Scholars@Duke
Christian Pean

Christian Pean

Assistant Professor of Orthopaedic Surgery
Orthopaedic Surgery
Office hours Wednesdays, 7:30AM-4PM  

Selected Publications

Hospital, regional, and policy-level variations in shoulder arthroplasty prices: a Nationwide database study.

Journal Article JSES Rev Rep Tech · February 2026 BACKGROUND: Surgical reconstruction via hemiarthroplasty, anatomic total shoulder arthroplasty (aTSA), or reverse total shoulder arthroplasty (rTSA) is a common approach for treatment of various shoulder pathologies. Little is known about variations in neg ... Full text Link to item Cite

Providing Beyond Clinic Hours: A Single-center Analysis of Patient Portal Communication in Pediatric Orthopaedic Care.

Journal Article J Pediatr Soc North Am · February 2026 BACKGROUND: Patient portals are an increasingly common tool for patient-provider communication not only improving access for patients but also creating a significant workload for providers. However, their utilization in pediatric orthopaedics remains uncle ... Full text Link to item Cite

Artificial Intelligence in Triaging Patient Questions: An Evaluation of a Large Language Model for Distal Radius Fractures.

Journal Article J Am Acad Orthop Surg · January 1, 2026 INTRODUCTION: Large language models (LLMs) are promising tools for clinical decision support but require thorough validation to ensure safety and reliability. This study assessed a knowledge and intelligence messaging interface (KIMI; RevelAi Health), an L ... Full text Link to item Cite

The Price of Prophylactic Fixation of the Humerus: A Nationwide Analysis of Negotiated Payor Rates.

Journal Article J Surg Oncol · December 29, 2025 BACKGROUND: Metastatic disease in the humerus presents with severe pain, compromised upper extremity function, and impending or completed pathologic fractures. Prophylactic fixation can improve quality of life, yet little is known about the variability in ... Full text Link to item Cite

Does Neighborhood Deprivation Impact Readmission and Associated Costs After Hip Fracture Surgery?

Journal Article J Am Geriatr Soc · December 2025 INTRODUCTION: In the context of value-based care, the influence of racial and socioeconomic factors on hip fracture care outcomes remains underexplored. This study investigates the association of the area deprivation index (ADI) on readmission rates and Ce ... Full text Link to item Cite

Commercial Products Using Generative Artificial Intelligence Include Ambient Scribes, Automated Documentation and Scheduling, Revenue Cycle Management, Patient Engagement and Education, and Prior Authorization Platforms.

Journal Article Arthroscopy · November 2025 The integration of artificial intelligence into clinical practice is rapidly transforming health care workflows. At the forefront are large language models (LLMs), embedded within commercial and enterprise platforms to optimize documentation, streamline ad ... Full text Link to item Cite

Team Approach: Reverse Shoulder Arthroplasty in the Setting of a 4-Part Proximal Humerus Fracture with Vascular Compromise.

Journal Article JBJS Rev · October 1, 2025 BACKGROUND: Proximal humerus fractures (PHFs) are increasingly prevalent, particularly in the geriatric population, where they represent a significant burden both individually and societally. Vascular injury, though rare, can have profound implications for ... Full text Link to item Cite

Hospital and Regional-Level Factors Associated With Negotiated Payor Rates for Hip Fracture Fixation: A Multistate Analysis.

Journal Article Value Health · September 30, 2025 OBJECTIVES: Hip fractures represent a significant cost burden internationally, offering an area for improving value-based care. The objective of this study was to evaluate associations between hospital/regional-level characteristics and negotiated payor ra ... Full text Link to item Cite

Tension band wiring and plate fixation for Olecranon fractures: a systematic review and meta-analysis.

Journal Article JSES Rev Rep Tech · August 2025 BACKGROUND: The purpose of this study is to perform a systematic review of the literature comparing the utilization of tension-band wiring (TBW) and plate fixation for the surgical management of olecranon fractures. METHODS: A systematic search of articles ... Full text Link to item Cite

State Health Care Regulations and Political Affiliation Associated With Total Hip Arthroplasty Prices Across the United States.

Journal Article J Arthroplasty · August 2025 BACKGROUND: Given that total hip arthroplasty (THA) is an elective procedure with rapidly increasing volumes (projected increase of 350% by 2050) and predictable costs, it is uniquely suited to serve as a proxy for assessing price transparency of hospital ... Full text Link to item Cite

A Missed Opportunity? Osteoporosis Treatment Following Femoral Neck Fractures: Reducing the Risk of Secondary Hip Fracture.

Journal Article J Arthroplasty · July 21, 2025 BACKGROUND: Hip fractures represent devastating injuries with extensive morbidity and mortality. Despite guidelines recommending osteoporosis pharmacotherapy after hip fracture, treatment rates remain low. This study sought to determine the effect of osteo ... Full text Link to item Cite

Relationship Between Social Determinants of Health and Patient Outcomes After Orthopedic Trauma.

