Ravi K. Bashyal, MD is a Chicago native and an orthopaedic surgeon specializing in ultra-minimally invasive hip and knee replacement at NorthShore University System in Chicago, IL where he is Director of Outpatient Hip and Knee Replacement Surgery. He holds an academic appointment as Clinical Assistant Professor of Orthopaedic Surgery at the University of Chicago Pritzker School of Medicine. After graduating from Oak Park and River Forest High School as a National Merit Scholar and varsity letter winner in football, Dr. Bashyal attended the University of Illinois on a full academic scholarship graduating with honors, Magna Cum Laude, and was inducted in the Phi Beta Kappa Honor Society. He was fortunate enough to receive another academic scholarship and attended the prestigious University of Pennsylvania School of Medicine, consistently ranked by US News as one of the top three medical schools in the United States. After medical school, Dr. Bashyal continued his training in orthopaedic surgery at Washington University in St. Louis, where he served as chief resident in his final year. He then went on to Harvard Medical School and Massachusetts General Hospital for further sub-specialty training in hip and knee reconstruction. While there, he served as a clinical instructor in orthopaedic surgery at Harvard Medical School. He currently maintains a busy clinical practice in Chicago performing approximately 500 ultra-minimally invasive total hip and knee replacements every year while also participating in clinical research and education. In addition to his clinical practice in Chicago, Dr. Bashyal has been an active volunteer and leader for Operation Walk Chicago. This charity organization is committed to providing free hip and knee replacements to needy patients in developing countries around the world. Dr. Bashyal has been instrumental in leading the efforts of this group at Nepal Orthopaedic Hospital (NOH) in Kathmandu, Nepal. In addition, NOH and Dr. Bashyal have co-chaired and hosted three (including the first ever in Nepal) nationwide medical education conferences focused on hip and knee replacement surgery. Dr. Bashyal is a FAA licensed pilot and enjoys aviation related pursuits in his free time. He and his family reside in Chicago and love taking part in all that the city has to offer.
Curriculum Vitae (CV)
Harvard Medical School, Massachusetts General Hospital, Department of Orthopaedic Surgery
- Fellow in Adult Hip and Knee Reconstruction
- Clinical Instructor in Orthopaedic Surgery
- Research Fellow – William H. Harris Orthopaedic Laboratory
Washington University in St. Louis School of Medicine, Department of Orthopaedic Surgery
- Resident Physician
- Chief Resident During Final Year
University of Pennsylvania School of Medicine
- Doctorate of Medicine
University of Illinois at Urbana/Champaign
- Bachelor of Science in Biology, with Honors, Magna Cum Laude, and Phi Beta Kappa
Professional and Hospital Affiliations:
- Director, Outpatient Hip and Knee Replacement Surgery, NorthShore University Health System, Chicago, IL
- Member, NorthShore University Health System Orthopedic Surgery Quality Review Committee
- Clinical Instructor in Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital
- Clinical Assistant Professor of Orthopaedic Surgery, University of Chicago Pritzker School of Medicine
- Attending Orthopaedic Surgeon, NorthShore University Health System
- Member and Fellow, American Academy of Orthopaedic Surgeons
- Member, American Association of Hip and Knee Surgeons
- Volunteer Traveling Surgeon and Coordinator, Operation Walk Chicago
- Member, Total Joint Reconstruction Committee, NorthShore University Health System
- Lead physician, Total Hip Early Discharge Committee, NorthShore University Health System
- Lead physician, Total Knee Standardization Committee, NorthShore University Health System
- Director and supervising physician, University of Chicago Resident Orthopaedic Clinic at NorthShore University Health System
Publications and Book Chapters:
- Nunley, RM, Nam D, Bashyal RK, Della Valle CJ, Hamilton WG, Berend ME, Parvizi J, Clohisy JC, Barrack RL. The impact of total joint arthroplasty on sexual function in young, active patients. Journal of Arthroplasty, 2015; 30(2):335-40
- Bedair H, Tetrault M, Choi H, Mayle R, Bashyal RK, MD, Abbot D, Eberhardt J, Sporer S, Della Valle C. A Comparison of Modular Tapered Versus Modular Cylindrical Stems for Complex Femoral Revisions. Journal of Arthroplasty, 2013; 28(8): Supp:71–73
- Bozic KJ, Bashyal RK, Anthony SG, Chiu V, Shulman B, Rubash HE. Is administratively coded comorbidity and complication data in total joint arthroplasty valid? Clin Orthop Relat Res. 2013 Jan;471(1):201-5.
