A5025285132- Bone fractures and treatments
- Hip and Femur Fractures
- Orthopedic Infections and Treatments
- Orthopedic Surgery and Rehabilitation
- Pelvic and Acetabular Injuries
- Surgical site infection prevention
- Disaster Response and Management
- Burn Injury Management and Outcomes
- Anesthesia and Pain Management
- Opioid Use Disorder Treatment
- Medical Malpractice and Liability Issues
- Total Knee Arthroplasty Outcomes
- Muscle and Compartmental Disorders
- Trauma and Emergency Care Studies
- Shoulder Injury and Treatment
- Musculoskeletal Disorders and Rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Musculoskeletal pain and rehabilitation
- Spinal Fractures and Fixation Techniques
- Sports injuries and prevention
- Gun Ownership and Violence Research
- Pain Management and Opioid Use
- Hip disorders and treatments
- Infection Control in Healthcare
- Migration, Health and Trauma
University of Iowa
2015-2024
University of Iowa Hospitals and Clinics
2017-2022
University of Maryland, Baltimore
2019
Acceptance and commitment therapy (ACT) is a pragmatic approach to help individuals decrease avoidable pain.
Background: Postoperative complications and substantial loss of physical function are common after musculoskeletal trauma. We conducted a prospective randomized controlled trial to assess the impact conditionally essential amino acid (CEAA) supplementation on skeletal muscle mass in adults operative fixation acute fractures. Methods: Adults who sustained pelvic extremity fractures that were indicated for at level-I trauma center enrolled. The subjects stratified based injury characteristics...
To identify modifiable and nonmodifiable risk factors for reoperation to promote union after distal femur fracture.Multicenter retrospective cohort study.Ten Level-I trauma centers.Patients with OTA/AO 33A or C fractures (n = 1111).Surgical fixation of fracture. Fixation constructs were classified as lateral plate, dual nail, nail plate combination.The outcome interest was unplanned union.There an 11% (121/1111) rate union. In the multivariate analysis, predictive included body mass index...
To (1) report on clinical, radiographic, and functional outcomes after nail-plate fixation (NPF) of distal femur fractures (2) compare NPF with a propensity matched cohort treated single precontoured lateral locking plates.Multicenter retrospective study.Ten Level 1 trauma centers.Patients OTA/AO 33A or 33C fractures.Fixation retrograde intramedullary nail combined plate (n = 33) alone 867).The main interest were all-cause unplanned reoperation presence varus collapse at final follow-up.One...
To identify risk factors of reoperation to promote union or address deep surgical-site infection (DSSI) in periprosthetic distal femur fractures treated with lateral femoral locking plates (LDFLPs).
To identify potentially modifiable risk factors for deep surgical site infection after distal femur fracture.Multicenter retrospective cohort study.Ten Level-I trauma centers.Patients with OTA/AO 33A or C fractures (n = 1107).Surgical fixation of fracture.The outcome interest was infection.There a 7% rate (79/1107) infection. In the multivariate analysis, predictive included alcohol abuse [odds ratio (OR) 2.36; 95% confidence interval (CI), 1.17-4.46; P 0.01], intra-articular injury (OR...
Abstract Objective: To identify technical factors associated with nonunion after operative treatment lateral locked plating. Design: Retrospective cohort study. Setting: Ten Level 1 trauma centers. Participants: Six hundred fifteen adult patients supracondylar distal femur fractures (OTA/AO Type 33A or C). Intervention: Lateral Main Outcome Measurements: Surgery for nonunion. Results: We observed rates of 2% in a low-risk group (n = 129), 4% medium-risk 333), and 14% high-risk 153). Varus...
To determine trends in arthroscopic-assisted tibial plateau fracture fixation (AATPFF), to evaluate the overall rate of fixation, and compare postoperative complications between AATPFF traditional fixation.A retrospective review patients undergoing was conducted using Humana Inc. administrative database from 2007 2016. A 1:1 propensity match utilized 2 study groups based on age, sex, obesity, diabetes, hypertension, chronic obstructive pulmonary disease, depression or anxiety, smoking...
Abstract Background Gunshot injuries of the extremities are common in United States, especially among people with nonfatal gunshot wounds. Controversy persists regarding proper management for low-energy gunshot-induced fractures, likely stemming from varying reports on likelihood complications. There has yet to be published a study large cohort patients tibia fractures which base our understanding complications after this injury. Questions/purposes (1) What percentage developed...
Background: Pain management following surgical treatment of an ankle fracture is under-studied area clinical practice. The present study evaluated the efficacy a multimodal surgical-site injection as adjunct to postoperative pain in patients with operatively treated, closed, rotational fracture. Methods: Patients indicated for operative fixation were randomized receive (ropivacaine 200 mg, epinephrine 0.6 and morphine 5 mg) or no (control). Visual analog scale (VAS) opioid consumption data...
The anterior intrapelvic approach with a lateral window is gaining popularity for the surgical treatment of fracture patterns acetabulum. Certain and characteristics present challenges when using approaches. This article aims to describe some that may be particularly difficult address or without window.
OBJECTIVES: This study aimed to profile modified Radiographic Union Scale for Tibia (mRUST) scores over time in distal femur fractures treated with intramedullary nails and identify predictors of radiographic union timing delayed progression. METHODS: Design : Multicenter retrospective cohort study. Setting: Ten Level I Trauma Centers. Patient Selection Criteria: The inclusion criteria were patients (OTA/AO 33A 33C) nails, a minimum follow-up one year or until reoperation. exclusion...
Objective: To compare deep infection rate and causative organisms in open fractures of the lower extremity from agricultural trauma with similar injuries nonagricultural trauma. Design: Retrospective. Setting: Two tertiary care institutions. Methods: Open sustained between 2003 2018 caused by agriculture-related adult patients were reviewed. A nonagriculture fracture control group (NAG) was identified for comparison. Patient demographics injury characteristics assessed. Outcomes included...
<sec> <title>BACKGROUND</title> Acceptance and commitment therapy (ACT) is a pragmatic approach to help individuals decrease avoidable pain. </sec> <title>OBJECTIVE</title> This study aims evaluate the effects of ACT delivered via an automated mobile messaging robot on postoperative opioid use patient-reported outcomes (PROs) in patients with orthopedic trauma who underwent operative intervention for their injuries. <title>METHODS</title> Adult presenting level 1 center fixation traumatic...
Sagittal malalignment after intramedullary fixation of proximal third tibial shaft fractures has been described frequently, but almost every reported case involves a procurvatum deformity. We report 2 cases recurvatum deformity where the Synthes EX nail was used. The may have induced by shape nail, with its more distal Herzog curve relative to designs from other manufacturers. In fractures, nails curves induce that is not easily correctable. [Orthopedics. 2023;46(2):e129-e131.].