Brianna R. Fram, MD
Cards
About
Research
Publications
2024
Do 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 statusFinding 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 2024, 38: e120-e125. PMID: 38117574, DOI: 10.1097/bot.0000000000002744.Peer-Reviewed Original Research
2023
Proximal 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 ROM
Academic Achievements and 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
Orthopedic Trauma Surgery
Fact Sheets
Complex Fracture
Learn More on Yale MedicineBroken Ankle (Ankle Fracture)
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