2023
Risk of Contralateral Hip Fracture Following Initial Hip Fracture Among Geriatric Fragility Fracture Patients
Ratnasamy P, Rudisill K, Oghenesume O, Riedel M, Grauer J. Risk of Contralateral Hip Fracture Following Initial Hip Fracture Among Geriatric Fragility Fracture Patients. JAAOS Global Research And Reviews 2023, 7: e23.00001. PMID: 37428152, PMCID: PMC10332831, DOI: 10.5435/jaaosglobal-d-23-00001.Peer-Reviewed Original ResearchConceptsContralateral hip fractureInitial hip fractureKaplan-Meier survival analysisGeriatric hip fracturesHip fractureSurvival analysisFragility fracture patientsIndex hip fractureHip fracture fixationKaplan-Meier analysisBody mass indexMultivariate logistic regressionFracture patientsContralateral fractureIndependent predictorsGeriatric patientsHigh morbidityMass indexPatient mortalityFemale sexNational cohortRisk factorsFracture fixationMultivariate analysisLogistic regression
2018
Increased complications in geriatric patients with a fracture of the hip whose postoperative weight-bearing is restricted: an analysis of 4918 patients.
Ottesen TD, McLynn RP, Galivanche AR, Bagi PS, Zogg CK, Rubin LE, Grauer JN. Increased complications in geriatric patients with a fracture of the hip whose postoperative weight-bearing is restricted: an analysis of 4918 patients. The Bone & Joint Journal 2018, 100-B: 1377-1384. PMID: 30295535, DOI: 10.1302/0301-620x.100b10.bjj-2018-0489.r1.Peer-Reviewed Original ResearchConceptsWeight-bearing restrictionsLength of stayAdverse eventsPostoperative weight-bearing restrictionsMajor adverse eventsEvidence-based guidelinesBone Joint JOperating theatreMultivariate regression analysisMultivariate oddsFrail patientsThromboembolic eventsElderly patientsHip fractureGeriatric patientsProcedural characteristicsInclusion criteriaPatientsGreater riskProcedural factorsHipReadmissionDeliriumTransfusionSurgeryWhat Is the Adverse Event Profile After Prophylactic Treatment of Femoral Shaft or Distal Femur Metastases?
McLynn RP, Ondeck NT, Grauer JN, Lindskog DM. What Is the Adverse Event Profile After Prophylactic Treatment of Femoral Shaft or Distal Femur Metastases? Clinical Orthopaedics And Related Research® 2018, 476: 2381-2388. PMID: 30260860, PMCID: PMC6259894, DOI: 10.1097/corr.0000000000000489.Peer-Reviewed Original ResearchMeSH KeywordsAgedBlood TransfusionDatabases, FactualDiaphysesFemaleFemoral FracturesFemurFracture FixationFractures, SpontaneousHumansLength of StayLogistic ModelsMaleMiddle AgedMultivariate AnalysisNeoplasm MetastasisOdds RatioOperative TimePatient DischargePostoperative ComplicationsProspective StudiesRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeConceptsBody mass indexPathologic fractureAdverse eventsProphylactic treatment groupProphylactic treatmentBlood transfusionDisseminated cancerFemoral shaftComplication profileFracture groupFunctional outcomeProphylactic fixationDistal femurTreatment groupsNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseGreater body mass indexPerioperative complication profileProphylactic surgical stabilizationProphylactic surgical treatmentPostoperative adverse eventsAdverse event profileCurrent Procedural Terminology codesImprovement Program databaseMajor adverse eventsDiscriminative Ability for Adverse Outcomes After Surgical Management of Hip Fractures
