- Sarcoma Diagnosis and Treatment
- Bone Tumor Diagnosis and Treatments
- Management of metastatic bone disease
- Shoulder Injury and Treatment
- Bone health and treatments
- Shoulder and Clavicle Injuries
- Vascular Tumors and Angiosarcomas
- Pelvic and Acetabular Injuries
- Nerve Injury and Rehabilitation
- Surgical site infection prevention
- Orthopedic Infections and Treatments
- Reconstructive Surgery and Microvascular Techniques
- Bone fractures and treatments
- Cancer Diagnosis and Treatment
- Musculoskeletal synovial abnormalities and treatments
- Orthopedic Surgery and Rehabilitation
- Orthopaedic implants and arthroplasty
- Foot and Ankle Surgery
- Elbow and Forearm Trauma Treatment
- Spinal Fractures and Fixation Techniques
- Meta-analysis and systematic reviews
- Patient-Provider Communication in Healthcare
- Differential Equations and Boundary Problems
- Muscle and Compartmental Disorders
- Cancer Research and Treatments
Medical College of Wisconsin
2020-2025
Orthopedic One
2022
Milwaukee VA Medical Center
2021
Texas Tech University
2013-2018
Texas Tech University Health Sciences Center
2013-2018
Florida College
2018
University of Florida
2018
American College of Surgeons
2018
The Ohio State University Wexner Medical Center
2013-2014
The Ohio State University
2010-2012
PurposeManagement of adult soft tissue sarcomas entails a multidisciplinary approach with surgery and radiation therapy or without chemotherapy. The use preoperative irradiation has been well established, although conventional fractionation involves daily treatments over the course 5 weeks, higher doses per fraction may be beneficial due to radiobiologic profile sarcoma. In this study we report long-term oncologic outcomes from single-institution, phase II evaluating 5-fraction...
Abstract Introduction Conventional treatment of pulmonary metastatic sarcoma primarily involves surgery, with systemic therapy added in select patients. However, broader applications radiation techniques have prompted investigation into the use stereotactic body radiotherapy (SBRT) for sarcoma, an attractive non-invasive intervention potential lower rates adverse events than surgery. Current data are limited to retrospective analyses. This study analyzed 2-year local control and overall...
Cementation (sacroplasty) with or without ablation has been shown to improve pain and function for patients sacral metastatic disease. Percutaneous screw fixation sacroplasty (PSFS) may provide superior outcomes in select patients. Thirty metastases who underwent at a single institution were retrospectively reviewed. Patients compared based on treatment (PSFS alone) fracture status (pathological impending) an ANCOVA. Traumatic fractures excluded. followed 4.4 months average (range, 2 weeks...
External rotation and gravity stress radiographs have been described to distinguish stable supination-external rotation-II (SER-II) ankle fractures from unstable SER-IV fractures. It has previously shown that both external views are equivalent in their ability diagnose deltoid ligament injury. also the position of influences radiograph. However, no data exist for radiographs.Eight fresh-frozen cadaveric ankles were dissected destabilized sequentially according SER mechanism fractures,...
While previous reports examine various aspects of Family Medicine in Japan, there is sparse research on consultation lengths. A common phrase permeates throughout sanjikan machi, sanpun shinsatsu that means, "Three hour wait, three minute visit." The purpose this study to length and how it affected by patient variables. We conducted a case varies relation the demographics, presenting illness, diagnoses at rural clinic central Japan. Data were coded according standards International...
Introduction Enchondromas and grade 1 chondrosarcomas are commonly encountered low-grade chondroid tumors in the proximal humerus. While there is a concern for malignant transformation, few studies have evaluated natural history of these lesions. The purpose this study to evaluate humerus lesions managed both conservatively surgically, define management criteria using clinical radiographic findings Methods patient population included 90 patients intended conservative treatment 22 proceeding...
Introduction Seroma development is a known complication following extremity and trunk soft-tissue sarcoma (STS) resection. The purpose of this study to evaluate characterize seroma outcomes the associated complications. Methods A retrospective review 123 patients who developed postoperative seromas STS resection at single institution was performed. Various patient surgical factors were analyzed determine their effect on overall outcomes. Results 77/123 (62.6%) uncomplicated, 30/123 (24.4%)...
Oncology patients, particularly those with breast, colorectal, prostate, renal and pancreatic cancers, are living longer due to advances in detection, treatment. Unfortunately, this has come a commensurate increase the prevalence of osseous metastases skeletal related events approaching 100,000 new patients each year. Patients now experiencing serious morbidity mortality pathologic fractures, altered structural mechanics, cancer bone pain. This patient population poses challenges for...
Soft tissue sarcomas have a mortality rate of 40% to 60%, with local recurrence being poor prognostic factor for overall survival. Three-percent nondiluted hydrogen peroxide is hypothesized be an effective adjuvant. The purpose this study was identify risk factors in high-grade soft and determine whether using as adjuvant reduced the risks surgical-site infection. Retrospective data were collected 106 patients surgically treated between 2002 2010. primary endpoint recurrence. Eighteen...
Coccidioides is an endemic fungus in the Southwestern United States and Central South America. Coccidioidomycosis primary infections are typically of lung with asymptomatic or self-limiting course. Some disseminate to other parts body a few can remain latent for many years. Reactivation fungal disease occur following insult host immune system. Here, we describe case 76-year-old Caucasian male patient who moved from California Wisconsin history coccidioidomycosis infection left knee that...
Arthroscopic rotator cuff tendon repair is a common elective procedure performed by trained orthopaedic surgeons with relatively low complication rate. Specifically, isolated neuropraxia of the anterior interosseous nerve (AIN) very rare shoulder arthroscopy. An analysis peer-reviewed published literature revealed only three articles reporting total seven cases that describe this specific following standard arthroscopic procedures. This article reports on patients diagnosed AIN routine...
Case: Osteolytic lesions have a broad differential. We present 33-year-old man with bilateral patellar lytic unilateral pathologic fracture. Workup demonstrated hyperparathyroidism and isolated consistent brown tumors. The patient underwent subtotal parathyroidectomy followed by curettage cement augmentation open reduction internal fixation of fracture aspiration injection Pro-Dense to unfractured side. is 2 years postoperatively doing well. Conclusion: Multiple in bone should raise concern...
Aim: To describe the efficacy of clinical research coordinators (CRCs) in terms output among faculty, residents and medical students. Materials & methods: We analyzed reviewed departmental from 3 years prior to hire CRCs compared with following. Results: From 2014 2016, department was a total 27 peer-reviewed publications, 16 oral presentations 33 poster presentations. 2017-2019 there 52% increase publications (n = 41), 131% 37) 61% 53). Conclusion: The implementation has markedly increased...