A5045214327- Bone fractures and treatments
- Hip disorders and treatments
- Hip and Femur Fractures
- Orthopedic Surgery and Rehabilitation
- Orthopaedic implants and arthroplasty
- Foot and Ankle Surgery
- Global Health and Surgery
- Tendon Structure and Treatment
- Spinal Fractures and Fixation Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Congenital limb and hand anomalies
- Global Health Workforce Issues
- Sarcoma Diagnosis and Treatment
- Spine and Intervertebral Disc Pathology
- Scoliosis diagnosis and treatment
- Musculoskeletal synovial abnormalities and treatments
- Ultrasound in Clinical Applications
- Management of metastatic bone disease
- Anatomy and Medical Technology
- Prosthetics and Rehabilitation Robotics
- Pain Management and Treatment
- Radiology practices and education
- Healthcare Policy and Management
- Connective tissue disorders research
- Community Development and Social Impact
Loma Linda University
2014-2024
Loma Linda University Medical Center
2015-2024
Adventist University of Haiti
2019-2022
American Academy of Orthopaedic Surgeons
2021
Addis Ababa University
2021
American Orthopaedic Foot and Ankle Society
2021
American Society of Plastic Surgeons
2021
Catholic Health Initiatives
2020-2021
CHI Health
2020-2021
Creative Commons
2020
Patients with limb-length discrepancies often have concomitant deformity. We describe the outcomes of acute, fixator-assisted deformity correction gradual lengthening using retrograde femoral Precice nail (NuVasive).We analyzed a retrospective series 27 patients in whom an external fixator was combined to correct angular or rotational and discrepancy. The applied temporarily restore normal alignment. inserted locked place hold correction, restoration limb length.The (mean age, 28 years) had...
One role of physician assistants (PAs) and nurse practitioners (NPs) is to meet the growing demand for access rural health care. Critical Access Hospitals, those with less than 25 beds, are usually located in communities, often providing continuity care that clinics cannot deliver. Because little known about staffing these small hospital emergency departments, an exploratory study was undertaken using a mixed-methods approach. In Washington State, 18 39 Hospitals staff their departments PAs...
Background: Magnetic intramedullary nails (IMNs) are fully implantable lengthening devices that became available in the United States 2011 for correction of limb length discrepancies. This device represents a major advancement field surgery as it is typically tolerated better than external fixation. Unlike traditional IMNs, surgeons recommend routine removal following lengthening. One such reason involves patient safety pertains to magnetic resonance imaging (MRI). Theoretical concerns with...
Langenskiöld described a reconstructive soft-tissue procedure for irreducible lateral congenital patellar dislocations. Paley further detailed the technique in surgical management of femoral deficiency. The aim this study was to evaluate outcomes patients with congenital, chronic and recurrent dislocations treated modified procedure.This is retrospective case series. Between 2011 2018, 18 knees 13 (mean age 15.8 years (sd 4.4; 12 29.9), nine female) diagnoses (six patients, eight knees),...
Reports on the use of various smartphone-based video conference applications to guide point-of-care ultrasound (POCUS) examinations in resource-limited settings have been described. However, an augmented reality-enabled smartphone application this same manner has not Presented is a case which such as was used remotely point care examination.
The multiplier method is a technique to predict limb length discrepancy (LLD) at maturity in pediatric patients. Various tools have been developed for performing the calculations LLD and timing of epiphysiodesis. These include multiplier/growth applications (apps) spreadsheet which helped facilitate LLC an efficient easy manner. We updated improve features making pasting data into electronic medical records (EMRs).Tools currently use were critically examined that limited their function,...
The treatment of pediatric femur fractures continues to evolve. In the past, many these required prolonged hospitalization in traction. More recently, flexible elastic nails have gained popularity. However, length unstable and comminuted can present some unique challenges. To avoid common complications nailing setting we describe a technique augmenting this with external fixation for cases requiring additional rotational or longitudinal stability.A series two patients are described who...
Introduction: Triple pelvic osteotomy (TPO) involves periacetabular osteotomies of the ilium, ischium, and pubis to reorient acetabulum. This operation is indicated in certain situations for treatment developmental dysplasia hip, dysplastic neuromuscular hips, containment femoral head cases Legg-Calvé-Perthes disease. Methods: retrospective cohort study compares radiographic outcomes patients who underwent TPO using two different techniques describes a novel single-incision direct lateral...
Traumatic ankle conditions can lead to long-term sequelae if a pathologic process is misdiagnosed. The clinical presentation of an osteochondral lesion the talar dome requires clinician have high index suspicion, and advanced imaging often necessary make final diagnosis. Treatment should be initiated once appropriately staged by radiologic or magnetic resonance imaging. We discuss use arthroscopy-assisted retrograde drilling medial that spares articular cartilage within talotibial...
Background: Diabetic neuropathy can be disabling owing to pain and loss of sensibility. Theoretically, surgical restoration sensation relief may prevent these complications improve quality life. A study was conducted perform outcome analysis patients after procedures using the 36-Item Short-Form Health Survey. Methods: The Survey used evaluate with diabetic nerve decompression surgery. These results were compared those reported in literature related without neuropathy, low-back pain, an...
Synovial chondromatosis is a rare condition of metaplastic cartilage development in the synovial membrane joints. These foci can form free bodies and lead to mechanical arthrosis. The precise etiology unknown. All joints be affected, with hip knee being most common. Patients are usually their fifth decade typically present pain diffuse swelling. Due its rarity nonspecific manifestations, diagnosis often delayed until significant damage arthrosis has occurred. Controversy exists regarding...
Femoral neck lengthening and transfer of the greater trochanter were introduced by Morscher as treatment for patients with coxa breva overgrowth trochanter. In this study we evaluated intermediate long-term results operation.We reviewed clinical radiographic 18 (20 hips) who treated osteotomy. Ten had Perthes disease, 4 developmental dysplasia hip, avascular necrosis hip. The median age at surgery was 16 years [interquartile range (IQR): 14 to 17.5]. follow-up period 7 (IQR: 4.5 10). All...
The objective of this study was to test the compressive strength and torsional stiffness provided by addition a two-pin external fixator an unstable pediatric femoral shaft fracture model after being instrumented with flexible intramedullary nailing (FIMN), compare bridge plating FIMN alone. A length-unstable oblique diaphyseal created in 15 sized small femur models. Fracture stabilization achieved three constructs: standard retrograde two 3.5-mm titanium (Ti) nails (Group 1), augmented 2),...
As the world continues to adjust life with COVID-19, one topic that requires further thought and discussion is whether elective international medical volunteerism can continue, and, if so, what challenges will need be addressed. During a pandemic, community attentive controlling disease outbreak, most of literature regarding physician involvement during pandemic focuses primarily on physicians traveling areas help treat disease. result, little has been written about treatment unrelated...
The Rule of 57 is an easy method for planning osteotomies and calculating translations when correcting spine limb deformities.The rule based on the mathematical principle that a circle with radius mm has circumference 360 where each 1° subtends arc 1 in length.Thus opening or closing wedge osteotomy width would result angular correction.This basic geometric shape can be extrapolated many ways to determine proper alignment preoperative planning, performing osteotomies, understanding guided...