A5067692231- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Hip and Femur Fractures
- Hip disorders and treatments
- Pelvic and Acetabular Injuries
- Bone fractures and treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Diversity and Career in Medicine
- Dental Education, Practice, Research
- Bone and Joint Diseases
- Musculoskeletal Disorders and Rehabilitation
- Orthopedic Surgery and Rehabilitation
- Spinal Fractures and Fixation Techniques
- Health and Medical Research Impacts
- Shoulder Injury and Treatment
- Trauma and Emergency Care Studies
- Clinical practice guidelines implementation
- Elbow and Forearm Trauma Treatment
- Shoulder and Clavicle Injuries
- Spine and Intervertebral Disc Pathology
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Innovations in Medical Education
- Diabetic Foot Ulcer Assessment and Management
St. Michael's Hospital
2015-2025
University of Toronto
2015-2024
National and Kapodistrian University of Athens
2019
Dalhousie University
1996-2018
University of British Columbia
2007-2018
University of Alberta
2018
McGill University
2018
William Beaumont Army Medical Center
2018
George & Fay Yee Centre for Healthcare Innovation
2018
University of Manitoba
2018
A precise radiologic technique for assessing the forces producing pelvic disruption has been helpful in arriving at a logical classification of injury. The examination should include anteroposterior, inlet and outlet views, as well tomograms occasionally computed-assisted tomographic evaluation (CT scanning). On basis this assessment with some biomechanical studies, three major injury is suggested. anteroposterior lateral compression types, while vastly different, may both have stable...
To review the long-term functional results of surgical treatment tibial plateau fractures using standard techniques open reduction and internal fixation.Retrospective study.University hospital.Forty-seven displaced in forty-six patients were treated with reduction, interfragmental screw fixation articular fragments, buttress plate had a minimum five years follow-up. All aspects their care, including fracture type, operative management associated injuries, documented. Preoperative...
Objective We sought to evaluate the use of a bioabsorbable, tobramycin-impregnated bone graft substitute (calcium sulfate alpha-hemihydrate pellets) in treatment patients with infected bony defects and nonunions. Study Design/Methods Twenty-five (15 male 10 female, mean age 43 years (range 27–69 years) requiring surgical debridement culture-positive long infection (16 associated nonunion) were entered into an ongoing consecutive, prospective clinical trial. Involved bones included tibia...
1. Thirty-seven cases of fracture the dens have been studied. 2. The incidence non-union was high: 64 per cent after apparently adequate closed treatment. 3. Possible causes high studied : attention is drawn to effect displacement and that posterior in particular. 4. Non-union with potential instability at atlanto-axial joint not acceptable a patient who expects lead normal active life. 5. Atlanto-axial fusion method choice treatment ; once has secured, pseudarthrosis no longer significant.
Background: A variety of methods are available for the fixation femoral shaft fractures after total hip arthroplasty. However, few studies in literature have quantified performance such repair constructs. The aim this study was to evaluate biomechanically four different constructs periprosthetic following Methods: Twenty synthetic femora were tested axial compression, lateral bending, and torsion determine initial stiffness, as well stiffness a simulated midshaft fracture with without bone...
Thoracolumbar burst fractures are a major cause of disability; however, there few studies on the functional outcome patients with this injury. The purpose study is to evaluate thoracolumbar using generic and condition-specific health status survey. SF-36 survey (generic) Roland scale (condition-specific) were administered 24 who had minimum 2 years follow-up after fracture without neurologic deficit. average score was 65% (compared 45% for dialysis 66% diabetes) 58% low back pain). Of...
The purpose of this study was to determine if lag screw position affects the biomechanical properties a cephalomedullary nail used fix an unstable peritrochanteric fracture.Unstable fractures were created in 30 synthetic femurs and repaired with Long Gamma 3 Nails using one 5 positions: superior, inferior, anterior, posterior, or central. Radiographic measurements including tip-apex distance calcar referenced calculated from anteroposterior lateral radiographs. Specimens tested for axial,...
