Brianna R. Fram, MD
Cards
About
Research
Publications
2024
Deep 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 medicine
Academic Achievements & Community Involvement
Clinical Care
Overview
Brianna R. Fram, MD, is an orthopaedic trauma surgeon who says she enjoys the variety of her work and making an immediate difference in patients’ lives.
“I am usually seeing people after an acute injury, whether from a car or motorcycle crash, a sports accident, or a simple trip or fall,” Dr. Fram says. Recognizing that coming to the hospital with an injury is understandably stressful for patients, Dr. Fram says she makes sure to walk them through the steps. “Recovering from an injury is a process. The first part of that is a conversation to decide on the right treatment for that specific patient,” she says.
Dr. Fram knows providing patients with information in advance can make it easier to deal with the “life” issues, like time off of work, that often accompany an injury. “I counsel people on what the surgery will entail, expected restrictions while they recover, how we will control their pain,” she says. “I like for them to know what to expect when they wake up. They will follow up with me in the office afterward. We will monitor their healing and work on their range of motion, strength, and anything else they need.”
Dr. Fram’s clinical research interests include outcomes following ballistic fractures and optimizing post-operative protocols.
Clinical Specialties
Fact Sheets
Complex Fracture
Learn More on Yale MedicineBroken Ankle (Ankle Fracture)
Learn More on Yale MedicineRib Fracture (Broken Rib)
Learn More on Yale MedicineOutdoor Emergencies and Injuries
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