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.
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.
Ensuring Bone Health for Adolescents Identifying as Transgender
With a grant from Women's Health Research at Yale, Dr. Stuart Weinzimer, in collaboration with Drs. Thomas Carpenter and Christy Olezeski, is using sophisticated methods to obtain a picture of the dynamic process of bone development in adolescents undergoing gender-affirming hormone therapy.
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.
Single-level posterior lumbar fusions in patients with Ehlers Danlos Syndrome not found to be associated with increased postoperative adverse events or five-year reoperations
Ehlers Danlos Syndrome (EDS) is a rare connective tissue disorder that results from mutations in collagen genes. Potentially related to laxity and resultant degenerative changes, adult EDS patients may require posterior lumbar fusion (PLF). However, with low numbers, adequately powered outcome studies have been limited. The purpose of this study was to investigate risk of complications, readmissions and reoperations in adult patients with EDS following single-level PLF.
COVID-Positive Ankle Fracture Patients are at Increased Odds of Perioperative Surgical Complications Following Open Reduction Internal Fixation Surgery
Ankle fractures have continued to occur through the COVID pandemic and, regardless of patient COVID status, often need operative intervention for optimizing long-term outcomes. For healthcare optimization, patient counseling, and care planning, understanding if COVID-positive patients undergoing ankle fracture surgery are at increased risk for perioperative adverse outcomes is of interest.
Patients With Ehlers-Danlos Syndromes Experience Higher Rates of Prosthetic Dislocation After Total Hip Arthroplasty and Worse Implant Survival at 5 Years
Ehlers-Danlos syndromes (EDS) are genetic connective tissue disorders affecting multiple organ systems that frequently result in connective tissue hyperlaxity and early osteoarthritis. Compared with patients without EDS, patients with EDS were found to have a higher rate of perioperative dislocation and markedly lower implant survival at 5 years. These findings are consistent with the increased connective tissue laxity associated with EDS.
Cerebral Palsy Should Not Be a Barrier to Total Hip Replacement Surgery
Individuals with neurological conditions can face obstacles when seeking medical treatment. Patients with cerebral palsy (CP) may experience painful symptoms of hip osteoarthritis as adults and may potentially be overlooked for consideration as surgical candidates for total hip arthroplasty. A recent study by Yale researchers found that those with and without CP had comparable 5-year outcomes after total hip replacement surgery. The authors hope the results will lend a voice and support for patients with CP who may be searching for relief of hip pain.
Impacts of COVID-19 on Orthopaedic Surgery Residency/Spine Trainee Application Trends
The COVID-19 pandemic has had widespread impact across medical educational sectors, including cancellations and delays of board exams, interruptions in clinical rotations and electives, altered processes for away rotations, and conversion to virtual interviews. These changes, combined with applicant and program uncertainty, may affect the 2021 residency application cycle for competitive fields such as orthopaedic surgery. In consideration of spine trainees and the spine fellow application pipeline, the current study aims to evaluate for deviations in trends found in applications to an orthopaedic surgery residency program from the 2021 cycle compared to six years prior.
Clinical Characteristics and Perioperative Complication Profiles of COVID-19–Positive Patients Undergoing Hip Fracture Surgery
The cited study aimed to understand whether COVID-19 positivity was associated with an increased risk of adverse events after geriatric hip fracture surgery. After matching and controlling for confounding variables, the team of Yale researchers determined that COVID-19–positive hip fracture patients had increased odds of multiple postoperative adverse events. The authors concluded that clinicians caring for patients with geriatric hip fractures should be mindful of increased perioperative adverse events associated with COVID-19 positivity in caring for these patients during the ongoing global pandemic.
Clinical Research Forum Chooses Carpenter's Work as One of the Year's Top Ten Research Achievements
The Clinical Research Forum has presented its 2019 Top Ten Clinical Research Achievement Awards, which include work by Thomas O. Carpenter, MD, professor of pediatrics (endocrinology) and of orthopaedics and rehabilitation, and clinical professor of nursing.