Department of Orthopaedic Surgery

Ivan S. Tarkin, MD

  • Professor
  • Chief, Division of Orthopaedic Traumatology

Education & Training

  • MD, SUNY at Buffalo, Buffalo, NY
  • Residency: Creighton University School of Medicine, Omaha, NE
  • Fellowships: Regions Hospital, St. Paul, MN
  • BA, SUNY at Buffalo, Buffalo, NY

Representative Publications

Peer-Reviewed Articles:

  1. Moloney GB, Pan T, Van Eck C, Patel D, Tarkin IS, Geriatric Distal Femur Fracture: Are We Underestimating the Rate of Local and Systemic Complications?, Injury. 2016 Aug: 47(8): 1732-6
  2. Chiang JC, Johnson JE, Tarkin IS, Siska PA, Farrell DJ, Mormino MA. Plate augmentation for femoral nonunion: more than just a salvage tool? Arch Orthop Trauma Surg. 2016 Feb;136(2):149-56.
  3. Horst K, Andruszkow H, Weber C, Dienstknecht T, Hildebrand F, Tarkin I, Pape HC, Standards of external fixation in prolonged application to allow safe conversion to define extremity surgery: the Aachen algorithm for acute ex fix conversion, Injury, 2015 Sept; 43 Suppl3:S13-8
  4. O'Malley MJ, Kang KK, Azer E, Siska PA, Farrell DJ, Tarkin IS. Wedge effect following intramedullary hip screw fixation of intertrochanteric proximal femur fracture. Arch Orthop Trauma Surg. 2015 Oct;135(10):1343-7.
  5. Greco N, Goyal K, Tarkin I. Intragrade intramedullary nailing of an open tibial shaft fracture in a patient with concomitant ipsilateral total knee arthroplasty. Am J Orthop (Belle Mead NJ). 2015 Mar;44(3):E81-6.
  6. Leigey DF, Farrell DJ, Siska PA, Tarkin IS. Bicolumnar 90-90 plating of low-energy distal humeral fractures in the elderly patient. Geriatr Orthop Surg Rehabil. 2014 Sep;5(3):122-6.
  7. Kadow TR, Siska PA, Evans AR, Sands SS, Tarkin IS. Staged treatment of high energy midfoot fracture dislocations. Foot Ankle Int. 2014 Dec;35(12):1287-91.
  8. Voigt C, Illical E, Goyal KS, Farrell DJ, Van Eck CF, Tarkin IS. Cadaveric investigation on radial nerve strain using different posterior surgical exposures for extraarticular distal humeral ORIF: merits of nerve decompression through a lateral paratricipital exposure. J Orthop Trauma. 2015 Feb;29(2):e43-5.
  9. Illical EM, Farrell DJ, Siska PA, Evans AR, Gruen GS, Tarkin IS. Comparison of outcomes after triceps split versus sparing surgery for extra-articular distal humerus fractures. Injury. 2014 Oct;45(10):1545-8.
  10. Woods BI, Rosario BL, Siska PA, Gruen GS, Tarkin IS, Evans AR. Determining the efficacy of screw and washer fixation as a method for securing olecranon osteotomies used in the surgical management of intraarticular distal humerus fractures. J Orthop Trauma. 2015 Jan;29(1):44-9.
  11. James IB, Farrell DJ, Evans AR, Siska PA, Tarkin IS. Open reconstruction of complex proximal metadiaphyseal fragility fractures of the humerus. Geriatr Orthop Surg Rehabil. 2014 Mar;5(1):9-13.
  12. Moloney GB, Westrick ER, Siska PA, Tarkin IS. Treatment of periprosthetic femur fractures around a well-fixed hip arthroplasty implant: span the whole bone. Arch Orthop Trauma Surg. 2014 Jan;134(1):9-14.
  13. Meloy GM, Mormino MA, Siska PA, Tarkin IS. A paradigm shift in the surgical reconstruction of extra-articular distal humeral fractures: single-column plating. Injury. 2013 Nov;44(11):1620-4.
