A5089221110- Foot and Ankle Surgery
- Orthopedic Surgery and Rehabilitation
- Total Knee Arthroplasty Outcomes
- Shoulder Injury and Treatment
- Knee injuries and reconstruction techniques
- Peripheral Artery Disease Management
- Sports injuries and prevention
- Hip disorders and treatments
- Tendon Structure and Treatment
- Musculoskeletal Disorders and Rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Diabetic Foot Ulcer Assessment and Management
- Hip and Femur Fractures
- Wound Healing and Treatments
- Palliative Care and End-of-Life Issues
- Pressure Ulcer Prevention and Management
- Family Caregiving in Mental Illness
- Pain Management and Treatment
- Myofascial pain diagnosis and treatment
- Cardiac Valve Diseases and Treatments
- Digital Imaging in Medicine
- Bone health and osteoporosis research
- Anesthesia and Pain Management
- Musculoskeletal synovial abnormalities and treatments
- Diagnosis and Treatment of Venous Diseases
St. Michael's Hospital
2017-2024
Colorado School of Public Health
2023
University of Colorado Anschutz Medical Campus
2020-2023
University of Toronto
2022
Unity Health Toronto
2021
Sunnybrook Health Science Centre
2021
Health Sciences Centre
2021
McMaster University
2020
University of Colorado Denver
2020
Alberta Bible College
2018
Parkinson disease and related disorders (PDRD) have consequences for quality of life (QoL) are the 14th leading cause death in United States. Despite growing interest palliative care (PC) persons with PDRD, few studies available supporting its effectiveness.To determine if outpatient PC is associated improvements patient-centered outcomes compared standard among patients PDRD their caregivers.This randomized clinical trial enrolled participants at 3 academic tertiary centers between November...
Femoroacetabular impingement (FAI) is a condition known to cause hip pain in young adults.To evaluate the efficacy of surgical correction FAI via arthroscopic osteochondroplasty with or without labral repair compared lavage joint repair.Randomized controlled trial; Level evidence, 1.A total 220 male and female participants aged 18 50 years nonarthritic suitable for treatment were recruited trial at 10 clinical centers Canada, Finland, Denmark between October 2012 November 2017, whom 214...
Submission Type: Total Ankle Arthroplasty Research Level 3 - Retrospective cohort study, Case-control Meta-analysis of studies Introduction/Purpose: Obesity prevalence continues to increase. Clinical investigating the effects obesity on outcomes following total ankle replacement (TAR) have demonstrated variable and contradictory results. The follow-up in these is less than 5 years they shown opposite values percentage poor revision rates, when compared non-obese cohorts. Longitudinal...
Background: Obese patients have a slightly higher proportion of revision and infection following knee or hip replacement, but functional improvement is equivalent to that normal-weight patients. We compared outcomes total ankle replacement for end-stage arthritis in obese Methods: This retrospective cohort study thirty-nine (those with body mass index ≥30 kg/m2) at mean follow-up time 3.76 years forty-eight non-obese <30 3.92 after replacement. Outcome measure scores (Ankle Osteoarthritis...
Parkinson disease and related disorders (PDRD) are the fastest growing neurodegenerative illness in terms of prevalence mortality. As evidence builds to support palliative care (PC) for PDRD, studies needed guide implementation.
The Integra Cadence total ankle replacement (TAR) is a fourth-generation anatomic, fixed-bearing implant requiring minimal tibial and talar resection, which has been in clinical use since June 2016. primary purpose of this study to assess its short-term radiographic outcomes after TAR using prosthesis.This prospective case series consecutive patients that underwent novel prosthesis between 2016 November 2017. outcome interest was the Ankle Osteoarthritis Scale (AOS). Secondary included Short...
Abstract Background Multiligament knee injuries, though rare, can be profoundly disabling. Surgeons disagree about when to initiate rehabilitation after surgical reconstruction due the conflicting priorities of postoperative stability and motion. Questions/purposes (1) Does early or late initiation physical therapy multiligament surgery result in fewer manipulations? (2) versus compromise postoperatively? (3) improved patient-reported outcomes, as measured by Multi-ligament Quality Life...
Total ankle replacement (TAR) and fusion are effective treatments for end-stage arthritis. Comparative studies elucidate differences in treatment outcomes; however, the literature lacks evidence demonstrating what outcomes important to patients. The purpose of this study was investigate patients' experiences living with both a TAR fusion.This research used qualitative description. Individuals were selected from cohort patients and/or (n = 1254). Eligible English speaking contralateral...
