Publications by authors named "Joshua A Parry"
Introduction: Symptomatic interlocking screws are common after intramedullary nail fixation of tibia fractures. Low-profile headless interlocking screws recently became available and could potentially reduce the rate of symptomatic screws. The purpose of this study was to compare the rate of symptomatic screws and screw removals between these screw types.
View Article and Find Full Text PDFIn 1992, the American Orthopaedic Association-Japanese Orthopaedic Association (AOA-JOA) Traveling Fellowship was created to develop and enhance collaboration between the Japanese and American orthopaedic communities. The fellowship is geared to early-career surgeons and fosters clinical and cultural exchange between members of the 2 countries. In 2024, the fellows hailed from around the United States: Kelly K.
View Article and Find Full Text PDFPurpose: Straddle fractures involving both the superior and inferior rami often require surgical fixation due to instability. This study compared the clinical and radiological outcomes of pubic ramus screw fixation (PRSF) and anterior pelvic plating (APP) for the treatment of these fractures to identify the superior method.
Methods: A retrospective analysis was conducted on 70 patients (37 males, 33 females; average age 47.
Introduction: A recovery without adverse events is a top priority of orthopaedic trauma patients, however many randomized controlled trials (RCTs) are only powered to detect a difference in patient-reported outcome measures (PROMs). While it may be assumed that differences in major adverse event rates between treatment groups will result in differences in PROMs, this has not been established. The purpose of this study was to perform a systematic review of RCTs to evaluate if differences in these outcomes were correlated.
View Article and Find Full Text PDFLateral Compression Fragility Fractures of the Pelvis: Diagnosis, Classifications, and Modern Management.
Curr Osteoporos Rep
December 2024
Article Synopsis
- The review focuses on the diagnosis, classification, and management of lateral compression fragility fractures of the pelvis, emphasizing the shift toward early surgery treatment for better outcomes.
- Lateral compression pelvic fractures are common in older adults, typically resulting from low-impact falls, and can lead to serious complications like loss of independence and prolonged hospital stays.
- Current practices often recommend nonsurgical treatment for these fractures, but there is insufficient evidence to support this approach, indicating a need for more research on early surgical intervention.
Objectives: To determine the effectiveness of an updated protocol that increased the transfusion threshold to perform preperitoneal pelvic packing in patients with pelvic ring injuries and hemodynamic instability (HDI).
Design: Retrospective review.
Setting: Urban level 1 trauma center.
Article Synopsis
- - The study examined the use and disclosure of AI-generated text in abstracts from top orthopaedic journals, finding that only 4.8% of the 577 analyzed abstracts contained AI content, with minimal disclosure on its usage.
- - AI-generated abstracts were predominantly from Asian authors (57.1%) and more frequently covered AI or machine learning topics (21.4%).
- - The AI detection software used in the study showed high accuracy, achieving 91.7% sensitivity and 100% specificity in identifying AI-generated text in a group of pre-AI abstracts.
Objective: This study aims to characterize the constant fragment (CF) in acetabular fractures and to provide a novel nomenclature of anatomic zones from the vantage point of the endopelvic approach.
Design: Retrospective clinical study SETTING: Urban Level I trauma center, Patients/participants: One hundred and eleven consecutive acetabular fractures eligible for an AIP approach and treated surgically.
Intervention: 3D mapping of the CF line of fractures using a novel endopelvic anatomical zoning system.
Article Synopsis
- The study aimed to understand outcome preferences after musculoskeletal trauma among patients and surgeons, emphasizing patient-centered care.
- Participants ranked various recovery outcomes, revealing that both groups highly valued full recovery without issues, while death ranked as the least preferred outcome.
- Notably, surgeons placed greater importance on achieving perfect quality of life scores and shorter facility stays compared to patients, highlighting differing perspectives on treatment outcomes.
Introduction: Distinguishing between septic arthritis and crystal arthropathy flares can be challenging. The purpose of this study was to determine how the presence of synovial crystals affects the diagnostic criteria of septic arthritis.
Methods: A retrospective review identified patients undergoing joint aspirations to rule out native septic arthritis.
Purpose: To identify associations with unplanned repeat irrigation and debridement (I&D) after arthrotomy for native septic arthritis.
Methods: A retrospective review identified patients with native septic arthritis treated with open arthrotomies. The primary outcome was unplanned repeat I&D within 90 days.
