The newest member of Colorado Limb Consultants, Dr. Hugate recently relocated to Denver after completing a fellowship in orthopedic oncology at the Mayo Clinic in Rochester, Minnesota. He specializes in complex joint replacement and bone and soft tissue tumors. His internship and residency were done at Penn State University after graduating with honors from Eastern Virginia Medical School. As a Major in the U.S. Army Reserves Medical Corps, he was awarded the Army Commendation Medal for his service at the Combat Surgical Hospital in Baghdad. He is the most recent addition to The Denver Clinic team.

Curriculum Vitae

Member Physician

Personal Information

Marital Status: Married, 3 children

Education

Military Service          

Medical Licensure

Selected Honors and Awards

Professional Certifications

Professional Affiliations

Current Administrative Positions Held

            Physician Member

            The Denver Clinic for Extremities at Risk

            Denver, Colorado

            2007 - Present

Vice-Chairman, Department of Orthopedics

            Presbyterian/St. Luke's Medical Center

            Denver, Colorado

            2008-2009

Inaugural Governing Board Member 

            The Colorado Orthopedic and Surgical Hospital

            Denver, Colorado

            2007 - Present

Medical Director

            Parker Hospital Joint Replacement Program

            Parker, Colorado

            2007 - Present

Guest Editor

            Clinical Orthopedics and Related Research

            2005-Present

Clinical Consulting

            Clinical Consultant

            Stryker Corporation (Mahwah, New Jersey)

            Design/Development of canine osseous integration implants for use in trans-radial           amputees

            2006-2007

            Clinical Consultant

            Wright Medical Corporation (Memphis, Tennessee)

            Design/Development of implants which utilize foam metal technologies as an in-  growth medium

            2007-present

Research Interests

            Advancement of bio-integrated implants

            Orthopedic implant design

            Medical and surgical treatment of osteogenic sarcoma

            Pelvic/Sacral reconstruction

Research Funding

            -Fixed angle Screws versus Standard Screws in Hemispherical Acetabular        Fixation: A Biomechanical Study. Mayo Clinic Orthopaedic Research Grant.        May 2004. 

            -The Biomechanical Consequences of Partial Transverse Sacrectomy: When is Reconstruction Necessary? Mayo Clinic Orthopaedic research grant. May 2004. 

            -Allograft Prosthetic Composite Reconstruction of the Proximal Tibia versus      Proximal Tibial Reconstruction with Endoprosthesis: A Pilot Study to Define the       Key Variables of Quadriceps Strength and Function. Mayo Clinic Department of Orthopaedic Surgery, Musculoskeletal Tumor Foundation Grant, January 2004.

            -The Effects of Intratendinous and Peritendinous Corticosteroid Injections on the           Biomechanical Properties of Rabbit Achilles Tendon.  Pennsylvania State      University College of Medicine Department of Orthopaedics and Rehabilitation,   Orthopaedic Research Initiation Grant, July 2001.

            -Design of an Automated Needle/Armature Tray Loader. Department of           Mechanical Engineering, Virginia Polytechnic Institute and State University.          Siemens Corporation Automotive Division Research Grant, September 1993.

Publications

1.         Hugate RR; Dickey ID; Chen Q; Wood C; Rock MG; Sim FH: Locked Screws versus Standard Screws in Hemispherical Acetabular Fixation: A Biomechanical Study. [Final edit complete. Pending print in the Journal of Arthroplasty]

2.         Hugate RR; Wilkins RM; Kelly CM; Madsen W; Hinshaw I; Camozzi AB: Intra-arterial chemotherapy for Extremity Osteosarcoma and MFH in Adults. Clin Orthop Relat Res. 2008. Jun;466(6): 1292-301.

3.         Drygus KA; Taylor RV; Sidebotham CG; Hugate RR; McAlexander H: Transcutaneous Tibial Implants: A Surgical Procedure for Restoring Ambulation after Amputation of the Distal Aspect of the Tibia in a Dog. Vet Surg 37:322-327, 2008.

