Dr. Brinker has performed more than 1,000 Ilizarov surgeries

Dr. Brinker has treated more than 1,200 fracture nonunions

Dr. Brinker has corrected more than 400 skeletal deformities

Dr. Brinker has treated more than 250 cases with bone infection

Publications - Journals

R.L. Barrack, M.R. Brinker, S.W. Burke, J.M. Roberts: "CT Scan Helps Delineate Cervical Osteoid Osteoma and Atypical Nidus." Orthopaedic Review, 15:301-304, 1986.

M.R. Brinker, S. Bailey, S.D. Kraus, J. Stewart, W. Browder: "Adrenal Myelolipoma -Rationale for Non-Operative Management." Southern Medical Journal, 81:91-914, 1988.

M.R. Brinker, G.A. Timberlake, J.M. Goff, J.C. Rice, M.D. Kerstein: "Below-Knee Physiologic Cryoanesthesia in the Critically Ill Patient." Journal of Vascular Surgery, 7:433-438, 1988.

R.L. Barrack, M.P. Wyatt, T.S. Whitecloud, S.W. Burke, J.M. Roberts, M.R. Brinker: "Vibratory Hypersensitivity in Idiopathic Scoliosis." Journal of Pediatric Orthopaedics, 8:389-395, 1988.

S.D. Cook, M.R. Brinker: "Ski Boots and Bindings." Hughston Health Alert, 1:1-2, 1988.

T.S. Whitecloud, M.R. Brinker, R.L. Barrack, S.W. Burke, J.M. Roberts. "Vibratory Response in Congenital Scoliosis." Journal of Pediatric Orthopaedics, 9:422-426, 1989.

P.M. Cimino, M.R. Brinker, S.D. Cook, A.F. Harding. "The Effects of Calcium on Bone Mineral Density in Post Menopausal Women with Colles Fractures." Journal of the Louisiana State Medical Society, 141:24-29, 1989.

M.R. Brinker, R. Shelin, P. Moynihan. "Sacrococcygeal Teratoma in Children: Case Report and Review." Journal of the Louisiana State Medical Society, 141:26-31, 1989.

T.L. Halvorson, S.D. Cook, M.R. Brinker, K.A. Thomas, P.M. Sandborn. "Failure Analysis of Retrieved Cemented Total Knee Prostheses." Clinical Materials, 4:329-341, 1989.

R.J. Haddad, S.D. Cook, M.R. Brinker: "A Comparison of Three Varieties of Noncemented Porous-Coated Hip Replacement." Journal of Bone and Joint Surgery, 72B:2-8, 1990.

S.D. Cook, M.R. Brinker, R.C. Anderson, R.J. Tomlinson, J.C. Butler. "Performance of Retrieved Kuntscher Intramedullary Rods: Improved Corrosion Resistance with Contemporary Material Design." Clinical Materials, 5:53-71, 1990.

J.C. Butler, T.C. Skalley, S.D. Cook, M.R. Brinker, R.J. Haddad, J.R. Sackett, J.B. Cheramie: "Clinical and Roentgenographic Evaluation of Bipolar Prostheses with Noncemented Anatomic Medullary Locking Femoral Stems." Clinical Orthopaedics and Related Research, 254:180-188, 1990.

D.L. Akers, M.R. Brinker, T.C. Englehardt, M.D. Kerstein: "Postoperative Somnolence in Patients After Carotid Endarterectomy." Surgery, 107:684-687, 1990.

S.D. Cook, M.R. Brinker, M. Poche: "Running Shoes: Their Relationship to Running Injuries." Sports Medicine, 10:1-8, 1990.

M.R. Brinker, H.L. Lippton, S.D. Cook, A.L. Hyman: "Pharmacologic Regulation of the Circulation of Bone." Journal of Bone and Joint Surgery, 72A:964-975, 1990.

M.R. Brinker, R.J. Haddad, S. D. Cook, J.D. Cash, P.T. James, E.H. Tan: "Four-Year Average Follow-up of Cemented PCA Total Knees: Clinical and Roentgenographic Analysis." Orthopedics, 13:831-837, 1990.

R.J. Haddad, T.C. Skalley, S.D. Cook, M.R. Brinker, J.B. Cheramie, R. Meyer, J: Missry. "Clinical and Roentgenographic Evaluation of Noncemented Porous-Coated Anatomic Medullary Locking (AML) and Porous-Coated Anatomic (PCA) Total Hip Arthroplasties." Clinical Orthopaedics and Related Research, 258:176-182, 1990.

