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My pursuit is in perfecting and transforming orthopedic care by the integration of technology and to create a future which can enjoy a high quality, low cost consistent care even in the most underserved areas of our country. Having completed fellowships under the guidance of world experts in pioneer orthopedic institutes; I have developed great expertise in arthroscopic surgeries of knee, hip, shoulder and ankle in adults and children with a high volume of ACL reconstructions and rotor cuff repairs. My practice interests also include joint preservation, joint arthroplasty, deformity correction, trauma, fragility fractures and metabolic bone diseases. My clinical practice has been averaging about 3000 outpatient cases and 800 surgical cases a year and orthopedic care. I also served in the editorial board for Arthroscopy Journal and as reviewer for Journal of Pediatric orthopedics and HSS journal. I have over 40 peer review publications with over 500 citations.

Mary Elizabeth Gibson, MD is a Board Certified Orthopaedic Surgeon (Hand Surgery), specializing in the diagnosis and treatment of hand, wrist, and elbow problems. Dr. Gibson also has training in general orthopaedics and fracture management of patients of all ages and also has a Subspecialty Certificate in Surgery of the Hand

Born and raised in the Houston area, she earned her Bachelor’s of Science degree in Nursing from the University of Tulsa. She worked in the Texas Medical Center as an RN before attending medical school at the University of Texas Health Science Center at Houston. This unique background has given her an appreciation for healthcare at all levels, and the understanding of a collaborative approach to patient care.

Dr. Gibson completed orthopaedic residency at Orlando Health, a high volume hospital, which provided a broad educational base. During her time in Orlando, she served as administrative chief resident, and also earned the Resident Community Service Award for her work on a public service campaign to raise awareness of firework related injuries.

She then went on to complete Hand & Upper Extremity Fellowship at the University of New Mexico in Albuquerque, which included microvascular and peripheral nerve surgery. After fellowship, she worked in private practice in Tupelo, MS. Dr. Gibson and her family are thrilled at the opportunity to return to Texas. She is a member of several professional organizations including Texas Medical Association, American Association of Orthopaedic Surgeons, American Society for Surgery of the Hand, and Ruth Jackson Orthopaedic Society.

At Northeast Orthopaedics and Sports Medicine, Dr. Gibson specializes in the treatment of traumatic and degenerative conditions of the upper extremity including trigger finger, carpal tunnel, cubital tunnel, peripheral nerve injury, ganglion cyst, tendon problems, sport injuries, hand and wrist arthritis, Dupuytren’s disease, and fracture management. She appreciates the beneficial impact surgery can have, but believes that nonsurgical treatments including therapy, injections, and activity modification should be attempted first. Dr. Gibson prides herself in building a patient specific treatment plan to best meet the patients’ needs.

Publications

Cardin S, Faber R, Miller D, Gibson ME, Lewellyn B. Encouraging Firework Safety Through Public Service Announcements. J Hand Surg Am. 2022 Jan 22:S0363-5023(21)

Heydemann, J., Hartline, B., Gibson, M. E., Ambrose, C. G., Munz, J. W., Galpin, M., Gary, J. L. (2016, June 15). Do Transsacral-transiliac Screws Across Uninjured Sacroiliac Joints Affect Pain and Functional Outcomes in Trauma Patients? Clinical Orthopaedics and Related Research® Clin Orthop Relat Res, 474(6), 1417-1421.

Mehta, J., Gibson, M.E., Amaro-Driedger, D., & Hussain, M. (2016, June 13). Thoracic epidural analgesia to control malignant pain until viability in a pregnant patient. JPR Journal of Pain Research, 2016 (9),357-60.

Lewellyn, B. J. & Gibson, M.E. (2019, June 20). Firework Safety: Facebook Live Video. Orlando Health Facebook Page.

Gibson, M.E. (2019, July 2). Fireworks Safety: Live Interview. Spectrum News 13. Orlando, FL.

Gibson M.E. (2019, July 10). Firework Injuries: Live Interview. WFTV Channel 9 News. Orlando, FL

 

David L. Fox, MD, is an orthopedic surgeon and sports medicine specialist practicing at Northeast Orthopaedics & Sports Medicine, which has locations in Live Oak and San Antonio, Texas. 

Dr. Fox completed his undergraduate studies at the University of Oklahoma in Norman, where he majored in chemistry. He went on to study at the University of Oklahoma School of Medicine, where he finished at the top of his class, earning numerous awards and scholarships. Dr. Fox completed his orthopaedic surgery residency at the prestigious Mayo Clinic located in Rochester, Minnesota. In 1989, he completed his training and entered private practice in San Antonio.

Although Dr. Fox has trained at one of the world's top medical centers, he understands that continuing research is the key to providing cutting-edge orthopedic care. He has extensive knowledge and experience conducting various research studies with his research team. These studies have focused on deep vein thrombosis (DVT) prevention for total hip and total knee replacement, osteoarthritis medications for the knee and hip, stem cell research for a torn meniscus, and knee injections for osteoarthritis.