4.         Damron TA; Leerapun T; Hugate RR; Shives TC; Sim FH: Does the Second Generation Intercalary Humeral Spacer Improve on the First? Clin Orthop Relat Res. 2008 Jun; 466(6):1309-17.

5.         Leerapun T; Hugate RR; Inwards CY; Sculley SP; Sim FH: Surgical Management of Conventional Grade I Chondrosarcoma of Long bones. Clin Orthop Relat Res. 2007. Oct; 463: 166-72.

6.         Pradhan A; Cheung YC; Grimer RJ; Abudu A; Peake D; Ferguson PC; Griffin AM; Wunder JS; O'sullivan B; Hugate RR; Sim FH: Does the Method of Treatment Effect the Outcome in Soft Tissue Sarcomas of the Adductor Compartment? J Bone Joint Surg Br. 2006 Nov; 88(11): 1480-6.

7.         Hsu JT; Chang CH; An KN; Zobitz ME; Phimolsarnti R; Hugate RR; Lai KA: Effects of Screw Eccentricity on the Initial Stability of the Acetabular Cup.  Int Orthop, Sept. 2006.

8.         Hugate RR; Dickey ID; Phimolsamti R; Yaszemski M; Sim FH: Mechanical Effects of Partial Sacrectomy: When is Reconstruction Necessary?  Clin Orthop Relat Res. 2006  450:82-8.

9.         Hugate RR; O'Connor MI; Sim FH: Pelvic tumors.  In  Puri A, Agarwal MG (eds): Current Concepts in Bone and soft tissue tumors [Chapter 18].  Arihant Book House, Parel, Mumbai, 2006, pp. 210-26.

10.       Hugate RR; Sim FH:  Pelvic reconstruction techniques. Orthop Clin North Am 37:85-99, 2006.

11.       Dickey ID; Hugate RR; Fuchs B;Yaszemski M; Sim FH:  Reconstruction After Total Sacrectomy: Early Experience with a New Surgical Technique.  Clin Orthop Relat Res. 438:42-50, 2005.

12.       Hugate RR; Sim F:  Innovations in musculoskeletal oncology: 2004.  J Orthop Sci.10:331-40, 2005.

13.       Hugate RR; Pennypacker J; Saunders M; Juliano P: The Effects of Intratendinous and Retrocalcaneal Intrabursal Injections of Corticosteroid on the Biomechanical Properties of Rabbit Achilles Tendons.  J Bone Joint Surg 86A:794-801, 2004.

14.       Fayyazi AH; Hugate RR; Pennypacker J; Gelb DE; Ludwig SC: Accuracy of Computed Tomography in Assessing Thoracic Pedicle Screw Malposition. J Spinal Disord Tech 17:367-371, 2004.

15.       Hugate RR; Sim FH; and Scully SP: Osseous Lesions of the Pre-Sacral Space.  Sem Colon Rectal Surg 15: 41-54, 2004.

16.       Hugate RR; Pellegrini VD Jr: Reactivation of Ancient Tuberculous Arthritis of the Hip Following Total Hip Arthroplasty: A Case Report. J Bone Joint Surg 84A:101-105, 2002.

Presentations

1.         "Advances in the Management of Shoulder Tumors" The Rocky Mountain Shoulder and Elbow Society. Boulder, Colorado. July 20, 2007.

2.         "Foam Metal Materials" The Penn State Department of Orthopedics Grand Rounds. The Penn State College of Medicine. Hershey, Pennsylvania. August 2007.

3.         "Management of Metastatic Lesions" Annual Colorado Trauma Symposium, Hyatt Regency Tech Center. Denver, Colorado. March 16, 2007.

4.         "Prosthetic Infections" Annual Winter Conference, The Denver Clinic for Extremities at Risk. Presbyterian/St. Luke's Medical Center. Denver, Colorado. December 4, 2006.

5.         "Fixed Angle Screws versus Standard Screws in Acetabular Prosthesis Fixation:  A Cadaveric Biomechanical Study" The Annual Meeting of the Western Orthopaedic Association. Santa Fe, New Mexico. October 11, 2006.

