A5075666212- Bone fractures and treatments
- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Orthopedic Surgery and Rehabilitation
- Trauma Management and Diagnosis
- Cardiac, Anesthesia and Surgical Outcomes
- Orthopedic Infections and Treatments
- Trauma and Emergency Care Studies
- Orthopaedic implants and arthroplasty
- Spinal Fractures and Fixation Techniques
- Elbow and Forearm Trauma Treatment
- Surgical site infection prevention
- Hip disorders and treatments
- Pregnancy-related medical research
- Urological Disorders and Treatments
- Musculoskeletal Disorders and Rehabilitation
- Spine and Intervertebral Disc Pathology
- Healthcare cost, quality, practices
- Total Knee Arthroplasty Outcomes
- Abdominal Trauma and Injuries
- Bone health and osteoporosis research
- Hernia repair and management
- IoT Networks and Protocols
Dignity Health
2020-2025
American Academy of Orthopaedic Surgeons
2023
Creighton University
2021-2023
St. Joseph's Hospital and Medical Center
2023
Orthopaedic Associates of Michigan
2012-2022
Corewell Health Blodgett Hospital
2006-2022
Spectrum Health
2006-2022
St. Joseph's Hospital
2022
Phoenix (United States)
2022
The Core Institute
2015-2020
To determine the reliability of Radiographic Union Scale for Tibia (RUST) score and a new modified RUST in quantifying healing to define value radiographic union large series metadiaphyseal fractures treated with plates or intramedullary nails.Healing was evaluated using 2 methods: (1) evaluation interrater agreement radiographs (2) analysis prospectively gathered data from previous multicenter trials thresholds union.Part 1: 12 orthopedic trauma surgeons 27 distal femur either plate...
To present the technique and early results of percutaneous stabilization U-shaped sacral fractures with attention to neurologic recovery maintenance fracture reduction sacrum.Retrospective clinical study.Level I trauma center.During a thirty-eight-month period, 442 patients pelvic ring disruptions were treated at Level center. Thirteen (2.9 percent) these had displaced stabilization.Fracture was accomplished using fluoroscopically guided iliosacral screws inserted percutaneously patient...
Abstract Purpose Locked plating (LP) of distal femoral fractures has become very popular. Despite technique suggestions from anecdotal and some early reports, knowledge about risk factors for failure, nonunion (NU), revision is limited. The purpose this study was to analyze the complications clinical outcomes LP treatment fractures. Materials methods From two trauma centers, 243 consecutive surgically treated (AO/OTA 33) were retrospectively identified. Of these, 111 in 106 patients (53.8%...
Despite the widespread use of systemic antibiotics to prevent infections in surgically treated patients with fracture, high rates surgical site infection persist.To examine effect intrawound vancomycin powder reducing deep infections.This open-label randomized clinical trial enrolled adult an operatively tibial plateau or pilon fracture who met criteria for a risk from January 1, 2015, through June 30, 2017, 12 months follow-up (final assessments completed April 2018) at 36 US trauma...
To describe the technique and to determine outcome of operatively treated displaced scapular body or glenoid neck fractures using minifragment fixation through a modified Judet approach.Retrospective review fractures.Level 1 teaching trauma center.All over 7 years (1999-2005) were determined. Of total 227 fractures, 37 with open reduction internal formed basis study. All patients followed for minimum year until healing discharge from care.All performed in lateral position on radiolucent...
Background Operative indications for displaced scapular fractures have been controversial and inconsistent. Surgeons dissuaded to operate on these uncommon because of the complex anatomy, approaches, fracture patterns. It is unclear whether return work, pain, or complications differ in patients with treated nonoperatively operatively. Questions/Purposes We therefore assessed differences rates union, range motion, ability between operatively body neck fractures. Patients Methods...
<b>Objective</b> To determine whether low intensity pulsed ultrasound (LIPUS), compared with sham treatment, accelerates functional recovery and radiographic healing in patients operatively managed tibial fractures. <b>Design</b> A concealed, randomized, blinded, controlled clinical trial a parallel group design of 501 patients, enrolled between October 2008 September 2012, followed for one year. <b>Setting</b> 43 North American academic trauma centers....
