A5016926638- Bone fractures and treatments
- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Orthopedic Infections and Treatments
- Disaster Response and Management
- Trauma and Emergency Care Studies
- Orthopaedic implants and arthroplasty
- Orthopedic Surgery and Rehabilitation
- Musculoskeletal Disorders and Rehabilitation
- Hip disorders and treatments
- Spinal Fractures and Fixation Techniques
- Surgical site infection prevention
- Cardiac, Anesthesia and Surgical Outcomes
- Wound Healing and Treatments
- Foot and Ankle Surgery
- Injury Epidemiology and Prevention
- Diversity and Career in Medicine
- Antimicrobial agents and applications
- Total Knee Arthroplasty Outcomes
- Surgical Sutures and Adhesives
- Cardiac Arrest and Resuscitation
- Knee injuries and reconstruction techniques
- Spine and Intervertebral Disc Pathology
- Global Health and Surgery
- Trauma, Hemostasis, Coagulopathy, Resuscitation
Brown University
2014-2024
Rhode Island Hospital
2012-2024
Dell Children's Medical Center of Central Texas
2023
Providence College
2013-2022
Island Institute
2019
Orthopaedic Trauma Association
1999-2018
American College of Surgeons
1999-2018
American Academy of Orthopaedic Surgeons
2012-2018
Stryker (United States)
2014-2018
Illumina (United States)
2014-2018
Background Because the quality of information on Internet is dubious worth, many patients seek out reliable expert sources. As per American Medical Association (AMA) and National Institutes Health (NIH) recommendations, readability patient education materials should not exceed a sixth-grade reading level. The average skill U.S. adults at eighth-grade Objectives This study evaluates whether recognized source content, for Surgery Trauma (AAST) website's materials, recommended guidelines...
Abstract Background Informed consent is a pillar of ethical medicine which requires patients to fully comprehend relevant issues including the risks, benefits, and alternatives an intervention. Given average reading skill US adults at 8th grade level, American Medical Association (AMA) National Institutes Health (NIH) recommend patient information materials should not exceed 6th level. We hypothesized that text provided in invasive procedure forms would recommended readability guidelines for...
Study Design. An in vitro biomechanical study of cervical spine interbody fusion cages using a sheep model was conducted. Objectives. To evaluate the effects cages, and to compare three different cage design groups. Summary Background Data. Recently, there has been rapid increase use as an adjunct spondylodesis. These can be classified into groups: screw, box, or cylinder designs. Although several comparative studies lumbar are available, data for constructs lacking. Additionally, only...
The identification of unstable cervical spine injury (UCSI) in blunt high-energy transfer (BHETI) patients is critical to management. In a prospective study BHETI identified be at high risk for UCSI, the use lateral view (LCV), three-view series (FCS), and limited computerized tomography (CT) initial evaluation these was analyzed. Thirteen 204 sustained UCSI. Sensitivity LCV alone 0.85 predictive value negative test 0.97. were maximized by FCS combined with CT when plain X-rays inadequate....
Summary: Initial experience at a Level I Trauma Center with the use of retrograde supracondylar intramedullary (IM) nail for treatment and supracondylar-intercondylar intraarticular fractures distal femur is presented. Thirty-eight patients 41 complex were treated this newly developed IM rod. These included 22 open 19 closed fractures. Four nonunions occurred, but all progressed to union after revision internal fixation bone grafting. Two five delayed unions required fixation. screw renewal...
Sarcopenia is a condition of clinically relevant loss muscle mass and function. Acetabular fractures in elderly patients are common difficult to treat. This study aimed determine if sarcopenia with acetabular correlates lower-energy mechanisms injury, higher rates complications, mortality than normal mass.The Rhode Island Hospital Trauma Database was queried for who were ≥60 years age from 2005 2014 using the International Classification Diseases, Ninth Revision, code closed fracture, 808.0....
Intertrochanteric hip fractures pose a significant challenge for the orthopaedic community as optimal surgical treatment continues to be debated. Currently, varus collapse with lag screw cutout is most common mode of failure. Multiple factors contribute cutout. From technique perspective, tip apex distance less than 25 mm has been suggested decrease risk We hypothesized that low-center position in femoral head, greater will provide equal, if not superior, biomechanical stability compared...
Femoral and tibial shaft fractures are common injuries in the United States. Since their introduction, reamed intramedullary nails have become treatment of choice for most these fractures. However, delayed union nonunion can complicate up to 10% patients. Removal interlocking screws, or dynamization, promote fracture healing cases nonunion. The efficacy nail dynamization has been reported range from 19% 82%. This study was conducted evaluate identify factors associated with its success...
Seventy-nine open patella fractures in 76 patients were treated between 1986 through 1994, with an 80% incidence of multiple injuries. All irrigation and debridement, reduction, internal fixation, reconstruction the extensor mechanism. In no case was a primary patellectomy performed, even severe comminution. There three failures initial fixation one asymptomatic nonunion. Average range motion for all groups 112 degrees, at average follow-up 21 months. Secondary surgical procedures performed...
Delay in diagnosis of musculoskeletal injury multiply injured patients may potentially lead to functional or cosmetic disability survivors. In an 18-month prospective study determine the incidence and spectrum delayed recognition skeletal at our Level I trauma center, 39 fractures was made 26 1,006 consecutive blunt patients. The delay ranged from 1–91 days. Twenty-one (55%) were not X-rayed time admission, but nine (23%) clearly visible on admission films. Four (10%) missed because...
Abstract Despite continued improvement in the methods and devices used to treat intertrochanteric fractures, there remains an unacceptable amount of failures. The cut‐out rate for hip screws has been recorded up 8.3%. To evaluate migration different implants under physiological loads, a multiplanar biomechanical test method was developed, first incorporate simulation human gait cycle by oscillating flexion/extension movement device. new compare screw blade designs with respect their...
Although numerous authors have described surgical experiences following major disasters, little is known regarding the needs of and barriers to care faced by surgeons during such disasters.We therefore (1) identified compared recurrent interview themes essential disaster response 2010 Haiti earthquake; (2) determined difference in reported equipment management task difficulty between disaster-trained untrained volunteers; (3) approximated quantity various procedures performed.We conducted 14...
Military, governmental, and civilian agencies routinely respond to disasters around the world, including large-scale mass casualty events such as earthquake in Pakistan 2005, Hurricane Katrina United States Haiti 2010. Potential exists for improved coordination of medical response between military sectors creation a planned practiced interface. Disaster preparedness could be enhanced with more robust disaster education responders; database precredentialed, precertified specialists;...
Objectives: To compare the static and dynamic mechanical properties of a modified crossed cannulated screw (CS) configuration, inverted triangle (IT) compression hip (CHS) with derotation in Pauwels type III femoral neck fractures. Methods: Thirty synthetic femora were divided into 3 groups, vertical osteotomies made. Ten osteotomized fixed CS 10 parallel screws an IT remaining CHS construct. All groups tested using cyclic (up to 15,000 load cycles) axial loading protocol, survivors...
The 2 main forms of treatment for distal femur fractures are locked lateral plating and retrograde nailing. goal this trial was to determine whether there significant differences in outcomes between these treatment. Multicenter randomized controlled trial. Twenty academic trauma centers. One hundred sixty patients with were enrolled. twenty-six followed 12 months. Patients 62 cases intramedullary nailing 64 cases. Lateral or Functional scoring including Short Musculoskeletal Assessment,...