- Hip disorders and treatments
- Bone fractures and treatments
- Orthopaedic implants and arthroplasty
- Hip and Femur Fractures
- Orthopedic Infections and Treatments
- Shoulder Injury and Treatment
- Neurogenetic and Muscular Disorders Research
- Cardiac, Anesthesia and Surgical Outcomes
- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Shoulder and Clavicle Injuries
- Foot and Ankle Surgery
- Orthopedic Surgery and Rehabilitation
- Cerebral Palsy and Movement Disorders
- Pelvic and Acetabular Injuries
- Sports injuries and prevention
- Bladder and Urothelial Cancer Treatments
- Tendon Structure and Treatment
- Musculoskeletal Disorders and Rehabilitation
- Cardiac Valve Diseases and Treatments
- Lower Extremity Biomechanics and Pathologies
- Social Media in Health Education
- Trauma and Emergency Care Studies
- Elbow and Forearm Trauma Treatment
- COVID-19 and healthcare impacts
Lurie Children's Hospital
2010-2022
Northwestern University
2011-2020
Manipal Academy of Higher Education
2019
Kasturba Medical College, Manipal
2019
Children's Hospital of Philadelphia
2019
Hospital for Sick Children
2007
Case Western Reserve University
1999-2007
Rainbow Babies & Children's Hospital
2007
University Hospitals of Cleveland
2007
Scoliosis is a spinal deformity consisting of lateral curvature and rotation the vertebrae. The causes scoliosis vary are classified broadly as congenital, neuromuscular, syndrome-related, idiopathic due to secondary reasons. majority cases encountered by general practitioner will be idiopathic. natural history relates etiology age at presentation, usually dictates treatment. However, it patient's history, physical examination radiographs that critical in initial evaluation scoliosis,...
This is a retrospective cohort study comparing the effectiveness of thoracolumbosacral orthosis (TLSO) and Providence in treatment adolescent idiopathic scoliosis (AIS) using new Scoliosis Research Society (SRS) Committee on Bracing Nonoperative Management inclusion assessment criteria for bracing studies. These will make future studies comparable more valid accurate.We have used custom TLSO (duration, 22 hours/day) 8-10 hours/night) to control progressive AIS curves. Only 83 160 patients...
Clubfeet are associated with many neuromuscular and congenital conditions. Nonidiopathic clubfeet typically thought to be resistant nonoperative management. The Ponseti method has revolutionized the treatment of patients idiopathic clubfeet. purpose this study was describe use in whose a diagnosis or syndrome.All who were treated at Hospital for Sick Children, Toronto, from 2001 2005 reviewed. Patients included only if condition syndrome could identified primary our institution. Twenty-three...
Spina bifida (SB) patients afflicted with myelomeningocele typically possess a neurogenic urinary bladder and exhibit varying degrees of dysfunction. Although surgical intervention in the form enterocystoplasty is current standard care which to remedy bladder, it still stop-gap measure associated many complications due use bowel as source replacement tissue. Contemporary tissue engineering strategies lack ability reform smooth muscle, vasculature, promote peripheral nerve growth when using...
Background: The optimal management of femoral fractures in adolescents is controversial. This study was performed to compare the results and complications four methods fixation determine factors related those complications. Methods: We conducted a retrospective cohort 194 diaphyseal 189 children treated with elastic stable intramedullary nail fixation, external rigid or plate fixation. After adjustment for age, weight, energy injury, polytrauma, fracture level pattern, extent comminution,...
The Ponseti method of clubfoot management requires a period bracing in order to maintain correction. This study compared the effectiveness ankle foot orthoses and Denis Browne boots bar prevention recurrence following successful initial management. Between 2001 2003, 45 children (69 feet) with idiopathic clubfeet achieved full correction casting or without tenotomy, whom 17 (30 clubfeet) were braced an orthosis while 28 (39 prescribed bar. groups similar age, gender, number casts tenotomy...
Background: The absence of a reliable classification system for Legg-Calvé-Perthes disease has contributed to difficulty in establishing consistent management strategies and interpreting outcome studies. purpose this study was assess interobserver intraobserver reliability the modified Waldenström among large diverse group pediatric orthopaedic surgeons. Methods: Twenty surgeons independently completed first two rounds staging: assessments forty deidentified radiographs patients with various...
