Unreported Sharps Exposures in Orthopedic Surgery Residents A Silent Majority.

Sharps-related injuries represent a significant occupational hazard to orthopedic surgeons. Despite increased attention and targeted interventions, evidence suggests that the majority of incidents continue to go unreported. The purpose of this study was to examine the incidence, attitudes, and factors that affect the reporting of sharps injuries among orthopedic surgery residents at a large academic teaching hospital in an effort to increase reporting rates and design effective interventions.

Functional Outcomes of Compression Plating and Bone Grafting for Operative Treatment of Nonunions About the Forearm.

Purpose: To describe one center's experience with nonunion of one or both bones of the forearm and report on the functional recovery of patients treated for a single- or 2-bone forearm nonunion.

Methods: We performed a retrospective analysis of 23 patients who presented to our institution over an 11-year period and underwent surgical repair of a forearm nonunion (radius, ulna, or both bones). The main outcome measurements included time to union, visual analog scale pain scores, range of motion, Short Musculoskeletal Function Assessment scores, and postoperative complications.

Presence of Failed Fracture Implants in Association With Lower Extremity Long Bone Nonunion Does Not Portend Worse Outcome After Nonunion Repair.

Objective: The purpose of this study was to determine whether the finding of failed fracture implants in association with lower extremity long bone fracture nonunion portends worse clinical or functional outcome after surgical nonunion repair.

Design: Retrospective analysis of prospectively collected data.

Setting: Academic Medical Center.

Outcomes Over a Decade After Surgery for Unstable Ankle Fracture: Functional Recovery Seen 1 Year Postoperatively Does Not Decay With Time.

Objectives: To evaluate long-term clinical and radiographic outcomes after surgical fixation of unstable ankle fractures.

Design: Prospective follow-up study.

Setting: Academic medical center with 2 Level-I trauma centers and a tertiary care center.

Impact of Diabetes Mellitus on Surgical Quality Measures After Ankle Fracture Surgery: Implications for "Value-Based" Compensation and "Pay for Performance".

Objectives: To evaluate the impact of diabetes mellitus (DM) and associated complications on cost, length of stay, and inpatient mortality after open reduction internal fixation (ORIF) of an ankle fracture, and the implications of these variables during a time of health care payment reform.

Design: Retrospective study.

Setting: The Statewide Planning and Research Cooperative System database, which includes all admissions to New York State hospitals from 2000 to 2011.