A5060628975- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Orthopaedic implants and arthroplasty
- Bone fractures and treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma and Emergency Care Studies
- Hip disorders and treatments
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Frailty in Older Adults
- Musculoskeletal pain and rehabilitation
- Abdominal Trauma and Injuries
- Knee injuries and reconstruction techniques
- Shoulder and Clavicle Injuries
- Nutrition and Health in Aging
- Orthopedic Surgery and Rehabilitation
- Pediatric Pain Management Techniques
- Shoulder Injury and Treatment
- Vascular Procedures and Complications
- Ultrasound in Clinical Applications
- Spine and Intervertebral Disc Pathology
- Congenital Diaphragmatic Hernia Studies
- Pain Management and Placebo Effect
- Interpreting and Communication in Healthcare
- Scoliosis diagnosis and treatment
University of British Columbia
2014-2024
Vancouver General Hospital
2020-2024
Vancouver Coastal Health
2024
University of Maryland, Baltimore
2019-2024
St. Boniface Hospital
2014
Extremity fractures are common, and most managed operatively; however, despite successful reduction, up to half of patients report persistent post-surgical pain. Furthermore, psychological factors such as stress, distress, anxiety, depression, catastrophizing, fear-avoidance behaviors have been associated with the development chronic The purpose this pilot study was examine feasibility a randomized controlled trial determine effect in-person cognitive behavioral therapy (CBT) vs. usual care...
Outcomes following surgery to operatively manage extremity fractures are variable, and up two-thirds of patients report chronic post-surgical pain. Preliminary evidence suggests that psychotherapy directed at improving coping skills reducing somatic vigilance may improve outcomes among fracture patients. The objective this pilot study was test the feasibility acceptability a randomized controlled trial comparing an online cognitive behavioural therapy (CBT) program versus usual care in with...
Introduction Complex regional pain syndrome (CRPS) is a common complication following distal radius fractures that difficult to diagnose and can lead permanent disability. While various proposed prophylaxis treatment modalities exist, high-quality evidence guiding practice limited. This survey of Orthopaedic Trauma Association (OTA) Canadian (COA) members was conducted with the primary aim assessing patterns in complicated CRPS. Methods An electronic distributed practicing orthopaedic...
Background: This study performed a psychometric analysis assessing and comparing the responsiveness of relevant components generic (Short Form–36 [SF36]), musculoskeletal-specific Musculoskeletal Functional Assessment [SMFA]), foot ankle–specific (Foot Ankle Outcome Score [FAOS]) outcome score when evaluating surgically treated tibial plafond fractures over time. Methods: Fifty-one patients were followed for 12 months after their fracture. Responsiveness, or ability to detect clinical change...
Objectives: The purpose of this study is to compare the reliability and accuracy screw protuberance method (SPM) overlay (OM) for measuring femoral neck shortening on anterior–posterior (AP) radiographs. secondary aim investigate changes in with varying rotation. Methods: Radio-opaque femur sawbone models were fitted either 3 cancellous screws or a sliding hip implant. Anterior–posterior radiographs obtained using C-arm fluoroscopy up 15 mm shaft 30 degrees internal rotation external (ER)....
In 2007, a randomized controlled trial (RCT) by the Canadian Orthopaedic Trauma Society (COTS) demonstrated better functional outcomes and lower proportion of patients who developed malunion or nonunion following operative, compared with nonoperative, treatment midshaft clavicle fractures. The primary aim present study was to compare fractures treated operatively prior publication COTS RCT. An additional exploratory assess whether that were surgery for decreased.This retrospective cohort...
To determine if changes in pelvic trauma care and treatment protocols have affected overall mortality rates after ring injury.
Objectives: To determine whether skin perfusion surrounding tibial plateau and pilon fractures is associated with the Tscherne classification for severity of soft tissue injury. The secondary aim was to if improves from time injury definitive fracture fixation in treated using a staged protocol. Design: Prospective cohort study. Setting: Academic trauma center. Patients: Eight patients 19 who underwent open reduction internal fixation. Main Outcome Measures: Skin (fluorescence units) as...
To evaluate the outcomes of patients with pelvic ring injuries managed resuscitative endovascular balloon occlusion aorta (REBOA).Retrospective case series.Academic, Level 1 trauma center in North America.Twenty-five disruption and hemodynamic instability.Placement a REBOA device as an adjuvant treatment to resuscitation.Death ischemic-related complications.The average age was 43 years (range: 17-85). Patients presented median lactate 6.3 mmol/L, systolic blood pressure 116 mm Hg, heart rate...
<title>Abstract</title> Background Early weight bearing is frequently allowed and encouraged following fixation of hip femoral tibial shaft fractures, while pelvis, acetabulum, lower extremity periarticular fractures are often prescribed 6–12 weeks restricted bearing. Our objective was to perform a feasibility randomized trial immediate versus delayed as tolerated (WBAT) for the distal femur, proximal tibia. Methods A parallel two-arm pilot performed at one academic level I trauma center....
Case: The patient is a 62-year-old man with early tibial baseplate failure involving fracture and subsidence of the posteromedial metal implant, only 3 years after primary total knee replacement. Although this mode frequently observed secondary to polyethylene wear osteolysis, case was likely because suboptimal size positioning lack cortical support that underwent accelerated fatigue, given high activity level patient. Conclusion: This demonstrates rare sequelae inadequate coverage...
Objectives: To compare the volume of embolic load during intramedullary fixation femoral and tibial shaft fractures. Our hypothesis was that nails (IMNs) would be associated with less intravasation marrow than IM nailing femur Design: Prospective observational study. Setting: Urban Level I trauma center. Patients/Participants: Twenty-three patients consented for study: 14 fractures 9 Intervention: All underwent continuous transesophageal echocardiography, evaluated 5 distinct stages:...