A5044768721- Hip and Femur Fractures
- Bone fractures and treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Orthopedic Surgery and Rehabilitation
- Orthopedic Infections and Treatments
- Trauma and Emergency Care Studies
- Pelvic and Acetabular Injuries
- Orthopaedic implants and arthroplasty
- Surgical site infection prevention
- Total Knee Arthroplasty Outcomes
- Healthcare cost, quality, practices
- Shoulder Injury and Treatment
- Elbow and Forearm Trauma Treatment
- Foot and Ankle Surgery
- Osteoarthritis Treatment and Mechanisms
- Spinal Fractures and Fixation Techniques
- Shoulder and Clavicle Injuries
- Cannabis and Cannabinoid Research
- Surgical Sutures and Adhesives
- Musculoskeletal pain and rehabilitation
- Sports injuries and prevention
- Trauma Management and Diagnosis
- Hip disorders and treatments
- Scoliosis diagnosis and treatment
- Health Systems, Economic Evaluations, Quality of Life
McMaster University
2016-2025
Foothills Medical Centre
2024-2025
University of Calgary
2013-2025
University of Maryland, Baltimore
2015-2024
Population Health Research Institute
2024
Hamilton Health Sciences
2024
McMaster University Medical Centre
2023
Imperial College London
2017-2023
Western University
2023
Impact
2018-2021
Abstract Background: Venous thromboembolism (VTE) is a common source of perioperative morbidity and mortality. Objective: These evidence-based guidelines from the American Society Hematology (ASH) intend to support decision making about preventing VTE in patients undergoing surgery. Methods: ASH formed multidisciplinary guideline panel balanced minimize bias conflicts interest. The McMaster University GRADE Centre supported guideline-development process, including performing systematic...
Studies evaluating surgical-site infection have had conflicting results with respect to the use of alcohol solutions containing iodine povacrylex or chlorhexidine gluconate as skin antisepsis before surgery repair a fractured limb (i.e., an extremity fracture).
Importance In arthroscopic knee and shoulder surgery, there is growing evidence that opioid-sparing protocols may reduce postoperative opioid consumption while adequately addressing patients’ pain. However, are a lack of prospective, comparative trials evaluating their effectiveness. Objective To evaluate the effect multimodal, approach to pain management compared with current standard care in patients undergoing or surgery. Design, Setting, Participants This randomized clinical trial was...
Waste and recycling among
Background: Displaced intra-articular calcaneal fractures are devastating injuries and pose a therapeutic challenge. The purpose of this study was to determine whether open reduction internal fixation (ORIF) plus an injectable bioresorbable calcium phosphate paste (α-BSM [bone substitute material]) is superior ORIF alone in the treatment bone voids encountered after operative displaced fractures. Methods: We prospectively randomized 47 patients with 52 closed necessitating receive (n = 28)...
➢ The body of evidence surrounding the use viscosupplementation in knee osteoarthritis is extensive and fraught with heterogeneous trials conflicting conclusions. Attempts to aggregate through systematic reviews, meta-analyses, guidelines have also resulted unclear, discordant recommendations. Closer examination reveals that around favors clinically important reductions pain among higher-molecular-weight cross-linked formulations a safe option patients osteoarthritis. Further large assessing...
Abstract Open fracture management is a common challenge to orthopaedic trauma surgeons and burdensome condition the patient, health care, entire society. Fracture-related infection (FRI) leading morbid complication avoid during open because it leads sepsis, nonunion, limb loss, overall very poor region-specific general functional outcomes. This review, based on symposium presented at 2022 OTA International Trauma Care Forum, provides practical evidence-based summary key strategies prevent...
We sought to determine the role of lumbopelvic fixation (LPF) in treatment zone II sacral fractures with varying levels comminution combined anterior pelvic ring (PR) instability. also proximal extent LPF necessary for adequate stabilization and complex when only 1 transiliac-transsacral (TI-TS) screw is feasible.Fifteen L4 pelvis fresh-frozen cadaveric specimens were tested intact flexion-extension (FE) axial rotation (AR) a bilateral stance gliding hip model. Two severities simulated...
Osteoarthritis (OA), as one of the leading causes disability, decreases quality life for those suffering from disease and creates a substantial financial burden. Intra-articular hyaluronic acid (HA) can provide relief symptoms OA multiple HA products are prescribed. The purpose this study is to examine single payer cost-effectiveness various in treatment knee OA. A economic evaluation was conducted comparing Synvisc® (Sanofi, USA), Durolane® (Bioventus, Hyalgan® (Fidia Pharma Inc., Supartz™...
Extremity fractures are common, and most managed operatively; however, despite successful reduction, up to half of patients report persistent post-surgical pain. Furthermore, psychological factors such as stress, distress, anxiety, depression, catastrophizing, fear-avoidance behaviors have been associated with the development chronic The purpose this pilot study was examine feasibility a randomized controlled trial determine effect in-person cognitive behavioral therapy (CBT) vs. usual care...
Limited evidence for the optimal venous thromboembolism (VTE) prophylaxis regimen in orthopaedic trauma leads to variability regimens. We sought delineate patient preferences towards cost, complication profile, and administration route (oral tablet vs. subcutaneous injection).Discrete choice experiment (DCE).Level 1 center Baltimore, USA.232 adult patients (mean age 47.9 years) with pelvic or acetabular fractures operative extremity fractures.Relative trade-off estimates a 1% reduction...
Orthopedic trauma patients are often treated with venous thromboembolism (VTE) chemoprophylaxis aspirin or low molecular weight heparin (LMWH) after discharge from their index admission, but adherence patterns not known. We hypothesized that overall would be moderate and greater compared to LMWH.We conducted a randomized controlled trial of adult an operative extremity fracture any pelvic/acetabular requiring VTE prophylaxis. Patients were receive either LMWH 30 mg BID 81 BID. prescribed...