- Orthopaedic implants and arthroplasty
- Orthopedic Infections and Treatments
- Total Knee Arthroplasty Outcomes
- Spine and Intervertebral Disc Pathology
- Shoulder Injury and Treatment
- Musculoskeletal pain and rehabilitation
- Shoulder and Clavicle Injuries
- Orthopedic Surgery and Rehabilitation
- Bone fractures and treatments
- Hip and Femur Fractures
- Foot and Ankle Surgery
- Trauma Management and Diagnosis
- Anesthesia and Pain Management
- Opioid Use Disorder Treatment
- Elbow and Forearm Trauma Treatment
- Spinal Fractures and Fixation Techniques
- Knee injuries and reconstruction techniques
- Cervical and Thoracic Myelopathy
- Venous Thromboembolism Diagnosis and Management
- Nerve Injury and Rehabilitation
- Gun Ownership and Violence Research
- Traumatic Ocular and Foreign Body Injuries
- Medical Imaging and Analysis
- Surgical site infection prevention
- Health Systems, Economic Evaluations, Quality of Life
Hospital for Special Surgery
2024-2025
Duke University Hospital
2021-2024
Duke Medical Center
2019-2023
Duke University
2021-2022
Arthrex (United States)
2022
Radius Health (United States)
2022
Stryker (United States)
2022
National Center for Advancing Translational Sciences
2022
Prisma Health
2022
Rex Medical (United States)
2022
Retrospective.Identify patient risk factors for extended length of stay (LOS) and 90-day hospital readmissions following elective anterior cervical discectomy fusion (ACDF).Included ACDF patients from 2013 to 2017 at a single institution. Eligible were subset into LOS <2 ≥2 days, no readmission yes readmission. Patient surgical compared between the groups. Multivariable logistic regression analysis was utilized determine association independent with rates.Our sample included 1896 patients;...
To determine the rates of infection in low-energy gunshot wounds (GSWs) to extremity.Retrospective review.Level I trauma center.Patients (N = 140) with at least 90-day follow-up for extremity-only GSW injuries from 2010-2014 were retrospectively reviewed. Treatment was recorded, including type and duration antibiotics details nonoperative operative managements.The superficial deep infections.The overall rate 15.7% (22 patients), 3.6% (5 patients). Age, sex, injury location similar between...
A retrospective cohort.The aim of this study was to determine the impact preoperative opioid use in workers' compensation (WC) patients undergoing lumbar diskectomy (LD).The prevalence back pain among users approached 60%. Long-term dependence spine surgery is roughly 20%. Despite pervasive use, there no evidence support long-term analgesic for pain.Ten thousand five hundred ninety-two received from Ohio Bureau Workers' Compensation a disc herniation between 2005 and 2012. Patients with...
Outpatient total knee arthroplasty (TKA) is increasingly common in the setting of early-recovery protocols, value-based care, and removal from inpatient-only list by Centers for Medicare & Medicaid Services. Given established racial disparities that exist different aspects joint arthroplasty, we aimed to investigate whether ethnic outpatient compared with inpatient TKA.This was a retrospective cohort study using American College Surgeons National Surgical Quality Improvement Program. We...
Aims Periprosthetic joint infections (PJIs) are among the most devastating complications after arthroplasty. There is limited evidence on efficacy of different antiseptic solutions reducing biofilm burden. The purpose present study was to test against clinically relevant microorganisms in biofilm. Methods We conducted an vitro examining several microorganisms. tested irrigants nascent (four-hour) and mature (three-day) single-species created using a drip-flow reactor model. Results With...
Introduction: Total hip arthroplasty (THA) is widely used for active, elderly patients with femoral neck fractures (FNF). Compared to THA osteoarthritis, FNF associated a higher incidence of dislocation and reoperation. Robotic assistance may improve component positioning leg-length restoration in THA, but its use has not been described. The objective this study was assess the feasibility perioperative outcomes robotic-assisted (rTHA) FNF. Methods: A retrospective review identified 93...
The purpose of this study is to characterize the demographics, interventions, infection rates, and other complications after intra-articular (IA) gunshot wounds.Retrospective review.Level I trauma center.Fifty-three patients with 55 civilian low-velocity IA injuries a minimum 4 weeks follow-up were included in study. Seven had associated vascular injuries.Most (84.9%) received antibiotic prophylaxis, consisting most often cefazolin (93.3%). Based on injury pattern surgeon preference, joint...
This multicenter cohort study investigated the association of serology and comorbid conditions with septic aseptic nonunion.From January 1, 2011, to December 31, 2017, consecutive individuals surgically treated for nonunion were identified from seven centers. Nonunion-type, assessed.A total 640 included. 57% male a mean age 49 years. Nonunion sites included tibia (35.2%), femur (25.6%), humerus (20.3%), other less frequent bones (18.9%). The type (17.7%) (82.3%). Within aseptic, nonvascular...
Study Design. Retrospective cohort study. Objective. To determine outcomes after reoperation discectomy with or without fusion surgery for recurrent lumbar disc herniation (RLDH) in the workers’ compensation (WC) population. Summary of Background Data. RLDH is estimated to occur 7% 24% patients discectomy. There are two main surgical options reherniation: a revision (RD), an RD combined (RDF). Methods. A total 10,592 received lost-work from Ohio Bureau Workers’ Compensation between 2005 and...
Clavicle fractures are common orthopaedic injuries that frequently occur during sports and recreational activity.To (1) determine the incidence rate of sports-related clavicle among patients evaluated in emergency departments United States over a 5-year period, (2) most risks associated with fractures, (3) update literature by comparing past present injury trends.Descriptive epidemiology study.The National Electronic Injury Surveillance System (NEISS) database was queried for US from 2015 to...
The open Latarjet has become the most common method of addressing significant glenoid bone loss in patients with recurrent glenohumeral instability.To describe national trends procedures and risk factors for complications associated this procedure.Cohort study; Level evidence, 3.Eligible were identified through National Surgical Quality Improvement Program (NSQIP) data set over years 2014 to 2018 by using Current Procedural Terminology (CPT) code "capsulorrhaphy anterior coracoid process...
The number of obese patients seeking total hip arthroplasty (THA) continues to expand despite body mass index (BMI) cutoffs. We sought determine the outcomes THA in morbidly patient, and hypothesized they would have comparable two cohorts obese, normal weight patients.THA performed on (BMI >40 kg/m2) at a single academic center from 2010 until 2020 were retrospectively reviewed. Eighty identified, matched 1:3:3 ratio control with BMI 30-40 kg/m2 <30 kg/m2. Acute postoperative change after...
Background. Research has shown less aggressive treatment and poorer control of cardiovascular disease (CVD) risk factors in women than men. Methods. We analyzed sex differences pharmacotherapy strategies attainment goals for hemoglobin A1c (HbA1c), blood pressure (BP), low density lipoprotein cholesterol (LDL-C) patients with type 2 diabetes established coronary artery enrolled into the BARI 2D trial. Results. Similar numbers drugs were prescribed both Women frequent on metformin or...