- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Hip disorders and treatments
- Trauma Management and Diagnosis
- Sports injuries and prevention
- Nerve Injury and Rehabilitation
- Tendon Structure and Treatment
- Cardiac Valve Diseases and Treatments
- Cardiac Arrhythmias and Treatments
- Orthopaedic implants and arthroplasty
- Surgical Sutures and Adhesives
- Transplantation: Methods and Outcomes
- Musculoskeletal synovial abnormalities and treatments
- Bone and Joint Diseases
- Orthopedic Surgery and Rehabilitation
- Knee injuries and reconstruction techniques
Dalhousie University
2021-2024
Duke University
2023
McMaster University
2020
Nova Scotia Health Authority
2020
Femoroacetabular impingement (FAI) is a condition known to cause hip pain in young adults.To evaluate the efficacy of surgical correction FAI via arthroscopic osteochondroplasty with or without labral repair compared lavage joint repair.Randomized controlled trial; Level evidence, 1.A total 220 male and female participants aged 18 50 years nonarthritic suitable for treatment were recruited trial at 10 clinical centers Canada, Finland, Denmark between October 2012 November 2017, whom 214...
The primary purpose of this study was to determine the frequency and type complications, including subluxation, infection, hardware complication, graft/glenoid fracture, chondrolysis, neurovascular deficits stiffness following an Arthroscopic Bankart Repair (ABR) or Anatomic Glenoid Reconstruction (AAGR) using a distal tibia allograft for recurrent anterior shoulder instability. Secondary purposes were frank dislocation rate associations post-operative complications with demographic patient factors.
PurposeTo evaluate the outcome of revision rotator cuff bridging reconstruction (BR) as compared to primary BR in a large cohort patients.MethodsA retrospective chart review was conducted for patients who underwent using dermal allograft large/massive tears between 2010 and 2018. Patients completed Western Ontario Rotator Cuff Index (WORC) Disability Arm, Shoulder, Hand (DASH) scores both pre- postoperatively were included. Pre- postoperative magnetic resonance imaging scans assess...
<h3>Background</h3> The purpose of this study was to assess the clinical and radiographic outcomes arthroscopic anatomic glenoid reconstruction (AAGR) used for primary vs. revision surgery addressing anterior shoulder instability with bone loss. <h3>Methods</h3> We performed a retrospective review on consecutive patients who underwent AAGR from 2012 2020. Patients received loss had minimum follow-up 2 years were included. Exclusion criteria included incomplete patient-reported outcome scores...
Background: Despite advances in surgical techniques, the use of maximal repair to treat large or massive rotator cuff tears results a high retear rate postoperatively. Currently, no randomized controlled trials have compared outcomes with interposition dermal allograft bridging reconstruction. Hypothesis: We hypothesized that tendon reconstructed using would better clinical 2 years postoperatively, as measured Western Ontario Rotator Cuff (WORC) index, than those receiving current gold...
Arthroscopic anatomic glenoid reconstruction (AAGR) has been described as a technique used to treat shoulder instability with bone loss. The original screw fixation and more recently, using buttons minimize potential subsequent removal. purpose of this study was compare patient reported outcomes incidence recurrence between the two groups.
Simultaneous bilateral quadriceps tears are rare with fewer than 150 cases reported in the literature and typically occur male patients greater 40 years of age. If left untreated or delayed clinical intervention, these injuries often lead to chronic disability including pain reduced ambulation. Typical treatments include surgical repair considerable post-operative rehabilitation a guarded prognosis. However, given scarcity cases, consensus on standard course treatment remains unclear...
The purpose of this study was to compare the learning curves and radiographic variables between screw suture button fixation allograft for surgeons all-arthroscopic anatomic glenoid reconstruction (AAGR) technique anterior shoulder instability. We compared surgical times these two techniques, as well graft placement in vertical medial-lateral directions.This a retrospective review patients who underwent AAGR recurrent Start end were recorded each procedure, assessed through change operative...
The objective of this study was to conduct a cost-utility analysis osteochondroplasty with or without labral repair compared arthroscopic lavage for femoroacetabular impingement (FAI) from Canadian public payer perspective.
A subset of patients with femoroacetabular impingement (FAI) fail arthroscopic management. It is not clear which will surgical management; however, several and patient factors, such as type procedure age, are thought to be important predictors.This time-to-event analysis a 27-month follow-up compared the effect (1) osteochondroplasty or without labral repair versus (2) lavage on time reoperation in adults aged 18 50 years FAI.Randomized controlled trial; Level evidence, 1.Eligible...
Anterior shoulder instability and its treatment is a quickly evolving field of interest in orthopaedics, both for patients health-care systems. In this study, we aimed to evaluate the cost-effectiveness arthroscopic anatomic glenoid reconstruction (AAGR) compared with Bankart repair anterior subcritical bone loss.A cost-utility analysis was performed from perspective Canada's publicly funded system. A decision-tree model created simulate progression undergoing either primary or AAGR....
Objectives: The Latarjet technique has been the gold standard treatment for glenoid bone loss following anterior shoulder instability due to its low recurrence rate, but other techniques including arthroscopic anatomic reconstruction (AAGR) have shown similar outcomes with fewer complications. requires a subscapularis split or take-down placement of coracoid, which may compromise post-operative quality and strength. AAGR is subscapularis-sparing that obviates need by using far medial...
Objectives: Rotator cuff tears cause pain, muscle weakness, and difficulty with overhead activity. While smaller are easier to repair, large-to-massive (>3 cm in size) considered irreparable. For patients tears, surgical options include maximal superior capsular reconstruction, bridging tendon transfers reverse total shoulder arthroplasty (rTSA). Bridging reconstruction was developed improve outcomes avoid the morbidity associated other technique. also known as graft interposition, has...
Objectives: The purpose of this study was to investigate the relationship between glenoid width and other morphologic parameters using three-dimensional (3D) computed tomography (CT) images native shoulders in hopes generating a formula predict which will have utility planning boney shoulder stabilization surgeries. Methods: 102 were obtained for patients who underwent contralateral reconstruction anterior instability 2012 2020. Demographic data including age, gender BMI. subjects excluded...