Orthopedic Surgeons
7 years of experience
Video profile
Accepting new patients
University City
3900 Woodland Ave
Philadelphia, PA 19104
800-949-1001
Locations and availability (5)

Education ?

Medical School Score
Albany Medical College (2003)
  • Currently 2 of 4 apples

Awards & Distinctions ?

Associations
American Association of Hip and Knee Surgeons
American Society for Dermatologic Surgery

Affiliations ?

Dr. Sheth is affiliated with 3 hospitals.

Hospital Affilations

Score

Rankings

  • Graduate Hospital
    Orthopaedic Surgery
    1800 Lombard St, Philadelphia, PA 19146
    • Currently 4 of 4 crosses
    Top 25%
  • University of PA Medical Center/Presbyterian
    Orthopaedic Surgery
    51 N 39th St, Philadelphia, PA 19104
    • Currently 3 of 4 crosses
    Top 50%
  • Presbyterian HospitalPresbyterian Orthopaedic Hospital
  • Publications & Research

    Dr. Sheth has contributed to 53 publications.
    Title Prospective Results of Uncemented Tantalum Monoblock Tibia in Total Knee Arthroplasty: Minimum 5-year Follow-up in Patients Younger Than 55 Years.
    Date April 2012
    Journal The Journal of Arthroplasty
    Excerpt

    A significant increase in younger patients undergoing total knee arthroplasty raises the theoretical concern for revision secondary to micromotion and fixation failure with cemented components. We prospectively studied 100 consecutive tantalum monoblock uncemented tibial components and 312 concurrent cemented controls. Patients younger than 55 years with adequate bone stock were enrolled. This cementless patient group was younger and had higher preoperative functional status. Prostheses were posterior-substituting uncemented femoral and tibial components with a cemented patellar button. Knee Society pain and function scores and radiographs were obtained, and a cost analysis was performed. Knee Society scores were excellent and equivalent beyond 6 months. There was no significant difference in perioperative blood loss, complication rates, or cost. There was a significant decrease in operative time in the uncemented group. Radiographs revealed no failures of ingrowth at last follow-up. There were 3 uncemented group failures, but none were due to failure of fixation. The use of a porous tantalum tibia at minimum 5 years has yielded promising clinical and radiographic results in a younger patient population.

    Title Tibial Avascular Necrosis After Conversion from High Tibial Osteotomy to Total Knee Arthroplasty.
    Date February 2012
    Journal American Journal of Orthopedics (belle Mead, N.j.)
    Title "the Use of Intraabdominal Tissue Expanders As a Primary Strategy for Closure of Giant Omphalocele" by Drs Martin, Khan, Kim Et Al.
    Date October 2010
    Journal Journal of Pediatric Surgery
    Title Dvt Prophylaxis in Total Joint Reconstruction.
    Date May 2010
    Journal The Orthopedic Clinics of North America
    Excerpt

    Deep venous thrombosis (DVT) is the end result of a complex interaction of events including the activation of the clotting cascade in conjunction with platelet aggregation. Patients undergoing major lower extremity orthopedic surgery, especially total joint arthroplasty (TJA), are at high risk for developing a postoperative DVT or a subsequent pulmonary embolus. Venous thromboembolic (VTE) prophylaxis, most commonly pharmacologic prophylaxis, has become the standard of care for patients undergoing elective TJA. However, the controversy between the efficacy of VTE prophylaxis and the increased risk for bleeding in the postoperative period continues to exist. This review addresses the controversy underlying VTE prophylaxis by outlining 2 guidelines and demonstrating the pros and cons of different DVT prophylaxis regimens based on the available evidence-based literature.

    Title Clinical Use of Porous Tantalum in Complex Primary Total Knee Arthroplasty.
    Date February 2010
    Journal American Journal of Orthopedics (belle Mead, N.j.)
    Title Meniscus Tissue Engineering on the Nanoscale: from Basic Principles to Clinical Application.
    Date March 2009
    Journal The Journal of Knee Surgery
    Excerpt

    The meniscus is a fibrocartilaginous tissue uniquely adapted to enable load transmission in the knee. Although the meniscus was once considered a useless remnant of joint formation, removal of all or part of the meniscus initiates osteoarthritis. Surgical repair methods focus on fragment stabilization or biologic enhancement of healing. An alternative approach based on tissue-engineering principles involves the development of new materials for implantation. Our meniscus tissue-engineering efforts aim to recapitulate the architectural features and mechanical anisotropies essential to native tissue function. We use a novel scaffold production technology called electrospinning, in which organized three-dimensional arrays of ultrafine biodegradable fibers are generated. Using these scaffolds as micropatterns for directed growth, we have generated constructs with mechanical properties and architectural features comparable to native meniscus. This review details our progress and outlines the remaining hurdles that must be addressed to translate this work into clinical implementation.

