Alfred P. Yoon
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View article: Proficiency and Difficulty Scoring Tools for Finger Replantation
Proficiency and Difficulty Scoring Tools for Finger Replantation Open
Importance Replantation and revascularization are among the most technically challenging surgical procedures and have varying success rates. Methods to assess surgeon skill for this complex undertaking are lacking. Objective To examine whe…
View article: Effects of Image Degradation on Deep Neural Network Classification of Scaphoid Fracture Radiographs: A Comparison of Different Noise Types (Preprint)
Effects of Image Degradation on Deep Neural Network Classification of Scaphoid Fracture Radiographs: A Comparison of Different Noise Types (Preprint) Open
View article: Cost-effectiveness of surgical treatment of thumb carpometacarpal joint arthritis: a value of information study
Cost-effectiveness of surgical treatment of thumb carpometacarpal joint arthritis: a value of information study Open
Background Thumb carpometacarpal (CMC) joint arthritis is one of the most prevalent arthritic conditions commonly treated with trapeziectomy alone or trapeziectomy with ligament reconstruction and tendon interposition (LRTI). We evaluate t…
View article: 58. Comparing Distal Radius Fracture Outcomes in Older Adults after Stratifying by Chronologic Age versus Physiologic Age: A Secondary Analysis of the Wrist Multicenter Randomized Trial
58. Comparing Distal Radius Fracture Outcomes in Older Adults after Stratifying by Chronologic Age versus Physiologic Age: A Secondary Analysis of the Wrist Multicenter Randomized Trial Open
PURPOSE: Casting is recommended for adults over 65 with distal radius fractures (DRF) because similar long-term outcomes are achieved regardless of treatment. However, physiologically "younger" adults could benefit from operative DRF manag…
View article: Can a Deep Learning Algorithm Improve Detection of Occult Scaphoid Fractures in Plain Radiographs? A Clinical Validation Study
Can a Deep Learning Algorithm Improve Detection of Occult Scaphoid Fractures in Plain Radiographs? A Clinical Validation Study Open
Background Occult scaphoid fractures on initial radiographs of an injury are a diagnostic challenge to physicians. Although artificial intelligence models based on the principles of deep convolutional neural networks (CNN) offer a potentia…
View article: Comparison of Distal Radius Fracture Outcomes in Older Adults Stratified by Chronologic vs Physiologic Age Managed With Casting vs Surgery
Comparison of Distal Radius Fracture Outcomes in Older Adults Stratified by Chronologic vs Physiologic Age Managed With Casting vs Surgery Open
Importance Casting is recommended for adults older than 65 years with distal radius fractures (DRFs) because similar long-term outcomes are achieved regardless of treatment. However, physiologically younger adults could benefit from operat…
View article: Association Between Daytime vs Overnight Digit Replantation and Surgical Outcomes
Association Between Daytime vs Overnight Digit Replantation and Surgical Outcomes Open
In this case series study of digit replantations, time of operation was not associated with replantation success. Overnight replantation was associated with fewer complications and shorter duration of surgery compared with daytime surgery.…
View article: 42. EFFECT OF DAYTIME VERSUS OVERNIGHT DIGIT REPLANTATION ON SURGICAL OUTCOMES
42. EFFECT OF DAYTIME VERSUS OVERNIGHT DIGIT REPLANTATION ON SURGICAL OUTCOMES Open
PURPOSE: Recent evidence suggests that delayed replantation do not adversely impact digit survival; however, its impact on other outcomes is unknown. We hypothesized that there will be no difference in digit survival, complication rate, du…
View article: Variation in Surgeon Proficiency Scores and Association With Digit Replantation Outcomes
Variation in Surgeon Proficiency Scores and Association With Digit Replantation Outcomes Open
Operative proficiency varied widely among practicing surgeons and accounted for 17% of estimative ability for success of digit replantation and revascularization. Greater surgeon proficiency was associated with better outcomes, indicating …
View article: Variability in the Use of Disposable Surgical Supplies: A Surgeon Survey and Life Cycle Analysis
Variability in the Use of Disposable Surgical Supplies: A Surgeon Survey and Life Cycle Analysis Open
View article: Development and Validation of a Deep Learning Model Using Convolutional Neural Networks to Identify Scaphoid Fractures in Radiographs
Development and Validation of a Deep Learning Model Using Convolutional Neural Networks to Identify Scaphoid Fractures in Radiographs Open
In this study, DCNN models were trained to identify scaphoid fractures. This suggests that such models may be able to assist with radiographic detection of occult scaphoid fractures that are not visible to human observers and to reliably d…
View article: Modifiable Factors Associated With Chronic Pain 1 Year After Operative Management of Distal Radius Fractures
Modifiable Factors Associated With Chronic Pain 1 Year After Operative Management of Distal Radius Fractures Open
ClinicalTrials.gov Identifier: NCT01589692.
