Orthopaedics

Assistant clinical professor of Pediatric Orthopaedic Surgery, Dr. Charles Mehlman directs Musculoskeletal Outcomes Research and Orthopaedic Resident Education at Cincinnati Children's Hospital Medical Center.

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Charles T. Mehlman, DO, MPH

Title

Director, Musculoskeletal Outcomes Research; Co-Director, Brachial Plexus Center

Appointment

Associate Professor, Clinical Affiliated, University of Cincinnati, Department of Orthopaedic Surgery

Email

charles.mehlman@cchmc.org

Phone

513-636-4785

Fax

513-636-3928

Bio

Charles Mehlman, DO, MPH, is director of Musculoskeletal Outcomes Research for in the Department of Orthopaedic Surgery at Cincinnati Children's Hospital Medical Center.

Prior to his present position, Dr. Mehlman completed an Ohio University Orthopaedic Surgery Residency and a University of Cincinnati Pediatric Orthopaedic Surgery Fellowship.

Dr. Mehlman has also completed a Fellowship in Outcomes Research and Clinical Effectiveness and received a Master's of Public Health (MPH) degree from the Harvard School of Public Health.

In addition to serving as associate editor for The Journal of the American Osteopathic Academy of Orthopaedics (The Orthopod), Dr. Mehlman is a consulting editor for the Physician and Sportsmedicine, as well as three other medical journals.

An early interest in evidence-based medical decision-making, meta-analysis, and patient-focused technology assessment led Dr. Mehlman to his present position as director of Musculoskeletal Outcomes Research.

Dr. Mehlman's current research projects focus on patient satisfaction, functional outcomes, and cost-effectiveness issues as they relate to orthopaedic treatments.

Dr. Mehlman also holds a dual appointment as assistant clinical professor of Pediatric Orthopaedic Surgery at the University of Cincinnati and assistant clinical professor of Orthopaedic Surgery at Ohio University. Strongly commitment to medical education,

Dr. Mehlman serves as director of Orthopaedic Resident Education at Cincinnati Children's Hospital Medical Center.

Credentials

DO: Ohio University College of Osteopathic Medicine; Athens, Ohio; 1989

MPH: Harvard School of Public Health, 1998

Internship: Ohio University College of Osteopathic Medicine; Grandview Hospital and Medical Center; Dayton, Ohio; 1989-1990

Residency: Internal Medicine; Northeastern Ohio Universities College of Medicine; Akron General Medical Center; Akron, Ohio; 1990-1991; Orthopaedic Surgery; Ohio University College of Osteopathic Medicine; Grandview Hospital and Medical Center; Dayton, Ohio, 1991-1995

Fellowship: Pediatric Orthopaedic Surgery; University of Cincinnati College of Medicine; Children's Hospital Medical Center; Cincinnati, Ohio; 1995-1996; MPH: Clinical Effectiveness and Outcomes Research, MPH; Harvard School of Public Health; Boston, Mass., 1996-1998

Certification: Board-certified, American Osteopathic Board of Orthopaedic Surgery, 1998-2008

Awards and Honors

  • Yearbook of Orthopedics; 1998 (Mosby, St. Louis, Mo.)
  • Radiation Exposure to the Orthopaedic Surgical Team
    During Fluoroscopy: "How Far Away is Far Enough?" -- included as one of the "papers representing significant advances and statements of important clinical principles" -- American Fracture Association; Nashville, Tenn.; second-place Myerding Award; Traumatic Hip Dislocations in Children; Spring 1998.

Research

  • Pediatric outcomes: quality of life following traumatic injury, traction and casting versus flexible intramedullary nailing of femoral fractures in children
  • Effectiveness of video-assisted thoracoscopic surgery in the management of pediatric spinal deformity biomechanical study of Nancy nails, outcomes following pediatric thoracolumbar spinal trauma
  • Medical soft-tissue release and petrie casting for the treatment of Legg-Calve-Perthes disease
  • Perioperative complications associated with operative
    treatment of supracondylar humeral fractures in children
  • Undisplaced fractures of the distal radius and ulna in children -- risk factors for displacement
  • Talus fractures in children
  • Complications associated with the use of meniscal arrows in children
  • Effectiveness of halo-femoral traction in the management of severe spinal deformity
  • Orthopaedic injuries in children secondary to airbag deployment
  • Buckle fractures of the distal radius and ulna -- risk factors for displacement
  • Hip problems associated with Rubinstein-Taybi syndrome and effectiveness of flexible intermedullary nailing of pediatric tibia fractures

