Publications by authors named "Zachary A Panton"
Article Synopsis
- Revision total knee (TKR) and hip (THR) surgeries face challenges like low reimbursement and high complication rates, leading to fewer surgeries being performed.
- The study analyzed data from 1,625 patients who underwent these surgeries to examine the rate of subsequent procedures performed by the same or different surgeons within the practice.
- Findings revealed that about 40% of patients had at least one additional procedure, with many being planned follow-ups or primary replacements on different joints, indicating these surgeries contribute to future case volumes for surgeons and practices.
Background: A preoperative medical evaluation (PME) in total joint arthroplasty (TJA) is routine despite considerable variation and uncertainty regarding its benefits. The orthopaedic department in our academic health system established a perioperative medical clinic (PMC) to standardize perioperative management and to study the effect of this intervention on total hip arthroplasty (THA) and total knee arthroplasty (TKA) outcomes. This observational study compared the impact of a PME within 30 days prior to surgery at the PMC (Periop30) versus elsewhere ("Usual Care") on postoperative length of stay (LOS), extended LOS (i.
View Article and Find Full Text PDFIntroduction: Less than 20% of US adults meet physical activity (PA) recommendations, yet few physicians provide consistent PA counseling. There is limited research on the state of education of PA counseling in medical school curricula. The purpose of this study was to analyze medical students' perspectives on the current state and perceived quality of PA education in medical school.
View Article and Find Full Text PDFBackground Studies demonstrate that metabolic syndrome (MetS) negatively impacts surgical outcomes. This study sought to identify how metabolic syndrome affects outcomes after open reduction and internal fixation (ORIF) of traumatic pilon fractures. Methods Patients who underwent ORIF for pilon fractures from 2012 to 2019 were identified in the American College of Surgeons National Surgical Quality Improvement Program database.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates the impact of timing for open reduction and internal fixation (ORIF) of tibial plateau fractures in patients with concurrent compartment syndrome, specifically regarding the risk of fracture-related infection (FRI).
- A total of 729 patients were analyzed, revealing that 19.6% developed FRI requiring further surgical intervention, with variations in infection rates based on whether ORIF was performed before, simultaneously, or after fasciotomy wound closure.
- Findings suggest that performing ORIF at the same time as fasciotomy closure may reduce FRI risk compared to doing it prior to or after closure, with a 91% probability of being more effective compared to prior closure timing.