A5016661801- Bone fractures and treatments
- Hip and Femur Fractures
- Trauma and Emergency Care Studies
- Global Health and Surgery
- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Global Health Workforce Issues
- Shoulder Injury and Treatment
- Diversity and Career in Medicine
- Orthopedic Infections and Treatments
- Pelvic and Acetabular Injuries
- Shoulder and Clavicle Injuries
- Sports injuries and prevention
- Hip disorders and treatments
- Surgical site infection prevention
- Lower Extremity Biomechanics and Pathologies
- Mechanical Circulatory Support Devices
- Abdominal Trauma and Injuries
- Health and Wellbeing Research
- Traumatic Brain Injury Research
- Knee injuries and reconstruction techniques
- Prenatal Screening and Diagnostics
- Artificial Intelligence in Healthcare and Education
- Prosthetics and Rehabilitation Robotics
- Orthopedic Surgery and Rehabilitation
University of Minnesota
2021-2024
Gillette Children's Specialty Healthcare
2024
University of California, San Francisco
2019-2023
University of Minnesota Medical Center
2020-2023
Regions Hospital
2023
Western Michigan University
2018-2021
Wyss Foundation
2020
Doris Duke Charitable Foundation
2020
Committee on Publication Ethics
2020
Clinical Orthopaedics and Related Research
2020
Background: Open tibial fractures are common injuries in low and middle-income countries, but there is no consensus regarding treatment with intramedullary nailing versus external fixation. The purpose of the present study was to compare outcomes initial or fixation adults open fractures. Methods: We conducted a randomized clinical trial (RCT) at tertiary orthopaedic center Tanzania. Adults acute diaphyseal were randomly assigned statically locked, hand-reamed uniplanar primary outcome death...
Background: Open tibial shaft fractures are an important source of disability in Latin America. High-income countries (HICs) worldwide have established standardized treatment protocols for open fractures, but less is known about their middle-income (MICs) This survey American orthopaedic surgeons characterizes fracture patterns. Methods: Orthopaedic from 20 national societies throughout America completed online assessing fractures. Demographic information was collected. Treatment patterns...
High-energy pelvic ring injuries are associated with significant morbidity and mortality, elevating the importance of injury pattern identification. The purpose this study was to use a novel 3D computed tomography (CT) unfolding process both evaluate high-energy injures produce frequency maps based on patterns.Patients 18-65 years age presenting level 1 trauma center between 2016 2020 were identified. Of 482 patients reviewed, 355 excluded primarily due having low energy mechanism,...
In the United States, female and minority representation in field of orthopaedic surgery remains low, there are few reports regarding society leadership composition, selection criteria, academic participation. We aimed to determine demographic composition national societies report participation metrics leadership.This was a mixed-methods study using surveys publicly available data from for 2020 2021 year. Twenty-four websites were queried their transparency information, including sex,...
Minimum clinically important difference (MCID) values are commonly used to measure treatment success for total knee arthroplasty (TKA). MCID vary according calculation methodology, and prior studies have shown that patient factors associated with failure achieve thresholds. The purpose of this study was determine if anchor-based 1-year Knee Injury Osteoarthritis Outcome Score Joint Replacement (KOOS-JR) varied among patients undergoing TKA based on patient-specific factors.
BACKGROUND: Pitch count and rest time guidelines are widely employed in youth baseball to mitigate injury risk among pitchers. Similar recommendations lacking softball, despite evidence of potential overuse injuries from the underhand windmill pitching motion. This disparity regulation may heighten susceptibility. Additionally, composition collegiate softball rosters differs significantly, with teams typically featuring fewer discrepancy lead increased demands for individual pitchers,...
Background: Managing lower extremity fractures complicated by large soft-tissue defects is challenging for surgeons in low- and middle-income countries, long-term quality of life (QOL) these patients unclear. Methods: We examined QOL, surgical complications, longitudinal outcomes 10 with Gustilo-Anderson Classification Type IIIB open tibia seen at an orthopedic institute Tanzania, from December 2015 to March 2017. Patients completed follow-up 2-, 6-, 12-, 26-, 52-week time points, returned...
Appropriate management of soft tissue injury associated with orthopedic trauma is challenging in low- and middle-income countries (LMICs) due to the lack available reconstructive surgeons. The Surgical Management Reconstructive Training (SMART) course teaches surgeons techniques aimed at improving management. This study aims identify additional barriers implementing these for LMICs who have attended SMART courses.This a mixed-methods including Likert-scale-based survey administered 150 from...
Predict loss to follow-up in prospective clinical investigations of lower extremity fracture surgery.Secondary analysis 2 trials.National public orthopaedic and neurologic trauma tertiary referral hospital Dar es Salaam, Tanzania, a low-income country sub-Saharan Africa.Three hundred twenty-nine femoral shaft 240 open tibial patients prospectively enrolled controlled trials surgical management by external fixation, plating, or intramedullary nailing between June 2015 March 2017.Telephone...
