Publications by authors named "B Skura"
Introduction: A peri-implant proximal humerus fracture is a rare complication after open reduction and internal fixation (ORIF) and poses a surgical dilemma.
Case Report: A 56-year-old male sustained a peri-implant proximal humerus fracture after undergoing ORIF. We present a stacked plating method for fixation of this injury.
Introduction: In this manuscript, we present a late presentation of deep peroneal nerve symptoms after total hip arthroplasty (THA) which subsequently completely resolved after seroma evacuation and sciatic nerve decompression. While hematoma formation causing deep peroneal nerve symptoms after THA has been reported in the literature, we are unaware of any reports of seroma formation causing similar symptoms.
Case Presentation: A 38-year-old female underwent an uncomplicated primary THA and developed paresthesia's over the lateral leg and foot drop on post-operative day 7.
Article Synopsis
- The study evaluated the effectiveness of contrast-enhanced CT scans in diagnosing infectious flexor tenosynovitis (FTS) compared to traditional physical exam signs (Kanavel's signs).
- The results showed that FTS patients had a higher average number of Kanavel signs and larger tendon sheath/tendon width ratios, indicating that these measurements can improve diagnostic accuracy.
- Using CT ratios alone or alongside Kanavel's signs significantly enhances the identification of FTS, helping to differentiate it from similar conditions like finger cellulitis.
A fibular strut allograft is a reliable option for augmentation in open reduction internal fixation (ORIF) of proximal humerus fractures, but techniques to remove a fibular strut during revision shoulder arthroplasty are limited. Currently published techniques on extracting fibular strut grafts from humeral shafts include using a Midas burr, flexible osteotomes, humeral shaft osteotomy, and reaming. To our knowledge there has not been a technique that uses a corkscrew to remove the fibular strut from the proximal humerus in preparation for revision shoulder arthroplasty.
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- Medicaid patients had a longer hospital stay after total joint arthroplasty compared to those with Medicare or Private insurance, averaging 1.98 days versus 1.73 days.
- The study found that having Private insurance was the strongest predictor for a shorter stay of two days or less.
- Additionally, Medicaid patients exhibited higher rates of pre-operative narcotic use, and there were trends indicating increased smoking and drug abuse in this group, although these were not statistically significant.