Journal Article Orthop Clin North Am · July 2025 Orthopedic trauma care is impacted by social determinants of health (SDOH) like socioeconomic status, education, and health care access. Disparities in these areas lead to worse outcomes, particularly in rural and low-income urban populations, who face hig ... Full text Link to item Cite

State Healthcare Regulations and Total Knee Arthroplasty Prices Across the United States.

Journal Article Arthroplast Today · June 2025 BACKGROUND: The cost of healthcare services in the United States is subject to various regulatory influences, yet the impact of state-level healthcare policies and political affiliations on total knee arthroplasty (TKA) prices remains underexplored. METHOD ... Full text Link to item Cite

High rate of complications after operative fixation of open periprosthetic distal femur fractures.

Journal Article OTA Int · June 2025 INTRODUCTION: The rate of open distal periprosthetic femur fractures is rising because of the aging population and increase in the frequency of total knee arthroplasties. Operative fixation of these complex injuries is often challenging. Multiple studies h ... Full text Link to item Cite

Racial Disparities in Total Joint Arthroplasty Bundled Payment Data.

Journal Article Arthroplast Today · June 2025 BACKGROUND: Bundled payment models gained traction in recent years in total joint arthroplasty (TJA) as an alternative to fee-for-service models, aiming to reduce health-care spending by holding providers accountable for quality and costs. While they can e ... Full text Link to item Cite

Bioethical Considerations of Deploying Artificial Intelligence in Clinical Orthopedic Settings: A Narrative Review.

Journal Article HSS J · May 30, 2025 Artificial intelligence (AI) has emerged in orthopedics with the potential to improve diagnostic accuracy, optimize surgical workflows, and support personalized care. We conducted a narrative review exploring the bioethical considerations of AI use in the ... Full text Link to item Cite

Impact of demographics on surveillance and survival in post-resection orthopedic Sarcoma patients.

Journal Article Curr Probl Diagn Radiol · May 13, 2025 PURPOSE: This study aims to evaluate the impact of race, socioeconomic deprivation, and insurance status on adherence to imaging surveillance within five years following the diagnosis and resection of sarcoma of the bone. It also examines how these factors ... Full text Link to item Cite

The Impact of Health Policy on Total Ankle Arthroplasty Prices in the United States.

Journal Article J Am Acad Orthop Surg · May 2, 2025 BACKGROUND: Total ankle arthroplasty (TAA) is increasingly used due to advancements in surgical technology leading to promising results. Although TAA may have a higher upfront complication rate, its long-term benefits, including lower rates of adjacent joi ... Full text Link to item Cite

The impact of socioeconomic factors on 90-day postoperative readmissions and cost in shoulder arthroplasty patients.

Journal Article J Shoulder Elbow Surg · May 2025 BACKGROUND: Understanding the impact of Social Drivers of Health on shoulder arthroplasty is pivotal for the development of equitable value-based payment models that enhance the quality of patient care. This investigation aims to understand the influence o ... Full text Link to item Cite

Racial and Ethnic Disparities in Predictive Accuracy of Machine Learning Algorithms Developed Using a National Database for 30-Day Complications Following Total Joint Arthroplasty.

Journal Article J Arthroplasty · May 2025 BACKGROUND: While predictive capabilities of machine learning (ML) algorithms for hip and knee total joint arthroplasty (TJA) have been demonstrated in previous studies, their performance in racial and ethnic minority patients has not been investigated. Th ... Full text Link to item Cite

Application of unified health large language model evaluation framework to In-Basket message replies: bridging qualitative and quantitative assessments.

Journal Article J Am Med Inform Assoc · April 1, 2025 OBJECTIVES: Large language models (LLMs) are increasingly utilized in healthcare, transforming medical practice through advanced language processing capabilities. However, the evaluation of LLMs predominantly relies on human qualitative assessment, which i ... Full text Link to item Cite

Prevalence and predictors of bone mineral density testing after distal radius fracture in menopausal women.

Journal Article Injury · March 2025 BACKGROUND: Osteoporosis screening guidelines recommend bone mineral density (BMD) testing following fragility fractures. Nevertheless, previous studies have demonstrated low rates of osteoporosis screening. Diagnosis and treatment of osteoporosis is essen ... Full text Link to item Cite

Complications Associated with Surgical Management of Olecranon Fractures: A Systematic Review.

Journal Article JBJS Rev · March 1, 2025 PURPOSE: The purpose of this study was to systematically review the literature to assess surgical complications following surgical management of olecranon fractures. METHODS: A literature search of MEDLINE, Embase, and the Cochrane Library was performed ba ... Full text Link to item Cite

The Effect of Social Drivers of Health on 90-Day Readmission Rates and Costs After Primary Total Hip and Total Knee Arthroplasty.

