A5045949999- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Bone fractures and treatments
- Orthopedic Surgery and Rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Orthopedic Infections and Treatments
- Shoulder Injury and Treatment
- Trauma and Emergency Care Studies
- Anesthesia and Pain Management
- Musculoskeletal Disorders and Rehabilitation
- Trauma Management and Diagnosis
- Shoulder and Clavicle Injuries
- Elbow and Forearm Trauma Treatment
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Pregnancy-related medical research
- Surgical site infection prevention
- Bone health and osteoporosis research
- Foot and Ankle Surgery
- Musculoskeletal pain and rehabilitation
- Healthcare Policy and Management
- Spine and Intervertebral Disc Pathology
- Clinical practice guidelines implementation
- Traumatic Ocular and Foreign Body Injuries
- Respiratory Support and Mechanisms
Regions Hospital
2013-2024
University of Minnesota Medical Center
2020-2024
University of Minnesota
2015-2024
Jackson Memorial Hospital
2021
Mayo Clinic in Arizona
2021
Island Institute
2011
Despite the widespread use of systemic antibiotics to prevent infections in surgically treated patients with fracture, high rates surgical site infection persist.To examine effect intrawound vancomycin powder reducing deep infections.This open-label randomized clinical trial enrolled adult an operatively tibial plateau or pilon fracture who met criteria for a risk from January 1, 2015, through June 30, 2017, 12 months follow-up (final assessments completed April 2018) at 36 US trauma...
<h3>Importance</h3> Distal radius fractures (DRFs) are common injuries among older adults and can result in substantial disability. Current evidence regarding long-term outcomes is scarce. <h3>Objective</h3> To compare across treatment groups at 24 months with DRFs who participated the WRIST trial. <h3>Design, Setting, Participants</h3> The Wrist Radius Injury Surgical Trial (WRIST) randomized, international, multicenter trial was conducted from April 1, 2012, through December 31, 2016....
Background Generally, scapula process fractures (coracoid and acromion) have been treated nonoperatively with favorable outcome, the exception of widely displaced fractures. Very little has published, however, regarding operative management such literature that is available involves very few patients. Our hypothesis was treatment acromion coracoid a safe effective yields surgical results.Methods We reviewed 26 consecutive patients (27 fractures) between 1998 2007. Operative indications for...
Due to the need for medical optimization and congested operating room schedules, surgical repair is often performed at night. Studies have shown that work done night increases complications. The primary aim of our study compare rates complications 30-day mortality between 2 times day, daytime group (DTG, 07:00-15:59) nighttime (NTG, 16:00-06:59).Retrospective chart review from 2005 through 2010.Level 1 Trauma Center.1443 patients with hip fracture, age ≥50 years isolated injury treatment...
To use surgical treatment of isolated ankle fractures as a model to compare time-driven activity-based costing (TDABC) and our institution's traditional cost accounting (TCA) method measure true expenditure around specific episode care.Level I trauma center treated between 2012 2016 were identified through registry. Inclusion criteria age greater than 18 years same-day fracture operation. Exclusion pilon fractures, vascular injuries, soft-tissue coverage, external fixation. Time for each...
Purpose: The purpose of our study was to investigate carpal tunnel release (CTR) performed in the clinic versus ambulatory surgery center (ASC) evaluate for potential cost savings. Methods: Patients who underwent either CTR under a local anesthetic or ASC with sedation and were prospectively enrolled registry between 2014 2016. All patients completed Visual Analog Scale (VAS) pain scale procedural postprocedure pain. Time-Driven Activity-Based Costing (TDABC) utilized quantify both ASC....
Background: Historically, minimally to moderately displaced clavicular fractures have been managed nonoperatively. However, there is no clear evidence on whether can progressively displace following injury and such displacement might influence decisions for surgery. Methods: We retrospectively reviewed data 56 patients who received operative treatment at our institution from February 2002 2007 identified those were initially nonoperatively based radiographic evaluation (<2 cm displacement)...
