Publications by authors named "Roy W Sanders"
Purpose: To analyze differences in union, complication rates and cost from surgical fixation of distal fibula fractures with fibular plating implants.
Methods: In total, 380 adult patients from 2012 to 2015 treated with 12 fibular plates from 4 different manufacturers utilized by 9 surgeons were retrospectively reviewed. They were stratified into a conventional one-third tubular fibular plate group, pre-contoured anatomic locking plate group, or a heterogeneous group including 3.
Objective: To analyze the relationship between surgeon experience with the sinus tarsi approach (STA) and outcomes in the treatment of displaced intra-articular calcaneus fractures (DIACF).
Setting: Single level 1 trauma center.
Design: Retrospective.
Objective: To compare fracture patterns and associated injuries for young patients with high- versus low-energy intertrochanteric hip fractures and to report on factors associated with complications after surgical fixation of high-energy fractures.
Design: Retrospective comparative study.
Setting: Academic Level 1 Trauma Center.
Objective: To determine the outcomes after acute versus staged fixation of complete articular tibial plafond fractures.
Design: Retrospective cohort study.
Setting: Single Level 1 Trauma center.
Objectives: To determine whether immediate weight bearing after intramedullary fixation of extra-articular proximal tibia fractures (OTA/AO 41A) results in change of alignment before union.
Design: Retrospective Review.
Setting: Level I and Level II Trauma Center.
The standard approach for performing a total ankle replacement (TAR) is the anterior approach as this offers good direct visualization of the tibiotalar joint. Irrespective of implant system used, most commonly, bone cuts are made in the anterior to posterior direction and may potentially injure the posterior neurovascular structures and tendons running close to the ankle joint. Careful consideration must be taken to ensure these structures are protected.
View Article and Find Full Text PDFPurpose: To investigate both the biomechanical and clinical effect of an inferomedial femoral neck buttress plate (FNBP) used to augment a sliding hip screw (SHS) and anti-rotational screw (ARS) in the treatment of traumatic vertical femoral neck fractures.
Methods: Part 1: Clinical - Retrospective review of patients under age 65 treated with open reduction of a vertical femoral neck fracture. Patients were divided into two groups: Group 1 patients (18 patients) had SHS/ARS fixation augmented with a FNBP, while Group 2 patients (18 patients) had SHS/ARS fixation alone and were matched for age and sex.
Objective: To determine the effectiveness of various types of antibiotic-coated intramedullary implants in the treatment of septic long bone nonunion.
Design: Retrospective chart review.
Setting: Level 1 trauma center.
The conception-to-market development of orthopaedic devices occurs across the total product life cycle including device design and preclinical testing, clinical investigations to support marketing applications, and monitoring of device performance after market introduction. This process involves industry, regulatory agencies, health care providers, engineers, scientists, and patients. The Food and Drug Administration (FDA) is responsible for regulating medical devices in the United States, and uses a 3-tier classification system based on the level of control necessary to provide reasonable assurance of safety and effectiveness.
View Article and Find Full Text PDFObjective: To evaluate rates of complications in patients with bilateral femur fractures treated with intramedullary nailing (IMN) during either 1 single procedure or 2 separate procedures.
Design: A multicenter retrospective review of patients sustaining bilateral femur fractures, treated with IMN in single or 2-stage procedure, from 1998 to 2018 was performed at 10 Level-1 trauma centers.
Setting: Ten Level-1 trauma centers.
Objectives: To determine our complication rate in pediatric femoral shaft fractures treated with flexible elastic nailing and to determine fracture characteristics that may predict complications.
Design: Retrospective cohort study.
Setting: One Level 1 and One Level 2 academic trauma centers.
Objective: To evaluate the difference in the quality of fracture reduction between the sinus tarsi approach (STA) and extensile lateral approach (ELA) using postoperative Computed Tomography (CT) scans in displaced intra-articular calcaneal fractures (DIACFs).
Design: Retrospective.
Setting: Level 1 and level 2 academic centers.
Objectives: To evaluate the rate of, and reasons for, conversion of closed treatment of humeral shaft fractures using a fracture brace, to surgical intervention.
Design: Multicenter, retrospective analysis.
Setting: Nine Level 1 trauma centers across the United States.
Objective: To determine if surgical approach impacts the rate of nerve palsy after plate fixation of humerus shaft fractures and whether or not iatrogenic nerve palsy recovers in similar ways to preoperative palsy.
Design: Retrospective.
Setting: Two trauma centers.
Objective: To determine whether intramedullary nail (IMN) diameter, antegrade versus retrograde insertion, or the difference between the canal and IMN diameter affect femoral shaft fracture healing.
Design: Retrospective analysis of a prospective database.
Setting: Level One Regional Trauma Center.
Objective: To characterize the presentation and outcomes of calcaneal avulsion fractures.
Design: Case series.
Setting: Two ACS Level I trauma centers.
Objective: To calculate the incidence of symptomatic iliosacral (SI) screw removal following pelvic trauma and to determine the clinical impact of the secondary intervention.
Design: Retrospective chart review.
Setting: Level 1 and Level 2 trauma centers.
Objectives: To determine whether immediate weightbearing after intramedullary (IM) fixation of extra-articular distal tibial fractures (OTA/AO 43-A) results in a change in alignment before healing.
Design: Retrospective review.
Setting: Level 1 trauma center.
Objective: To compare the efficacy of 2 intertrochanteric (IT) fracture fixation devices in conferring mechanical stability to unstable IT femur fractures.
Methods: Nine pairs of cadaveric female femurs with a groupwise average bone quality indicative of osteopenia were used. An unstable IT fracture without calcar support (OTA/AO 31-A2) was created and stabilized with either a sliding hip screw and side plate (SHS) or a cephalomedullary nail using an integrated dual-screw fixation [InterTAN (ITN)].
Introduction: The role of routine clinical and radiographic follow-up after clavicle fractures are healed was evaluated.
Methods: A retrospective study performed in two level-1 trauma centers included 246 adults with healed clavicle fractures treated surgically between 2000 and 2013 and at least 24-month follow-up. Based on radiographs, changes in fracture alignment or implant position from union to final follow-up were documented.
Objectives: To analyze radiographic changes in intertrochanteric (IT) fracture alignment after treatment with either a single sliding lag screw or an integrated compressed and locked, dual screw, cephalomedullary nail construct.
Design: Retrospective comparative study.
Setting: Level 1 regional trauma center.
Objective: To determine the correlation between the OTA/AO classification of tibia fractures and the development of acute compartment syndrome (ACS).
Design: Retrospective review of prospectively collected database.
Setting: Single Level 1 academic trauma center.
Objectives: To determine whether a difference in plate position for fixation of acute, displaced, midshaft clavicle fractures would affect the rate of secondary intervention.
Design: Retrospective Comparative Study.
Setting: Two academic Level 1 Regional Trauma Centers.