- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Orthopedic Surgery and Rehabilitation
- Nerve Injury and Rehabilitation
- Orthopedic Infections and Treatments
- Orthopaedic implants and arthroplasty
- Elbow and Forearm Trauma Treatment
- Total Knee Arthroplasty Outcomes
- Knee injuries and reconstruction techniques
- Bone and Joint Diseases
- Trauma Management and Diagnosis
- Rheumatoid Arthritis Research and Therapies
- Bone Metabolism and Diseases
- Bone health and osteoporosis research
- Bone Tissue Engineering Materials
- Musculoskeletal pain and rehabilitation
- Hip disorders and treatments
- Tendon Structure and Treatment
- Contemporary Literature and Criticism
- Musculoskeletal synovial abnormalities and treatments
- Diagnosis and Treatment of Venous Diseases
- Cardiac Health and Mental Health
- Peripheral Nerve Disorders
- Osteomyelitis and Bone Disorders Research
- Cardiovascular Syncope and Autonomic Disorders
University of Nebraska Medical Center
2011-2025
Community Hospital
2015-2019
University of Alabama at Birmingham
2019
Nebraska Medical Center
2009
University of Nebraska at Omaha
2008
University of Washington
2002-2004
Mercy Medical Center
2002
Rupture of the patellar tendon after total knee arthroplasty is a rare and debilitating complication. Proper surgical management this condition remains controversial. The purpose study was to review results reconstruction ruptured with an Achilles allograft following arthroplasty.We reviewed our experience use fresh-frozen attached calcaneal bone graft restore extensor function in nine patients rupture (five primary four revision). All were examined clinically radiographically at average...
Total shoulder arthroplasties (TSA) are being performed more commonly for treatment of arthritis, although fewer than either hip (THA) or knee (TKA) arthroplasties. arthroplasty also provides general health improvements that comparable to THA. One study suggests TSAs associated with lower morbidity and mortality THAs TKAs. To confirm extend study, we therefore examined the association patient characteristics (sociodemographics, comorbid illness, other risk factors) 30-day complications...
The ideal fixation technique for the treatment of proximal humeral fractures remains unclear. In present study, we evaluated experience three surgeons with two-part surgical neck angular-stable intramedullary fixation.Forty-eight patients forty-eight Neer were managed locked nail by surgeons. Shoulder pain and outcomes quantified Constant scores standard radiographs.Thirty-eight (including twenty-eight female ten male patients) a mean age sixty-five years followed at least twelve months...
Background Our study's purpose was to compare biomechanical performances of a proximal humerus locking plate (PHLP) with an antegrade intramedullary nail (IMN) in osteoporotic two-part surgical neck fracture model. Methods Simulated fractures were made through the synthetic humeri. One group had identical transverse instrumented PHLP seven screws (PHLP-7; n = 4), nine (PHLP-9; 2), or IMN ( 4). Each underwent pre-fatigue testing, fatigue protocol, and post-fatigue testing. A second high...
Wear particle-induced inflammation is considered to be the major cause of aseptic implant loosening and clinical failure after total joint replacement. Due frequent absence symptoms, early detection intervention prior presents a significant challenge. To address this issue, N-(2-hydroxypropyl)methacrylamide (HPMA) copolymer-based optical imaging contrast agent (P-IRDye) was developed used for wear employing murine calvaria osteolysis model. The evaluated by H&E, tartrate-resistant acid...
Background: Distal humeral fractures have traditionally been managed with surgical approaches that disrupt the extensor mechanism. We hypothesized an mechanism-on approach for operative fixation of distal parallel or orthogonal plate constructs would allow excellent healing, a motion arc elbow exceeding 100°, and maintenance mechanism strength. Methods: open reduction internal (ORIF) was performed either in seventy-nine elbows. Thirty-seven elbows were fixed via approach, twenty-four them...
Glenoid loosening is a common complication of shoulder arthroplasty. One possible cause bone necrosis from the exothermic reaction polymethylmethacrylate. The relationship between amount cement used in glenoid fixation and risk thermal injury to was examined. arthroplasty done on 17 fresh cadaver scapulas, recording used. surface temperature during curing measured using infrared thermography. Using these data published thresholds for necrosis, frontal plane area that would be at vivo...
Objective: The purpose of this study was to determine the proximity proximal interlocking mechanisms in 4 current antegrade humeral nails axillary nerve and its branches. Design: Cadaveric study. Setting: Anatomy laboratory. Main Outcome Measure: Anatomic relationships. Methods: Four nail designs (labeled SS, SL, SZ, SN) were each inserted successive fashion 10 cadaveric upper extremity specimens. Three variables measured: from acromion nerve, entry sites locking devices, devices nerves...
N-(2-Hydroxypropyl) methacrylamide (HPMA) copolymers were previously found to represent a versatile delivery platform for the early detection and intervention of orthopedic implant loosening. In this article, we evaluated impact different structural parameters HPMA copolymeric system (e.g., molecular weight (MW), drug content) its pharmacokinetics biodistribution (PK/BD) profile. Using 125I, Alexa Fluor 488, IRDye 800 CW-labeled copolymer-dexamethasone (P-Dex) conjugates with MW...
Abstract Introduction Serious infection, cardiovascular disease, and mortality are increased in rheumatoid arthritis (RA). Whether RA affects the risk for these complications after total joint arthroplasty (TJA) is unknown, we hypothesize that it does. We compared occurrence of 30-day postoperative a large cohort osteoarthritis (OA) patients undergoing hip or knee TJA. Methods Analyses included 7-year data from Veterans Affairs Surgical Quality Improvement Program. The were by diagnosis...