Journal Article J Am Acad Orthop Surg · February 15, 2025 INTRODUCTION: The effect of social drivers of health (SDOH) on readmissions and costs after total hip arthroplasty (THA) and total knee arthroplasty (TKA) is poorly understood. Policies such as the Hospital Readmissions Reduction Program have targeted over ... Full text Link to item Cite

Predicting 90-day return to the emergency department in orthopaedic trauma patients in the Southeastern USA: a machine-learning approach.

Journal Article Inj Prev · January 21, 2025 INTRODUCTION: Return-to-acute-care metrics, such as early emergency department (ED) visits, are key indicators of healthcare quality, with ED returns following surgery often considered avoidable and costly events. Proactively identifying patients at high r ... Full text Link to item Cite

The impact of political partisanship, certificate of need, Medicaid expansion, and area deprivation index on total shoulder arthroplasty prices in the United States.

Journal Article J Shoulder Elbow Surg · January 2025 BACKGROUND: Recent mandates from the Center for Medicare and Medicaid Services require United States hospitals to disclose health care service pricing. Yet, there's a gap in understanding how state-level factors affect hospital service pricing, like total ... Full text Link to item Cite

Health care policy and arthroscopic rotator cuff repair prices in the United States.

Journal Article J Shoulder Elbow Surg · January 2025 BACKGROUND: Arthroscopic rotator cuff repair (ARCR) is one of the most common orthopedic procedures in the general population. Despite its prevalence, the price of ARCR varies significantly across regions, hospital models, and settings. The purpose of this ... Full text Link to item Cite

Are We Getting Better? Trends in 30-Day Readmission and Length of Stay Following Hip Fracture Surgery Among Older Adults: A Five-Year ACS-NSQIP Analysis.

Journal Article Geriatr Orthop Surg Rehabil · 2025 PURPOSE: To examine five-year trends in 30-day readmission and length of stay (LOS) among the geriatric population after surgical fixation for hip fracture in a large database model. METHODS: Patients ≥ 65 years of age in the American College of Surgeons N ... Full text Link to item Cite

Synovial Fluid Immune Cell Composition Following Intraarticular Fracture May Contribute to Posttraumatic Osteoarthritis.

Journal Article Int J Mol Sci · November 9, 2024 Intra-articular ankle fracture (IAF) often leads to post-traumatic osteoarthritis (PTOA), resulting in significant long-term morbidity. While previous research has focused on the inflammatory cytokines and matrix metalloproteinases within the synovial flui ... Full text Link to item Cite

Racial and Ethnic Disparities in Hip Fracture Surgery: A Systematic Review and Meta-Analysis.

Journal Article HSS J · November 2024 BACKGROUND: Hip fractures are common injuries that result in substantial loss of quality of life to elderly patients. To date, no meta-analyses have been performed to consolidate findings related to racial and ethnic disparities in hip fracture care. PURPO ... Full text Link to item Cite

Prediction of 30-Day Mortality Following Revision Total Hip and Knee Arthroplasty: Machine Learning Algorithms Outperform CARDE-B, 5-Item, and 6-Item Modified Frailty Index Risk Scores.

Journal Article J Arthroplasty · November 2024 BACKGROUND: Although risk calculators are used to prognosticate postoperative outcomes following revision total hip and knee arthroplasty (total joint arthroplasty [TJA]), machine learning (ML) based predictive tools have emerged as a promising alternative ... Full text Link to item Cite

Outcomes and complications of revision reverse shoulder arthroplasty after failed primary anatomic shoulder arthroplasty or hemiarthroplasty: a systematic review.

Journal Article J Shoulder Elbow Surg · October 2024 BACKGROUND: The purpose of this study is to systematically review the evidence in the literature to ascertain the functional outcomes, range of motion (ROM), and complication and reoperation rates after revision reverse shoulder arthroplasty (RSA) for a fa ... Full text Link to item Cite

Sociopolitical, clinical, and ethical challenges of sustainable fracture care in Haiti.

Journal Article World J Surg · October 2024 INTRODUCTION: In low- and middle-income countries such as Haiti, musculoskeletal injuries are the leading cause of morbidity and mortality. Untreated injuries can contribute to decreased mobility, leading to disability and reduced productivity for individu ... Full text Link to item Cite

Cemented Versus Noncemented Hemiarthroplasty for Femoral Neck Fractures: A Meta-Analysis of Randomized Control Trials.

Journal Article J Am Acad Orthop Surg · October 1, 2024 INTRODUCTION: The purpose of this study was to conduct a meta-analysis of the randomized controlled trials (RCTs) to compare the outcomes after cemented and noncemented hemiarthroplasty for femoral neck fractures. METHODS: A literature search of three data ... Full text Link to item Cite

Nail–Plate Constructs for Treating Distal Femur Fractures: A Systematic Review of Biomechanical Studies

Journal Article Surgeries Switzerland · September 1, 2024 The biomechanical efficacy of nail–plate constructs (NPCs) used in the treatment of traumatic distal femur fractures (DFFs) remains understudied compared to traditional approaches. This systematic review examines the biomechanical efficacy of NPCs compared ... Full text Cite

Exploring versatile applications of a vacuum-assisted bone harvester in orthopedic surgery.

