Publications by authors named "Luke Myhre"
Background: The purpose of this study was to evaluate the short-term functional outcomes, structural healing and neuromuscular activity after arthroscopic assisted lower trapezius transfer for irreparable posterior superior rotator cuff tears.
Methods: All patients who underwent arthroscopic assisted lower trapezius tendon transfer for an irreparable posterior superior rotator cuff tear between 2017-2021 by two surgeons with a minimum of 2 year follow-up were identified. Functional outcome scores (American Shoulder and Elbow Surgeons (ASES) score, visual analog scale (VAS) for pain), range of motion, shoulder strength, magnetic resonance imaging (MRI) to assess transfer healing and needle electromyographic (EMG) examination to assess lower trapezius muscle activity were performed at a minimum of two-years postoperatively.
Article Synopsis
- * A total of 2.1% of patients (n=138) experienced dislocations, primarily within the first 90 days post-surgery, with different treatment approaches for dislocation including closed reduction, open reduction, revision arthroplasty, or benign neglect.
- * Among those treated with closed reduction, only 31% were successfully resolved without further intervention, while many either required revision surgery or experienced recurrent dislocations, highlighting the complexity of managing these postoperative complications.
Article Synopsis
- The study aimed to compare the patient-reported outcomes of individuals with hyperextension varus tibial plateau (HEVTP) fractures to those with non-HEVTP fractures at a Level 1 Trauma Center.
- Out of 207 patients analyzed, HEVTP fractures were more common in younger, predominantly male patients with a higher body mass index and were associated with greater ligamentous and vascular injuries.
- Although overall physical function scores were similar, HEVTP patients reported significantly lower scores in quality of life and other specific measures, indicating that HEVTP fractures may have more negative impacts on certain aspects of recovery.
Article Synopsis
- This study looked at whether fixing a certain knee injury (lateral meniscus) during surgery for another knee problem (tibial plateau fracture) made a difference in how patients felt afterward.
- It involved 207 patients over a couple of years, and about 35% of them had the meniscus injury fixed during their operation.
- The results showed that there were no big differences in recovery or how patients reported their knee function whether they had the meniscus fixed or not.
Article Synopsis
- Tibial plateau fractures in skiers are serious injuries, and there is a lack of research on patient outcomes and returning to skiing after surgery.
- The study aimed to identify factors influencing whether patients returned to skiing post-surgery and to assess changes in their skiing performance.
- Out of 90 analyzed patients, only 45.6% returned to skiing, with men and those injured while skiing being more likely to return; many experienced a significant decline in skiing ability after their injury.
Analysis of acute extremity compartment syndrome using a genealogic population database.
Arch Orthop Trauma Surg
January 2024
Introduction: Acute extremity compartment syndrome ("CS") is an under-researched, highly morbid condition affecting trauma populations. The purpose of this study was to analyze incidence rates and risk factors for extremity compartment syndrome using a high-quality population database. Additionally, we evaluated heritable risk for CS using available genealogic data.
View Article and Find Full Text PDFObjectives: To determine the impact of acute compartment syndrome (ACS) and identify cost drivers of 1-year total treatment costs for operative tibial plateau fractures.
Design: Retrospective review.
Setting: Level 1 trauma center.
Predictors of dislocations after reverse shoulder arthroplasty: a study by the ASES complications of RSA multicenter research group.
J Shoulder Elbow Surg
January 2024
Article Synopsis
- Instability or dislocation after reverse shoulder arthroplasty (RSA) is a common problem that doctors face when treating patients.
- A big study involving over 6,600 patients from 15 different hospitals looked at how often dislocations happen and what factors might cause them.
- The results showed that the overall dislocation rate was 2.1%, but higher for patients getting revision surgeries, and some patients were more likely to dislocate than others based on their specific shoulder issues.
Article Synopsis
- The study investigates the risk factors for acromial and scapular spine fractures following reverse shoulder arthroplasty in patients with different diagnoses such as glenohumeral arthritis, rotator cuff arthropathy, and massive irreparable rotator cuff tears.
- Data from 4,764 patients who underwent the procedure between January 2013 and June 2019 were analyzed, revealing an overall stress fracture incidence of 4.1%, with higher rates in patients with rotator cuff issues compared to those with arthritis.
- Specifically, the presence of inflammatory arthritis was a significant predictor of fractures in glenohumeral arthritis patients, while factors such as sex and osteoporosis were also relevant in the rotator cuff arthropathy
Background: The outcomes of orthopaedic trauma are not solely determined by injury severity or surgical treatment. Studies of numerous orthopaedic outcomes have found that psychosocial factors are also important. Symptoms of anxiety have been linked to long-term pain and disability.
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- The study looked at how often tibial fractures with butterfly fragments don’t heal properly (nonunion) over 20 years in a hospital.
- They found that 21 out of 99 patients needed more surgery to help their fractures heal, especially if their fractures were open (44% nonunion rate) compared to closed ones (9.2% nonunion rate).
- It took an average of 13.3 months for these fractures to fully heal, but many still showed signs of not healing well by the last check-up.
Determining the clinical significance of the PROMIS physical function score in the setting of femur fractures.
Eur J Orthop Surg Traumatol
August 2023
Background: To adequately utilize patient reported outcome scores in the clinical setting, accurate determination of a cohort-specific minimal clinically important differences (MCID) is necessary. The purpose of this study was to assess MCID for Patient Reported Outcome Information System Physical Function Scores (PROMIS®) Physical Function (PF) in a sample of patients who have undergone operative fixation for femur fractures.
Methods: All patients at a single Level 1 trauma center who were treated for operative femur fractures were identified by Current Procedural Terminology (CPT) codes (27,244, 27,245, 27,506, 27,507).
Background: Evaluating the minimal clinically important differences (MCIDs) in patient-reported outcome scores is essential for use of clinical outcomes data. The purpose of the current study was to calculate MCID of Patient Reported Outcome Information System Physical Function (PROMIS PF) scores for ankle fracture patients.
Methods: All patients who underwent operative fixation for ankle fractures at a single level 1 trauma center were identified by code.
Background: An understanding of femoral anteversion and neck-shaft angle (NSA) is essential to deliver optimal orthopaedic surgical care. Despite the importance, there is little research examining the relationship between femoral anteversion and the NSA in an adult population. This study sought to determine if there is a correlation between femoral neck shaft angle and version in skeletally mature adults using computed tomography (CT) scanograms.
View Article and Find Full Text PDFYoga has become a popular form of exercise, recreation, and meditation for adults in the United States. As the popularity of both yoga and the incidence of hip replacements have both coincidentally increased over the last 2 decades, we imagine that the number of total hip replacement patients partaking in the practice of yoga has also increased. There are no clear guidelines available for yoga practice following hip replacement.
View Article and Find Full Text PDFBackground: Kenya's neonatal mortality rate remains unacceptably high, at 22 deaths per 1000 live births, with a third of those attributable to prematurity. Respiratory distress syndrome (RDS) is the single most important cause of morbidity and mortality in the premature neonate. Continuous positive airway pressure (CPAP) is a proven modality of therapy but is rarely used in low-resource settings.
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