Publications by authors named "C Utz"
Background: Opioids are effective for post-operative pain control but are no longer considered appropriate as the sole method for managing pain after surgery. Newer, multimodal approaches to pain control are increasingly being employed to decrease reliance on opioids, but patient-related outcomes are not consistently reported with these interventions.
Objective: This study evaluated the effect of implementing a new multimodal therapy order set, coupled with new patient education materials, on post-operative outcomes after complex shoulder surgery.
Article Synopsis
- The study investigates the factors influencing the need for permanent pacemaker (PPM) implantation after transcatheter aortic valve replacement (TAVR), a common complication following the procedure.
- Researchers analyzed data from 2105 TAVR patients, excluding those with specific complications, to identify predictive models for PPM necessity.
- Key findings indicate that clinical and ECG factors (like right bundle branch block) are stronger predictors of PPM implantation compared to imaging parameters, with a scaled LASSO model achieving an AUC of 0.70.
Lateral Femoral Condyle Stress Fracture in an Ultramarathoner: A Case Report.
JBJS Case Connect
October 2024
Article Synopsis
- - A 62-year-old ultramarathon runner experienced right posterolateral knee pain for several weeks and was found to have a fracture in the right lateral femoral condyle, which was treated conservatively.
- - After 14 months of recovery, the athlete was able to return to full Ironman competition, highlighting the potential for recovery from such injuries.
- - The case emphasizes the need for awareness of femoral condyle fractures in endurance athletes suffering from vague knee pain, and it calls for more research on prevention and treatment strategies related to these rare injuries.
Background: The current literature comparing femoral tunnel techniques often reports on short-term outcomes after anterior cruciate ligament reconstruction (ACLR), but only a few studies have analyzed long-term outcomes. In addition, many studies have compared transtibial to anteromedial portal techniques without differentiating whether rigid or flexible reaming is used, making it difficult to infer how the techniques truly compare to one another.
Purpose: This study aimed to detect differences in patient-reported outcome scores in those treated with three different femoral tunnel drilling techniques.
Article Synopsis
- 4D flow cardiovascular magnetic resonance (CMR) is an advanced, non-invasive method to examine blood flow and heart function, and there is a need to understand whether different imaging sequences can produce comparable results, especially for research purposes.
- This study involved 40 participants and used two different 4D flow sequences with varying ECG gating techniques to assess measurements such as blood flow rates and heart volumes.
- The results showed that most measurements during systole and early diastole were similar across the two sequences, indicating strong agreement, while late diastolic measurements were less consistent.