New Physician: Welcome, Dr. Michael Merz!

We are pleased to welcome Michael Merz, MD to EmergeOrtho! He will be seeing patients in our Chapel Hill and Durham (William Penn Plaza) offices, specializing in Hip and Knee Preservation and Replacement Surgery.

4 Stars for Book Edited by Dr. Shadduck!

Copy of MD News

Dr. Shadduck served as a book editor recently for The Society of the American Gastrointestinal and Endoscopic Surgeons.  The book,  The SAGES Manual Ethics of Surgical Innovation, was published in May 2016, and it was recently reviewed by a Publisher’s Club Book Review, receiving a score of 93 (out of 100) and a 4-star rating (out of 4).

Doody’s Book Reviews™ evaluates books and electronic products across a wide range of clinical specialty areas in Basic Science, Clinical Medicine, Nursing, Allied Health, and Other Disciplines.

Our General Surgery providers currently see patients at four locations in the Triangle: Durham, Southpoint, Chapel Hill, and Wake Forest.  Call the team directly at (919) 281-1699 to schedule an appointment!

First Shoulder Replacement Performed with Custom 3D Model in Johnston County


Dr. Lucas Romine MD, an Orthopaedic Surgeon with EmergeOrtho, recently performed a Reverse Total Shoulder Arthroplasty with a custom guide generated from a 3-D printer. Dr. Romine utilized software from DJO surgical known as the Match Point System™ to execute the operation.  The surgery, which took place on May 24, 2016 at Johnson Health, was the first of its kind in Johnston County.

The operation required several weeks of pre-operative planning, including virtual placement of the components, 3D analysis of the patient’s severely deformed shoulder, and production of a scapular model.  The custom guide was designed, created and utilized specifically for this one procedure.

The patient, Claudious Stallings, had experienced pain in his right shoulder for twenty years, and at his first appointment with Dr. Romine, he unable to move his right arm without severe pain. According to Dr. Romine, “Mr. Stallings was clearly in need of a new shoulder, but he had a rare socket malformation that would make a standard shoulder replacement impossible to implant.”

Fortunately, Dr. Romine, who learned the latest techniques in shoulder surgery at Johns Hopkins Hospital, had experience with custom designed implants.  “Utilizing a CT based 3-D model, I was able to design a custom fit for Mr. Stallings’s shoulder. This allowed me to accurately place the implant where it would work properly, and it significantly decreased the total time of the operation. Essentially, I was able to execute the difficult aspects of the surgery on my laptop computer, weeks in advance,” Dr. Romine stated.  “This technology has only become available for shoulder replacements in the United States over the past 3-4 years, so many people are amazed with this new advancement.”

Mr. Stallings is recovering as expected and pleased with the results.  He is the organist at First Freewill Baptist Church, a vocation he returned to six weeks after surgery.  “I don’t hurt in that shoulder.  It’s amazing,” says Stallings. “I was seeking relief and a way to keep serving the Lord by playing the organ. I just kept looking, and I am so thankful I did.”

As a physician-owned practice, EmergeOrtho is committed to patient-centered care, using innovative strategies such as 3D custom modeling to optimize clinical outcomes.  There are 49 offices across the state, with two offices in Johnston County.

For more information on Dr. Romine and EmergeOrtho, please visit:

Dr. Musante Published in Journal of Orthopaedic Surgery and Research

MD News

David Musante, MD, recently completed a retrospective study evaluating the fusion rate and pain levels one year after a lumbar spine surgery using a product called Trinity Evolution.  The findings were published in The Journal of Orthopaedic Surgery and Research earlier this Spring.  Dr. Musante found that postoperative pain levels were significantly improved at 2 weeks, 3 months, and 12 months in comparison to pre-operative leg or back pain of the patients, who had all been diagnosed with degenerative disc disease, radiculopathy, stenosis, and decreased disc height prior to surgery.

This study was retrospective, so it was conducted by reviewing patient charts.  There are often prospective clinical trials at Triangle Orthopaedic Associates.  For more information on Orthopaedic and Rheumatologic Clinical Trials, please visit the Clinical Research page on our website.