Funded Training Programs

  • University of Cincinnati Orthopaedic Surgery Residency Program
  • Ohio University Orthopaedic Surgery Residency Training Program
  • Michigan State University Orthopaedic Surgery Residency Training Program
  • Cincinnati Children's Hospital Medical Center
  • Department of Orthopaedic Surgery Fellowship Program (ACGME-accredited)

Research Grants and Contracts

  1. Video-Assisted Thoracoscopic Surgery in the Management of Pediatric Spinal Deformity: Impact on Health Related Quality of Life
  2. Divisional Grant Pediatric Orthopaedic Surgery.
  3. Thoracic and Lumbar Spine Fractures in Children: An Outcomes Analysis, Divisional Grant Pediatric Orthopaedic Surgery.
  4. Buckle Fractures of the Distal Radius and Ulna in Children: Risk Factors for Displacement 1996 to 1997; funded: Cincinnati Children's Hospital Medical Center Trustee Grant.

Publications, Most Recent

Mehlman CT, Shah SA, Dobbs MB, Chan DP. 2005 Scoliosis Research Society Asian Traveling Fellowship: Report to the Education Committee. Spine. 2006 Sep 15;31(20):2288.

Mehlman CT, Wenger DR. The top 25 at 25: citation classics in the Journal of Pediatric Orthopaedics. J Pediatr Orthop. 2006 Sep-Oct;26(5):691-4.

Shinde A, Mehlman CT, Collins MH. Aneurysmal bone cysts express vascular markers.Pediatr Dev Pathol. 2006 Jan-Feb;9(1):38-43. Epub 2006 Apr 4.

Moon ES, Mehlman CT. Factores de Riesgo de Necrosis Avascular Tras Fracturas de Cuello Femoral en Ninos: 22 Casos de Cincinnati y Meta-analisis de 360 Casos.J Orthop Trauma. 2006 May;20(5):376.

Moon ES, Mehlman CT. Risk factors for avascular necrosis after femoral nect fractures in children: 25 Cincinnnati cases and meta-analysis of 360 cases.J Orthop Trauma. 2006 May;20(5):323-9.

VanderBeek BL, Mehlman CT, Foad SL, Wall EJ, Crawford AH. The use of conscious sedation for pain control during forearm fracture reduction in children: does race matter?J Pediatr Orthop. 2006 Jan-Feb;26(1):53-7.

West DL, Mehlman CT. Medial Epicondylar Apophysitis: A Component of Little Leaguers Elbow.J Am Osteo Acad Orthop; 42:40-43, 2005.

Mehlman CT, Al-Sayyad MJ, Crawford AH. Effectiveness of spinal Release and Halo-Femoral Traction in the Management of Severe Spinal Deformity. JPO, 24: 667 – 673, 2004.

Paksima N, Panchal A, Posner MA, Green SM, Mehlman CT, Hiebert R. A Meta-Analysis of the Literature on Distal Radius Fractures: Review of 615 Articles.Hosp for Joint Diseases 62(1&2):, 40-46.

Lucas JC, Mehlman CT, Laor T. The Location of the Biceps Tendon in Completely Displaced Proximal Humerus Fractures in Children: A Report of Four Cases with Magnetic Resonance Imaging and Cadaveric Correlation.J Pediatr Orthop; 24(3): 249-253, 2004.

Deitch J, Mehlman CT, Foad SL, Obbehat A, Mallory M. Traumatic Anterior Shoulder Dislocation in Adolescents.AJSM 31(5): 758-763, 2003.

Mehlman CT, Lee TM. Hyphenated History: Park-Harris Growth Arrest Lines.Am J Orthop. 32(8):408-411, 2003.

