- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Shoulder Injury and Treatment
- Scoliosis diagnosis and treatment
- Infectious Diseases and Tuberculosis
- Orthopedic Infections and Treatments
- Musculoskeletal pain and rehabilitation
- Elbow and Forearm Trauma Treatment
- Knee injuries and reconstruction techniques
- Orthopaedic implants and arthroplasty
- Cardiac, Anesthesia and Surgical Outcomes
- Medical Imaging and Analysis
- Cervical and Thoracic Myelopathy
- Anesthesia and Pain Management
- Sports injuries and prevention
- Orthopedic Surgery and Rehabilitation
- Pain Management and Opioid Use
- Opioid Use Disorder Treatment
- Spinal Hematomas and Complications
- Patient Satisfaction in Healthcare
- Healthcare Policy and Management
- Enhanced Recovery After Surgery
- Colorectal Cancer Surgical Treatments
- Abdominal vascular conditions and treatments
- Electrospun Nanofibers in Biomedical Applications
Rush University Medical Center
2020-2023
Northeast Health
2022-2023
University of California, San Francisco
2016-2021
Rush University
2021
Texas Health Dallas
2021
New Orleans Public Library
2020
Grace (United States)
2019
UCSF Benioff Children's Hospital
2017-2019
Chr. Hansen (Denmark)
2019
Greenwich Hospital
2019
In a surgical setting, COVID-19 patients may trigger in-hospital outbreaks and have worse postoperative outcomes. Despite these risks, there been no consistent statements on guidelines regarding the perioperative screening or management of patients, we do not objective global data that describe current conditions surrounding this issue. This study aimed to clarify practice including screening, preventive measures infection under pandemic, international gaps control policies among countries...
Study Design. Retrospective database review. Objective. To determine (1) the relationship between hypoalbuminemia and body mass index (BMI); (2) association malnutrition revision spine surgery for septic reasons; (3) infection after aseptic surgery. Summary of Background Data. Although has been suggested to increase risk surgery, evidence supporting this hypothesis is conflicting. Methods. Patients undergoing were identified in American College Surgeons National Surgical Quality Improvement...
Orthopaedic surgeons are increasingly aware of deleterious effects the opioid epidemic and association between overprescription diversion toward nonmedical use or substance abuse. Opiate prescriptions at time hospital discharge have been identified as target for intervention. This study describes successful outcome a goal-directed intervention aimed decreasing by providing routine feedback to providers regarding their prescribing patterns.The amount medications, quantified oral morphine...
Abstract Background Programs of Enhanced Recovery After Surgery reduces morbidity and shorten recovery in patients undergoing colorectal resections for cancer. Patients presenting with more advanced disease such as T4 cancers are frequently excluded from ERAS programs due to the difficulty applying established protocols. The primary aim this investigation was evaluate possibility a validated protocol resection colon rectal cancer short-term outcome. Methods Single-center, retrospective...
Medial ulnar collateral ligament (MUCL) reconstruction is successful in restoring valgus elbow stability, but variability bone tunnel characteristics exists among surgical techniques.Tunnel parameters such as diameter, drill angle, and starting location MUCL affect length bridge size between tunnels.Descriptive laboratory study.Three-dimensional models were created from computed tomography scans of 10 throwing athletes analyzed using Mimics (Materialise) software. The reconstructions...
Lateral ulnar collateral ligament (LUCL) reconstruction requires proper understanding and identification of anatomic structures about the lateral elbow. The insertion site LUCL is based on supinator tubercle.To characterize tubercle relative to other surrounding landmarks.Descriptive laboratory study.Computed tomography (CT) scans 10 adult elbows were retrospectively reviewed. These CT converted into patient-specific 3-dimensional computer models. Using a user-defined coordinate system, an...
This study is a therapeutic retrospective cohort OBJECTIVES.: aims to determine whether sexual function relevant for patients with spinal stenosis (SPS) and degenerative spondylolisthesis (DS) the impact of operative inter vqAvention on these patients.The benefits nonoperative versus treatment SPS DS regards are unknown.Demographic, treatment, follow-up data, including Oswestry Disability Index (ODI), were obtained enrolled in SPORT study. Based response question #9 ODI, classified into life...