R.J. Haddad, S.D. Cook, M.R. Brinker, T. Brown, J.B. Cheramie, A. Folgueras: "Design Rationale and Clinical Experience with the LSF Total Hip System." Journal of Orthopaedic Surgical Techniques, 5:63-72, 1990.

M.E. Brunet, S.D. Cook, M.R. Brinker, J.A. Dickinson: "A Survey of Running Injuries in 1505 Competitive and Recreational Runners." Journal of Sports Medicine and Physical Fitness, 30:307-315, 1990.

A.C. Simmonds, J.M. Robbins, M.R. Brinker, J.C. Rice, M.D. Kerstein: "Factors Important to Students in Selecting a Residency Program." Academic Medicine, 65:640-643, 1990.

M.R. Brinker, T.S. Whitecloud, P.T. James, M.R. Hand, H.M. Antwine: "Vertebral Aneurysmal Bone Cyst. Case Report and Review." Orthopaedic Review, 20:42-46, 1991.

M.R. Brinker, J.K. Willis, S.D. Cook, T.S. Whitecloud, J.T. Bennett, R.L. Barrack, M.G. Ellman: "Neurologic Testing with Somatosensory Evoked Potentials in Idiopathic Scoliosis." Spine, 17:277-279, 1992.

A.M. Majidian, M.R. Brinker, J.C. Rice, M.D. Kerstein: AMoonlighting in a University Surgical Training Program." Southern Medical Journal, 86:441-446, 1993.

K.J. Guidera, M.R. Brinker, B.G. Kousseff, A.A. Helal, L.I. Pugh, T.M. Ganey, J.A. Ogden: "Overgrowth Management in Klippel-Trenaunay-Weber and Proteus Syndromes." Journal of Pediatric Orthopaedics, 13:459-466, 1993.

M.R. Brinker, S.R. Rosenfeld, E. Feiwell, S.P. Granger, D.C. Mitchell, J.C. Rice.: "Myelomeningocele at the Sacral Level : Long-Term Outcomes in Adults." Journal of Bone and Joint Surgery, 76A:1293-1300, 1994.

M.R. Brinker, A.G. Rosenberg, L. Kull, J.O. Galante: "Primary Total Hip Arthroplasty Using Noncemented Porous Coated Femoral Components in Patients with Osteonecrosis of the Femoral Head." Journal of Arthroplasty, 9:457-468, 1994.

M.R. Brinker, R.S. Palutsis, J.F. Sarwark: "The Orthopaedic Manifestations of Prune Belly (Eagle-Barrett) Syndrome." Journal of Bone and Joint Surgery, 77A:251-257, 1995.

M.W. Wolfe, M.R. Brinker, G. Cary, S.D. Cook: "Posterior Fracture-Dislocation of the Hip in a Jogger." Journal of the Southern Orthopaedic Association, 4:91-95, 1995.

M.R. Brinker, S.D. Cook, H.S. Skinner. AAdjunct Fibula Strut Bone Graft in Resurfacing Hip Arthroplasty: Long Term Follow-up of Two Cases. The Journal of The Louisiana State Medical Society, 147:547-549, 1995.

J.C. Hughston, F.C. Flandry, M.R. Brinker, G.C. Terry, J.C. Mills. "Surgical Correction of Medial Subluxation of the Patella." American Journal of Sports Medicine, 24:486-491, 1996.

T.S. Beck, M.R. Brinker, W.J. Daum. AIn-Hospital Charges Associated With the Treatment of Adult Femoral Neck Fractures.@ The American Journal of Orthopedics, 25:608-612, 1996.

M.R. Brinker, A.G. Rosenberg, L. Kull, D.D. Cox. "Primary Noncemented Total Hip Arthroplasty in Patients with Ankylosing Spondylitis: Clinical and Radiographic Results at an Average Follow-up Period of 6 Years." Journal of Arthroplasty, 11:802-812, 1996.

M.R. Brinker, P.J. Lund, D.D. Cox, R.L. Barrack. "Demographic Biases Found In Scoring Instruments of Total Hip Arthroplasty.” Journal of Arthroplasty, 11:820-830, 1996.

M.R. Brinker, D.E. Bailey. “Fracture Healing in Tibia Fractures With An Associated Vascular Injury.” Journal of Trauma, 42:11-19, 1997.