Dr. Musante is board certified by the American Board of Orthopaedic Surgery. He is a member of the American Academy of Orthopaedic Surgeons, the North American Spine Society, the International Society for the Advancement of Spine Surgery, the North Carolina Spine Association, the North Carolina Medical Society, and the Durham-Orange County Medical Society.

Dr. Musante devotes his practice to the treatment of a wide range of spinal problems including degenerative cervical and lumbar disorders, disc herniation, stenosis, deformity, scoliosis, tumors, and trauma. His surgical expertise includes minimally invasive spinal surgery, motion preservation technology and artificial disc replacement.   He sees patients in Durham, Southpoint, and Raleigh.

New Physician: Welcome to Roanoke Rapids, Scott Martin, DPM!

Podiatry and Surgery


Dr. Scott Martin joins Dr. Richard Holm and Dr. John Moss in Roanoke Rapids! He is a surgical podiatrist, specializing in foot and ankle problems, including limb salvage, trauma repair, plantar fasciitis, flat foot problems, toe nail problems, chronic conditions, general pain, and lower extremity calluses, ganglion, and gout.

Letter to Patients: TOA is now EmergeOrtho!

Copy of TOA Social Media Post (1)

Dear Patient,

On August 1, 2016, Triangle Orthopaedic Associates, P.A. will become part of an alliance that includes three other independent orthopaedic physician groups across North Carolina who share our mission to provide streamlined, patient-centered care. Called EmergeOrtho, the new practice will have the strength of 49 office locations in 21 counties statewide, thereby creating one of the largest physician-owned orthopaedic organizations in North Carolina.

It’s important to note, however, that you still have access to the same local specialists you have come to know and trust. You will still use the same contact numbers and access all of your providers and services in the same locations. Rest assured that this alliance will not take away any of the care you depend on, but will expand your options for services and care statewide.

The four practices that are combining to become EmergeOrtho are all well-established, highly reputable independent physician groups. These practices include: Blue Ridge Bone and Joint of Asheville, Hendersonville, and Arden; Carolina Orthopaedic Specialists of Hickory, Morganton and Lenoir; OrthoWilmington with offices in New Hanover, Brunswick and Onslow counties; and Triangle Orthopaedic Associates of the greater Raleigh-Durham area. Additional practices are preparing to join the alliance in a second phase of growth.

We chose the name EmergeOrtho because it describes the alliance’s mission. The goal of orthopaedics is for patients to emerge from treatment, their illness or injury healed.

Through excellent care, our patients can emerge stronger and healthier, better able to lead an active life.

A primary purpose in forming this alliance is to preserve the private practice model, a standard of care that puts patients first and allows each group to provide their own higher quality, lower cost care. The new organization will continue to build on proven strategies and implement programs that improve outcomes and lower costs for patients. Rest assured, all insurances that were in-network with Triangle Orthopaedic Associates, P.A. will continue to be accepted.

An additional patient benefit that comes with integrating our network statewide, all EmergeOrtho offices will use the same Electronic Health Records system. Patients treated for injury while on vacation, for example, can follow up with an EmergeOrtho provider in their hometown who has seamless access to their medical chart.

At Triangle Orthopaedic Associates, P.A., we see this union as the next phase in the evolution of our practice. The recent alliance leverages the previous successes of these individual practices to create new opportunities that may not have been available to each group independently. It allows us to strengthen and expand existing healthcare partnerships, positions us for exciting clinical and research opportunities, and makes possible greater economies of scale, such as volume discounts on equipment, technology and medical supplies. In all these ways, this alliance better prepares us for the changing healthcare landscape and future healthcare reform so that we may better serve our community.

While the name and brand logo are changing, the bottom line is that our mission has not. We will continue our focus on delivering the best orthopaedic care possible, in the most streamlined, cost-effective manner available.

If you have questions or concerns regarding the new structure, please call us at

919-220-5255 or 800-359-3053. We are in the process of developing a comprehensive new website; in the meantime, all of the alliance members’ existing websites remain fully operational. We hope you find this new structure as exciting as we do, and we sincerely appreciate the opportunity to serve you and this community.

Kind regards,

The Physicians and Administration of Triangle Orthopaedic Associates, P.A.