A5045484568- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Hip disorders and treatments
- Shoulder Injury and Treatment
- Spine and Intervertebral Disc Pathology
- Orthopaedic implants and arthroplasty
- Orthopedic Surgery and Rehabilitation
- Pelvic and Acetabular Injuries
- Bone fractures and treatments
- Surgical site infection prevention
- Diversity and Career in Medicine
- Cardiac Valve Diseases and Treatments
- Hip and Femur Fractures
- Elbow and Forearm Trauma Treatment
- Innovations in Medical Education
- Osteoarthritis Treatment and Mechanisms
- Social Media in Health Education
- NF-κB Signaling Pathways
- Trauma and Emergency Care Studies
- Radio, Podcasts, and Digital Media
- Melanoma and MAPK Pathways
- Reconstructive Surgery and Microvascular Techniques
- Global Health Workforce Issues
- Hospital Admissions and Outcomes
- Health and Medical Research Impacts
Orthopedic One
2025
Vanderbilt University Medical Center
2022-2024
Monroe Carell Jr. Children's Hospital
2022-2024
Vanderbilt University
2021-2024
Children's Healthcare of Atlanta
2021
University of California, San Diego
2021
Washington University in St. Louis
2015-2021
University of North Carolina at Chapel Hill
2019-2020
Duke Medical Center
2012-2013
Duke University Hospital
2012
Joint injury dramatically enhances the onset of osteoarthritis (OA) and is responsible for an estimated 12% OA. Posttraumatic arthritis (PTA) especially common after intra-articular fracture, no disease-modifying therapies are currently available. We hypothesized that delivery mesenchymal stem cells (MSCs) would prevent PTA by altering balance inflammation regeneration fracture mouse knee. Additionally, we examined hypothesis MSCs from MRL/MpJ (MRL) “superhealer” strain show increased...
Obesity and joint injury are primary risk factors for osteoarthritis (OA) that involve potential alterations in the biomechanical inflammatory environments of joint. Posttraumatic arthritis is a frequent long-term complication intraarticular fractures. has been linked to OA may potentially contribute development posttraumatic by variety mechanisms. The objectives this study were determine whether diet-induced obesity influences severity mice examine interrelationships between degeneration...
Background: Selective fusions of the structural curve remain a common treatment strategy for adolescent idiopathic scoliosis, yet long-term outcomes are not well-understood. The purpose this study was to report 10-year prospective radiographic and patient-rated selective main thoracic (MT) or thoracolumbar/lumbar (TL/L) curve, with particular attention behavior uninstrumented, compensatory curve. Methods: A prospectively collected multicenter database used identify patients who had been...
The choice of upper-instrumented vertebrae (UIV) for posterior spinal fusion (PSF) constructs is influenced by guidelines where UIV T4 or more cephalad. In a cohort patients with adolescent idiopathic scoliosis (AIS) thoracic curves, we sought to (a) compare postoperative shoulder balance T5-T6 versus T2-T4 and (b) evaluate curve operative characteristics that lead caudal UIV. A single-institution AIS registry was queried undergoing PSF from 2000 2017. Included were AIS, Lenke 1 2 minimum...
Background: The natural history of untreated tarsal coalitions is largely unknown. It thought atypical biomechanics limited hindfoot motion may contribute to early degeneration and foot pain or dysfunction. Consequently, there no data on long-term outcomes nonoperatively managed asymptomatic coalitions. This study sought define the frequency radiographically apparent among a cross-section population not seeking care for symptoms. Ultimately, we aimed observe these by comparing multiple...
Open wounds around the knee joint can often be managed with local flaps; however, free tissue transfer may required when options are unavailable or inadequate. Free challenging due to unique anatomic features of joint. The outcomes such procedures remain largely unreported.We retrospectively analyzed 33 patients who underwent 34 reconstructions from 1993 2010. Twenty-four flaps were composed soft only and 10 included a bony component. Patient demographics, details defect, operative...
The physical risk factors leading to distal radial fractures are poorly understood. goal of this study was compare postural stability between older adults with and without a prior fragility fracture.This case-control evaluation performed at single tertiary institution. fracture cohort comprised 23 patients treated for low-energy within 6 24 months study. Twenty-three age sex-matched control participants, fracture, were selected from an outpatient clinic population. All participants completed...
Glutamate racemase activity in Bacillus anthracis is of significant interest with respect to chemotherapeutic drug design, because L-glutamate stereoisomerization D-glutamate predicted be closely associated peptidoglycan and capsule biosynthesis, which are important for growth virulence, respectively. In contrast most bacteria, harbor a single glutamate gene, the genomic sequence B. predicts two genes encoding racemases, racE1 racE2. To evaluate whether racE2 encode functional we cloned...
