2023 “Top Doctors” List Features 12 Orthopaedics & Rehabilitation Faculty
Each year, Connecticut Magazine recognizes exceptional physicians in its annual “Top Doctors” issue. The 2023 list features more than 250 Yale Medicine physicians who were selected by their peers as the best in their fields, which includes 12 members of the Orthopaedics & Rehabilitation faculty.
Surgery Enables Pawcatuck Woman to Stand for the First Time
A surgery performed by David Frumberg, MD enabled a 21-year old Pawcatuck woman to stand for the first time. Arianna Howard, who has cerebral palsy and has been in a wheelchair for her whole life, had surgery in December to straighten her legs and help her stand. Her family and surgeon hope her surgery will contribute to helping better understand the surgeries possible for adults with Cerebral Palsy.Source: The Day
Comparative Success of Repair Versus Reconstruction for Knee Extra-articular Ligament Injuries
Surgical techniques and associated outcomes in treating acute and chronic extra-articular ligament knee injuries are in evolution, and there is question as to whether repair or reconstruction is optimal. Researchers compared the subsequent surgery rate between surgical repair versus reconstruction for all extra-articular ligament injuries of the knee utilizing a large database. Their hypothesis was that overall surgical repair of both lateral and medial extra-articular knee injuries would have a higher revision rate than those treated by reconstruction.
Second Primary Malignancies of the Bones and Joints: More Common than Expected in Osteosarcoma Patients
Osteosarcoma is the most common primary bone tumor in children, adolescents, and young adults worldwide, with an incidence of 3.4 million people per year. It is usually found in appendicular skeleton, such as the distal femur (43%), proximal tibia (23%), or humerus (10%), but may also arise axially. Although most common in younger patients, there is an increasing prevalence among elderly patients.
Grant Will Help Yale Team Develop Diagnostic Tool to Evaluate Tumors
The Yale Center for Clinical Investigation (YCCI) has awarded a research pilot award to an interdisciplinary team of Yale researchers for a project titled, “Utilizing Machine Learning to Model the Volumetric Growth of Vestibular Schwannomas.”
Incidence, Timing, and Risk Factors for 5-Year Revision Surgery After Autologous Chondrocyte Implantation in 533 Patients
Autologous chondrocyte implantation (ACI) can be used to treat focal, full-thickness chondral defects of the knee. However, there is limited large-sample evidence available regarding the incidence, timing, and risk factors for revision surgery after ACI.
In-hospital complications after cervical fusion in cases with versus without cerebral palsy
Patients with cerebral palsy (CP) are at increased risk for cervical spine pathology. Cervical fusion surgery may be considered in this population, but perioperative outcomes relative to patients without CP remains poorly understood. The purpose of this study was to compare in-hospital complications after cervical fusion in patients with versus without cerebral palsy (CP) using a retrospective cohort design.
Predictors of Physical Abuse in Elder Patients with Fracture
Elder abuse is a public health issue requiring attention. Unlike abuse in the pediatric population, predictors of elder abuse in patients with fracture have not been well defined. Elderly patients with physical abuse and fracture were abstracted using the 2007 to 2017 National Emergency Department Sample database. Univariate comparisons, multivariate regression, and adjusted odds ratios were used to determine independent predictors of elder abuse compared with nonabuse fracture controls.
Patient Demographic and Socioeconomic Factors Associated with Physical Therapy Utilization after Uncomplicated Meniscectomy
Meniscal tears are common orthopaedic injuries that may be caused by trauma or degenerative changes in the knee joint. The extent to which physical therapy (PT) is used after meniscectomy is unknown. The objective of this study was to estimate the extent to which PT is implemented after meniscectomy and to identify factors associated with its utilization.
Greenwich teen’s right leg was too short. A Yale surgeon helped make it longer
Brady Lisjak is a 15-year-old from Greenwich who loves playing hockey and lacrosse, but he was hampered by a rare disorder called Ollier disease, which caused his right leg to be 2.5 inches shorter than his left. The disease causes non-cancerous growths, known as enchondromas, to form on the bone, leading to lack of growth. Thanks to a surgical procedure performed by Dr. David Frumberg of Yale New Haven Hospital, Brady is back playing sports.Source: Stamford Advocate
2022 ‘Top Doctors’ List Features 11 Orthopaedics & Rehabilitation Faculty
Each year, Connecticut Magazine recognizes exceptional physicians in its annual “Top Doctors” issue. The 2022 list includes more than 200 Yale Medicine physicians who were selected by their peers as the best in their fields, which includes 11 members of the Orthopaedics & Rehabilitation faculty.
A 7-year-old girl with progressive left neuromuscular patellar instability
A 7-year-old girl with asymmetric dystonic diplegic cerebral palsy, hydrocephalus with ventriculoperitoneal shunt and Williams syndrome had progressive left patellar instability. She had a gross motor function classification system level 1.Source: Orthopedics Today
Analysis of the frequency, characteristics, and reasons for termination of shoulder- and elbow-related clinical trials
Clinical trials are key to the advancement of products and procedures related to conditions of the shoulder and elbow. Unfortunately, many trials are terminated prior to completion. The current study set out to quantify completed and terminated shoulder- and elbow-related clinical trials, assess reasons for termination, and determine independent predictors of termination by comparing characteristics of completed and terminated trials.
Emergency Department Visits Within 90 Days of Anterior Cruciate Ligament Reconstruction
Emergency department (ED) visits after orthopaedic surgery such as anterior cruciate ligament reconstruction (ACLR) affect patients and health care systems and should be better understood. Patients who had undergone ACLR between 2010 and 2020 were identified in a national database, and 90-day ED visits, readmissions, risk factors, and primary diagnoses for visits were determined. One-year postoperative data were used to establish baseline weekly ED visits for the cohort.
Marfan syndrome and adolescent idiopathic scoliosis patients have similar 90-day postoperative outcomes and 5-year reoperation rates after spinal deformity surgery
Outcomes after spinal deformity surgery in patients with Marfan syndrome (MFS) are poorly characterized given the rarity of the condition. Updated analyses from nationally representative samples, and comparison to outcomes after more commonly performed procedures for conditions such as adolescent idiopathic scoliosis (AIS) could help define the relative risks.
Jump in Elective Total Hip and Knee Arthroplasty Numbers at Age 65 Years: Evidence for Moral Hazard?
Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are outstanding options for many older patients at the discretion of the patient and the surgeon. As patients turn 65 years, greater than 98% of the US population becomes eligible for Medicare, and this represents a time of changing healthcare coverage for many.
Characterization of More Than a Third of a Million Toy-Related Fractures
The toy industry has grown substantially over time, with billions of dollars of toys sold each year in the United States alone. Even after safety considerations, injuries can result. This study examined toy-related fractures in the U.S. Emergency Departments.
Publication Frequency and Google Trends Analysis of Popular Alternative Treatments to Arthritis
Public interest in alternative, nonoperative treatments for the management of arthritis has increased. Few have been approved by the Food and Drug Administration. The present study aimed to evaluate trends in public and scientific interest in 4 such treatments by assessing Google Trends and publication frequency data, respectively.
The case for decreased surgeon-reported complications due to surgical volume and fellowship status in the treatment of geriatric hip fracture: An analysis of the ABOS database
American orthopaedists are increasingly seeking fellowship sub-specialization. One proposed benefit of fellowship training is decrease in complications, however, few studies have investigated the rates of medical and surgical complications for hip fracture patients between orthopedists from different fellowship backgrounds. This study aims to investigate the effect of fellowship training and case volume on medical and surgical outcomes of patient following hip fracture surgical intervention.