    Title Esophageal Atresia and Tracheoesophageal Fistula with Distal Esophageal Stenosis: Preoperative Diagnosis.
    Date August 2008
    Journal Journal of Pediatric Surgery
    Excerpt

    This is a presentation of a case of preoperative diagnosis of apparent esophageal atresia and an apparent distal and tracheoesophageal fistula from a peripheral hospital. After surgery, histopathologic findings showed the absence of cartilage and bronchial glands, suggesting the etiology as a fibromuscular stenosis.

    Title Clinical Applications of Oxidized Zirconium.
    Date May 2008
    Journal Journal of Surgical Orthopaedic Advances
    Excerpt

    Total joint arthroplasty is being performed in younger, more active patients, which necessitates improved implant longevity and enhanced component performance. Over the past decade, there has been an increased focus on alternative bearing materials as a potential solution to these issues. Historically, cobalt-chromium has been the material of choice as a bearing surface for both the femoral component in total knee arthroplasty (TKA) and the femoral head articulation in total hip arthroplasty (THA). In recent years, oxidized zirconium (OxZr) has been introduced as a bearing surface with superior resistance to surface roughening, improved frictional characteristics, and excellent biocompatibility as compared with cobalt-chrome. This article demonstrates the use of OxZr as an alternate bearing in the setting of TKA, THA, and hip hemi-arthroplasty based on its biomaterial properties as it applies to polyethylene and native cartilage surface articulation.

    Title Little Science, Big Science: Strategies for Research Portfolio Selection in Academic Surgery Departments.
    Date January 2008
    Journal Annals of Surgery
    Excerpt

    OBJECTIVE: To evaluate National Institutes of Health (NIH) funding for academic surgery departments and to determine whether optimal portfolio strategies exist to maximize this funding. SUMMARY BACKGROUND DATA: The NIH budget is expected to be relatively stable in the foreseeable future, with a modest 0.7% increase from 2005 to 2006. Funding for basic and clinical science research in surgery is also not expected to increase. METHODS: NIH funding award data for US surgery departments from 2002 to 2004 was collected using publicly available data abstracted from the NIH Information for Management, Planning, Analysis, and Coordination (IMPAC) II database. Additional information was collected from the Computer Retrieval of Information on Scientific Projects (CRISP) database regarding research area (basic vs. clinical, animal vs. human, classification of clinical and basic sciences). The primary outcome measures were total NIH award amount, number of awards, and type of grant. Statistical analysis was based on binomial proportional tests and multiple linear regression models. RESULTS: The smallest total NIH funding award in 2004 to an individual surgery department was a single $26,970 grant, whereas the largest was more than $35 million comprising 68 grants. From 2002 to 2004, one department experienced a 336% increase (greatest increase) in funding, whereas another experienced a 73% decrease (greatest decrease). No statistically significant differences were found between departments with decreasing or increasing funding and the subspecialty of basic science or clinical research funded. Departments (n = 5) experiencing the most drastic decrease (total dollars) in funding had a significantly higher proportion of type K (P = 0.03) grants compared with departments (n = 5) with the largest increases in total funding; the latter group had a significantly increased proportion of type U grants (P = 0.01). A linear association between amount of decrease/increase was found with the average amount of funding per grant and per investigator (P < 0.01), suggesting that departments that increased their total funding relied on investigators with large amounts of funding per grant. CONCLUSIONS: Although incentives to junior investigators and clinicians with secondary participation in research are important, our findings suggest that the best strategy for increasing NIH funding for surgery departments is to invest in individuals with focused research commitments and established track records of garnering large and multiple research grants.

    Title Periprosthetic Patellar Fractures.
    Date November 2007
    Journal The Journal of Bone and Joint Surgery. American Volume
    Title Gastrobronchial Fistula After Toothbrush Ingestion.
    Date September 2007
    Journal Journal of Pediatric Surgery
    Title Orthopedic Surgery Considerations in Post-polio Syndrome.
    Date September 2007
    Journal American Journal of Orthopedics (belle Mead, N.j.)
    Title Rhabdomyolysis and Acute Renal Failure Following Arthroscopic Knee Surgery in a College Football Player Taking Creatine Supplements.
    Date June 2006
    Journal Clinical Nephrology
    Excerpt

    We describe a college football player and weight-lifter who unexpectedly developed rhabdomyolysis and nonoliguric acute renal failure (ARF) following arthroscopic knee surgery. There was swelling and pain without evidence of a compartment syndrome postoperatively. The patient reported that he was an avid weight-lifter and that he was taking up to 10 g/d of a creatine supplement during the 6 weeks prior to this surgery. His ARF resolved over several days, with a peak serum creatinine of 2.3 mg/dl and peak creatine kinase (CK) of 194,000 U/l, following administration of intravenous fluids, mannitol, and sodium bicarbonate. Given the rarity of clinically significant rhabdomyolysis with this type of operation, we suggest that the patient's use of creatine increased the risk of skeletal muscle injury due to ischemia from intra-operative tourniquet application.

