A5059430800- Pelvic and Acetabular Injuries
- Hip and Femur Fractures
- Bone fractures and treatments
- Orthopedic Infections and Treatments
- Orthopaedic implants and arthroplasty
- Orthopedic Surgery and Rehabilitation
- Hip disorders and treatments
- Total Knee Arthroplasty Outcomes
- Surgical site infection prevention
- Pregnancy-related medical research
- Abdominal Trauma and Injuries
- Trauma and Emergency Care Studies
- Knee injuries and reconstruction techniques
- Venous Thromboembolism Diagnosis and Management
- Spinal Fractures and Fixation Techniques
- Shoulder Injury and Treatment
- Elbow and Forearm Trauma Treatment
- Health Systems, Economic Evaluations, Quality of Life
- Urological Disorders and Treatments
- Patient-Provider Communication in Healthcare
- Healthcare cost, quality, practices
- Case Reports on Hematomas
- Cardiac, Anesthesia and Surgical Outcomes
- Foot and Ankle Surgery
- Acute Myocardial Infarction Research
University of Maryland, Baltimore
2016-2025
University of Maryland Medical Center
2010-2024
St. Joseph Medical Center
2021-2024
University of Maryland Medical System
2020
Food and Drug Administration
2012
Johns Hopkins Hospital
2009
Johns Hopkins University
2004-2006
University of Pittsburgh
1998-2001
University of Pittsburgh Medical Center
1999-2001
University of Virginia
1995
The objectives of this study were to evaluate the ability Young-Burgess classification system predict mortality, transfusion requirements, and nonorthopaedic injuries in patients with pelvic ring fractures determine whether mortality rates after have changed over time.Retrospective review.Level I trauma center.One thousand two hundred forty-eight during a 7-year period.None.Mortality at index admission, requirement first 24 hours, presence as function type. Mortality compared historic...
The importance of the timing flap coverage open tibial shaft fractures remains controversial. Many studies have shown increased complications and infection rates associated with delay in but not controlled for risk factors that might be both complications. We hypothesized is predictive after controlling known factors.Retrospective review.Level I trauma center.Sixty-nine patients treated acute (45 shaft, 17 plateau, 12 pilon fractures) at our center from 2004 through 2009 required 74 flaps....
Despite the widespread use of systemic antibiotics to prevent infections in surgically treated patients with fracture, high rates surgical site infection persist.To examine effect intrawound vancomycin powder reducing deep infections.This open-label randomized clinical trial enrolled adult an operatively tibial plateau or pilon fracture who met criteria for a risk from January 1, 2015, through June 30, 2017, 12 months follow-up (final assessments completed April 2018) at 36 US trauma...
Controversy exists regarding optimum management of lateral compression type 1 (LC1) pelvic ring injuries (OTA 61-B2.1), particularly in patients with complete sacral fractures. We hypothesized that nonoperative treatment would result acceptable functional outcomes.Database review.Level I trauma center.We identified treated for LC1 fractures (n = 406) from 2007 to 2011 and analyzed a subset "intermediate severity" characterized by fracture less than cm initial displacement 104).Fifty were...
Abstract Periprosthetic joint infections are a devastating complication of replacement surgery. One novel therapeutic that has potential to change the current treatment paradigm is bacteriophage therapy. Herein, we discuss our experiences with therapy for 10 recalcitrant periprosthetic and review protocols utilized achieve successful outcomes.
Debate remains over the role of surgical treatment in minimally displaced lateral compression (Young-Burgess, LC, OTA 61-B1/B2) pelvic ring injuries. Lateral type 1 (LC1) injuries are defined by an impaction fracture at sacrum; 2 (LC2) a that extends through posterior iliac wing level sacroiliac joint. Some believe operative stabilization these fractures limits pain and eases mobilization, but to our knowledge there few controlled studies on topic.(1) Does LC1 LC2 decrease patients' narcotic...
Emerging evidence suggests aspirin may be an effective venous thromboembolism (VTE) prophylaxis for orthopaedic trauma patients, with fewer bleeding complications. We used a patient-centered weighted composite outcome to globally evaluate versus low-molecular-weight heparin (LMWH) VTE prevention in fracture patients.We conducted open-label randomized clinical trial of adult patients admitted academic center operative extremity fracture, or pelvis acetabular fracture. Patients were receive...
Background: Periprosthetic fracture is a leading reason for readmission following total hip arthroplasty. Most of these fractures occur during the early postoperative period before bone ingrowth. Before ingrowth occurs, femoral component can rotate relative to canal, causing spiral pattern. We sought evaluate, in paired cadaver model, whether torsional load was higher collared stems. The hypothesis that stems have greater under axial and loads compared with collarless Methods: Twenty-two...
Prosthetic joint infections are a serious complication of replacement surgery due to the significant morbidity and financial burden that is associated with conventional treatments. When patients fail gold standard two-stage revision surgery, very limited, well-defined standardized approaches available. Herein, we discuss case sixty-four-year-old woman who had recalcitrant MRSA prosthetic infection her knee hip failed repeated surgical medical Only after receiving intraoperative intravenous...
Background: It is unknown whether pelvic ring fracture an independent predictor of death after blunt trauma. Few previous studies have attempted to analyze the high rate observed in association with injury secondary or merely related many other injuries that typically are sustained such cases. Our hypothesis was risk factor for death, even accounting from associated injuries. Methods: We reviewed records 31,550 patients who presented trauma at our Level I center 1995 2002. analyzed...
BACKGROUND Intracompartmental pressure measurements are frequently used in the diagnosis of compartment syndrome, particularly patients with equivocal or limited physical examination findings. Little clinical work has been done to validate use intracompartmental pressures identify associated false-positive rates. We hypothesized that syndrome based on one-time alone is a high rate. METHODS Forty-eight consecutive tibial shaft fractures who were not suspected having examinations prospectively...
To report functional outcomes of displaced acetabular fractures treated nonoperatively in the geriatric patient population.Retrospective case series.Two Level I trauma centers.Twenty-seven patients 60 years age or older who sustained during an 11-year period.Nonoperative treatment.Primary outcome measurements were Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores Short Form 8 (SF-8) scores. Secondary conversion to open reduction internal fixation total hip...
To compare the early pain and functional outcomes of operative fixation versus nonoperative management for minimally displaced complete lateral compression (LC; OTA/AO 61-B1/B2) pelvic fractures.Prospective clinical trial.Two academic trauma centers.Forty-eight adult patients with LC ring injuries <10 mm displacement were treated nonoperatively 47 surgical fixation. Sixty percent participants randomized. Seventy-three fractures <5 mm, 71% LC-1 patterns.Operative management.The primary...
To document the initial treatment of displaced acetabular fractures among older adults across multiple trauma centers and to investigate factors that influence decision operate choice operative procedure [open reduction internal fixation (ORIF) vs. total hip arthroplasty (THA)].Retrospective observational study.Fifteen US level-I participating in Major Extremity Trauma Research Consortium.Overall, 269 patients aged 60 years or admitted for a fracture.None.Treatment.Sixty percent (n = 162)...
To identify the risk factors for early reoperation after operative fixation of acetabular fractures.Retrospective evaluation.Level I Trauma Center.Seven hundred ninety-one patients with displaced fractures treated open reduction and internal (ORIF) from 2006 to 2015. Average follow-up was 52 weeks.Early ORIF, defined as secondary procedure infection or revision within 3 years initial operation.Fifty-six (7%) underwent irrigation debridement wound complications. Four associated identified...