A5074522266- Orthopedic Surgery and Rehabilitation
- Foot and Ankle Surgery
- Child Nutrition and Water Access
- Anesthesia and Pain Management
- Lower Extremity Biomechanics and Pathologies
- Tendon Structure and Treatment
- Food Security and Health in Diverse Populations
- Opioid Use Disorder Treatment
- Indigenous Health, Education, and Rights
- Musculoskeletal pain and rehabilitation
- Sports injuries and prevention
- Shoulder Injury and Treatment
- Spine and Intervertebral Disc Pathology
- Injury Epidemiology and Prevention
- Hearing Loss and Rehabilitation
- Inflammatory mediators and NSAID effects
- Peripheral Nerve Disorders
- Older Adults Driving Studies
- Health Systems, Economic Evaluations, Quality of Life
- Pain Management and Opioid Use
- Rheumatoid Arthritis Research and Therapies
- Obesity, Physical Activity, Diet
- Cardiac, Anesthesia and Surgical Outcomes
- Homelessness and Social Issues
- Urban Green Space and Health
Mayo Clinic
2024
WinnMed
2024
Rothman Institute
2017-2020
Temple University
2018-2020
Rothman Orthopaedics
2019-2020
Clinical Orthopaedics and Related Research
2019
Thomas Jefferson University Hospital
2017-2019
Thomas Jefferson University
2017-2019
Integra LifeSciences (United States)
2019
Zimmer Biomet (United States)
2019
Abstract Clinical criteria for the classification of patients with hip pain associated osteoarthritis (OA) were developed through a multicenter study. Data from 201 who had experienced most days prior month analyzed. The comparison group other causes pain, such as rheumatoid arthritis or spondylarthropathy. Variables medical history, physical examination, laboratory tests, and radiographs used to develop different sets serve investigative purposes. Multivariate methods included traditional...
Minimum clinically important difference (MCID) defines a threshold when determining significant treatment improvement. Visual analog scale (VAS) and Foot Ankle Ability Measure activities of daily living (FAAM-ADL) are commonly used for measuring hallux valgus correction. This study aimed to determine MCID in VAS pain FAAM-ADL scores correction additionally, identify variables influencing achievement the MCID.Patients undergoing surgery were retrospectively included. pain, FAAM-ADL,...
Background: Overprescription of narcotic pain medication is a major culprit in the present opioid epidemic plaguing United States. The current literature on lower extremity usage has limitations and would benefit from additional study. purpose our study was to prospectively assess consumption patterns following outpatient orthopedic foot ankle procedures. Methods: Patients undergoing procedures who met inclusion criteria had prospective information collected: patient demographics,...
Poor housing conditions in remote Indigenous communities Australia are a major underlying factor poor child health, including high rates of skin infections. The aim this study is to test approaches data collection, analysis and feedback for follow-up the impact on health.
There is limited epidemiological research that provides insight into the complex web of causative and moderating factors links housing conditions to a variety poor health outcomes. This study explores relationship between (with primary focus on functional state infrastructure) common childhood illness in remote Australian Aboriginal communities for purpose informing development interventions improve child health. Hierarchical multi-level analysis association carer report illnesses hygienic...
Hallux rigidus is the most common arthritic condition in foot. First metatarsophalangeal joint cheilectomy produces satisfactory results retrospective studies with reported good to excellent up 97% and pain relief function 92%. The of for higher grades hallux are less favorable. purpose this study was evaluate long-term functional survivorship treatment rigidus.This a retrospective, questionnaire-based investigating rigidus. preoperative grade graded retrospectively according Hattrup Johnson...
Preterm birth (born before 37 completed weeks of gestation) is one the leading causes death among children under 5 years age. Several recent studies have examined association between extreme temperature and preterm births, but there been almost no such in arid Australia. In this paper, we explore potential exposures to temperatures during last 3 pregnancy a Central Australian town. An immediate effect exposure observed with an increased relative risk 1%–2% when maximum exceeded 90th...
The investigation of nonnarcotic drug regimens for postoperative pain management is important in addressing the opioid epidemic. NSAIDs can be a powerful adjunct managing pain, but possibility delayed bone healing major concern orthopaedic surgeons. Our recent retrospective study on ketorolac administration demonstrated that NSAID not associated with an increased risk union or nonunion after ankle fracture surgery.To determine whether (1) reduces consumption, (2) improves VAS control, and...