View article: Cost-Effectiveness of Treatments after Closed Extraarticular Distal Radius Fractures in Older Adults from the WRIST Clinical Trial
Cost-Effectiveness of Treatments after Closed Extraarticular Distal Radius Fractures in Older Adults from the WRIST Clinical Trial Open
Background: This study performs an economic analysis of volar locking plate, external fixation, percutaneous pinning, or casting in elderly patients with closed distal radius fractures. Methods: This is a secondary analysis of the Wrist an…
View article: Cost-effectiveness of Recurrent Dupuytren Contracture Treatment
Cost-effectiveness of Recurrent Dupuytren Contracture Treatment Open
The results of this study suggest that LF is a cost-effective intervention for recurrent high-severity MCP joint contractures. For recurrent low-severity MCP joint contractures and PIP joint contractures of all severity levels, PNA was the…
View article: Patient-Reported Outcomes after Irradiation of Tissue Expander versus Permanent Implant in Breast Reconstruction: A Multicenter Prospective Study
Patient-Reported Outcomes after Irradiation of Tissue Expander versus Permanent Implant in Breast Reconstruction: A Multicenter Prospective Study Open
Background: Whether to irradiate the tissue expander before implant exchange or to defer irradiation until after exchange in immediate, two-stage expander/implant reconstruction remains uncertain. The authors evaluated the effects of irrad…
View article: Assessment of Tree-Based Statistical Learning to Estimate Optimal Personalized Treatment Decision Rules for Traumatic Finger Amputations
Assessment of Tree-Based Statistical Learning to Estimate Optimal Personalized Treatment Decision Rules for Traumatic Finger Amputations Open
IMPORTANCE: Optimal treatment for traumatic finger amputation is unknown to date. OBJECTIVE: To use statistical learning methods to estimate evidence-based treatment assignment rules to enhance long-term functional and patient-reported out…
View article: Cost-effectiveness of Finger Replantation Compared With Revision Amputation
Cost-effectiveness of Finger Replantation Compared With Revision Amputation Open
With proper patient selection, replantation of all finger amputation patterns, whether single-finger or multifinger injuries, may be cost-effective compared with revision amputation. Multifinger replantations had a higher probability of be…
View article: Patient-Reported and Functional Outcomes After Revision Amputation and Replantation of Digit Amputations
Patient-Reported and Functional Outcomes After Revision Amputation and Replantation of Digit Amputations Open
When technically feasible, replantation is recommended in 3 or more digits amputated and in single-finger amputation (excluding thumb) distal to the proximal interphalangeal joint because it achieved better PROs, with long-term functional …
View article: Abstract: Effects of Radiation on Risks and Patient-Reported Outcomes in Expander-Implant Reconstruction: Is There a “Best” Time to Radiate?
Abstract: Effects of Radiation on Risks and Patient-Reported Outcomes in Expander-Implant Reconstruction: Is There a “Best” Time to Radiate? Open
INTRODUCTION: The oncologic benefit of radiation therapy for node positive breast cancer is well-known. However, studies have also shown poorer aesthetic outcomes, lower satisfaction, and higher complication rates in patients undergoing br…
View article: Improving Effective Magnetic Resonance Imaging (MRI) Application in Soft Tissue Wrist Injury
Improving Effective Magnetic Resonance Imaging (MRI) Application in Soft Tissue Wrist Injury Open
MRIs for soft-tissue wrist injuries may more likely change management when the patient is younger, ordered within 6 weeks of symptom onset, and prescribed with a specific differential diagnosis. Referral to a hand surgeon should be conside…
View article: Outcomes of immediate versus delayed breast reconstruction: Results of a multicenter prospective study
Outcomes of immediate versus delayed breast reconstruction: Results of a multicenter prospective study Open
View article: Abstract 27. The Use of Liposomal Bupivacaine in Patients Undergoing Abdominally-Based Autologous and Implant-Based Breast Reconstruction
Abstract 27. The Use of Liposomal Bupivacaine in Patients Undergoing Abdominally-Based Autologous and Implant-Based Breast Reconstruction Open
Purpose: Federal mandates to reduce opioid use have placed analgesia management in the national conversation. Liposomal bupivacaine (LB) is an effective analgesic in the immediate postoperative period. This study explores the effect of LB …
View article: Abstract: Liposomal Bupivacaine Reduces Postoperative Narcotic Use in Patients Undergoing Abdominal-Based Autologous and Implant-Based Breast Reconstruction
Abstract: Liposomal Bupivacaine Reduces Postoperative Narcotic Use in Patients Undergoing Abdominal-Based Autologous and Implant-Based Breast Reconstruction Open
PURPOSE: Treatment of post-operative pain after breast reconstruction remains a significant challenge for plastic surgeons. Liposomal bupivacaine (LB, Exparel Pacira Pharmaceuticals, Inc., Parsippany, NJ) has been proven to effectively rel…
View article: Aging and longevity science: where are we in 2015?
Aging and longevity science: where are we in 2015? Open
Aging has been defined as the loss of function and ability to interact with the environment. The social perception of aging involves the inability to live independently due to loss of mobility, cognition, and sensory functions. Aging is a …
View article: Aging and longevity science: where are we in 2015?
Aging and longevity science: where are we in 2015? Open
Aging has been defined as the loss of function and ability to interact with the environment. The social perception of aging involves the inability to live independently due to loss of mobility, cognition, and sensory functions. Aging is a …
View article: The Snow-Fink Technique as an Opposition Tendon Transfer for Children Born with a Hypoplastic or Absent Thumb
The Snow-Fink Technique as an Opposition Tendon Transfer for Children Born with a Hypoplastic or Absent Thumb Open
Background A novel opposition tendon transfer, previously described by Snow and Fink in adults but not in children, can provide better functional results and cosmetic appearance than the currently preferred Huber transfer. Methods Thirty-o…