Porter Young

Does Cephalomedullary Nail Design Influence Risk of Varus Collapse in Subtrochanteric Femur Fractures?

Momin Ahmed, John Mickley, Andres Lopez, Patrick Baki et autres

Background: Cephalomedullary nails (CMNs) are frequently utilized for subtrochanteric femur fractures but a lack of cortical fit in proximal fractures may lead to varus deformity. We hypothesize that as the difference between fracture site canal width and diameter of the nail increases …

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Artificial Intelligence in Orthopedic Trauma: A Narrative Review

Carson Walters, Porter Young

Research into the applications of artificial intelligence (AI) within orthopedic trauma has undergone an exponential trajectory. While most studies focus primarily on radiographic fracture detection, the scope of AI has rapidly expanded to include preoperative planning, surgical education, and administrative optimization. This …

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Ballistic injuries of the pelvis and acetabulum: a narrative review

Brian Kye, Cameron Foster, Porter Young

Ballistic trauma to the pelvis and acetabulum represents a small but resource-intensive subset of orthopaedic injuries. Civilian firearm violence has risen over the past two decades, with pelvic gunshot wounds (GSWs) comprising approximately 10-20% of orthopaedic ballistic injuries. Unlike military high-velocity ballistic …

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Retrospective Cohort Study Comparing Rates of Symptomatic Implants Requiring Removal between Standard versus Low-Profile Tibial Nail Interlocking Screws

Bassel El Sayed, Jayanth Kumar, K. Holt, Jonathan Arias et autres

This study aimed to compare the rates of symptomatic implants requiring removal between intramedullary tibia nails using standard (SD) versus low-profile (LP) screws. We hypothesize that LP screws will demonstrate lower rates of symptomatic screw removal compared with SD interlocking screws with …

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What is the ideal orthopaedic call plan for a level one trauma center?

Parth Patel, Katja Brutus, Andrew Crain, Rockey Dahiya et autres

Background: Level I trauma centers employ various orthopaedic call strategies based on resources and surgeon subspeciality availability. Objective: We hypothesize when surgeons fellowship trained in trauma are solely on call that patient outcomes will be improved compared to a combined plan. Methods: …

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CORR Insights®: What Factors Are Associated With Acute Compartment Syndrome After Gunshot Injuries to the Upper Extremity?

Porter Young

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Push Screw Technique: A Technical Trick to Optimize Coronal Reduction of Distal Femur Fractures

Alex Moses, Cameron C. Foster, Porter Young

The "push screw" technique is an adjunct for managing coronal alignment in distal femur fractures fixed with lateral locking plates. Distal femur fractures can be challenging to reduce due to technical challenges in plate placement, leading to varus malalignment and functional consequences. …

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Outcomes of Distal Radius Fractures: A Comparison Between Fellowship-Trained Trauma and Hand Orthopaedic Surgeons

John P. Mickley, Patrick Wabnitz, M. Guyot, Arman Tabarestani et autres

PURPOSE: To evaluate outcomes and complications after fixation of distal radius fractures performed by a fellowship-trained trauma versus hand orthopaedic surgeons. METHODS: A retrospective review of operative distal radius fractures between 8/2022 and 8/2024 at a single academic, level I trauma center …

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Contralateral Distal Fibula Plate for Proximal Radius Fracture: A Technical Case Report

Jayanth Kumar, Alex Moses, Porter Young, Adam Gitlin

Proximal radius fractures are injuries that are very difficult to manage, given the complex anatomy and the rarity of the fracture. Typical fixation of the proximal radius involves open reduction and internal fixation. However, this fixation is challenging given the paucity of …

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Does maintaining external fixators during definitive fixation of bicondylar tibial plateau fractures influence fracture alignment and deep infection rates?

John P. Mickley, William Philips, Dinela Kurtic, Adam Gitlin et autres

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Tibiotalar Nailing for Geriatric Pilon Fractures: Case Report and Review of the Literature

Bassel El Sayed, Porter Young

Introduction: Tibial pilon fractures present a complex challenge, particularly in geriatric patients with comorbidities and compromised soft tissue. Traditional treatment options such as open reduction and internal fixation (ORIF) and tibiotalocalcaneal (TTC) nailing have shown variable outcomes, often complicated by infection, nonunion, …

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Pre-Operative Management of the Penicillin Allergic Patient: A Narrative Review

Ashley Hernandez, Yahir Davila, Jason Nikirk, Cesar Ramirez et autres

Penicillin is a frequently reported medication allergy. The beta-lactam ring shared between cephalosporins and penicillin often leads to the use of alternative antibiotics for surgical prophylaxis due to concern for cross-reactivity, despite a true IgE-mediated hypersensitivity being very rare. This misconception leads …

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