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DateSTUDY TYPETOPICFACULTYMAX SENIORITY TO COMPLETE PROJECTCOMMENTS
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53We can repeat this study on our tka patients and their pro’s

https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournaloei.scholasticahq.com%2Farticle%2F27444-analysis-of-patient-comments-on-patient-reported-outcome-measures-in-orthopaedic-trauma&data=04%7C01%7Cakhann%40lsuhsc.edu%7C148c4aa98c6f42d3063f08d98cf5b0dc%7C3406368982d44e89a3281ab79cc58d9d%7C0%7C0%7C637695809120476898%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=4fIMyBb5tozdsC3sG1YClgVD54RaPfV8NX8zSf7qVYw%3D&reserved=0
dasa
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52I had 2 patients with injections 1 said they had relief and the other did not, yet they both had the same pain score pre and post injection. Can we look at how much pain relief patients expect to get w the injection and how expectation impacts their feeling of relief and satisfaction? Not sure how to design this, but patient specific expectations may be interesting to review.dasa
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51Compare opioid use after 6 mos in our traditional tka vs rapid recovery tka group. (before and after march 2018). Use the current dataset from our recent studies and add late opioid use.
Recent studies have come out showing up to 10% of opioid naïve patients were still on narcotics 15 mos after surgery.
Would like to repeat some of those studies with our patients and see how much long term opioid use we’ve reduced with our protocols. We would use the state pmp database to assess opioid use.
Dasa
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50How are post tka pro’s affected if the patient has severe disease in both knees?
Compare a group of patients with unilateral tka with a group that has bilateral knee oa. are the results after the first tka (in bilateral patients) the same as patients with disease in 1 knee?
In otherwords, does the second knee drag down the results of the first tka?
dasa
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49Look at the major conferences in orthopedics over the past 5 y and calculate what percentage of posters and podium presentations were related to health disparities? Of the total research presented, How many of the presentations/posters included race, ses and other sdoh factors in their presentations?dasa
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48Can we pull all my bone on bone patients who have received an injection but no tka and compare them to patients who received a tka to see how overall health improves after 1y.
Hypothesis is that receiving a tka should improve your mobility and in turn your health. Can look at improvement in medications, visits related to knee pain (pcp, ortho, ER), prescriptions linked to knee pain etc…
dasa
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47As deductibles increase and insurance restrict what treatments are covered, patients are spending more and more out of pocket.
Perform a survey of all my new patients and ask them what treatments have they used for the past 6-12 mos where they paid out of pocket/cash.
Nsaids, creams, braces/sleeves, acupuncture
Can also include a list of items from the aaos clinical practice guidelines to see what patients have done and haven’t done that are listed in the guidelines
dasa
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46Evaluation of readmission factors for any CPT code relating to spine surgery (done for ACDF/posterior cervical, lumbar cases, consider for rarer cases relating to trauma, infection)Bandhutia
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45Elderly trauma - cervical, thoracic, lumbar spine in National Trauma Data Bank
Recent CSRS study finding upper cervical trauma with higher risk of medical and surgical complications vs. subaxial, despite polytrauma and higher energy injury mechanisms (Carlile et al CSRS 2020)
Bandhutia
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44Posterior cervical foraminotomy going on to ACDF -> may be difficulty to trackBandhutia
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43Laminoplasty - risk factors for readmission (already done for NSQIP - maybe for trauma database)Bandhutia
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42C-spine and shoulder (Passias et al CSRS 2020)
Cervical spine procedure patients with concurrent shoulder diagnosis per ICD 9 found to have 30% more likely periop complication.
Bandhutia
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41Tandem stenosis - Length of stay, readmission, complications, vs. cervical stenosis
Marketscan
Pearldiver
CMS
Bandhutia
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40What percentage of my patients who received opioids eventually became addicted?
