2024
Complications after low-velocity ballistic femur fractures: a series of 104 patients at a level 1 trauma center
Fram B, Chintalapudi N, Davis J, Yu Z, Seymour R, Karunakar M, Collective E, Hsu J, Kempton L, Phelps K, Sims S, Medda S, Odum S, Wally M, Sweeney J, Hickson K, Young C, Kamath P. Complications after low-velocity ballistic femur fractures: a series of 104 patients at a level 1 trauma center. OTA International The Open Access Journal Of Orthopaedic Trauma 2024, 8: e353. PMID: 39703728, PMCID: PMC11654790, DOI: 10.1097/oi9.0000000000000353.Peer-Reviewed Original ResearchRisk of complicationsComplication rateFemur fracturesProphylactic antibioticsDuration of prophylactic antibioticsAssociated with increased risk of complicationsRisk factors of complicationsDeep surgical site infectionAssociated with increased complicationsIncreased risk of complicationsPatients aged 18+ yearsCase of compartment syndromeAcademic level I trauma centerAll-cause complicationsAssociated with increased riskFactors of complicationsHospital length of staySurgical site infectionRate of complicationsLevel I trauma centerLevel 1 trauma centerRate of vascular complicationsStandard of careAged 18+ yearsLength of stayDeep infections after low-velocity ballistic tibia fractures are frequently polymicrobial and recalcitrant
Chintalapudi N, Fram B, Odum S, Seymour R, Karunakar M, , Hsu J, Kempton L, Phelps K, Sims S, Medda S, Sweeney J, Hickson K, Young C, Kamath P. Deep infections after low-velocity ballistic tibia fractures are frequently polymicrobial and recalcitrant. OTA International The Open Access Journal Of Orthopaedic Trauma 2024, 7: e345. PMID: 39363953, PMCID: PMC11449420, DOI: 10.1097/oi9.0000000000000345.Peer-Reviewed Original ResearchBody mass indexDeep infection rateTibia fracturesDeep infectionCephalosporin prophylaxisMass indexMedian body mass indexIsolated organismsFracture-related infectionAssociated with deep infectionLocal antibiotic treatmentSigns of infectionInfection rateAntibiotic prophylaxisSurgical characteristicsIntraoperative culturesPerioperative prophylaxisPolymicrobial infectionsNo significant differenceProphylactic cefazolinAntibiotic treatmentRecalcitrant infectionsTreatment optionsProphylaxisRisk factorsNeurologic Complications Following Peripheral Nerve Block in Foot and Ankle Surgery
Balboni J, Kermanshahi N, Kregling C, Webber K, Tung W, Fram B, Gianakos A. Neurologic Complications Following Peripheral Nerve Block in Foot and Ankle Surgery. JBJS Reviews 2024, 12: e24.00081. DOI: 10.2106/jbjs.rvw.24.00081.Peer-Reviewed Original ResearchPeripheral nerve blocksAnkle surgeryNeurological complicationsComplication rateNerve blockNerve injuryDescription of levels of evidenceMotor nerve dysfunctionIncidence of postoperative neurological complicationsLevel of evidenceRisk of nerve injuryLong-lasting symptomsPostoperative neurological complicationsPatient-specific factorsMotor compromiseAnkleChronic painPrimary outcomePregnant populationScreening protocolLevel of sedationTransient paresthesiaNerve deficitsNerve dysfunctionBlock administrationThe synthes femoral neck system (FNS): a technical tip and case series
Salameh M, Fram B. The synthes femoral neck system (FNS): a technical tip and case series. European Journal Of Orthopaedic Surgery & Traumatology 2024, 34: 3373-3376. PMID: 39073600, DOI: 10.1007/s00590-024-04053-y.Peer-Reviewed Original ResearchDo Transtibial Amputations Outperform Amputations of the Hind- and Midfoot Following Severe Limb Trauma?
