Publications by authors named "Arjun Minhas"
Introduction: Patients who sustain tibial shaft fractures are at risk for delayed recognition of complications with inadequate postoperative follow-up. Area Deprivation Index (ADI) is a surrogate which may be used to analyze the effects of socioeconomic deprivation on postoperative follow-up rates. The purpose of this study was to determine if ADI is associated with incomplete postoperative follow-up after intramedullary (IM) nailing for fractures of the tibial diaphysis.
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- Participation in sports increases the risk of musculoskeletal injuries, with acute primary tendon ruptures being a significant concern, yet there’s limited research on their epidemiology in the US.
- This study aims to determine the incidence rate of sports-related acute primary tendon ruptures from 2001 to 2020, using data from the National Electronic Injury Surveillance System (NEISS).
- Findings reveal that over 141,000 patients treated for these injuries were predominantly males, with Achilles tendon ruptures being the most common, particularly related to basketball activities.
Objective: To report opioid prescription patterns after pediatric anterior cruciate ligament reconstruction (ACLR) and identify if the implementation of the opioid prescribing guidelines (OPGs) modified these patterns.
Design: A retrospective chart review.
Setting: Level 1 Pediatric Trauma Center.
Article Synopsis
- Up to 20% of patients have dissatisfaction after total knee arthroplasty (TKA), and this study examines how chronic sleep disorders (SDs) affect outcomes.
- A retrospective analysis of 172 patients (43 with SDs and 129 without) was conducted using data from 2018-2022, focusing on their Knee Injury and Osteoarthritis Outcome Score (KOOS) over time.
- Results showed that while preoperative KOOS scores were similar, those with SDs experienced significantly greater improvements in KOOS scores one year post-surgery, suggesting that chronic sleep disorders may lead to better reported outcomes after TKA.
Case: A 23-year-old right-hand dominant man presented with a high-velocity gunshot wound injury to the right thumb with severe soft-tissue damage, vascular injury, and large osseous defect of the right thumb metacarpal. The patient was successfully treated with metacarpophalangeal joint arthrodesis and metacarpal reconstruction using definitive external fixation, an intramedullary Kirschner wire, and use of the Masquelet bone grafting technique.
Conclusion: The authors' treatment approach for a mangled thumb injury with definitive external fixation and utilization of the Masquelet technique resulted in restoration of a large osseous defect, avoidance of infection, and limited loss of mobility.
Introduction: To improve transparency between candidates and training programs, a preference signaling program (PSP) was implemented before the 2022 to 2023 orthopaedic surgery match. The PSP allows applicants to 'signal' up to 30 programs, informing the program of the applicant's particular interest in interviewing for their available position(s). This study reports the perspectives of orthopaedic surgery residency applicants and program directors (PDs) on the effects of preference signaling on the orthopaedic match.
View Article and Find Full Text PDFEpidemiology of C2 fractures in the United States: A National Electronic Injury Surveillance System database study.
J Craniovertebr Junction Spine
June 2023
Article Synopsis
- C2 fractures are common injuries in the cervical spine, posing significant health risks, and this study assesses the incidence rate (IR) of these fractures in the US from 2002 to 2021 using the NEISS database.
- The study found that approximately 72,764 patients presented to US Emergency Departments with C2 fractures, with an overall IR of 1.17 per 100,000 person-years and notably higher rates among elderly individuals (IR = 15.9).
- The incidence of C2 fractures has significantly increased over the years (AAPC = 10.9), indicating a need for public health initiatives to address factors like osteoporosis in the aging population to reduce these injuries.
Objective: To report upon a series of patients who have experienced the backout of distal interlocking screws after retrograde femoral nailing with the DePuy Synthes RFN-Advanced Retrograde Femoral Nailing System (DePuy Synthes, Raynham, MA).
Design: Retrospective case series.
Patients: Twenty-seven skeletally mature patients with femoral shaft or distal femur fractures who underwent operative fixation with the DePuy Synthes RFN-Advanced Retrograde Femoral Nailing System with 8 patients subsequently experiencing backout of distal interlocking screws.
Article Synopsis
- The study aims to evaluate the reliability of clinical trials on intramedullary reaming's impact on tibial fracture non-union rates by calculating fragility metrics for various outcomes.
- A systematic literature review identified ten prospective trials, revealing that 80% of the analyzed outcomes were statistically fragile, meaning they could easily change significance with a few data reversals.
- The findings indicate that the trials are not robust, needing only an average of two to four event changes to alter their statistical relevance, highlighting concerns about their reliability.
Background: The statistical significance of a given study outcome can be liable to small changes in findings. values are common, but imperfect statistical methods to convey significance, and inclusion of the fragility index (FI) and fragility quotient (FQ) may provide a clearer perception of statistical strength.
Purpose/hypothesis: The purpose was to examine the statistical stability of studies comparing primary single-bundle to double-bundle anterior cruciate ligament reconstruction (ACLR) utilizing autograft and independent tunnel drilling.
Article Synopsis
- - The study aimed to explore how acetabular version (the angle of the acetabulum) relates to the lengths of the anterior and posterior labrum in the hip, introducing a new measure called the labral index to standardize labral length based on femoral head size.
- - It analyzed data from 148 patients who had hip arthroscopies for femoroacetabular impingement, using imaging techniques to measure acetabular version and labral length at specific points around the hip.
- - Results indicated that higher central anteversion was significantly linked to longer anterior labral length and its index, while weak correlations existed for cranial anteversion, with no significant findings for posterior labral sizes or overall hip angles.*
Background: Evidence-based medicine utilizes data to inform clinical decision making, despite the ability of a small number of outcome reversals to change statistical significance. values are common measurements of statistical significance that possess inherent flaws. The inclusion of the fragility index (FI) and fragility quotient (FQ) may provide a clearer conveyance of statistical strength.
View Article and Find Full Text PDFArtificial vascular models are emerging as a newly-inexpensive and accurate way to simulate a procedure before the treatment. Through utilization of precision three-dimensionally printed, silicone-reconstructed, patient-specific models of aneurysms, we can compare the performance of devices including stents, and accurately predict the behavior of the microcatheter and stent-assisted coiling in the aneurysm to not only reduce procedural time, but also make the procedure safer. Here we report two challenging cases of wide-necked aneurysms, which could be safely treated with stent-assisted coiling as simulated in the patient-specific aneurysm models.
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