Use the pmp to see who did not receive opioids prior to my surgery and then who continued to use them after 3 mos. what were their kooS and promis scores. Any patient characteristics that can help predict or determine who is at risk? (2/23/21)
Dasa
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39True Mechanical Alignment is Found Only on Full-Limb and not on Standard Anteroposterior Radiographs- repeat this study in older patients w bone on bone oa rather than young patients and see if it holds up https://www.arthroscopysportsmedicineandrehabilitation.org/article/S2666-061X(20)30075-4/fulltext Dasa
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38Demographics of other instructions (Ie hss) and see what our results look like. Then compare w our actual demographics (ie 40% non white) and show how different things can be based on patient access and selection (11/27/2020)Dasa
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37similar study to this and see how race and SES impacts perceptions of success (8/5/2020)
https://journals.lww.com/clinorthop/Abstract/2020/08000/What_Influences_Patient_Satisfaction_after_TKA__A.27.aspx
Dasa
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36Chart Review Would like to look at my tka patient’s preop kooS and promis scores.
Compare black medicaid vs black med adv vs Medicare
Compare white medicaid vs med adv vs Medicare
Will probably not have enough medicaid patients. Can go into my charts and find the medicaid patients w KL 4 xrays and had > 3 inj within 12 mos anD consider them as patients who would have a tka if they had better access (8/2/2020)
Dasa
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35Survey As you get more physically tired over a surgical day how does that impact your ability to teach, physical and psychological impact (do you drink after a day of tough surgery) etc…
Curious to know how OR staff and residents perceive us as we become tired? Could we do something similar to see how residents and OR staff perceive physician behavior change as they become more tired through an operative day that surgeons may not realize (8/7/2020)
Dasa
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34Chart Review Is arthritis that develops from a previous meniscus tear, primary or secondary OA? should it be considered post traumatic?
Review our results from tka and compare patients who had a previous meniscectomy/scope with patients who did not have a prior scope. If differences in outcomes, can consider oa from previous meniscus tear as post traumatic/secondary rather than primary. 8/18/2020
Dasa
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33Chart Review Use knee scopes to understand how often oa is on tibial side vs fem and any predictive factors. Does oa on 1 particular compartment or “bone” predict pain or decreased function? Does race, gender, sdoh etc... predict location of oa?
Do those factors predict or impact location of meniscus tears? Lateral vs medial? Is location of meniscus tear linked w location of arthritis.
Take all my knee scopes and xrays and assess for these variables using my op notes and surgery card. (11/28/2020)
dasa
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32Systematic review of the literature to see if our research is biased and creates disparities in care. (7/6/2020)dasa
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31Which risk factors (ie obesity, diabetes etc...) are more closely linked to sdoh? Do they all confer the same risk of complications? Do we unfairly deny surgery to those patients w risk factors more closely linked to sdoh vs patients who have other risk factors? (7/6/2020)dasa
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30How do our outcome measure correlate to return to work in different industries?
What koos score does someone need to return to teaching vs flying a plane?
(6/20/20)
dasa
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29What are the most common variables total joint outcomes research control for? typically its age, gender, bmi, ASA score etc… a systematic review to list what variables the researchers feels are important. I suspect race is not often captured let along controlled for.
Can compare level 1 studies w non level 1 studies and see if there’s a difference as well.
Can expand to other areas of orthopedics beyond total joints. each specialty could be its own paper.
(6/20/20)
dasa
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28Have rates of elective orthopedic surgery in non white patients declined as reimbursement declines? Look at medicare reimbursement rates for the most common elective orthopedic procedures and see if there is a difference in the race breakdown of patients that receive those treatments over time as a function of reimbursement.(6/16/2020) dasa
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27Survey all my patients from last 5 y and understand what percentage are capable of using technology to help with their healthcare. telemedicine, online paperwork, patient education apps, virtual physicial therapy etc… Do they have a computer, wifi, smartphone etc… if not do they access to that technology? if they do how willing would they be to use it? (6/10/20)dasa