3M.R. Brinker, J.D. Reuben, J.R. Mull, D.D. Cox, W.J. Daum, J.R. Parker. “Comparison of General and Epidural Anesthesia In Patients Undergoing Primary Unilateral Total Hip Replacement.” Orthopedics, 20:109-115, 1997.

R. Beaver, M.R. Brinker, R.L. Barrack. “An Analysis of the Actual Cost of Tibial Nonunions.” Journal of the Louisiana State Medical Society, 149:200-206, 1997.

M.R. Brinker, P. Lund, R.L. Barrack. “Demographic Biases of Scoring Instruments for the Results of Total Knee Arthroplasty.” Journal of Bone and Joint Surgery, 79A:858-865, 1997.

J.N. Dunlap, M.R. Brinker, S.D. Cook. "A New In Vivo Method For the Direct Measurement of Nutrient Artery Blood Flow." Orthopedics, 20:613-619, 1997.

M.R. Brinker, R.L. Bartz, P.R. Reardon, M.J. Reardon. “A Method for Open Reduction and Internal Fixation of the Unstable Posterior Sternoclavicular Joint Dislocation.” Journal of Orthopaedic Trauma, 11:378-381, 1997.

R. Stuecker, M.R. Brinker, J.T. Bennett, J.N. Dunlap, S.D. Cook, H.L. Lippton, A.L. Hyman. "Blood Flow to the Immature Hip - Ultrasonic Measurements in Pigs." Acta Orthopaedica Scandinavia, 68:25-33, 1997.

R.B. Blake, M.R. Brinker, C.M. Ursic, J.M. Clark, D.D. Cox. “Alcohol and Drug Use in Adult Patients With Musculoskeletal Injuries.” The American Journal of Orthopedics, 26:704-709, 1997.

M.R. Brinker, K.A. Thomas, S.J. Meyers, T. Texada, J.R. Humbert, S.D. Cook, R. Gitter. "Bone Mineral Density of the Lumbar Spine and Proximal Femur is Decreased in Children with Sickle Cell Anemia." The American Journal of Orthopedics, 26:43-49, 1998.

G.M. Gartsman, M.R. Brinker, M. Khan. “Early Effectiveness of Arthroscopic Repair for Full-Thickness Tears of the Rotator Cuff.” Journal of Bone and Joint Surgery, 80A: 33-40, 1998.

M.D. Miller, J.R. Osborne, W.T. Gordon, D.T. Hinkin, M.R. Brinker. “The Natural History of Bone Bruises: A Prospective Study of Magnetic Resonance Imaging Detected Trabecular Microfractures in Patients With Isolated Medial Collateral Ligament Injuries.” The American Journal of Sports Medicine, 20:15-19, 1998.

R.C. Kramer, D.H. Hildreth, M.R. Brinker, J.B. Bennett, L. Thompson, R.M. Lumsden, T.E. Cain. “A Comparison of Patients With Different Types of Syndactyly.” Journal of Pediatric Orthopaedics, 18:233-238, 1998.

G.M. Gartsman, M.R. Brinker, M. Khan, M. Karahan. “Self-assessment of General Health Status in Patients With Five Common Shoulder Conditions.” Journal of Shoulder and Elbow Surgery, 7:228-237, 1998.

R. Schwartsman, M.R. Brinker, R. Beaver, D.D. Cox. "Patient Self-Assessment of Tibial Plateau Fractures in Forty Older Adults." The American Journal of Orthopedics, 27:512-519, 1998.

S.D. Cook, S.L. Salkeld, M.R. Brinker, M.W. Wolfe, D.C. Rueger. “Use of an Osteoinductive Biomaterial (rhOP-1) in Healing Large Segmental Bone Defects.” Journal of Orthopaedic Trauma, 12:407-417, 1998.

S.W. Dailey, M.R. Brinker, M.N. Elliott. “Orthopedic Residents’ Perception of the Content and Adequacy of Their Residency Training.” The American Journal of Orthopedics. 27:563-570, 1998.

M.R. Brinker, C.G. Savory, S.H. Weeden, H.C. Aucoin, D.T. Curd. "The Results of Total Knee Arthroplasty in Workers' Compensation Patients." Bulletin - Hospital for Joint Diseases, 57:80-83, 1998

T.S. Whitecloud, F.P. Castro, M.R. Brinker, C.W. Hartzog, J.E. Ricciardi, C.Hill. “Degenerative Conditions of the Lumbar Spine Treated With Intervertebral Titanium Cages and Posterior Instrumentation for Circumferential Fusion.” Journal of Spinal Disorders, 11:479-486, 1998.