  14. Coleman M, Choi L, Chen A, Crossett l, Tarkin I, McGough R, Proximal Femoral Replacement in the Management of Acute Periprosthetic Fractures of the Hip: A Completing Risks Survival Analysis, J. Arthroplasty. 2014 Feb;29(2):422-7.
  15. Richard A. Henker, PhD, CRNA, FAAN, Allison Lewis, BSN, RN, Feng Dai, PhD, William  R. Lariviere, PhD, Li Meng, MD, Gary S. Gruen, MD, Susan M. Sereika, PhD, Hans Pape, MD, Ivan S. Tarkin, MD, Indira Gowda, RN, BSN, and Yvette P. Conley, PhD, The Associations Between OPRMI and COMT Genotypes and Postoperative Pain, Opioid Use, and Opioid-Induced Sedation, Biological Research for Nursing, Vol. 15, Number 3, July 2013
  16. Dugan TR, Hubert MG, Siska PA, Pape HC, Tarkin IS. Open supracondylar femur fractures with bone loss in the polytraumatized patient - Timing is everything! Injury. 2013 Dec;44(12):1826-31
  17. Chen AF, Choi LE, Colman MW, Goodman MA, Crossett LS, Tarkin IS, McGough RL, Primary Versus Secondary Distal Femoral Arthroplasty for Treatment of Total Knee Arthroplasty Periprosthetic Femur Fracture. J Arthroplasty, 2013 Oct;28(9):1580-4.
  18. Knobe M, Gradi G, Ladenburger A, Tarkin IS, Pape HC, Unstable Interochanteric Femur Fractures: Is There a Consensus On Definition and Treatment in Germany? , Clin Orthop Relat Res 2013, Sep;471(9):2831-40.
  19. Colman M, Wright A, Gruen G, Siska P, Papa HC, Tarkin I, Prolonged operative time increases infection rate in tibial plateau fractures, Injury 2013 Feb;44(2):249-52.2013
  20. Loose S, Preuss S, Zelle BA, Pape HC, Tarkin IS, [Multimorbid patients with poor soft tissue conditions: Treatment of distal tibia fractures with retrograde intramedullary nailing.]. Unfallchirurg.2013 Jun;116(6):553-8.
  21. Henker RA, Lewis A, Dai F, Lariviere WR, Meng L, Gruen GS, Sereika SM, Pape H, Tarkin IS, Gowda I, Conley YP. The associations between OPRM 1 and COMT genotypes and postoperative pain, opioid use, and opioid-induced sedation. Biol Res Nurs. 2013 Jul;15(3):309-17.
  22. Westmiller SW, Henker RA, Sereika SM, Donovan HS, Meng L, Gruen GS, Tarkin IS, Conley YP, The Association of CYP2D6 Genotype and Postoperative Nausea and Vomiting in Orthopedic Trauma Patients, Biological Research For Nursing, 2013 Oct;15(4):382-9.
  23. Cole PA, Gauger EM, Herrera DA, Anavian J, Tarkin IS, Radiographic follow-up of 84 operatively treated scapula neck and body fractures,  Injury 2012, 3;43 (3):327-33.
  24. Kohler D, Sellei RM, Sop A, Tarkin IS, Pfeifer R, Garrison RL, Pohlemann T, Pape HC, Effects of pelvic column changes on retroperitoneal and intra-abdominal pressure in the injured pelvic ring: a cadaveric model, J Trauma, 2011 Sept; 71(3):585-90
  25. Schreiber VM, Tarkin IS, Hildebrand F, Darwiche S, Pfeifer R, Chelly J, Giannoudis P, Pape HC, The timing of definitive fixation for major fractures in polytrauma – A matched pair comparison between a US and European level I centers: Analysis of current fractures management practices in polytrauma patients. Injury, 2011Jul;42(7):650-4
  26. Thorpe SW, Tarkin IS, Deltoid Compartment Syndrome is a Surgical Emergency. Journal of Shoulder and Elbow Surgery. 2010  December;19 (8): e11-3
  27. Quintero AJ, Tarkin IS, Pape HC, Technical Tricks When Using the Reamer Irrigator Aspirator Technique for Autologous Bone Graft Harvesting. J Ortho Trauma. 2010 Jan;24(1):42-45
  28. Kline AJ, Gruen GS, Pape HC, Tarkin IS, Irrgang JJ, Wukich DK Early complications following the operative treatment of pilon fractures with and        without diabetes. Foot Ankle Int. 2009 Nov; 30(11):1042-7.