Background: Varus and valgus knee stress radiographs provide valuable information in the pre- postoperative evaluation of joint laxity patients with multiligament injuries (MLKIs). Purpose: To review literature for described techniques quantifying on coronal identify most reliable method. Study Design: Cohort study (diagnosis); Level evidence, 3. Methods: A thorough search using MEDLINE Embase databases identified 4 studies distinct methods objectively measuring varus radiographs:...
Total ankle arthroplasty (TAA) is a surgical procedure commonly reserved for patients suffering from symptomatic end-stage arthritis. As the number of TAAs increases, so does associated economic burden. Given these constraints, there has been interest in feasibility outpatient TAA. The purpose this study to evaluate safety, efficacy, and satisfaction undergoing
Category: Ankle Arthritis Introduction/Purpose: End-stage ankle arthritis (ESAA) is a debilitating disease that does not affect all individuals equally. Gender differences have been identified in patients with end-stage hip and knee stimulated research to explain these findings. The present study was undertaken examine if gender has significant effect on pre-operative disability post- operative outcomes ESAA. Methods: Patients undergoing arthrodesis (AA) or total replacement (TAR) minimum...
Background: Diabetic foot ulcers are associated with significant morbidity and mortality while posing a challenge for healthcare professionals. Offloading is considered the mainstay of treatment. Total contact casting (TCC) widely used but does not effectively offload hindfoot. Some studies suggest that metal stirrup effective at offloading midfoot hindfoot ulcers. The primary purpose this study to compare mechanism TCC cast. Methods: A pilot observational assessing 12 healthy volunteers who...
Category: Ankle Arthritis; Other Introduction/Purpose: This study intended to use plantar pressure analysis obtain supplementary objective outcome assessments of total ankle replacement surgery. Methods: Twenty subjects that were previously consented and booked for replacements participated in the study. Each subject performed a 10 meter walk prior surgery then again at six twelve months post-operative. Plantar pressures measured using Pedar ® (by Novel, Munich, DE) insoles. Six parameters:...
The objective of this study was to conduct a cost-utility analysis osteochondroplasty with or without labral repair compared arthroscopic lavage for femoroacetabular impingement (FAI) from Canadian public payer perspective.
Category: Ankle Arthritis; Introduction/Purpose: The Cadence Total System is unique in that it has modular polyethylene components with both an anterior and posterior biased option may improve reduction of the talus sagittal plane. As such, purpose this study to evaluate effectiveness liners improving component alignment functional outcomes after TAA. Methods: This was a retrospective cohort consecutive patients underwent TAA system using at least 12 months follow-up. Results: Study included...
Category: Ankle Arthritis; Introduction/Purpose: Total ankle replacement (TAR) is increasingly performed on patients across a wide age spectrum, though historically it has been reserved for older (>60). In this study, we seek to determine how influences patient outcomes. Methods: This retrospective, comparative cohort study of consecutive that underwent TAR from 2004-2021. Patients were categorized into three groups: < 55, 56-70, and >70. We evaluated surgical complications...
A subset of patients with femoroacetabular impingement (FAI) fail arthroscopic management. It is not clear which will surgical management; however, several and patient factors, such as type procedure age, are thought to be important predictors.This time-to-event analysis a 27-month follow-up compared the effect (1) osteochondroplasty or without labral repair versus (2) lavage on time reoperation in adults aged 18 50 years FAI.Randomized controlled trial; Level evidence, 1.Eligible...
Objectives: Multiligament knee injuries (MLKI’s) are rare, but life-altering that have significant implications on patients’ functional status, quality of life and return to work sport. While the treatment these is far from standardized, there exists good evidence support operative intervention. Unfortunately no guidelines indicate ideal timing surgery after injury optimize clinical outcomes patient satisfaction. With in mind, aim this study was assess specific following for MKLIs identify...
Category: Ankle, Ankle Arthritis Introduction/Purpose: Over the last few decades, total ankle replacement (TAR) emerged as a reliable treatment option in end-stage osteoarthritis (OA) while preserving motion and physiological load. The Cadence™ prosthesis, manufactured by Integra LifeSciences, is two-component, fixed-bearing implant with minimal tibial talar resection has been clinical use since June 2016. purpose of this study to assess two-year validated outcome scores radiological...
Category: Ankle; Ankle Arthritis Introduction/Purpose: The success of total ankle arthroplasty (TAA) depends on many factors, including patient selection, prosthetic design, soft tissue balancing, severity joint deformity, and component position. Malposition the components increases contact pressures diminishes prosthesis survival / outcomes; therefore, anatomic alignment is desirable. Sagittal malalignment talar common has been associated with lower outcome scores. Cadance Total system...