52. R.G. Simon, M.R. Brinker. “The Use of Ilizarov External Fixation for a Periprosthetic Supracondylar Femur Fracture.” The Journal of Arthroplasty. 14:111-121, 1999.

M.R. Brinker, S.D. Cook, J.N. Dunlap, P. Christakis, M.N. Elliott. “Early Changes in Nutrient Artery Blood Flow Following Tibial Nailing With and Without Reaming: A Preliminary Study.” Journal of Orthopaedic Trauma, 13:129-133, 1999.

M.R. Brinker, R. Garcia, R.L. Barrack, S. Timon, S. Guin, B Fong. “An Analysis of Sports Knee Evaluation Instruments.” The American Journal of Knee Surgery. 12:15-24, 1999.

M.R. Brinker and Robin G. Simon. “Pseudo-Dislocation of the Sternoclavicular Joint.” Journal of Orthopaedic Trauma. 13:222-225, 1999.

O.I. Mikhail, J.M. Swint, M.R. Brinker, L.A. Moye, M. Sabino. “Technology Evolution: The Technology Spectrum and Its Application to Orthopedic Technologies.” International Journal of Technology Assessment in Health Care, 15:254-263, 1999.

M.R. Brinker, M.N. Elliott, R.W. Murray, A.K. Tovar. “Orthopaedic Patients Satisfaction With Their Health Care Plan.” The American Journal of Orthopedics, 28:451-457, 1999.

G.F. Klimo, W.J. Daum, M.R. Brinker, E McGuire, M.N. Elliott. “Orthopaedic Medical Malpractice: An Attorney’s Perspective.” The American Journal of Orthopedics, 29:93-97, 2000.

M.R. Brinker, P. Pierce, G. Siegel. “Development of a Method to Analyze Orthopaedic Practice Expense.” Clinical Orthopaedics and Related Research, 372:302-313, 2000.

M.R. Brinker, J.J. Gugenheim. “The Treatment of Complex Traumatic Problems of the Forearm Using Ilizarov External Fixation.” Atlas of the Hand Clinics, 5:103-116, 2000.

M.R. Brinker, M.A. Caines, M.D. Kerstein, M.N. Elliott. “Tibial Shaft Fractures With An Associated Infrapopliteal Arterial Injury: A Survey of Vascular Surgeons Opinions on the Need for Vascular Repair.” Journal of Orthopaedic Trauma, 14:194-198, 2000.

W.J. Daum, M.R. Brinker, D.B. Nash. “Quality and Outcome Determination in Health Care and Orthopaedics: Evolution and Current Structure.” The Journal of The American Academy of Orthopaedic Surgeons, 8(2):133-139, 2000.

J.M. Matheny, M.R. Brinker, M.N. Elliott, R. Blake, M.P. Rowane. “Confidence of Graduating Family Practice Residents in Their Management of Musculoskeletal Conditions.” The American Journal of Orthopedics, 26:945-952, 2000.

D.R. Cooperman, B.E. Janke, A. Gilmore, B.M. Latimer, M.R. Brinker, G.H. Thompson. “A Three-Dimensional Study of Calcaneonavicular Tarsal Coalitions.” Journal of Pediatric Orthopaedics, 21:648-651, 2001.

M.R. Brinker, D.P. O’Connor, F. Flandry, J.C. Hughston. “Diagnosis and Surgical Correction of Medial Patellar Subluxation.” Operative Techniques in Sports Medicine, 9:183-189, 2001.

D.P. O’Connor, M.R. Brinker, G.W. Woods. “Preoperative Health Status Among Patients With Four Common Knee Conditions Treated With Arthroscopy.” Clinical Orthopaedics and Related Research, 395:164-172, 2002.

M.R. Brinker, D.P. O'Connor, G.W. Woods, P. Pierce, B. Peck. “The Effect of Payer Type on Orthopaedic Practice Expenses.” Journal of Bone and Joint Surgery (Am), 84A:1816-1822, 2002.

M.R. Brinker, J.S. Cuomo, G.J. Popham, D.P. O’Connor, R.L. Barrack. “An Examination of Bias in Shoulder Scoring Instruments Among Healthy Collegiate and Recreational Athletes.” The Journal of Shoulder and Elbow Surgery, 11:463-469, 2002.

