A5002886208- Bone fractures and treatments
- Hip and Femur Fractures
- Orthopedic Surgery and Rehabilitation
- Pelvic and Acetabular Injuries
- Shoulder Injury and Treatment
- Spinal Fractures and Fixation Techniques
- Hip disorders and treatments
- Orthopedic Infections and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Frailty in Older Adults
- Diversity and Career in Medicine
- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Foot and Ankle Surgery
- Elbow and Forearm Trauma Treatment
- Shoulder and Clavicle Injuries
- Lower Extremity Biomechanics and Pathologies
- Muscle and Compartmental Disorders
- Sports injuries and prevention
- Scoliosis diagnosis and treatment
- Innovations in Medical Education
- Nutrition and Health in Aging
- Musculoskeletal Disorders and Rehabilitation
- Trauma and Emergency Care Studies
- Cervical and Thoracic Myelopathy
University of Washington
2011-2025
Harborview Medical Center
2005-2023
Virginia Mason Medical Center
2017-2019
University of Washington Medical Center
2019
OLVG
2016
AO North America
2011
Duke University
2009
Seattle University
2007-2009
Food and Drug Administration
2008
Orthopaedic Trauma Association
2008
Bicondylar tibial plateau fracture management remains therapeutically challenging, partly because of multiplanar articular comminution. This study was performed to evaluate the frequency and morphologic characteristics posteromedial fragment in this injury pattern.Retrospective chart radiographic review.Urban Level 1 university trauma center.Fifty-seven patients sustaining 57 Orthopedic Trauma Association (OTA) C-Type bicondylar fractures formed group.Between May 2000 March 2003, 170 OTA...
The transolecranon exposure for distal humerus fractures is a suggested technique improving articular visualization, allowing accurate reduction. Significant osteotomy complications such as nonunion and implant prominence have prompted recommendations alternate exposures. purposes of this study are to present the techniques olecranon management fractures, evaluate adequacy humeral reductions.Retrospective review.Urban level-1 University trauma center.One hundred fourteen skeletally mature...
Assessment of physical frailty in older trauma patients admitted to the intensive care unit is often not feasible using traditional assessment instruments. The use opportunistic computed tomography (CT) scans assess sarcopenia and osteopenia as indicators underlying may provide complementary prognostic information on long-term outcomes.To determine whether and/or are associated with 1-year mortality an patient population.A retrospective cohort constructed from a state registry was linked...
The purpose of this study was to evaluate risk factors for nonunion after femoral nailing shaft fractures. A case-control with two one matching conducted. Forty-five patients 46 nonunions (cases) and 92 healed fractures (controls) were identified from our orthopedic trauma registry. All cases controls initially managed reamed, statically locked nails. characteristics that significantly different between the groups open fracture, delay weight bearing, tobacco use. Fracture classification,...
Background Hip fractures are a major public health concern with high mortality rate. Numerous risk factors for hip fracture have been identified, and efforts made to reduce complications improve outcomes. This study aimed assess recent trends in postoperative amongst early-career orthopaedic surgeons. Methods retrospective analyzed surgical cases submitted the American Board of Orthopaedic Surgery (ABOS) Part II Oral Examination from 2013 2022. The database includes patient demographics...
Workplace violence (WPV) is a pervasive issue in health care that has shown rising incidence recent years. There are several risk factors related to the worker, occupational environment, and patient predispose WPV events should be considered mitigation strategies. been associated with negative effects on worker professional efficacy. Past work multifactorial intervention models more effective at improving prevention response care. This review summarizes statistical trends, factors, of care,...
To describe the associated injuries, demographic distribution, and management of patients sustaining open clavicle fractures.Retrospective case series.A single level-1 trauma center.Twenty with fractures were identified from a prospectively collected orthopaedic registry.All managed surgical irrigation debridement or without internal fixation.Thirteen (65%) had closed head injury. Fifteen (75%) significant pulmonary In that group, there 10 who pneumothorax (7 bilateral). Additionally, 12 rib...
The sustentaculum tali of the calcaneus is a vital load-bearing structure. Isolated sustentacular fractures are rare and may have implications for future hindfoot function. This retrospective cohort study describes fracture patterns characteristics, associated foot injuries, method surgical treatment via medial approach to calcaneus.During 7-year period, 19 surgically-treated without calcaneal posterior facet involvement were identified from prospectively-collected database at single Level 1...
Diaphyseal fractures of the tibia are occasionally associated with compartmental syndrome leg. Current treatment includes surgical decompression all involved compartments, debridement nonviable muscle tissue, and skeletal stabilization. Numerous methods fasciotomy have been described in literature, most surgeons favoring two-incision method. The single-incision, 4-compartment is an alternative method but has received little attention orthopaedic literature. We detail technique for leg...
Peter J. Stern, MD, is Norman S. & Elizabeth C.A. Hill Professor and Chairman of Orthopaedic Surgery at the University Cincinnati College Medicine; Stephen Albanese, Chair Orthopedic Medical Director Clinic SUNY Upstate University; Mathias Bostrom, Residency Program Academic Orthopaedics Hospital for Special Surgery, Weill Cornell College, Helen Hayes Hospital; Charles Day, MBA, Rabkin Fellow in Education, Associate Harvard School, Chief/Program Hand Upper Extremity Beth Israel Deaconess...
Background: Elderly patients with low-energy hip fractures have high rates of morbidity and mortality, but it is not well known how often concurrent upper extremity occur this impacts outcomes. We used the National Trauma Databank (NTDB), largest aggregation US trauma registry data available, to determine whether worse outcomes than alone. Methods: accessed NTDB identify aged 65 100 who sustained a fracture. The cohort was then narrowed include only their injury in fall had an severity score...
To evaluate the validity of using lateral intraoperative fluoroscopic imaging to assess reduction tibial plafond articular surface, two hypotheses were tested: 1) distal subchondral shadow on ankle radiograph is created equally by medial, central, and portions tibia; (2) displacement a 5-mm width osteochondral fragment consistently recognizable imaging.Six human fresh-frozen cadaveric specimens sagitally sectioned in increments after removal anterior soft tissue stabilization position...
Halo-vest orthoses have been associated with complications. Previous reports suggested increased complications in elderly patients; however, data are limited. This study reviewed 75 patients =/>65 years cervical spine fractures treated halo-vest orthoses. Forty-one (55%) experienced at least 1 complication. Pin-site problems were the most frequent adverse outcome. Seventeen (23%) had significant pulmonary compromise. Pulmonary high morbidity. We found an 8% early mortality rate. useful...
Quality improvement in geriatric trauma depends on timely identification of frailty, yet little is known about providers' knowledge and beliefs frailty assessment. This study sought to understand understanding, beliefs, practices for assessment.We developed a 20-question survey using the Health Belief Model health behavior surveyed physicians, advanced practice providers, trainees services at single institution that does not use formal screening all injured seniors. Results were analyzed via...
Osteochondral fractures of the lateral femoral condyle are uncommon injuries. These often misdiagnosed, and majority cases reported have been managed with surgical excision. We present 2 osteochondral condyle. Both patients were treated open reduction internal fixation their fractures. A approach to posterolateral aspect distal femur is described.
The incidence of nonunion after humeral shaft fractures is low with both operative and nonoperative interventions. However, when a delayed union or occurs, it can be very debilitating, leading to limited function pain. Several methods have been described for the management diaphyseal nonunions. We present 11 cases managed transverse, shortening osteotomy compression plating without bone grafting. Of cases, 10 had prior surgical treatment open reduction internal fixation. Union was achieved...