- Bashyal RK, Bender B, Barrack RL. Preoperative Templating. In: Parvizi J, Klatt BA, (eds.) Essentials in Total Hip Arthroplasty. 1st ed. Chap. 14, pp. 115-123, SLACK Incorporated, Thorofare, NJ, 2013.
- McKeon KE, O’Donnell JC, Bashyal RK, Hou CC, Luhmann SJ, Dobbs MB, Gordon JE. Immobilization after pinning of supracondylar distal humerus fractures in children: use of the A-frame cast. Journal of Pediatric Orthopaedics, 2012; Jan-Feb;32(1):e1-5.
- Bashyal RK, Malchau H, Nimkin K, Holmes LB. The Association of a Dysmorphic Pelvis, Absence of Pubic Rami, Hip Dysplasia and Genitourinary Anomalies. Birth Defects Res A Clin Mol Teratol. 2012 Jan;94(1):57-60
- Bashyal RK, Eberhardt J, Malchau H. (2012) Acetabular Component Cementation. In Malhotra R. (Ed) Mastering Orthopaedic Techniques – Total Hip Arthroplasty. (pp 137-152). New Delhi: Jaypee Brothers Medical Publishers Ltd.
- Eberhardt J, Bashyal RK, Malchau H. (2012) Cementing Technique: Femur. In Malhotra R. (Ed) Mastering Orthopaedic Techniques – Total Hip Arthroplasty. (pp 153-164). New Delhi: Jaypee Brothers Medical Publishers Ltd.
- Flynn JF, Bashyal RK , Sponseller, PD. Acute Post Traumatic Compartment Syndrome of the Leg in Children. J Bone Joint Surg Am. 2011 M; 93(10): p937-41.
- Bashyal RK, Eberhardt J, Malchau H. Highly Crosslinked Ultrahigh Molecular Weight Polyethylene in Total Hip Arthroplasty: No Further Concerns. Seminars in Arthroplasty, 2011; 22(2): p79-81.
- Hosalkar H, Bashyal RK, Keenan MAE. Surgical Outcomes in Adults with Cerebral Palsy. Current Orthopaedic Practice, 2010; 21(1): p71-76.
- Bashyal RK, Gordon JE. Complications After Pinning of Supracondylar Distal Humerus Fractures. Journal of Pediatric Orthopaedics, 2009; 29(7): p704-708.
- Bashyal RK, Woodard D. Effects of Pharmaceutical Intervention for Space Motion Sickness on Memory and Cognition. Abstract published for 1998 annual meeting of the American Society for Gravitational and Space Biology
National and International Presentations
- Bashyal RK. Course Chairman and Co-Founder: “Second Annual Nepal National Arthroplasty Conference” Kathmandu, Nepal (November, 2018)
- Bashyal RK. Course Chairman and Co-Founder: “First Annual Nepal National Arthroplasty Conference” Kathmandu, Nepal (May, 2016)
- Bashyal RK. Introduction to Minimally Invasive Hip and Knee Replacement. Invited 5 lecture grand rounds series. Nepal Orthopaedic Hospital, Kathmandu, Nepal (November 2015)
- Bashyal RK. Malchau H, Nimkin K, Holmes LB. The Association of a Dysmorphic Pelvis, Absence of Pubic Rami, Hip Dysplasia and Genitourinary Anomalies. Podium presentations:
- Annual meeting of the Teratology Society (June, 2011)
- Annual meeting of the New England Regional Genetics Group (December, 2010
- Nunley RM, Ruh EL, Zhang Q, Bashyal RK, Della Valle CJ, Parvizi J, Engh CA, Berend ME, Clohisy JC, Barrack RL. Return to sexual activity following hip arthroplasty surgery. Podium presentation and winner of the OREF / Current Concepts in Joint Replacement Award at the annual Spring Current Concepts in Joint Replacement meeting. (May, 2011)
- McKeon KE, Bashyal RK, Gordon JE. A-Frame Casting After Closed Reduction Percutaneous Pinning of Supracondylar Humerus Fractures. Abstract presented at the 2010 annual meeting of the American Association of Pediatrics, Orthopaedic Section (October, 2010)
- Nunley RM, Bashyal R, Ruh E, Della Valle CJ, Parvizi J, Engh CA, Berend ME, Clohisy JC, Barrack RL. Return to sexual activity following total hip arthroplasty in young active patients. Poster presentation: Mid-America Orthopaedic Association, Lost Pines (Austin), Texas, April 2010.
- Nunley RM, Bashyal R, Ruh E, Della Valle CJ, Parvizi J, Engh CA, Berend ME, Clohisy JC, Barrack RL. Return to work following total hip arthroplasty in young active patients. Poster presentation: Mid-America Orthopaedic Association, Lost Pines (Austin), Texas, April 2010.
