2024
Ankle fracture open reduction and internal fixation in patients with cerebral palsy
Dhodapkar M, Yang A, Jiang W, Halperin S, Frumberg D, Grauer J. Ankle fracture open reduction and internal fixation in patients with cerebral palsy. Developmental Medicine & Child Neurology 2024, 66: 1496-1501. PMID: 38773804, DOI: 10.1111/dmcn.15958.Peer-Reviewed Original ResearchAnkle fracture ORIFCerebral palsyAnkle fracturesElixhauser Comorbidity IndexInternational Classification of Diseases (ICD)-9 and ICD-10Increased oddsIsolated ankle fracturesEmergency department visitsClosed ankle fracturesInternal fixationProlonged lengthMultivariate logistic regressionAnkle fracture open reductionProlonged length of stayDepartment visitsLength of stayInternational ClassificationAdverse eventsStudy of adult patientsFracture open reductionMinor adverse eventsICD-10Logistic regressionORAnkle
2023
Adverse Events After Ankle Fracture Open Reduction Internal Fixation Among Patients With and Without Documented Cannabis and Tobacco Use
Dhodapkar M, Oghenesume O, Halperin S, Modrak M, Yoo B, Grauer J. Adverse Events After Ankle Fracture Open Reduction Internal Fixation Among Patients With and Without Documented Cannabis and Tobacco Use. Foot & Ankle International 2023, 44: 941-948. PMID: 37698277, DOI: 10.1177/10711007231189698.Peer-Reviewed Original ResearchConceptsOpen reduction internal fixationAnkle fracture open reduction internal fixationUrinary tract infectionMinor adverse eventsAdverse eventsReduction internal fixationRetrospective database studyTobacco useAnkle fracturesInternal fixationTobacco usersHigher oddsDatabase studyGreater oddsAnkle open reduction internal fixationElixhauser comorbidity index scoreCause adverse eventsComorbidity Index scoreSevere adverse eventsCommon orthopedic injuriesMultivariable logistic regressionStudy inclusion criteriaGroup of nonusersPerioperative outcomesAdult patientsUrgent Care Versus Emergency Department Utilization for Foot and Ankle Fractures
Dhodapkar M, Gouzoulis M, Halperin S, Modrak M, Yoo B, Grauer J. Urgent Care Versus Emergency Department Utilization for Foot and Ankle Fractures. Journal Of The American Academy Of Orthopaedic Surgeons 2023, 31: 984-989. PMID: 37253245, DOI: 10.5435/jaaos-d-22-01097.Peer-Reviewed Original ResearchConceptsUrgent care facilityAnkle fracturesEmergency departmentED utilizationCare facilitiesUrgent careOdds ratioICD-10 diagnosis codesCertain injury typesUrgent care utilizationRetrospective cohort studyUrgent care visitsYears old presentingMinority of patientsEmergency department utilizationOld presentingCare visitsAdult patientsCare algorithmCohort studyIndependent predictorsCare utilizationMultivariable analysisCommon injuriesDiagnosis codes
2022
Ninety-Day Emergency Department Visits After Ankle Fracture Surgery
Kammien A, Ratnasamy P, Joo P, Grauer J. Ninety-Day Emergency Department Visits After Ankle Fracture Surgery. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 31: e51-e57. PMID: 36548157, DOI: 10.5435/jaaos-d-22-00484.Peer-Reviewed Original ResearchConceptsAnkle fracture surgeryElixhauser comorbidity index scoreComorbidity Index scoreED visitsED utilizationFracture surgeryPostoperative weekRisk factorsSurgical siteIndex scoreIncidence of readmissionEmergency department visitsDay of surgeryMultivariate logistic regressionORIF patientsPatient ageAnkle fracturesDepartment visitsOpen reductionConcomitant fracturesMedicaid insuranceEntire cohortEmergency departmentInternal fixationCare pathwayRisk factors for venous thromboembolism following fractures isolated to the foot and ankle fracture
Gouzoulis MJ, Joo PY, Kammien AJ, McLaughlin WM, Yoo B, Grauer JN. Risk factors for venous thromboembolism following fractures isolated to the foot and ankle fracture. PLOS ONE 2022, 17: e0276548. PMID: 36264985, PMCID: PMC9584400, DOI: 10.1371/journal.pone.0276548.Peer-Reviewed Original ResearchConceptsVenous thromboembolismAnkle fracturesFactor V LeidenSurgical treatmentRisk factorsActive cancerV LeidenTiming of VTEPrior venous thromboembolismIsolated footIndependent risk factorDeep vein thrombosisRisk/benefit considerationsMultivariate logistical regressionSpecific fracture patternsElixhauser indexPulmonary embolismVein thrombosisPearlDiver databaseMetatarsal fracturesAppendicular fracturesMale sexSuch injuriesTraumatic injuryChi-square analysisPredictors of Physical Abuse in Elder Patients With Fracture