    Title Serial Transverse Enteroplasty.
    Date May 2006
    Journal Journal of Pediatric Surgery
    Title Esophageal Perforations.
    Date March 2006
    Journal Journal of the American College of Surgeons
    Title Schistosomal Portal Hypertension.
    Date February 2006
    Journal Journal of the American College of Surgeons
    Title Management of Injuries to the Liver and Spleen.
    Date January 2006
    Journal Journal of the American College of Surgeons
    Title The Management of Old Urethral Injury in Young Girls.
    Date April 2005
    Journal Journal of Pediatric Surgery
    Title Elastic Bandaging for a Ventral Hernia.
    Date March 2005
    Journal Pediatric Surgery International
    Title Comments on "application of the Malone Antegrade Continence Enema (mace) Principle in Degenerative Leiomyopathy".
    Date March 2005
    Journal Pediatric Surgery International
    Title Comments on "investigation of Intra-abdominal Esophagus and Hiatus in Fetal Rats with Esophageal Atresia and Tracheo-esophageal Fistula".
    Date March 2005
    Journal Pediatric Surgery International
    Title Comment on Stable Postoperative Biliary Patients.
    Date March 2005
    Journal Pediatric Surgery International
    Title Vaginoplasty from Peritoneal Tube of Douglas' Pouch for Congenital Vaginal Agenesis.
    Date February 2005
    Journal European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
    Excerpt

    Vaginal reconstruction using skin and sigmoid loop has resulted in complications like dryness, stenosis and hair growth in the graft in the former and mucus discharge in the latter. A case of Douglas' pouch peritoneal tube vaginoplasty in a girl of 17 years with absent vagina is reported with satisfactory functional results. The procedure is much less invasive than the currently described methods.

    Title Reverse Serosal Demucosalized Gastrocystoplasty.
    Date February 2004
    Journal Pediatric Surgery International
    Excerpt

    A novel technique of augmentation cystoplasty is suggested. The patch which is advocated is less likely to cause electrolyte imbalance, is autologous and easily available. It will avoid all the gut-mucosa-related early and late postoperative complications.

    Title Submuscular Bar, Multiple Pericoastal Bar Fixation, Bilateral Thoracoscopy, Modified Nuss Repair in Adolescents.
    Date November 2003
    Journal Journal of Pediatric Surgery
    Title Severe Hypothermia with Cardiac Arrest: Complete Neurologic Recovery in a 4-year Old Child.
    Date November 2003
    Journal Journal of Pediatric Surgery
    Title High Dose Omeprazole in Esophagitis with Stenosis After Surgical Treatment of Esophageal Atresia.
    Date December 2002
    Journal Journal of Pediatric Surgery
    Title Reappraisal of the Role of the Bilioenteric Conduit (bec) in the Pathogenesis of Postoperative Cholangitis.
    Date December 2001
    Journal Pediatric Surgery International
    Title Vanishing Gut in Infants with Gastroschisis.
    Date December 2001
    Journal Pediatric Surgery International
    Title Re: "glial Derived Growth Factor Signaling Pathway in Infantile Hypertrophic Pyloric Stenosis (ihps)".
    Date December 2001
    Journal Journal of Pediatric Surgery
    Title Aplasia of the Right Lung in a 4-year-old Child: Surgical Stabilization of the Mediastinum by Diaphragm Translocation.
    Date December 2001
    Journal Journal of Pediatric Surgery
    Title Re.: "testicular Sparing Surgery for Benign Testicular Tumours".
    Date September 2001
    Journal Journal of Pediatric Surgery
    Title Re.: "histology of the Neobladder Mucosa After Sigmoidocolocystoplasty".
    Date September 2001
    Journal Journal of Pediatric Surgery
    Title Use of a Flexible Illuminated Stylet to Demonstrate the Proximal Esophageal Pouch in Esophageal Atresia.
    Date July 2001
    Journal Pediatric Surgery International
    Title Bladder-neck Repair in Urinary Bladder Exstrophy.
    Date July 2001
    Journal Pediatric Surgery International
    Title Preterm and Particularly, Pre-labour Cesarean Section to Avoid Complications of Gastroschisis.
    Date June 2000
    Journal Pediatric Surgery International
    Title Transumbilical Resection and Umbilical Plasty for Patent Omphalomesenteric Duct.
    Date March 2000
    Journal Pediatric Surgery International
    Title A Possible Role of the Plasmalemmal Cytoskeleton, Nitric Oxide Synthase, and Innervation in Infantile Hypertrophic Pyloric Stenosis.
    Date March 2000
    Journal Pediatric Surgery International
    Title Arterio-venous Extracorporeal Membrane Oxygenation of Fetal Goat Incubated in Artificial Amniotic Fluid.
    Date November 1999
    Journal Journal of Pediatric Surgery
    Title Thoracoscopy for Empyema in Children.
    Date November 1999
    Journal Journal of Pediatric Surgery
    Title Comparison of Hepaticoantrostomy and Hepaticojejunostomy.
    Date July 1999
    Journal Pediatric Surgery International
    Title A Comparative Evaluation of Halo Pin Designs in an Immature Skull Model.
    Date February 1999
    Journal Clinical Orthopaedics and Related Research
    Excerpt