Introduction: National trends reveal increased transfers to referral hospitals for surgical management of pediatric supracondylar humerus (SCH) fractures. This is partly because the belief that orthopaedic surgeons (POs) deliver improved outcomes compared with nonpediatric (NPOs). We early surgically treated SCH fractures between POs and NPOs at a single center where both groups manage these Methods: Patients ages 3 10 undergoing surgery from 2014 2020 were included. Patient demographics...
In 7 to 11-year-old juveniles with severe early-onset scoliosis (EOS) the optimal surgical option remains uncertain. This study compares growing rods (GRs) followed by definitive posterior spinal fusion (PSF) versus primary PSF in this population. We hypothesized that thoracic height afforded GRs would be offset increased rigidity, more complications, and operations.This retrospective comparative included EOS patients aged 7.0 11.9 years at index surgery treated GR→PSF or during 2013 2020....
The pathophysiology of femoroacetabular impingement (FAI) remains to be better understood, including factors affecting symptom development and disease progression.(1) To determine rates initial subsequent in the contralateral hip patients with symptomatic FAI (2) identify predictors FAI.Case-control study; Level evidence, 3.This prospective study cohort included 179 consecutive undergoing primary surgical treatment FAI. At presentation follow-up time points, recorded presence symptoms hip....
The field of pediatric orthopaedic surgery is evolving with a reported increase in the number fellows being trained as well an completing additional fellowship training another subspecialty. purpose this study was to examine historic trends trainees seeking multiple fellowships within orthopaedics over 11-year period using database American Board Orthopaedic Surgery (ABOS).We queried ABOS for choice applicants part II oral examination self-declared subspecialty during years 2005 2015....
Nonaccidental trauma (NAT) is a rising source of morbidity and mortality in the pediatric population. Fractures are often first cause for presentation to health care providers case NAT but can be misidentified as accidental. Given that elbow fractures most common accidental injuries among patients, they not traditionally associated with NAT. This study aims determine prevalence identify features nonaccidental fractures.Current Procedural Terminology (CPT) codes were used retrospectively all...
Background New insights into potential adverse effects of banked blood and improved infectious surveillance have led to questions regarding the utility preoperative autologous donation. Methods A retrospective chart review 153 patients undergoing abdominal free flap breast reconstruction was performed with goal determining effect an donation program on clinical outcomes. Demographic premorbid conditions were evaluated along outcome variables including complication transfusion rates. Results...
Asymmetric skin folds (ASFs) have been linked to developmental dysplasia of the hip (DDH) in select studies, leading their inclusion paediatric practice guidelines regarding orthopaedic referral for evaluation. The purpose this study was investigate utility isolated ASFs as a screening tool DDH series patient referrals evaluated at single institution.We performed retrospective review consecutive patients between 0 and 12 months age referred clinics ASFs. We recorded radiographic findings...
Most pediatric tibial shaft fractures (75%)1 can be treated nonoperatively; however, unstable and open require surgical intervention. Titanium elastic nails have become a popular technique for fixation of fractures. They act as internal splints that impart relative stability to the fracture, promoting callus formation at fracture site2.After patient is placed in supine position, proximal physis marked using fluoroscopy. An anteromedial anterolateral incision are made distal physis. Entry...
Pediatric patients may benefit from extremity amputations with potential prosthetic fitting when addressing limb deficiencies, trauma, infection, ischemia, or other pathologies. The performance of a quality amputation is fundamental skill to an orthopaedic surgeon, yet avoidance pitfalls can be elusive in children. need for surgical precision and sound decision-making amplified pediatric amputations, where the skeleton dynamic growing, anatomy miniscule (in case congenital anomalies)...
Background: Bilateral hip reconstructions with osteotomies are commonly required in patients severe cerebral palsy (CP) and dysplasia. These procedures can be performed by staging each surgery, separated weeks to months, or addressing both hips a single-event surgery. The optimal timing of such surgery is yet determined. purpose this study was retrospectively compare major complications between the staged approaches. Methods: Medical records who underwent bilateral osteotomies, at least one...
The Accreditation Council for Graduate Medical Education (ACGME) has called self-study within residency programs. Post-graduate surveys allow the graduate to reflect upon their experience after years of autonomous practice. Despite potential utility, a standardized assessment training from perspective orthopaedic alumni does not exist. In this study, we aimed create, analyze, and share with our post-graduate survey based on ACGME core competencies.