A5011189568- Orthopedic Surgery and Rehabilitation
- Anesthesia and Pain Management
- Bone fractures and treatments
- Elbow and Forearm Trauma Treatment
- Shoulder Injury and Treatment
- Knee injuries and reconstruction techniques
- Opioid Use Disorder Treatment
- Pediatric Pain Management Techniques
- Hip disorders and treatments
- Spinal Fractures and Fixation Techniques
- Total Knee Arthroplasty Outcomes
- Scoliosis diagnosis and treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Sports injuries and prevention
- Trauma and Emergency Care Studies
- Surgical Simulation and Training
- Spine and Intervertebral Disc Pathology
- Pain Management and Opioid Use
- Diversity and Career in Medicine
- Hip and Femur Fractures
- Mobile Health and mHealth Applications
- Musculoskeletal pain and rehabilitation
- Orthopaedic implants and arthroplasty
- Veterinary Equine Medical Research
- Veterinary Medicine and Surgery
Thomas Jefferson University
2017-2024
Rothman Institute
2017-2024
Rothman Orthopaedics
2023-2024
Orthopedic Institute
2023
Children's Hospital of Philadelphia
2018-2020
Thomas Jefferson University Hospital
2020
Royal Devon and Exeter Hospital
2020
Primary Source
2019
University of Warwick
2014-2016
Royal Devon & Exeter NHS Foundation Trust
2016
Effective postoperative analgesia remains a priority in orthopaedic surgery, but concerns with regard to opioid diversion and misuse have brought overdue attention improving stewardship. Normative data for pain use are needed guide balance these dual priorities. We aimed characterize an archetypal pediatric procedure: closed reduction percutaneous pinning of supracondylar humeral fracture.Children at single trauma center who underwent fracture were enrolled prospectively followed. Validated...
Abstract The mortality rate of ovarian cancer (OC) remains the highest among female gynecological malignancies. Advanced age is risk factor for OC development and progression, yet little known about role aged tumor microenvironment (TME). We conducted RNA sequencing lipidomic analysis young gonadal adipose tissue from rat xenografts before after formation. rates formation (p=0.047) volume (p=0.002) were significantly higher in rats than their counterparts. seq data showed significant...
Background: Although orthopaedic surgeons have been shown to prescribe excessive amounts of opioid analgesics postoperatively, the degree in which surgical trainees contribute this trend is unknown. The purpose study was compare self-reported opioid-prescribing behavior, factors influencing and perceptions patient utilization disposal between hand trainees. Methods: Attending hand, orthopaedic, plastic surgery programs were invited participate a web-based survey including demographic...
This paper explores differences in how primary care doctors process the clinical presentation of depression by African American and African-Caribbean patients compared with white US UK. The aim is to gain a better understanding possible pathways which racial disparities arise care. One hundred eight described their thought processes after viewing video recorded simulated presenting identical symptoms strongly suggestive depression. These descriptions were analysed using CliniClass system,...
There is a need for improved opioid stewardship in orthopedic surgery through multimodal analgesia strategies. Perioperative administration of ketorolac children undergoing closed reduction and percutaneous pinning (CRPP) displaced supracondylar humerus (SCH) fracture may decrease pain, reduce requirements, hospitalization costs.Retrospective case-control investigation (aged, 1 to 14) treated with CRPP closed, modified Gartland type III extension-type SCH fractures at single children's...
Patient-reported outcome (PRO) instruments measure health status in a variety of domains. With the proliferation mobile phones, delivering PROs across patient-friendly platforms (eg, apps, text messaging) may increase completion rates, particularly among children. The purpose this study was to validate collection common knee sports medicine with messaging by correlating text-messaging responses paper delivery adolescents.Patients presenting hospital-based pediatric orthopaedic clinic injury...
Tibial spine fractures, although relatively rare, account for a substantial proportion of pediatric knee injuries with effusions and can have significant complications. Meyers McKeever type II fractures are displaced anteriorly an intact posterior hinge. Whether this subtype tibial fracture should be treated operatively or nonoperatively remains controversial. Surgical delay is associated increased risk arthrofibrosis; thus, prompt treatment decision making imperative.To assess variability...
