A5041799579- Bone fractures and treatments
- Hip and Femur Fractures
- Orthopaedic implants and arthroplasty
- Pelvic and Acetabular Injuries
- Orthopedic Surgery and Rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Hip disorders and treatments
- Foot and Ankle Surgery
- Total Knee Arthroplasty Outcomes
- Dental Implant Techniques and Outcomes
- Orthopedic Infections and Treatments
- Reconstructive Surgery and Microvascular Techniques
- Cardiac Ischemia and Reperfusion
- Bone and Joint Diseases
- Healthcare Quality and Management
- Tendon Structure and Treatment
- Musculoskeletal Disorders and Rehabilitation
- Thermal Regulation in Medicine
- Shoulder and Clavicle Injuries
- Cardiac Arrest and Resuscitation
- Bone health and osteoporosis research
- Muscle and Compartmental Disorders
- Spinal Fractures and Fixation Techniques
- Vascular Procedures and Complications
- Palliative Care and End-of-Life Issues
Baylor Scott & White Medical Center - Temple
2002-2024
Baylor Scott & White Health
2013-2024
Temple College
1993-2021
Texas A&M University
1996-2021
Scott & White Memorial Hospital
2001-2014
Texas A&M Health Science Center
2013-2014
Texas A&M University System
2001-2011
Stryker (United States)
2006
Lawrence Livermore National Security
2003
Field Foundation
2002
Abstract Background The severity of the 2017–2018 influenza season in United States was high, with A(H3N2) viruses predominating. Here, we report vaccine effectiveness (VE) and estimate number vaccine-prevented influenza-associated illnesses, medical visits, hospitalizations, deaths for season. Methods We used national age-specific estimates coverage disease burden. estimated VE against medically attended reverse-transcription polymerase chain reaction–confirmed virus infection ambulatory...
Fractures of the hip have devastating effects on function and quality life. Intramedullary nails (IMN) are dominant implant choice for treatment trochanteric fractures hip. Higher costs IMNs inconclusive benefit in comparison with sliding screws (SHSs) convey need definitive evidence.To compare 1-year outcomes patients treated IMN vs an SHS.This randomized clinical trial was conducted at 25 international sites across 12 countries. Participants included ambulatory aged 18 years older...
Femoral neck fractures (FNFs) comprise 50% of geriatric hip fractures. Appropriate management requires surgeons to balance potential risks and associated healthcare costs with surgical treatment. Treatment complications can lead reoperation resulting in increased patient costs. Understanding etiologies treatment failure the population at risk may decrease rates.We therefore (1) determined if modality and/or displacement affected rates after FNF; (2) identified factors timing reasons for...
Open fractures are one of the injuries with highest rate infection that orthopaedic trauma surgeons treat. The main purpose this survey was to determine current practice and variation among Orthopaedic Trauma Association (OTA) members make treatment recommendations based on previously published resources.Survey.Web-based survey.Three hundred seventy-nine surgeons.A 15-item questionnaire-based study titled "OTA Fracture Survey" constructed. delivered all OTA membership categories. Different...
A prospective randomized study of 116 patients with plantar fasciitis was performed to determine the effectiveness adjuvant night splint therapy in relieving acute symptoms fasciitis. Patients were into one two groups. Group 1 treated month oral antiinflammatory medication, Achilles stretching exercises, and shoe recommendations. 2 received identical treatment but also used a dorsiflexion for 3 months. Blinded clinical review at 4, 6, 12 weeks. Health status data Short Form 36 collected...
To determine how axial rotation around the anatomic axis of femur, as would occur with malrotation a femoral fracture, affects frontal and sagittal plane alignment knee joint orientation.Computer-generated models lower extremity were constructed using standardized dimensions. simulate malrotated these rotated in shaft 15 degrees increments from 60 internal to external rotation. Rotation was performed at proximal fourth, mid-shaft, distal fourth.At each rotational position, mechanical...
Shared decision-making (SDM) is the process by which physician and patient collaborate to arrive at evidence-based treatment that best aligns with patient's individual goals of care. The implementation SDM practices especially important when an invasive surgical procedure among options. Ideally, variation in choice would mirror variability rather than a physician's ability communicate effectively. Potentially aiding these communication efforts, decision aids are tools gaining popularity for...
