- Total Knee Arthroplasty Outcomes
- Orthopaedic implants and arthroplasty
- Spine and Intervertebral Disc Pathology
- Orthopedic Infections and Treatments
- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Pelvic and Acetabular Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Hip and Femur Fractures
- Knee injuries and reconstruction techniques
- Connective tissue disorders research
- Hip disorders and treatments
- Anesthesia and Pain Management
- Surgical site infection prevention
- Sports injuries and prevention
- Emergency and Acute Care Studies
- Diversity and Career in Medicine
- Spinal Hematomas and Complications
- Vietnamese History and Culture Studies
- Cervical and Thoracic Myelopathy
- Venous Thromboembolism Diagnosis and Management
- Healthcare professionals’ stress and burnout
- Parkinson's Disease Mechanisms and Treatments
- COVID-19 and healthcare impacts
- Aortic Disease and Treatment Approaches
Yale University
2020-2025
The University of Texas Southwestern Medical Center
2022-2025
Cornell University
2017-2023
Southwestern Medical Center
2023
Weill Cornell Medicine
2023
Konrad-Adenauer-Stiftung
2020-2022
National Institute of Arthritis and Musculoskeletal and Skin Diseases
2022
National Institutes of Health
2022
Radius Health (United States)
2022
Hindustan Aeronautics Limited (India)
2022
Surgical site infection is a serious complication of posterior spinal fusion for neuromuscular scoliosis, with reported prevalence 6% to 24%. A single-institution experience over thirty-year period was reviewed determine the surgical after and identify patient treatment-related risk factors.Our retrospective review included all patients treated (alone or in combination an anterior procedure) scoliosis from 1980 2009 followed minimum two years. Univariate multivariate statistical analysis...
Emergency department (ED) visits after orthopaedic surgery such as anterior cruciate ligament reconstruction (ACLR) affect patients and health care systems should be better understood.To determine the incidence, predictors, reasons for ED within 90 days ACLR.Descriptive epidemiologic study.Patients who had undergone ACLR between 2010 2020 were identified in a national database, 90-day visits, readmissions, risk factors, primary diagnoses determined. One-year postoperative data used to...
Postoperative readmissions are a commonly used metric for quality-of-care initiatives, but emergency department (ED) visits have received far less attention despite their substantial impact on patient satisfaction and healthcare spending. The current study described the incidence timing of ED following single-level ACDF, determined predictive factors reasons utilization, compared reimbursement patients with without use.Single-level ACDF procedures from 2010-2020 were identified in PearlDiver...
Physical therapy (PT) rehabilitation is critical to successful outcomes after anterior cruciate ligament reconstruction (ACLR). Later-stage rehabilitation, including sport-specific exercises, increasingly recognized for restoring high-level knee function. However, supervised PT visits have historically been concentrated during the early stages of recovery ACLR.To assess number and temporal utilization ACLR in a national cohort. We hypothesized that would be postoperative period.Descriptive...
Patients undergoing revision hip arthroscopic surgery may elect to undergo the procedure with their index surgeon or, in many instances, will change surgeons. Factors and outcomes associated switching surgeons are likely multifactorial require further study. To (1) examine clinical demographic variables between primary (2) assess whether rates of postoperative emergency department (ED) visits, complications, conversion total arthroplasty (THA) differed for patients who returned same versus...
To compare transfusion rates in patients on direct oral anticoagulants (DOACs) with nonanticoagulated undergoing hip fracture surgery and, secondarily, to determine whether time or complications differ between these groups.Multicenter retrospective cohort.Three tertiary care, academic, Level I trauma centers.Acute, operatively treated, low-energy 55 years of age and older were included. Anticoagulated matched a 1:2 ratio "control" using propensity score matching.The primary outcome was...
Osteochondral allograft transplant (OCA) and osteochondral autograft transfer (OAT) replace damaged cartilage with a plug of bone overlying articular cartilage; however, limited research is available regarding the survival these osteoarticular grafting procedures.We hypothesized that patients who underwent OCA would have higher rate subsequent surgery over course 5 years compared OAT.Cohort study; Level evidence, 3.The PearlDiver Mariner administrative database was used to identify 10 59 old...
ATTACKS OF CLOSED LIDSBesides the oculogyric attacks, in which eyes turn some direction, there are others lids close and cannot be opened.These not uncommon.Some patients will tell you that seems to something behinid is pulling, prevents them opening eyes.These probably only a variation of other more common form.The grounds for such view seen serial pictures from case facial palsy (Fig. 3).
To compare the efficacy of a postoperative continuous adductor canal block (cACB) with and without steroid adjuvant to that epidural analgesia (EA). Patients who underwent primary total TKA at single institution between July 2011-November 2017 were included for retrospective analysis. patients stratified into one three approaches: EA, cACB adjuvant, adjuvant. Hospital length stay (LOS), discharge disposition, incidence adverse events, milligram morphine equivalents (MME) requirements...
The transition from International Classification of Diseases, 9th Edition (ICD-9) to the 10th edition (ICD-10) in 2015 increased number and specificity diagnostic codes with goal facilitating clinical care research possibilities.Considering potential default less specified ICD-10 codes, current study evaluated utilized for spine-related conditions before versus after ICD-10.
Ehlers-Danlos syndromes (EDS) are genetic connective tissue disorders affecting multiple organ systems that frequently result in hyperlaxity and early osteoarthritis. Short- long-term outcomes after total hip arthroplasty this cohort remain poorly characterized.Data were abstracted from the 2010 to 2018 PearlDiver Mariner administrative database. Patients with EDS undergoing for osteoarthritis identified matched 1:10 patients without a diagnosis of EDS. Ninety-day incidence postoperative...
Cervical disc replacement (CDR) is an effective long-term treatment for both cervical radiculopathy and myelopathy. However, there may be unique differences in the early postoperative clinical improvement patients with without In addition, previous studies using CDR to treat myelopathy were underpowered determine risk factors relatively medical complications.Two different cohorts studied. A local cohort of undergoing by a single surgeon was utilized study course improvement. national 2015...
Achondroplasia is the most common skeletal dysplasia, and total joint arthroplasty of hip and/or knee in this patient population may present unique challenges.All patients undergoing primary or (THA TKA) for osteoarthritis 2010-2019 PearlDiver Mariner administrative database with least 90 days postoperative follow-up were identified. Those achondroplasia matched 1:10 to without based on age, sex, medical comorbidities. Ninety-day adverse events assessed compared using multivariate logistic...