Ondeck NT, Bovonratwet P, Ibe IK, Bohl DD, McLynn RP, Cui JJ, Baumgaertner MR, Grauer JN. Discriminative Ability for Adverse Outcomes After Surgical Management of Hip Fractures. Journal Of Orthopaedic Trauma 2018, 32: 231-237. PMID: 29401098, DOI: 10.1097/bot.0000000000001140.Peer-Reviewed Original ResearchConceptsElixhauser comorbidity measuresCharlson Comorbidity IndexExtended hospital stayAdverse outcomesHip fractureComorbidity indexAdverse eventsSurgical managementLargest discriminative abilityHospital stayDiscriminative abilityDemographic factorsHospital adverse outcomesPrognostic Level IIIHip fracture surgeryMinor adverse eventsSevere adverse eventsHip fracture studiesNational Inpatient SampleOverall discriminative abilityAppropriate patient expectationsPostoperative complicationsFrailty indexFracture surgeryMedical managementThe Rothman Index Is Associated With Postdischarge Adverse Events After Hip Fracture Surgery in Geriatric Patients
McLynn RP, Ottesen TD, Ondeck NT, Cui JJ, Rubin LE, Grauer JN. The Rothman Index Is Associated With Postdischarge Adverse Events After Hip Fracture Surgery in Geriatric Patients. Clinical Orthopaedics And Related Research® 2018, 476: 997-1006. PMID: 29419631, PMCID: PMC5916609, DOI: 10.1007/s11999.0000000000000186.Peer-Reviewed Original ResearchConceptsRothman Index scoresPostdischarge adverse eventsHip fracture surgeryPostdischarge adverse outcomesAdverse eventsASA classRothman IndexHip fractureFracture surgeryIndex scoreGeriatric patientsAdverse outcomesMedical CenterOverall patient statusHip fracture careRoutine laboratory valuesMeasures of comorbidityRisk of complicationsBody mass indexAge 65 yearsPlan of careVulnerable patient populationCondition of patientsAcademic medical centerElectronic medical records
2017
Does Preoperative Pneumonia Affect Complications of Geriatric Hip Fracture Surgery?
Patterson JT, Bohl DD, Basques BA, Arzeno AH, Grauer JN. Does Preoperative Pneumonia Affect Complications of Geriatric Hip Fracture Surgery? The American Journal Of Orthopedics 2017, 46: e177-e185. PMID: 28666049.Peer-Reviewed Original ResearchConceptsHip fracture repairHip fracture patientsGeriatric hip fracture patientsHip fracture surgeryPreoperative pneumoniaFracture patientsAdverse eventsFracture repairFracture surgeryAdverse outcomesNational Surgical Quality Improvement Program databaseEarly hip fracture surgeryGeriatric hip fracture surgeryQuality Improvement Program databaseChronic obstructive pulmonary diseaseUnderweight body mass indexSerious adverse eventsImprovement Program databaseObstructive pulmonary diseaseTime of surgeryBody mass indexPreoperative anemiaDelaying surgeryRetrospective cohortHip fracture
2016
Variation in Resource Utilization for Patients With Hip and Pelvic Fractures Despite Equal Medicare Reimbursement
Samuel AM, Webb ML, Lukasiewicz AM, Basques BA, Bohl DD, Varthi AG, Lane JM, Grauer JN. Variation in Resource Utilization for Patients With Hip and Pelvic Fractures Despite Equal Medicare Reimbursement. Clinical Orthopaedics And Related Research® 2016, 474: 1486-1494. PMID: 26913512, PMCID: PMC4868172, DOI: 10.1007/s11999-016-4765-8.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overDiagnosis-Related GroupsFee-for-Service PlansFemaleFracture FixationHealth ResourcesHip FracturesHospital CostsHumansIntensive Care UnitsLength of StayMaleMedicarePatient Care BundlesPelvic BonesProcess Assessment, Health CareRegistriesRespiration, ArtificialRetrospective StudiesTime FactorsTrauma CentersTreatment OutcomeUnited StatesConceptsIntensive care unitDiagnosis-related groupsPelvic fracturesHip fractureInpatient lengthAcetabulum fracturesVentilator timeICU lengthHospital factorsVentilation timePelvis fracturesIntensive care unit stayNational Trauma Data BankTotal inpatient lengthTrue hospital costsMechanical ventilation timeInpatient resource utilizationHigh-energy traumaTrauma Data BankIncidence of fracturesNonoperative fracturesUnit stayTrauma patientsCare unitPelvic trauma