Autogeneic cancellous bone graft has been recommended as a vehicle for local antibiotic delivery. Its effect on incorporation, however, is unknown. The healing of defects grafted with tobramycin-impregnated were compared those alone. Plane roentgenographs, microradiographs, density analyses, histologic examination, and biomechanical testing performed specimens throughout the course healing. presence large concentrations tobramycin does not appear to affect normal characteristics graft.
Treatment of segmental long bone defects is one the areas substantial controversy in current orthopaedic trauma. The main purpose this survey was to determine practice and variation within Orthopaedic Trauma Association (OTA) membership on topic.Survey.Web-based survey.Three hundred seventy-nine trauma surgeons.A 15-item questionnaire-based study titled "OTA Open Fracture Survey" constructed. delivered all OTA categories. Different components data charts were used analyze various aspects...
Malunion is often a problem in adolescent femoral shaft fractures treated with traction and subsequent casting. We used external fixation as an alternative treatment method to control alignment allow early mobilization. After fracture healing fixator removal, two patients experienced refracture. This unusual complication the basis of our report. Prolonged rigid or static appears be detrimental sufficient callus formation healing.
Objectives: To assess the risk of injury to superficial peroneal nerve, saphenous and vein in percutaneous fixation distal fibula tibia. Methods: Ten adult cadaver lower extremities were instrumented with precontoured periarticular plates for tibia fibula. Plates inserted percutaneously along medial lateral Smooth wires into each screw hole. Dissection was performed their respective course. The position neurovascular structures relative smooth recorded. Results: nerve had a predictable...
Comminuted supracondylar femur fractures (AO-OTA 33A3) are commonly treated with locked plates. Weight bearing is generally restricted for 6 to 12 weeks until radiologic evidence exists of sufficient callous support weight bearing. Recent clinical studies have reported high nonunion rates distal In an attempt induce beneficial motion across the fracture site, some recommended earlier The purpose current study was determine biomechanical feasibility immediate weight-bearing rehabilitation...
The importance of the tip-apex distance (TAD) to predict cut-out risk fixed angle hip implants has been widely discussed in scientific literature. Intra-operative determination TAD is difficult and can be hampered by image quality, body habitus, projection. purpose this paper evaluate, through a cadaveric study, novel computer assisted surgery system (ADAPT), which intended for intraoperative optimisation lag screw positioning during antegrade femoral nailing. A 3D measure optimal position,...
It is well recognized by orthopedic surgeons that fractures of alcoholics are more difficult to heal successfully and have a higher incidence non-union, but the mechanism alcohol's effect on fracture healing unknown. In order give direction for study effects alcohol healing, we propose identify gene expression microRNA changes during early stages might be attributable consumption. As inflammatory stage appears most critical successful this paper focuses events at day three following or...
There are few cases in the medical literature documenting intrathoracic glenohumeral fracture-dislocations. A total of eight have been reported-two humerus dislocations with greater tuberosity fractures 1, 2 and six fracture-dislocations which fracture involved humeral neck. 3-8 With so cases, treatment modalities vary, no guidelines exist. Patients five reported underwent surgery, 3-6 while other three were treated nonoperatively. 2, 7, 8 We present a case middle-aged woman high-speed motor...
Background: Ischemia-reperfusion injury plays an important role in limb salvage following ischemia. The purpose of the present study was to evaluate effect local hypothermia and chemical modulators on microvascular permeability ischemia-reperfusion skeletal muscle. Methods: Sprague-Dawley rats were randomized into nine groups. Postcapillary venules extensor digitorum longus muscle visualized with use intravital microscopy. Following intravenous bolus fluorescein isothiocyanate-labeled...
Objectives: Ischemia–reperfusion (I/R) injury can have detrimental effects on skeletal muscle. We shown that vessel permeability be minimized in a hypothermic setting and also by administering the nitric oxide synthase (NOS) stimulator, L-arginine, at physiologic temperatures. The purpose of this study was to examine compare muscle contractility after an I/R insult during conditions, warm with administration L-arginine hypothesized hypothermia will demonstrate protective contractility....
While gap defect models provide greater graft stability and are more representative of many clinical situations than segmental models, the healing in these has not been well documented. To study histologic course cancellous bone a long defect, 12 adult mongrel dogs were killed groups two at 1, 2, 3, 4, 6, weeks. Graft incorporation was studied using macro- microradiography, sections, computer-assisted digital surface analysis; results described. Unlike that seen pattern repair grafted...