A5036923925- Bone fractures and treatments
- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Shoulder Injury and Treatment
- Orthopedic Surgery and Rehabilitation
- Shoulder and Clavicle Injuries
- Surgical site infection prevention
- Trauma Management and Diagnosis
- Orthopedic Infections and Treatments
- Trauma and Emergency Care Studies
- Elbow and Forearm Trauma Treatment
- Orthopaedic implants and arthroplasty
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare cost, quality, practices
- Heterotopic Ossification and Related Conditions
- Nerve Injury and Rehabilitation
- Reconstructive Surgery and Microvascular Techniques
- Patient-Provider Communication in Healthcare
- Spinal Fractures and Fixation Techniques
- Management of metastatic bone disease
- Sports injuries and prevention
- Opioid Use Disorder Treatment
- Ethics in Clinical Research
- Health Policy Implementation Science
- Mental Health and Patient Involvement
The University of Texas Health Science Center at Houston
2015-2024
Memorial Hermann
2024
University of Vermont Medical Center
2017
Thomas Jefferson University
2013-2015
The University of Texas at Austin
2015
American Academy of Orthopaedic Surgeons
2013
Rothman Institute
2013
Weatherford College
2013
Despite the widespread use of systemic antibiotics to prevent infections in surgically treated patients with fracture, high rates surgical site infection persist.To examine effect intrawound vancomycin powder reducing deep infections.This open-label randomized clinical trial enrolled adult an operatively tibial plateau or pilon fracture who met criteria for a risk from January 1, 2015, through June 30, 2017, 12 months follow-up (final assessments completed April 2018) at 36 US trauma...
To document the high failure rate of a specific implant: Synthes Variable Angle (VA) Locking Distal Femur Plate.Retrospective.Urban University Level I Trauma Center.All distal femur fractures (OTA/AO 33-A, B, C) treated from March 2011 through August 2013 were reviewed our institutional orthopaedic trauma registry. Inclusion criteria with precontoured femoral locking plate and age between 18 84. Exclusion intramedullary nails, arthroplasty, non-precontoured plates, dual plating, or screw...
Outcomes following revision surgery for failed rotator cuff repairs are far less predictable than and associated with decreased patient satisfaction compared primary repairs. Extracellular matrix augmentation (ECM) may improve the biologic potential healing during repair. The authors examined clinical outcomes rates based on postoperative imaging of patients who underwent open repair an ECM patch symptomatic recurrent tear. Twenty-four (77%) 31 a mean follow-up 50 months (range, 30-112...
Numerous studies have demonstrated that long-term outcomes after orthopedic trauma are associated with psychosocial and behavioral health factors evident early in the patient's recovery. Little is known about how to identify clinically actionable subgroups within this population.To examine whether risk protective measured at 6 weeks injury could classify individuals into clusters evaluate these explain variations 12-month outcomes.A prospective observational study was conducted between July...
Objectives: To determine the proportion of patients requiring secondary surgery for symptomatic implant removal after open reduction, internal fixation using dual mini-fragment plating technique clavicular shaft fractures. Design: Retrospective observational study. Setting: Single university Level 1 trauma center. Patients: Eighty-one treated with fractures (OTA/AO 15-B1, B2, and B3) minimum 12-month follow-up (median 477 days; range 371–1549 days). Intervention: Open Main Outcome...
Despite increased awareness of ipsilateral femoral neck fractures in patients with high-energy shaft and advanced imaging thin-cut high-resolution computed tomography (CT), failure diagnosis remains problematic. The purpose the present study was to determine if preoperative can be improved magnetic resonance (MRI) compared radiographic CT imaging.In response delayed diagnoses despite CT, our institutional protocol for acute, altered include rapid limited-sequence MRI evaluate occult...
