A5103017702- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Hip disorders and treatments
- Blood transfusion and management
- Knee injuries and reconstruction techniques
- Sports injuries and prevention
- Venous Thromboembolism Diagnosis and Management
- Pelvic and Acetabular Injuries
- Shoulder Injury and Treatment
- Foot and Ankle Surgery
- Hip and Femur Fractures
- Diabetic Foot Ulcer Assessment and Management
- Intravenous Infusion Technology and Safety
- Shoulder and Clavicle Injuries
- Bone fractures and treatments
- Lower Extremity Biomechanics and Pathologies
- Forensic Toxicology and Drug Analysis
- Cardiomyopathy and Myosin Studies
- Medical Imaging and Analysis
- Medical Practices and Rehabilitation
- History and Cultural Heritage
- Voice and Speech Disorders
- Tuberculosis Research and Epidemiology
- Pancasila Values in Education
Carilion Clinic
2015-2024
Virginia Tech
2011-2023
University of Otago
2018
Orthopaedic Center
1994-2010
University of Virginia
1997-2002
Carilion Roanoke Memorial Hospital
2001
Neurological Surgery
1997
Orthopedic Center
1997
University of Virginia Medical Center
1986-1988
The COVID-19 global pandemic has upended nearly every medical discipline, dramatically impacted patient care and had far-reaching effects on surgeon education. In many areas of the country, elective orthopedic surgery completely stopped to ensure that resources are available for critically ill minimize spread disease. is forcing around world re-evaluate existing processes organizations adapt carry out business, which medicine education not immune. Most national international conferences,...
The coronavirus disease 2019 (COVID-19) pandemic caused major transitions in total joint arthroplasty (TJA), notably with the increased utilization of same-day discharge (SDD) pathways. This study assessed effect accelerated pathways following resumption elective cases during COVID-19 on SDD rates, adverse events, and characteristics associated successful hip knee arthroplasty.This retrospective split patients into cohorts: TJA prior to (pre-COVID, July 2019-December 2019) surgeries...
The purpose of this review is to examine the validity positive claims regarding direct anterior approach (DAA) with a fracture table for total hip arthroplasty.Recent literature DAA was searched and specific investigated including improved early outcomes, speed recovery, component placement, dislocation rates, complication rates.Recent effects arthroplasty approach.While data not definitive at present, patients receiving tend recover more quickly have outcomes.Component placement often in...
Newer generation cementless total knee arthroplasty (TKA) implants continue to develop with demonstrated clinical success in multiple recent reports. The purpose of this study was investigate (1) survivorship, (2) complications, and (3) outcomes a newer highly porous titanium-coated base plate manufactured using three-dimensional (3D) printing technology. We reviewed single-surgeon, longitudinally maintained database patients who underwent primary TKA cementless, from July 1, 2013 December...
BackgroundThere is now a clear trend with increased usage of cementless femoral stems for all ages and most patients. As the number total hip arthroplasties (THAs) performed annually continues to increase expanding indications THA demands improved quality life, so will prevalence in elderly aging populations. This worrisome as risk complications increases patients those poor bone quality. The purpose this study analyze available data from comparative studies determine whether are overused...
In general, the literature makes numerous positive claims regarding direct anterior approach with a fracture table for total hip arthroplasty (THA), including quicker recovery and return to unassisted ambulation, along reduced soft tissue damage, surgery time, pain, risk of dislocation early elimination precautions. The benefits are mostly due from muscle preservation rather than splitting, which occurs more traditional approaches. With use muscle-preserving THA, there is less damage earlier...
Hop tests are widely used to quantify recovery from anterior cruciate ligament reconstruction (ACLR) surgery. However, there is evidence that simply measuring hop distance may not be indicative of the quality movement or representative potential limitations in hopping mechanics, particularly during landing. The first purpose present study was compare and loading symmetry between ACLR athletes healthy uninjured recreational athletes. second determine association symmetry.Twenty-five patients...
Aims Use of the direct anterior approach (DAA) for total hip arthroplasty (THA) has increased in recent years due to proposed benefits, including a lower risk dislocation and improved early functional recovery. This study investigates rate non-selective, consecutive cohort undergoing THA via DAA without any exclusion or bias patient selection based on habitus, deformity, age, sex, fixation method. Methods We retrospectively reviewed all patients between 2011 2017 at our institution. Primary...
➤ The primary means of femoral fixation in North America is cementless, and its use increasing worldwide, despite registry data recent studies showing a higher risk periprosthetic fracture early revision elderly patients managed with such than those who have cemented fixation. Cemented stems excellent long-term outcomes continued role, particularly patients. Contrary to historical concerns, not shown an increased death choice method should be determined by the patient’s age, comorbidities,...
Background: It has often been hospital policy to send all resected specimens obtained during a total hip or knee arthroplasty for histological evaluation. This practice is expensive and may be unnecessary. We sought determine the ability of surgeons diagnose primary joint conditions correctly, we attempted identify any possible risks patient resulting from omission routine evaluation at surgeon's discretion. Our objective was ascertain whether could safely omitted protocol without...