Publications by authors named "Robert L DalCortivo"
Article Synopsis
- The study analyzes short-term outcomes of hand fracture treatments under different anesthesia methods, focusing on general versus other forms of anesthesia.
- A total of 5,907 patients were examined, with most receiving general anesthesia; findings illustrated longer operative times with general anesthesia but similar complication rates across anesthesia types.
- The conclusion suggests that while complication risks are comparable, general anesthesia is associated with a longer hospital stay, prompting consideration of alternative anesthesia methods as safer options.
Objectives: In the treatment of closed intertrochanteric fractures, the two most common treatment options are intramedullary medullary nail (IMN) and dynamic hip screw (DHS), yet the best treatment method remains controversial. The purpose of this study is to determine the difference in mortality and morbidity between IMN and DHS. Secondarily, this study determines which pre-operative risk factors affect rates of morbidity and mortality.
View Article and Find Full Text PDFBackground: Distal radius fractures are among the most common orthopaedic injuries and are managed both surgically and non-surgically. To date, no study has examined the role hospital teaching status plays in the rates of surgical intervention.
Methods: The Nationwide Inpatient Sample (NIS) was queried for years 2003-2014.
Background: Treatment of scaphoid fractures often requires bone grafting. In such cases, bone graft is traditionally harvested from the iliac crest, but utilizing the distal radius carries less morbidity and is becoming more popular. The purpose of this study is to compare the outcomes of treatment of scaphoid waist fractures with the use of distal radius and iliac crest bone grafts.
View Article and Find Full Text PDFObjectives: Identification of modifiable comorbid conditions in the preoperative period is important in optimizing outcomes. We evaluate the association between such risk factors and postoperative outcomes after upper extremity surgery using a national database.
Methods: The National Surgical Quality Improvement Program (NSQIP) 2006-2016 database was used to identify patients undergoing an upper extremity principle surgical procedure using CPT codes.
Background: Rotations in hand and upper extremity surgery are a core component of the Orthopaedic and Plastic Surgery resident training curriculums. This study compares short-term outcomes in hand and upper extremity procedures with and without resident involvement.
Methods: The National Surgical Quality Improvement Program database was queried from years 2005-2012 for all procedures distal to the shoulder.
Article Synopsis
- Intertrochanteric hip fractures are common and can lead to complications from surgical treatments, prompting a comparison between sliding hip screw fixation (SHS) and cephalomedullary nailing (CMN).
- The study reviewed 17 articles, including data from over 3,300 patients, to investigate various complications such as nonunion, infection, and refracture rates.
- Results indicated that SHS has significantly lower rates of refractures and reoperations compared to CMN, but no major differences were found in other complication rates, suggesting the need for further research as surgical techniques evolve.*
Background: The scapholunate interosseous ligament (SLIL) is an important contributor to wrist stability and functionality. SLIL injury is debilitating and therefore many surgical techniques have been proposed, but the optimal treatment modality remains debated.This meta-analysis reviews the available literature comparing surgical techniques used in the treatment of chronic SLIL to determine the best approach.
View Article and Find Full Text PDFBackground: The anatomy of the hand makes it uniquely sensitive to complications after bacterial infection. The causative organism has been implicated as a predictor of complications after surgery. We hypothesize that bacterial etiology is associated with different operation and reoperation rates in patients with flexor tenosynovitis.
View Article and Find Full Text PDFBackground: Operative management of carpal tunnel syndrome (CTS) involves release of the transverse carpal ligament (TCL) and often the volar antebrachial fascia (VAF). Evidence of a difference between TCL and TCL+VAF release is limited. We conducted a pilot study to measure changes of intraoperative nerve conduction velocity (NCV) after CTS surgery and compared outcomes of variable degrees of decompression.
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