Publications by authors named "Adam Fahs"
Article Synopsis
- Osteochondral allograft transplantation (OCAT) is a promising treatment for joint defects but has high failure rates due to poor osteochondral allograft (OCA) osseointegration.
- This study tests the local delivery of deferoxamine (DFO), an iron chelator that promotes bone healing, to enhance OCA osseointegration in canine models of OCAT in the knee and hip.
- Results showed that DFO-treated sites had better joint function, increased bone volume, and improved new bone growth compared to control sites, suggesting it may help reduce failure rates in joint restoration.
Management of Elbow Terrible Triad Injuries: A Comprehensive Review and Update.
J Am Acad Orthop Surg
August 2024
The "terrible triad" of the elbow, encompassing elbow dislocation, radial head fracture, and coronoid process fracture, remains a formidable challenge in orthopaedic practice. Typically, stabilizing structures in the elbow fail from lateral to medial through a posterolateral rotatory force after a fall onto an outstretched upper extremity. Surgery is often needed to repair the lateral ligamentous complex, replace or fix the radial head, possibly repair the anterior capsule or fix the coronoid, and consider medial repair or application of an internal versus external fixator.
View Article and Find Full Text PDFArticle Synopsis
- This study aimed to analyze the impact of removing retained bullet fragments (RBF) during long bone fixation on the rates of fracture-related infection (FRI) in low-energy gunshot injuries (GSI).
- Out of 2,136 GSI-related fractures, 131 patients were included, with 81 undergoing RBF removal and 50 not having them removed; the overall deep FRI rate was found to be 6.9%.
- Results indicated a significant reduction in deep FRI rates in the RBF removal group (2.4%) compared to the non-removal group (14.0%), highlighting the importance of RBF removal during surgical interventions.
Article Synopsis
- The study aimed to assess how a dedicated orthopaedic trauma room (DOTR) impacts the volume of elective arthroplasties like total hip, knee, and shoulder surgeries at a Level I trauma center.
- Researchers conducted a retrospective analysis comparing data from two 3-year periods before and after the DOTR was established in January 2013, focusing on the number of surgeries performed.
- Results showed a significant increase in elective arthroplasty cases post-DOTR, with an average annual rise of over 173 cases per surgeon, suggesting that the DOTR effectively improved surgical volume in the region.
Therapeutic approaches requiring the intravenous injection of autologous or allogeneic mesenchymal stromal cells (MSCs) are currently being evaluated for treatment of a range of diseases, including orthopaedic injuries. An alternative approach would be to mobilise endogenous MSCs into the blood, thereby reducing costs and obviating regulatory and technical hurdles associated with development of cell therapies. However, pharmacological tools for MSC mobilisation are currently lacking.
View Article and Find Full Text PDFA previously undescribed pitfall of lateral distal fibular locking plates is the risk of violating the lateral malleolar fossa (MF). No previous study has described the dimensions of this fossa. All cases using a lateral distal fibular plate for a fibula fracture from December 2012 to December 2015 (n=365) at a single institution were reviewed.
View Article and Find Full Text PDFStudy Design: Case-control.
Objectives: The aim of this study was to evaluate fusion rates and compare a stand-alone cage construct with an anterior-plate construct in the setting revision anterior cervical discectomy and fusion (ACDF) for adjacent segment disease.
Summary Of Background Data: Anterior cervical discectomy and fusion are considered the criterion standard of surgical treatment for cervical myelopathy and radiculopathy.
Background: More emphasis is being placed on patient-reported outcome measures (PROMs), but the myriad of PROMs makes standardization and cross-study comparison difficult. As the era of big data and massive total joint registries matures, it will be critical to identify and implement the best PROMs.
Methods: All abstracts published in the years 2004, 2009, 2014, and 2016 in the Journal of Bone and Joint Surgery-American volume, the Bone and Joint Journal, Clinical Orthopedics and Related Research, and the Journal of Arthroplasty were reviewed.
Background: Modern joint arthroplasty protocols place an emphasis on minimizing patient-reported postoperative pain while minimizing opioid consumption. The use of multimodal pain management protocols has been reported to improve patient outcomes and satisfaction after total hip arthroplasty.
Methods: In a prospective, single-surgeon trial, 50 patients undergoing primary direct anterior approach total hip arthroplasty were randomized to receive a preoperative fascia iliaca compartment block (FICB) or an intraoperative surgeon-delivered psoas compartment block (PCB).
Background: The psoas compartment block (PCB) or periarticular soft-tissue local anesthetic injection are forms of regional anesthesia often used as one of the components in multimodal anesthesia applied during total hip arthroplasty (THA). The most efficacious form of regional anesthesia for THA has yet to be determined.
Methods: In a single-surgeon, prospective, clinical trial, patients undergoing THA via direct anterior approach were randomized to receive an intraoperative periarticular local anesthetic infiltration (periarticular injection) or a PCB.