Journal Article BMC Musculoskelet Disord · August 31, 2024 BACKGROUND: Orthopedic procedures often require removing bone or pathological tissue, with traditional methods involving instruments like curettes and rongeurs. However, these methods can be time-consuming and lead to increased blood loss. To mitigate thes ... Full text Link to item Cite

Persistent racial disparities in postoperative management after tibia fracture fixation: A matched analysis of US medicaid beneficiaries.

Journal Article Injury · August 2024 INTRODUCTION: Racial and ethnic disparities in orthopaedic surgery are well documented. However, the extent to which these persist in fracture care is unknown. This study sought to assess racial disparities in the postoperative surgical and medical managem ... Full text Link to item Cite

Racial and Ethnic Disparities in Providing Guideline-Concordant Care After Hip Fracture Surgery.

Journal Article JAMA Netw Open · August 1, 2024 IMPORTANCE: Institutions have adopted protocol-driven standardized hip fracture programs (SHFPs). However, concerns persist regarding bias in adherence to guideline-concordant care leading to disparities in implementing high-quality care for patients recov ... Full text Link to item Cite

Racial Disparities Exist in 90-Day Unplanned Return to the Emergency Department Following Orthopaedic Trauma Surgery.

Journal Article J Orthop Trauma · July 1, 2024 OBJECTIVES: Racial disparities in healthcare outcomes exist, including in orthopaedic trauma care. The aim of this study was to determine the impact of race, social deprivation, and payor status on 90-day emergency department (ED) revisits among orthopaedi ... Full text Link to item Cite

Association between radiographic soft-tissue thickness and increased length of stay, operative time, and infection rate after reverse shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · June 2024 BACKGROUND: Reverse shoulder arthroplasty (RSA) is a widely performed surgical procedure to address various shoulder pathologies. Several studies have suggested that radiographic soft-tissue thickness may play a role in predicting complications after ortho ... Full text Link to item Cite

Multisite Study of the Management of Musculoskeletal Infection After Trauma: The MMUSKIT Study.

Journal Article Open Forum Infect Dis · June 2024 BACKGROUND: The optimal duration and choice of antibiotic for fracture-related infection (FRI) is not well defined. This study aimed to determine whether antibiotic duration (≤6 vs >6 weeks) is associated with infection- and surgery-free survival. The seco ... Full text Link to item Cite

AI-Generated Graduate Medical Education Content for Total Joint Arthroplasty: Comparing ChatGPT Against Orthopaedic Fellows.

Journal Article Arthroplast Today · June 2024 BACKGROUND: Artificial intelligence (AI) in medicine has primarily focused on diagnosing and treating diseases and assisting in the development of academic scholarly work. This study aimed to evaluate a new use of AI in orthopaedics: content generation for ... Full text Link to item Cite

The Utilization of Preoperative Steroids Safely Decreases the Risk of Postoperative Delirium in Geriatric Patients After Hip Fracture Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Journal Article J Orthop Trauma · May 1, 2024 OBJECTIVES: Postoperative delirium is an acute neurocognitive complication that can have adverse effects on outcomes of geriatric patients after undergoing hip fracture surgery. The objective of this study was to examine the efficacy of preoperative steroi ... Full text Link to item Cite

Outcomes and complications of revision reverse shoulder arthroplasty following failed primary reverse shoulder arthroplasty: a systematic review

Journal Article Seminars in Arthroplasty Jses · March 1, 2024 Background: The purpose of this study is to systematically review the evidence in the literature to assess the functional outcomes, satisfaction scores, range of motion (ROM), and complication and reoperation rates following revision reverse shoulder arthr ... Full text Cite

The association of pre-existing mental health conditions and patient outcomes after lower extremity orthopaedic trauma: a scoping review.

Journal Article Eur J Orthop Surg Traumatol · February 2024 INTRODUCTION: Existing research has established a correlation between post-traumatic mental health conditions, including anxiety and depression, and various aspects of recovery, such as pain exacerbations, reduced functional recovery, and lowered patient s ... Full text Link to item Cite

Management of Intraoperative Acetabular Fractures During Total Hip Arthroplasty.

Journal Article Orthop Clin North Am · January 2024 Intraoperative fractures of the acetabulum are a rare but serious complication during total hip arthroplasty. Acute fractures generally require attention with plating, whereas chronic acetabular fractures may be approached with distraction, a Burch-Schneid ... Full text Link to item Cite

Systems issues limiting acute fracture care delivery at a tertiary care hospital in Northern Tanzania.

