A5046541093- Bone fractures and treatments
- Hip and Femur Fractures
- Trauma and Emergency Care Studies
- Pelvic and Acetabular Injuries
- Orthopedic Surgery and Rehabilitation
- Global Health and Surgery
- Cardiac, Anesthesia and Surgical Outcomes
- Orthopaedic implants and arthroplasty
- Musculoskeletal Disorders and Rehabilitation
- Total Knee Arthroplasty Outcomes
- Sports injuries and prevention
- Shoulder Injury and Treatment
- Knee injuries and reconstruction techniques
- Orthopedic Infections and Treatments
- Elbow and Forearm Trauma Treatment
- Reconstructive Surgery and Microvascular Techniques
- Heterotopic Ossification and Related Conditions
- Shoulder and Clavicle Injuries
- Bone health and osteoporosis research
- Spinal Fractures and Fixation Techniques
- Foot and Ankle Surgery
- Global Health Workforce Issues
- Hip disorders and treatments
- Diversity and Career in Medicine
- Abdominal Trauma and Injuries
University of British Columbia
2009-2022
Orthopaedic Trauma Association
2017
Vancouver General Hospital
1990-2014
Vancouver Hospital and Health Sciences Centre
1996-2005
Edinburgh Royal Infirmary
1997-2000
Health Sciences Centre
2000
Marymount University
2000
Royal Columbian Hospital
2000
Ninety-one patients who had ninety-four open fractures of the tibial shaft were randomized into two treatment groups. Fifty (nine type-I, eighteen type-II, sixteen type-IIIA, and seven type-IIIB fractures, according to classification Gustilo et al.) treated with nailing after reaming, forty-four (five nineteen four fractures) without reaming. The average diameter nail was 11.5 millimeters (range, nine fourteen millimeters) in group reaming 9.2 eight ten reaming.Follow-up information adequate...
To evaluate the effectiveness of use iliosacral screw fixation in management vertically unstable pelvis.Retrospective analysis with clinical follow-up patients to assess functional outcome.Thirty-eight pelvic fractures were treated using fixation. Anterior was by means plating sixteen pelves and external fifteen pelves. Four had no anterior Complications recorded radiographs analyzed classify identify misplacement malunion. Twenty-six a evaluation.Five (13 percent) suffered pulmonary embolus...
One hundred and fifty-two patients who had 154 closed fractures of the shaft tibia were prospectively randomized to management with interlocking intramedullary nailing either or without reaming. Thirteen been treatment reaming switched group that because technical reasons; these excluded from analysis results. An additional five lost follow-up. Thus, seventy-two (seventy-three fractures) managed sixty-three (sixty-three available for follow-up at an average twelve months (range, three...
Between 1983 and 1989, forty-one open fractures of the tibial shaft were treated with débridement provisional external fixation, followed by delayed soft-tissue closure subsequent intramedullary nailing reaming. The average duration fixation was seventeen days (range, six to fifty-two days). time between removal fixator nine zero twenty-four Of thirty-nine patients who had adequate follow-up, two (5 per cent) subsequently a deep infection. Both infections healed, retention nail without...
We conducted a study to evaluate the long-term functional outcomes of patients with an isolated tibial shaft fracture treated locked intramedullary nailing.Prospective cohort and retrospective clinical radiographic assessment.A level 1 trauma tertiary referral center.We identified 250 eligible tibia fractures from Center's prospectively enrolled orthopaedic database between 1987 1992. A total 56 agreed participate. had median follow-up 14 years, range 12 17 years.All were initially acutely...
The optimal treatment for pilon fractures remains controversial. We have used early single-stage open reduction and internal fixation (ORIF) to treat these injuries the purpose of this study was determine safety efficacy strategy.Cohort study.Level I trauma center.Ninety-five patients with Orthopaedic Trauma Association type 43.C fractures.Primary ORIF.Primary: Wound dehiscence or deep infection requiring surgery; secondary: quality fracture reduction, functional outcomes (SF-36 Foot Ankle...
A prospective, randomized clinical trial in 304 orthopaedic trauma patients with hip and pelvic fractures was conducted to investigated the effectiveness of pneumatic sequential leg compression devices (PSLCDs) for prevention thromboembolic disease. The control group received no specific form prophylaxis. Patients were followed by venous Doppler, duplex can, ventilation perfusion lung scans. study end-point documented pulmonary embolism and/or deep vein thrombosis. incidence a event 11%...
Objectives To assess the outcomes of surgical management "isolated" displaced lateral malleolar fractures, comparing techniques plating and antiglide as described previously. Design This is a retrospective review, being largely surgeon-randomized comparative study. Setting The study was carried out at university teaching hospital that serves provincial trauma referral service provides local community care. senior surgeons are all orthopaedic subspecialists. Patients A total 193 patients...
