Publications by authors named "John M Garlich"
Article Synopsis
- SER4a ankle fractures involve intricate treatment challenges due to complications with the medial clear space, focusing on quantifying joint parameters through weightbearing CT scans.
- Ten patients with isolated Weber B fibula fractures were studied, revealing consistent abnormal measurements in the medial clear space and differences in rotation and translation of the injured ankle.
- While joint contact area appeared unchanged between injured and uninjured ankles, significant increases in external rotation and lateral translation were noted, leaving clinical implications of these findings still unclear.
Objectives: To evaluate the incidence of anterolateral tibial plafond involvement in pronation-abduction (PAB) ankle fractures and analyze the accuracy of radiographs in detecting anterolateral tibial plafond involvement, impaction, and predicting the need for direct visualization and an articular reduction.
Design: A multi-institutional retrospective chart review.
Setting: Five Level 1 trauma centers in the United States.
Objective: To evaluate the effect of warfarin on blood transfusion and postoperative complications in a low-energy hip fracture population compared with a non-anticoagulated comparison group.
Design: Multicenter Retrospective Cohort.
Setting: Three Urban Level I Academic Trauma Centers.
Purpose: To characterize the morphology of the infraspinatus (IS) tendon and evaluate the bony anatomy of the humeral head (HH) to determine if there is a correlation between HH measurements and the amount of available IS tendon.
Methods: The superior-inferior width as well as the medial-lateral (M-L) length of the inferior and superior portions of the IS tendon were measured in 15 human cadaveric shoulders. Three measurements were then obtained for each corresponding humeral head: (1) anterior to posterior (A-P) distance, (2) midcoronal humeral head distance (MCHH), and (3) M-L distance.
Article Synopsis
- The study investigates the effectiveness of perioperative fascia iliaca regional anesthesia (FIRA) in reducing pain for hip fracture patients, aiming to identify which types of fractures and surgeries gain the most benefit.
- Conducted at a Level 1 trauma center, the research compared 949 patients over 60 receiving FIRA with a historical control group not receiving the treatment, assessing morphine milliequivalents (MME) used during hospitalization.
- Findings indicate that FIRA significantly reduced MME consumption preoperatively for femoral neck fractures and postoperatively for both femoral neck and intertrochanteric fractures, as well as for patients undergoing certain surgical procedures like cephalomedullary nail fixation
Background: Clavicle nonunions often result after nonoperative treatment for the acute fracture. Those that require >1 surgical procedure in order for a nonunion to heal are termed recalcitrant. The aims of the present study were to (1) determine healing rates of clavicle nonunions after plate osteosynthesis using either a conventional or locked plate, (2) compare iliac crest bone graft vs.
View Article and Find Full Text PDFBackground: Geriatric hip fracture patients are susceptible to the adverse effects of opioid-induced analgesia. Fascia iliaca blocks (FIBs) have emerged as an analgesic technique for this population. There are limited data on a preoperative FIB's effect on perioperative opioid intake.
View Article and Find Full Text PDFArticle Synopsis
- Fascia iliaca nerve blocks, either single-shot or continuous, were studied for their effect on pain relief and opioid consumption in geriatric patients with hip fractures.
- A total of 107 patients were analyzed, and results showed no significant differences in opioid milligram equivalent (MME) consumption or visual analog scale (VAS) pain scores between the two methods at various time points.
- Both methods led to a significant reduction in hourly opioid consumption post-block, but secondary outcomes like length of hospital stay and readmission rates were also similar between the two approaches.
Article Synopsis
- FIBs help manage pain in older hip fracture patients and reduce opioid use before surgery.
- Delays in administering these blocks negatively impact pain control and recovery.
- Faster TTB leads to lower opioid consumption, reduced pain levels, and shorter hospital stays.
Background: Humeral shaft nonunions are challenging to treat, and those that require >1 surgical procedure in order for a nonunion to heal are termed recalcitrant. Most studies on nonunion have evaluated the union rate independent of the number of procedures required to achieve union. The aims of the present study were (1) to compare the healing rates after the index operation for the treatment of a nonunion with conventional versus locked plating with or without graft augmentation, (2) to report the prevalence of recalcitrant nonunion, and (3) to identify risk factors that predict a recalcitrant nonunion.
View Article and Find Full Text PDFObjectives: To determine if the addition of an infraspinatus tenotomy to the modified Judet approach (MJA) improves glenoid visualization.
Methods: We performed an MJA on 14 human cadaveric shoulders. After exposing the glenoid, the boundary of the visualized glenoid surface was marked with a 1.