Dunham RC, Mehlman CT, Foad SL. Anterior Knee Pain in Children & Adolescents: Evaluation and Treatment of Plica Syndrome.J Am Osteo Acad Orthop 40:29-35, 2003.

Mehlman CT, Farmer JA. Teaching Orthopaedics on the Run: Tell Me the Story Backward.Clin Orthop and Related Research. (413):303-308, 2003.

Parikh SN, Mehlman CT, Keith RW. A Third-Degree Burn Caused By a Neurogenic Motor-Evoked Potential Monitoring Electrode During Spinal Surgery: A Case Report.Spine; 28(1):E21-24, 2003.

Do TT, Strub WM, Foad SL, Mehlman CT, Crawford AH. Reduction versus remodeling in pediatric distal forearm fractures: a preliminary cost analysis.J Pediatr Orthop; 12(2):109-115, 2003.

Sop AL, Mehlman CT, Meiss L. Hyphenated History: The Böhler-Braun Frame.J Orthop Trauma; 17(3):217-221, 2003.

Mehlman CT, Tressler MA. Hyphenated History: The Shands-MacEwen Osteotomy.J Am Acad Orthop; 40:38-41, 2003.

Melton NM, Mehlman CT. Hyphenated History: A Case Report of CVT with Spontaneous Resolution.J Am Acad Orthop; 40:46-48, 2003.

Nematbakhsh A, Mehlman CT. Spinal Deformity in Association with Carbohydrate-Deficient Syndrome (Jaeken's Syndrome): A Report of Three Cases.Spine. 2003; Apr 1:28(7):E132-5.

Do TT, Strub WM, Foad SL, Mehlman CT, Crawford AH. Reduction versus remodeling in pediatric distal forearm fractures: a preliminary cost analysis. J Pediatr Orthop B 2003 Mar; 12(2):109-15.

Parikh SN, Mehlman CT, Keith RW. A Third-Degree Burn Caused By a Neurogenic Motor-Evoked Potential Monitoring Electrode During Spinal Surgery: A Case Report. Spine. 2003 Jan 1;28(1):E21-4.

Nowinski RJ, Mehlman CT. Posterior Glenohumeral Instability.eMedicine December 30, 2002.

Herra-Sota J, Mehlman CT. Spinal Muscle Atrophy.eMedicine December 30, 2002.

Mehlman CT, Shepherd MA. Pediatric foot deformities: advances in evaluation and management.Current Opinion in Orthopaedics Dec 2002; 13(6): 401-407;

Buechsenschuetz KE, Mehlman CT, Shaw KJ, Crawford, AH, Immerman EB. Femoral Shaft Fractures in Children: Traction and Casting versus Elastic Stable Intramedullary Nailing.J Trauma, Nov 2002;53(5):914-21.

Mehlman CT, Brown RL, Gittelman M, Garcia VF, ME Koepplinger: All-Terrain Vehicle and Bicycle Crashes in Children: Epidemiology and Comparison of Injury Severity.J Pediatr Surg. 2002 37(3):375-80.

Mehlman CT, Cripe T. Osteosarcoma.eMedicine Journal. Vol. 3, No.2, February 26, 2002.

Mehlman CT. Unicameral Bone Cyst.eMedicine Journal, Vol. 3, No. 2, February 19, 2002.

Wall EJ, Kolata R, Roy DR, Mehlman CT, Crawford AH. Endoscopic Pelvic Osteotomy for the Treatment of Hip Dysplasia.J Am Acad Orthop Surg 2001; 9: 150-156.

Mehlman CT. Treatment of Femoral Shaft Fractures in Children and Adolescents [editorial]. J Trauma Nov 2001; 51:1188.

Saroff DA, Deeney VF, Mehlman CT, et al. Time to Treatment: The Questions of Beneficial Surgical Delays. [editorial]J Bone Joint Surg. 2001; 83A(6):1755-1757

Mehlman CT, Strub WM, Roy DR, Wall EJ, Crawford AH: The Effect of Surgical Timing on the Perioperative Complications of Treatment of Supracondylar Humeral Fractures in Children.J Bone Joint Surg Am 2001 Mar; 83-A(3):323-7.

Humbert ET, Mehlman CT, Crawford AH. Two Cases of Osteochondroma Recurrence After Surgical Resection.Am J Orthop 2001,30(1):62-64.