Despite modern fracture management techniques allowing for near anatomic reduction of acetabular fractures, there continues to be a risk posttraumatic arthritis and need total hip arthroplasty (THA). Few well-controlled studies have compared THA after fractures with THAs performed other indications in terms survivorship or complications, none, our knowledge, present 10-year data this setting.(1) How does the survival compare between those patients who underwent an primary avascular necrosis...
Pelvic fractures with disruption of the important weight-bearing sacroiliac area can lead to impaired gait due malunion or pelvic obliquity, back buttock pain arising from joint, and permanent neurologic damage. In eight patients joint dislocation, an anterior retrofascial approach stapling was performed. Six these maintained anatomic reduction their results were rated as excellent. Two had a slight loss because intermittent mild having fair results. another patients, plate fixation done....
A review of 130 patients with subtrochanteric fractures the femur has led to a new classification based upon fracture pattern. Type I is short oblique, II long and III any comminuted area. Twenty-two were treated traction 108 by surgical operation. Stable in skin did well extensively appeared be best 90-90 skeletal traction. In fractures, it was determined that these patterns stable strong nail-plate device will provide adequate fixation. The may converted or lag screw fixation then fixed...
Abstract Background A variety of techniques are available for fixation femoral shaft fractures following total hip arthroplasty. The optimal surgical repair method still remains a point controversy in the literature. However, few studies have quantified performance such constructs. This study biomechanically examined 3 different screw-plate and cable-plate systems periprosthetic near tip Methods Twelve pairs human cadaveric femurs were utilized. Each left femur was prepared cemented...
Despite the profound burden of disease, a strategic global response to optimise musculoskeletal (MSK) health and guide national-level systems strengthening priorities remains absent. Auspiced by Global Alliance for Musculoskeletal Health (G-MUSC), we aimed empirically derive requisite components action on MSK health.
All of the current modalities have a place in treatment diaphyseal humeral fractures. Functional bracing renders high rate union and seems to be safe method for most closed Type II III open fractures seem respond best plate fixation or external fixation, particularly when there are associated neural vascular pathologic findings. Patients with polytrauma who unable walk also treated fixation. Plate is adequate alignment cannot obtained nonsurgical methods. Intramedullary nailing remains...
This study was undertaken to determine the relationship between traumatic rupture of thoracic aorta (TRA) and direction impact at time motor vehicle crash.Retrospective review TRA patients from two different databases over a 4.5-year period (January 1, 1991 June 30, 1995): (1) Ontario Coroner's Office records deaths Metropolitan Toronto, (2) trauma registries Sunnybrook Health Science Centre St. Michael's Hospital in Toronto.Ninety-seven (81 coroner's database 16 adult unit registries)...
We examined donor site morbidity in thirty-nine patients with avascular necrosis of the femoral head treated by curettage and transplantation a free ipsilateral fibular graft. Utilising our questionnaire, scar, functional loss, wound healing, complications, pain were analysed. Subjective complaints objective findings evaluated compared. common included sense instability 42% weakness 37%. However, limited. No clinical could be elicited only great toe flexion (29%) extension (43%) found to...
Forty-eight patients with supracondylar fractures of the humerus have been treated at St. Michael's Hospital in past 10 years. Forty-six 48 were surgically. A comparison was made between use standard AO (ASIF) plates a pre-contoured plate especially designed for distal humerus. The results this suggested that specifically provided superior fixation and better anatomic restoration Anatomic reduction, rigid fixation, early surgery provide best results.
Eleven adults who had a flail shoulder due to brachial plexus palsy arthrodesis of the using single ten-hole pelvic-reconstruction plate. Both glenohumeral and acromiohumeral joints were fused with in position 30 degrees abduction, flexion, internal rotation. No bone graft was used. The patients immobilized spica cast for six weeks postoperatively. At an average follow-up twenty-five months after operation, been maintained solid fusion occurred each shoulder. patient required removal plate...