Gardezi M, Moore HG, Rubin LE, Grauer JN. Predictors of Physical Abuse in Elder Patients With Fracture. JAAOS Global Research And Reviews 2022, 6: e22.00144. PMID: 35819835, PMCID: PMC9278940, DOI: 10.5435/jaaosglobal-d-22-00144.Peer-Reviewed Original ResearchConceptsAbuse patientsNational Emergency Department Sample databasePhysical abuseHigh-risk patientsMultivariate regressionPublic health issueLowest income quartileElderly patientsFracture patientsRisk patientsAnkle fracturesIndependent predictorsPediatric populationElder patientsEmergency departmentRib fracturesVolume depletionOdds ratioElder physical abuseElder abusePatientsUnivariate comparisonsMental disordersIncome quartileHealth issues
2021
COVID-positive ankle fracture patients are at increased odds of perioperative surgical complications following open reduction internal fixation surgery
Mercier MR, Galivanche AR, Brand JP, Pathak N, Medvecky MJ, Varthi AG, Rubin LE, Grauer JN. COVID-positive ankle fracture patients are at increased odds of perioperative surgical complications following open reduction internal fixation surgery. PLOS ONE 2021, 16: e0262115. PMID: 34972190, PMCID: PMC8719674, DOI: 10.1371/journal.pone.0262115.Peer-Reviewed Original ResearchConceptsCOVID-positive patientsAnkle fracture surgeryPerioperative adverse eventsAdverse eventsAnkle fracture patientsFracture surgeryFracture patientsOperative interventionAnkle fracturesPropensity matchingCOVID statusOpen reduction internal fixation surgeryPerioperative adverse outcomesPerioperative surgical complicationsMinor adverse eventsPostoperative adverse eventsSerious adverse eventsChronic kidney diseaseCOVID-19 Research DatabaseLong-term outcomesInternal fixation surgeryBasis of agePropensity-score matchingPostoperative complicationsNegative patients
2019
Demographics, mechanism of injury, and associated injuries of 25,615 patients with talus fractures in the National Trauma Data Bank
Anandasivam NS, Bagi P, Ondeck NT, Galivanche AR, Kuzomunhu LS, Samuel AM, Bohl DD, Grauer JN. Demographics, mechanism of injury, and associated injuries of 25,615 patients with talus fractures in the National Trauma Data Bank. Journal Of Clinical Orthopaedics And Trauma 2019, 11: 426-431. PMID: 32405203, PMCID: PMC7211819, DOI: 10.1016/j.jcot.2019.06.007.Peer-Reviewed Original ResearchNational Trauma Data BankCharlson Comorbidity IndexInjury Severity ScoreMechanism of injuryMotor vehicle accidentsTalus fracturesTrauma Data BankCalcaneus fracturesOrgan injuryModified Charlson Comorbidity IndexEpidemiology of fracturesInternal organ injuriesLower extremity fracturesLumbar spine fracturesNon-orthopedic injuriesThoracic organ injuryYears of ageComorbidity indexAdult patientsAssociated injuriesFracture patientsAnkle fracturesBony injuriesExtremity fracturesIntracranial injury
2015
Risk Factors for Thromboembolic Events After Surgery for Ankle Fractures.
Basques BA, Miller CP, Golinvaux NS, Bohl DD, Grauer JN. Risk Factors for Thromboembolic Events After Surgery for Ankle Fractures. The American Journal Of Orthopedics 2015, 44: e220-4. PMID: 26161767.Peer-Reviewed Original ResearchConceptsVenous thromboembolic eventsBody mass indexDependent functional statusAnkle fracturesThromboembolic eventsFunctional statusHeart diseaseRisk factorsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseOccurrence of VTEsQuality Improvement Program databaseRetrospective national cohort studyHigher body mass indexAnkle fracture ORIFImprovement Program databaseIndependent risk factorAnkle fracture patientsDeep vein thrombosisNational cohort studyVTE prophylaxisFracture patientsPostoperative dayPulmonary embolismVein thrombosis
2014
Morbidity and Readmission After Open Reduction and Internal Fixation of Ankle Fractures Are Associated With Preoperative Patient Characteristics
Basques BA, Miller CP, Golinvaux NS, Bohl DD, Grauer JN. Morbidity and Readmission After Open Reduction and Internal Fixation of Ankle Fractures Are Associated With Preoperative Patient Characteristics. Clinical Orthopaedics And Related Research® 2014, 473: 1133-1139. PMID: 25337977, PMCID: PMC4317425, DOI: 10.1007/s11999-014-4005-z.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAged, 80 and overAnkle FracturesDatabases, FactualDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleFracture Fixation, InternalHumansMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsProspective StudiesRetrospective StudiesRisk FactorsTreatment OutcomeYoung AdultConceptsDependent functional statusSevere adverse eventsAdverse eventsAnkle fracturesInfectious complicationsFunctional statusASA classificationBimalleolar fracturesPatient characteristicsDiabetes mellitusOpen reductionInternal fixationRisk factorsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseShort-term adverse eventsQuality Improvement Program databaseInsulin-dependent diabetes mellitusNoninsulin-dependent diabetes mellitusACS-NSQIP registryAnkle fracture ORIFQuestions/PurposesThe purposePreoperative patient characteristicsCurrent Procedural Terminology codesImprovement Program database