Publications by authors named "Stephen R Barchick"

Study Design: Level IV retrospective cohort study.

Objectives: Despite the positive outcomes associated with laminoplasty, there is significant surgeon variability in the use of laminoplasty for cervical myelopathy in the United States. In this study, we explored how geographic and specialty-specific differences may influence the utilization of laminoplasty to treat cervical myelopathy.

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Introduction: Intensive care unit risk stratification models have been utilized in elective joint arthroplasty; however, hip fracture patients are fundamentally different in their clinical course. Having a critical care risk calculator utilizing pre-operative risk factors can improve resourcing for hip fracture patients in the peri‑operative period.

Methods: A cohort of geriatric hip fracture patients at a single institution were reviewed over a three-year period.

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Introduction: Controversy exists regarding the safety of simultaneous bilateral total knee arthroplasty (TKA) versus two TKA procedures staged months apart in patients with bilateral knee arthritis. Here, we investigated a third option: bilateral TKA staged 1 week apart. In this study, we examined the rate of complications in patients undergoing bilateral TKA staged at 1 week compared with longer time intervals.

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Aims: It has been shown that the preoperative modification of risk factors associated with obesity may reduce complications after total knee arthroplasty (TKA). However, the optimal method of doing so remains unclear. The aim of this study was to investigate whether a preoperative Risk Stratification Tool (RST) devised in our institution could reduce unexpected intensive care unit (ICU) transfers and 90-day emergency department (ED) visits, readmissions, and reoperations after TKA in obese patients.

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Voluntary glenohumeral dislocations have been reported in academic literature; however, voluntary dislocations of the acromioclavicular joint are rare, with four cases previously reported in published literature. We present a case of an adolescent female with bilateral, atraumatic acromioclavicular joint dislocation who ultimately was treated with arthroscopic reconstruction of the coracoclavicular ligament. The case is discussed in addition to a review of previously reported cases of voluntary acromioclavicular joint dislocations.

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Article Synopsis
  • The study investigates the volume and density of cancellous bone in the distal radius, which is often used as a donor site for bone grafts in hand and wrist surgery.
  • It involved analyzing 34 CT scans of patients without distal radius issues, measuring specific regions within the distal radius to obtain volumetric data and Hounsfield unit values.
  • Findings showed that the distal radius has larger volume and higher density than proximal bone, with specific regions identified as optimal for harvesting bone grafts.
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Article Synopsis
  • - The study compares two surgical methods for treating medial malleolus fractures: closed reduction and percutaneous fixation (CRPF) and traditional open reduction and internal fixation (ORIF), involving 165 patients from 2011 to 2015.
  • - Results show that ORIF had a higher rate of fracture comminution compared to CRPF, but other factors like complications and recovery outcomes were similar between both groups.
  • - Both surgical techniques led to good healing and low complication rates, indicating that either method is acceptable for treating medial malleolus fractures.
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