2014
Nationwide Inpatient Sample and National Surgical Quality Improvement Program Give Different Results in Hip Fracture Studies
Bohl DD, Basques BA, Golinvaux NS, Baumgaertner MR, Grauer JN. Nationwide Inpatient Sample and National Surgical Quality Improvement Program Give Different Results in Hip Fracture Studies. Clinical Orthopaedics And Related Research® 2014, 472: 1672-1680. PMID: 24615426, PMCID: PMC4016448, DOI: 10.1007/s11999-014-3559-0.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overComorbidityData MiningDatabases, FactualEvidence-Based MedicineFemaleFracture FixationHip FracturesHospitalizationHumansInpatientsLength of StayMaleMiddle AgedOutcome and Process Assessment, Health CarePostoperative ComplicationsPrevalenceQuality ImprovementQuality Indicators, Health CareReproducibility of ResultsRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeUnited StatesConceptsNational Surgical Quality Improvement ProgramNationwide Inpatient SampleSurgical Quality Improvement ProgramInpatient adverse eventsAcute kidney injuryPeripheral vascular diseaseAdverse eventsUrinary tract infectionQuality Improvement ProgramKidney injuryNSQIP databaseTract infectionsInpatient SampleVascular diseaseMethodsA retrospective cohort studyQuestions/PurposesThe purposeRetrospective cohort studyStatistical differenceTerms of comorbiditiesSurgical site infectionHip fracture studiesIntertrochanteric hip fracturesLength of stayGreat clinical importanceTerms of demographics
2006
The Contemporary Treatment of Odontoid Injuries
Maak TG, Grauer JN. The Contemporary Treatment of Odontoid Injuries. Spine 2006, 31: s53-s60. PMID: 16685237, DOI: 10.1097/01.brs.0000217941.55817.52.Peer-Reviewed Original ResearchConceptsType II fracturesOdontoid fracturesTreatment optionsOptimal treatmentAnterior odontoid fixationNonoperative treatment optionsII fracturesCervical spine fracturesOperative treatment optionsNoncontiguous fracturesOdontoid fixationNeurologic injurySpine fracturesAppropriate imagingCervical spineClinical studiesExternal immobilizationBACKGROUND DATAClinical problemContemporary treatmentInjuryCurrent conceptsPertinent literatureTreatmentType I
2005
Proposal of a modified, treatment-oriented classification of odontoid fractures
Grauer JN, Shafi B, Hilibrand AS, Harrop JS, Kwon BK, Beiner JM, Albert TJ, Fehlings MG, Vaccaro AR. Proposal of a modified, treatment-oriented classification of odontoid fractures. The Spine Journal 2005, 5: 123-129. PMID: 15749611, DOI: 10.1016/j.spinee.2004.09.014.Peer-Reviewed Original Research
1998
Augmented external fixation of distal radius fractures: A biomechanical analysis
Wolfe S, Swigart C, Grauer J, Slade J, Panjabi M. Augmented external fixation of distal radius fractures: A biomechanical analysis. The Journal Of Hand Surgery 1998, 23: 127-134. PMID: 9523966, DOI: 10.1016/s0363-5023(98)80100-7.Peer-Reviewed Original ResearchConceptsLight-emitting diodesFracture fragment stabilityUnstable extra-articular distal radius fracturesConcept of augmentationPhysiologic loadingNeutral zoneMotion-sensing deviceBiomechanical analysisFixator frameFresh-frozen cadaveric specimensEquivalent stabilitySagittal plane rotationFracture patternsPlane rotationFragment stabilityStabilityBiomechanical supportExtra-articular distal radius fracturesDiodesLoadingFracturesFracture fragmentsCadaveric specimensZoneDevices