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Stefano Bini, MD
Professor of Clinical Orthopaedics
BiographyDr. Stefano Bini, MD was born in Italy, raised in Australia (he still has a slight Aussie accent) and finished high school in San Francisco. He received his BA from Stanford University, his MD from Columbia University’s College of Physician and Surgeons, and completed Residency training at UCSF. Subsequently, he completed a Fellowship at the Rizzoli Orthopaedic Institute in Italy and obtained a second MD from the University of Florence (and ate lots of great food!). Prior to joining the faculty at UCSF, Dr. Bini worked at Kaiser Permanente as a joint replacement surgeon. He held multiple leadership positions including Chief of Orthopedics at two medical centers and Chief of the Adult Reconstructive Surgery Service in the East Bay. He participated in regional committees tasked with improving quality, access, and efficiency at Kaiser. He was selected for the California Health Care Foundation Leadership Program and developed an interest in applied organizational design. As a result, Dr. Bini co-authored a forthcoming book on change management. Active in professional associations and academia, Stefano currently serves as the Chair of the International Committee for the American Association of Hip and Knee Surgeons and sits on the Biomedical Engineering Committee for the American Academy of Orthopedic Surgery. He is the Associate Editor of Arthroplasty Today and is a reviewer for 4 major orthopaedic journals. Over the past decade, Dr. Bini has organized over a dozen conferences and learning labs nationally and internationally, presented over 110 scientific papers and has authored 23 research papers with a focus on leveraging large databases to help define best practices in hip and knee replacement surgery. Dr. Bini is very committed to teaching (and learning from!) residents and colleagues and has received several related awards including the James O. Johnston Award for Excellence in Orthopedic Research, Leadership and Resident Training; the San Francisco Orthopedic Residency Program Teaching Award; the National Kaiser Permanent James Vohs Award for Quality for his work on establishing the Kaiser Permanente Total Joint Replacement Registry, and The Permanente Medical Group award for Outstanding Planning of Physician Education. Dr. Bini is very excited to return to UCSF and work to continuously improve the patient care experience, clinical outcomes and resident training. Dr. Bini’s clinical practice will continue to focus on total hip replacement through both anterior and posterior approaches, and total knee replacement using a novel anatomic alignment technique (“kinematic” knee alignment). Dr. Bini also has extensive experience in revision and complex total joint replacement. His three primary research areas will be the application of technology to health care delivery systems (digital medicine), improving surgical techniques in knee replacement surgery, and cartilage repair. Outside work, Stefano is an avid cook, reasonable dancer and amateur photographer. He loves traveling, sailing and skiing and swims to try and stay in shape. He and his children Michaela and Gianluca live in the East Bay with his wonderful wife Katherine. Currently, the family has to put up with his trying to learn the guitar despite Dr. Bini having no inherent musical talent to speak of.
EducationStanford University Bachelor of Arts in Political Science; with distinction Year abroad: Institute de Sciences Politiques de Paris Columbia University College of Physicians and Surgeons Doctor of Medicine University of California, San Francisco San Francisco, CA Stanford, CA 1986 Paris, France 1986 New York, NY 1990 General Surgery Residency 1990-1991 Orthopedic Surgery Residency Resident Advisory Committee Department of Orthopedics Dean's Advisory Committee on Post-Doctoral Affairs 1990-1995 1992-1995 1993-1995 1996-1997 Rizzoli Orthopaedic Institute, Fellowship in Orthopedic Oncology Bologna, Italy Univerista’ di Firenze Doctor of Medicine Florence Italy Florence, Italy 1999