  29. Wenjay Sung, DPM, Michael Ryan, DPM, Tarkin IS. Timing of Definitive Fixation for Comminuted Talar Fractures in Patients with Multiple Injuries: A case report.  The Foot and Ankle Online Journal 2009 2 (8): 1
  30. Armitage BM, Wijdicks CA, Tarkin IS, Schroder LK, Marek DJ, Zlowodzki M, Cole PA. Mapping of scapular fractures with three-dimensional computed tomography. J Bone Joint Surg Am. 2009 Sep;91(9):2222-8
  31.  Herrera DA, Anavian J, Tarkin IS, Armitage BA, Schroder LK, Cole PA. Delayed operative management of fractures of the scapula. J Bone Joint Surg Br. 2009 May ;91 (5):619-26
  32. Pape HC, Zelle BA, Pfeiffer R, Marcantonio A, Tarkin IS. Retrograde autologous bone grafting through the intramedullary canal using the reamer irrigator aspirator. Injury Extra 2008 Dec; 39(12): 398-400.
  33. Tarkin IS, Perricelli BC, Pape HC.  Exercise induced compartment syndrome      of the pectoralis major/deltoid in a professional tree climber.  J Shoulder Elbow Surg. 2008 Nov 24.  
  34. Quintero AJ, Tarkin IS, Pape HC. Case Report: The Prone Reduction of a Sacroiliac Disruption with a Pelvic C-clamp.  Clin Orthop Relat Res. 2009 APR; 467(4):1103-6
  35. Kobbe P, Tarkin IS, Pape HC.  Use of the 'reamer irrigator aspirator' system for non-infected tibial non-union after failed iliac crest grafting.  Injury. Injury. 2008 Jul;39(7):796-800.
  36. Kobbe P, Frink M, Oberbeck R, Tarkin IS, Tzioupis C, Nast-Kolb D, Pape HC  Reilmann H. [Treatment of a shotgun fracture of the humerus]  Unfallchirurg. 2008 Apr; 111(4):256-9.
  37. Kobbe P, Frink M, Oberbeck R, Tarkin IS, Tzioupis C, Nast-Kolb D, Pape HC, Reilmann H. [Treatment strategies for gunshot wounds of the extremities]  Unfallchirurg. 2008 Apr; 111(4):247-54.
  38. Kobbe P, Tarkin IS, Frink M, Pape HC. [Voluminous bone graft harvesting of the femoral marrow cavity for autologous transplantation. An indication for the "Reamer-Irrigator-Aspirator-"(RIA-) technique] Unfallchirurg. 2008 Jun; 111(6):469-72.
  39. Giannoudis PV, Pountos I, Morley J, Perry S, Tarkin IS, Pape HC.  Growth factor release following femoral nailing.  Bone. 2008 Apr; 42(4):751-7.
  40. Tarkin IS, Mormino MA, Clare MP, Haider H, Walling AK, Sanders RW.  Anterior plate supplementation increases ankle arthrodesis construct rigidity.  Foot Ankle Int. 2007 Feb; 28(2):219-23.
  41. Tarkin IS, Bridgeman JT, Jardon OM, Garvin KL.  Successful biologic fixation with mobile-bearing total knee arthroplasty.  J Arthroplasty. 2005 Jun; 20(4):481-6.
  42. Tarkin IS Morganti CM, Zillmer DA, and McFarland EG, Giangarra CE.  Rotator cuff tears in adolescent athletes.  Am J Sports Med. 2005 Apr; 33(4):596-601.  
  43. Bono CM, Sirkin M, Sabatino CT, Reilly MC, Tarkin IS, Behrens FF.  Neurovascular and tendinous damage with placement of anteroposterior distal locking bolts in the tibia.  J Orthop Trauma. 2003 Nov-Dec; 17(10):677-82.
  44. Tarkin IS, Henry TJ, Fey PI, Iwen PC, Hinrichs SH, Garvin KL.  PCR rapidly detects methicillin-resistant staphylococci periprosthetic infection.  Clin Orthop Relat Res. 2003 Sep ; (414):89-94.
  45. Tarkin IS, Hatzidakis A, Hoxie SC, Giangara CE, Knight RQ.  Arthroscopic treatment of gunshot wounds to the shoulder. Arthroscopy. 2003 Jan; 19(1):85-9.