Dr. Fox is part of the Northeast Orthopaedics & Sports Medicine practice in San Antonio and specializes in total and partial hip and knee replacement. Dr. Fox uses the anterior approach for hip replacement and robotic surgery for knee replacement.

To stay up to date with the latest advances in orthopedics, Dr. Fox maintains memberships with several professional organizations, including the American Medical Association, Bexar County Medical Society, Texas Orthopedic Association, and American Academy of Orthopedic Surgeons. He has authored several papers, served as an implant design consultant for several major implant manufacturers, given lectures at state and national meetings, and consulted with the Director of Medicare at the White House.

John Chance, MD, is a board-certified orthopaedic surgeon with a sports medicine subspecialty certificate. He provides patients in Live Oak and San Antonio, Texas, with the best in orthopaedic care at Northeast Orthopaedics & Sports Medicine. 

Growing up, Dr. Chance was very active in sports and was exposed to orthopedic surgeons early on. His studies ultimately turned toward medicine and orthopaedics as a career. The ability to restore someone's function and quality of life is the passion that drives him. Dr. Chance enjoys getting acquainted with each patient to understand their concerns and expectations. This is how he can confidently diagnose and create a treatment plan, whether it's nonsurgical or surgical.

Dr. Chance earned his medical degree from Georgetown University School of Medicine in Washington, DC, and went on to complete an internship in general surgery at Brooke Army Medical Center in San Antonio, Texas. He stayed at Brooke Army Medical Center for his orthopaedic surgery residency. Dr. Chance is a Fellow of the American Academy of Orthopaedic Surgeons and a member of the American Medical Association, the Texas Orthopedic Association, Texas Medical Association, and the Bexar County Medical Society. 

Dr. Chance served in the United States Army Medical Corps until February 2009. He was awarded the Bronze Star for meritorious service while acting as Chief of Orthopedic Surgery, Abu Ghraib, during Operation Iraqi Freedom. The military helped shape Dr. Chance's career. He gained broad experience, which included treatment of complex sports injuries, as well as the trauma associated with a combat zone. His specialty interests include arthroscopy of the shoulder and knee, hip and knee joint replacement, and fractures.

At Northeast Orthopaedics & Sports Medicine, Dr. Chance's clinical assistants are Raquel Rubio, Medical Assistant, and Ashley Tubb, PA.

Donald N. Hope, MD, is a board-certified orthopaedic surgeon with subspecialty fellowship training in adult hip and knee reconstruction. He practices at Northeast Orthopaedics & Sports Medicine, with locations in Live Oak, Schertz, and San Antonio, Texas. Dr. Hope specializes in primary hip and knee replacement, as well as complex and revision joint replacements.

Originally from Ohio, Dr. Hope completed an accelerated B.S./M.D. program at Youngstown State University and Northeast Ohio University College of Medicine, where he was selected for the prestigious Alpha Omega Alpha Honor Society.

After obtaining his medical degree in 2010, Dr. Hope entered active duty in the United States Army, completing his orthopaedic surgery residency at Walter Reed National Military Medical Center in 2016, including a year of research. During this time, he had the privilege of caring for our nation’s wounded warriors.

The Army selected Dr. Hope to undergo additional subspecialty fellowship training in Adult Reconstruction at Johns Hopkins Bayview Medical Center, focusing on complex hip and knee surgery, including total joints, revision surgery, and periprosthetic fracture management.

Upon completing his training in 2017, Dr. Hope served at San Antonio Military Medical Center, where he held various roles over time, including Chief of the Adult Reconstruction Service, Chair of the Enhanced Recovery after Surgery program, and Associate Residency Program Director for Quality Improvement and Patient Safety. He was honored with several teaching awards for graduate medical education through the orthopaedic surgery residency program.

During his active duty time, Dr. Hope deployed to Afghanistan as the Deputy Commander of Clinical Services at a NATO Role 2E Hospital and later to Iraq and Syria as the Chief Medical Officer for Operation Inherent Resolve.

Dr. Hope enjoys a subspecialty practice that allows him to implement personalized treatment plans tailored to each patient's unique needs. Additionally, he incorporates protocols and technology that facilitate rapid recovery after surgery.

Outside of orthopaedics, Dr. Hope spends time with his wife and four children. He enjoys riding horses and volunteers with the medical committee and Justin Sports Medicine Team at the San Antonio Livestock Show and Rodeo.

Board-certified and fellowship-trained orthopaedic surgeon Rex Wilcox, MD, is proud to provide care to patients throughout Live Oak and San Antonio, Texas, as part of the team at Northeast Orthopaedics & Sports Medicine. 

