Publications by authors named "Alex Benedick"
Objectives: To evaluate patients with tarsometatarsal fractures and dislocations and describe complications and secondary operations.
Design: Retrospective cohort study.
Setting: Level 1 trauma center.
Background: Midfoot fractures and dislocations are infrequent and functional outcomes following Lisfranc injuries have not been well described. The purpose of this project was to explore functional outcomes following operative treatment of high-energy Lisfranc injury.
Methods: A retrospective cohort of 46 adults with tarsometatarsal fractures and dislocations treated at a single Level 1 trauma center were reviewed.
Background: Saw injuries are common, with more 75 000 occurring each year in the United States alone. While these injuries occur frequently, management strategies are not universally agreed upon, and data regarding outcomes and complications are lacking. We propose to provide a comprehensive picture of upper extremity saw injury patterns, management strategies, complications, and outcomes.
View Article and Find Full Text PDFUnlabelled: Astronomical increases in medical expenses and waste produce widespread financial and environmental impacts. Minor changes to minimize costs within orthopaedics, the most used surgical subspecialty, could result in substantial savings. However, few orthopaedic surgeons are educated or experienced to implement cost containment strategies.
View Article and Find Full Text PDFBackground: Previous investigations have demonstrated that up to 7% of the distal femoral physis can be violated using a rigid, retrograde nail without growth inhibition or arrest. The purpose of this investigation was to evaluate the behavior of the distal femoral physis after retrograde femoral nail removal in a sheep model, with and without placement of an interpositional fat graft.
Methods: Retrograde femoral nails were placed in 8 skeletally immature sheep.
Background: The recently described Modified Fels knee system allows for accurate skeletal maturity estimation using a single anteroposterior knee radiograph but requires evaluation of 7 parameters. A faster method may have clinical utility in the outpatient setting.
Methods: Seven anteroposterior knee radiographic parameters associated with 90% of the final height (an enhanced skeletal maturity standard compared with peak height velocity) were analyzed in 78 children.
Objective: The purpose of this study was to assess the impact of current and remote tobacco smoking on clinical and functional outcomes after torsional ankle fracture.
Methods: Nine hundred thirty-five patients treated surgically for torsional ankle fracture over 9 years were reviewed. Tobacco smoking status at the time of injury was defined as current (48.
Objectives: To assess the patient and injury characteristics that impact functional outcomes after ankle fracture.
Design: Retrospective study.
Setting: Urban level I trauma center.
Implementation of programming for survivors of violence-related trauma at a level 1 trauma center.
Trauma Surg Acute Care Open
October 2021
Background: Prior investigation of violence intervention programs has been limited. This study will describe resources offered by Victims of Crime Advocacy and Recovery Program (VOCARP), their utilization, and effect on recidivism.
Methods: VOCARP was established in 2017 at our center, and all patients who engaged with programming (n=1019) were prospectively recorded.
Objective: To evaluate femoral growth after placement of retrograde intramedullary nails in the treatment of pediatric femoral shaft fractures.
Design: Retrospective case series.
Setting: Large urban trauma center in Mongolia.
Objective: To analyze the correlation between surgical timing and outcomes for calcaneus fractures treated using a sinus tarsi approach (STA).
Setting: Single Level-1 trauma center.
Design: Retrospective.
Objectives: To identify predictors of functional outcomes following treatment of ankle fracture in patients 55 years or older.
Setting: Level 1 Trauma Center.
Patients/participants: Four hundred twenty-nine patients with torsional ankle fractures (44A-C): 233 patients (54%) were ages 55 to 64, 25% were between the ages 65 and 74; 21% were 75 years or older.
Objective: To identify risk factors for posttraumatic stress disorder (PTSD) after traumatic injury.
Setting: Single urban Level I trauma center.
Design: Prospective.
Background: The ability to estimate skeletal maturity using a knee radiograph would be useful in anterior cruciate ligament (ACL) injuries and limb-length discrepancy in immature patients. Currently, a quick, accurate, and reproducible method is lacking.
Methods: Serial knee radiographs made 3 years before to 2 years following the chronologic age associated with 90% of final height (an enhanced skeletal maturity gold standard compared with peak height velocity) were analyzed in 78 children.
Objective: To compare complications and functional outcomes between supination adduction type II (SAD) injuries and torsional ankle injuries (TAI).
Design: Retrospective cohort.
Setting: Level 1 trauma center.
Objectives: To determine the usefulness of a validated trauma triage score to stratify short-term outcomes including hospital length of stay (LOS), in-hospital complications, discharge location, and rate of readmission after an ankle fracture.
Design: Retrospective cohort.
Setting: Level 1 trauma center.
Objectives: To determine the usefulness of a validated trauma triage score to stratify postdischarge complications, secondary procedures, and functional outcomes after ankle fracture.
Design: Retrospective cohort.
Setting: Level 1 trauma center.
Five-year Trends in Opioid Prescribing Following Orthopaedic Trauma.
J Am Acad Orthop Surg Glob Res Rev
August 2020
Introduction: Legislatures across the country are passing new opioid prescribing laws. To understand the effects of this legislation, baseline autonomous shifts in physician opioid prescribing must be evaluated.
Methods: The purpose of this retrospective dual cohort comparison study was to evaluate 5-year opioid prescribing trends in orthopaedic trauma patients.
Introduction: It is well known that patients with diabetes mellitus experience higher complication rates after torsional ankle fracture; however, the functional consequences remain less clear. The goal of this study was to determine the effects of diabetes on complications, secondary operations, and functional outcomes after torsional ankle fracture.
Methods: Nine hundred seventy-nine adult patients treated surgically for a torsional ankle injury (Orthopaedic Trauma Association 44B, 44C) over 13 years were retrospectively reviewed.
Introduction: The purpose of this study is to assess the impact of Trauma Recovery Services (TRS), a program facilitating engagement and recovery on satisfaction after orthopaedic trauma.
Methods: Two hundred ninety-four patients with surgically managed extremity fractures were prospectively surveyed. Satisfaction was assessed after 12 months using a 13-question telephone survey, rated on a Likert scale from 1 to 5 (with five being excellent).
Background: Obesity is a growing public health concern. While diabetes mellitus is associated with obesity and is a risk for infection and other complications, effects of obesity on outcomes remains less clear. The purpose was to determine effect of obesity on complications, secondary operations, and functional outcomes after surgical treatment of ankle fracture.
View Article and Find Full Text PDFArticle Synopsis
- The study aims to assess how common positive screenings for posttraumatic stress disorder (PTSD) are among trauma patients in a single urban US trauma center.
- It involved 452 adult trauma patients who completed the PTSD checklist (PCL-5) after being discharged from the hospital, revealing that about 26% screened positive for PTSD on average 86 days post-injury.
- Younger individuals, particularly victims of violent crimes and pedestrians hit by vehicles, showed higher likelihoods of testing positive for PTSD, indicating a need for better screening and support in trauma care settings.
Background: Tourniquets are common during extremity surgery; however, effects of tourniquets on complications following ankle fracture surgery have not been well described. The purpose was to evaluate effects of tourniquet usage on wound complications and infections after ankle fracture fixation.
Methods: Consecutive patients (N = 903) treated operatively for torsional ankle injury were identified.
Objectives: To assess clinical and functional outcomes after ankle fracture in patients with preexisting mental illness.
Design: Retrospective study.
Setting: Level 1 trauma center.