Publications by authors named "M L Kain"
Background: Although total hip and total knee arthroplasty are highly successful operations, the decision of whether and when to undergo surgery is highly subjective and discretionary, and specific guidelines regarding readiness for surgery remain elusive. The nature of these decisions underscores the importance of shared decision-making, which is founded on the concept that patients substantially contribute to determining their own readiness for surgery. The OPTION survey was developed as a conversation aid to facilitate shared decision-making in the context of total joint arthroplasty.
View Article and Find Full Text PDFLow Rate of Teriparatide Supplementation for the Treatment of Osteoporotic Pelvic Fractures in Elderly Females.
Geriatr Orthop Surg Rehabil
November 2024
Article Synopsis
- - This study investigates the initiation rates of Teriparatide, a medication that can help older women with osteoporotic pelvic fractures, at a hospital, noting a significant gap where 93% of eligible patients did not receive it.
- - Researchers conducted a chart review of 118 elderly female patients with stable lateral compression pelvic fractures, finding that only a small percentage were evaluated for or prescribed Teriparatide despite its documented benefits.
- - The study highlights that while orthopedic services recommended Teriparatide in all cases, the actual initiation of treatment was low due to insufficient evaluations and insurance barriers, emphasizing the need for improved actions in managing these injuries.
Article Synopsis
- Mountain biking (MTB) injuries, especially fractures, have become a growing concern, particularly among adult males, with a significant increase in reported cases over the last decade.
- Data from the National Electronic Injury Surveillance System (NEISS) indicates that there were an estimated 35,260 MTB-related fractures in U.S. emergency departments from 2013 to 2022, showing a notable spike in injuries in recent years, notably a 247% rise from 2019 to 2020.
- Upper extremity fractures were the most common, while adult males accounted for nearly 88% of all fractures, having a greater likelihood of hospitalization compared to females, highlighting the increased risk among older riders.
The World Health Organization (WHO)'s list of neglected tropical diseases (NTDs) highlights conditions that are responsible for devastating health, social and economic consequences, and yet, they are overlooked and poorly resourced. The NTD list does not include conditions caused by Gram-negative bacilli (GNB). Infections due to GNB cause significant morbidity and mortality and are prevalent worldwide.
View Article and Find Full Text PDFIntroduction: There are no clear recommendations for the perioperative timing and initiation of venous thromboembolism pharmacologic prophylaxis (VTEp) among polytrauma patients undergoing high-risk bleeding orthopedic operative intervention, leading to variations in VTEp administration. Our study examined the association between the timing of VTEp and VTE complications in polytrauma patients undergoing high-risk operative orthopedic interventions nationwide.
Methods: We performed a retrospective cohort study of trauma patients 18 years or older who underwent high-risk bleeding operative orthopedic interventions for pelvic, hip, and femur fractures within 24 hours of admission at American College of Surgeons-verified trauma centers using the 2019-2020 American College of Surgeons Trauma Quality Improvement Program databank.