Abstract Background Treatment of diaphyseal open tibia fractures often results in reoperation and impaired quality life. Few studies, particularly resource-limited settings, have described factors associated with outcomes after these fractures. Questions/purposes (1) Which patient demographic, perioperative, treatment characteristics are an increased risk intramedullary nailing or external fixation device Tanzania? (2) worse 1-year life Methods A prospective study was completed parallel to a...
Introduction: Interest in clinical rotations low- and middle-income countries (LMICs) has grown among high-income country (HIC) orthopaedic residents. This study addresses the following questions: (1) What motivates HIC surgical residents to rotate LMICs? (2) is impact of on residents? (3) are LMIC partner perceptions collaboration? Materials Methods: A search strategy multiple databases returned 3,740 unique articles pertaining resident motivations for participating LMICs or host...
To determine the total cost for a 30-day episode of care high-energy tibial plateau fractures and aspects associated with cost.Time-driven activity-based costing analysis.One Level 1 adult trauma center.One hundred twenty-one patients isolated, bicondylar undergoing staged treatment were reviewed.Total cost.A 85 included most sustained Schatzker VI (n = 66, 77%). All treated biplanar external fixation before definitive fixation. A 26 (31%) discharged to skilled nursing facilities, 37 (43%)...
Background: Femoral shaft fractures in children are common low and middle income countries. In high-income countries, patient age, fracture pattern, associated injuries, child/family socioeconomic status, surgeon preference dictate management. There is limited literature on treatment patterns for pediatric femur resource-limited settings. This study surveys surgeons from (LIC), lower-middle (LMIC), upper-middle (UMIC) countries regarding fractures. Methods: Surgeons completed an electronic...
Introduction Total knee arthroplasty (TKA) is the preferred treatment for end-stage osteoarthritis. Minimal clinical important difference (MCID) quantifies if a patient achieves successful outcome following TKA. This study aims to determine MCID Knee Injury Osteoarthritis Outcome Score Joint Replacement (KOOS JR) at two designated time intervals and compare methodologies calculating MCID. Methods Patient-Reported Measures (PROM) were prospectively evaluated 956 patients undergoing TKA...
Introduction Total hip arthroplasty (THA) results in outstanding outcomes and long-term implant survivorship, but there continues to be a need for tools identify surgical candidates assist with shared decision-making. This study aims determine the Hip Osteoarthritis Outcome Score Joint Replacement (HOOS JR) Minimum Clinical Important Difference (MCID) at two time intervals evaluate different methods calculating HOOS JR MCID patients undergoing THA. Methods A patient reported outcome measure...
An increasing number of traumatic injuries in low- and low-middle-income countries (LICs/LMICs) have coexisting requiring soft-tissue coverage (flaps). Yet, there is a lack subspecialty care flap training Latin America. This study assesses the effectiveness surgical skills course improving rotational free knowledge identifies barriers to performing these types flaps.Participants attending Guadalajara, Mexico completed pre/postcourse flaps survey consisting 15 questions from plastic surgery...
Abstract The minimum clinically important difference (MCID) of an orthopaedic outcome measure is commonly used to assess treatment success including for patients undergoing total hip arthroplasty (THA). Various patient factors may contribute MCID values in THA. purpose this study was calculate the 1-year Hip Disability and Osteoarthritis Outcome Score Joint Replacement (HOOS-JR) based on evaluate if there were any differences between each cohort's MCID. A patient-reported (PROM) database...
Gollop-Wolfgang Complex (GWC) includes congenital absence of the tibia with ipsilateral distal femur bifurcation associated hand/foot ectrodactyly. A 20-month-old male presented GWC, including left bifid tibial hemimelia and absent extensor mechanism, hypoplastic bilateral thumbs, right foot tarsal-type preaxial polydactyly. Left through-knee amputation preserving growth contralateral polydactyly reconstruction were performed. Complications wound infection dehiscence successfully treated....
Category: Ankle, Hindfoot, Trauma Introduction/Purpose: Adult acquired flat foot deformity (AAFD) is responsible for numerous adult and ankle deformities, spring ligament damage has been implicated in the pathology of AAFD. Treatment AAFD may involve attempts to address incompetency, preoperative knowledge integrity would be valuable planning such procedures. To our knowledge, there have no correlate radiographs with direct intraoperative evaluation competency. This study aims examine...
To determine the international reliability and validity of modified Radiographic Union Scale for Tibial fracture (mRUST) scoring method open tibial shaft fractures based on ratings radiographs by separate groups North American Tanzanian surgeons.Seven 9 surgeons viewed 100 pairs AP lateral obtained in Dar Es Salaam, Tanzania. The showed 25 patients' at 4 time points postfracture after treatment with either external fixation or intramedullary nailing. Surgeons evaluated each using mRUST...