A5003142504- Orthopaedic implants and arthroplasty
- Venous Thromboembolism Diagnosis and Management
- Orthopedic Infections and Treatments
- Total Knee Arthroplasty Outcomes
- Heterotopic Ossification and Related Conditions
- Musculoskeletal Disorders and Rehabilitation
- Bone fractures and treatments
- Atrial Fibrillation Management and Outcomes
- Bone and Joint Diseases
- Management of metastatic bone disease
- Orthopedic Surgery and Rehabilitation
- Hip disorders and treatments
- Bone Tumor Diagnosis and Treatments
- Innovations in Medical Education
- Sarcoma Diagnosis and Treatment
- Shoulder Injury and Treatment
- Diversity and Career in Medicine
- Primary Care and Health Outcomes
- Health and Medical Research Impacts
- Body Contouring and Surgery
- Spinal Fractures and Fixation Techniques
- Shoulder and Clavicle Injuries
- Pelvic and Acetabular Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Acute Myocardial Infarction Research
Penn State Milton S. Hershey Medical Center
1990-2025
National Patient Safety Foundation
2025
University of Rochester
1976-2018
Association of Academic Health Centers
2018
Association of American Medical Colleges
2018
University of Maryland, College Park
2012
Pennsylvania State University
1989-2006
University of Maryland, Baltimore
2006
University Orthopedics Center
2006
University of Rochester Medical Center
1966-2006
In a randomized, prospective trial of 100 patients, we have studied the safety and efficacy warfarin sodium in comparison with that dextran 40 prevention venous thrombosis patients at high risk for deep vein after elective total hip or knee replacement. Warfarin was given new two-step regimen designed to avoid bleeding complications while still preventing thrombosis. A low dose started ten 14 days preoperatively, prothrombin time regulated between 1.5 3 seconds longer than control surgery;...
A prospective study was done to evaluate the efficacy of treatment with 1,000 rads radiation in prevention heterotopic ossification after total hip arthroplasty patients who are at high risk. In a previous study, were risk for identified and an effective regimen its established. It demonstrated that 2,000 initiated within four days highly recurrence resection existing ossification. present administered increments 200 over period five seven as rads. The protocol is preferable because it...
1. A high incidence (53.6 per cent) of venous thrombosis occurs after elective surgery the hip. 2. The diagnosis by clinical signs and symptoms is far less sensitive than venography. 3. Low molecular weight dextran has a marked protective effect against occurrence thromboembolism as demonstrated in controlled study 106 hip operations. 4. been shown to be safe well effective. 5. prophylactic administration low recommended for patients undergoing
Aim: To examine contributions of a patient advisory board (PAB) to the design and conduct The Pulmonary Embolism Prevention after Hip Knee Replacement (PEPPER) Trial (NCT02810704) compare perceptions PAB members researchers on Trial. Materials & methods This evaluation was conducted by Clinical Coordinating Center (CCC) who first discussed contributions, leading semi-structured WebEx interview individually querying their experience. Two study team analyzed transcriptions interviews for...
Sixty-two hips in fifty-five patients who were considered to be at risk for postoperative heterotopic ossification randomly divided into two groups: one received a single 800-centigray dose of limited-field radiation and the other, 1000 centigray doses. The heterotopic-bone formation was identified on basis previously described criteria, which included previous after an operation about hip, hypertrophic osteoarthritis or post-traumatic osteoarthrosis characterized by extensive osteophytes,...
Background: The primary influence on medical students’ career choice is their third-year clerkship. However, orthopaedics not a required rotation in the curriculum of most schools. Our goals were to identify factors that motivate students choose an orthopaedic and compare these with nonorthopaedic disciplines. Methods: Fourth-year residents at postgraduate year (PGY)-1 level eight training programs United States surveyed determine reasons they chose instead other or surgical fields. Results:...
More than 1 million elective total hip and knee replacements are performed annually in the USA with 2% risk of clinical pulmonary embolism (PE), 0.1%-0.5% fatal PE, over 1000 deaths. Antithrombotic prophylaxis is standard care but evidence limited conflicting. We will compare effectiveness three commonly used chemoprophylaxis agents to prevent all-cause mortality (ACM) venous thromboembolism (VTE) while avoiding bleeding complications.
Corbett, John M. M.D.; Wilde, Alan H. McCormack, Lawrence J. Evarts, Charles M.D. Author Information
In 1079 consecutive patients undergoing total hip arthroplasty between 1984 and 1992, complications of thromboembolic disease related anticoagulation were reviewed for 6 months after hospital discharge, including cost data. Of 347 having venograms, 78 (22.5%) had positive results 269 (77.5%) negative deep venous thrombosis. with 3 (1.1%) readmitted 2 symptomatic thromboses nonfatal pulmonary embolism. There no readmissions among the 55 who venographically evident thrombosis diagnosed treated...
Twenty-five patients undergoing total hip replacement received low doses of heparin sodium. Phlebography was used for the diagnosis deep venous thrombosis. Five thousand international units (IU) were given subcutaneously two hours preoperatively, 5,000 IU postoperatively night surgery, and every 12 next seven to ten days. Venous thrombosis developed in 25 patients. Pulmonary embolism occurred six Until further studies are forthcoming, utmost caution is urged use as a prophylactic agent after...
Thirty cases of vascular duodenal obstruction have been collected from the literature and our own experience: eighteen associated with correction spinal curvature twelve application a body jacket. The clinical manifestations treatment presented pathogenesis this entity has discussed. It is believed that traction on spine in patients scoliosis significant (21 to 61 degrees series) may increase acuteness angle departure superior mesenteric arterial trunk sufficiently cause obstruction....
Venous thromboembolism is the most common reason for readmission after total knee arthroplasty. Prospective contrast venography was conducted from 1984 to 2003 in 1321 patients undergoing Patients with deep venous thrombosis or pulmonary embolism were treated warfarin; those negative venograms received no further anticoagulation. From 1992, not completing discharged without since 1993 warfarin 6 weeks. Readmission thrombosis, embolism, bleeding tracked months. Venography completed 810...
Venous thromboembolic disease remains the most common reason for readmission after total hip arthroplasty. Prospective analysis of screening contrast venography was done from 1984 to 2003 in 1972 patients having elective Patients with deep venous thrombosis or pulmonary embolism received warfarin therapy; those negative venograms no further anticoagulation. From 1992, not completing were discharged without warfarin; since 1993, 6 weeks. Readmission thrombosis, embolism, bleeding tracked...
Une malade avec une infection a Candida parapsilosis autour d'une prothese totale de hanche ete traitee succes par le retrait des pieces la et du ciment osseux, l'administration d'amphotericine B 5-fluorocytosine remplacement total 14 mois plus tard. Deux ans apres remplacement, l'articulation presente bonne activite fonctionnelle sans signes d'infection
Between 1970 and 1979, 17 patients underwent conversion of ankylosed hip to total arthroplasty. The patients' ages ranged from 38 82 years the duration fusion prior five 60 years. primary indication for replacement in all was disabling pain low back, ipsilateral knee, contralateral hip. reason ankylosis varied: had previously undergone posttraumatic arthritis, two tuberculous six osteoarthritis, one a previous old slipped capital femoral epiphysis which spontaneous after internal fixation,...