A5038034386- Total Knee Arthroplasty Outcomes
- Orthopaedic implants and arthroplasty
- Orthopedic Infections and Treatments
- Knee injuries and reconstruction techniques
- Opioid Use Disorder Treatment
- Orthopedic Surgery and Rehabilitation
- Spine and Intervertebral Disc Pathology
- Lower Extremity Biomechanics and Pathologies
- Foot and Ankle Surgery
- Shoulder Injury and Treatment
- Anesthesia and Pain Management
- Healthcare Policy and Management
- Bone fractures and treatments
- Hip and Femur Fractures
- Cervical and Thoracic Myelopathy
- Hip disorders and treatments
- Sports injuries and prevention
- Spinal Fractures and Fixation Techniques
- Musculoskeletal pain and rehabilitation
- Pain Management and Opioid Use
- Health Systems, Economic Evaluations, Quality of Life
- Elbow and Forearm Trauma Treatment
- Diversity and Career in Medicine
- Shoulder and Clavicle Injuries
- Pharmaceutical Practices and Patient Outcomes
Atrium Medical Cente
2021-2025
Carolina Musculoskeletal Institute
2020-2025
Carolinas Medical Center
2023-2025
Wake Forest University
2025
OrthoCarolina Research Institute
2015-2024
OrthoCarolina
2014-2024
Institute for Musculoskeletal Health
2024
Stryker (United States)
2023
Johnson & Johnson (United States)
2005-2023
CSL (Switzerland)
2023
Antibiotic laden spacer blocks frequently are used to treat an infected total knee arthroplasty. Static make exposure at reimplantation difficult secondary quadriceps shortening. Unexpected bone loss attributable migration of the block also has been reported. To avoid these problems, a temporary articulating molded implant made antibiotic cement was in consecutive series. The authors sought determine whether its use would affect reinfection rate, improve functional results, or prevent...
Current outcomes data on revision total hip arthroplasty focuses specific implants and techniques rather than more general outcomes. We therefore examined a large consecutive series of failed THAs undergoing to determine if survivorship modes failure differ in comparison the current data. retrospectively reviewed medical records 1100 THAs. The minimum followup was 2 years (mean, 6 years; range, 0-20.4 years). Eighty-seven percent hips required no further surgery; however, 141 (13%) underwent...
Irrigation and débridement is an attractive low morbidity solution for acute periprosthetic knee infection. However, the failure rate in literature high, averaging 68% (range, 61%-82%). Patients who fail subsequently undergo two-stage reimplantation after a prolonged period of illness. This leads to higher surgical risk further delays rehabilitation may contribute subsequent revision surgery.We determined rerevision due infection performed failed irrigation infected TKA.We multicenter...
Two-stage reimplantation is the most accepted mode of treatment for patients with a periprosthetic infection following total knee arthroplasty. Most studies, however, do not stratify their results on basis type infecting organism. The purpose this study was to determine outcomes who had two-stage resistant organism, methicillin-resistant Staphylococcus aureus or epidermidis, at site replacement.A multicenter performed review cases all treated between 1987 and 2003 because an epidermidis...
Irrigation and débridement (I&D) of periprosthetic infection (PPI) is associated with control ranging from 16% to 47%. Mitigating factors include organism type, host factors, timing intervention. While the influence type has been clarified, intervention remains unclear.We addressed following questions: What failure rate I&Ds performed within 90 days primary surgery? And what are failure?We a multicenter retrospective analysis I&D for PPI surgery. We included 86 patients (44 males, 42...
The safety and efficacy of simultaneous or staged bilateral total knee arthroplasty have long been debated among orthopaedic surgeons. Advocates for posit that the benefits decreased costs recovery time, with no difference in functional outcomes, outweigh economic potential complications. purpose study was to conduct a cost-utility analysis comparing arthroplasty.A Markov model designed compare cost-effectiveness arthroplasty. Nationwide Inpatient Sample data sets from 2004 2007 were used...
Methods of stem fixation are a controversial aspect revision TKA. We sought to determine which technique was superior by reviewing 475 TKAs done between 1986 and 2000. Of these revisions, 286 major component revisions were using 484 extended stems for fixation. Patients who died, patients had less than 2 years followupm, or diaphyseal engaging excluded from the study. The final data set included 113 with 202 metaphyseal stems. stems, 107 cemented whereas 95 press-fit One hundred one femoral...
Document initial outcomes of balloon kyphoplasty.Retrospective analysis the first 52 patients with 82 painful vertebral body compression fractures secondary to osteoporosis treated at our institution.Operation on subacute office follow-up.First in treated. All had failed nonoperative treatment and magnetic resonance imaging scans documenting edematous changes body. Forty-nine out presented for follow-up an average 37 weeks.Minimally invasive reduction via bilateral transpedicular or...
Although some patients experience a success rate greater than 90% after total hip arthroplasty, others require revision surgery within 5 years the index procedure. The purpose of our study was to analyze failure mechanisms in who had arthroplasty. We retrospectively reviewed 824 arthroplasties performed 692 from 1986-2001. Seven hundred forty-five adequate data. Two ninety-one (39%) revisions Ninety-six (33%) for instability, 88 (30%) aseptic loosening, 41 (14%) infection, 14 (5%)...
The key to successful management of patients with metal-on-metal (MOM) THAs is diagnose adverse local tissue reactions (ALTRs) early. ALTRs have been described in asymptomatic resurfacing arthroplasties. Whether this concerning finding applies modular MOM unknown.We (1) determined the prevalence THAs, (2) any differences appearance these lesions between symptomatic and patients, (3) analyzed potential predictive factors for associations ALTR prevalence.We evaluated 114 who had MRI metal...
Background: Data comparing complication rates following simultaneous bilateral total knee arthroplasty with those of unilateral are conflicting. The purpose this study was to compare in-hospital versus and determine factors associated in a large cohort patients identified from the Nationwide Inpatient Sample (NIS). Methods: 2004 2007 NIS data set used identify 407,070 arthroplasties: 24,574 382,496 arthroplasties. Complications, based on International Classification Diseases, Ninth Revision,...