Retrospective case series.The purpose of this study is to evaluate the clinical and radiographic outcomes following revision surgery Harrington rod instrumentation.Patients who underwent with a minimum 1-year follow-up for flatback syndrome instrumentation adolescent idiopathic scoliosis were identified from multicenter dataset. Baseline demographics intraoperative information obtained. Preoperative, initial postoperative, most recent spinopelvic parameters compared. Postoperative...
Background: Posterior hamstring harvest has been described in the adult population a limited fashion, but no study is available describing use of posterior an active pediatric and adolescent cohort. At times, surgeons may be faced with challenging anterior due to patient anatomic characteristics, particularly features size pes tendons. Clinicians need have multiple approaches at their disposal. Complications such as premature graft transection are more problematic this higher failure rates...
It is unclear whether patients can be taken off suppressive antibiotics with infected retained instrumentation. This study aimed to retrospectively analyze the perioperative course and antibiotic regimen that led clinical intervention of spinal instrumentation.Consecutive adult spine instrumentation who suffered surgical site infections (SSI) requiring debridement were analyzed. The grouped into 4 cohorts based on their intervention: removal instrumentation, reinstrumentation, retention...
Anterior lumbar interbody fusion (ALIF) and lateral (LLIF) are alternative less invasive techniques to stabilize the spine indirectly decompress neural elements compared with open posterior approaches. While reoperation rates have been described for surgery, there sparse data on following these procedures without direct decompression. This study aimed evaluate overall rate, cause, timing of anterior or fusions
Incidental durotomies, or dural tears, can be very difficult and time consuming to repair properly when they are encountered in confined spaces. A novel device was developed address these situations. In this paper, the assessed against use of traditional tools techniques for repairs two independent studies using an intricate clinical simulation model. The aim examine results assessments link outcomes operating room. outperformed conventional as measured by time, CSF leak pressure nerve root...
Vascular complications are an important adverse event that can be associated with spinal reconstructive surgery. Direct injury of vessels, or indirect traction compression cause both arterial and venous injury. Indirect the mesenteric vessels is a well-recognized complication bracing surgical care children deformity (superior artery syndrome), but not common well recognized in adult population deformity. The purpose this case report to detail postoperative ischemia 63-year-old man whom...
1Department of Orthopaedic Surgery, University California-San Francisco, San California Email address for K. Khanna: [email protected] Investigation performed at the Department Disclosure: The authors indicated that no external funding was received any aspect this work. Disclosure Potential Conflicts Interest forms are provided with online version article (https://links.lww.com/JBJS/F469).
Purpose: This study aims to examine high-frequency impulse therapy (HFIT) impact on pain and function among patients undergoing care for chronic low back (CLBP). Methods: A pilot randomized-controlled trial of HFIT system versus sham was conducted across 5 orthopedic center sites in California, USA. Thirty-six seeking clinical CLBP were randomized. Primary outcome measured by the Six Minute Walk Test (6MWT). Secondary outcomes (Timed Up Go [TUG] Oswestry Disability Index [ODI]), (Numerical...
Stability following multilevel decompressive laminectomy without fusion has been debated using in vitro biomechanical and radiographic models. However, there is a lack of information regarding clinical outcomes for these patients. The aim the present study was to determine association between number levels decompressed via treatment lumbar spinal stenosis.
Background: Prior studies have attempted to determine morphological characteristics of the medial epicondyle in overhead athletes, but no study has reported on precise quantitative differences between elite athletes and control patients. Hypothesis: The is larger volume than those Study Design: Cross-sectional study; Level evidence, 3. Methods: Computer simulation modeling from advanced (computed tomography/magnetic resonance imaging) imaging elbow 37 patients (22 15 patients) was performed...
Anterior lumbar interbody fusion (ALIF) is a well-accepted surgical technique used to treat various degenerative pathologies. Recently, hyperlordotic cages have been introduced create higher degrees of lordosis the spine. There are little data currently available define radiographic benefits that these provide with stand-alone ALIF. The goal present study was assess effect increasing cage angles on postoperative subsidence, sagittal alignment, and foraminal disc height in patients who...