Fram B, Bosse M, Odum S, Reider L, Gary J, Gordon W, Teague D, Alkhoury D, MacKenzie E, Seymour R, Karunakar M. Do Transtibial Amputations Outperform Amputations of the Hind- and Midfoot Following Severe Limb Trauma? Journal Of Bone And Joint Surgery 2024, 106: 776-781. PMID: 38512987, DOI: 10.2106/jbjs.23.00878.Peer-Reviewed Original ResearchConceptsShort Musculoskeletal Function AssessmentTranstibial amputationDistal amputationMidfoot amputationSevere lower-extremity injuriesLower-extremity injuriesLower-limb injuriesMusculoskeletal Function AssessmentPatient-reported outcomesMonths post-injuryBrief Pain IndexSevere limb traumaDescription of levels of evidenceTranstibial amputeesLevel of evidenceFoot traumaSMFA scoresAmputation revisionTherapeutic Level IIIYears of ageBother indexMidfootAmputation healingAverage SMFA scoreEmotional statusOutcomes of Distal Third Femur Fractures in Patients 18 Years and Older: A Pilot Study
Roytman G, Jabbouri S, O'Marr J, Raghuram A, Beitler B, Irshad S, Fram B, Yoo B, Leslie M, Riedel M, Tommasini S, Wiznia D. Outcomes of Distal Third Femur Fractures in Patients 18 Years and Older: A Pilot Study. Cureus 2024, 16: e55136. PMID: 38558586, PMCID: PMC10979706, DOI: 10.7759/cureus.55136.Peer-Reviewed Original Research
2023
Finding Your Job in Orthopaedic Trauma: A Survey Revealing the Cold Hard Facts
Davis M, Ishmael C, Fram B, Light J, Obremskey W, Cannada L. Finding Your Job in Orthopaedic Trauma: A Survey Revealing the Cold Hard Facts. Journal Of Orthopaedic Trauma 2023, 38: e120-e125. PMID: 38117574, DOI: 10.1097/bot.0000000000002744.Peer-Reviewed Original ResearchProximal humerus fractures: Postoperative protocols and factors affecting treatment decisions among shoulder and elbow and orthopedic trauma surgeons
Fram B, Strony J, Chen R, Namdari S, Krieg J. Proximal humerus fractures: Postoperative protocols and factors affecting treatment decisions among shoulder and elbow and orthopedic trauma surgeons. Journal Of Orthopaedics 2023, 49: 75-80. PMID: 38130473, PMCID: PMC10730336, DOI: 10.1016/j.jor.2023.11.062.Peer-Reviewed Original ResearchOpen reduction internal fixationProximal humerus fracturesRange of motionPostoperative protocolReduction internal fixationIntramedullary nailingOrthopaedic traumaWeight bearingInternal fixationFunctional declineAcute proximal humerus fracturesStandard postoperative protocolTreatment of PHFUpper extremity injuriesPostoperative weight bearingOrthopaedic trauma surgeonsPolytraumatized patientsHumerus fracturesSurgical outcomesTreatment modalitiesExtremity injuriesTreatment decisionsShoulder arthroplastyTrauma surgeonsDaily livingOrthopedic Sub-Specialties Vary in Representation of Female Fellowship Program Directors
Fram B, Kazley J, Cannada L. Orthopedic Sub-Specialties Vary in Representation of Female Fellowship Program Directors. Journal Of Orthopaedic Experience & Innovation 2023, 4 DOI: 10.60118/001c.75452.Peer-Reviewed Original ResearchFemale program directorsProgram director genderFellowship program directorsProgram directorsFellowship positionsDirector genderFemale representationOrthopedic oncologyWomen's decisionsH-indicesMethods DataOrthopedic subspecialtiesLow female representationPediatric orthopedicsStatistical significanceFellowship programsProgram dataFemale leadershipSub-specialtySubspecialtyAcademic rankSubspecialitiesDirectorsP-valueTraining positions
2022
Optimal Position of the Bone Anchor for the Internal Brace Suspensionplasty Technique for Thumb Basal Joint Arthroplasty
Hozack B, Liss F, Fram B, Rivlin M, Ilyas A, Jones C. Optimal Position of the Bone Anchor for the Internal Brace Suspensionplasty Technique for Thumb Basal Joint Arthroplasty. The Journal Of Hand Surgery 2022, 49: 380.e1-380.e6. PMID: 36100487, DOI: 10.1016/j.jhsa.2022.08.001.Peer-Reviewed Original ResearchImpact of an Educational Intervention on the Opioid Knowledge and Prescribing Behaviors of Resident Physicians