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26Race and outcomes is becoming increasingly important. Very few orthopedic research papers have included race in their table demographics information let alone analyze its impact on outcomes. variables in table 1 are often age, gender, bmi, co morbidities etc… but rarely include race. how many level 1 orthopedic research papers over the past 10 y have included race in table 1? Has that improved over time? is there a difference between orthopedic specialties? We can look at the top tier journals like JBJS, CORR etc… and also the jounals of each specialty society. (6/10/20)dasa
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25https://www.arthroplastyjournal.org/article/S0883-5403(20)30166-2/pdf Perform/repeat this study with my Medicaid patients prior to 2014 when I still did a number of Medicaid cases at kenner? we can see if there are regional differences or if they are the same. Maybe do the same study and include, insurance, race, gender, and education level and look at all my cases to present using redcap (6/10/20)dasa
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24What percentage of patients have failed the approved OA treatments of the AAOS cpg prior to seeing the orthopedic surgeon?(6/5/20)dasa
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23Vitamin D study testing all patients coming into a Tertiary care pediatric orthopedic clinic to establish a much needed control group and also to establish if Vit D insufficiency or deficiency is associated with common peds musculoskeletal complaints/conditions (6/2/2020)dasa
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22ProspectivePreoperatively assess the Knee Injury and Osteoarthritis Outcome Score (KOOS) and, for each KOOS item, where the patient expects to be 6 months or 1 years after TKA (time frame depends on how long you want study to go). At 6 months/1year after surgery, assess KOOS and patient satisfaction. Look for relationship between discrepancy between expected KOOS scores and actual KOOS scores and patient satisfaction. (5/18/20)dasa
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21Prospectiveis the combination of steroids and PT vs steroids alone superior? In patients who fail first-line treatments, including PT, maybe steroids would help patients better engage in PT long enough to have more of a long-term benefit than steroids alone. This is a more complicated study with a larger sample and longer FU needed (5/18/20)dasa
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20Prospectivewhat is the efficacy of IA steroids used as rescue therapy (short-term relief for flareups rather than as long-term tx)? (5/18/20)dasa
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19review all the orthopedic big database studies and find out which ones did not include proper documentation of the CPT and ICD codes that were used in data gathering. This would involve looking for either a code summary table or looking for mention of specific codes within the Methods sections. Other papers would use this same method to compare this information to other specialties, e.g., urology or general surgerydasa
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18Look at mental health outcomes scores and see if there are differences by race, gender, ses for patients pre and post tka (5/4/20)dasa
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17Survey of 2nd-4th year medical students at LSU to see how many have summarize-able initial project data or project completions, and if so, how many conferences they have submitted abstracts to for each project (include acceptances and other publications etc. too); different match rate into ortho because of research compared to other schools? (5/10/2020)dasa
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16Survey all my patients w severe knee oa in past 1y who have pro’s and see who wants surgery now and who does not with risk of contracting COVID and compare to scores (5/5/20)dasa
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15quality report type write up of the redesign of the pre-op joint camp to accommodate the new guidelines due to COVID-19 such as social distancingdasa
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14https://link.springer.com/article/10.1007/s11999-014-3668-9 duplicating all these types of studies and comparing results now to back thendasa
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13Find similar outcomes in different papers and see if those outcomes vary by the type and location of practice of the researchers (for example,I suspect obesity related outcomes will be different in seattle vs lsu)dasa
