Publications by authors named "Saade A"

Objectives: Primary stability (PS) is a key factor for promoting osseointegration and long-term success of dental implants particularly for immediate loading protocols. Beyond the current assessments of PS, an accurate pre-operative evaluation of PS would contribute to the improvement of surgical planning and treatment outcome. This study used biomechanical testing and homogenized finite element (hFE) analysis to objectively measure PS in the laboratory, and digitally estimate PS from prior μCT reconstructions.

View Article and Find Full Text PDF

Children exposed prenatally to antiepileptic drugs may have a typical facies characterized by midfacial retrusion, a short nose, and anteverted nares. Our aim was to determine whether the shape of the maxilla was altered in its sagittal displacement, or whether the defect in the underlying articulation with the cranial base was responsible for the appearance of midface retrusion. Our hypothesis was that the sphenoid bone as well as the maxilla and other bones in the cranial base were affected by the anticonvulsant medication.

View Article and Find Full Text PDF

Background: Adult spinal deformities (ASDs) requiring long fusions to the lumbosacral junction are notorious for L5-S1 pseudarthrosis and hardware-related complications. The minimally invasive surgery antepsoas (MIS-ATP) technique allows for substantial anterior column reconstruction thereby reducing the risk of posterior hardware-related complications. This study investigates the incidence of posterior hardware-related complications following long-segment fusion (seven or more vertebrae) using MIS-ATP and posterior percutaneous fixation (PPF).

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the effectiveness and costs of two types of external fixator clamps—standard and multipin—used for treating high-energy tibia fractures while minimizing complications.
  • A review of 100 patients treated from 2014 to 2023 showed no significant differences in clinical outcomes or radiographic alignment between the two types of external fixators, despite the multipin clamps being more expensive.
  • The findings suggest that the choice of clamp may not impact treatment results, leading to considerations for cost-effectiveness in clinical practice.
View Article and Find Full Text PDF

Age estimations are relevant for pre-trial detention, sentencing in criminal cases and as part of the evaluation in asylum processes to protect the rights and privileges of minors. No current method can determine an exact chronological age due to individual variations in biological development. This study seeks to develop a validated statistical model for estimating an age relative to key legal thresholds (15, 18, and 21 years) based on a skeletal (CT-clavicle, radiography-hand/wrist or MR-knee) and tooth (radiography-third molar) developmental stages.

View Article and Find Full Text PDF

Objectives: Although influenza and COVID vaccines are recommended for healthcare workers (HCWs), vaccine coverage is sub-optimal for influenza in this population, and the situation did not improve during the COVID pandemic. We aimed to estimate influenza and COVID vaccine coverage among HCWs and their determinants after the COVID pandemic.

Methods: We performed a cross-sectional study between May and July 2023 among HCWs to estimate influenza and COVID vaccination coverage during the 2022-2023 season, and its determinants, using a web-based anonymous questionnaire.

View Article and Find Full Text PDF

Objective: The aim of this study was to estimate the chronological age (CA) of a growing individual using a new machine learning approach on Cone Beam Computed Tomography (CBCT).

Materials And Methods: The dataset included 48 CBCT and hand-wrist radiographs of growing individuals. 12 landmarks related to trigeminal trajectories were plotted on each CBCT and principal component analysis was applied for dimensionality reduction.

View Article and Find Full Text PDF

Introduction: The rise in degenerative lumbar spondylolisthesis (DLS) cases has led to a significant increase in fusion surgeries, which incur substantial hospitalization costs and often necessitate chronic opioid use for pain management. Recent evidence suggests that single-level low-grade DLS outcomes are comparable whether a fusion procedure or decompression alone is performed, sparking debate over the cost-effectiveness of these procedures, particularly with the advent of minimally invasive techniques reducing the morbidity of fusion. This study aims to compare chronic opioid utilization and associated costs between decompression alone and decompression with instrumented fusion for single-level degenerative lumbar spondylolisthesis.

View Article and Find Full Text PDF

Background: Provisional stabilization of high-energy tibia fractures using temporary plate fixation (TPF) or external fixation (ex-fix) prior to definitive medullary nailing (MN) is a strategy common in damage control orthopaedics. There is a lack of comprehensive data evaluating outcomes between these methods. This study compares outcomes of patients stabilized with either TPF or ex-fix, and with early definitive MN only, assessing complications including nonunion and deep infection.

View Article and Find Full Text PDF

Data on post-coronavirus disease (COVID) in healthcare workers (HCWs) are scarce. We aimed to assess prevalence, determinants, and consequences of post-COVID in HCWs. In fall 2022, we performed a cross-sectional survey in a tertiary care hospital with a web-based questionnaire sent to HCWs.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates periprosthetic distal femur fractures (PDFF) compared to native distal femur fractures (NDFF) amid rising total knee replacement surgeries, focusing on patient demographics, fracture types, treatments, and outcomes.
  • A total of 209 patients were analyzed, revealing that PDFF predominantly affects elderly females with isolated and comminuted fractures, while NDFF more often involves middle-aged patients with multiple injuries.
  • Despite similar treatment methods (primarily intramedullary nailing), NDFF patients faced longer hospital stays, higher rates of returning to surgery, and poorer reduction quality compared to PDFF patients, who also exhibited lower bone density.
View Article and Find Full Text PDF

Background: Sarcoidosis, a multisystem inflammatory non-caseating granulomatous disease, can present with neurologic lesions in up to 10% of patients.

Case Description: A 57-year-old male presented with three months of worsening upper extremity radicular pain associated with dysmetria, hyperreflexia, bilateral Hoffman's, and positive Babinski signs. The contrast magnetic resonance imaging (MRI) showed a diffuse T2 signal hyperintensity and T1-enhancing 2.

