Publications by authors named "C J Doro"
Introduction: A minority of geriatric hip fracture patients pursue non-operative treatment. Compared with surgical patients, non-operative patients have higher mortality rates. However, patient satisfaction following non-operative vs operative treatment has not been investigated extensively.
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- The study aimed to compare the mortality rates of geriatric patients with hip fractures who were treated nonoperatively versus those who underwent surgical treatment.
- Conducted at an academic trauma center, the research involved patients over 65 years old and analyzed data from a decade, focusing on femoral neck and intertrochanteric fractures while controlling for patient health factors.
- Results showed that nonoperative patients had a significantly higher 1-year mortality rate (46.1%) compared to those who had surgery (18.0%), indicating that surgical intervention may lead to better outcomes for this patient population.
Is the timing of fixation associated with fracture-related infection among tibial plateau fracture patients with compartment syndrome? A multicenter retrospective cohort study of 729 patients.
Andrew G Dubina George Morcos Nathan N O'Hara Givenchy W Manzano Heather A Vallier Christopher J Doro
Injury
November 2022
Article Synopsis
- The study investigates the impact of timing for open reduction and internal fixation (ORIF) of tibial plateau fractures in patients with concurrent compartment syndrome, specifically regarding the risk of fracture-related infection (FRI).
- A total of 729 patients were analyzed, revealing that 19.6% developed FRI requiring further surgical intervention, with variations in infection rates based on whether ORIF was performed before, simultaneously, or after fasciotomy wound closure.
- Findings suggest that performing ORIF at the same time as fasciotomy closure may reduce FRI risk compared to doing it prior to or after closure, with a 91% probability of being more effective compared to prior closure timing.
Article Synopsis
- The REGAIN trial found that spinal and general anesthesia provide similar outcomes regarding ambulation and survival after hip fracture surgery.
- In a secondary analysis, researchers compared pain levels, analgesic use, and patient satisfaction between the two anesthesia types.
- Results indicated that spinal anesthesia led to more severe pain in the first 24 hours post-surgery and higher prescription analgesic use at 60 days, while patient satisfaction remained comparable across both groups.
Article Synopsis
- The study evaluated how different reduction techniques impact the alignment of tibial shaft fractures after intramedullary nail (IMN) fixation in 428 adult patients at a trauma center from 2008 to 2017.
- Results showed that using traveling traction (TT), with or without percutaneous clamps (PC), significantly improved coronal alignment compared to manual reduction (MR) alone, with lower rates of malalignment.
- No significant differences were found in sagittal alignment across techniques, and there was excellent reliability in measuring alignment outcomes, particularly in the coronal plane.