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12Replicate this paper "Morbid obesity independently impacts complications, mortality, and resource use after TKA by Michele D'Apuzzo et al" with our rapid recovery protocol. Their Lenght of stay averaged 3.5 days, ours was .8 days in 2014. Is any paper dated before 2015, with longer length of stays even relevant? Create a whole research program recreating studies with our newer protocols? (4/27/20)dasa
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11find similar outcomes in different papers and see if those outcomes vary by the type and location of practice of the researchers? For example, I suspect obesity related outcomes will be different in seattle vs lsu. So can we really extrapolate what another institution publishes compared to our local situation? find papers where the authors come from different circumstances and have different results given the same measures? Is that possible in our literature? So can we really use data and outcomes for seattle to create policies for new orleans? (4/27/20)dasa
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10databasenarcotic and nsaid use will be significantly increased during and post c19 as patients self medicate and do not obtain the timely needed treatment out of fear, social distancing, poor access, or unavailable health care. Survey or LACATS. Possible regional differences as well. Little Rock vs New Orleans where COVID was more prevalent (4/27/20)dasa
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9“Which patients choose telephone vs telemedicine appts w ortho vs other specialties. Hypothesis: poorer patient will select phone (ie Medicaid) vs commercial and medicare patients will have internet access to enable video, younger vs older, etc…” (4/6/20)dasa
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8Repeat this study with new orleans--- https://journals.lww.com/jaaos/pages/articleviewer.aspx?year=2020&issue=04010&article=00009&type=Fulltext&cid=eTOC%20Issues.2020-jaaos-00124635-202004010-00000&rid=&TargetID=&EjpToken=5YozR35FIGfGbRh1nMvj6U5nOezayM038-C-yOVg6r1vRCMN3VOwltQY0J4BtV6FTMiS1Z-bRUU&mkt_tok=eyJpIjoiTm1RMU5HWm1aams0TXpCaSIsInQiOiIzdjJXOU1xYUpaVmV5dUh3V2tQTmtmaEdKU0RabTFBc2JpRnc5dG1KSGFRaWpRaWlsNnBvODBZZDE0VXFJMVdsbVNBc2E1OHZMM3lBQ1R1Vko3MEtQOVNxc1wvY0lJVnNoeWl0b2lWMUhxT1MxR2FKU0xzVUJGXC9WayttblQ1dXlxOXRaZEZUTE5YcjI5dytkZkhLRVF4dz09In0= (4/6/20)dasa
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7chart review, redcapWhat drives length of stay?Age or health? Is older healthy = to younger sicker? Look at all my tka’s that made it to recovery room before 1pm and see who and why they stayed longer than those patients who went home the same day. (3/8/20)dasa
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6surveyWhat treatment effect do patients expect from non surgical management of knee oa (ie steroid injections, HA injections, etc...)? Is there a difference by race, gender, ses? Does it change if the patient is employed vs unemployed? If employed, when do patients expect/want to return to work. Is the type of work impactful (ie deal job vs construction)? (3/8/20)dasa
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5surveyWhat treatment effect do patients expect from tka? Is there a difference by race, gender, ses? Does it change if the patient is employed vs unemployed? If employed, when do patients expect/want to return to work. Is the type of work impactful (ie deal job vs construction)? Post op, at what point did surgery meet their expectations? What point did it exceed expectations? Why/how did it not meet expectations? By race, gender ses etc... (3/8/20)dasa
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4chart review, redcapCan we look at in hospital opioid use before apr 2014 and after? That’s when I started using iovera for my revisions. All patients stay in hospital for at least 4 d. Any variation in anesthesia will be gone after 48-72 hrs. Anesthesia is pretty standardized but there may some differences. Can look at length of surgery to control for case difficulty. We do approx 6-10/y so should have a sense if iovera was impactful. All meds taken are recorded in ochsner epic. (2/6/20)dasa
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3chart review, redcapHow often on xray is the mechanical axis of the tibia not co linear w the anatomic axis. Ie how often is the tibia not perfectly straight? How often is fibula not exactly straight? Is fibula a better landmark? Use hip to ankle xrays to assess. Maybe 200 xrays needed? (2/6/20)dasa
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2chart review, redcapHow often does the same size implants get placed get placed in the opposite knee/hip. Requires to look at patients who had b/l surgery. Is there a difference by race and gender. Also can look at variation if surgeries done by same surgeon or different surgeon using same implant system. 15% of patients in database have had this (2/6/20)dasa
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1chart review, redcappattern of oa in knee scopes. How does meniscus tear impact where oa is located in knee scope. Do we see more oa in scope based on how long patient had symptoms.
