Publications by authors named "Spencer J Frink"

A 45-year-old woman with a history of previously treated left plantar foot melanoma presented with a left thigh mass. Fine needle aspiration findings were concerning for metastatic melanoma (MM). Imaging was remarkable for PET-avidity of both the biopsied thigh mass and of a left posterior knee nodule.

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Article Synopsis
  • Periprosthetic infections significantly contribute to the failure of segmental endoprosthetic reconstruction, prompting a study to assess the impact of surgical drain output on infection risk.
  • A review of 295 patients revealed that 10.5% developed infections, with Staphylococcus aureus being the most common culprit, and showed no significant difference in infection rates whether drains were removed at ≤ 30 mL/day or > 30 mL/day.
  • Key findings indicated that factors like having a sarcoma diagnosis or receiving preoperative chemotherapy were strong predictors of infection risk, suggesting that the 30 mL/day drain output criterion is not effective for reducing infections after surgery.
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Encountering musculoskeletal neoplasia in the clinical practice of orthopaedic surgery is a rather uncommon event but can be an anxiety-provoking experience when it occurs. Using a systematic approach to imaging these lesions includes evaluation via plain radiographs and other modalities such as bone scintigraphy (BS), computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET). By applying specific imaging characteristics obtained from these different modalities, the radiologist and orthopaedic surgeon can jointly create an appropriate differential diagnosis.

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Unlabelled: We evaluated implant survival, late complications prompting reoperation and functional outcome in long-term (> 5 years) survivors of bone neoplasms of the distal femur treated with osteoarticular resection and segmental rotating hinge total knee arthroplasty. We retrospectively reviewed 83 patients who survived more than 5 years after the first procedure. Seventy-four of the 83 patients have retained a mobile knee joint.

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