Publications by authors named "A A Mihas"
The purpose of this study was to determine if implementation of an enhanced recovery pathway (ERP) for elective spine surgery reduced opioid use and pain scores in elective spine surgery. A historical cohort study of 171 patients undergoing elective spine procedures between 2017 and 2021 was performed. The primary outcomes were opioid use and average daily pain scores.
View Article and Find Full Text PDFBackground: Elbow stiffness is 1 of the most common complications after operative fixation of distal humerus fractures; however, there is relatively limited literature assessing which factors are associated with this problem. The purpose of this study is to identify risk factors associated with dysfunctional elbow stiffness in distal humerus fractures after operative fixation.
Methods: A retrospective review of all distal humerus fractures that underwent operative fixation (AO/OTA 13A-C) at a single level 1 trauma center from November 2014 to October 2021.
Objectives: To assess the relationship between patient smoking status and fracture-related infection (FRI) characteristics including patient symptoms at FRI presentation, bacterial species of FRI, and rates of fracture union.
Design: Retrospective cohort study.
Setting: Urban level 1 trauma center.
Does pes anserinus tenotomy affect surgical site infection rate in operative tibial plateau fractures?
Eur J Orthop Surg Traumatol
January 2024
Purpose: To assess if pes anserinus tenotomy (PAT) during definitive open reduction and internal fixation (ORIF) of tibial plateau fractures is associated with a decreased risk of surgical site infection (SSI) and other postoperative complications.
Methods: A retrospective review of all adults who underwent ORIF for tibial plateau fractures from April 2005 to February 2022 at single level 1 trauma center was performed. Patients who had a medial approach to the plateau with minimum three-month follow-up were required for inclusion.
Article Synopsis
- The study systematically reviews literature comparing ankle arthrodesis (AA) and total ankle arthroplasty (TAA) for patients with hemophilic arthropathy, focusing on publications and clinical outcomes.
- A total of 21 out of 1226 studies were included, revealing that both AA and TAA provided similar improvements in pain and function, with comparable complication rates.
- The review indicates that while results should be taken with caution due to varying evidence quality, both surgeries appear to be effective options for this patient population, with TAA showing significant improvement in range of motion.