Richard Lehman (surgeon)

Richard Lehman (surgeon)
Richard Lehman

Born November 14, 1954 (1954-11-14) (age 57)
Louisville, Kentucky, United States
Citizenship American
Fields Orthopedic Surgery
Institutions U.S. Center For Sports Medicine
Alma mater University of Minnesota
University of Miami School of Medicine

Richard Lehman, M.D., is a distinguished orthopedic surgeon in St. Louis, Missouri, who pioneered the procedure for articular cartilage reconstruction using two-phased cartilage grafts.[1]

He is currently appointed to the St. Joseph Hospital of Kirkwood, an appointment he's held since 1986, and Des Peres Hospital, an appointment he's held since 1992. Since 2001, Lehman has also been associated with the Health South Surgery Center and Creve Coeur Surgery Center.

He's also been a central figure in sports injury treatment, presenting at over 30 conferences, as well as participating in multiple sports injury research projects.

Throughout his career, Dr. Lehman has written over twenty-seven articles in science journals like Arthroscopy.[2] During the 1980s he authored and co-authored clinics in sports medicine and guidelines on how to sports teams can avoid injuries.

Dr. Richard Lehman grew up in Miami, Fl. He's married to plastic surgeon Michele Koo. Together they have three children. He owns the U.S. Center for Sports Medicine in Kirkwood, MO.[3]

Contents

Education

Dr. Lehman received a B.A. in Psychology from the University of Minnesota, with a Minor in Chemistry. He graduated from the University of Miami School of Medicine in 1980 with his M.D. degree. Dr. Lehman completed his internship and Orthopedic Surgery Residency at the Barnes Hospital / Washington University and a Sports Medicine Fellowship at the University of Pennsylvania.

During his medical education, Lehman received eight educational honors,[4] most notably when the Lake Tahoe Orthopedic Institute selected Lehman for a fellowship in 1983 and when he won the Eastern Orthopedic Cervical Spine Institute Award in 1986.

According to HealthGrades, a consumer-driven website devoted to grading American physicians, Dr. Lehman served residencies at Barnes Jewish Hospital, University of Pennsylvania Health System and Washington University Affiliated Hospitals.[5]

Professional Achievements

In conjunction with Biomet, Dr. Lehman revolutionized cartilage regeneration techniques to further growth and reconstruction of articular cartilage.[6] He's also written and lectured extensively on the subject.

Dr. Lehman has written three books on tennis injuries and published extensively in orthopedic literature and sports medicine journals.

In Racquet Sports: Injury Treatment and Prevention, Dr. Lehman created guidelines to help decrease the rehabilitation protocol and decrease the reinjury rate in tennis players. For the rehabilitation of the athlete with an injured shoulder, wrist or hand he recommended the appropriate size of a racquet, string tension, string type, grip size and tennis ball type. He included a graduated rehabilitation plan that cascaded from structured practice to structured matches.

Part of Dr. Lehman's motivation to provide such guidelines was due to the fact that open shoulder surgery at the time offered an unacceptably low rate of successful return to preinjury levels.[7] Thus, he championed a uniformly successful regimen and a prophylactic program to decrease the number of injured athletes.

In 2005, Dr. Lehman recommended a new fixation technique for lateral elbow reconstruction. This technique is described In Arthroscopy: The Journal of Arthroscopic and Related Surgery.[8] The diagnosis of posterolateral rotatory instability of the elbow is difficult,[9] but is more common than elbow dislocations. Pinpointing this diagnosis, Lehman says, is subtle, depending on patient complaints of a significant pop in the elbow.

Treatment of this problem starts with physical therapy, diminishment of activity and aggressive strengthing. When the recurrent instability occurs and symptoms are not resolved, treatment is surgical. Dr. Lehman's technique uses interference fit screws instead of bone tunnels. The technique utilizes a standard free graft and the isometric points on the lateral epicondylar ride and ulna are identified, all improvements to the original procedure. Furthermore, fixation is completed after the isometricity of the insertion site is ensured and the graft is appropriately tensioned. This procedure is an upgrade because there is much less trauma to the elbow, the fixation is stronger and scarring is minimized with this technique.

In 2003, Dr. Lehman recommended an all-arthroscopic procedure for partial rotator cuff tears,[10] an area of arthroscopic surgery, including partial rotator cuff tear treatment and natural history, that was in a constant state of change. His recommendation centered around the idea that tears in the rotator cuff should be treated surgically when the cuff was torn more than 50% of the thickness or when substantial thinning of the rotator cuff is identified. Surgically treating partial rotator cuff tears, Lehman contended, would help protect and limit further breakdown, but, more importantly, addresses the need for increased blood supply in the rotator cuff and diminishes the chance for full rotator cuff tear.

