A5002121731- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Hip disorders and treatments
- Shoulder Injury and Treatment
- Knee injuries and reconstruction techniques
- Dental Education, Practice, Research
- Lower Extremity Biomechanics and Pathologies
- Market Dynamics and Volatility
- Regional Development and Management Studies
- Heterotopic Ossification and Related Conditions
- Emergency and Acute Care Studies
- Real-time simulation and control systems
- Control Systems and Identification
- Advanced Radiotherapy Techniques
- Pelvic and Acetabular Injuries
- Legionella and Acanthamoeba research
- Infectious Diseases and Tuberculosis
- Advances in Oncology and Radiotherapy
- Medical Device Sterilization and Disinfection
- Sports injuries and prevention
- Cellular and Composite Structures
- Osteoarthritis Treatment and Mechanisms
- Bone and Joint Diseases
- Surgical site infection prevention
Duke University
2019-2021
Duke University Hospital
2019
Atrium Health Wake Forest Baptist
2016-2018
United States Bone and Joint Initiative
2018
Clinical Orthopaedics and Related Research
2018
Colorado Joint Replacement
2018
Wake Forest University
2011-2016
Introduction: Hip fractures are common in the elderly patients with an incidence of 320 000 fractures/year United States, representing a health-care cost US$9 to 20 billion. fracture is projected increase dramatically. Hospitals must modify clinical models accommodate this growing burden. Comanagement strategies reported literature, but few have addressed orthopedic-hospitalist models. An comanagement (OHC) service was established at our hospital manage hip patients. We sought determine...
Revision total knee arthroplasty is a costly operation associated with many challenges including bone loss in the distal end of femur and proximal tibia1,2. Reconstruction defects remains difficult problem that may require more extensive reconstruction techniques to restore mechanical stability ensure long-term fixation. Use porous-coated metaphyseal sleeves modern technique address deficiency revision arthroplasty3,4. Midterm reports have shown excellent survivorship osseointegration5-7.The...
Introduction 15%-20% of patients presenting for total hip arthroplasty (THA) have bilateral disease. While simultaneous THA is interest to and surgeons, debate persists regarding its merits. The majority previous reports on involve in the lateral decubitus position, which require repositioning, prepping draping, exposure a fresh wound pressure manipulation contralateral THA. purpose this study was compare complications, component financial parameters versus staged THAs using direct anterior...
The direct anterior approach (DAA) for total hip arthroplasty (THA) has gained recent popularity, with 1 purported benefit being access to intraoperative fluoroscopy. However, there are limited data demonstrating improved component position the use of aim this study is compare radiographic implant positioning on 2 consecutive cohorts patients undergoing DAA THA performed by surgeon either utilizing fluoroscopy or not. We hypothesized that would be no relevant differences between...
Laboratory studies are routinely obtained preoperatively and postoperatively for total hip arthroplasty (THA) knee (TKA). This study evaluates the necessity of routine, perioperative laboratory tests identifies risk factors laboratory-associated interventions.
Posterior compartment knee osteophytes may pose a challenge in achieving soft-tissue balance during total arthroplasty (TKA). Obtaining symmetry of flexion and extension gaps involves both bony structures. We hypothesize that space-occupying posteromedial femoral affect balance.Five cadaveric limbs were acquired. Computed tomography scans obtained to define the osseous contours. Three-dimensionally printed, specimen-specific synthetic posterior fabricated 10-mm 15-mm sizes. TKAs implanted....
Posterior-compartment osteophytes are commonly encountered during TKA. They can limit or prevent terminal extension by tenting the posterior capsule and cause coronal plane imbalance due to of adjacent capsulo-ligamentous structures. Osteophyte removal is a principle TKA soft-tissue balancing [2]. Failure remove an osteophyte may result in unnecessary releases lead additional bone resection. Posterior femoral be difficult because they hard see, surgeons concerned about passing sharp...
With pressures to decrease the financial burden of total hip arthroplasty (THA), it is imperative understand cost drivers this procedure. This study evaluated operative and encounter costs for two surgical approaches THA-posterior (P) direct anterior (DA).
The direct anterior approach (DAA) for total hip arthroplasty (THA) is an increasingly popular surgical with numerous benefits cited in the literature. However, it not without a well-documented "learning curve", during which time potential difficulties can occur. This article outlines authors' technique of performing DAA on standard operating room table, particular attention paid to technical specifics that may be helpful surgeon this operation safely.
Acetabular labral tears are a common cause of hip pain, but specific diagnosis can be difficult due to limitations in current physical examination techniques and radiographic imaging. Pelvic dynamics were captured 18 participants (10 tear patients) who performed single leg squats stance exercises. Comparisons made between the pathologic non-pathologic legs patients controls. The analysis bilateral symmetry showed significant differences most parameters implying unique patient compensatory...
With the increasing popularity of direct anterior approach (DAA) for total hip arthroplasty (THA), it is imperative that surgeons understand anatomy associated with approach. Particular anatomic considerations are reviewed here, particular attention paid to neurological, vascular, muscular, and osseous structures surgeon must be familiar when performing These within context a brief outline steps completing operation.
ABSTRACT This study investigates the relationship of atraumatic, prearthritic hip pain to severity acetabular chondromalacia (CSI) documented at time arthroscopy in a group athletes. Our hypothesis is that duration positively correlated with cartilage damage. Forty-six consecutive patients underwent arthroscopy. The chondral damage was compared symptoms, age, and Wiberg's lateral center edge angle. For cohort male patients, Pearson's correlation coefficient r = 0.43 for age (p 0.049), 0.85...
Common forms of hip disease include labral tears, synovitis, chondromalacia, or femoroacetabular impingement [1, 2]. Most patients with one these medical conditions seek treatment to alleviate the pain. However, in addition pain, dynamic control joint movement may also be impaired. This impairment result from damage proprioceptive organs alterations sensory capability caused by inflammation. Reduced biofeedback can lead a loss that additional injuries due excessive tissue strain falling...