<h3>Background:</h3> Patients with tibial plateau fractures are believed to have an increased risk for posttraumatic arthritis that may require reconstructive surgery. The incidence of this problem is, however, unknown. We sought determine the average 10-year necessitating surgery following tibia fractures. <h3>Methods:</h3> used data from our orthopedic trauma database identify patients operatively treated Their cases were cross-referenced province's administrative health and tracked over...
One hundred twelve open tibial fractures were treated by reamed interlocking nailing in 108 patients. There 31 (28%) Grade I fractures, 38 (34%) II, 23 IIIA (21%), and 20 (18%) IIIB fractures. Early amputation was performed 2 (10%) for severe crushing injuries. Compartment syndrome complicated 8 (7%) Mean time to union 29 weeks 32 34 IIIA, 39 IIIB. Nonunion 9 (8%) fractures: 1 (3%) fracture, (5%) II 3 (13%) (17%) Deep infection 4 (11%) Reamed locking intramedullary is a safe effective...
The literature on pelvic ring disruptions is based largely nonstandardized and nonvalidated radiographic outcomes. A thorough review of the revealed only 3 described methods for measuring displacement 1 frequently used grading system displacement. We aimed to test reliability these previously published measurement system.Five separate observers measured standardized pre- postoperative anteroposterior, inlet, outlet views 25 patients with surgically treated Tile B C fractures. readers their...
To determine the 20 most cited articles and authors in Journal of Orthopaedic Trauma during first years publication, 1987 to 2007.Review.We used Web Science "cited reference search" originating from 2007, publication. The characteristics each article were recorded. Next, we manually searched author's citations for works same time period authors. number authorships author was then determined using Medline, a relative citation impact ratio calculated. Finally, reports journal overall created...
Reamed intramedullary nailing was carried out on R57 Gustilo grade-IIIB tibial fractures in 55 patients. After debridement, there substantial bone loss 28 (49%). The mean time to union 43 weeks (14 94). When no loss, the 32 weeks; it 45 if loss. Fractures complicated by infection took a of 53 heal. Revision necessary 13 (23%) and grafting 15 (26%). In ten (17.5%) developed, four within six injury more than months later. Of these, nine were treated successfully, but one patient required an...
The optimal treatment protocol for bicondylar plateau fractures remains controversial. Contrary to popular practice which favors a staged in many high-energy fracture patterns, we have used early single-stage open reduction and internal fixation (ORIF) treat these injuries whenever possible. purpose of this study was determine the complication rate functional radiographic outcomes strategy.Retrospective cohort prospective data collection.Level I trauma center.One hundred one patients with...
To compare unreamed intramedullary nailing versus external fixation for the treatment of Gustilo-Anderson type II and IIIA open tibial fractures admitted to a hospital in rural Uganda.Randomized clinical trial.Regional referral Uganda.Fifty-five skeletally mature patients with or tibia shaft fracture treated within 24 hours injury between May 2016 December 2019.Unreamed (n = 31) 24).The primary outcome was function 12 months injury, measured using Function IndeX Trauma (FIX-IT) score....
Background: The purpose of this study was to determine the socioeconomic implications isolated tibial and femoral fractures caused by road traffic injuries in Uganda. Methods: This prospective longitudinal included adult patients who were admitted Uganda’s national referral hospital with an or fracture. primary outcome time recovery following injury. We assessed using 4 domains: income, employment status, health-related quality life (HRQoL) recovery, school attendance patients’ dependents....
Summary: We conducted a prospective, randomized study on 84 consecutive patients with 88 acute, traumatic femoral shaft fractures using 32 Grosse-Kempf nails, 29 Russell-Taylor and 27 Synthes nails. Although total operative times proximal distal locking were similar for the three groups, procedure was faster nail. Three could not be locked At first follow-up, we found no significant difference in terms of pain, limp, range motion, or time to union; however, removed fewer nails resolve...
The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) has been extensively evaluated in groups of patients with osteoarthritis, yet not a femoral neck fracture. This study aimed to determine the reliability, construct validity, responsiveness WOMAC compared Short Form-12 (SF-12) EuroQol 5D (EQ-5D) questionnaires for assessment elderly fracture.Reliability was tested by assessing Cronbach alpha. Construct validity determined Pearson correlation coefficient. Change scores...
To review the results of surgical management heterotopic ossification about elbow in burned patients.Retrospective analysis with long-term patient follow-up.Eleven patients 16 elbows requiring surgery were admitted between January 1, 1982 and December 31, 1993. A posterior approach to release encased ulnar nerve +/- anterior transposition transolecranon osteotomy access extensive bone formation olecranon fossa was employed. Eight (11 elbows) available for follow-up conducted at mean 50 13...