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Brian David Lewis

Associate Professor of Orthopaedic Surgery
Orthopaedic Surgery
DUMC Box 104002, Durham, NC 27710
311 Trent Drive, DUMC Box 104002, Durham, NC 27710

Selected Publications


The Role of Sleep Apnea in Postoperative Neurocognitive Disorders Among Older Noncardiac Surgery Patients: A Prospective Cohort Study.

Journal Article Anesth Analg · January 1, 2025 BACKGROUND: Obstructive sleep apnea is associated with increased dementia risk, yet its role in postoperative neurocognitive disorders is unclear. Here, we studied whether the severity of untreated obstructive sleep apnea is associated with the severity of ... Full text Link to item Cite

Elevated body mass index and obesity are associated with pain-associated psychological distress in patients with hip pain.

Journal Article Arch Orthop Trauma Surg · December 12, 2024 INTRODUCTION: Little research has investigated the relationship between musculoskeletal pain and body mass index (BMI) in the context of pain-associated psychological distress. This study aims to determine if independent associations exist between BMI, obe ... Full text Link to item Cite

Does psychological distress predict risk of orthopaedic surgery and postoperative opioid prescribing in patients with hip pain? A retrospective study.

Journal Article BMC Musculoskelet Disord · April 20, 2024 BACKGROUND: Clinicians and public health professionals have allocated resources to curb opioid over-prescription and address psychological needs among patients with musculoskeletal pain. However, associations between psychological distress, risk of surgery ... Full text Link to item Cite

Influence of running on femoroacetabular joint bone-to-bone distances.

Journal Article J Orthop Res · April 2024 There is limited data quantifying the influence of running on hip cartilage mechanics. The goal of this investigation was to quantify changes in hip joint bone-to-bone distance in response to a 3-mile treadmill run. We acquired magnetic resonance (MR) imag ... Full text Link to item Cite

Pain-Associated Psychological Distress Is of High Prevalence in Patients With Hip Pain: Characterizing Psychological Distress and Phenotypes.

Journal Article Arthrosc Sports Med Rehabil · February 2024 PURPOSE: To identify common pain-related psychological factors among patients seeking care for athletic hip pain, as well as characterize psychological distress phenotypes and compare hip-specific quality-of-life measures across those phenotypes. METHODS: ... Full text Link to item Cite

Preoperative Pericapsular Nerve Group Block Results in Less Pain, Decreased Narcotic Use, and Quicker Discharge Time Than No Block in Patients Who Were Surgically Treated for Femoroacetabular Impingement Syndrome.

Journal Article Arthrosc Sports Med Rehabil · October 2022 PURPOSE: To determine the effectiveness of pericapsular nerve group (PENG) block for patients surgically treated for femoroacetabular impingement syndrome (FAIS). METHODS: Consecutive patients who underwent surgical treatment of FAIS either with or without ... Full text Link to item Cite

Design and validation of a semi-automatic bone segmentation algorithm from MRI to improve research efficiency.

Journal Article Sci Rep · May 12, 2022 Segmentation of medical images into different tissue types is essential for many advancements in orthopaedic research; however, manual segmentation techniques can be time- and cost-prohibitive. The purpose of this work was to develop a semi-automatic segme ... Full text Link to item Cite

Post-Related Complications in Hip Arthroscopy Are Reported Significantly Greater in Prospective Versus Retrospective Literature: A Systematic Review.

Journal Article Arthroscopy · May 2022 PURPOSE: To determine whether there are differences in (1) the incidence of post-related complications following hip arthroscopy between prospective and retrospective publications; and (2) between post-assisted and postless techniques. METHODS: A systemati ... Full text Link to item Cite

High Prevalence of Sleep Disturbance Is Associated with Femoroacetabular Impingement Syndrome.

Journal Article Arthrosc Sports Med Rehabil · April 2022 PURPOSE: The purpose of this study was to identify an association between Patient-Reported Outcomes Measurement Information System (PROMIS) sleep scores and other PROMIS domains in patients with femoroacetabular impingement syndrome (FAIS). METHODS: Patien ... Full text Open Access Link to item Cite

Surgical Technique: Post-less, Single-Table Combined Periacetabular Osteotomy and Arthroscopy

Chapter · January 1, 2022 The young adult hip has garnered much attention over the past decade, as evidenced by this text’s formative second edition. That focus has been divided among open and arthroscopic surgical techniques. The Ganz periacetabular osteotomy (PAO) has been the go ... Full text Cite

Opioid legislation and narcotic filling in total hip arthroplasty: descriptive study of time and state-level trends in the United States.