However, even with the introduction of new arthroscopic techniques like Dr. Lehman's, there is still no standard treatment protocol for partial-thickness rotator cuff tears.[11]

Also in 2003, Dr. Lehman recommended a procedure to treat articular cartilage full-thickness lesions.[12] This procedure was a modification of the medical procedures microfracture and autologous autograft transplantation, two surgeries with shortcomings in terms of difficulty, expense, surgical morbidity and availability of grafting material.

In September 2010 at the International Cartilage Repair Society meeting in Barcelona, Spain, Dr. Lehman and Dr. Phillip A. Davidson presented a paper on the effectiveness and safety of a device known as the OsseoFit Porous Tissue Matrix,[13] believed to be the first report on the use of this device in a bone and cartilage application.[14]

Dr. Lehman isn't limited to surgical work with humans. In 2010 he was part of team of doctors exploring a new, two-phased tissue graft designed to repair bone and cartilage damage to horses. After four and twelve month check ups, the study suggests that this procedure improves defect fill earlier, as compared to microfracture, and is able to maintain repair out to 12-months post-operative.

Sports Medicine Career

Dr. Lehman is licensed in Missouri and California and actively treats track and field athletes worldwide and professional sports athletes from North America. He focuses on rehabilitation of knee, shoulder and elbow injuries. According to the St. Louis Business Journal,[15] Lehman has "worked with pro football, hockey and baseball players as well as numerous Olympic athletes, starting with Jackie Joyner-Kersee."

In Missouri, he's been appointed to Des Peres Hospital, St. Joseph Hospital of Kirkwood and Webster Surgical Center.

Dr. Lehman is currently on the Board of Directors of the Jackie Joyner-Kersee Youth Foundation, the medical director of Webster Surgery Center and the medical director of the U.S. Center for Sports Medicine. He is on the Board of Governors for the National Hockey League and is on the St. Louis Sports Commission. His practice encompasses taking care of professional athletes at all levels and all sports, as well as Division college athletes.

Outside of the operating room, Lehman gives interviews to FOX2now St. Louis to explain topics like the "Cinderella Procedure"[16] and the ankle break by Blues forward TJ Oshie.[17] In addition, the St. Louis Business Journal also asks Lehman for his comments on surgical and medical cases, like when former President Bill Clinton had surgery to repair a ripped tendon in his knee[18] or when Walgreens pulled creatine from shelves.[19]

He's been the team physician for the Florida Panthers, Tampa Bay Lightning[20] and St. Louis Blues. He has been a consulting physician for UCLA Track & Field and has covered four Olympic Games, as well as seven Track and Field World Championships.

He is currently a part owner of the National Hockey League Florida Panthers.

During the 1994-95 and 1995-96 baseball seasons, Lehman was the team doctor for the St. Louis Cardinals. Lehman came to the St. Louis Blues with former head coach and general manager Mike Keenan. Keenan was fired mid-season last year, and Lehman was dismissed as the team doctor at the end of the season, although he still treats a number of Blues players.[21]

In late October 1997, when the Cardinals team doctor Dr. Stan Landon was removed from his position, Dr. Lehman lobbied for the position. His competition for the contract for that position, the department of orthopedic surgery at the Washington University School of Medicine, appeared to have a lock on the contract.

In early 1998, Lehman and his business partners, backed by the resources of a competing local hospital chain, made an official offer of $1.2 million a year for the contract to make the U.S. Center for Sports Medicine the Cardinals official medical provider.[22] They were outbid by BJC Health Care, the largest hospital chain in St. Louis.

Academic Assignments

In 1989, Dr. Lehman served on the Orthopedic Peer Review Committee of the Prudential Insurance Company of America.

While at Washington University School of Medicine, Dr. Lehman served as research assistant professor for the Physical Therapy and Irene Walter Johnson Institute of Rehabilitation. He kept this post from 1986 to 1992.

In 1984 and 1985, Dr. Lehman acted as Chief Instructor over the Orthopedic Curriculum at Washington University School of Physical Therapy and Irene Johnson Institute of Rehabilitation.

Professional Memberships

Dr. Lehman is a member of ten medical associations:

Business Investments

After he bought into the Florida Panthers, Lehman's first investment opportunity involved a generic pharmaceutical company called Abrika, a start-up with Alan Cohen (also a Florida Panther's owner). Cohen had previously started and sold another pharmaceutical company called Andrx.

Lehman then joined Jordan Zimmerman of Zimmerman Advertising to buy and sell shopping centers in Boca Raton and Palm Beach, Florida. He then turned to investment opportunities closer to home.