Mehlman CT. Clinical Epidemiology. Orthopaedic Knowledge Update-7 American Academy of Orthopaedic Surgeons, Rosemont, IL. 9:79-83, 2002.

Professional Organization Memberships

  • American Osteopathic Association, 1985 to present; American Medical Association, 1999 to present
  • American Osteopathic Academy of Orthopedics, inducted as fellow, 1998; candidate member, 1991 to present; Publications Committee, 1996 to present; Research Committee, 1996 to present; Chair, 1998 to present; Pediatric Section, 1996 to present; President, 1998 to 1999
  • Ohio State Medical Association, Academy of Medicine of Cincinnati, 1996 to present; Ohio Osteopathic Association, 1985 to present; Committee on Student Affairs and Physician Placement, 1990 to present; House of Delegates Member, 1999; Professional Affairs Committee, 1999 to present
  • Pediatric Orthopaedic Society of North America, 1999 to present
  • North American Spine Society, 1998 to present
  • American Fracture Association, 1998
  • American College of Medical Quality, 1999 to present
  • National Athletic Trainers Association, 1980 to 1990

Books

Mehlman CT, Wall EJ. Injuries to the Shafts of the Radius and Ulna. In: sixth edition of Rockwood and Wilkins' Fractures in Children. JH Beaty and JR Kasser. Lippincott Williams & Wilkins. 2005.

Crawford AH, Roy DR, Wall EJ, Mehlman CT. In: Rudolph's Pediatrics, Twenty-First Edition. C Rudolph and A Rudolph. McGraw-Hill. New York. 2002.

Mehlman CT. Clinical Epidemiology. In: Orthopaedic Knowledge Update-7 American Academy of Orthopaedic Surgeons, AAOS Rosemont,IL. 9:79-83, 2002.

Regan JJ, Araghi AA, Mehlman CT, Crawford AH. Endoscopic Approaches to the Anterior Thoracic Spine. In:. Anterior Approaches to the Spine. Zdeblick TA (ed.) St. Louis: Quality Medical Publishing 1999:125-155.

Mehlman CT. Ankle Fracture: Common Mechanisms, Classifications, Complications.Athletic Training 1988;23:110-3.

Special Interests

Musculoskeletal outcomes research; orthopaedic trauma; bone tumors; arthroscopic surgery; shoulder and elbow surgery; spine surgery; foot and ankle surgery; limb deficiencies in children

Presentations, Most Recent

Mehlman CT, McDonald N, Glos DL, Bylski-Austrow D. Flexible Nail Fixation of Distal Third Femur Fractures: Antegrade vs Retrograde Insertion Affects Construct Stiffness. 2006 Pediatric Orthopaedic Society of North America Annual Meeting San Diego, CA; May 3 – 6, 2006

Moon ES, Mehlman CT. Risk factors for avascular necrosis following femoral neck fractures in children: A meta-analysis of 360 patients.

McDonald N, Mehlman CT, Byslki-Austrow D, Glos D. Nail fixation of distal third paediatric femur fractures: Insertion approach affects stiffness.

Foad S, Mehlman CT, Wall EJ. Patients who've been told they have scoliosis score the same on the SRS-22 as scoliosis patients. 25th Annual European Pediatric Orthopedic Society, Dresden, Germany, April 4-9, 2006

Mehlman CT, Bylski-Austrow D, Glos D. Nail Fixation of Distal Third Pediatric Femoral Shaft Fractures: Retrograde Insertion Increases Stiffness in Bending but Not Axial Torsion Instruction Coursel Lecture. The Difficult Pediatric Supracondylar Humerus Fracture: Tips and Techniqes to Avoid Complications. 73rd Annual Meeting of the American Academy of Orthopedic Surgeons Chicago, IL March 22-26, 2006

Standoli F, Barton B, Jonah D, Dennision R, Mehlman CT, Koptis SE. Effectiveness of Bracing for Thoracolumbar Kyphosis in Achondroplasia. 40th Annual Meeting Scoliosis Research Society: The Immature Spine and Adult Spinal Deformity, Miami, FL October 27-30, 2005