View Article and Find Full Text PDF

Introduction: Variations of the extensor pollicis longus (EPL) tendon of the hand are not uncommon. Yet, this anatomic structure exhibits the least variations among the extensors of the upper extremity.

Case Report: This article highlights the presence of an accessory EPL tendon in the fourth dorsal compartment, which was presented as an incidental finding during an elective wrist arthrodesis in a woman in her 40s.

View Article and Find Full Text PDF
Article Synopsis
  • Orthopedic oncology research faces challenges due to limited tumors and administrative inefficiencies, prompting the introduction of an umbrella protocol for streamlined studies.
  • This protocol involves carefully coordinating with the IRB to meet guidelines and significantly reduces approval times from weeks to almost instantaneous, enhancing research productivity.
  • The umbrella protocol not only eases administrative burdens but also emphasizes the importance of ethical oversight and data management, with the goal of improving patient care for rare musculoskeletal conditions.
View Article and Find Full Text PDF

Objectives: To evaluate current organization of infection prevention for immunocompromised patients (ICP) at a countrywide level.

Methods: Nationwide cross-sectional multicenter study based on an online survey disseminated in 2022 to physicians invested with preventive healthcare missions.

Results: A total of 341 physicians (96% graduates, 32% infectious disease specialists), participated in the survey, with a median age of 40 [35-51] years.

View Article and Find Full Text PDF

Objective: The main objective of this review was to evaluate the effects of orthodontic intrusion on patients with reduced periodontium. Additionally, this review aims to explore the potential for attachment gain and tissue regeneration in these patients and identify optimal therapeutic conditions to mitigate any negative effects of intrusion.

Methods: A systematic review was conducted according to the PRISMA 2020 statement.

View Article and Find Full Text PDF

Background Context: Pedicle screw breach (PSB) is not uncommon following lumbar instrumentation, and in some instances, it may lead to vascular and/or neurologic complications. Previous literature suggested that screws crossing the vertebral midline on an anterior-posterior (AP) radiograph (or midsagittal on CT) are concerning for medial pedicle breach.

Objective: Our primary aim was to map out the safe zones (SZ) of bilateral pedicle instrumentation and their relationship at each lumbar vertebral level.

View Article and Find Full Text PDF

Background: Sleep is a vital physiological function for the maintenance of health and quality of life by ensuring body rest and restoring its energy levels. Remarkably, some children have sleep disordered breathing (SDB) that can disturb their normal sleep and affect the quality of their lives.

Objective: The aim of this study was to assess the correlation between SDB and growth impairments and wether the growth parameters vary among genders.

View Article and Find Full Text PDF

Background: Sacral (S1) pedicle screw misplacement in posterior percutaneous fixation (PPF) can be related to anatomical variability and a lack of reliable radiographic landmarks. This study highlights a reproducible anatomical landmark (the "V" sign) for the safe localization of the S1 pedicle entry point under fluoroscopy.

Methods: Human cadavers (n = 14) were dissected for the anatomical description of the "V" landmark and its relationship with the entry point of the S1 pedicle screw.

View Article and Find Full Text PDF

Objectives: Influenza vaccination is recommended for healthcare workers (HCWs). However, in a 1500-bed tertiary care university hospital in France, influenza vaccine coverage among HCWs was 23% in 2017.

Patients And Methods: We performed a cross-sectional study between 05/09/2018 and 25/09/2018 among HCWs, randomly selected independent of their vaccination status, to estimate influenza vaccination coverage rate during the 2017-2018 season, and explore factors influencing vaccination, using a questionnaire.

View Article and Find Full Text PDF

Background: The main objective of this review is to assess the effectiveness and predictability of the transverse expansion movement performed by Invisalign®. The secondary objectives are to determine whether the expansion is of a dentoalveolar or skeletal nature, and to locate the areas of expansion on the dental arch.

Methods: Two investigators used the PubMed database to search for articles related to the subject.

View Article and Find Full Text PDF
Article Synopsis
  • Previous studies on the link between refractory ceramic fibers (RCFs), mineral wool fibers (MWFs), and pleural plaques have been inconsistent, often relying on chest radiographs, which are not very accurate.
  • This research investigates whether cumulative exposure to RCFs, MWFs, and silica increases the risk of pleural plaques, and how this risk interacts with co-exposure to asbestos.
  • Among 5,457 subjects screened with CT scans, the study found significant dose-response relationships, with higher cumulative exposure to RCFs and MWFs leading to an increased risk of pleural plaques, especially in individuals also exposed to asbestos.
View Article and Find Full Text PDF

Background/objectives: The aim of this study was to explore the effect of palatally displaced canines on maxillary dimensions and arch shape.

Methods: Occlusal and skeletal landmarks were plotted on cone beam computed tomography (CBCT) images of 156 orthodontic patients: 78 with palatally displaced canines (PDC) (27 left, 28 right, and 23 bilateral) and 78 controls using Mimics™ (Materialise, Belgium). Arch forms were created, and arch width, depth, and skeletal dimensions were measured.

View Article and Find Full Text PDF
Article Synopsis
  • Ventilator-associated pneumonia (VAP) frequently affects patients with severe COVID-19 who are on mechanical ventilation, prompting this study to examine how corticosteroids might influence VAP risk.
  • A multicenter study analyzed data from 545 patients in 36 ICUs to determine if corticosteroid use impacted VAP incidence, finding that the relationship varied after 48 hours of mechanical ventilation.
  • Overall, no significant link was established between corticosteroid treatment and VAP, though the effect seemed to shift over time during the ICU stay.
View Article and Find Full Text PDF