Acharya PP, Fram BR, Adalbert JR, Oza A, Palvannan P, Nardone E, Caltabiano N, Liao J, Ilyas AM, ILYAS A. Impact of an Educational Intervention on the Opioid Knowledge and Prescribing Behaviors of Resident Physicians. Cureus 2022, 14: e23508. PMID: 35494931, PMCID: PMC9038586, DOI: 10.7759/cureus.23508.Peer-Reviewed Original ResearchInternal medicine residentsGeneral surgery residentsPain managementResident physiciansEducational interventionPrescribing habitsOpioid epidemicGeneral surgeryEmergency medicineAcute migraine managementArthritic joint painSurgery residentsFirst-line treatmentMedicine residentsResident physician educationChi-squared analysisJoint painSleeve gastrectomyLaparoscopic cholecystectomyMigraine managementPrescribing behaviorEmergency medicine residentsPhysician educationSignificant improvementInternal medicineSurvivorship, complications, and outcomes following distal femoral arthroplasty for non-neoplastic indications
Sobol KR, Fram BR, Strony JT, Brown SA. Survivorship, complications, and outcomes following distal femoral arthroplasty for non-neoplastic indications. Bone & Joint Open 2022, 3: 173-181. PMID: 35227074, PMCID: PMC8965790, DOI: 10.1302/2633-1462.33.bjo-2021-0202.r1.Peer-Reviewed Original ResearchDistal femoral arthroplastyPeriprosthetic joint infectionNon-neoplastic indicationsDistal femoral bone lossNon-oncological causesFemoral bone lossImplant survivorshipBone lossFemoral arthroplastyAseptic looseningHigher overall complication ratePeriprosthetic distal femur fracturesSingle-stage exchangeOverall complication rateDistal femur fracturesPatient demographic dataShort-term survivorshipCommon reoperationMore reoperationsWound complicationsCommon complicationComplication rateRetrospective reviewBone JtJoint infectionFracture-Associated Microbiome and Persistent Nonunion: Next-Generation Sequencing Reveals New Findings
Goswami K, Tipton C, Clarkson S, Chang G, Tan TL, Fram B, Chisari E, Sobol K, Natoli RM, Conway JD, Altman GT, Parvizi J, Krieg JC. Fracture-Associated Microbiome and Persistent Nonunion: Next-Generation Sequencing Reveals New Findings. Journal Of Orthopaedic Trauma 2022, 36: s40-s46. PMID: 35061650, DOI: 10.1097/bot.0000000000002305.Peer-Reviewed Original ResearchConceptsPersistent nonunionLong bone nonunionOpen surgical interventionProspective multicenter studySignificant risk factorsAcute fracturesDevastating complicationIntraoperative specimensMulticenter studySurgical interventionFracture nonunionNonunion diagnosisRisk factorsNGS detectionNonunionUseful adjunctFracture healingClinical specimensPatientsClinical implicationsLevel IIMore casesNGS diagnosticsControl casesBacterial profilesOpioid Knowledge and Prescribing Preferences of Orthopaedic Surgery Residents Before and After an Educational Intervention.
Acharya PP, Fram B, Hoffman RA, Cruz D, Ilyas AM. Opioid Knowledge and Prescribing Preferences of Orthopaedic Surgery Residents Before and After an Educational Intervention. Journal Of Surgical Orthopaedic Advances 2022, 31: 30-33. PMID: 35377305, DOI: 10.3113/jsoa.2022.0030.Peer-Reviewed Original ResearchConceptsCommon orthopaedic proceduresOpioid knowledgeOpioid epidemicOrthopedic proceduresEducational interventionPain management therapiesUrban academic institutionOrthopaedic surgery residentsOpioid consumptionMultimodal analgesiaHigh prescribersOpioid pillsPrescribing preferencesPrescribing practicesPrescribing strategiesPrescribing habitsObjective improvementManagement therapyOrthopaedic surgeonsOpioid crisisEducational sessionsPrescribing trainingSurgery residentsOrthopaedic residentsResident confidence
2021
Short-Term Complications and Outcomes of the Cadence Total Ankle Arthroplasty
Fram B, Corr DO, Rogero RG, Pedowitz DI, Tsai J. Short-Term Complications and Outcomes of the Cadence Total Ankle Arthroplasty. Foot & Ankle International 2021, 43: 371-377. PMID: 34549617, DOI: 10.1177/10711007211043853.Peer-Reviewed Original ResearchConceptsTotal ankle arthroplastyAnkle arthroplastyVisual analog scale pain ratingsAnkle Ability Measure (FAAM) ActivitiesAverage coronal alignmentSF-12 MentalSF-12 PCSVAS pain scoresAmerican Orthopaedic FootPeri-implant osteolysisPhysical component summaryBody mass indexTotal ankle replacementCoronal plane alignmentTotal Ankle SystemGood postoperative ROMMean score changesFAAM-ADLFAAM-SportsEarly complicationsOrthopaedic FootPain scoresSports subscalePostoperative rangePostoperative ROMEffects of Upper Extremity Elevation on Intra-Cast Pressure and Digital Perfusion in a Fiberglass Short-Arm Cast Model.