PublicationsPublications 1. Antibiotic Loaded Cement IsAssociated with a 53% Lower Risk of Re-Revision in 1154 Aseptic Revision Total Knee Arthroplasties. Bini SA, Cafri G, Inacio MC, Chan P, Paxton LW, Khatod M. Submitted for publication Acta Orthop May 2015. 2. Association of Bisphosphonate Use and Risk of Revision after THA: Outcomes from a US Total Joint Replacement Registry. Inacio MC, Khatod M, Dell RM, Bini SA, Paxton L, Namba RS. Accepted for publication Clin Orthop. March 2016. 3. Revision Total Hip Arthroplasty: Factors Associated with Re-Revision. Khatod M, Cafri G, Inacio CS, Schepps AL, Paxton L, Bini SA. J Bone Joint Surg Am, 2015 Mar; Vol 97(5):359-366. 4. Thirty Day Readmission Rates are not Inferior for 2 v 3 day lengths of stay in 23635 primary total knees Bini SA, Inacio MC, Cafri G.. Accepted for publication The Journal of Arthroplasty, Dec 12 2014 5. Perioperative Antibiotics. Hansen E; Belden K; Silibovsky R; Vogt M; Arnold WV; Bicanic G; Bini SA; Catani F; Chen J; Ghazavi MT; Godefroy KM; Holham P; Hosseinzadeh H; Kim KI; Kirketerp-Møller K; Lidgren L; Lin JH; Lonner JH; Moore CC; Papagelopoulos P; Poultsides L; Randall RL; Roslund B; Saleh K; Salmon JV; Schwarz EM; Stuyck J; Dahl AW; Yamada K, The Journal Of Arthroplasty 2014 Feb; Vol. 29 (2 Suppl), pp. 29-48. PMID: 24355256 6. Surgical outcomes in total knee replacement patients according to diabetes status and glycemic control, 2001-2009. Adams AL, Paxton EW, Wang JQ, Johnson ES, Bayliss EA, Ferrara A, Nakasato C, Bini SA, Namba RS. J Bone Joint Surg Am. 2013 Feb 27. 7. Same day versus staged bilateral total knee arthroplasty poses no increase in complications in 6,672 primary procedures. Bini SA, Khatod M, Inacio MS, Paxton EW. J.of Arthroplasty April 2014 29(4) 694- 697 8. Surgeon, implant and patient variables may explain variability in early revision rates reported for unicompartmental arthroplasty. Bini SA, Khatod M, Cafri G, Chen Y, Paxton E.W. The Journal of Bone and Joint Surgery, December 2013, 95(24): 2195-2202. PMID: 24352773 9. Does pre-coating total knee tibial implants affect the risk of aseptic revision? Bini SA, Chen Y, Khatod M, Paxton EW. Bone and Joint J March 2013 Vol 95B 367-370 10. Problemas en Artroplastia de Rodilla. Bini SA, Macule F, editors. American Academy of Orthopedic Surgery and Sociedad Espanola de Cirugia Ortopedica y Traumatologia, 2012. Editorial Secot ISBN 978-84-695-2873-0 11. Short Term Outcomes in Unresurfaced Patellas in Total Knee Arthroplasty. Khatod M, Bini SA, Inacio M. E.pub, J Knee Surg, Jul 13, 2012 12. Slowing Demand for Total Joint Replacement in a Population of 3.2 Million. Bini SA, Sorel M, Sidney S. J. of Arthroplasty 2011 sep;26(6 Suppl):124-8. 13. Pulmonary Embolism Prophylaxis in over 30,000 Total Knee Patients: Is There a Best Choice? Khatod M, Inacio MS, Bini SA. The Journal of Arthroplasty, Vol 27 (2), 167-172. 14. Prophylaxis against Pulmonary Embolism in Patients Undergoing Total Hip Arthroplasty. Khatod M, Bini SA, Inacio M. The Journal of Bone and Joint Surgery. 2011 Oct; 93-A(19). 15. Does discharge disposition after primary total joint arthroplasty affect readmission rates? Bini SA, Fithian DC, Paxton LW, Khatod MX, Inacio MC, Namba RS. J Arthroplasty. 2010 Jan;25(1):114-7. Epub 2009 Jan 15.PMID: 19150214 16. Knee replacement: epidemiology, outcomes, and trends in Southern California: 17,080 replacements from 1995 through 2004. Khatod M, Inacio M, Paxton EW, Bini SA, Namba RS, Burchette RJ, Fithian DC. Acta Orthop. 2008 Dec;79(6):812-9.PMID: 19085500 17. Compliant prestress fixation in tumor prostheses: interface retrieval data. Bini SA, Johnston JO, Martin DL. Orthopedics. 