- Bashyal RK. Pediatric Upper Extremity Fractures. Grand Rounds, Hospital and Rehabilitation Centre for Disabled Children. Kathmandu, Nepal (February 2010)
- Bashyal RK. Advances in Hip Reconstruction. Grand Rounds, Sancheti Institute for Orthopaedics and Rehabilitation. Pune, India (January 2010)
- Bashyal RK, Gordon JE. Variations in Preoperative Antibiotic Use and Skin Preparation: Effect on Infection Rates Following Closed Reduction and Percutaneous Pinning of Supracondylar Humerus Fractures in Children. Poster presentation at the 2009 annual meeting of the American Academy of Orthopaedic Surgeons (February, 2009)
- Bashyal RK, Gordon JE. Variations in Preoperative Antibiotic Use and Skin Preparation: Effect on Infection Rates Following Closed Reduction and Percutaneous Pinning of Supracondylar Humerus Fractures in Children. Paper presented at the 2007 annual meeting of the American Association of Pediatrics, Orthopaedic Section (October, 2007)
- Hosalkar H, Bashyal RK, Keenan MAE; Surgical Outcomes in Adults with Cerebral Palsy. Paper presented at the Orthopaedic Rehabilitation Association Specialty Day Meeting at the 2006 annual meeting of the American Academy of Orthopaedic Surgeons (March, 2006)
- Flynn JF, Bashyal RK , Sponseller, PD. Acute Post Traumatic Compartment Syndrome of the Leg in Children. Podium presentations:
- 78th Annual Meeting of the French Society of Orthopaedic Surgery (November 2003)
- 2003 Annual Meeting of the American Association of Pediatrics, Orthopaedic Section (October, 2003)
- Pediatric Orthopaedic Society of North America (May, 2003)
- The 2004 Annual Meeting of the American Academy of Orthopaedic Surgeon (March, 2004)
Local and Departmental Presentations
- Bashyal RK, Osteolysis in THA and TKA, University of Chicago Orthopaedic Resident Education Conference, Evanston Hospital.
- Bashyal RK, Diagnosis and Treatment of Infection following Total Hip Arthroplasty, Arthroplasty Service Conference, Harvard Medical School, Department of Orthopaedic Surgery.
- Bashyal RK, Osteolysis following Total Hip Arthroplasty, Grand Rounds, Newton-Wellesley Hospital, Department of Orthopaedic Surgery.
- Bashyal RK, Information Management and Maintenance of Outcomes Registries for Total Joint Arthroplasty, Arthroplasty Service Conference, Harvard Medical School, Department of Orthopaedic Surgery.
- Bashyal RK. Return to Sexual Activity Following Total Hip Arthroplasty in Young Active Patients. Thesis Day, Washington University in St. Louis School of Medicine, Department of Orthopaedic Surgery
- Bashyal RK. Pediatric Elbow Fractures. Grand Rounds, Washington University in St. Louis School of Medicine, Department of Orthopaedic Surgery
- Bashyal RK. Tumors of the Foot and Ankle. Grand Rounds, Washington University in St. Louis School of Medicine, Department of Orthopaedic Surgery
Honors and Awards
- Recipient of the 2018 University of Pennsylvania School of Medicine Young Alumni Award for “contributions to the field of orthopaedic surgery, exemplary success in medicine, and purposeful service”
- Recipient of the 2016 Annual Physician Excellence Award from NorthShore University Health System. Selected by nursing and physician staff for clinical excellence, outstanding patient outcomes, and compassionate care.
