Orthopaedic Research

In 1958, while doing a year of research under Dr. Ian Macnab, Jackson won an International competition sponsored by the American Association or the Surgery of Trauma, with a thesis on “Fractures of the Tibia”. The only other Canadian to win that competition, was the Professor of Orthopaedics, Dr. Ted Dewar. This was a good start to a career in both clinical and research aspects of Orthopaedics. Further research experience and training was obtained in Boston, under Dr. Melvin Glimcher and Dr William Harris, and in Tokyo, under Dr Katsuto at Tokyo University.

On returning to Toronto as a Staff Surgeon at the Toronto General Hospital, Jackson also became Director of the Orthopaedic Research Laboratory in the Banting Institute. Early studies into the effects of microwave energy on cultures of osteosarcoma cells, proved very exciting, as MW energy, applied in the G2 phase of cell cycle, produced 85 % cell death, with almost no effect on cells in other phases of cell cycle. This was reported at a meeting of the New York Academy of Sciences, and followed up by other cancer researchers in the United States. Unfortunately,further support from Canadian sources was not forthcoming, and the work was halted. (In the late ’60’s, cancer research was generally focused on - a) testing chemicals and foods for their carcinogenic effect, or - b) better xray treatment of tumours. Obviously, there was no financial support for a bone and joint surgeon playing with a “black box”, as little was known about MW energy in those days )


Biomechanical studies into the healing of fractures was then carried out for several years along with 3- dimensional goniometric studies of knee motion, and the design of a unicompartmental artificial knee, based on the original work of Dr Dave MacIntosh. Several studies on cementation of implants to bone were also done in conjunction with the Dept. of Dentistry, with Prof. Dennis Smith - (Zinc Polyacrylate cement)

Interest in the energy contained in the electromagnetic spectrum led to studies into the use of laser energy in arthroscopic surgery, and ultimately to the use of photodynamic chemicals in the welding (or bonding) of tissues.


Selected Orthopaedic Papers

* Jackson RW, Macnab I. Fractures of the shaft of the tibia—a clinical and experimental study. Am J Surg. 1959;97:543–557. [PubMed]
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Harris WH, Jackson RW, Jowsey J. The in vivo distribution of tetracyclines in canine bone. J Bone Joint Surg. 1962;44A:1308–1320
* Peters WJ, Jackson RW, Iwano K, Gross AE. The effect of microwave electromagnetic radiation on the growth of cells in tissue culture Transactions New York Academy of Sciences 1970.
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Jackson, R.W.: A Biomechanical Study of Normal Fracture Healing in Rat Femora. Thesis Master of Surgery Degree, University of Toronto. 1971
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Peters, W.J., Jackson, R.W., Iwano, K. & Smith, D.C. The Biological Response to Zinc Polyacrylate Cement. Clinical Orthopaedics and Related Research. No. 8, 228233, October 1972
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Peters WJ, Jackson RW, Smith DC. Studies of the stability and toxicity of zinc polyacrylate (polycarboxylate) cements (PAZ). J Biomed Mater Res. 1974;8:53–60. [PubMed]
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Townsend MA, Izak M, Jackson RW. Total motion knee goniometry. J Biomech. 1977;10:183–193. [PubMed]
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Peters WJ, Jackson RW, Iwano K. Effect of controlled electromagnetic radiation on the growth of cells in tissue culture. J Surg Res. 1979;27:8–13. [PubMed]
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Marans, H.J., Jackson, R.W., Glossop, N.D. & Young, M.C.: Anterior Cruciate Ligament Insufficiency:A Dynamic ThreeDimensional Motion Analysis. The American Journal of Sports Medicine. Vol. 17: No. 3, 325332, May/June 1989
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Reed SC, Jackson RW, Glossop N, Randle J. An in vivo study of the effect of excimer laser irradiation on degenerate rabbit articular cartilage. Arthroscopy. 1994;10:78–84. [PubMed]
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Jackson RW. Energy from the electromagnetic spectrum: the future in orthopedic surgery. Am J Knee Surg. 1999;12:181–185. [PubMed]
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Glossop, N.D., Jackson, R.W., Koort, H.J., Reed, S.C. & Randle, J.A.: The Excimer Laser in Orthopaedics. Clinical Orthopaedics and Related Research. No. 310, 72-81, January 1995 [PubMed]
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Jackson RW, Nosir HR, Judy MM, Matthews JL. Repair of articular cartilage and meniscal tears by photoactive dyes. Arthroscopy. 1997;13:392–393. [Science Direct]
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Judy, M.M., Jackson, R.W., Nosir, H.R., Matthews, J.L.: Healing results in meniscus and articular cartilage photochemically welded with 1,8- naphthalimide dyes. One year results. SPIE Proceeding, Vol 2970, 257-260, 1997 [SPIE]