Fram BR, Martin DP, Wang WL, Byrne K, Rogalski BL, Park AG, Ilyas AM. Effects of Upper Extremity Elevation on Intra-Cast Pressure and Digital Perfusion in a Fiberglass Short-Arm Cast Model. Orthopedics 2021, 44: e487-e492. PMID: 34292830, DOI: 10.3928/01477447-20210618-05.Peer-Reviewed Original ResearchConceptsBody mass indexSkin surface pressureDigital arterial pressureArterial pressureMass indexDigital artery pressureUpper extremity elevationEffect sizeDigital systolic pressureExtremity elevationArtery pressureDigital perfusionSystolic pressureUpper extremityArm elevationWrist circumferenceLarge effect sizesLinear regression analysisForearm circumferenceSignificant associationFiberglass castNeutral positionSmall effect sizesRegression analysisArm positionScaphotrapezoid Assessment during Thumb Carpometacarpal Arthroplasty: A Cadaveric Study
Fram BR, Hozack B, Ilyas AM, Jones C, Rivlin M. Scaphotrapezoid Assessment during Thumb Carpometacarpal Arthroplasty: A Cadaveric Study. Journal Of Wrist Surgery 2021, 10: 528-532. PMID: 34881109, PMCID: PMC8635814, DOI: 10.1055/s-0041-1729992.Peer-Reviewed Original ResearchThumb CMC jointSTT arthritisCMC arthroplastyCMC jointIntraoperative visualizationDorsal surgical approachThumb carpometacarpal arthroplastyScaphotrapeziotrapezoid arthritisSTT jointSTT osteoarthritisRadiographic arthritisCarpometacarpal arthroplastySurgical treatmentSurgical approachThumb carpometacarpalClinical examinationVisualized portionIntraoperative radiographsArthritisCadaveric studyST jointWrist radiographsCadaver wristsRadiographsArthroplastyImmediate Weight-Bearing and Range of Motion After Internal Fixation of Selected Malleolar Fractures: A Retrospective Controlled Study
Fram BR, Rogero RG, Chang G, Krieg JC, Raikin SM. Immediate Weight-Bearing and Range of Motion After Internal Fixation of Selected Malleolar Fractures: A Retrospective Controlled Study. Journal Of Orthopaedic Trauma 2021, 35: 308-314. PMID: 33177430, DOI: 10.1097/bot.0000000000002003.Peer-Reviewed Original ResearchConceptsOpen reduction internal fixationLoss of reductionMalleolar fracturesRange of motionTrauma centerInternal fixationSyndesmosis fixationPosterior malleolusAnkle open reduction internal fixationPrimary open reduction internal fixationLevel 1 urban trauma centerRetrospective case-control studyLevel 1 trauma centerFuture prospective randomized studiesCharleston Comorbidity IndexProspective Randomized StudyImmediate weight bearingReduction internal fixationBody mass indexMalleolar ankle fracturesOrthopedic specialty hospitalTherapeutic Level IIIUrban trauma centerCase-control studyNonoperative complicationsFemale Sex is Associated With Increased Reported Injury Rates and Difficulties With Use of Orthopedic Surgical Instruments
Fram B, Bishop ME, Beredjiklian P, Seigerman D, Fram B. Female Sex is Associated With Increased Reported Injury Rates and Difficulties With Use of Orthopedic Surgical Instruments. Cureus 2021, 13: e14952. PMID: 34123649, PMCID: PMC8190831, DOI: 10.7759/cureus.14952.Peer-Reviewed Original ResearchInjury ratesOrthopaedic surgeonsPhysical symptomsGlove sizeSurgical instrumentsSpecific surgical instrumentsFemale surgeonsFemale orthopaedic surgeonsFemale sexReporting symptomsSurgeon sexSymptomsPhysical discomfortSurgeonsOrthopaedic traineesMale counterpartsSexSignificant differencesOrthopedic surgical instrumentsNegative attitudesOrthopedic toolsTreatmentHand sizeOrthopedic instrumentationFemale respondentsTwo Transiliac-Transsacral Screws in a Single Sacral Level: Surgical Technique and Patient Outcomes
Chang G, Fram B, Sobol K, Krieg J. Two Transiliac-Transsacral Screws in a Single Sacral Level: Surgical Technique and Patient Outcomes. Techniques In Orthopaedics 2021, 36: 50-56. DOI: 10.1097/bto.0000000000000369.Peer-Reviewed Original ResearchTransiliac-transsacral screwsPosterior pelvic injuriesPosterior pelvic ring injuriesPelvic ring injuriesPercutaneous fixationSacral levelPatient outcomesPelvic injuriesRing injuriesSurgical techniqueInstitutional experienceIntraoperative fluoroscopyIliosacral screwsInjuryScrewsImproved fixationSafe zoneS2 corridorFixation