A5063618149- Bone fractures and treatments
- Hip and Femur Fractures
- Shoulder Injury and Treatment
- Orthopedic Surgery and Rehabilitation
- Orthopaedic implants and arthroplasty
- Pelvic and Acetabular Injuries
- Orthopedic Infections and Treatments
- Opioid Use Disorder Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Muscle and Compartmental Disorders
- Hip disorders and treatments
- Trauma and Emergency Care Studies
- Hernia repair and management
- Elbow and Forearm Trauma Treatment
- Foot and Ankle Surgery
- Cardiac Arrest and Resuscitation
- Abdominal Surgery and Complications
- Surgical site infection prevention
- Anesthesia and Pain Management
- Shoulder and Clavicle Injuries
- Musculoskeletal pain and rehabilitation
- Bariatric Surgery and Outcomes
- Cultural Competency in Health Care
- Injury Epidemiology and Prevention
- Peripheral Nerve Disorders
Vanderbilt University Medical Center
2015-2024
University of California, San Diego
2019-2021
The Orthopaedic Institute
2017
Vanderbilt Health
2016
Vanderbilt University
2016
Objectives Fracture is a common injury after traumatic event. The efficacy and safety of non-steroidal anti-inflammatory drugs (NSAIDs) to treat acute pain related fractures not well established. Methods Clinically relevant questions were determined regarding NSAID use in the setting trauma-induced with clearly defined patient populations, interventions, comparisons appropriately selected outcomes (PICO). These centered around (pain control, reduction opioid use) (non-union, kidney injury)....
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: The purpose of this retrospective study was to identify opioid prescribing practices, determine the number morphine milliequivalents (MMEs) prescribed by orthopaedic/nonorthopaedic members narcotic naive and previously exposed patients, provide recommendations. Methods: Patients older than 18 years with an isolated femur fracture sustained between 2013 2015 were identified using CPT code 27506. Prescribing information obtained from State Controlled Substance Monitoring Database....
Objectives: The goal of this study was to describe current opinions orthopaedic trauma experts regarding acute compartment syndrome (ACS). Design: Web-based survey. Participants: Active Orthopaedic Trauma Association (OTA) members. Methods: A 25-item web-based questionnaire advertised active members the OTA. Using a cross-sectional survey design, we evaluated perceived importance ACS, as well preferences in diagnosis and treatment. Results: One hundred thirty-nine 596 OTA (23%) completed ACS...
Objective: This retrospective study aimed at identifying opiate prescribing practices, the number of morphine milligram equivalents (MMEs) prescribed by orthopaedic and nonorthopaedic providers in patients with operatively treated isolated lower extremity fractures, provide recommendations. Methods: Patients older than 18 years (unicondylar, bicondylar, tibial shaft, pilon, ankle) fractures between 2005 2016 were identified. Prescribing information was obtained from State Controlled...
Hemiarthroplasty is a common treatment for femoral neck fractures in the elderly population. The main complications are periprosthetic dislocation and infection, which potentially impact morbidity quality of life may contribute to mortality. This procedure can be technically demanding, adequate closure capsule soft tissue cannot emphasized enough. One advantage bipolar prosthesis that it easily converted total hip arthroplasty without replacing component with approximately same complication...
Intramedullary nailing is the most popular and widely used method for treating tibial shaft fractures. involves minimal surgical dissection, allowing preservation of blood supply by not disrupting soft tissue around fracture. The procedure performed with following steps: (1) patient positioned supine on radiolucent operating table a bump under ipsilateral hip; (2) 4 to 6-cm longitudinal incision made 2 cm directly proximal superior pole patella; (3) quadriceps tendon sharply incised at its...
1Vanderbilt University Medical Center, 1215 21st Avenue South, MCE South Tower, Suite 4200, Nashville, TN 37232 aE-mail address for W. Obremskey: [email protected]
Open reduction and internal fixation (ORIF) via the deltopectoral approach is gold standard for operatively treated proximal humeral fractures when joint preservation desired. Indications include an unacceptable deformity, need stability early mobilization, osteoporotic bone. (1) A 12 to 14-cm incision made in groove. The fracture reduced. (2) Pins tension sutures are placed provisional fixation. (3) locking plate with unicortical screws metaphysis of part humerus bicortical shaft. (4)...
Summary 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. 10 patients treated at Level I Trauma Center for nonunion femoral fracture from 2004 2014 were included in the study. Union rate postoperative recorded.10 underwent femur. Mean interval index surgery repair was 12 months (range 4-36 months). All achieved an average 3.9 2.3-8 months) initial...