    To design an improved halo pin for use in pediatric patients, three commonly used halo pins were evaluated with a mechanical testing apparatus and segments of prepared fetal calf skull. The pins were driven through the bone segments while the load at the bone-pin interface was measured. New pins were designed with respect to pin tip and flange width and similarly compared. Mean maximum loads to penetration, normalized for bone segment thickness, were 55.6 N/mm for the PMT Corporation pin, 61.5 N/mm for the Bremer pin, and 73.6 N/mm for the Ace pin. Four new, short tipped pins were designed and compared with the Ace pin, and there was no significant difference. Finally, four new pins were designed with varying flange widths. Mean maximum loads, normalized for bone segment thickness, were 68.9 N/mm for the 4.2 mm flange, 72.2 N/mm for the 4.7 mm flange, 92.9 N/mm for the 5.2 mm flange, and 96.4 N/mm for the 5.7 mm flange. The findings of this investigation are clinically important because they may help to explain the variability in the complication rates seen with the use of different halo systems in children. The three halo pins currently on the market have different pin designs, including tip lengths and flange distances, which contribute to the difference in load to penetration for each pin. The new, wide flanged, short tipped halo pin design might decrease the complication rate of halo use in children by providing an improved capacity to resist penetration despite increased loads of application.

    Title End Results of Experimental Gastroschisis Created by Abdominal Wall Versus Umbilical Cord Defect.
    Date January 1999
    Journal Pediatric Surgery International
    Title Deflating Proximal Enterostomy for Jejunoileal Atresia.
    Date August 1998
    Journal Pediatric Surgery International
    Excerpt

    A modification is described to avoid postoperative gaseous distension and facilitate early oral feeding after resection and anastomosis for jejunoileal atresia.

    Title Fundoplication with Anastomotic Wrap. A Modification of a Nissen Procedure to Achieve Permanence.
    Date January 1998
    Journal Pediatric Surgery International
    Title Use of Tubularized Peritoneal Free Grafts As Urethral Substites in Rabbit.
    Date May 1997
    Journal Journal of Pediatric Surgery
    Title Experimental Fetal Tracheal Ligation and Congenital Diaphragmatic Hernia.
    Date February 1997
    Journal Journal of Pediatric Surgery
    Title T-tube Drainage for the Treatment of High Jejunal Atresia.
    Date February 1997
    Journal Journal of Pediatric Surgery
    Title Mesenteric Defects As a Cause of Intestinal Volvulus Without Malrotation and As the Possible Primary Etiology of Intestinal Atresia.
    Date September 1996
    Journal Journal of Pediatric Surgery
    Title The Prenatal Diagnosis of Imperforate Anus with Rectourinary Fistula.
    Date March 1993
    Journal Journal of Pediatric Surgery
    Title Primary Peritonitis in Previously Healthy Children.
    Date July 1985
    Journal American Journal of Diseases of Children (1960)
    Title Acute Dilatation of the Stomach; Unusual Complication of Pyloric Stenosis.
    Date June 1966
    Journal Journal of Postgraduate Medicine
    Title Modern Total Hip Arthroplasty in Patients Younger Than 21 Years.
    Date
    Journal The Journal of Arthroplasty
    Excerpt

    Total hip arthroplasty (THA) is not commonly performed in adolescents. However, it may be the only option for pain control with continued mobility for advanced disease. We report our experience with modern alternative-bearing THA in patients younger than 21 years. Twenty-one THAs (18 patients) were followed. Preoperative and postoperative Harris hip scores were recorded, and radiographs were reviewed. Average follow-up was 49 months (range, 25-89). Underlying etiology was chemotherapy-induced osteonecrosis (33%), steroid-induced osteonecrosis (29%), sickle cell disease (24%), and chronic dislocation (14%). Articulation bearings were ceramic/ceramic (67%), metal/highly cross-linked polyethylene (29%), and metal resurfacing (5%). Mean age was 18 years (range, 13-20). Harris hip scores improved from 43.6 to 83.6 (P < .001). At final follow-up, there was no radiographic loosening; 1 THA was revised for a cracked ceramic liner. At intermediate-term follow-up, clinical and radiographic results are favorable after alternative-bearing THA in patients younger than 21 years.


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