Study Design. Posterolateral spinal fusion with autologous bone marrow aspirate in addition to autograft iliac crest graft a rabbit model. Objective. To demonstrate that the of can have positive effects on formation and fusion. Summary Background Data. Bone has been shown contain osteoprogenitor cells. A number studies demonstrated is possible injection into orthotopic sites such as performed femur fracture models. Methods. paucity model posterolateral spine was developed. The control...
Background: Increasingly, the Ponseti method has been adopted worldwide as preferred of managing idiopathic clubfoot deformity. Following successful implementation by orthopaedic surgeons in our institution, a clinic was established 2003. This is directed physiotherapist who, using protocol, performs serial cast treatment and supervises brace management all children with The purpose this study to compare outcomes physiotherapist-directed surgeon-directed clubfeet. Methods: We performed...
Background: Investigation into the role of vitamin D in fractures pediatric population has been limited despite estimates that as many 70% American children have inadequate levels (measured 25-hydroxyvitamin D, 25(OH)D). The purpose this study was to evaluate D’s fracture risk by comparing 25(OH)D between fractured and nonfractured cohorts. Methods: A 12-month prospective case-control completed aged 2 14 years an urban, academic hospital. Sixty requiring conscious sedation or general...
Developmental dysplasia of the hip is effectively treated with a Pavlik harness (PH) within first 6 months life. Over 80% unstable hips in newborn period will naturally stabilize by 2 age. If there no difference effectiveness initiating PH treatment at 1 week compared 4 weeks age, waiting may allow to and avoid treatment. The purpose this study evaluate whether timing implementation influences its developmental hip.A retrospective review was conducted between 2004 2010. Patients were...
Background: There is a need to provide more efficient surgical training methods for orthopaedic residents. E-learning could possibly increase resident preparedness, confidence, and comfort surgery. Using closed reduction pinning of pediatric supracondylar humeral fractures as the index case, we hypothesized that e-learning knowledge acquisition case preparation in operating room. Methods: An module was created on Computer Enhanced Visual Learning platform. The provides detailed focused road...
Treatment of pediatric type I open fractures is controversial. Centers have reported good success with emergency room (ER) treatment low-energy (type I) fractures. The purpose this study was to ascertain the preferences orthopaedic surgeons for We hypothesize that will different protocols and preferred location these injuries.A questionnaire given Pediatric Orthopaedic Society North America (POSNA) members at 2012 annual meeting. Demographic questions inquired about surgeon's practice...
Patient-reported outcomes (PRO) assessing health-related quality of life (HRQoL) are important outcome measures, especially in Legg-Calvé-Perthes disease (LCPD) where symptoms (pain and limping), activity restrictions, treatments vary depending on the stage disease. The purpose this study was to investigate validity Outcomes Measurement Information System (PROMIS) for measuring HRQoL patients with LCPD various stages disease.This is a multicenter study. Patients between 4 18 years old were...
Tibial spine fractures, although relatively rare, account for a substantial proportion of pediatric knee injuries with effusions and can have significant complications. Meyers McKeever type II fractures are displaced anteriorly an intact posterior hinge. Whether this subtype tibial fracture should be treated operatively or nonoperatively remains controversial. Surgical delay is associated increased risk arthrofibrosis; thus, prompt treatment decision making imperative.To assess variability...
Background: Distal radius fractures (DRFs) are the most common pediatric orthopaedic fracture, of which 20% displaced injuries. Displaced metaphyseal DRFs often treated with sedated or anesthetized reduction. The necessity reduction treatment to achieve good clinical outcomes is unclear. purpose this investigation was determine preferences for among surgeons and whether they were uncertain enough in their decisions randomize treatment. Methods: Twenty-eight DRF scenarios children aged 3 10...
There is limited information on the presentation and management of upper extremity septic arthritis (UESA) in children. Our purpose was to report characteristics short-term treatment outcomes pediatric UESA from a multicenter database.