Purpose: To review surgical complications after fixation of stress-positive minimally displaced (< 1 cm) lateral compression type 1 (LC1) pelvic ring injuries.
Methods: A retrospective study at a level one trauma center identified patients who received surgical fixation of isolated LC1 pelvic ring injuries. Surgical complications and additional procedures were reviewed.
Purpose: To compare dermal regenerative template (DRT), with and without split-thickness skin-grafting (STSG), and urinary bladder matrix (UBM) for coverage of lower extremity wounds.
Methods: A retrospective review of 56 lower extremity wounds treated with either DRT and STSG (DRT-S) (n = 18), DRT only (n = 17), or UBM only (n = 21). Patient characteristics, comorbidities, American Society of Anesthesiology (ASA) classification, injury characteristics, wound characteristics, use of negative pressure wound therapy, surgical details, postoperative care, and failure of primary wound coverage procedure were documented.
Objectives: To quantify how patients with lateral compression type 1 (LC1) pelvis fracture value attributes of operative versus nonoperative treatment.
Design: Discrete choice experiment.
Setting: Three US Level 1 trauma centers.
Article Synopsis
- The study aimed to investigate factors linked to the loss of fixation in retrograde rami screws used to treat minimally displaced lateral compression type 1 (LC1) pelvic injuries.
- Conducted at a Level 1 trauma center, the research analyzed data from 38 patients, focusing on outcomes such as screw displacement and the need for revision surgery.
- Findings showed that 17.5% of screws experienced loss of fixation, with the use of unicortical rami screws being a significant predictor of this complication.
Objectives: The aim of this study was to compare the effect of vancomycin/tobramycin local antibiotic powder (LAP) on surgical site infections (SSIs) after open treatment of fractures.
Design: This was a retrospective comparative study with propensity matching.
Setting: The study was set in an urban level 1 trauma center.
Should a history of pelvic fracture fixation be an indication for cesarean section?
Eur J Orthop Surg Traumatol
October 2024
Article Synopsis
- The study aimed to evaluate the success rate of trial of labor in women with pelvic fractures to reduce unnecessary cesarean sections.
- It reviewed 35 female patients with various types of pelvic fractures and analyzed their delivery methods, revealing a high rate of vaginal deliveries (80%) regardless of whether they had internal fixation.
- The findings suggest that most women with pelvic fractures can consider trial of labor, as the success rates were similar for those with and without surgical fixation.
Objectives: To investigate the utility of postoperative computed tomography (CT) scans in identifying indications for revision surgery after surgical fixation of acetabular fractures.
Design: Retrospective cohort study.
Setting: Urban level 1 trauma center.
Article Synopsis
- The study aimed to compare the effectiveness of electronic patient-reported outcome measures (E-PROMs) with traditional in-person PROM collection for orthopedic trauma patients.
- A total of 150 patients participated, with E-PROMs collected via automated emails at various postoperative intervals, while in-person PROMs were gathered simultaneously in the clinic.
- Results showed that E-PROM collection had a significantly higher loss to follow-up rate and was less effective overall compared to in-person collection, indicating that traditional methods may be more reliable in this setting.
Objectives: To evaluate the incidence of pelvic space surgical site infection (SSI) after preperitoneal pelvic packing (PPP) for persistent hemodynamic instability.
Design: Retrospective comparative study.
Setting: Urban Level 1 trauma center.
Objectives: To analyze the impact of switching from single-use reamer shafts to reusable reamer shafts for intramedullary nail fixation (IMN) of femur and tibia fractures at a single level-one trauma center, in terms of cost, metal waste, and infection rates.
Design: Retrospective comparison study.
Setting: Level one trauma centerPatients/Participants: Patients with operative femur and tibia fractures treated before and after adoption of a reusable reamer shaft.
Purpose: To describe the construction and use of a percutaneous pelvic fixation model, evaluate its translational validity among fellowship-trained orthopedic trauma surgeons, and investigate the importance of specific criteria for effective competency-based assessment of pelvic fixation techniques.
Methods: Five orthopedic trauma surgeons were asked to place percutaneous wires on a pelvic fixation model, including anterior column (antegrade/retrograde), posterior column (antegrade/retrograde), supra-acetabular, transsacral, and iliosacral. Evaluation criteria included successful wire placement, redirections, cortical breaches, procedure duration, radiation exposure, and quality of fluoroscopic views.