About Us
Our Physicians
Lawrence D. Dorr, M.D.
 Medical Director
Total Joint Reconstruction
Dorr Arthritis Institute
Good Samaritan Hospital
Lawrence D. Dorr, M.D., Founder and Medical Director of
The Arthritis Institute, he has performed more than 3,500
hip and knee replacements in the past decade,
Dr. Dorr has the honor of being President of the Hip
Society this year. The Hip Society is the most
prestigious organization for hip surgeons and
researchers and has 100 members. Dr. Dorr also has
been President of the Knee Society, the sister Society
of the Hip Society which has membership of 100 of the
leading knee replacement surgeons and researchers; and
of the American Association of Hip and Knee Surgeons
which has a membership of 1000 hip and knee
replacement surgeons in the United States. He was a
founder of both the Knee Society and the American
Association of Hip and Knee Surgeons. He is the only
surgeon to be a member of all three organizations.
Dr. Dorr has been honored by his colleagues for his
accomplishments during his career:
He began designing implants for the benefits of
patients in 1982. The APR stem was first marketed in
1984 and remains in use today with the shape and
fixation surface unchanged since the early 1990s. The
Apollo knee replacement was marketed in the early
1990s. He sold his intellectual property to Sulzer
Orthopedics (now Zimmer, Inc, Warsaw, IN) for millions
of dollars for which he is still being paid by Zimmer
(until 2010). Currently, he has merged his knee
technology with Aaron Hofmann, who designed the
Natural Knee. He is currently designing a new hip
prosthesis with Zimmer which is a short stem,
minimally bone invasive hip replacement. This design
is a ÒsonÓ of his original short stem bone preserving
design used in 1983 with results published in 1984 in
the journal Contemporary Orthopedics. This preceded
the minimally invasive surgery movement by twenty
years.
Dr. Dorr was one of the first surgeons to use
hydroxyapatite as a fixation surface on hip implants.
He implanted the first HA coated stem in 1983 and has
published several articles on this fixation surface.
Dr. Dorr reintroduced metal-on-metal into the United
States in 1991. He implanted these as custom implants
and with an FDA study until 1996. After being
reprimanded by the FDA for an irregularity in that
study, metal-on-metal was stopped until 1999 when
approved by the FDA. Dr. Dorr, with Dr. Long, has
more articles published on clinical use of modern
metal-on-metal than any other surgeon/researcher.
The first article of five year results on success and
low wear of highly crossed-linked polyethylene was
published by Dr. Dorr and the research team of the
Arthritis Institute in the Journal of Bone and Joint
Surgery in 2005.
The posterior minimally invasive surgery operation
designed by Dr. Dorr has been the most studied and
most successful minimally invasive surgery total hip
replacement by published reports (he was not the first
surgeon to do posterior MIS, but his incision has been
studied the most). His articles, including a
randomized study published in Journal of Bone and
Joint Surgery in 2007, have confirmed the findings of
others with this incisional approach to total hip
replacement. His book is the definitive text which
describes the technique of this operation.
Dr. Dorr is the leading clinical researcher for
computer navigation for total hip replacement. His
data has proved the accuracy of using navigation for
implanting the acetabular and femoral components and
restoring correct leg length and offset for the hip.
This technology, combined with the use of large
femoral heads, essentially eliminates impingement
which improves stability, reduces wear, loosening, and
pain with total hip replacement. The first of three
articles detailing the results is published in
Clinical Orthopedics and Related Research in December
2007. The founding article on the initial research is
published in the Iowa Journal of 2005 which was the
25th Anniversary of that journal (the volume was
dedicated to Dr. Dorr). The technique of computer
navigation is detailed in Dr. DorrÕs book Dorr LD: Hip
arthroplasty. Minimally invasive techniques and
computer navigation, 1st edition. Philadelphia, PA,
Saunders Elsevier, 2006.
The research team at the Arthritis Institute is one of
the top 5 research centers in the world for total hip
replacement. For example, in 2007 this team has
published more articles on total hip replacement than
any other of the academic centers in California. In
the three most prestigious journals, the Arthritis
Institute has been in the top 3 contributors. The
research team has received several hundred thousand
dollars in support from Zimmer, and from our many
patient supporters.
One of the most successful meetings to educate
orthopedic surgeons on techniques of total hip
replacement and total knee replacement has been the
Masters Series meeting held annually. Founded by Dr.
Dorr while he was a professor at the University of
Southern California, it is now in its 15th year of
educating surgeons. It receives financial support from
Zimmer and is supported by DePuy, Stryker, Smith and
Nephew, and Biomet, and a host of other orthopedic
companies (see Masters Series under research and
education on this web site) for its educational value.
Participants pay for their attendance.
Dr. Dorr has been blessed by his accomplishments and
contributions to medicine and to patients. He gives
thanks to God for the opportunities to fulfill his
potential. He and his wife Marilyn have been
philanthropic with their money made from his work.
They have donated $2 million to the University of
Iowa, Department of Orthopedics for a Chair in hip
surgery; they founded the Dimensions Program at
Cornell College which is a unique program for pre-med
and pre-health care worker students to learn the
importance of the art of caring for patients,
including psychology, communication, literature, and
art courses, as well as hands-on internships. They
fund that at $300,000 per year. Their favorite
charity is Operation Walk, an organization Dr. Dorr
founded in 1994 with Jeri Ward, R.N. as the
coordinator and Mary Ellen Sieben as the operating
room director (see Operation Walk on this web site).
Perhaps this organization, and the psychological
benefit it gives to every doctor, nurse, therapist,
technician, and lay-person who participates, is the
greatest contribution of Dr. Dorr to the orthopedic
community, and international society. He was
recognized for Operation Walk as the Humanitarian of
the Year in 2006 by the American Academy of Orthopedic
Surgeons in Washington, DC.
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