A5087517100- Bone fractures and treatments
- Spinal Fractures and Fixation Techniques
- Orthopedic Infections and Treatments
- Scoliosis diagnosis and treatment
- Hip disorders and treatments
- Hip and Femur Fractures
- Orthopedic Surgery and Rehabilitation
- Elbow and Forearm Trauma Treatment
- Spine and Intervertebral Disc Pathology
- Pelvic and Acetabular Injuries
- Shoulder Injury and Treatment
- Orthopaedic implants and arthroplasty
- Musculoskeletal Disorders and Rehabilitation
- Streptococcal Infections and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Infectious Diseases and Tuberculosis
- Trauma and Emergency Care Studies
- Hematological disorders and diagnostics
- Traumatic Brain Injury and Neurovascular Disturbances
- Injury Epidemiology and Prevention
- Knee injuries and reconstruction techniques
- Total Knee Arthroplasty Outcomes
- Blood transfusion and management
- Shoulder and Clavicle Injuries
- Child and Adolescent Health
Orthopedic One
2025
Vanderbilt University Medical Center
2015-2024
Monroe Carell Jr. Children's Hospital
2014-2023
Vanderbilt University
2008-2021
Pediatrics and Genetics
2018-2021
Pain and Rehabilitation Medicine
2018
Creative Commons
2017
Neurological Surgery
2017
Adult and Pediatric Dermatology
2016
Orthopedic Institute
2015
Background: Long-term studies have indicated good outcomes for most patients with Legg-Calvé-Perthes disease. However, clinical experience suggests that less favorable are common. We sought to prospectively document pain and function in a cohort of adults who had previously been treated nonoperatively Methods: Patients our region disease were enrolled between 1984 1991 as part multicenter prospective trial hip range-of-motion exercises or bracing. returned physical examination, radiographs,...
Retrospective cohort analysis.To establish if drain levels exceed the minimum inhibitory concentrations for common pathogens (methicillin-resistant Staphylococcus aureus, methicillin-sensitive and Propionibacterium acnes-2 μg/mL; epidermidis, Enterococcus faecalis-4 μg/mL). Evaluate safety of topical vancomycin in pediatric patients undergoing spinal deformity surgery determine postoperative serum approach toxicity (25 μg/mL).The application powder has decreased wound infections...
Flexible intramedullary nailing (IMN) has become a popular technique for the management of unstable or open forearm fractures. Recent publications have suggested an increased incidence delayed union and poor outcomes in older children adolescents. The objective this study was to review fractures treated with IMN, comparing rate complications between 2 age groups. Our hypothesis that IMN is effective similar both groups.An Institutional Review Board-approved retrospective conducted pediatric...
Herman, Martin J. MD; Brown, Kristin O. MS; Sponseller, Paul D. Phillips, Jonathan H. Petrucelli, Philip M. Parikh, Darshan BS; Mody, Kush S. Leonard, Julie C. MD, MPH; Moront, Matthew Brockmeyer, Douglas L. Anderson, Richard C.E. Alder, Adam John T. Bernstein, Robert Booth, Timothy N. Braga, Bruno P. Cahill, Patrick Joglar, Jeanne Martus, Jeffrey E. Nesiama, Jo-Ann Pahys, Joshua Rathjen, Karl Riccio, Anthony I. Schulz, Jacob F. Stans, A. Shah, Manish Warner, William Jr. Yaszay, Burt MD...
The choice of upper-instrumented vertebrae (UIV) for posterior spinal fusion (PSF) constructs is influenced by guidelines where UIV T4 or more cephalad. In a cohort patients with adolescent idiopathic scoliosis (AIS) thoracic curves, we sought to (a) compare postoperative shoulder balance T5-T6 versus T2-T4 and (b) evaluate curve operative characteristics that lead caudal UIV. A single-institution AIS registry was queried undergoing PSF from 2000 2017. Included were AIS, Lenke 1 2 minimum...
Background: The yield of synovial fluid cultures in patients meeting clinical criteria for septic hip arthritis remains low. In the presence positive blood cultures, these are diagnosed and treated as “presumed arthritis.” We hypothesized that some may instead have an extra-articular infection, such pericapsular pyomyositis. Methods: An IRB-approved prospective study children with suspected at a tertiary care children’s hospital over 2-year time period was conducted. Children were evaluated...
Background: Flexible intramedullary nailing (IMN) is a valuable tool in the treatment of femoral fractures school-age children, whereas spica cast immobilization has been standard care for younger children. We compared these modalities group preschool-age children (four to five years age). Methods: A retrospective cohort consecutive patients, four age, with an isolated, complete shaft or subtrochanteric fracture treated early and followed until fracture-healing were identified from two...
