A5064244520- Bone fractures and treatments
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Pelvic and Acetabular Injuries
- Trauma and Emergency Care Studies
- Orthopedic Infections and Treatments
- Orthopedic Surgery and Rehabilitation
- Orthopaedic implants and arthroplasty
- Global Health Workforce Issues
- Diversity and Career in Medicine
- Elbow and Forearm Trauma Treatment
- Total Knee Arthroplasty Outcomes
- Shoulder Injury and Treatment
- Pregnancy-related medical research
- Influenza Virus Research Studies
- Anesthesia and Pain Management
- Foot and Ankle Surgery
- Global Health and Surgery
- Surgical site infection prevention
- Venous Thromboembolism Diagnosis and Management
- Musculoskeletal Disorders and Rehabilitation
- Hemodynamic Monitoring and Therapy
- Medical Education and Admissions
- Trauma Management and Diagnosis
- Diabetic Foot Ulcer Assessment and Management
University of Wisconsin–Madison
2015-2024
UW Health University Hospital
2016-2024
University of Wisconsin System
2020
Creative Commons
2019
Sheffield Teaching Hospitals NHS Foundation Trust
2005-2018
Vanderbilt University
2015-2017
Vanderbilt Health
2017
Highland Community College - Illinois
2016
The Orthopaedic Institute
2015
Northern General Hospital
2015
To report on the immediate postoperative alignment of distal tibia fractures (within 5 cm tibial plafond) treated with suprapatellar intramedullary nail (IMN) insertion compared infrapatellar technique. Primary outcomes include both anteroposterior and lateral radiographic views.Retrospective cohort study.Two urban level I trauma centers.A total 266 skeletally mature patients a fracture were an IMN. One hundred thirty-two underwent this procedure through technique.Intramedullary...
Background: Biomechanical studies suggest that augmenting anterior fixation of the pelvic ring with posterior increases stability. Prior clinical have assessed radiographic outcomes following plate symphysis. However, to our knowledge, none directly compared and alone such addition percutaneous screw in treatment a partially disrupted hemipelvis. We attempted determine whether use an symphyseal is adequate control sagittal coronal plane rotation prevent malunion anteroposterior compression...
In this study, we sought to retrospectively evaluate union and infection rates after treatment of distal femur nonunions using a combined nail/plate construct with autogenous bone grafting obtained from the ipsilateral reamer irrigator aspirator system. Ten (10) patients treated at Level I trauma center for nonunion femoral fracture 2004 2014 were included in study. Union rate postoperative recorded. Mean interval index surgery repair was 12 months (range 4-36 months). Follow-up 24 indicated...
OBJECTIVE: To determine whether intrawound vancomycin changes the bacteriology of surgical site infection pathogens and investigate emergence antibiotic-resistant pathogens. METHODS: Design: Secondary analysis phase III, prospective, randomized clinical trial. Setting: Thirty-six US trauma centers. Patient Selection Criteria: Patients who became infected after fixation tibial plateau or pilon fracture. Outcome Measures Comparisons: Pathogen types bacterial susceptibilities as determined from...
Abstract Open fracture management is a common challenge to orthopaedic trauma surgeons and burdensome condition the patient, health care, entire society. Fracture-related infection (FRI) leading morbid complication avoid during open because it leads sepsis, nonunion, limb loss, overall very poor region-specific general functional outcomes. This review, based on symposium presented at 2022 OTA International Trauma Care Forum, provides practical evidence-based summary key strategies prevent...
To identify the negative predictive value of examination under anesthesia (EUA) for determining pelvic ring stability and union without further displacement.Retrospective cohort study.Two academic Level 1 trauma centers.Thirty-four adult patients with closed injuries treated over a 5-year period.Pelvic stress EUA.Pelvic displacement at final follow-up.Thirty-four who underwent EUA during study period had (indicating stable pelvis) were identified. Mean age was 38 years (range 16-76), 19...
(1) To determine the infection rate after fixation of open tibial shaft fractures using Surgical Implant Generation Network (SIGN) intramedullary nail in low- and middle-income countries (LMICs) (2) to identify risk factors for infection.Prospective cohort study an international online database.Multiple hospitals LMICs worldwide.A total 1061 tibia treated with SIGN between March 2000 February 2013.Intravenous antibiotic administration, surgical debridement, definitive nailing within 14 days...
Deep venous thrombosis (DVT) and pulmonary embolism (PE) are recognized as major causes of morbidity mortality in orthopaedic trauma patients. Despite the high incidence these complications following trauma, there is a paucity literature investigating clinical risk factors for DVT this specific population. As our healthcare system increasingly emphasizes quality measures, it critical surgeons to understand that increase trauma.Utilizing ACS-NSQIP database, we sought determine identify...
As our healthcare system moves toward bundling payments, orthopaedic trauma surgeons will be increasingly benchmarked on perioperative complications. We therefore sought to determine financial risks under bundled payments by identifying adverse event rates for (1) patients compared with general and (2) based anatomic region (3) identify patient factors associated complications.Prospective.Multicenter.A total of 146,773 (22,361 trauma) from 2005 2011 NSQIP data were identified.Minor major...
Objective: To compare the mortality rate between geriatric patients with hip fracture treated nonoperatively and a matched cohort operatively. Design: Retrospective Observational Matched Cohort Study. Setting: Academic Level 1 Trauma Center. Patients: Geriatric who sustained femoral neck intertrochanteric/peritrochanteric fractures, excluding isolated greater trochanteric fractures. All older than 65 years fractures over 10-year period were identified. Operative at 2:1 ratio, when possible,...
Abstract Objectives Clinical pharmacist practice is well established in the safe and effective use of medicines critically ill patient. In UK, independent prescribers are generally recognised as a valuable desirable resource. However, currently, there only anecdotal reports pharmacist-independent prescribing critical care. The aim this questionnaire was to determine current proposed future UK clinical pharmacists working adult Methods distributed electronically Pharmacy Association members...
To evaluate the effectiveness of Surgical Implant Generation Network (SIGN) intramedullary (IM) nail in distal tibial metaphyseal fractures.Retrospective Case Series.Three Level I trauma centers 3 different developing countries from 2009 to 2013.One hundred sixty patients with 162 fractures (AO/OTA 43-A).SIGN IM nailing was performed using hand reaming and without use an image intensifier.The primary outcome measures were rate union complications. The secondary effect open on outcomes,...
Purpose The purpose of this study was to compare complication rates following inpatient versus outpatient distal radius fracture ORIF and identify specific complications that occur at increased among inpatients. Methods Using the 2005-2013 ACS-NSQIP, we collected patient demographics, comorbidities, surgical characteristics, 30-day postoperative isolated fractures. A propensity score matched design using an 8-to-1 "greedy" matching algorithm in a 1:4 ratio inpatients outpatients utilized....
Cross-sectional study.To determine which factors spine surgery fellowship program directors (PDs) consider most important when ranking applicants.Spine is a popular orthopedic subspecialty. As such, the match process highly competitive. Surveys of PDs in sports medicine and hand have demonstrated differing opinions regarding considered applicants. The to not been evaluated.A web-based questionnaire was sent all fellowships participating San Francisco (SF) Match Program. questions were...
Globally, the burden of musculoskeletal conditions continues to rise, disproportionately affecting low and middle-income countries (LMICs). The ability meet these orthopaedic surgical care demands remains a challenge. To help address issues, many surgeons seek opportunities provide humanitarian assistance populations in need. While global initiatives are well-intentioned can offer short-term benefits local communities, it is essential emphasize training integration surgeon-leaders....