A5038855547- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Hip and Femur Fractures
- Hip disorders and treatments
- Infectious Diseases and Tuberculosis
- Pelvic and Acetabular Injuries
- Radiology practices and education
- Lower Extremity Biomechanics and Pathologies
- Shoulder Injury and Treatment
- Radiation Dose and Imaging
- Opioid Use Disorder Treatment
- Health Systems, Economic Evaluations, Quality of Life
- Advanced X-ray and CT Imaging
- Innovations in Medical Education
- Healthcare Quality and Management
- Anesthesia and Pain Management
- Osteomyelitis and Bone Disorders Research
- Metabolism, Diabetes, and Cancer
- Diet and metabolism studies
- Healthcare cost, quality, practices
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Cardiac, Anesthesia and Surgical Outcomes
- Primary Care and Health Outcomes
- Knee injuries and reconstruction techniques
Novant Health
2023-2024
Brigham and Women's Hospital
2019-2024
Peninsula Regional Medical Center
2023
Harvard University
2019-2020
Clinical Orthopaedics and Related Research
2018-2020
Committee on Publication Ethics
2020
Stanford Medicine
2015-2019
Rothman Institute
2013-2015
Thomas Jefferson University
2013-2015
Stanford University
2014-2015
Two-stage exchange arthroplasty is a standard approach for treating total knee periprosthetic joint infection in the United States, but whether this should be performed with static antibiotic spacer or an articulating one that allows range of motion before reimplantation remains controversial. It unclear if advantages spacers (easier surgical exposure during and improved postoperative flexion) outweigh disadvantages increased cost complexity setting similar rates eradication.The purposes...
Exchange arthroplasty for infection, be it a onestage or two-stage surgery, is not the occasional operator.The morbidity and mortality associated with such surgery to ignored.Team work paramount success of surgery.A multidisciplinary approach microbiologists, infectious disease physicians, critical care anaesthetists, plastic surgeons, orthopaedic surgeons particular interest in infection are essential.
Abstract Background Burnout and depression among healthcare professionals trainees remain alarmingly common. In 2009, 56% of orthopaedic surgery residents reported burnout. Alcohol illicit drug use are potential exacerbating factors burnout depression; however, these have been scarcely studied in residency populations. Questions/purposes (1) What proportion report symptoms depression? (2) independently associated with an resident reporting emotional exhaustion, depersonalization, low...
In the setting of finite healthcare resources, developing cost-efficient strategies for periprosthetic joint infection (PJI) diagnosis is paramount. The current levels knowledge allow PJI diagnostic recommendations based on scientific evidence but do not consider benefits, opportunities, costs, and risks different alternatives.We determined best strategy knee hip in ambulatory Medicare patients, utilizing evaluation through multicriteria decision analysis (MCDA).The definition supported by...
Abstract Background A well-reduced femoral neck fracture is more likely to heal than a poorly reduced one, and increasing the quality of surgical exposure makes it easier achieve anatomic reduction. Two open approaches are in common use for fractures, modified Smith-Petersen Watson-Jones; however, our knowledge, provided by each approach has not been investigated. Questions/purposes (1) What respective area exposed afforded Watson-Jones approaches? (2) Is there difference ability visualize...
The burden of psychosocial problems, including substance abuse, is high among trauma patients. Use illicit substances often noted during urine toxicology screening on admission and can delay surgery because concerns for an interaction with anesthesia. Methamphetamine theoretically has potential to increase perioperative anesthetic risks. However, the authors are unaware any studies documenting increased rates cardiovascular complications in period orthopedic This study sought determine rate...
A 61-year-old woman with a right total knee arthroplasty presented 1 week of atraumatic swelling, pain, and fevers 2 weeks following routine screening colonoscopy. Aspiration was concerning for prosthetic joint infection she underwent definitive treatment irrigation debridement polyethylene exchange followed by 6-week course oral metronidazole. Cultures speciated as Bacteroides fragilis the presumed source being colonoscopy causing transient bacteremia subsequent seeding knee. This case...
Computer-assisted orthopedic surgery improves mechanical alignment and the accuracy of surgical cuts in context total knee arthroplasty (TKA). A simplified, navigation-enhanced instrumentation system was assessed to determine whether same effects could be achieved with a less intrusive system. Two cohorts surgeons (experienced trainees) performed series TKA using models without instrumentation. The each determined via rate outliers, measured as any cut that deviated from planned by more than...
Effective pain control balanced with maintaining physical function and minimizing medication side effects is essential to accelerated recovery after total knee arthroplasty (TKA). Multimodal management regimens combining oral medications as well local analgesia have shown promise in facilitating these goals. Some use anesthetics delivered via a infiltration catheter while others periarticular injections (PAIs). However, it uncertain if an provides additional relief or decreases opioid...