A5067342723- Orthopedic Infections and Treatments
- Bone fractures and treatments
- Orthopedic Surgery and Rehabilitation
- Sarcoma Diagnosis and Treatment
- Infectious Diseases and Tuberculosis
- Hip disorders and treatments
- Cerebral Palsy and Movement Disorders
- Connective tissue disorders research
- Neurogenetic and Muscular Disorders Research
- Musculoskeletal Disorders and Rehabilitation
- Streptococcal Infections and Treatments
- Foot and Ankle Surgery
- Elbow and Forearm Trauma Treatment
- Orthopaedic implants and arthroplasty
- Child and Adolescent Health
- Shoulder Injury and Treatment
- Medical Malpractice and Liability Issues
- Lower Extremity Biomechanics and Pathologies
- Surgical site infection prevention
- Diabetic Foot Ulcer Assessment and Management
- Glycogen Storage Diseases and Myoclonus
- Healthcare Systems and Technology
- Lysosomal Storage Disorders Research
- Ethics in medical practice
- Musculoskeletal synovial abnormalities and treatments
Phoenix Children's Hospital
2015-2025
University of Arizona
2018-2024
Deenanath Mangeshkar Hospital and Research Center
2022-2023
Adult and Pediatric Dermatology
2023
Phoenix (United States)
2022-2023
Shriners Hospitals for Children - Philadelphia
2023
Creighton University
2023
The University of Texas at San Antonio
2023
Shriners for Children Medical Center - Pasadena
2022
Regional Medical Center
2018-2022
Obtaining autogenous bone graft from the iliac crest can entail substantial morbidity. Alternatively, be harvested long bones using an intramedullary (IM) harvesting system. We measured volume obtained IM canals of femur and tibia documented complications technique. Donor site pain union rate were compared between traditional (ICBG) harvest. Forty-one patients (23 male, 18 female) with average age 44.9 years (range, 15-78 years) had harvest system (femoral donor site, 37 patients; tibial...
We undertook this retrospective study to determine the rate of recurrence and functional outcome after intralesional curettage for chondroblastoma bone. The factors associated with aggressive behaviour tumour were also analysed. reviewed 53 patients histologically-proven who treated by in our unit between 1974 2000. They followed up at least two years a maximum 27 years. Seven (13.2%) had local recurrence. Three underwent second no further Two endoprosthetic replacement proximal humerus...
Osteomyelitis is a common pediatric musculoskeletal infection. This infection can weaken the normal bone structure, resulting in risk of pathologic fracture. The purpose this study was to evaluate factors for fracture children with Staphylococcus aureus osteomyelitis.Seventeen who were treated long-bone secondary osteomyelitis between January 2001 and 2009 at tertiary-care hospital identified. These patients compared control group consisting forty-nine without matched age, sex, methicillin...
Purpose Isolated congenital clubfoot can be treated either operatively (posteromedial release) or conservatively (Ponseti method). This study retrospectively compared mid-term outcomes after surgical and Ponseti treatments to a normal sample used multiple evaluation techniques, such as detailed gait analysis foot kinematics. Methods Twenty-six children with surgically 22 the technique were evaluated 34 feet. Comprehensive included full multi-segment single-segment kinematics, pedobarograph,...
Thirty-four patients with infected massive endoprostheses had two-stage revision procedures to cure the infection and retain a useful functioning limb. An antibiotic impregnated cement spacer constructed two gun liners Kuntscher nail provided temporary stability also allowed high dose of local concentration. In three never was controlled, one these successful second surgery. Six other reinfection varying from 14 92 months after Risk factors for were previous radiotherapy any additional...
Idiopathic clubfoot is the most common congenital anomaly of lower extremity. YouTube has emerged as an important source health-related information for patients and families. Parents seek about on YouTube. However, quality these videos remains unknown. Therefore, we decided to evaluate clubfoot. We searched using appropriate keywords. English language with more than 10 000 views were included. Three fellowship trained pediatric orthopedic surgeons independently assessed classified them into...
Background: Idiopathic genu valgum beyond physiological limits may require treatment, which is based on age, growth remaining, and the magnitude of deformity. There no consensus clinical, or radiologic evaluation, indications, management idiopathic valgum, can range from observation to surgical treatment using various modalities. If available, such guidelines will help surgeons offer optimal their patients. The aim our study was establish an expert evaluation valgum. Methods: An...
Polydactyly is a common congenital anomaly of the foot classified as preaxial, central, or postaxial depending on location duplication. Approximately 15% all duplications toes are preaxial. The purpose this study to report our experience in management preaxial polydactyly over period 30 years at single institution.This retrospective institutional review board-approved descriptive case series 21 children representing 28 feet with seen institution from 1977 2009. All subjects were analyzed...
Limb salvage is now customary in the treatment of primary bone tumours. The proximal tibia a frequent site for these neoplasms but reconstruction, especially children, formidable challenge. We reviewed 20 children with extendible replacements tibia, all minimum follow-up five years. Five died from their disease and, remaining 15, four had above-knee amputations complications. Infection occurred seven patients; it was related to lengthening procedure. Aseptic loosening inevitable younger and...
