Robert Zura

Changes In Body Composition Across A Collegiate Career In Division I Athletes

Rachel Matthews, Brian A. Irving, Jacob R. Albers, Guillaume Spielmann et autres

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Same-day discharge does not increase complications or readmissions in carefully selected patients undergoing aseptic lower extremity nonunion surgery

Benjamin J. Averkamp, Michael J. Gardner, Robert Zura, Luke A. Lopas et autres

Objectives: To evaluate whether same-day discharge for aseptic lower extremity nonunions is associated with increased complication rates compared with patients admitted to the hospital, aiming to determine the safety and feasibility of same-day discharge in this patient population. Methods: A retrospective cohort …

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Same-day discharge does not increase complications or readmissions in carefully selected patients undergoing aseptic lower extremity nonunion surgery

Bradley J. Lauck, Anthony V. Paterno, Yu Min Suh, Susan Odum et autres

Abstract Objectives: To evaluate whether same-day discharge for aseptic lower extremity nonunions is associated with increased complication rates compared with patients admitted to the hospital, aiming to determine the safety and feasibility of same-day discharge in this patient population. Methods: A retrospective …

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Rates of union and risk factors for continued nonunion following exchange nailing of tibial nonunion

Julia C. Mastracci, Benjamin Averkamp, Matthew Braswell, Ziqing Yu et autres

INTRODUCTION: The objective of this study was to evaluate the rate of nonunion repair success in tibia nonunions treated with exchange nailing. This retrospective cohort study was conducted across five academic Level 1 trauma centers and included 63 patients with tibia nonunions. …

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Randomised controlled trial comparing antibiotic cement bead pouch versus negative pressure wound therapy for the management of severe open tibia fracture wounds: Beads versus VAC (BvV) protocol

Lucas S Marchand, Gerard Slobogean, Nathan N O’Hara, A O Harris et autres

INTRODUCTION: Early open fracture management aims to minimise the risk of complications. For the most severe open fracture wounds, multiple irrigation and debridement surgeries are required to overcome severe wound contamination, to reassess the evolving tissue injury or to temporise and plan …

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Characterizing Biomarkers of Muscle Damage in Collegiate Football Players: A Prospective, Repeated Measures Study

Grace L. Brandhurst, Erik Piedy, Stephen N. Etheredge, Matthew Martone et autres

Background/Objectives: Exertional rhabdomyolysis (ER) is a possibly fatal condition resulting from extreme or novel exercise that causes substantial muscle breakdown. ER has been observed during preseason football; however, prospective research has yet to characterize normal versus ER responses using a repeated measures …

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Higher Reoperation Rates in Planned, Staged Treatment of Open Fractures Compared with Fix-and-Close

Yohan Jang, Roman M. Natoli, Gregory J. Della Rocca, Robert Zura et autres

BACKGROUND: Initial surgical management of Gustilo-Anderson type-I to IIIA open fractures varies from surgical fixation of the fracture with immediate closure of the traumatic wound to various combinations of staged fracture and wound management. The decision to choose staged management has historically …

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Local Antibiotics and the Risk of Antimicrobial Resistance in Extremity Fractures Complicated by Fracture-Related Infection

Gregory M. Schrank, Nicolas Jozefowski, Robert Zura, Kyle J. Jeray et autres

BACKGROUND: We evaluated antimicrobial resistance (AMR) patterns following local antibiotic use in a large cohort of patients with fractures from the PREP-IT (A Program of Randomized Trials to Evaluate Preoperative Antiseptic Skin Solutions in Orthopaedic Trauma) study. We hypothesized that, among patients …

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Nutritional Indicators of Bone Nonunion: A Systematic Review

Eleanor Christianson, Margaret Thomas, Sheila Sprague, Jessica Rivera et autres

Background/Objectives: Bone nonunion remains a clinical challenge in orthopedic surgery with significant impacts on mental and physical wellbeing for patients. There are several previously established risk factors of nonunion that are connected to nutrition, but this has yet to be substantially explored. …

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Methodologies for Validation of Diagnoses in Real-World Data: BONES-A Case Study

Kim Kelly, Debra E. Irwin, Til Stürmer‎, Isabelle Winer et autres

SUMMARY: The accuracy of any claim-based study is dependent on the quality of real-world coding of the condition of interest. This retrospective, administrative claims analysis presents a method for using a real-world data source to evaluate the accuracy of coding for nonunion …

Outcomes of Humerus Nonunion Surgery in Patients With Initial Operative Fracture Fixation

Noah J. Harrison, Alexander A. Hysong, Samuel L. Posey, Ziqing Yu et autres

OBJECTIVES: To describe outcomes following humerus aseptic nonunion surgery in patients whose initial fracture was treated operatively and to identify risk factors for nonunion surgery failure in the same population. DESIGN: Retrospective case series. SETTING: Eight, academic, level 1 trauma centers. PATIENTS …

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Medicaid and Indigent Patients Experience Delayed Fixation of Distal Radius Fractures, Resulting in Worse Consequential Radiographic Outcomes

Cristina T. Graphia, Samuel H. Klatman, Rachel E. Hein, Claudia Leonardi et autres

Distal radius fractures are the most common upper extremity injury. Patients referred to safety-net tertiary facilities following a fracture experience significant delays in treatment because of financial and language barriers as well as poor access to care at outlying community hospitals. This …

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