- Recipient of the Class of 1967 Scholarship for academic merit at the University of Pennsylvania School of Medicine
- Recipient of the 2005 Frank B. Ernest Scholarship for Outstanding Fourth Year Medical Student Pursuing a Career in Orthopaedic Surgery at the University of Pennsylvania School of Medicine
- Recipient of a four year full tuition scholarship for academic merit at the University of Illinois
- Member of the University of Illinois Campus Honors Program
- Dean’s List for all semesters, University of Illinois
- Recipient of the 1999 Proctor and Gamble scholarship for minority leadership and academic excellence
- Inducted into the Phi Beta Kappa, Golden Key, Phi Eta Sigma and Alpha Lambda Delta academic honor societies
- Private/recreational aviation; FAA Private Pilot Certificate (license) awarded in August, 2001
- Adult Hip and Knee Reconstruction Administrative Chief Fellow, Massachusetts General Hospital/Harvard Medical School, (2010-2011)
- Resident Education Committee Representative, Washington University in St. Louis School of Medicine, Department of Orthopaedic Surgery (2005-2010)
- Vice President, Medical School Student Government, University of Pennsylvania School of Medicine (2003-2004)
- President and Captain, Penn Med Basketball (2002-2005)
- Co-President, University of Pennsylvania School of Medicine class of 2005 (2001-2003)
- Treasurer, Penn Med Orthopaedic Interest Group (2004-2005)
- High School Student Educator, Students Teaching AIDS to Students (STATS) program (2001-2002)
- Captain of the University of Illinois Mock Trial Team (1998-2001); All-Region selection as an attorney and witness in 1999, 2000, and 2001
- The Journal of arthroplasty 2015 FebAuthors: Nunley RM, Nam D, Bashyal RK, Della Valle CJ, Hamilton WG, Berend ME, Parvizi J, Clohisy JC, Barrack RLAbstract There is limited information regarding sexual function following total hip (THA) and knee arthroplasty (TKA). A multicenter study of 806 THA, 542 TKA, and 181 control patients less than 60 years of age was conducted using an independent survey center to question subjects about their sexual function. Only 1.3% of THA and 1.6% of TKA patients stated they were not sexually active due to their operation. No significant differences were noted in sexual function based on the bearing surface, femoral head size, or use of surface replacement arthroplasty in the hip cohort. Multivariate analysis revealed no difference in the percentage of patients sexually active following a THA or TKA (OR 1.19, P=0.38). Most young active patients return to sexual activity after hip and knee arthroplasty.PMID: 25449592 [PubMed – as supplied by publisher]
- Clinical orthopaedics and related research 2013 JanAuthors: Bozic KJ, Bashyal RK, Anthony SG, Chiu V, Shulman B, Rubash HEAbstract Administrative claims data are increasingly being used in public reporting of provider performance and health services research. However, the concordance between administrative claims data and the clinical record in lower extremity total joint arthroplasty (TJA) is unknown. We evaluated the concordance between administrative claims and the clinical record for 13 commonly reported comorbidities and complications in patients undergoing TJA. We compared 13 administratively coded comorbidities and complications derived from hospital billing records with clinical documentation from a consecutive series of 1350 primary and revision TJAs performed at three high-volume institutions during 2009. Concordance between administrative claims and the clinical record varied across comorbidities and complications. Concordance between diabetes and postoperative myocardial infarction was reflected by a kappa value > 0.80; chronic lung disease, coronary artery disease, and postoperative venous thromboembolic events by kappa values between 0.60 and 0.79; and for congestive heart failure, obesity, prior myocardial infarction, peripheral arterial disease, bleeding complications, history of venous thromboembolism, prosthetic-related complications, and postoperative renal failure by kappa values between 0.40 and 0.59. All comorbidities and complications had a high degree of specificity (> 92%) but lower sensitivity (29%-100%). The data suggest administratively coded comorbidities and complications correlate reasonably well with the clinical record. However, the specificity of administrative claims is much higher than the sensitivity, indicating that comorbidities and complications coded in the administrative record were accurate but often incomplete.PMID: 22528384 [PubMed – as supplied by publisher]
Immobilization after pinning of supracondylar distal humerus fractures in children: use of the A-frame cast.Journal of pediatric orthopedicsAuthors: McKeon KE, O’Donnell JC, Bashyal R, Hou CC, Luhmann SJ, Dobbs MB, Gordon JEAbstract Circumferential casts can contribute to elevated compartment pressures in the setting of acute swelling. We have developed a novel casting method (A-frame cast) that allows cast placement while leaving the antecubital fossa free of casting material. The purpose of this study was to evaluate the safety, efficacy, and complications associated with acute placement of this definitive cast after closed reduction percutaneous pinning (CRPP) of acute supracondylar distal humerus fractures. A retrospective medical record reviewed 436 patients treated with CRPP of supracondylar fractures by 3 surgeons who routinely used an A-frame cast over a 12-year period. All complications or the need for cast modification were noted. Patients with open reduction, ipsilateral fractures, or patients lost to follow-up were excluded. There were 387 patients who met inclusion criteria, including 204 type 2 fractures and 183 type 3 fractures. Forty-three patients had preoperative nerve