Slipped capital femoral epiphysis (SCFE) is strongly associated with childhood obesity, yet the prevalence of obesity orders magnitude greater than SCFE. Therefore, it hypothesized that not, by itself, a sufficient condition for SCFE, but rather one component multifactorial process requiring preexisting physeal pathology. Leptin elevation seen to varying degrees in patients and as leptin has been shown cause pathology similar changes we propose may be factor distinguishing between SCFE...
The purpose of this study was to compare hemiepiphysiodesis implants for late-onset tibia vara and evaluate patient characteristics that may predict surgical failure.This is a retrospective review patients treated with temporary from 1998 2012. Mechanical axis deviation (MAD), mechanical angle, lateral distal femoral medial proximal tibial angle were measured on standing bone length radiographs. Surgical failure defined as residual deformity requiring osteotomy, revision surgery, or MAD...
Background: Musculoskeletal infections (MSKIs) are a common cause of pediatric hospitalization. Children affected by MSKI have highly variable hospital courses, which seem to depend on infection severity. Early stratification severity would therefore help maximize resource utilization and improve patient care. Currently, MSKIs classified according primary diagnoses such as osteomyelitis, pyomyositis, etc. These diagnoses, however, do not often occur in isolation may differ widely On the...
Immediate spica casting for pediatric femur fractures is well described as a standard treatment in the literature. The purpose of this study to evaluate application cast emergency department (ED) versus operating room (OR) with regard quality reduction, complications, and hospital charges at an academic institution.An institutional review board-approved retrospective identified 100 children aged 6 months 5 years between January 2003 October 2008 isolated fracture treated hip cast. Patients...
Background: Debate exists over the safety of rigid intramedullary nailing femoral shaft fractures in skeletally immature patients. The goal this study was to describe functional outcomes and complication rates pediatric Methods: A retrospective review performed patients treated with trochanteric from 1987 2009. Radiographs made at initial injury, immediately postoperatively, latest follow-up were reviewed. Patients administered Nonarthritic Hip Score a survey. Results: population 241 246...
Introduction: Musculoskeletal infection (MSI) is a common cause of morbidity and hospital resource utilization in the pediatric population. Many physicians prefer to withhold antibiotics until tissue cultures can be taken an effort improve culture yields. However, there little evidence that this practice improves results or outcomes MSI. Therefore, investigating effects antibiotic timing may lead improved clinical guidelines for treating children with Methods: An IRB-approved retrospective...
Displaced pediatric supracondylar humeral fractures (SCHFs) are stabilized after reduction by smooth pins. Although some SCHFs biomechanically stable lateral-only entry pinning (lateral pinning), an additional medial pin (cross-pinning) confers superior stabilization in SCHFs. There is a recognized risk of iatrogenic ulnar nerve injury with pinning. The best existing evidence has estimated rate approximately 3.4% cross-pinning. In similar studies, the (all nerves) lateral at 1.9%. This study...
Background: The accessory anterolateral talar facet may be associated with talocalcaneal impingement in the painful flatfoot. We performed an anatomic study to identify this and its osteologic features. Methods: Within Hamann-Todd Human Osteological Collection, seventy-nine paired tali calcanei were identified among forty-three skeletons from individuals who had average age of 13.4 years at time death. Each specimen was surveyed for facet, a calcaneal neck anterior extension dorsal beak,...
Objective: There are currently no algorithms for early stratification of pediatric musculoskeletal infection (MSKI) severity that applicable to all types tissue involvement. In this study, the authors sought develop a clinical prediction algorithm accurately stratifies based on and laboratory data at presentation emergency department. Methods: An IRB-approved retrospective review was conducted identify patients aged 0 18 who presented department tertiary care children’s hospital with concern...
The rate of venous thromboembolism in children with musculoskeletal infections (MSKIs) is markedly elevated compared hospitalized general. Predictive biomarkers to identify high-risk patients are needed prevent the significant morbidity and rare mortality associated thrombotic complications. We hypothesize that overactivation acute phase response development pathologic thrombi we aim determine whether elevations C-reactive protein (CRP) increased rates thrombosis pediatric MSKI.A...
Background: Treatment outcomes and risk factors for neurological deficits in pediatric patients with an os odontoideum are unclear. Methods: We reviewed the data 102 children who were managed at 11 centers between 2000 2016 had a minimum duration of follow-up 2 years. Thirty-one nonoperative treatment, 71 underwent instrumented posterior cervical spinal arthrodesis treatment C1-C2 instability. Nonoperative consisted observation (n = 29) or immobilization collar 1) halo body jacket 1)....
The purpose of this study was to determine if routine use an intraoperative internal rotation stress test (IRST) for type 3 supracondylar humerus fractures will safely improve maintenance reduction.An protocol adopted at our institution, consisting fracture reduction, placement 2 laterally based divergent pins, and then IRST the need additional fixation with a medial column pin placed through small open approach. Fractures treated prospective were compared retrospective cohort before...