Publications by authors named "C J DeFrancesco"
Purpose: While children with hypermobility and/or ligamentous laxity due to coexisting connective tissue disorders might be expected to have worse outcomes after open reduction for hip dislocations, there is minimal prior research on this topic.
Methods: All open reduction surgeries for hip dislocations performed at a single urban, tertiary-care children's hospital from 2009 to 2023 were reviewed retrospectively. Those with connective tissue disorders secondary to a diagnosed syndrome or genetic disorder were included.
Objective: To assess a novel worksite wellness program to enhance mindfulness and well-being of corrections professionals.
Methods: This is a quasi-experimental prospective study of a total worker health and mindfulness program. Sessions were observed.
Article Synopsis
- Recent studies indicate that the synovial fluid neutrophil-to-lymphocyte ratio (SF-NLR) may be a better diagnostic tool for pyogenic septic arthritis (SA) in adults than traditional methods like synovial fluid white blood cell count (SF-WBC) or percentages of polymorphonuclear leukocytes.*
- A research project examined medical records from a children's hospital to see if SF-NLR and blood neutrophil-to-lymphocyte ratio (B-NLR) could serve as reliable diagnostic indicators for septic arthritis in children, using a conventional composite test (CCT) for evaluation.*
- Out of 394 patients analyzed, the study found no significant difference in SF-NLR or B-NLR when comparing culture
Article Synopsis
- This study updated knowledge on the epidemiology and risk factors associated with brachial plexus birth injury (BPBI) in the U.S. from 1997 to 2019, revealing stable incidence rates of BPBI and C-sections during this period.
- Findings indicated that cesarean delivery offered protection against BPBI, particularly for newborns with larger birth weights, while shoulder dystocia emerged as the most significant risk factor for BPBI.
- Other independent risk factors included Medicaid insurance coverage, female sex, and non-White race, with a strong correlation observed between BPBI rates and C-section rates over time.
Article Synopsis
- The study aims to understand risk factors for stiffness, specifically arthrofibrosis, after open reduction (OR) surgeries for developmental dysplasia of the hip (DDH), which has not been thoroughly investigated before.
- Conducted from 2009 to 2022, the retrospective analysis involved 170 hip surgeries and categorized arthrofibrosis into mild and significant based on postoperative outcomes and treatment needs.
- Results indicate that out of the studied cases, 64.1% had no stiffness, while age, the degree of hip displacement, and additional surgical procedures were significant risk factors for developing arthrofibrosis post-surgery.