palsy and 1 had preoperative vascular injury. Of these 387 patients, 369 (95.3%) had an uneventful postoperative course. Nineteen patients (4.9%) required either cast splitting (15) or strict elevation (4) secondary to pain and swelling. Seven of these 19 patients had preoperative nerve palsy and 1 had preoperative vascular injury. The average time from procedure to cast splitting was 17.6 hours. No patients lost their reduction or required a second surgical procedure related to a complication from casting. An “A-frame” cast provides sturdy immobilization without increased risk of compartment syndrome after CRPP of supracondylar fractures in the pediatric population. Consideration should be given to splitting the cast prophylactically in patients with preoperative neurological or vascular deficits. IV-Case Series.PMID: 22173398 [PubMed – as supplied by publisher]
- The Journal of bone and joint surgery. American volume 2011 May 18Authors: Flynn JM, Bashyal RK, Yeger-McKeever M, Garner MR, Launay F, Sponseller PDAbstract Currently, the most common clinical scenario for compartment syndrome in children is acute traumatic compartment syndrome of the leg. We studied the cause, diagnosis, treatment, and outcome of acute traumatic compartment syndrome of the leg in children. Forty-three cases of acute traumatic compartment syndrome of the leg in forty-two skeletally immature patients were collected from two large pediatric trauma centers over a seventeen-year period. All children with acute traumatic compartment syndrome underwent fasciotomy. The mechanism of injury, date and time of injury, time to diagnosis, compartment pressures, time to fasciotomy, and outcome at the time of the latest follow-up were recorded. Thirty-five (83%) of the forty-two patients were injured in a motor-vehicle accident and sustained tibial and fibular fractures. The average time from injury to fasciotomy was 20.5 hours (range, 3.9 to 118 hours). In general, the functional outcome was excellent at the time of the latest follow-up. No cases of infection were noted when fasciotomy was performed long after the injury. At the time of the latest follow-up, forty-one (95%) of forty-three cases were associated with no sequelae (such as pain, loss of function, or decreased sensation). The two patients who lost function had fasciotomy 82.5 and eighty-six hours after the injury. Despite a long period from injury to fasciotomy, most children who are managed for acute traumatic compartment syndrome of the leg have an excellent outcome. This delay may occur because acute traumatic compartment syndrome manifests itself more slowly in children or because the diagnosis is harder to establish in this age group. The results of the present study should raise awareness of late presentation and the importance of vigilance for developing compartment syndrome in the early days after injury. Fasciotomy during the acute swelling phase, even long after injury, produced excellent results with no cases of infection.PMID: 21593369 [PubMed – as supplied by publisher]
- Journal of pediatric orthopedicsAuthors: Bashyal RK, Chu JY, Schoenecker PL, Dobbs MB, Luhmann SJ, Gordon JEAbstract Supracondylar distal humerus fractures are one of the most common skeletal injuries in children. The current treatment of choice in North America is closed reduction and percutaneous pin fixation. Often surgeons leave the pins exposed beneath a cast but outside the skin. Great variation exists with respect to preoperative skin preparation, and perioperative antibiotic administration. Few data exist regarding the rate of infection and other complications. The purpose of this study is to review a large series of children to evaluate the rate of infection and other complications. A retrospective review was carried out of all patients treated at our institution over an 11-year period. A total of 622 patients were identified that were followed for a minimum of 2 weeks after pin removal. Seventeen patients had flexion-type fractures, 294 had type II fractures, and 311 had type III fractures. Seventy-four fractures (11.9%) had preoperative nerve deficits with anterior interosseous palsies being the most common (33 fractures, 5.3%). Preoperative antibiotics were given to 163 patients (26.2%). Spray and towel draping were used in 362 patients, paint and towel draping were used in 65 patients, alcohol paint and towel draping were used in 146 patients, and a full preparation and draping were used in 13 patients. The pins were left exposed under the cast in 591 fractures (95%), and buried beneath the skin in 31 fractures (5.0%). A medial pin was placed in 311 fractures with a small incision made to aid placement in 18 of these cases. The most common complication was pin migration necessitating unexpected return to the operating room for pin removal in 11 patients (1.8%). One patient developed a deep infection with septic arthritis and osteomyelitis (0.2%). Five additional patients had superficial skin infections and were treated with oral antibiotics for a total infection rate of 6 of 622 patients (1.0%). One patient ultimately had a malunion and 4 others returned to the operating room for repeat reduction and pinning. Three patients developed compartment syndromes. Ulnar nerve injury was rare with only 1 postoperative ulnar nerve injury occurring in 311 patients treated with a medial pin (0.3%). Closed reduction with percutaneous pinning is effective and has a low complication rate with a very low rate of infection even when simple betadine preparation and towel draping are used. Preoperative antibiotics seem to have little effect on infection rate. Level III retrospective comparative study.PMID: 20104149 [PubMed – as supplied by publisher]
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