Journal Article Pan Afr Med J · 2024 INTRODUCTION: sub-Saharan Africa experiences a significant musculoskeletal trauma burden. Among patients who receive surgical treatment, there have been no reports as to how often surgical care is determined to be "adequate" or, if "inadequate", then what ... Full text Link to item Cite

Interfragmentary strain measurement post-fixation to guide intraoperative decision making: a narrative review.

Journal Article Eur J Orthop Surg Traumatol · December 2023 PURPOSE: Interfragmentary strain influences whether a fracture will undergo direct and indirect fracture healing. Orthopedic trauma surgeons modulate strain and create optimal biomechanical environments for specific fracture patterns using fixation constru ... Full text Link to item Cite

Intramedullary nailing vs. open reduction-internal fixation for humeral shaft fractures: a meta-analysis of randomized controlled trials.

Journal Article J Shoulder Elbow Surg · December 2023 BACKGROUND: The purpose of this study was to perform a meta-analysis of randomized controlled trials (RCTs) to compare outcomes following intramedullary nailing (IMN) vs. open reduction-internal fixation (ORIF) for humeral shaft fractures. METHODS: A liter ... Full text Link to item Cite

Updates on Residual Limb Management in Lower Extremity Amputation From Nerve to Bone.

Journal Article Bull Hosp Jt Dis (2013) · December 2023 Traumatic extremity amputation can be devastating for patients' functional and psychological health. Challenges of initial management and considerations for limb salvage versus amputation for mangled lower extremities are well documented. However, literatu ... Link to item Cite

Metabolic Syndrome Increases Risk of Readmission and Complications in Operative Fixation of Pilon Fractures.

Journal Article Cureus · July 2023 Background Studies demonstrate that metabolic syndrome (MetS) negatively impacts surgical outcomes. This study sought to identify how metabolic syndrome affects outcomes after open reduction and internal fixation (ORIF) of traumatic pilon fractures. Method ... Full text Link to item Cite

Shoulder arthroplasty device clearance: an ancestral network analysis.

Journal Article J Shoulder Elbow Surg · March 2023 BACKGROUND: The US Food and Drug Administration (FDA) oversees medical device regulation and oversight in the United States, and the majority of shoulder arthroplasty devices are cleared via the 510(k) pathway, in which a device demonstrates "substantial e ... Full text Link to item Cite

NSQIP 30-day outcome measures for below-knee amputations by ICD-10 diagnoses.

Journal Article Surg Pract Sci · March 2023 BACKGROUND: The indications for Below-Knee Amputation (BKA) are expansive and etiologic subgroups are not well defined. This analysis uses primary ICD-10 diagnosis codes to stratify patients undergoing BKA, and examines differences in subgroup characterist ... Full text Link to item Cite

Interfacility Transfer Patients With Pelvic, Acetabular, and Lower Extremity Fractures Are at Higher Risk for Major Complications and Readmissions.

Journal Article J Orthop Trauma · February 1, 2023 OBJECTIVE: To compare the adverse event profile and patient comorbidity profile of lower extremity orthopaedic trauma patients admitted via interfacility transfer (IT) to direct admission (DA) patients from home. METHODS: A total of 39,497 patients from 20 ... Full text Link to item Cite

Severe Obesity Worsens 30-Day Surgical Outcomes and Projected Costs in Operative Femoral Shaft and Tibial Shaft Fractures.

Journal Article J Orthop Trauma · January 1, 2023 OBJECTIVE: To assess the impact of severe obesity on 30-day adverse event rates, hospital length of stay (LOS), readmissions, and projected costs after operative fixation of tibia and femur fractures. METHODS: An analysis of the American College of Surgeon ... Full text Link to item Cite

Use of a Six-Item Modified Frailty Index to Predict 30-day Adverse Events, Readmission, and Mortality in Older Patients Undergoing Surgical Fixation of Lower Extremity, Pelvic, and Acetabular Fractures.

Journal Article J Am Acad Orthop Surg Glob Res Rev · January 1, 2023 INTRODUCTION: This is a retrospective study evaluating the use of a new six-item modified frailty index (MF-6) to predict short-term outcomes of patients receiving surgery for lower extremity fractures. METHODS: Patients older than 65 years undergoing open ... Full text Link to item Cite

Haitian State Hospital Orthopedic Grand Rounds Series: A Virtual Curriculum to Address Global Surgery Needs.

Journal Article Ann Glob Health · 2023 BACKGROUND: Orthopedic Relief Services International (ORSI), in partnership with the Foundation for Orthopedic Trauma and the department of Orthopedic Surgery of La Paix University Hospital in Haiti, has developed a year-round Orthopedic Grand Round series ... Full text Link to item Cite

The Complex Process of Using the Interconnected Knee Arthroplasty Device Clearance Pathway.