Mehlman CT. Orthopaedic Brachial Plexus Injury, 2005 Annual Clinical Assembly of Osteopathic Specialists , FL, October 22-25, 2005

Standoli F, Barton B, Johah D, Dennison R, Mehlman CT, Kopits SE. Effectiveness of Bracing for Thoracolumbar Kyphosis in Achondroplasia.Patients Who've Been Told They Have Scoliosis Score the Same on the SRS-22 as Scoliosis Patients Requiring Treatment. 2005 Annual Meeting of the Spine Society of Europe Barcelona, Spain September 21 – 24, 2005

Bhatt T, Mehlman CT, Foad SL, Crawford AH. Weight > 99 Pounds (45kg) and Age > 12 Years Predict Malunion Following Elastic Stable Intramedullary Nailing (Nancy Nailing) of Femoral Shaft Fractures in Children. 24th Annual Meeting European Pediatric Orthopaedic Society Palma de Mallorca, Spain, April 6 – 9, 2005

Mehlman CT, Wall EJ, Foad SL. Patients Who've Been Told They Have Scoliosis Score the Same on the SRS-22 as Scoliosis Patients Requiring Treatment. 2004 International Meeting on Advanced Spine Techniques, Fairmont Southampton, Bermuda, July 1 – July 3, 2004.

Mehlman, CT, Lee, T, Foad SL. The Reliability of Cobb angle Measurements Using the Digital Picture Archiving and Communication (PACS) Versus Manual Measurements. 2004 International Meeting on Advanced Spine Techniques, Fairmont Southampton, Bermuda, July 1 – July 3, 2004.

Mehlman CT, Alsayyad MJ, Crawford AH. Effectiveness of Spinal Release and Halo-Femoral Traction in the Management of Severe Spinal Deformity. 2004 SpineWeek/Eurospine. Porto, Portugal, May 30 – June 7, 2004.

Mehlman CT, Wall EJ, Foad SL. Patients Who've Been Told They Have Scoliosis Score the Same on the SRS-22 as Scoliosis Patients Requiring Treatment. 2004 Annual Meeting Pediatric Orthopaedic Society of North America St. Louis, MO, April 27 – May 1, 2004.

Bhatt T, Mehlman CT, Foad SL, Crawford AH. Weight > 99 Pounds (45kg) and Age > 12 Years Predict Malunion Following Elastic Stable Intramedullary Nailing (Nancy Nailing) of Femoral Shaft Fractures in Children. 2004 Annual Meeting Pediatric Orthopaedic Society of North America, St. Louis, MO, April 27 – May 1, 2004.

Ways Kids Get Hurt. Anterior Knee Pain in the Young Athlete. Little League Elbow and Shoulder. Physical Examination (Shoulder / Upper Extremity). Cincinnati Children's Hospital Medical Center Sports Medicine Symposium Cincinnati, OH, April 16-17, 2004.

Mehlman CT, Wall EJ, Foad SL. Patients Who've Been Told They Have Scoliosis Score the Same on the SRS-22 as Scoliosis Patients Requiring Treatment. 24th Meeting European Pediatric Orthopaedic Society Geneva, Switzerland. March 31 – April 3, 2004.

Mehlman CT, Balasa VV, Gruppo RA, Pillow A, Becker A, Stroop D, Gluek CJ, Wang P, Roy D, Wall EJ, Crawford AH. Legg-Perthes Disease and Thrombophilia. POSNA Specialty Day, March 10 – 13, 2004.

Mehlman CT, Moon E, Foad SL. Femoral Neck Fractures in Children: 20 Cincinnati Cases & Meta-analysis of 33 Cases. POSNA Specialty Day, March 10 – 13, 2004.

Mehlman CT, Balasa VV, Gruppo RA, Pillow A, Becker A, Stroop D, Gluek CJ, Wang P, Roy D, Wall EJ, Crawford AH. Legg-Perthes Disease and Thrombophilia. Instructional Course Lecture #172, The Difficult Pediatric Supracondylar Humerus Fracture: Tips and tricks to avoid complications. 71st Annual Meeting of the American Academy of Orthopaedic Surgeons, San Francisco, CA, March 10 – 13, 2004.