Journal Article Subst Abuse Treat Prev Policy · September 28, 2021 BACKGROUND: The opioid misuse epidemic focused national attention on reducing opioid overprescribing. The purpose of this study is to describe the relationship of time and state-level interventions and opioid filling surrounding total hip arthroplasty (THA ... Full text Open Access Link to item Cite

Hip Dysplasia.

Journal Article Clin Sports Med · April 2021 Acetabular dysplasia represents a structural pathomorphology associated with hip pain, instability, and osteoarthritis. The wide spectrum of dysplasia anatomically refers to a 3-dimensional volumetric- and surface area-based insufficiency in coverage and i ... Full text Link to item Cite

The Impact of State Level Public Policy, Prescriber Education, and Patient Factors on Opioid Prescribing in Elective Orthopedic Surgery: Findings From a Tertiary, Academic Setting.

Journal Article Mayo Clin Proc Innov Qual Outcomes · February 2021 BACKGROUND: The United States is in the midst of an opioid misuse epidemic. There have been recent changes to North Carolina's public policy leading to institutional education attempting to reduce high-risk opioid prescribing. This study investigated wheth ... Full text Open Access Link to item Cite

The Impact of Early Epidural Discontinuation on Pain, Opioid Usage, and Length of Stay After Periacetabular Osteotomy.

Journal Article J Bone Joint Surg Am · November 4, 2020 BACKGROUND: Periacetabular osteotomy (PAO) is the standard of care for treatment of symptomatic acetabular dysplasia. Patients undergoing PAO for acetabular dysplasia have postoperative pain that can be managed with epidural analgesia. The purpose of this ... Full text Link to item Cite

The Association of Prescriber Awareness of Opioid Consumption Trends with Postoperative Opioid Prescription Volume in Hip Arthroscopy: Prescriber Awareness of Opioid Consumption.

Journal Article Arthrosc Sports Med Rehabil · October 2020 PURPOSE: To evaluate the impact of prescriber knowledge of 6-week postoperative opioid usage trends on postoperative opioid prescribing in hip arthroscopy for femoroacetabular impingement syndrome. METHODS: Two groups of patients undergoing hip arthroscopy ... Full text Link to item Cite

The MARBLE Study Protocol: Modulating ApoE Signaling to Reduce Brain Inflammation, DeLirium, and PostopErative Cognitive Dysfunction.

Journal Article J Alzheimers Dis · 2020 BACKGROUND: Perioperative neurocognitive disorders (PND) are common complications in older adults associated with increased 1-year mortality and long-term cognitive decline. One risk factor for worsened long-term postoperative cognitive trajectory is the A ... Full text Open Access Link to item Cite

Single Table Concomitant Post-Less Hip Arthroscopy Combined with Periacetabular Osteotomy for Hip Dysplasia.

Journal Article Arthrosc Tech · December 2019 It has been well established that both arthroscopic and open hip preservation techniques can result in improved patient outcomes and interrupt the natural history of hip disease. Traditionally, hip arthroscopy has been used to address central and periphera ... Full text Link to item Cite

The INTUIT Study: Investigating Neuroinflammation Underlying Postoperative Cognitive Dysfunction.

Journal Article J Am Geriatr Soc · April 2019 BACKGROUND/OBJECTIVES: Every year, up to 40% of the more than 16 million older Americans who undergo anesthesia/surgery develop postoperative cognitive dysfunction (POCD) or delirium. Each of these distinct syndromes is associated with decreased quality of ... Full text Open Access Link to item Cite

Achieving Post-Free Distraction in Hip Arthroscopy With a Pink Pad Patient Positioning Device Using Standard Hip Distraction Tables.

Journal Article Arthrosc Tech · April 2019 Iatrogenic pudendal nerve and groin complications have been reported to occur at rates up to 4.3%. While many of these complications are transient, the hip preservation community is in search of a safe postless distraction technique. Currently available po ... Full text Link to item Cite

Relationship Between PROMIS Computer Adaptive Tests and Legacy Hip Measures Among Patients Presenting to a Tertiary Care Hip Preservation Center.

