Publications by authors named "Chandler R Sneed"
Article Synopsis
- A study was conducted to see if low-dose, short-term IV ketorolac could decrease hospital stay length, opioid use, and pain levels in orthopaedic polytrauma patients.
- The trial involved 70 patients, split evenly into ketorolac and placebo groups, and measured outcomes like length of stay, opioid consumption, and pain scores.
- The findings showed that while ketorolac did not lower hospital stay length, it significantly reduced opioid use and pain levels compared to the placebo group, indicating its potential for acute pain management without significant side effects.
Purpose: It remains unknown if cephalomedullary nail (CMN) length has an impact on pain and opioid use following fixation. Given the lack of level I evidence favoring a specific CMN length to prevent adverse surgical outcomes, we investigated if CMN length impacts acute postoperative pain and opioid use. The authors hypothesize that the use of longer CMNs results in increased pain scores and morphine milligram equivalents (MME) intake during the 0-24 h (h) and 24-36 h postoperative period.
View Article and Find Full Text PDFObjectives: To determine whether primary arthrodesis (PA) or open reduction and internal fixation (ORIF) results in better functional outcomes through patient-reported outcome measures (PROMs). Reoperation rates and surgical characteristics among the 2 groups are evaluated as well.
Design: A retrospective cohort study.
Background: The objective of this study was to determine whether talar neck fractures with proximal extension (TNPE) into the talar body are associated with higher rates of avascular necrosis (AVN) compared to isolated talar neck (TN) fractures.
Methods: A retrospective review of patients sustaining talar neck fractures at a level I trauma center from 2008 to 2016 was performed. Demographic and clinical data were collected from the electronic medical record.
Case: A 70-year-old man presented with a left pilon fracture after a 10-foot fall from a ladder. The severe amount of comminution, joint destruction, and impaction from this injury eventually resulted in a tibiotalar fusion. Owing to multiple tibiotalar fusion plates not being long enough to span the extent of the fracture, a tensioned proximal humerus plate was used as an alternative.
View Article and Find Full Text PDFTo determine whether local aqueous tobramycin injection in combination with systemic perioperative IV antibiotic prophylaxis will reduce the rate of fracture-related infection (FRI) after open fracture fixation. (1) To compare fracture nonunion rates and report differences between treatment and control groups and (2) compare bacterial speciation and antibiotic sensitivity among groups that develop FRI. Phase 3 prospective, randomized clinical trial.
View Article and Find Full Text PDFObjective: To systematically review outcomes of the Masquelet "induced membrane" technique (MT) in treatment of tibial segmental bone loss and to assess the impact of defect size on union rate when using this procedure.
Data Sources: PubMed, EBSCO, Cochrane, and SCOPUS were searched for English language studies from January 1, 2010, through December 31, 2019.
Study Selection: Studies describing the MT procedure performed in tibiae of 5 or more adult patients were included.
Objective: To determine if reamed intramedullary nailing (IMN) of tibial and femoral shaft fractures exacerbated the hypercoagulable state of COVID infection, resulting in increased thromboembolic and pulmonary complications.
Design: Retrospective chart review.
Setting: Eleven Level I trauma centers.