Publications by authors named "Madeline C Rocks"
Article Synopsis
- Recent research indicates that negative-pressure wound therapy (NPWT) can effectively extend the time before surgical coverage is needed for traumatic extremity injuries, challenging the traditional 72-hour guideline for flap reconstruction.
- A study reviewed 24 articles involving over 1,000 patients, comparing outcomes between those who received NPWT preoperatively and those who did not, finding that NPWT was linked to significantly lower rates of flap failure and postoperative complications, except for deep infections.
- The findings suggest that using NPWT can improve surgical outcomes, highlighting the need for more standardized future studies to further refine treatment protocols for extremity injuries.
Article Synopsis
- This study investigates how effective ultrasonography (US) is in diagnosing brachial plexus injuries (BPI) by comparing it with physical exams and other imaging techniques like EMG and MRI.
- A review of 120 patients revealed that most BPI were due to trauma, with US showing the highest sensitivity (92%) for detecting issues, particularly in the ulnar nerve.
- The results indicate that ultrasonography is a valuable tool in identifying and localizing nerve injuries in the brachial plexus, complementing other examination methods.
Background: This study investigates whether open distal radius fractures (ODRFs) treated after 24 hours from time of injury have an increased risk of infection or overall complication profile compared with those treated within 24 hours.
Methods: Retrospective review was performed of all patients treated for ODRF over a 6-year period at a single large academic institution. Postoperative complications included surgical site infections, need for revision irrigation and debridement, delayed soft tissue healing, loss of reduction, nonunion, and malunion.
Background: It remains poorly understood why only some hemodynamically unstable patients who receive aggressive treatment with vasopressor medications develop limb necrosis.
Objective: To determine the incidence of limb necrosis and the factors associated with it following high-dose vasopressor therapy.
Methods: A retrospective case-control medical records review was performed of patients aged 18 to 89 years who received vasopressor therapy between 2012 and 2021 in a single academic medical center.
Background: Perilunate dislocations (PLD) and fracture-dislocations (PLFD) comprise a spectrum of high-energy wrist injuries. The purpose of this review was to review operative strategies for perilunate injuries based on approach and compare outcomes.
Methods: A systematic review of literature on PLD and fracture-dislocations was carried out according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).
Background: This study identifies data-driven strata for preoperative Hemoglobin A1c (HbA1c) and same-day glucose levels that maximize differences in the likelihood of complications following total hip arthroplasty (THA).
Methods: Patients who underwent THA from 2013 to 2022 were identified using a national database. In total, 18,728 patients were identified with a mean age of 67 years (range, 18 to 80).
Purpose: The objective of this study was to investigate and describe the presence of osteolysis after implantation of polyetheretherketone (PEEK) suture anchors in the hand and wrist.
Methods: Patients who underwent hand or wrist surgery using PEEK suture anchor(s) at a large academic institution from January 2019 to January 2021 were identified. Patients without accessible intraoperative fluoroscopic imaging were excluded.
Background: The purpose of this study was to compare the demographic differences of the most common peripheral nerve compressions in the upper extremity-carpal tunnel syndrome (CTS), ulnar nerve compression (UNC) at the elbow, combined CTS and UNC, radial tunnel syndrome (RTS), and posterior interosseous nerve syndrome (PINS)-as a means to better understand the etiologies of each.
Methods: A retrospective chart review was performed of all patients over the age of 18 years seen at our institution in the 2018 calendar year. International Classification of Diseases, Tenth Revision codes were used to identify patients with diagnoses of upper extremity peripheral nerve compressions.