- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Orthopaedic implants and arthroplasty
- Anesthesia and Pain Management
- Shoulder Injury and Treatment
- Hip disorders and treatments
- Mobile Health and mHealth Applications
- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Sports injuries and prevention
- Telemedicine and Telehealth Implementation
- Healthcare Systems and Technology
- Infective Endocarditis Diagnosis and Management
- Lower Extremity Biomechanics and Pathologies
- Colorectal and Anal Carcinomas
- Forensic Toxicology and Drug Analysis
- Chronic Disease Management Strategies
- Musculoskeletal synovial abnormalities and treatments
- Celiac Disease Research and Management
- Surgical site infection prevention
- Hip and Femur Fractures
- Skin and Cellular Biology Research
- Patient Satisfaction in Healthcare
- Sarcoma Diagnosis and Treatment
- Bone health and treatments
Methodist Hospital
2019-2025
Houston Methodist
2018-2025
Methodist Sports Medicine
2018-2023
Methodist Hospital
2020
University of Arkansas for Medical Sciences
2016-2019
Nimbic Systems (United States)
2019
Flexion Therapeutics (United States)
2019
Conformis (United States)
2019
Creative Commons
2019
Office of Multidisciplinary Activities
2019
Aims Infection complicating primary total knee arthroplasty (TKA) is a common reason for revision surgery, hospital readmission, patient morbidity, and mortality. Increasing incidence of methicillin-resistant Staphylococcus aureus (MRSA) particular concern. The use vancomycin as prophylactic agent alone or in combination with cephalosporin has not demonstrated lower periprosthetic joint infection (PJI) rates, partly due to timing dosing intravenous (IV) administration, which have proven...
Background Despite the growth of and media hype about mobile health (mHealth), there is a paucity literature supporting effectiveness widespread implementation mHealth technologies. Objective This study aimed to assess whether an innovative technology system with several overlapping purposes can impact (1) clinical outcomes (ie, readmission rates, revisit length stay) (2) patient-centered care patient engagement, experience, satisfaction). Methods We compared all patients (2059 patients)...
Aims Although good clinical outcomes have been reported for monolithic tapered, fluted, titanium stems (TFTS), early results showed high rates of subsidence. Advances in stem design may mitigate these concerns. This study reports on the use a current TFTS variety indications. Methods A multi-institutional retrospective all consecutive total hip arthroplasty (THA) and revision (rTHA) patients who received was conducted. Surgery performed by eight fellowship-trained surgeons at four...
Patient-specific design (PSD) total knee arthroplasty implants are marketed to restore neutral mechanical-axis alignment (MAA) and provide better anatomic fit compared with standard off-the-shelf (OTS) designs. The purpose was compare the Knee Society scores, radiographic outcomes, complications of PSD OTS implants.Retrospective study analyzing by a single surgeon. Implant change in occurred during period data collection leading PSD-1 PSD-2 subgroups. Radiographic including MAA, femorotibial...
Patients often cite a history of trauma prior to the diagnosis sarcoma. Sparse literature suggests that there may be link between sarcoma development and trauma. A 10-year review academic tertiary-referral center database was examined identify patients who developed after having significant musculoskeletal total 501 were treated for during this time period. Six identified as previously at site development. Half sarcomas arose in bone other half soft tissue. Five (83%) had multiple operations...
Abstract Ischiofemoral impingement (IFI) is a cause of deep gluteal space syndrome. The prevalence radiographic findings in patients with hip pain unknown. To assess if there correlation between femoral neck-shaft angle (NSA) and the distance ischiofemoral (IFS) quadratus femoris (QFS) to determine (QF) edema pain. A retrospective case series was conducted involving 100 consecutive or pelvis magnetic resonance imaging scans on presenting NSA, IFS QFS distances were measured presence QF...
Many institutions require the routine collection of pathology samples from every primary total knee arthroplasty (TKA) performed. These policies are controversial, and their cost-effectiveness is difficult to define. We sought judge one such policy according World Health Organization recommendations.We analyzed 3200 consecutive TKAs, comparing our presumed preoperative diagnoses against made by pathologist. Diagnoses were categorized as concordant (matching), discrepant (not matching but...
Background: In the COVID-19 era, there has been increasing interest in same-day discharge (SDD) after total joint arthroplasty (TJA). However, patient perception of SDD is not well reported. Purpose: We sought to understand patients’ perceptions and preferences postoperative care by surveying patients who have completed both an overnight stay (ONS) TJA. Methods: emailed survey links 67 previously underwent either 2 hip arthroplasties (THAs) or knee (TKAs). Results: Fifty-two (78%) responded...
Abstract Background The use of mobile health (mHealth) technologies has dramatically increased in the past year. A critical component discussion about telehealth and mHealth is importance integrating voices patients, caregivers, their clinicians. Methods This study was performed at a tertiary center Houston consisting 7 hospitals (1 academic 6 community hospitals). clinically integrated technology consisted education monitoring platform that used patient-centered emails text messages over...