- Shoulder Injury and Treatment
- Hip disorders and treatments
- Bone fractures and treatments
- Shoulder and Clavicle Injuries
- Orthopedic Infections and Treatments
- Hip and Femur Fractures
- Orthopedic Surgery and Rehabilitation
- Text Readability and Simplification
- Surgical Simulation and Training
- Cardiac Valve Diseases and Treatments
- Connective tissue disorders research
- Cerebral Palsy and Movement Disorders
- Health Literacy and Information Accessibility
- Social Media in Health Education
- Venous Thromboembolism Diagnosis and Management
- Reliability and Agreement in Measurement
- Diversity and Career in Medicine
- Sports injuries and prevention
- Pregnancy-related medical research
- Infectious Diseases and Tuberculosis
- Augmented Reality Applications
- Medical Malpractice and Liability Issues
- Lower Extremity Biomechanics and Pathologies
- Digital Imaging in Medicine
- Anatomy and Medical Technology
Children's National
2021-2025
National Hospital
2020-2025
George Washington University
2021-2024
University of Alabama at Birmingham
2013-2022
Georgetown University
2021-2022
MedStar Georgetown University Hospital
2022
Inova Fairfax Hospital
2022
Creative Commons
2022
Westchester Medical Center
2022
New York Medical College
2022
Background: Virtual interactive presence (VIP) is a new technology that allows an individual to deliver real-time virtual assistance another geographically remote via standard Internet connection. The objectives of this pilot study were evaluate the efficiency and performance VIP system implemented in operating room setting, determine potential utility for guidance surgical procedures, assess safety system. Methods: Following institutional review board approval, fifteen patients underwent...
Previous studies have shown the need for improving readability of many patient education materials to increase comprehension. This study's purpose was determine foot and ankle extent can be improved. We hypothesized that reading levels would above recommended guidelines decreasing sentence length also decrease level these educational materials.Patient from online public sources were collected. The articles assessed by a software program. detailed instructions provided National Institutes...
Patient-reported outcome measures (PROMs) are increasingly used to quantify patients' perceptions of functional ability. The American Medical Association and NIH suggest patient materials be written at or below 6th 8th grade reading levels, respectively, yet one recent study asserts that few PROMs comply with these recommendations, suggests the majority too high a level for self-administered use. Notably, this was limited in its use only readability algorithm, although there is no commonly...
Background: Displaced tibial tubercle fractures in adolescent patients typically require surgical management. There is limited research on the relationship between fracture type, screw construct, and clinical outcomes. Symptomatic screws need for removal are suggested to be associated with larger size. The purpose of this study investigate impact size fixation construct treatment outcomes risk symptomatic hardware. Methods: Tibial treated at a level I pediatric trauma center from January...
Background: Tibial tubercle fractures (TTF) commonly occur in an athletic adolescent population and typically require operative reduction fixation. Surgical techniques postoperative restrictions are varied, with limited knowledge on factors that may affect outcome. We hypothesize surgical technique rehabilitation protocol can risk of complications following treatment TTF. Methods: Retrospective review was conducted including all consecutive surgically treated TTF at a single level 1...
Osgood-Schlatter disease (OSD) and tibial tubercle fractures are pathologies that affect the apophysis in preadolescents adolescents. Anatomic alignment of proximal tibia may explain why some children develop OSD or sustain do not. Recent data has shown an association between posterior slope angle (PTSA) both physeal fractures. In this study, we compare radiographic parameters patients with non-OSD knee pain, knees OSD, fracture to elucidate a difference these groups.Patients treated for...
The tissue-suture interface remains the weakest aspect of a rotator cuff repair, highlighting importance identifying techniques to improve stitch strength. Choice suture-passing devices, size tissue bite, and configuration are variables that may influence strength therefore repair stability.To evaluate effect penetrator device bite have upon holding commonly used stitches.Controlled laboratory study.Three different-sized tissue-penetrating small circular, midsized large rectangular, were...
Orthopedic surgeons frequently encounter medical malpractice claims. The purpose of this study was to assess trends and risk factors in lawsuits brought against orthopedic using a national legal database. A research service used search publicly available settlement verdict reports between 1988 2013 by terms “orthopaedic or orthopedic” “malpractice.” Temporal were evaluated, logistic regression identify independent for case outcomes. total 1562 reported cases surgeons, proceeding trial during...
Pediatric osteoarticular infection can cause severe morbidity. Some infectious loci may be difficult to identify clinically, and there more than one. There is little agreement regarding the appropriate use of preoperative magnetic resonance imaging (MRI) in this setting. After noting an unacceptably high rate unplanned returns operating room for recurrent infection, clinicians at a tertiary care children's hospital noticed many patients had adjacent foci on postoperative MRI. As result,...
Children’s National Hospital held a virtual symposium on “The Clinic of the Future and Telehealth” in December 2020. The goal was to explore future trends these domains. We also discussed how coronavirus disease 2019 (COVID-19) pandemic accelerated ongoing changes healthcare. explored what is horizon fields might affect care delivery future. Specifically, we “Clinic Future” with clinical teams from genetics metabolism, orthopedic surgery, primary while our telehealth discussion involved...
Neuromuscular conditions, such as cerebral palsy, are the most common motor disabilities in pediatric population. Children with these conditions frequently have accompanying hip deformities that require pelvic and femur osteotomy to correct spastic dislocations. However, postoperative pain management remains an elusive challenging problem. The purpose of this study was determine whether use epidural analgesia patients neuromuscular provided similar outcomes regard scores, length stay,...
Case: We describe a patient with an anterior-posterior compression type pelvic fracture sustained after motorcycle crash, pubic symphysis disruption and “reverse” crescent fragment. The injury force ruptured the anterior sacroiliac ligaments travelled posterior medially, creating complete Denis zone 2 sacral fracture, rather than rupturing as would be expected. underwent open reduction internal fixation of closed percutaneous pinning right joint. Conclusions: This case presents unique...
Coxa vara is a deformity of the proximal femur in which femoral neck-shaft angle decreased. This can be result an acquired deformity, metabolic disorder, congenital syndrome, or idiopathic (developmental). In this paper we primarily discuss developmental coxa but parsing out etiology has important implications treatment. from cause, for example, must treated medically before surgical intervention. paper, unique radiographic characteristics vara, as well as, measurements that used to...