Retrospective Cohort Study.To determine if decreased preoperative symptom duration is associated with greater clinical improvement in function and myelopathic symptoms after posterior cervical decompression fusion (PCDF).All patients over age 18 who underwent primary PCDF for myelopathy or myeloradiculopathy at a single institution between 2014 2020 were retrospectively identified. Patient demographics, surgical characteristics, of symptoms, postoperative patient reported outcomes measures...
To determine the impact of doctors’ communication style and doctor–patient race concordance on UK African–Caribbeans’ comfort in disclosing depression. 160 African–Caribbean white British subjects, stratified by gender history depression, participated simulated depression consultations with video-recorded doctors. Doctors were black or race, a high (HPC) low patient-centred (LPC) style, giving full 2 × factorial design. Afterwards, participants rated aspects their treatment preferences Race...
Distal femur physeal fractures are known to have a high incidence of complications. Our previous reported experience (pre-2007) showed 40% complication risk, which prompted changes in our approach. The purpose this study was evaluate and compare the rate outcome after implementation these changes. This is retrospective children with distal treated at level 1 pediatric trauma center between 2007 2016. Patient demographics, fracture patterns, treatment outcomes including complications its risk...
Summary Dentigerous cysts have been described in most domestic species and man. Horses commonly present with a swelling over the temporal region draining tract along proximal pinna. are benign structures, but pose cosmetic problem removed by surgical excision at an early age. This case report describes horse dentigerous cyst that contained 2 easily identifiable dental radiographically grossly resembling permanent tooth its deciduous precursor.
Background: The primary goal in managing early-onset scoliosis (EOS) is delaying/preventing surgical intervention while allowing improved spinal growth and chest wall lung development to improve life expectancy. effectiveness of serial casting for patients with neuromuscular syndromic EOS unclear. Methods: Patients from 2 multicenter registries who underwent nonidiopathic (NIS) were reviewed retrospectively. Comparisons made between precasting postcasting major compensatory curves spine...
To determine whether it was feasible to perform a randomized controlled trial (RCT) comparing arthroscopic hip surgery conservative care in patients with femoroacetabular impingement (FAI). This study had two phases: pre-pilot and pilot RCT. In the pre-pilot, we conducted interviews clinicians who treated FAI their views about an We developed protocols for operative care. RCT, determined rates of patient eligibility, recruitment retention, investigate feasibility protocol established methods...
Government regulations mandate appropriate vehicular restraints for children under 4 years of age. Patients treated infantile developmental dysplasia the hip (DDH) with spica casts often require special accommodations. Previous work suggests that car seat loaner programs may help achieve these goals while avoiding need costly ambulance transportation. The purpose this study was to evaluate our center's experience postdischarge transportation in a large population DDH infants and identify...
Introduction Peripheral nerve blockade (PNB) can be a useful component of multimodal analgesia approach in managing pain after knee arthroscopy. However, the impact PNB and short-term recovery pediatric patients, particularly adolescents, who underwent arthroscopy for anterior cruciate ligament (ACL) reconstruction and/or meniscus surgery (repair or resection) has not been well characterized. This prospective study presents observational data on patient outcomes side effects 72 hours...
Summary In this case report, we describe the clinical features and treatment of a Thoroughbred gelding presented for dysuria caused by rupture penile artery, with subsequent tear to bulbospongiosus muscle corpus spongiosum due suspected blunt force trauma.
Background: Tibial spine fractures (TSFs) are intra-articular avulsion of the intercondylar eminence which tend to afflict younger, skeletally immature patients. Given relatively rare nature these injuries, epidemiology is not well-understood. There have been several estimates reported from single centers, though potential for historical and regional variability in activities risk factors limits generalizability their findings. Thus, aim present investigation was characterize TSFs using...
Thumb basal joint arthroplasty surgery is a common hand after which patients often require opioids. To better understand safe opioid consumption patterns, this study sought to identify risk factors for filling second prescription and/or prolonged use (prescription over 6 months the surgery). Preoperative was hypothesized show an association with greater postoperative use.A retrospective review of consecutive who underwent primary thumb conducted, yielding 110 analysis. Demographic and...