Select Reviews:

  1. Tarkin IS, (Guest editor), Introduction- Geriatric acetabular trauma. Operative Techniques in Orthopaedics, December 2011, 21 (4): 261-264
  2. Ivan S. Tarkin, MD, Peter A. Siska, MD, Boris A. Zelle, Soft Tissue and Biomechanical Challenges Encountered with the Management of Distal Tibia Nonunion MD Orthopedic Clinics of North America.  January 2010 l 41(1): 119-26.
  3. Pape HC, Tornetta P 3rd, Tarkin I, Tzioupis C, Sabeson V, Olson SA. Timing of fracture fixation in multitrauma patients: the role of early total care and damage control surgery, J Am Acad Ortho Surg. 2009 Sept; 17 (9):541-9.
  4. Pape HC, Tarkin IS, Intraoperative reduction techniques for difficult femoral fractures, Journal Orthop Trauma, 2009 May-June;23(5 Suppl):S6-11.
  5. Musahl V, Tarkin I, Kobbe P, Tzioupis C, Siska PA, Pape HC. New trends and techniques in open reduction and internal fixation of fractures of the tibial plateau. J Bone Joint Surg Br. 2009 Apr; 91(4):426-33.
  6. Pfeifer R, Tarkin IS, Rocos B, Pape HC. Patterns of mortality and causes of death in polytrauma patients-has anything changed? Injury 2009 Sep; 40(9):907-11.
  7. Tarkin IS. The versatility of negative pressure wound therapy with reticulated open cell foam for soft tissue management after severe musculoskeletal trauma. J Orthop Trauma. 2008 Nov-Dec; 22(10 Suppl):S146-51.
  8. Pape HC, Ivan S. Tarkin. Reamer Irrigator Aspirator: A New Technique for Bone Graft Harvesting from the Intramedullary Canal.  Operative Techniques in Orthopaedics. April 2008 18(2):108-113)
  9. Tarkin IS, Sop A, Pape HC. High-energy foot and ankle trauma: principles for formulating an individualized care plan. Foot Ankle Clin. 2008 Dec; 13(4):705-23.
  10. Kobbe P, Tarkin IS, Oberbeck R, Pape HC.  [Damage control orthopaedics in polytraumatised patients with lower leg injuries.]  Z Orthop Unfall. 2008 Sep-Oct; 146(5):580-5.
  11. Tarkin IS, Clare MP, Marcantonia A, Pape HC. An update on the management of high-energy pilon fractures. Injury. 2008 Feb; 39(2):142-54.
  12. Tarkin IS, John M Sojka  Biomechanical Strategies for Managing Atrophic and Oligotrophic Nonunions., Operative Techniques in Orthopaedics.  April 2008 18 (2): 86-94)
  13. Tzioupis CC, Kobbe P, Tarkin IS, Pape HC. Pelvic stabilization. Prehospital management of traumatic pelvic injuries. JEMS. 2007 Jul; 32(7):64-6, 68, 70-5;
  14. Pape HC, Tsukamoto T, Kobbe P, Tarkin I, Katsoulis S, Peitzman A.  Assessment of the clinical course with inflammatory parameters.  Injury. 2007 Dec; 38(12):1358-64.
  15. Tarkin IS, Duman PM, Garvin KL. Improving the treatment of musculoskeletal infections with molecular diagnostics. Clin Orthop Relat Res. 2005 Aug ; (437):83-8.

Click HERE for a complete CV

Research Grants

Current Research Support

Tarkin (Co-Investigator)
6/1/20120- 9/28/2018 (4 years)
Major Extremity Trauma Research Consortium
Outcomes Following Severe Distal Tibia, Ankle and/or Foot Trauma: Comparison of Limb Salvage vs. Transtibial Amputation Protocol (OUTLET Study)
$200,000

Tarkin (Co-Investigator)
4/1/2013 – 9/28/2018 (3 years)
Major Extremity Trauma Research Consortium
Transtibial Amputation Outcomes Study (TAOS): Comparing Transtibial Amputation with and without a Tibia-fibula Synostosis (Ertl) Procedure
$25,000.00

Tarkin (Co-Investigator)
1/1/2014 – 9/28/2018 (1 year)
Major Extremity Trauma Research Consortium
Improving Pain Management and Long Term Outcomes Following High Energy Orthopedic Trauma (Pain Study)
$25,000.00

Tarkin (Co-Investigator)
7/1/2015 – 6/30/17 (2 years)
J. Robert Gladden Orthopaedic Society
The Influence Sex Hormone Levels on Achilles Tendon Health and Function in Male Rats
$15,000

Tarkin (Co-Investigator)
2012 - present (1 year)
The Pittsburgh Foundation
Laprascopic Assisted Pelvis/Acetabulum ORIF               
$5,000.00

Tarkin (Co-Investigator)
7/1/2015 - 6/30/2017 (2 years)
The Pittsburgh Foundation 
Development of post-operative contractures after surgical management of posterior malleolar fractures
$5,000.00

Tarkin (Co-Investigator)
7/1/2014 - 6/30/2017 (3 years)
The Pittsburgh Foundation
The Impact of Low Testosterone Levels in Male Rat Tendon Health and Healing
$5,000.00

Tarkin (Co-Investigator)
7/1/14 - 6/30/17 (3 years)
The Pittsburgh Foundation
Is serum interleukin-6 an improvement over ESR and CRP for diagnosing infected nonunions?
$5,000.00

Tarkin (Co-Investigator)
7/1/2013 - 6/30/2017 (4 years)
The Pittsburgh Foundation
The Influence of Testosterone Levels on Achilles Tendon Rupture Risk in Males
$5,000.00

Tarkin (Co-Investigator)
2014 - present (2 years)
Major Extremity Trauma Research Consortium
Streamlining Trauma Research Evaluation with Advanced Measurement (STREAM) Study)
$2,500.00

Tarkin (Co-Investigator)
6/1/2015 - 8/31/2016 (1 year)
Major Extremity Trauma Research Consortium
Local Antibiotic Therapy to Reduce Infection after Operative Treatment of Fractures at High Risk of Infection: A Multicenter Randomized, Controlled Trial