Publications by authors named "Colby Barber"

Article Synopsis
  • This study evaluated modified Radiographic Union Scale for Tibia (mRUST) scores over time in patients with distal femur fractures treated with intramedullary nails, to identify factors influencing healing and possible reoperation.
  • Conducted in ten Level I Trauma Centers, the research included 155 fractures from 152 patients, focusing on mRUST scores at 3, 6, and 12 months post-surgery, with the primary goal of finding predictors for union timing.
  • Results showed that a 3-month mRUST score of ≤8 indicated a higher chance of reoperation, and factors such as tobacco use and open fractures correlated with delayed healing times.
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Article Synopsis
  • - The study aimed to identify risk factors for unplanned reoperations related to union promotion or deep surgical-site infections (DSSI) in patients with periprosthetic distal femur fractures treated with lateral distal femoral locking plates (LDFLPs).
  • - Conducted across ten level-I trauma centers, the retrospective cohort study focused on patients diagnosed with specific fracture types between January 2012 and December 2019 while excluding those with pathological fractures or less than three months of follow-up.
  • - Results showed an 8.3% reoperation rate for union promotion linked to factors like higher body mass index and more screws in the distal segment, while no significant factors were identified for DSSI-related reoperations.
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The Patient-Reported Outcomes Measurement Information System (PROMIS) developed by the National Institutes of Health provides a standardized method for collecting outcomes data from sports medicine patient populations. The objective of this scoping review is to report on PROMIS utilization in orthopedic sports medicine research and practice. We searched PubMed, ScienceDirect, and Cochrane Library using keywords and database-specific subject headings to identify studies that reported PROMIS utilization.

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Tibial avulsion fractures comprise a subset of anterior cruciate ligament injuries. Primary fixation methods have traditionally used either screw or suture fixation. New anchor and suture technologies have led to the development of tensionable and retensionable techniques.

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Article Synopsis
  • - The study aimed to evaluate the clinical and functional outcomes of nail-plate fixation (NPF) for distal femur fractures and to compare these outcomes with those of patients treated with single lateral locking plates.
  • - Conducted at ten trauma centers, the retrospective cohort study found that NPF resulted in significantly lower rates of unplanned reoperations and varus collapse compared to the lateral locking plate treatment group.
  • - The researchers concluded that NPF is a promising option for complex fractures, with larger studies recommended to further identify which patients benefit most from this treatment.
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Objective: To identify technical factors associated with nonunion after operative treatment with lateral locked plating.

Design: Retrospective cohort study.

Setting: Ten Level I trauma centers.

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The medial patellofemoral ligament is an important patellar stabilizer and, when damaged, can lead to recurrent instability, cartilage injury, and debilitating pain among other conditions. In patients with continued patellar instability after failed nonoperative management, medial patellofemoral ligament reconstruction often is recommended. A key step of the procedure is appropriate graft tensioning.

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Revision patella tendon repairs are technically challenging, and to this point there is no gold standard with regard to treatment. Understanding how the surgeon previously repaired the tendon can be of use in the revision case. This includes a repair using anchor fixation in tunnels from the primary procedure, allograft augmentation under the retinacular layer, and application of a bioinductive implant.

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Objectives: To identify modifiable and nonmodifiable risk factors for reoperation to promote union after distal femur fracture.

Design: Multicenter retrospective cohort study.

Setting: Ten Level-I trauma centers.

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Objectives: To identify potentially modifiable risk factors for deep surgical site infection after distal femur fracture.

Design: Multicenter retrospective cohort study.

Setting: Ten Level-I trauma centers.

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Article Synopsis
  • The study aims to create guidelines for athletes returning to sports after total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA) by consolidating existing research findings.
  • A systematic review of studies from 2010 to 2020 showed that 34% to 100% of patients could return to sports within 12-13 weeks post-surgery, with UKA patients faring better and prior experience in the sport being a key factor.
  • Although low-impact sports like walking and swimming are recommended, the return to moderate-impact sports depends on individual cases, and high-impact sports are generally discouraged due to potential risks.
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