Journal Article HSS J · November 2022 Background: The clearance of medical devices by the US Food and Drug Administration (FDA) has remained largely unchanged since 1976, when the Medical Device Amendments Act established a system classifying devices into 3 categories based on safety risk to t ... Full text Link to item Cite

Clinical and Radiographic Comparison of Splinting Constructs for Distal Radius Fractures: An Effort to Free the Elbow.

Journal Article J Orthop Trauma · September 1, 2022 OBJECTIVES: To compare short-term functional outcomes, reduction loss, and rates of surgery for distal radius fractures initially immobilized with a traditional sugar-tong splint versus clamshell splint freeing the elbow. DESIGN: Prospective randomized tri ... Full text Link to item Cite

What Do Orthopedic Trauma Surgeons Want and Expect from Anesthesiologists?

Journal Article Anesthesiol Clin · September 2022 From the orthopedic trauma surgeon's perspective, successful injury management hinges on fracture fixation and restoration of patient mobility in a safe and expeditious manner. Management of critically injured polytrauma patients and shared decisions regar ... Full text Link to item Cite

Repair of a Femoral Head Fracture Dislocation With an Associated Posterior Wall Acetabular Fracture (Pipkin 4) via a Kocher-Langenbeck Approach.

Journal Article J Orthop Trauma · August 1, 2022 A case of a 27-year-old man with a right-sided largely infra-foveal femoral head fracture dislocation with posterior wall acetabular fracture repaired via a Kocher-Langenbeck approach is presented. This is an atypical approach for fixation of the femoral h ... Full text Link to item Cite

Value-Based Care in Orthopedic Trauma.

Journal Article Bull Hosp Jt Dis (2013) · March 2022 The advent of value-based care as a component of the United States health care system is part of a broader paradigm shifting away from fee-for-service payment models in favor of alternative reimbursement incentives tied to quality and outcome metrics. Bund ... Link to item Cite

Orthopaedic Urgent Care Versus the Emergency Department: Cost Implications for Low-energy Fracture Care.

Journal Article J Am Acad Orthop Surg · February 1, 2022 INTRODUCTION: This study compared costs, length of visit, and utilization trends for patients with fractures seen in an immediate care orthopaedic center (I-Care) versus the emergency department (ED) in a major metropolitan area. METHODS: A retrospective c ... Full text Link to item Cite

The Interconnected Ancestral Network of Hip Arthroplasty Device Approval.

Journal Article J Am Acad Orthop Surg · December 15, 2021 BACKGROUND: In the United States, the most overwhelming medical devices, including hip arthroplasty devices, are cleared for human use by demonstration of "substantial equivalence" to a predicate, previously approved marketed device. This study examined th ... Full text Link to item Cite

Staged Reconstruction of a Moore Type 4 Fracture Dislocation, Parts 1 and 2.

Journal Article J Orthop Trauma · August 1, 2021 High-energy tibial plateau fractures are associated with knee fracture dislocations and concomitant ligamentous injury. Both bony and ligamentous injuries can require surgical fixation, often requiring a multidisciplinary team and staged treatment. This ar ... Full text Link to item Cite

Treatment of a Chronic Elbow Dislocation With an Internal Fixator.

Journal Article J Orthop Trauma · August 1, 2021 There are a variety of ways to treat chronic elbow dislocations, including repeat closed reduction and immobilization, transarticular pinning, temporary bridge plating, hinged or rigid external fixation, and internal fixator application. Although each have ... Full text Link to item Cite

Volar plating of distal radius fractures

Chapter · June 29, 2021 We present our surgical planning and fixation technique for a volar displaced distal radius fracture. Achieving an anatomic reduction by restoring key alignment parameters and obtaining accurate intraoperative radiographs are critical for these fracture ty ... Full text Cite

Unusual presentation in Haiti of a recurrent giant cell tumor of bone affecting the distal radius: A case report.

Journal Article Int J Surg Case Rep · March 2021 INTRODUCTION: Giant cell tumor of bone (GCTB) is a benign-aggressive tumor that has a high-rate of recurrence with curettage resection alone. Patients with GCTB in underserved regions of the world can have progression of the tumor with significant disabili ... Full text Link to item Cite

Motivations and impact of international rotations in low- and middle-income countries for orthopaedic surgery residents: Are we on the same page?

Journal Article Am J Surg · February 2021 BACKGROUND: Despite interest among North American orthopaedic residents to pursue rotations in resource-limited settings, little is known regarding resident motivations and impact on host surgeons. METHODS: Surveys were distributed to North American orthop ... Full text Link to item Cite

The Quality of Online Resources Available to Patients Regarding Cannabidiol for Symptomatic Relief of Hip or Knee Arthritis is Poor.

