A5031165839- Diabetic Foot Ulcer Assessment and Management
- Orthopaedic implants and arthroplasty
- Foot and Ankle Surgery
- Orthopedic Infections and Treatments
- Shoulder Injury and Treatment
- Total Knee Arthroplasty Outcomes
- Wound Healing and Treatments
- Orthopedic Surgery and Rehabilitation
- Bone fractures and treatments
- Musculoskeletal pain and rehabilitation
- Shoulder and Clavicle Injuries
- COVID-19 and healthcare impacts
- Pressure Ulcer Prevention and Management
- Pediatric Pain Management Techniques
- Knee injuries and reconstruction techniques
- Infection Control and Ventilation
- Diversity and Career in Medicine
- Down syndrome and intellectual disability research
- Social Media in Health Education
- Peripheral Artery Disease Management
- Healthcare Operations and Scheduling Optimization
- Burn Injury Management and Outcomes
- Musculoskeletal synovial abnormalities and treatments
- Healthcare Systems and Technology
- Tendon Structure and Treatment
Loyola University Medical Center
2019-2025
Loyola Medicine
2019-2024
Rush University Medical Center
2021
Loyola University Chicago
2019
Owing to the risk for septic arthritis, traumatic arthrotomies are an urgent surgical problem treating orthopaedic surgeon. Traditionally, diagnosis is with saline load test (SLT), although in awake patient invasive and potentially painful procedure. While computerized tomography (CT) has been shown be a reliable diagnostic tool of other joints, its role only recently investigated setting ankle arthrotomy. Eight fresh-frozen mid-tibia cadaveric specimens were included study. Baseline CT...
Shoulder arthroplasty is an effective treatment option for patients with symptomatic shoulder arthritis and rotator cuff arthropathy. Although there have been reports of variations in complication rates according to insurance type, few studies examined the effect payer status on functional outcomes. Patients who underwent elective performed by a single fellowship-trained surgeon had minimum 1 year follow-up were queried. Patient characteristics compared across types. Each patient completed...
The custom-fabricated total contact cast is commonly used in the treatment of diabetic foot disorders. This resource-consuming option has been associated with iatrogenic morbidity as well need for urgent removal and inspection underlying limb when potential problems arise. Over a 10-year period, 381 patients had 2265 applications by certified orthopaedic technologists, university practice, under supervision faculty. Patients were stratified glycemic control based on hemoglobin A1c levels,...
Abstract Effective perioperative pain control following knee arthroscopy allows patients to reduce narcotic intake, avoid side effects of these medications, and recover more quickly. Adductor canal nerve blockade (ACB) intra-articular injection local anesthetic have been described as adjuvant treatments for postoperative surgery the knee. This study directly compares effect each treatment modalities. Patients undergoing were blinded randomized receive either an ACB (n = 60) or (IAB, n 64)....
Critical sized bone defects in the ankle are becoming increasingly more common patients undergoing limb reconstruction with tibiotalocalcaneal arthrodesis. Bulk allografts have not fared well over time. There been scattered preliminary reports using custom spinal cages or 3D-printed Titanium Implants to address critical bony defect; however, cost of these devices is prohibitive many clinical practice settings. The purpose this investigation report experience a commercially available...
Introduction/Purpose: Rotational ankle fractures in diabetics have long posed difficult clinical challenges, with several observational studies noting increased risk of complications and amputation following treatment unstable diabetics. Several options exist, including non-operative management, external fixation, open reduction internal staged fusion. Hemoglobin A1C produces a mean blood glucose level over three-month period. There is mounting evidence that variability may be an alternative...
A 72-year-old immunosuppressed woman presented with monoarticular, culture-negative glenohumeral septic arthritis. She underwent irrigation and débridement followed by initiation of empiric antibiotic therapy. Rothia dentocariosa was identified as the causative organism plasma microbial cell-free DNA next generation sequencing, treated successfully on organism-specific In cases arthritis, particularly in immunocompromised hosts, sequencing may be a useful modality to identify organisms guide...
OBJECTIVEAtlantoaxial instability is an important cause of pain and neurological dysfunction in patients with Down syndrome (DS), frequently requiring instrumented fusion the upper cervical spine. This study provides a quantitative analysis C2 morphology DS compared their peers without to identify differences that must be considered for safe placement instrumentation.METHODSA retrospective chart review identified age-matched CT scan Three-dimensional reconstructions these scans were made...
Category: Diabetes Introduction/Purpose: The total contact cast is an important component of the clinical treatment algorithm for diabetic foot ulcers and Charcot Foot Arthropathy. Few studies have reported on complications associated with this modality. Methods: Over a ten year period, 2265 casts were placed 384 patients during their disorders. All applied by Certified Orthopaedic Technologist under supervision University Faculty member. Complications grouped as: (1) development new ulcer...
The prevalence of back pain in the pediatric population is increasing, and workup these patients presents a clinical challenge. Many cases are selflimited, but failure to diagnose pathology that requires intervention can carry severe repercussions. Magnetic resonance imaging (MRI) carries high cost patient health care system, may even require procedural sedation population. aim this study was develop scoring system based on factors help determine when an MRI will change management.This...
Background: Clinic no-shows are common throughout all medical specialties and can be used as a potential surrogate marker for access to care have significant impact on patients providers. While anecdotally, orthopaedic surgeons noticed unprecedented changes in the delivery of result COVID-19 pandemic, effect no-show rates has not been quantified. Methods: An analysis outpatient clinic within multispecialty, academic surgery practice was completed. Encounters were sub-classified into...
Category: Basic Sciences/Biologics; Other Introduction/Purpose: Meticulous bone removal is a critical step in many orthopaedic foot and ankle procedures including arthrodesis, decortication, hardware removal. Power tools, burrs, allow for increased efficiency potentially more uniform removal; however, due to friction generated, there known risk of thermal-induced osteonecrosis. A fluteless resurfacing tool (RT) has been manufactured hopes optimizing cutting properties by increasing...
Category: Other; Hindfoot Introduction/Purpose: Pes cavus and pes cavovarus deformities create varus loading during stance phase of gait that often presents as lateral ligament instability, peroneal tendon rupture or column overload. When flexible, management ranges from the use custom foot orthoses an ankle-foot orthosis, to a combination soft tissue releases, transfer and/or corrective osteotomy. rigid, clinical involves osteotomies triple arthrodesis. The Ilizarov method gradual...
Abstract Background: Patients with rigid pes cavus and cavovarus deformities can present a challenging multiplanar bony deformity that impairs walking stability. Corrective osteotomies or triple arthrodesis are very difficult to both perform maintain standard methods of internal fixation. Methods: A retrospective chart review identified 17 patients (20 feet) who underwent peritalar osteotomy maintenance the correction “miter” frame circular external fixator construct. There were 15 males 2...