 12/13 with shoulder and sports medicine surgical cases. Palo Alto Veterans
Administration Hospital, Palo Alto, CA.

8/94 - 12/99 Clinical Instructor. Teach and supervise orthopaedic and plastic
surgery residents in an upper extremity clinic and in upper extremity
surgical cases. Div. of Hand Surgery, Stanford University Hospital,
Stanford, CA.

8/92 - 8/93 Assistant Team Orthopaedist. Assist in the orthopaedic care of the Los Angeles
Dodgers, Los Angeles Rams, Los Angeles Lakers, and Los Angeles Kings. Los
Angeles, CA.

8/92 - 8/93 Team Orthopaedist. Provide orthopaedic care for the intercollegiate
teams at Loyola Marymount University. Los Angeles, CA.

5/85 - 8/85 & Lab Research. The effect of ascorbate on glycosaminoglycan
5/84 - 8/84 synthesis in cultured human fibroblasts. R. Stern, M.D., Prof.,
Dept. of Pathology, U.C. San Francisco. San Francisco, CA.

8/82 - 7/83 Lab Research. Adsorption profiles of amino acids onto montmorillonite.
J. Orenberg, Ph.D., Assoc. Prof., Dept. of Chemistry, San Francisco
State University. San Francisco, CA.

6/80 - 9/80 Lab Research. Calmodulin purification from bovine cardiac
muscle by gel column chromatography. R. Stern, M.D., Prof.,
Dept. of Pathology, U.C. San Francisco. San Francisco, CA.

PUBLICATIONS:

ARTICLES

1. Shenoy VM, Gifford HS, Kao JT: A Novel Implant System for Unloading the Medial Compartment
of the Knee by Lateral Displacement of the Iliotibial Band. Ortho J Sports Med. 5:3 (2017).

2. Shenoy V, Gifford H, Kao J, Knee Medial Compartment Unloading through Lateral Displacement
of the Iliotibial Band. Ortho Proceedings. 98B (sup 10):28 (2016).

3. Tibone JE, Fechter J, Kao JT: Evaluation of Shoulder Proprioception in Unstable Shoulder
Patient utilizing Somatosensory Cortical Evoked Potentials. J. Elbow Shoulder Surg. 6:5
(1997) 440-443.

4. Kao JT, Comstock CP: Re-implantation of a Contaminated and Devitalized Bone Fragment
after Autoclaving in an Open Fracture. A Case Report. J. Ortho Trauma. 9:4 (1995)
336-340.

5. Kao JT, Giangarra CE, Martin S: The Efficacy of Outpatient Anterior Cruciate
Ligament Reconstruction. Arthoscopy. 11:2 (1995) 151-156.

6. Kao JT, Pink M, Jobe FW, Perry J: EMG Analysis of the Scapular Muscles during a Golf
Swing. Am J. Sports Med. 23:1 (1995) 19-23.

7. Kao JT, Tibone JE, Shaffer B: The Pullout Strength and Use of Tibial Interference Screws
during Endoscopic ACL Reconstruction Surgery. J Knee Surg 8:2 (1995) 42-47.
8. Gamble JG, Kao JT: Avulsion Fracture of the Lesser Trochanter in a Pre-adolescent Athlete.
J Ped Orthop. 2B (1993) 188-190.

9. Kao JT, Burton D, Comstock C, McClellan RT, Carragee E: Pudendal Nerve Palsy
after Femoral Intramedullary Nailing. J Orthop Trauma. 7:1 (1993) 58-63.

10. Kao JT, Woolson ST: Piriformis Tendon Repair Failure in Total Hip Replacement.
Orthop Rev. 21:2 (1992) 171-174.

11. Kao JT, Giangarra CE: Hill-Sachs Fracture, Surgical Rounds for Orthopaedics,
4: 7 (1990) 24.

12. Kao JT, Huey G, Kao RT, Stern R: Ascorbic Acid Stimulates Production of
Glycosaminoglycans in Cultured Human Fibroblasts. Experimental & Molecular
Pathology. 53 (1990) 1-10.

13. Huff R, Kao JT, Cook A, Lowe T, Orenberg J: pH Profiles of the Adsorption of
Nucleotides onto Montmorillonite, Origins of Life, 15 (1985) 77-88.

CHAPTERS

1. Chandler RW, Kao JT. Fractures of the Shoulder Girdle. In: Jobe FW, Pink M, eds.
The Upper Extremity in the Athlete. St. Louis, Mosby. 1996.

2. Jobe FW, Kao JT. Throwing Sports. In: Hawkins R, Misamore GW, eds. The Athlete's
Shoulder, Philadelphia, Churchill-Livingstone. 1996.

ABSTRACTS

1. Kao JT, Tibone JE, Lenihan M, Cawley P: The Use of Interference Screws in Endoscopic
ACL Reconstruction Surgery and Pullout Strength Analysis of Different Length Tibial
Tunnel Interference Screws. Orthop Trans, 18:4 (1994) 1225-26.

2. Kao JT, Giangarra CE, Martin S: The Efficacy of Outpatient Anterior Cruciate Ligament
Reconstruction. Orthop Trans, 16:2 (1992) 307.

3. Kao JT, Burton D, Comstock C, McClellan RT, Carragee E: Pudendal Nerve Palsy after
Femoral Intramedullary Nailing. Orthop Trans, 15:3(1991) 836.

4. Kao JT: Pudendal Nerve Palsy in Femoral Intramedullary Nailing. Orthop Trans,
15:1(1991) 42.

5. Kao RT, Kao JT, Bierne OR: The Identification and Initial Characterization of Osteogenic
Growth Factor. J Dent Res, 66(1987) 509.

6. Wong AM, Covendo J, Kao JT, Kao RT: The Use of Ivalon Sponge for Histological and
Biochemical Study of Bone Healing. J Dent Res, 66(1987) 906.
INSTRUCTIONAL VIDEOTAPES

1. Kao JT, Tibone JE, Shields CL, ElAttrache NS: Arthroscopic Posterior Cruciate Ligament
Reconstruction Surgery.

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