Journal Article Am J Sports Med · March 2019 BACKGROUND: Legacy hip outcome measures may be burdensome to patients and sometimes yield floor or ceiling effects. Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive tests (CATs) allow for low-burden data capture and limit ... Full text Link to item Cite

Evaluation of the safety and efficacy of a new hemostatic powder using a quantitative surface bleeding severity scale.

Journal Article J Card Surg · January 2019 AIMS OF THE STUDY: The safety and efficacy of a hemostatic powder (HP) versus a control agent, absorbable gelatin sponge and thrombin (G + T), were assessed, using a validated, quantitative bleeding severity scale. METHODS: Subjects were randomized to rece ... Full text Link to item Cite

Prospective, Observational Study of Opioid Use After Hip Arthroscopy for Femoroacetabular Impingement Syndrome.

Journal Article Arthroscopy · May 2018 PURPOSE: To provide estimates of postoperative opioid use after hip arthroscopy for femoroacetabular impingement (FAI) syndrome and to identify risk factors for increased postoperative opioid use. METHODS: All patients aged at least 18 years who were under ... Full text Link to item Cite

Early recovery after hip arthroscopy for femoroacetabular impingement syndrome: a prospective, observational study.

Journal Article J Hip Preserv Surg · December 2017 The early post-operative course after hip arthroscopy for femoroacetabular impingement syndrome has not been thoroughly characterized or correlated to factors that may influence recovery. The aim of this study was to report on early pain, function and atti ... Full text Open Access Link to item Cite

Post-operative opioid pain management patterns for patients who receive hip surgery.

Journal Article Subst Abuse Treat Prev Policy · March 16, 2017 BACKGROUND: Identifying optimal, post-operative opioid management strategies is a priority of health providers and government agencies. At present, there are no studies we are aware of that have formally investigated opioid prescribing patterns for post-op ... Full text Open Access Link to item Cite

Arthroscopic hip preservation surgery practice patterns: an international survey.

Journal Article J Hip Preserv Surg · January 2017 To design and conduct a survey analyzing pre-, intra- and post- hip arthroscopy practice patterns among hip arthroscopists worldwide. A 21-question, IRB-exempt, HIPAA-compliant, cross-sectional survey was conducted via email using SurveyMonkey to examine p ... Full text Link to item Cite

Hip Dislocation or Subluxation After Hip Arthroscopy: A Systematic Review.

Journal Article Arthroscopy · July 2016 PURPOSE: To determine patient- and surgery-specific characteristics of patients sustaining postarthroscopic hip dislocation or subluxation. METHODS: A systematic review of multiple medical databases was registered with PROSPERO and performed using Preferre ... Full text Link to item Cite

Intra- and interobserver agreement in the classification and treatment of distal third clavicle fractures.

Journal Article Am J Sports Med · April 2015 BACKGROUND: In treatment of distal third clavicle fractures, the Neer classification system, based on the location of the fracture in relation to the coracoclavicular ligaments, has traditionally been used to determine fracture pattern stability. PURPOSE: ... Full text Link to item Cite

Intraobserver and interobserver agreement in the classification and treatment of midshaft clavicle fractures.

Journal Article Am J Sports Med · May 2014 BACKGROUND: With the recent emphasis on performing open reduction and internal fixation on midshaft clavicle fractures with complete displacement, comminution, and >2 cm of shortening, it is important to determine the reliability of orthopaedic surgeons to ... Full text Link to item Cite

Intra-and inter-observer agreement in the classification and treatment of midshaft clavicle fractures

Journal Article Orthopaedic Journal of Sports Medicine · September 1, 2013 Objectives: The purpose of this study was to determine the intraobserver and interobserver reliability in the classification of midshaft clavicle fractures via standard plain radiographs and to determine the intraobserver and interobserver agreement in the ... Full text Cite

A biomechanical comparison of distal clavicle fracture reconstructive techniques.

Journal Article Am J Orthop (Belle Mead NJ) · March 2013 Unstable fractures of the distal clavicle are often encountered in high-demand, young athletes. We evaluated biomechanical performance and mode of failure in 4 treatment methods. A Neer Type IIB distal clavicle fracture was created in fresh-frozen human ca ... Link to item Cite