Dr. Wilcox earned his medical degree from the University of Texas in Galveston. He completed both his internship and residency training at the University of Texas Health Science Center in San Antonio. Seeking additional training, Dr. Wilcox went on to complete a fellowship in Sports Medicine, Total Joint Replacement, at the same institution.

Dr. Wilcox enjoys helping those with joint problems. Throughout his career, he also discovered that the work in orthopaedics is never boring – there is always something new in terms of technology or innovative treatments. Dr. Wilcox takes a conservative approach to care and has a great deal of patience, ensuring his patients never feel rushed at their appointments. He likes being able to spend more time with them. Most of all, Dr. Wilcox's hope is to give every patient a good plan of care and good results.

In an effort to stay up to date with the latest developments in his field, Dr. Wilcox maintains memberships with the American Medical Association, Texas Medical Association, and Bexar County Medical Society. He is a certified designated doctor for various work-related exams, including impairment ratings.

Board-certified and fellowship-trained orthopaedic surgeon Patrick Simon, MD, is proud to provide high-quality care as part of the exceptional team at Northeast Orthopaedics & Sports Medicine. The practice has locations in Live Oak and San Antonio, Texas. 

After earning his medical degree from the Medical College of Wisconsin in Milwaukee, Dr. Simon completed his residency with the University of Cincinnati Department of Orthopedic Surgery. He continues to maintain active memberships with the American Academy of Orthopedic Surgeons and the American Medical Association. 

Dr. Simons' interest in orthopedic surgery began during medical school when he was able to rotate through different areas of medicine. He was on an emergency medicine rotation when he observed the orthopedic surgeons take care of trauma patients with serious injuries. From that moment, he decided to pursue a career in orthopaedics.

At Northeast Orthopaedics & Sports Medicine, Dr. Simon enjoys the ability to improve the lives of patients with injuries or chronic pain. A patient with painful arthritis in the knee can often return to a normal, pain-free life after knee replacement surgery. Seeing happy patients come back over the years is very satisfying for Dr. Simon. 

Dr. Simon finds joy in seeing patients and discussing their problems. He takes a slightly more conservative approach to patient care and is happy to be able to provide surgical and nonsurgical options for his patients. Working together with the patient, he goes through all the options before determining the best approach for each individual person. His goal is to help his patients achieve pain-free activities as much as possible. Dr. Simon identifies the things that are holding them back from accomplishing their lifestyle goals and finds either surgical or nonsurgical treatment options.

Dr. Simon's team includes Julia Tyler, PA-C and Catherine Johnson, PA-C

Matthew Napierala, MD, is a board-certified orthopedic surgeon. At Northeast Orthopaedics & Sports Medicine in Live Oak and San Antonio, Texas, Dr. Napierala specializes in sports medicine and shoulder and elbow surgery. 

Dr. Napierala graduated magna cum laude with a double bachelor's degree in biology and political science from Case Western Reserve University in Cleveland, Ohio, in 2005. Four years later, he earned his medical doctorate at The Ohio State University College of Medicine in Columbus, where he graduated cum laude.

From 2009 to 2014, Dr. Napierala completed his orthopaedic surgery internship and residency at Brooke Army Medical Center in Fort Sam Houston, Texas. His expert skill and dedication to his training earned Dr. Napierala the coveted title of administrative chief resident during the final year of his residency.

In 2019, Dr. Napierala completed a shoulder, elbow, and sports medicine fellowship at the prestigious University of Washington in Seattle. He also served as an acting instructor at the school while he finished his training.

Today, Dr. Napierala uses his specialized training to diagnose and treat a broad range of orthopaedic conditions. From frozen shoulder and elbow pain to carpal tunnel syndrome and osteoarthritis, Dr. Napierala provides effective treatment to relieve pain and restore function to the musculoskeletal system.

Dr. Napierala is a skilled surgeon who offers arthroscopic treatments to repair rotator cuff tears and other injuries. He also uses nonsurgical treatments, such as physical therapy and cortisone injections, to repair damage.

Dr. Napierala is board certified by the American Board of Orthopaedic Surgery and currently holds medical licenses in Texas, Washington, and Nebraska. He belongs to many professional organizations.

Dr. Frank Kuwamura is a fellowship-trained orthopaedic spine surgeon with more than 19 years of experience treating conditions of the cervical, thoracic, and lumbar spine. He specializes in fractures, spinal stenosis, arthritis, tumors, spinal deformities, infections, sciatica, and degenerative disc disease. He began his career as a Commander in the U.S. Naval Reserves, serving at the National Naval Medical Center in Bethesda, MD, and later as Department Head at Naval Hospital Corpus Christi. Today, as founder and chief spine surgeon at MD Spine Care & Orthopaedics in San Antonio, Texas, Dr. Kuwamura provides both advanced surgical solutions and regenerative therapies such as platelet-rich plasma (PRP) and stem cell treatments. He is also an innovator in medical device design and has participated in landmark clinical trials, including the Blackstone cervical disk replacement and Emulex annular repair studies.