- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Surgical site infection prevention
- Anesthesia and Pain Management
- Bone fractures and treatments
- Knee injuries and reconstruction techniques
- Pain Management and Opioid Use
- Hip disorders and treatments
- Hemophilia Treatment and Research
- Cardiac, Anesthesia and Surgical Outcomes
- Opioid Use Disorder Treatment
- Shoulder Injury and Treatment
- Bone health and osteoporosis research
- Infective Endocarditis Diagnosis and Management
- Contact Dermatitis and Allergies
- Musculoskeletal synovial abnormalities and treatments
- Transplantation: Methods and Outcomes
- Inflammatory mediators and NSAID effects
- Gastroesophageal reflux and treatments
- Frailty in Older Adults
- Connective tissue disorders research
- Bone and Joint Diseases
- Musculoskeletal Disorders and Rehabilitation
- Orthopedic Surgery and Rehabilitation
Houston Methodist
2019-2025
Methodist Hospital
2018-2025
Methodist Hospital
2022
Methodist Sports Medicine
2019-2021
Nimbic Systems (United States)
2019
Flexion Therapeutics (United States)
2019
Conformis (United States)
2019
Creative Commons
2019
Office of Multidisciplinary Activities
2019
The University of Texas Health Science Center at Houston
2003-2015
An external fixation device that allows motion of the wrist was developed for treatment severely comminuted intra-articular fractures distal end radius, and in specimens from cadavera demonstrated with place. Thirty patients who had thirty-two radial were then treated using this during a six-month interval. Thirty-one wrists examined at follow-up one two years later. The first fifteen allowed full flexion extension immediately postoperatively lost some volar tilt postoperatively. other...
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...
Biodegradable microspheres were manufactured from a high molecular weight copolymer of 50% lactic and glycolic acid the antibiotic tobramycin. It was hypothesized that would be more effective than polymethylmethacrylate beads in local delivery tobramycin not inhibit bone healing. Osteomyelitis established 40 New Zealand White rabbits using Staphylococcus aureus. All animals had irrigation debridement infected radii four weeks after inoculation divided into five treatment groups: alone,...
Osteomyelitis is a difficult problem for orthopaedic surgeons. The current standard of treatment requires high doses antibiotic to be administered parenterally, which can damage vital organs. A local drug delivery system, targets only the infected tissues, would eliminate some complications associated with extended courses parenteral treatment. In study, biodegradable microspheres were manufactured from molecular weight copolymer 50% lactic and glycolic acid tobramycin. Various formulations...
Prevention of infection associated with uncemented orthopaedic implants could lead to improved implant stability and better patient outcomes. We hypothesized that coating porous metal antibiotic-containing microspheres would prevent infections in grossly contaminated wounds.Bioresorbable polymer containing tobramycin were manufactured pressed into cylinders then implanted radial defects rabbits. Control did not contain antibiotic also the contralateral limbs. Each was Staphylococcus aureus...
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...
Introduction Manipulation under anesthesia (MUA) is a standard treatment for arthrofibrosis after total knee arthroplasty (TKA), with reported rates of 1.5-6%. Customized TKA may have better outcomes by matching individual patient anatomy. However, previous study an unacceptably high rate MUA customized TKAs. This reports the incidence in large cohort second generation Methods:Data was collected prospectively on 360 2nd ConforMIS iTotal cruciate retaining performed clinically significant...
Most investigators credit Branemark (1965) in Sweden with the idea of a percutaneous, osteointegrated prosthesis which has been successful dental implantation. [1] In 1997, R. reported on first femoral intramedullary percutaneous device using 12 cm screw-type for patient an above-knee amputation. [2] 1999, ESKA produced Endo-Exo Femurprosthesis (EEFP) was implanted into canal young motorcyclist who lost his leg accident and subsequently used number patients Germany. There have variations...
Implant-related hypersensitivity is emerging as a causative factor potential source of total knee arthroplasty (TKA) failure. Mechanistically, this type IV reaction (T4HR) mediated by effector T-cells, macrophages, and leukocytes that infiltrate to the site implant react metal exposure induce inflammatory tissue damage.A case-control study was performed where cortical bone taken at time revision surgery for all patients operated on primary TKA in which allergy suspected cases done presumed...
Total knee arthroplasty (TKA) is a common procedure practiced in both the community and academic setting one that all orthopaedic surgery residents are expected to become competent in. The aim of this study determine most technical obstacles encountered during TKA learning.This prospective, cohort observational performed from September 2017 April 2018. After routine primary TKA, faculty completed survey trainees case through series 10 questions. questions were scored on 0 5 scale based...