The modalities and results of surgical intervention in the lower extremity children with Morquio syndrome type A [mucopolysaccharidosis-IV (MPS-IVA)] have not been well described. aims this study are to define deformities, describe MPS-IVA patients.Retrospective chart radiograph review 23 patients a minimum follow-up >2 years. Patients were divided into no groups. Demographic data, details, clinical results, complications recorded. Standard radiographic measurements made on standing...
Paraplegia or death secondary to upper cervical spine instability and spinal cord compression are known consequences of Morquio syndrome. Decompression fusion the indicated treat compression. The purpose this study was report intermediate long-term results in children with syndrome.Twenty patients (nine female eleven male) syndrome who underwent at a mean age sixty-three months were retrospectively analyzed use hospital records. Radiographic clinical reported.The average follow-up period...
Study Design. Retrospective cohort study. Objective. Evaluate the trends in management and inpatient outcomes patients with syndromic scoliosis undergoing spinal deformity correction. Summary of Background Data. Syndromic (SS) refers to that is most commonly associated systemic disease including Ehler Danhlos syndrome (EDS), Marfan (MF), Down (DS), Achondroplasia (AP), Prader-Willi (PWS). Limited data exist evaluating hospital SS Methods. The Kids’ Inpatient Database (KIDS) was queried from...
Although the diversity in orthopaedic residency programs has been studied, within academic orthopaedics not.The board of specialty societies, five leading journals and National Institutes Health RePORTER tool, three accreditation organizations were explored.The directors comprised 220 (72%) Caucasians, 36 (12%) Asians, 4 (1%) Hispanic/Latinos, 29 (9%) African Americans, 18 (6%) Other individuals; 250 (81%) men, 57 (19%) women. The editorial boards 288 (77%) 62 (16%) 14 (4%) 8 (2%) 341 (91%)...
Septic arthritis of the shoulder is a rare infection in healthy children. This requires prompt surgical drainage and antibiotic treatment. A delay intervention can result damage to articular surface glenohumeral joint, adjacent osteomyelitis, possible growth disturbance. The clinical course septic was compared with that hip, more common disease children.We identified 9 children infections joint who presented our pediatric hospital between 2001 2007. average age at presentation 7 years...
Cubitus varus is a well-reported complication of supracondylar fracture the humerus potentially resulting in cosmetic problems, impaired function, and malpractice claims. Traditional methods correcting malunited distal humeral fractures involve complex osteotomies that have high rate, require large exposure, challenging fixation. We present technique gradual correction using percutaneous transverse osteotomy 3 dimensional with Taylor Spatial Frame.This was retrospective, IRB-approved study...
Pediatric septic arthritis is a surgical emergency and timely diagnosis prevents serious complications. To differentiate between hip transient synovitis, the predictive value of four original Kocher criteria (fever, inability to bear weight, elevated serum white blood cell count, erythrocyte sedimentation rate) plus Caird's addition C-reactive protein have been studied, termed modified criteria. These not tested extensively on knee. This study utility in predicting knee while validating it...
Between 1990 and 2001, 24 children aged between 15 months 11 years presented with late orthopaedic sequelae after meningococcal septicaemia. The median time to presentation was 32 (12 119) the acute phase of disease. reasons for referral included angular deformity, limb-length discrepancy, joint contracture problems prosthetic fitting. Angular deformity or without discrepancy most common presentation. Partial growth arrest cause deformity. Multiple growth-plate involvement occurred in 14...
Between 2003 and 2006, we used an extraarticular, cannulated, fully threaded posterior calcaneotibial screw to prevent equinus contracture in 10 patients (four male six female patients, 14 limbs) undergoing tibial lengthening with the intramedullary skeletal kinetic distractor. Diagnoses were fibular hemimelia (two), mesomelic dwarfism posteromedial bow (one), hemihypertrophy poliomyelitis achondroplasia posttraumatic limb-length discrepancy hypochondroplasia (one). Average age was 24.5...
Background: Craniovertebral junction anomalies and C1-C2 instability resulting in myelopathy have been well described the literature on mucopolysaccharidosis IV (MPS-IV). Spinal involvement MPS-IV patients, with neurological impairment, other than atlanto-axial thoracolumbar kyphosis, has scarcely mentioned literature. Methods: Retrospective clinical radiologic review of medical records imaging studies 4 individuals Morquio A syndrome, who had undergone decompression fusion cervicothoracic...
Diversity and inclusion are critical to providing the best possible health care. Previous studies have shown that diversity among physicians increases cultural competency, which in turn enhances quality of care provided minoritized patients' participation decisions regarding their However, physician both race sex is lacking orthopaedic surgery. This study seeks determine racial membership leadership Pediatric Orthopaedic Society North America (POSNA).POSNA were reviewed for years 2010, 2015,...
Pediatric acute hematogenous osteomyelitis (AHO) outcomes are highly dependent on the disease severity. Recently, A-SCORE and C-SCORE, were proposed as predictors of an complicated course chronic morbidity, respectively. The purpose this study was to externally validate C-SCORE at a single institution.This IRB-approved retrospective chart review included AHO patients admitted tertiary referral hospital between October 1, 2015 December 31, 2019. inclusion criteria ages 0 18 clinical response...