Around 2002, Lehman and his partners invested in Green Maurer Golf LLC, a company that planned and designed a putter with a unique alignment system. GMG held seven patents on the club.[23] The company folded in 2006.[24]

In 2009, Lehman bought a stake in a St. Louis auto dealership,[25] launched a homebuilding business[26] and invested in a local bank, his first as a principal at a St. Louis bank, though he has an investment in a bank in San Diego. His principal partner was Don Davis, a former CEO for Centrue Bank in St. Louis.[27]

References

  1. ^ http://clinicaltrials.gov/ct2/show/NCT01183637
  2. ^ http://www.arthroscopyjournal.org/article/S0749-8063(03)00692-3/abstract
  3. ^ Mueller, Angela (2009-07-26). "Dr. Rick Lehman". http://www.bizjournals.com/stlouis/stories/2009/07/27/story9.html. 
  4. ^ https://docs.google.com/viewer?a=v&pid=gmail&attid=0.2&thid=12c793b997fc372c&mt=application/pdf&url=https://mail.google.com/mail/?ui%3D2%26ik%3De5a7c5f56d%26view%3Datt%26th%3D12c793b997fc372c%26attid%3D0.2%26disp%3Dattd%26realattid%3Da777051fd09b2db6_0.2%26zw&sig=AHIEtbQTi3PVyRpFt4qICQJwW1cs-V525w
  5. ^ "Dr. Richard C. Lehman , MD - Free Doctor Profile - Orthopedic Surgery, located in Saint Louis, MO". Healthgrades.com. http://www.healthgrades.com/directory_search/physician/profiles/dr-md-reports/Dr-Richard-Lehman-MD-E1AB6819.cfm. Retrieved 2009-03-26. 
  6. ^ http://www.biomet.com/searchResults.cfm?collection=biomet&criteria=Dr.+Richard+Lehman
  7. ^ "Physical Medicine and Rehabilitation Clinics of North America : Musculoskeletal Injuries in Tennis". ScienceDirect. doi:10.1016/j.pmr.2006.05.005. http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B75JP-4KT6CNT-B&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=e9e894b46851d53edc95a05566aecff4. Retrieved 2009-03-26. 
  8. ^ "Elsevier". Arthroscopyjournal.org. http://www.arthroscopyjournal.org/article/S0749-8063(04)01277-0/abstract. Retrieved 2009-03-26. 
  9. ^ "Posterolateral rotatory instability of the elbow - O'Driscoll et al. 73 (3): 440 - Journal of Bone and Joint Surgery". Ejbjs.org. http://www.ejbjs.org/cgi/content/abstract/73/3/440?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&author1=O'Driscoll&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT. Retrieved 2009-03-26. 
  10. ^ . PMID 12966406. 
  11. ^ . PMID 16422233. 
  12. ^ "Elsevier". Arthroscopyjournal.org. http://www.arthroscopyjournal.org/article/S0749-8063(02)37673-4/abstract. Retrieved 2009-03-26. 
  13. ^ http://www.biomet.com/sportsMedicine/newsletters/getFile.cfm?id=4&rt=inline
  14. ^ http://posters.webges.com/get/pdf/icrs2010/3594/
  15. ^ Mueller, Angela (2009-07-26). "Dr. Rick Lehman". http://www.bizjournals.com/stlouis/stories/2009/07/27/story9.html. 
  16. ^ http://www.fox2now.com/ktvi-foot-face-lift-cinderella-procedure-080310,0,1300522.story
  17. ^ http://www.fox2now.com/ktvi-game-injuries-oshi-ankle-break-111510,0,6827346.story
  18. ^ Louis, St. (1997-03-23). "How would Bill's knee be handled here?". http://www.bizjournals.com/stlouis/stories/1997/03/24/editorial3.html. 
  19. ^ Vespereny, Cynthia (1998-06-14). "Creatine pumps up retailers' sales". http://www.bizjournals.com/stlouis/stories/1998/06/15/story8.html. 
  20. ^ Share. "Tampa Bay Lightning - Team: Front Office". Lightning.nhl.com. http://lightning.nhl.com/team/app/?service=page&page=NHLPage&id=17047. Retrieved 2009-03-26. 
  21. ^ Gotthelf, Josh (1997-10-19). "Washington U. team has inside track to doctor Cardinals". http://www.bizjournals.com/stlouis/stories/1997/10/20/story7.html. 
  22. ^ http://espn.go.com/gen/s/2002/0912/1430969.html
  23. ^ Janecke, Ron (2002-12-29). "Maurer, Green hope putter puts them in the green". http://www.bizjournals.com/stlouis/stories/2002/12/30/smallb2.html. 
  24. ^ Retka, Allison (2006). "Fired CEO blasts putter company owners in lawsuit". Daily Record and the Kansas City Daily News-Press. http://findarticles.com/p/articles/mi_qn4181/is_20060828/ai_n16694930/. 
  25. ^ Edwards, Greg (2009-03-29). "Davis, Lehman show interest in small banks". http://www.bizjournals.com/stlouis/stories/2009/03/30/story1.html. 
  26. ^ Edwards, Greg (2009-07-12). "Freeman, Lehman, Davis join to start homebuilder". http://www.bizjournals.com/stlouis/stories/2009/07/13/story8.html. 
  27. ^ Edwards, Greg (2009-05-31). "Lehman, Davis rev up with Behlmann stake". http://www.bizjournals.com/stlouis/stories/2009/06/01/story5.html. 

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