2000 Jul;23(7):707-11; discussion 711-2.PMID: 10917246 18. Intraepiphyseal resection of the proximal tibia and its impact on lower limb growth. Manfrini M, Gasbarrini A, Malaguti C, Ceruso M, Innocenti M, Bini S, Capanna R, Campanacci M. Clin Orthop Relat Res. 1999 Jan;(358):111-9. 19. Follow-up protocols in orthopedic oncology. Donati D, Bini SA, Bacci G, Campanacci M. Tumori. 1998 Jan-Feb;84(1):57-9.PMID: 9619716 20. Supracondylar femoral osteotomies for the correction of angular deformity about the knee in children. A follow-up study. Nercessian OA, Roye DP Jr, Bini SA, Dick HM. Am J Knee Surg. 1995 Spring;8(2):48- 51.PMID: 7634013 21. Late surgical treatment of lateral condylar fractures in children. Roye DP Jr, Bini SA, Infosino A. J Pediatr Orthop. 1991 Mar-Apr;11(2):195-9.PMID: 2010520 22. In vitro testing of a novel limb salvage prosthesis for the distal femur. Cristofolini L, Bini S, Toni A. Clin Biomech (Bristol, Avon). 1998 Dec;13(8):608-615 23. Giant cell tumor of bone. Curettage and cement reconstruction. Bini SA, Gill K, Johnston JO. Clin Orthop Relat Res. 1995 Dec;(321):245-50.PMID: 7497676
Grants and AwardsGrants OREF grant with junior resident to study the role of MAC protein in the genesis of Osteoarthrits in the Human knee. $4,500. 2013-2014 Tranexamic Acid and its impact on reaching a transfusion threshold following total knee replacement. Kaiser Permanente Community Benefit Grant, $75,000. 2014 Clinical Outcomes and Research in Total Joint Replacement. Kaiser Permanente Total Joint Registry, multiple, ongoing. 2002 –present. Penetrance and Incidence of primary Total Knee Replacement in Northern California Kaiser Permanente. Community Benefit Grant, $35,000. Steve Sidney MD, PhD, Mike Sorel MPH. Kaiser Permanente Division of Research. 2005 - present Stress gauge analysis of strain distribution in the distal femur following implantation of a compliant, pre- stressed, fixation device. Cristofolini L, Bini S, Toni A. Biomet research grant $25,000. Rizzoli Orthopaedic Institute, Bologna Italy 1996 - 1997 Clinical research on the effects of dynamic compression across the bone/implant interface in a new limb salvage prosthetic fixation device. James O. Johnston M.D., Dan Martin, M.D. UCSF 1993 -1995 P53 mutations in Giant cell tumors of bone. Study on the correlation of P53 mutations and the likelihood of recurrence, metastasis, or malignant degeneration of Giant cell tumors. James O. Johnston, M.D.; Tineka Mathews, Ph.D. UCSF Grant 1993 -1995
Membership & CommitteesAlameda County Medical Association 2006 - present American Academy of Orthopedic Surgeons (AAOS) 2004 – present Center for Orthopaedic Advancement, Board Member 2009 – present International Committee 2008 - 2013 Sub Comm. Chairman, Scholarship Program 2012 - 2013 Biomedical Engineering Committee (Monitors and reviews scientific regulatory developments in the field of biomedical engineering as they relate to orthopaedic surgery) American Association of Hip and Knee Surgeons (AAHKS) 2009 - present International Committee (founding member vice chair) 2011 – 2015 International Committee (Chair) 2015 – 2018 Board of Directors (Member at Large) 2013 – 2015 Patient Education Committee 2011- 2014 American Orthopaedic Association (AOA) 2014 - present Inman Abbott Society (UCSF Alumni) 1997 - present Board of Directors 2009 - 2013 Editorial Appointments Associate Editor, Arthroplasty Today 2014 - present Reviewer, Journal of Bone and Joint Surgery 2014 - present Elite Reviewer, Journal of Arthroplasty 2012 - present Reviewer, Acta Orthopedica Scandinavica 2013 - present Editorial Board, Journal of Arthroplasty 2015- present Health Care Advisory Board, Nokia 2015 – current Medical Advisory Board, CaptureProof.com 2013 - present
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