Journal Article J Am Acad Orthop Surg Glob Res Rev · January 22, 2021 INTRODUCTION: This study aimed to assess the quality of online resources pertaining to cannabidiol (CBD) for the nonoperative management of hip and knee arthritis. METHODS: Websites were identified on the three most popular global search engines using term ... Full text Link to item Cite

Virtual Reality and Augmented Reality-Translating Surgical Training into Surgical Technique.

Journal Article Curr Rev Musculoskelet Med · December 2020 PURPOSE OF REVIEW: As immersive learning outside of the operating room is increasingly recognized as a valuable method of surgical training, virtual reality (VR) and augmented reality (AR) are increasingly utilized in orthopedic surgical training. This art ... Full text Link to item Cite

Scoring of radiographic cortical healing with the radiographic humerus union measurement predicts union in humeral shaft fractures.

Journal Article Eur J Orthop Surg Traumatol · July 2020 PURPOSE: The purpose of this study is to determine if the radiographic humerus union measurement (RHUM) is predictive of union in humeral shaft fractures treated nonoperatively. METHODS: All patients with long bone fracture nonunion presenting to a single ... Full text Link to item Cite

Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures.

Journal Article J Knee Surg · May 2020 The purpose of this study is to determine when functional outcome no longer improves following tibial plateau fracture. A patient series of operatively treated tibial plateau fractures was reviewed. Patients were evaluated using the short musculoskeletal f ... Full text Link to item Cite

One Resident's Recommendations for Responding to Unjust Patient Bias.

Journal Article AMA J Ethics · June 1, 2019 All clinicians have the right to work in environments free of discrimination. Trends such as shared decision making and tying reimbursement to patient satisfaction metrics prompt us to ask how we should respond to patient preferences that express unjust bi ... Full text Link to item Cite

Rapid Complete Acetabular Destruction in Metal-on-Metal Total Hip Arthroplasty.

Journal Article J Am Acad Orthop Surg Glob Res Rev · April 2018 Adverse local tissue reaction, osteolysis, and subsequent increased incidence of failure have been associated with metal-on-metal (MoM) total hip arthroplasty (THA). We present the case of a 68-year-old woman with rheumatoid arthritis who has undergone lef ... Full text Link to item Cite

Risk factors for complications after primary repair of Achilles tendon ruptures.

Journal Article J Orthop · March 2018 PURPOSE: To identify patient characteristics associated with adverse events in Achilles tendon rupture (ATR) surgical repair cases. METHODS: A high risk (HR) cohort group of ATR patients were compared to healthy controls in the ACSNSQIP database with multi ... Full text Link to item Cite

Racial disparities in outcomes of operatively treated lower extremity fractures.

Journal Article Arch Orthop Trauma Surg · October 2017 PURPOSE: Whether racial differences are associated with function in the long term following surgical repair of lower extremity fractures has not been investigated. The purpose of this study is to compare how race affects function at 3, 6 and 12 months post ... Full text Link to item Cite

Race and Ethnicity Have a Mixed Effect on the Treatment of Tibial Plateau Fractures.

Journal Article J Orthop Trauma · October 2017 OBJECTIVES: To determine whether racial or economic disparities are associated with short-term complications and outcomes in tibial plateau fracture care. DESIGN: Retrospective cohort study. SETTING: All New York State hospital admissions from 2000 to 2014 ... Full text Link to item Cite

The Use of Liposomal Bupivacaine Administered With Standard Bupivacaine in Ankle Fractures Requiring Open Reduction Internal Fixation: A Single-Blinded Randomized Controlled Trial.

Conference J Orthop Trauma · August 2017 OBJECTIVES: To determine the efficacy of liposomal bupivacaine compared to placebo for postoperative pain control in patients undergoing operative fixation of ankle fractures. DESIGN: Prospective single-blinded randomized control trial. SETTING: Academic M ... Full text Link to item Cite

Functional and Clinical Outcomes of Nonsurgically Managed Tibial Plateau Fractures.

Journal Article J Am Acad Orthop Surg · May 2017 INTRODUCTION: This study sought to assess and compare long-term functional and clinical outcomes in patients with tibial plateau fractures that are treated nonsurgically. METHODS: Over a period of 8 years, 305 consecutive tibial plateau fractures were trea ... Full text Link to item Cite

Functional outcome after proximal humerus fracture fixation : understanding the risk factors.

Journal Article Acta Orthop Belg · March 2017 The purpose is to identify risk factors of functional outcome following proximal humerus open reduction and internal fixation. Patients treated for proximal humerus fractures with open reduction and internal fixation were enrolled in a prospective data reg ... Link to item Cite

The results of tension band rotator cuff suture fixation of locked plating of displaced proximal humerus fractures.

Journal Article Injury · February 2017 INTRODUCTION: The purpose of this study was to assess 1-year outcomes of patients with displaced proximal humerus fractures who underwent treatment with locked plate fixation with rotator cuff suture augmentation. METHODS: A total of 86 patients who had su ... Full text Link to item Cite

Exploration of Global Health Careers Across the Medical Fields.

