Publications by authors named "W D Emper"
Background: Although several studies have noted that patients are routinely overprescribed opioids, few have reported usage after arthroscopic surgery.
Purpose: To determine opioid consumption and allocation for unused opioids after common arthroscopic surgeries.
Study Design: Case series; Level of evidence, 4.
Preiser's disease, also known as avascular necrosis of the scaphoid, is a rare condition that is incompletely understood in regard to pathophysiology, diagnosis, and management. There have been numerous case reports and case series evaluating a variety of conservative and operative interventions, but optimal treatment has not been well established. We describe the case of a 20-year-old female with stage II Preiser's disease that was managed with a vascularized bone graft from the 1,2 intercompartmental supraretinacular artery, in addition to temporary dorsal wrist-spanning bridge plate fixation.
View Article and Find Full Text PDFBackground: Despite the high prevalence of rotator cuff (RTC) tears in older adults, there is limited literature evaluating the return to recreational sport after repair. The purpose of this study was (1) to assess the patient-reported outcomes and return to sport rates following rotator cuff repair in patients aged more than 40 years with minimum 2-year follow-up; (2) to compare baseline, preoperative and postoperative outcomes, and level of play following repair of self-reported athletes with nonathletes; and (3) to compare return to sport rates in overhead athletes compared to nonoverhead athletes.
Methods: Patients undergoing arthroscopic rotator cuff repair between January 2016 and January 2019 were screened for inclusion.
Introduction Diversion of unused prescription opioids is a common source of opioid sensitization in the community. Educating patients about safe opioid use has been shown to be effective in decreasing opioid use. However, decreasing diversion will also require educating patients on proper opioid disposal.
View Article and Find Full Text PDFArticle Synopsis
- There is a lack of comprehensive research on adverse events (AEs) following outpatient orthopedic surgeries, and existing detection methods primarily use billing data and self-reports, which often miss a significant number of AEs.
- The trigger method, which identifies specific "triggers" as indicators for further investigation, is gaining traction as a more effective way to detect AEs compared to traditional methods.
- This study focuses on analyzing six EHR-based triggers to predict AEs after outpatient surgeries and emphasizes the need for further research to better implement these triggers for improving post-surgery outcomes.