Housing programmes in indigenous Australian communities have focused largely on achieving good standards of infrastructure function. The impact this approach was assessed three potentially important housing-related influences child health at the community level: (1) crowding, (2) functional state house and (3) hygienic condition houses.
Background: In an effort to minimize narcotic analgesia and its potential side effects, anti-inflammatory agents offer great provided they do not interfere with bone healing. The safety of ketorolac administration after foot ankle surgery has been well defined in the current literature. purpose this study was report clinical healing radiographic outcomes for patients treated a perioperative regimen open reduction internal fixation (ORIF) fractures. Methods: A retrospective review performed...
Despite Australia's wealth, poor growth is common among Aboriginal children living in remote communities. An important underlying factor for the unhygienic state of environment these This study explores physical and social barriers to achieving safe levels hygiene children. A mixed qualitative quantitative approach included a community level cross-sectional housing infrastructure survey, focus groups, case studies key informant interviews one community. We found that combination crowding,...
Poor environmental conditions and poor child health in remote Australian Aboriginal communities are a symptom of disjuncture the cultures disadvantaged (and only relatively recently enfranchised) minority population proportionally large, wealthy dominant immigrant population, problematic social policies legacy colonialism. Developing effective promotion interventions this environment is challenge. Taking an ecological approach, objective study was to identify key social, economic, cultural...
Background: The relationship between depressive symptoms and patient outcomes after hallux valgus surgery has not been well-studied. We hypothesized that patients with would have greater subjective dysfunction preoperatively less functional improvement satisfaction when compared without symptoms. Methods: A total of 239 adult who had surgical correction over a 2-year period were retrospectively enrolled. telephone survey was administered prospectively at least 11 months postoperatively...
Background: Many studies of total ankle arthroplasty (TAA) have focused on the range motion and functional outcomes at time intermediate-term follow-up. The purpose our study was to analyze progression hindfoot patient-reported measures through first 2 years following TAA. Methods: charts 134 patients who had been treated with a TAA by single surgeon were retrospectively reviewed, 107 (109 TAAs) included in study. overall sagittal plane measured as change position tibia relative floor...
A social marketing campaign promoting hand-washing with soap was implemented to reduce the high burden of infection experienced by Australian Aboriginal children living in remote communities. Epidemiological evidence effect and other were used identify hygiene intervention health promotion approach for project. We drew on findings of: (i) a systematic literature review which there is strong similar populations contexts; (ii) narrative determine our approach. This process provided...
Background: The increasing scope and complexity of foot ankle procedures performed in an outpatient setting require more intensive perioperative analgesia. Regional anesthesia (popliteal saphenous nerve blocks) has been proven to provide satisfactory pain management, decreased postoperative opioid use, earlier patient discharge. This can be further augmented with the placement a continuous-flow catheter, typically inserted into popliteal region. study investigated use combined catheter block...
Recent studies have demonstrated that clinical diagnosis of Morton's neuroma is highly correlated with operative and histopathologic diagnosis, whereas others questioned the cost-effectiveness intraoperative histopathology excised specimens. The purpose this study was to determine utility both preoperative imaging histology in treatment making an accurate guiding decisions, altering outcomes.A retrospective review performed on all patients who underwent resection suspected 4...
Background: The purpose of the study was to determine when patients can safely return driving after first metatarsal osteotomy for hallux valgus correction. Methods: After institutional review board approval, 60 undergoing right correction surgery were recruited prospectively. Patients’ brake reaction time (BRT) tested at 6 weeks and repeated until achieved a passing BRT. A control group twenty healthy used establish as Patients given novel driver readiness survey complete. Results: At...
Abstract Background With the increase in number of total ankle arthroplasties (TAA), guidelines on when physicians should begin to consider patients’ return driving are valuable. Further, due sagittal motion strength, is most important mover braking motions over knee and hip. Questions/purposes (1) Does brake-reaction time a safe value within 6 weeks TAA? (2) Are there factors associated with delay values after Methods After obtaining institutional review board approval for study, we...
More comprehensive investment is needed to abate the extreme disadvantage experienced in some Aboriginal communities.