- Spinal Fractures and Fixation Techniques
- Scoliosis diagnosis and treatment
- Spine and Intervertebral Disc Pathology
- Bone Tumor Diagnosis and Treatments
- Sarcoma Diagnosis and Treatment
- Management of metastatic bone disease
- Pelvic and Acetabular Injuries
- Surgical site infection prevention
- Bone fractures and treatments
- Oral and Maxillofacial Pathology
- Medical Imaging and Analysis
- Orthopedic Infections and Treatments
- Shoulder Injury and Treatment
- Tendon Structure and Treatment
- Foot and Ankle Surgery
- Bone Metabolism and Diseases
- Surgical Sutures and Adhesives
- Knee injuries and reconstruction techniques
- Intraoperative Neuromonitoring and Anesthetic Effects
- Airway Management and Intubation Techniques
- Patient Satisfaction in Healthcare
- Suicide and Self-Harm Studies
- Healthcare Policy and Management
- Gastroesophageal reflux and treatments
- Craniofacial Disorders and Treatments
Duke Children's Hospital & Health Center
2022-2024
Duke University Health System
2018-2024
Campbell University
2023
Seattle Children's Hospital
2023
University of Washington
2023
Duke University
2023
Rady Children's Hospital-San Diego
2022
Duke Medical Center
2018-2020
University of Pennsylvania
2017
New York University Langone Orthopedic Hospital
2014-2016
Retrospective review.To determine if adjuvant radiation therapy (RT) improves overall survival (OS) following surgical resection of chordomas.The role RT for the treatment chordomas remains incompletely described. Previous studies have not found to improve OS, but these did group patients based on margin status or dose modality. We used National Cancer Database investigate in resection.Patients were stratified (positive vs. negative). Utilizing Kaplan-Meier method, OS was compared between...
Background: Up to 25% of youth experience a depressive episode by 18 years age, leading the US Preventive Services Task Force recommend depression screening within this population. This study aimed understand prevalence identified pediatric orthopedic clinics compared with primary care after implementation program and present data on moderate-severe across specific clinics, characterizing identifying populations at higher risk. Methods: A retrospective review was performed identify all...
Background: The vascularized free fibula epiphyseal transfer provides an option for the preservation of limb lengthening after resection proximal humerus in pediatric sarcoma patients. purpose this study was to provide a long-term follow-up longitudinal growth patterns and outcomes upper extremity reconstruction. Methods: A retrospective review 4 patients who underwent oncologic osteosarcoma performed. Oncologic details that could affect were included review: primary tumor pathology,...
Background . Although chondrosarcomas (CS) are mostly considered radioresistant, advancements in radiotherapy have brought attention to its use these patients. Using the largest registry of primary bone tumors, National Cancer Database (NCDB), we sought better characterize current CS patients and identify any potential survival benefit with higher radiation doses advanced therapies. Methods We retrospectively analyzed NCDB from 2004 2015 who underwent radiotherapy. The Kaplan–Meier method...
Retrospective.
Growth modulation through anterior vertebral body tethering (AVBT) has emerged as a fusionless option for the treatment of progressive scoliosis. When main thoracic curve, compensatory thoracolumbar/lumbar curve must correct indirectly result. The present study evaluated response these lumbar curves following AVBT curves.Patients who underwent and had minimum follow-up 2 years were included. Magnitudes recorded preoperatively at first-erect 2-year postoperative visits. Lumbar further...
Retrospective study.Previous studies have demonstrated that increased implant density (ID) results in improved coronal deformity correction. However, low-density constructs with strategically placed fixation points may achieve similar The purpose of this study was to identify key zones along the spinal fusion where high ID statistically correlated Our hypothesis within periapical zone would not be associated percent Cobb correction.We identified patients Lenke type 1 curves a minimum 2-year...
Case: Osteopetrosis is a heritable disease that causes brittle bones are prone to fracture. Furthermore, these have poor healing response and high risk of subsequent refracture. Many treatment strategies been described for initial fracture stabilization; however, there paucity literature describing refractures deformity. We present the long-term results unique case in which we used circular external fixator, TAYLOR SPATIAL FRAME (Smith & Nephew), correct deformity patient with...
Retrospective cohort study.The purpose of this study was to compare outcomes between different treatment modalities for metastatic disease with indeterminate instability (Spinal Instability Neoplastic Score [SINS] 7-12).We retrospectively reviewed neurologically intact patients treated spinal a SINS 7 12. The stratified by approach: external beam radiation therapy alone (EBRT), surgery + EBRT (S+E), and cement augmentation (K+E). Kaplan-Meier analysis used assess differences in length...
Glenoid component loosening is a commonly encountered complication of total shoulder replacements. Therefore, focus has been placed on glenoid fixation. Porous metal implants, which promote biological fixation through osteointegration, have provided an uncemented alternative to the traditional cemented implant. In this explantation study, authors examined bone ingrowth and ongrowth specific porous titanium peg. Six explanted polyethylene components with titanium-coated central pegs were...
Scoliosis, a prevalent condition characterized by abnormal spinal curvature leading to deformity, requires precise assessment methods for effective diagnosis and management. The Cobb angle is widely used scoliosis quantification method that measures the degree of between tilted vertebrae. Yet, manual measuring angles time-consuming labor-intensive, fraught with significant interobserver intraobserver variability. To address these challenges lack interpretability found in certain existing...
Objective: Despite guidelines to fuse both thoracic and thoracolumbar/lumbar (TH/L) curves in patients with structural regions, a thoracic-only fusion allows preservation of lumbar motion segments. The purpose this study was assess the 2-year postoperative three-dimensional (3D) radiographic clinical outcomes double or triple major (thoracic >TH/L curves) who underwent fusion. Methods: A prospective adolescent idiopathic scoliosis registry queried for undergoing posterior minimum...
Regeneration of Cartilage Surfaces Injuries to hyaline articular cartilage elicit considerable musculoskeletal morbidity; on arthroscopic examination, these injuries are typically present in nearly 60% knee joints.1 The lack neural innervation and the avascular morphology compromises its ability for self-repair. Current treatments focal defects include microfracture (chondroplasty),2 autologous chondrocyte implantation,3 osteochondral autograft transfer system, mosaicplasty. Microfracture,...
Background: Femoral shaft fractures are common injuries in children 2 to 7 years of age, with treatments ranging from casting flexible intramedullary nails (FIN). Each treatment has unique attributes and outcomes overall similar. Given equivalent outcomes, we hypothesized that a shared decision-making process, using adaptive conjoint analysis (ACA), can be used assess individual family situations determine ultimate choice. Methods: An interactive survey incorporating an ACA exercise elicit...