M.R. Brinker, D.P. O'Connor, P. Pierce, G.W. Woods, M.N. Elliott. “Utilization of Orthopaedic Services in a Capitated Population.” Journal of Bone and Joint Surgery (Am), 84A:1926-1932, 2002.

J.J. Gugenheim, M.R. Brinker: “Bone Realignment With Use of Temporary External Fixation for Distal Femoral Valgus and Varus Deformities.” Journal of Bone and Joint Surgery (Am), 85A:1229-1236, 2003.

M.E. Brunet, M.R. Brinker, S.D. Cook, P. Christakis, B. Fong, L. Patron, D.P. O’Connor: “Patellar Tracking During Simulated Quadriceps Contraction.” Clinical Orthopaedics and Related Research, 414:266-275, 2003.

M.R. Brinker: “Case Controversy: Proximal Tibia Fracture - OPINION: Tensioned Wire External Fixation.” Journal of Orthopedic Trauma, 17:589-590, 2003.

M.R. Brinker, D.P. O’Connor. “Ilizarov Compression Over a Nail for Aseptic Femoral Nonunions That Have Failed Exchange Nailing: A Report of Five Cases.” Journal of Orthopaedic Trauma, 17:668-676, 2003.

M.R. Brinker, D.P. O’Connor: “The use of Ilizarov external fixation following failure of internal fixation.” Techniques in Orthopaedics, 17:490-505, 2003.

C.C. Crouch, D.P. O’Connor, P. Pierce, M.R. Brinker. “Utilization of Orthopaedic

Services for Hand and Wrist Conditions in a Capitated Population.” The Journal of Bone and Joint Surgery, 86A:51-56, 2004.

M.R. Brinker, D. P. O’Connor. “The Incidence of Fractures and Dislocations Referred for Orthopaedic Services in a Capitated Population.” Journal of Bone and Joint Surgery, 86A:290-297, 2004.

M.R. Brinker, J.J. Gugenheim. “The Effects of Femoral Shaft Malrotation on Lower Extremity Anatomy.” Journal of Orthopaedic Trauma. 18:658-664, 2004.

H.R. Epps, M. R. Brinker, D.P. O’Connor. “Bilateral Femoral Neck Fractures After Pelvic Irradiation.” The American Journal of Orthopedics, 457-460, 2004

M.R. Brinker, J.J. Gugenheim, D.P. O’Connor, J.C. London. “Ilizarov Correction of Malrotated Femoral Shaft Fracture Initially Treated With an Intramedullary Nail: A Case

Report.” The American Journal of Orthopedics, 489-493, 2004.

M.R. Brinker, T.B. Edwards, D.P. O’Connor. “Letter to the Editor – Estimating the Risk of Nonunion Following Nonoperative Treatment of a Clavicular Fracture.” The Journal of Bone and Joint Surgery, 87A:676-677, 2005.

M.R. Brinker, D.P. O’Connor, P. Pierce, J.W. Spears. “Payer Type has Little Effect on Operative Rate and Surgeons’ Work Intensity.” Clinical Orthopaedics and Related Research, 451:257-262, 2006.

M.R. Brinker, D.P. O’Connor. “Current Concepts Review: Exchange Nailing of Ununited Fractures.” The Journal of Bone and Joint Surgery, 89-A:177-188, 2007.

M.R. Brinker, D.P. O’Connor, C.C. Crouch, T.L. Mehlhoff, J.B. Bennett. “Ilizarov Treatment of Infected Nonunions of the Distal Humerus After Failure of Internal Fixation: An Outcomes Study.” Journal of Orthopaedic Trauma, 21: 178-184, 2007.

M.R. Brinker, D.P. O’Connor, Y.T. Monla, T.P. Earthman. “Metabolic and Endocrine Abnormalities in Patients With Nonunions.” J. Orthop Trauma 21(8): 557-570, 2007.

M.R. Brinker, D.P. O’Connor. “Outcomes of Tibial Nonunion in Older Adults Following Treatment Using the Ilizarov Method.” J. Orthop Trauma 21(9): 634-642, 2007.

R.J. Kearns, D.P. O’Connor, M.R. Brinker . Management of Falls After Total Knee Arthroplasty. Orthopedics. 31:225, 2008.


Texas Orthopedic Hospital

7401 South Main Street
Houston, TX 77030

Maps & Directions

Choose Your Affected Bone/Joint
1. Clavicle
2. Shoulder
3. Humerous
4. Elbow
5. Forearm
6. Wrist
7. Hip
8. Femur
9. Knee
10. Tibia
11. Ankle