6.         "Management of Extremity Tumors: Avoiding Pitfalls"  The Annual Winter Conference, The Denver Clinic for Extremities at Risk. Presbyterian/St. Luke's Medical Center. Denver, Colorado.  December 2, 2005.

7.         "The Biomechanical Consequences of Partial Transverse Sacrectomy: When is Reconstruction Necessary?"  Musculoskeletal Tumor Society. Nashville, Tennessee. May 2005.

8.         "The Biomechanical Consequences of Partial Transverse Sacrectomy: When is Reconstruction Necessary?"  Canadian Orthopaedic Assoc. Montreal, Canada. June 2005. 

9.         "Surgical Management of Conventional Grade I Chondrosarcoma of Long Bones" American Academy of Orthopaedic Surgeons. Washington DC. February 2005.

10.       "Soft Tissue Attachment to Highly-porous Alumina Ceramic Foams: An in vivo Canine" Orthopaedic Research Society. Washington DC. February 2005.

11.       "Soft Tissue Attachment to Highly-porous Alumina Ceramic Foams: An in vivo Canine" Society for Biomaterials Annual Meeting. Memphis, Tennessee. April 2005. 

12.       "Soft Tissue Attachment to Highly-porous Alumina Ceramic Foams: An in vivo Canine Study" Canadian Orthopaedic Association. Montreal, Canada. June 2005.

13.       "Biopsy Principles and Techniques"  Saturday Morning Conference. Mayo Graduate School of Medicine. Rochester,Minnesota. August 2004.

14.       "Battlefield Orthopaedics" Hospital-wide Grand Rounds. Pennsylvania State College of Medicine.  Hershey, Pennsylvania. May 2004. 

15.       "In vivo Mouse Model of Chondrosarcoma Metastasis" [poster presentation] Orthopaedic Research Society. San Francisco, California. March 2004.

16.       "An Orthopaedic Surgeon's Experience in Iraq" Annual CME Conference. 5502nd US Army Hospital. Denver, Colorado. March 2004.

17.       "A Comparison of the Effects of Intratendinous and Peritendinous Corticosteroid Injections on the Biomechanical Properties of Rabbit Achilles Tendon" American Academy of Orthopaedic Surgeons. San Francisco, California. March 2004.

18.       "A Comparison of the Effects of Intratendinous and Peritendinous Corticosteroid Injections on the Biomechanical Properties of Rabbit Achilles Tendon" The Buchanon Lectures. Hershey, Pennsylvania. June 2003.

19.       "Analgesia/Anesthesia in the Emergency Room for Orthopedic Surgeons" Orthopaedic Surgery Grand Rounds. Department of Orthopaedics & Rehabilitation.  Pennsylvania State College of Medicine. Hershey, Pennsylvania. December  2002.

20.       "A Comparison of the Effects of Intratendinous and Peritendinous Corticosteroid Injections on the Biomechanical Properties of Rabbit Achilles Tendon"  The Society of Military Orthopaedic Surgeons (SOMOS). San Diego, California. December 2002.

21.       "Quantification and Correlation of Bone Mineral Density in Tibial Bone Regenerate with Weight-bearing in Ilizarov Distraction Lengthening" [poster presentation]. Orthopaedic Trauma Association. Toronto, Ontario, Canada. October 2002.

22.       "A Comparison of Three Techniques of Thoracic Pedicle Screw Placement"  North American Spine Society. Montreal, Canada. October 2002.

23.       "A Comparison of Three Techniques of Thoracic Pedicle Screw Placement"  American Orthopaedic Association (AOA) Annual Resident Meeting. Memphis, Tennessee.  March 2002.

24.       "Bone Stimulation Devices" Orthopaedic Surgery Grand Rounds. Department of Orthopaedics & Rehabilitation. Pennsylvania State College of Medicine. Hershey, Pennsylvania. February 2002.

25.       "A Comparison of Three Techniques of Thoracic Pedicle Screw Placement" [poster presentation]. American Academy of Orthopaedic Surgeons. Dallas, Texas. February 2002.