Journal Article Ann Glob Health · 2017 BACKGROUND: Despite expansion of interest among American medical students in global health (GH), academic medical centers face multiple obstacles to the development of structured GH curricula and career guidance. To meet these demands we sought to provide ... Full text Link to item Cite

Using Objective Structured Clinical Examinations to Assess Intern Orthopaedic Physical Examination Skills: A Multimodal Didactic Comparison.

Journal Article J Surg Educ · 2017 UNLABELLED: Patient care is 1 of the 6 core competencies defined by the Accreditation Council for Graduate Medical Education (ACGME). The physical examination (PE) is a fundamental skill to evaluate patients and make an accurate diagnosis. The purpose of t ... Full text Link to item Cite

Shoulder Arthroscopy in Adults 60 or Older: Risk Factors That Correlate With Postoperative Complications in the First 30 Days.

Journal Article Arthroscopy · January 2017 PURPOSE: To investigate the 30-day postoperative adverse event (AE) rates of adults 60 years or older after shoulder arthroscopy and identify risk factors for complications in this patient population. METHODS: Patients aged 60 or more who underwent shoulde ... Full text Link to item Cite

Functional Outcomes of Isolated Medial Tibial Plateau Fractures.

Journal Article J Knee Surg · July 2016 Isolated medial tibial plateau injuries are uncommon and underdescribed in the literature. As such, the range of fracture severity and outcomes in comparison to more frequently described tibial plateau fractures are lacking. To assess outcomes of this rare ... Full text Link to item Cite

Outcome after olecranon fracture repair: Does construct type matter?

Journal Article Eur J Orthop Surg Traumatol · February 2016 PURPOSE: This study compares clinical and functional outcomes of patients with displaced olecranon fractures treated with either tension band wiring (TBW) or a hook plate construct. METHODS: We performed a retrospective review of olecranon fractures operat ... Full text Link to item Cite

Predictors of Patient Reported Pain After Lower Extremity Nonunion Surgery: The Nicotine Effect.

Journal Article Iowa Orthop J · 2016 BACKGROUND: Nonunion of long bone fractures is a serious complication for many patients leading to considerable morbidity. The purpose of this study is to elucidate factors affecting continued pain following long bone nonunion surgery and offer better pain ... Link to item Cite

Perioperative adverse events in distal femur fractures treated with intramedullary nail versus plate and screw fixation.

Journal Article J Orthop · December 2015 BACKGROUND: To compare 30-day outcomes in patients treated for a distal femur (DF) fracture with plate fixation (PF) or intramedullary nail (IMN). METHODS: Differences in rates of any adverse events (AAE), serious adverse events (SAE), infectious complicat ... Full text Link to item Cite

The NYU Osteoporosis Model of Care Experience.

Journal Article Geriatr Orthop Surg Rehabil · December 2015 INTRODUCTION: Participants who sustain a fragility fracture are at increased risk for subsequent fractures. Despite the consequences of recurrent fractures, bone mineral density (BMD) testing and treatment rates for osteoporosis after a fracture remain low ... Full text Link to item Cite

Current Practices Regarding Perioperative Management of Patients With Fracture on Antiplatelet Therapy: A Survey of Orthopedic Surgeons.

Journal Article Geriatr Orthop Surg Rehabil · December 2015 OBJECTIVE: There continues to be controversy over whether operative delay is necessary for patients on antiplatelet therapy, particularly for elderly patients with hip fractures. This study sought to assess current clinical practices of orthopedic surgeons ... Full text Link to item Cite

Comparison of Short-Term Outcomes of Geriatric Distal Femur and Femoral Neck Fractures: Results From the NSQIP Database.

Journal Article Geriatr Orthop Surg Rehabil · December 2015 PURPOSE: To compare and contrast postoperative complications in the geriatric population following open reduction and internal fixation (ORIF) for (DF) fractures relative to femoral neck (FN) fractures. METHODS: Patients aged 65 years and older in the Amer ... Full text Link to item Cite

Near-peer emergency medicine for medical students in Port-au-Prince, Haiti: an example of rethinking global health interventions in developing countries.

Journal Article Ann Glob Health · 2015 BACKGROUND: During a 3-year time frame, a partnership between medical trainees in Haiti and the United States was forged with the objective of implementing an emergency response skills curriculum at a medical school in Port-au-Prince. The effort sought to ... Full text Link to item Cite

Long-term results following surgical treatment of elbow deformity in patients with cerebral palsy.

Journal Article J Hand Surg Am · December 2013 PURPOSE: To evaluate the long-term results of surgical intervention for elbow flexion deformity in cerebral palsy. We hypothesized that improvements in elbow extension and flexion posture angle at ambulation would be maintained over time with preservation ... Full text Link to item Cite