Controversy regarding heterotopic ossification (HO) prophylaxis exists after Kocher-Langenbeck for treatment of acetabular fracture. Prophylaxis options include antiinflammatory oral medications, single-dose radiation therapy, and débridement gluteus minimus muscle. Prior literature has suggested therapy as the best to prevent HO formation. However, recent reports have emerged radiation-induced sarcoma radiotherapy prophylaxis, which led many surgeons reconsider risks benefits therapy. We...
Despite multiple techniques to improve syndesmotic reduction accuracy, malreduction in unstable ankle fractures remains prevalent. We performed a prospective, observational study assess the ability of intraoperative multidimensional fluoroscopy lead surgeon change obtained by conventional fluoroscopic with goal achieving an accurate reduction.Thirty patients unilateral malleolar and instability were enrolled. Following fixation malleollar fractures, syndesmosis was provisionally reduced....
Total elbow arthroplasty (TEA) has changed considerably in the past three decades. Based on good long-term results with TEA patients rheumatoid arthritis, indications expanded to include management of acute traumatic and posttraumatic conditions young, higher-demand patients. Today, unlinked, linked semiconstrained, convertible devices are available. The high complication rate earlier surgeries led surgical advances such as new cementing technique a focus managing triceps. Complications...
OBJECTIVE: To investigate nonunion rates and risk factors in patients with ipsilateral femoral neck shaft fractures. METHODS: Design: Retrospective review. Setting: Two Level I trauma centers. Patient Selection Criteria: hundred seven treated for (AO/OTA 31-B) 32A-C) fractures from 2013 to 2022. Patients less than 6 months of follow-up were excluded. Outcome Measures Comparisons: The primary outcome this study was nonunion. Risk evaluated, including smoking, open fracture, delay full...
To evaluate the most common femoral shaft fracture morphology associated with an ipsilateral neck in high-energy blunt trauma using magnetic resonance imaging (MRI).Retrospective review.Level 1 center.219 consecutive patients sustaining 228 fractures from trauma.Fracture patterns were analyzed OTA/AO classification system. In addition, location of was measured as distance distal aspect lesser trochanter to center fracture.An 31 type seen 16.5% (20/121) presenting 32-A fractures, 12% (6/50)...
Distal humerus fractures in the elderly population can be difficult to manage because of substantial articular comminution, poor bone quality, and soft tissue compromise. Important patient considerations for treatment include physiologic age, mental status, activity level, independence with activities daily living. Elderly patients may reliant on their upper extremity as a weight-bearing limb when using walker or rising stand which creates additional demand. The goal surgical is recreate...
Proximal humerus fractures involving an articular head split are rare and complex injuries. In the elderly population, arthroplasty is optimal treatment, whereas in younger patients, utility of procedures limited by concerns long-term implant survival. As a result, open reduction internal fixation still often first-line treatment option for head-splitting The traditionally described deltopectoral or anterolateral surgical approaches to proximal rely on indirect visualization fragments. We...
Case: The authors present 3 physiologically young patients with displaced femoral neck fractures who underwent initial closed reduction and provisional fixation. Multidimensional fluoroscopy was used to assess fracture before definitive fixation, 1 patient requiring an open approach because of inadequate after attempts. Conclusion: Displaced in remain difficult injuries treat. Reduction quality is a significant predictor outcomes. Intraoperative multidimensional provides treating surgeons...
Intra-articular glenoid displacement is an indication for open reduction and internal fixation of scapular fractures. However, direct visualization the limited, articular reductions are typically performed assessed using extra-articular cortical reads fluoroscopic imaging. In this technique, we describe application a distractor surface. way, anatomic surface can be achieved. addition, discuss use portable, dry arthroscopy when needed. This technique has resulted in good-to-excellent by...
Background: Subtrochanteric femoral fractures often are treated with cephalomedullary nails, but standard intramedullary nails may be sufficient to treat many subtrochanteric fractures. We hypothesized that nailing of an intact lesser trochanter is not inferior nailing. Methods: performed a retrospective analysis patients device for proximal fracture within 5 cm the between January 1, 2011 and December 31, 2013. compared regards union, nonunion, alignment. Exclusion criteria included...