Idiopathic Scoliosis – An Evidence Based Approach. Congenital and Neuromuscular Scoliosis. And Spondylolisthesis in Children and Adolescents. Ohio University College of Osteopathic Medicine/CORE, Dayton, OH, February 13, 2004.

Idiopathic Scoliosis: Common Myths, Current Evidence & Candent Ideas. Cincinnati Children's Hospital Medical Center Pediatric Grand Rounds, January 20, 2004.

Complex Fracture of Pediatric Shoulder and Elbow and Pediatric Shoulder: Sports Injury. Ohio University College of Osteopathic Medicine / CORE, Columbus, OH, December 12, 2003.

Common Bone Tumors in Children: An Evidence-Based Approach. University of Cincinnati College of Medicine, Cincinnati, Ohio, December 6, 2003.

Shoulder Instabilities in the Female Athlete. Cincinnati Children's Sports Medicine Biodynamics Center, Cincinnati, Ohio November 8, 2003.

Scoliosis: An Evidence Based Approach. Ohio University College of Osteopathic Medicine / CORE. Athens, Ohio, September 26-27, 2003.

Snakes in the Grass, Bad Actors, and Gator Country. American Osteopathic Academy of Orthopedics Chicago, IL. September 18-21, 2003.

Fracture Complications in Kids and My Kid's Leg Looks Funny: American Osteopathic Academy of Orthopedics Chicago, IL. September 18-21, 2003.

Lower Extremity Problems in Children and Scoliosis: That Which is Crooked Can Be Made Straight. American Osteopathic Academy of Orthopedics Chicago, IL. September 18-21, 2003.

Other Orthopaedic Issues in RTS …Knees, Hips Ambulation and Spine Problems Associated with RTS. International Family Conference on Rubinstein-Taybi Syndrome, Northern Kentucky Convention Center, Covington, Kentucky, July 10-12, 2003.

Pediatric Hip and Knee. Orthopedic RPAC Educational Day, Doctor's Hospital, Columbus, Ohio, May 9, 2003.

Sport Injuries n the Pediatric Patient. American Osteopathic Academy of Orthopedics, Las Vegas, Nevada, May 3, 2003.

Mehlman CT, Kelty PJ, Crawford AH. Emergency Surgery for Open Fractures and Type III Supracondylars. Pediatric Orthopaedic Society Of North America. Amelia Island, Florida, May 1, 2003.

Pediatric Shoulder and Elbow Injuries, 2nd Annual Dayton Sports Medicine Institute, Dayton, Ohio, April 25, 2003.

Common Orthopedic Problems in Pediatrics. Cincinnati Children's Hospital Medical Center, March 29, 2003.

Scoliosis: An Update for Those in the Trenches. Tucson Osteopathic Medical Foundation, Tucson, AZ, March 8, 2003.

Kelty P, Mehlman CT. Spondylolysis and Spondylolisthesis in Children: Effectiveness of Operative and Nonoperative Treatment. 70th American Academy of Orthopedic Surgeons New Orleans, LA February 4-9, 2003.

Bailey GM, Mehlman CT, Rubinstein JH. Pediatric Hip Disorders Associated with Rubinstein-Taybi Syndrome. 70th American Academy of Orthopedic Surgeons New Orleans, LA, February 4-9, 2003.

Mehlman CT, Hoenninger D, Rubinstein JH, Winter R. Spine Abnormalities in Rubinstein-Taybi Syndrome. American Academy of Pediatrics National Conference & Exhibition Boston, MA. October 19-23, 2002.

Mehlman CT, Koepplinger ME, Brown, RL, Gittelman M, Garcia V. All Terrain Vehicle-Related Injuries in Children: A Nine Year Epidemiological Study & Comparison to Bicycle-Related Trauma. Pediatric Orthopaedic Society of North America, Salt Lake City, Utah, May 3-5, 2002.

Foad S, Mehlman CT, et al. Undisplaced Fractures of the Distal Radius in Children-Risk Factors for Displacement. 69th Annual Meeting of the American Academy of Orthopaedic Surgeons. Dallas, Texas February 13-17, 2002.