- Hip and Femur Fractures
- Orthopedic Infections and Treatments
- Orthopaedic implants and arthroplasty
- Pelvic and Acetabular Injuries
- Bone fractures and treatments
- Surgical site infection prevention
- Orthopedic Surgery and Rehabilitation
- Total Knee Arthroplasty Outcomes
- Advanced Radiotherapy Techniques
- Trauma and Emergency Care Studies
- Foot and Ankle Surgery
- Shoulder and Clavicle Injuries
- Healthcare cost, quality, practices
- Radiation Therapy and Dosimetry
- Bone and Joint Diseases
- Spinal Fractures and Fixation Techniques
- Radiation Dose and Imaging
- Trauma Management and Diagnosis
- Metabolomics and Mass Spectrometry Studies
- Urological Disorders and Treatments
- Emergency and Acute Care Studies
- Facial Trauma and Fracture Management
- Spondyloarthritis Studies and Treatments
- Anesthesia and Pain Management
- Heterotopic Ossification and Related Conditions
MetroHealth Medical Center
2018-2025
MetroHealth
2018-2025
Case Western Reserve University
2021-2024
Fondazione Vincenzo Pansadoro
2017-2024
University of Maryland, Baltimore
2024
Population Health Research Institute
2024
Hamilton Health Sciences
2024
McMaster University
2024
University School
2021-2022
Cleveland Clinic
2022
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).
Abstract Introduction The outcomes of total hip arthroplasty (THA) are highly dependent upon the restoration native biomechanics and optimal component positioning. Robotic technologies for THA have rapidly improved accuracy positioning maintaining planned center rotation. While robotic-assisted (RA-THA) has primarily been employed in surgically intricate cases, its potential benefits scenarios diminished surgical complexity remain less explored. Therefore, purpose this study was to assess...
Surgical site infections in orthopaedic trauma are a significant problem with meaningful patient and health care system-level consequences. Direct application of antibiotics to the surgical field has many potential benefits reducing infections. However, date, data regarding local administration have been mixed. This study reports on variability prophylactic vancomycin powder use cases across 28 centers.Intrawound topical antibiotic was prospectively collected within three multicenter...
To identify the success of pain catheters in management nonoperatively treated femoral neck fractures (FNFs) supplement to current multimodal protocols for end-of-life management.Twenty patients aged older than 50 years with FNFs were selected a retrospective fashion at level 1 trauma center. These indwelling continuous peripheral palliate pain. Adjunctive control undergoing nonoperative was provided an intra-articular/peripheral nerve ropivacaine catheters. Pain scores 24 hours before/after...
Abstract Despite the rising prevalence of arthroplasty and aging population, limited data exist regarding differences in periprosthetic fracture clinical outcomes compared with native counterparts. This study compares hospital treatment, morbidity, mortality associated distal femur fractures at an urban level 1 trauma center. We retrospectively reviewed all adult AO/OTA type 33 (526) that presented to our institution between 2009 2018. In total, 54 were matched by age gender. recorded...
To determine the incidence of vacuum phenomenon related intra-articular or subfascial gas found on computer-assisted tomography (CT) scans closed lower extremity fractures.Retrospective Review.Level I Trauma Center.A total 153 patients with fractures.CT identified individuals were reviewed for presence absence gaseous accumulations.The CT.Twenty seven (17.6%) fractures to have CT despite clear documentation, indicating a injury no significant skin compromise. Of (OTA/AO 33B/C, 41B/C and...
Objectives: To determine whether fracture of the lateral process (LP) elevates risk development radiographic subtalar arthrosis in patients with talar body and neck fractures. Design: Retrospective review. Setting: Level 1 academic trauma center. Patients/Participants: Eighty-two 43 fractures treated over a 5-year period. Intervention: Preoperative postoperative radiographs were evaluated for LP talus subsequent arthritis. Main Outcome Measurements: Radiographic evidence Results: Seventy-six...
To investigate the effect of weight-bearing status on radiographic healing diaphyseal femur fractures.Retrospective 1:1 matched cohort study.Single-level 1 trauma center.One-hundred forty-four (N = 154) patients in non-weight bearing (NWB) and as tolerated (WBAT) groups.Non-weight following reamed, statically locked intramedullary fixation fracture, generally due to concurrent lower extremity fracture.Postoperative using modified Radiographic Union Scale for Tibia fractures (mRUST)...
The purpose of our study was to determine in vivo outcomes and consistency relief symptoms attributable carpal tunnel syndrome patients who underwent radial-sided release conjunction with basal joint arthroplasty through a single incision.A retrospective chart review identified all had undergone combination at 1 institution from February 2011 April 2014. Both preoperative postoperative were documented. Patient assessed using the QuickDASH (Disabilities Arm, Shoulder, Hand) questionnaire....
This case-control study evaluates the success of indwelling pain catheters in nonoperatively treated femoral neck fractures (FNFs) for end-of-life management.Patients older than 65 years with FNFs were retrospectively identified at a level 1 trauma center between March 2012 and September 2015. Twenty-three received continuous peripheral (experimental) 10 traditional control modalities (control). Pain scores 24 hours before/after management interventions, ambulation status admission...
Summary: Lateral process fractures of the talus may occur either in isolation or combination with a talar neck body fracture. Screw fixation has been well described as means stabilization; however, many patients have multifragmentary fragments, unable to be controlled by isolated screw alone. Plate lateral yet detail presence clinical series. Here, we describe our technique plate for both and those that conjunction
ESTRO 36 _______________________________________________________________________________________________ angle, MLC position, and MU were 0.16° ± 0.01° (range, 0.12°-0.17°),0.08° 0.00° 0.0.7°-0.08°),0.08 0.02 mm 0.04-0.11mm), 0.37 0.05 0.30-0.44MU), respectively.In the delivered dose reconstruction, means SDs of difference all dose-volumetric indices 0.5% 0.8% 0.0%-4.2%)and 0.2% 0.0%-0.7%)for brain prostate tumors, respectively. ConclusionWe have established patient-specific QA procedure for...
Case: A 2-year-old male child presented as a polytrauma after having been run over by motor vehicle. His orthopaedic injuries included pelvic ring injury, displaced subtrochanteric femur fracture, and clavicle fracture. injury ultimately required open reduction with suture fixation failure of closed management. Conclusion: Pelvic are relatively uncommon in young children, even more rarely do they require surgical intervention. We detail the case one such patient who management his...