2024
Opioid Use Following Open Reduction and Internal Fixation of Mandibular Fractures.
Rancu A, Salib A, Kammien A, Lizardi J, Allam O, Grauer J, Alperovich M. Opioid Use Following Open Reduction and Internal Fixation of Mandibular Fractures. Journal Of Craniofacial Surgery 2024 PMID: 39601551, DOI: 10.1097/scs.0000000000010930.Peer-Reviewed Original ResearchMorphine milligram equivalentsMandible fracturesProportion of patientsOpioid useOpioid prescriptionsInternal fixationInternal fixation of mandibular fracturesPrescribing patternsFixation of mandibular fracturesMedian morphine milligram equivalentsHistory of chronic painOpioid prescribing patternsDecreased proportion of patientsPost-fractureDays post-fractureLong bone fracturesTraumatic craniofacial injuriesMilligram equivalentsMandibular fracturesPrescribed narcoticsPostoperative painChronic painCraniofacial injuriesOpen reductionOpioid
2023
Trends in and Factors Associated With Surgical Management for Closed Clavicle Fractures
Dhodapkar M, Modrak M, Halperin S, Joo P, Luo X, Grauer J. Trends in and Factors Associated With Surgical Management for Closed Clavicle Fractures. JAAOS Global Research And Reviews 2023, 7: e23.00226. PMID: 38149938, PMCID: PMC10752468, DOI: 10.5435/jaaosglobal-d-23-00226.Peer-Reviewed Original ResearchConceptsElixhauser Comorbidity IndexSurgical managementClavicle fracturesAnatomic locationFracture diagnosisClosed clavicle fractureMinority of patientsComorbidity indexAdult patientsClinical factorsPatient ageIndependent predictorsMultivariable analysisNonsurgical managementOpen reductionNonclinical factorsFirst diagnosisInternal fixationSurgical considerationsSuch injuriesPatientsStudy periodDiagnosisInsurance coverageFractures
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 pathway
2020
Readmissions After Distal Radius Fracture Open Reduction and Internal Fixation: An Analysis of 11,124 Patients
Malpani R, John TS, Mercier MR, Ottesen TD, Nduaguba AM, Webb ML, Grauer JN. Readmissions After Distal Radius Fracture Open Reduction and Internal Fixation: An Analysis of 11,124 Patients. JAAOS Global Research And Reviews 2020, 4: e20.00110. PMID: 33969951, PMCID: PMC7384800, DOI: 10.5435/jaaosglobal-d-20-00110.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseImprovement Program databaseMultivariate analysisAnesthesiologists classOpen reductionInternal fixationRisk factorsProgram databaseMedical reasonsSurgeons National Surgical Quality Improvement Program databasePredictors of readmissionInsulin-dependent diabetesCommon surgical procedureQuality improvement initiativesAmerican SocietyPostoperative readmissionsIndex surgeryInsulin usePerioperative factorsUnplanned readmissionPatient demographicsPerioperative outcomesAdult patientsSurgical reasons
2015
Adverse Events, Length of Stay, and Readmission After Surgery for Tibial Plateau Fractures
Basques BA, Webb ML, Bohl DD, Golinvaux NS, Grauer JN. Adverse Events, Length of Stay, and Readmission After Surgery for Tibial Plateau Fractures. Journal Of Orthopaedic Trauma 2015, 29: e121-e126. PMID: 25162975, DOI: 10.1097/bot.0000000000000231.Peer-Reviewed Original ResearchConceptsSevere adverse eventsTibial plateau fracturesASA classPlateau fracturesInfectious complicationsAdverse eventsPulmonary diseaseBicondylar fracturesExtended LOSMale sexSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseTibial plateau fracture patientsQuality Improvement Program databaseDependent functional statusPrognostic Level IIPercent of patientsImprovement Program databaseShort-term outcomesLength of stayAnesthesiologists classFracture patientsPatient characteristicsOpen reductionOperative time
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
2009
The Timing and Influence of MRI on the Management of Patients With Cervical Facet Dislocations Remains Highly Variable
Grauer JN, Vaccaro AR, Lee JY, Nassr A, Dvorak MF, Harrop JS, Dailey AT, Shaffrey CI, Arnold PM, Brodke DS, Rampersaud R. The Timing and Influence of MRI on the Management of Patients With Cervical Facet Dislocations Remains Highly Variable. Clinical Spine Surgery A Spine Publication 2009, 22: 96-99. PMID: 19342930, DOI: 10.1097/bsd.0b013e31816a9ebd.Peer-Reviewed Original ResearchMeSH KeywordsCervical VertebraeClinical ProtocolsData CollectionDecision Support TechniquesJoint DislocationsJointsMagnetic Resonance ImagingNeurosurgeryObserver VariationOrthopedicsPractice Patterns, Physicians'Professional PracticeSpinal FracturesSpinal FusionSpinal InjuriesSurveys and QuestionnairesTime FactorsTomography, X-Ray ComputedTractionConceptsTraumatic cervical facet dislocationCervical facet dislocationMagnetic resonance imagingComplete spinal cord injuryInfluence of MRIManagement of patientsFacet dislocationSpinal cord injuryOpen reductionCord injuryOrthopaedic surgeonsUtilization of MRIEvidence-based algorithmDifferent clinical scenariosDevastating injuriesNeurologic examinationDisc herniationLigamentous disruptionPlain radiographsClosed treatmentTomography scanPatient managementTreatment decisionsOpen treatmentSpine surgeons