Publications by authors named "Robert M Baltera"
Article Synopsis
- US health care spending is increasing rapidly and is becoming unsustainable.
- Physicians, especially surgeons, have a significant influence on spending and should be mindful of costs related to implants and supplies in treatment decisions.
- Balancing cost-awareness with maintaining high-quality patient care is essential and should remain a priority.
In patients with segmental nonunion of the distal radius, the distal ulna and distal radioulnar joint may not be salvageable. As an alternative to a vascularized free fibula, a pedicled distal ulna vascularized graft is a useful salvage technique. The procedure relies on the vascular bundle of the pronator quadratus and the dorsal oblique arterial anastomosis between the anterior and posterior interosseous arteries running along the interosseous membrane as the pedicle.
View Article and Find Full Text PDFPurpose: To compare the clinical outcomes of scaphoid and triquetral excision combined with capitolunate arthrodesis versus 4-corner (capitate, hamate, lunate, triquetrum) intercarpal arthrodesis.
Methods: We retrospectively identified 50 patients with scapholunate advanced collapse wrist changes who had 4-corner arthrodesis. Thirty-four patients were able to return and complete all follow-up evaluations.