Tibia vs femur. Medial vs lateral (2/6/20) *Note: there is a systematic review of this
dasa
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chart reviewincidence of lisfranc injuries with isolated 3rd MT fxhanneman
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chart reviewrestrospective review all acet fx/dislocation at ILH and failure rates (ie THA or AVN)based on time of injury to reduction- how long can you wait to reduce a hip dislocationkrause/lee
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chart reviewsemi extended v traditional IM nailing for tibial shaft fx, compare outcomes based on approach and location of fxkrause/lee
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case reportcase report: Open Both Column Acetabular Fracture Due to Train Accident. Will have two year f/u in April.krause
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case reportcase report: Infected THA with Pelvic Discontinuity and Open Wound. Already have two year f/u. krause
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case reportcase report: High-velocity GSW to Glenoid krause
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case reportcase report: Infected Pelvic Discontinuity With Open Wound After THA krause
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case reportcase report: Radius Fracture in a Patient with an AV Graftkrause
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case reportcase report: morel lavallee and bbff lee
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case reportcase report: Incongruent Hip Reduction in a 12 year old with Incarcerated Fragment lee
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chart reviewcase series: exposed hardware and no infectionkrause/lee
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chart review/databasepilon vs tib plat/distal fem vs acet fx's and predisposition for tka/tha/ankle arthrodesis. Which joint/fracture has higher risk for OA needing definitive oa surgery as the endpointdasaicon
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chart review/databaserate of THA and TKA in acet fx vs distal fem/prox tib fx (higher chance of tha for acet fx compared to knee)dasaICON
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chart review/databaserate of tka in patients post distal fem fx vs prox tib fx vs men teardasaICON
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cadaver studyAssessing poly thickness in tka using cadavers, how thin is clincially detectablesherman
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mechanical testingpull out strength of cervical plate based on type of distractioneiserloh
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chart reviewretrospective review of multilevel cervical fusion using anterior fixation onlyeiserloh
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prospective prospective randomized study comparing tight rope vs screw fixation for syndesmosis injurieskrause/leeL1
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prospective canine vs human AVN and Hip oAlopezL1baton rouge
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case reportcase report: ILH lateral cuneiform to medial cuneiform dislocation (G.S. 10/2014)krause/hannemanL3
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case reportCRPS following shingles of hand: case reportmarreroL3photos available
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lit reviewnon union metanalysislee/zuraL2
meet w statistician first
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chart reviewimpact of time on infection rates for open fractures, time of injury vs time of abx administration vs time of i/dlee/krauseL1
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chart review primary subtalar fusion (BR) vs ORIF (NOLA) for sanders 3 and 4 calc fxkrause/leeL1
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chart reviewISS scores of calc fx's tx'ed by trauma surgeons vs foot/ankle, calc fx may not be primary injury which may explan differencesleeL2
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chart reviewoutcomes of basic fractures based on patient being polytrauma vs isolated fx (calc, prox humerus…)leeL2
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chart reviewrisk factors for late loosening/infection of HW in healed fractures (ie lat mall plate w loose screws and healed fracture w initial closed injury), compare to matched cohort with uneventful healing
hanneman/lee/krause
L2
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chart reviewdorsal vs radial approach and tendon rupture in peds BBFF, capping end of pins/nailsheffernan/accoustiL2
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chart reviewwhat pre op patient characteristics and koos score give the largest delta and/or largest absolute koos score at 1 y post tka?dasaL2
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prospective txa in trauma, prospective RCTkrause/lee/zuraL1
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spectroscopy for bone marrow edema
maristany (radiology)
L1
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chart reviewcompare outcomes/complications of fx in ortho patients tx'ed at ILH vs UMCzuraL2
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chart reviewoutcomes of hypocuure foot implant for plano valgus feetlabordeL2
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case reportcase report: congential kyphosis from neurofibromatosiskingL3
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chart reviewBMP 2 in pediatric spine surgerykingL2
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prospective how often does flexion space increase after PCL resection during tka compared to cadavers?dasaL2
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chart reviewsurvivorship (re operation, radiographic loosening…) and outcomes (pain scores, neck scores…) of 1 level cervical arthroplasty minimum 3 y f/ueiserlohL2
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chart reviewdo surgical outcomes improve with surgical experience? Compare avg 6mos tka outcome scores of my patients over first 10 y of practice? Do my results improve as I gain experience?dasaL2
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chart reviewhow far do you debride open fx's when on CT air is seen away from the open injury? Look back at open fx's that had CT at time of injury and compare infection rates based on presence and location of gas on injury CT zura/krause/leeL1
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chart reviewwhat patient characteristics corelate with no show/cancellation of post op PT appointments following tka (age, gender, insurance, outcome scores), does lack of attendance w PT correlate with poorer outcomes scores following tkadasaL2
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chart reviewPerioperative factors influencing postoperative outcome in Medicaid and uninsured patients undergoing total joint replacement betechL1
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surveyLOA survey on opiod rx habits in LAdasaL2
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chart reviewrates of patient follow up following tka based on Pro'sdasaL2
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cost analysiscost analysis of bisphosphantes vs PTH inihibitors vs reduction in fragility fractures vs atypical fem fx'sdasaL1
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databaseuse large database to look for rates to femur fx treatment following bisphosphanate vs PTH (or other osteoporosis tx's) use. look for fem fx up to 15 y following for patients who had stoppped txkrauseL1
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rct prospective rct comparing outcomes of completing a partial rot cuff tear vs repairing in situ a partial rot cuff tearhartmanL1