Publications by authors named "M J Prayson"

Introduction: The prophylactic intravenous antibiotic regimen for Gustilo-Anderson Type III open fractures traditionally consists of cefazolin with an aminoglycoside plus penicillin for gross contamination. Cefotetan, a second-generation cephalosporin, offers a wide spectrum of activity against both aerobes and anaerobes as well as against Gram-positive and Gram-negative bacteria. Cefotetan has not been previously established within orthopedic surgery as a prophylactic intravenous agent.

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  • A study was conducted to evaluate physicians' understanding of radiation exposure from common imaging studies in trauma care, focusing on the effective doses of musculoskeletal imaging.
  • An electronic survey was sent to various U.S. residency programs, revealing that many physicians significantly underestimated the radiation doses for imaging, especially for pelvic and lumbar CT scans.
  • Results indicated that those who frequently discussed radiation risks with patients had a better grasp of the actual radiation exposure, highlighting a need for improved education on this topic among trauma care providers.
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  • Postoperative infections pose significant challenges for patients and healthcare systems, necessitating interventions to minimize surgical infections.
  • A study evaluated a UV-C air filtration device's effectiveness in decreasing airborne particles and contamination of surgical instrument trays in an operating room.
  • While the UV-C device significantly reduced the number of airborne particles, it did not notably lower the overall contamination rates of the surgical trays compared to the control group.
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Background: As the US and world population ages, hip fractures are increasingly more common. The mortality associated with these fractures remains high both in the immediate postoperative period and at one year. Perioperative resuscitation in this population is of key interest to prevent organ injury and mortality.

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The purpose of this study was to evaluate the risk of peri-prosthetic fracture of constructs made with cephalomedullary (CM) long and short nails. The nails were made with titanium alloy (Ti-6Al-4V) and stainless steel (SS 316L). Biomechanical evaluation of CM nail constructs was carried out with regard to post-primary healing to determine the risk of peri-implant/peri-prosthetic fractures.

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