Abstract Objective: To compare the capture rates and costs of paper patient-reported outcomes (pPRO) administered in-clinic electronic PROs (ePRO) collected through emails texts. Design: Retrospective review. Setting: Level 1 trauma center. Patients/Participants: The pPRO program enrolled 2164 patients for postsurgical follow-up in 4 fracture types: ankle, distal radius, proximal humerus, implant removal from 2012 to 2017. ePRO 3096 13 types 2018 2020. Among program, 1296 were matched...
Background: Initial treatment for a displaced ankle fracture is closed reduction and splinting. This typically performed in conjunction with either an intra-articular hematoma block (IAHB) or procedural sedation (PS) to assist pain control. The purpose of this study was compare the safety IAHB PS evaluate efficiency efficacy each method. Methods: A retrospective chart review fractures requiring manipulation patients seen level I trauma center from 2005 2016. primary outcome rate successful...
The glenopolar angle assesses the rotational alignment of glenoid and may provide prognostic information aid management scapula fractures. We have analysed effect anteroposterior (AP) shoulder radiograph offset on in a laboratory setting used this to assess accuracy imaging employed routine clinical practice. Fluoroscopic was performed 25 non-paired scapulae tagged with 2 mm steel spheres determine orientation true AP views. measured all bony specimens rotated at 10° increments. mean bone...
Background: An increasing emphasis has been placed on developing value-based care delivery systems in orthopaedics to combat rising health costs. The goal of these is both measure and improve the provisional value care. Patient-level analysis creates a mechanism quantify optimize within procedure, contrast traditional methods, which only measures value. purpose this study was develop patient-level model determine efficacy orthopaedic Methods: Patients treated operatively for isolated closed...
Objectives: With value-based payment models on the horizon, this study was designed to examine perceptions of care among orthopaedic traumatologists and how they influence their practice. Design: Systems-based survey study. Setting: Orthopaedic Trauma Association (OTA) research surveys. Participants: OTA members. Main Outcome Measure: Thirty-eight–question surveys focusing 5 areas related care: understanding value, assessing interest, barriers, around implementing strategies, policy....
To evaluate rates of complications in patients with bilateral femur fractures treated intramedullary nailing (IMN) during either 1 single procedure or 2 separate procedures.A multicenter retrospective review sustaining fractures, IMN 2-stage procedure, from 1998 to 2018 was performed at 10 Level-1 trauma centers.Ten centers.Two hundred forty-six fractures.Intramedullary nailing.Incidence complications.A total 246 were included, 188 single-stage and 58 two-stage patients. Gender, age, injury...
Background: Few studies to date have investigated healthcare administrators’ knowledge of implant costs, and, the authors’ knowledge, none evaluated surgeons’ costs comparing their own cases a general cohort. The purpose this study was analyze cost perceptions surrounding orthopaedic implants across subspecialties within cohort musculoskeletal surgeons and administrators. Methods: A 10-question survey, consisting 10 fracture patients with associated postoperative radiographs corresponding...
Antibiotic prophylaxis for extremity gunshot wounds (GSWs) is highly variable. The objective of the present study to quantify adherence rate a protocol single-dose cephalosporin GSWs and impacts on post-injury infection rates. We reviewed patients presenting level 1 trauma center with an wound between 2019 2021. Infection rates were compared following or not, before after protocol’s implementation. Overall, 94% received antibiotic treatment at presentation, but only 34% followed protocol....
Endoscopic vein harvest remains underused in single-stage brachial-basilic arteriovenous fistula creation. We analyzed our results with the use of this technique a cohort predominantly obese (body mass index ≥30 kg/m2) patients. Demographics, intraoperative details, and outcomes for all consecutive patients who underwent endoscopic-assisted creation between 2020 2022 at single institute were retrospectively. The primary technical success, maturation, assisted secondary patency rates.