Abstract Introduction The OTA/AO type 31 A3 intertrochanteric fracture has a transverse or reverse oblique at the lesser trochanteric level, which accentuates varus compressive stress in region of and implant. Intramedullary fixation using different types nails is commonly preferred. purpose this study to evaluate femoral fractures with intramedullary nail treatment regard surgical procedure, complications, clinical outcomes. Methods From one level 1 trauma center, 216 consecutive adult...
The 2 main forms of treatment for distal femur fractures are locked lateral plating and retrograde nailing. goal this trial was to determine whether there significant differences in outcomes between these treatment. Multicenter randomized controlled trial. Twenty academic trauma centers. One hundred sixty patients with were enrolled. twenty-six followed 12 months. Patients 62 cases intramedullary nailing 64 cases. Lateral or Functional scoring including Short Musculoskeletal Assessment,...
Traditional screw or plate fixation options can be used to fix the majority of sacral fractures. However, these techniques are unreliable with dysmorphic upper segments, U-fractures, osseous compression neural elements, and previously failed fixation. Lumbopelvic potentially address injuries but is a technically demanding procedure requiring spinal pelvic it unclear whether reliably corrects deformity restores function.We therefore assessed reduction quality loss fixation, pain related...
Review the impact of unexpected positive cultures from definitive surgery for nonunion regarding postoperative treatment and ultimate result.Retrospective multicenter case series.Three level-one trauma centers.Six-hundred sixty-six consecutive nonunions were treated during study period. Four-hundred fifty-three cases (68%) considered at risk indolent infection (prior open fracture, surgery, or infection) had taken time surgery.Intraoperative operative nonunions.The incidence "surprise" was...
Percutaneous fixation of an unstable pelvic ring injury is becoming a popular method stabilization. As posterior percutaneous techniques become more common, the possibility iatrogenic complications increases. This case report describes to superior gluteal artery during iliosacral screw insertion and treatment this potentially devastating injury.
Objectives: To determine the reliability of Orthopaedic Trauma Association (OTA) Open Fracture Classification. Design: Video-based study. Setting: Orthopedic meetings and grand rounds. Patients/participants: surgeons. Intervention: None. Main Outcome Measurements: Interobserver assessment classification. Results: The results demonstrate system to have high much improvement compared with published Gustilo–Anderson classification studies. Overall interrater (κ) values were highest for arterial...
To characterize the timing, indications, and "success rates of secondary interventions, dynamization exchange nailing, in a large series tibial nonunions" (dynamization nailing are types interventions).Retrospective multicenter analysis from level 1 trauma hospitals.A total 194 tibia fractures that underwent or for delayed/nonunion.Records radiographs to demographic data, fracture type, cortical contact after were gathered. The radiographic union score tibias (RUST) timing intervention time...
To evaluate the association between timing of hip fracture surgery with postoperative length stay and outcomes.Retrospective review using American College Surgeons National Surgical Quality Improvement Program database.National inquiry database incorporating 140 academic private medical centers.Seventeen thousand four hundred fifty-nine patients who underwent for a 2006 2013 were identified from database.Surgical management fractures was performed at discretion participating...
Hip fractures have significant effects on the geriatric population and health care system. Prior studies demonstrated both safety of intravenous (IV) acetaminophen its efficacy in decreasing perioperative narcotic consumption. The purpose this study is to evaluate effect scheduled IV for pain control length hospital stay, level, use, rate missed physical therapy (PT) sessions, adverse effects, discharge disposition patients with hip fractures.A retrospective review was performed all 65 years...
To determine outcomes in the treatment of distal tibial fractures treated with intramedullary nails.Retrospective analysis.Level I trauma center follow-up a private orthopaedic practice.Radiographic determination alignment, nonunion, and malunion, clinical outcome (range motion, implant-associated complaints), wound complications, fibular fixation.A total 105 patients OTA/AO type A C (<11 cm from joint line) nailing.Distance fracture line averaged 6.1 (range, 0-11). Mean was 25.6 months...
Objectives: Low serum albumin levels (hypoalbuminemia) have classically been used to identify malnutrition. The effect of increasing severity malnutrition on postoperative outcomes in patients undergoing hip fracture surgery has not well delineated a large scale. Design: Retrospective. Setting: Multicenter. Patient/Participants: A total 12,373 from 2006 2013 National Surgery Quality Improvement Project data were identified. Intervention: Patient demographic, comorbidity, and preoperative...