Ashley E. Levack
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View article: A review of North American orthopaedic trauma and fracture registries
A review of North American orthopaedic trauma and fracture registries Open
In North America, orthopaedic trauma and fracture registries can be broadly categorized into 4 groups: national registries without subscription, national registries with subscription, for-profit registries, and nontrauma-specific and insur…
View article: The Fallacy of Patient-Reported Outcome Measures
The Fallacy of Patient-Reported Outcome Measures Open
Background: Patient-reported outcome measures are increasingly common in orthopaedic research yet routinely fail to detect clinically meaningful differences in clinical trials. We assessed if orthopaedic studies are more likely to detect c…
View article: Revisiting the OTA-OFC: a systematic review of open fracture classification studies since 2010
Revisiting the OTA-OFC: a systematic review of open fracture classification studies since 2010 Open
Introduction: Management of open extremity fractures presents significant challenges due to infection risks and healing complications. The widely used Gustilo-Anderson classification, established in 1976, categorizes open fractures primari…
View article: The Impact of National Orthopaedic Fracture Registries: A Systematic Review
The Impact of National Orthopaedic Fracture Registries: A Systematic Review Open
Purpose: Large-scale registry data efforts are common in orthopaedic surgery; however, there is wide variation between registries and little known about registry impact. The purpose of this study was to assess the publication or “scholarly…
View article: Does the CDC Surgical Wound Classification adequately predict postoperative infection in lower extremity fracture surgery?
Does the CDC Surgical Wound Classification adequately predict postoperative infection in lower extremity fracture surgery? Open
Objectives: The purpose of this investigation was to evaluate the utility of the Centers for Disease Control (CDC) Surgical Wound Classification (SWC) in predicting surgical site infection (SSI) after orthopaedic trauma procedures. Design:…
View article: Clinical relevance of current patient-reported outcome measures for ankle fracture: surgeons' perspective
Clinical relevance of current patient-reported outcome measures for ankle fracture: surgeons' perspective Open
Objectives: Determine the relevance of the most frequently used patient-reported outcome measures (PROMs) for monitoring patient recovery after ankle fracture, from the clinical perspective of orthopaedic trauma surgeons, given lack of val…
View article: Analysis of Sex Diversity Within Orthopedic Trauma Surgery Fellowship Programs
Analysis of Sex Diversity Within Orthopedic Trauma Surgery Fellowship Programs Open
Background: Women continue to be underrepresented in orthopedic surgery and in orthopedic fellowship programs, especially in orthopedic trauma. Purpose: We aimed to assess sex diversity among faculty and trainees in orthopedic trauma surge…
View article: Dalbavancin is thermally stable at clinically relevant temperatures against methicillin-sensitive <i>Staphylococcus Aureus</i>
Dalbavancin is thermally stable at clinically relevant temperatures against methicillin-sensitive <i>Staphylococcus Aureus</i> Open
Introduction: While the rate of orthopaedic infections has remained constant over the years, the burden on healthcare systems continues to rise with an aging population. Local antibiotic delivery via polymethyl methacrylate bone cement is …
View article: Chronic Warfarin Anticoagulation in Hip Fracture Patients Delays Surgery and Is Associated With Increased Risk of Postoperative Complications: A Multicenter Propensity-Score–Matched Analysis
Chronic Warfarin Anticoagulation in Hip Fracture Patients Delays Surgery and Is Associated With Increased Risk of Postoperative Complications: A Multicenter Propensity-Score–Matched Analysis Open
Objective: To evaluate the effect of warfarin on blood transfusion and postoperative complications in a low-energy hip fracture population compared with a non-anticoagulated comparison group. Design: Multicenter Retrospective Cohort. Setti…
View article: Identifying alternative antibiotics that elute from calcium sulfate beads for treatment of orthopedic infections
Identifying alternative antibiotics that elute from calcium sulfate beads for treatment of orthopedic infections Open
There has been increasing interest in the use of a synthetic absorbable calcium sulfate (CaSO 4 ) for local antibiotic delivery in orthopaedic infections. The purpose of this study was to quantify elution kinetics of six antibiotics (amika…
View article: The Utility of MRI With Multiacquisition Variable-Resonance Image Combination (MAVRIC) in Diagnosing Deep Total Hip Arthroplasty Infection
The Utility of MRI With Multiacquisition Variable-Resonance Image Combination (MAVRIC) in Diagnosing Deep Total Hip Arthroplasty Infection Open
Background: The 2010 American Academy of Orthopaedic Surgeons Clinical Practice Guidelines report insufficient evidence to address the diagnostic efficacy of magnetic resonance imaging (MRI) for periprosthetic joint infection (PJI). Questi…
View article: Endosteal Vasculature Dominates Along the Tibial Cortical Diaphysis: A Quantitative Magnetic Resonance Imaging Analysis
Endosteal Vasculature Dominates Along the Tibial Cortical Diaphysis: A Quantitative Magnetic Resonance Imaging Analysis Open
Objective: Disrupted blood supply has been proposed as an underlying cause for delayed union in tibial shaft fractures (OTA/AO 42). Although tibial blood supply has been qualitatively evaluated, quantitative studies are lacking. The purpos…
View article: Posterior Malleolus Fracture Displacement is Associated with Rotational Ankle Fracture Stability in Patients without Medial Malleolar Fractures
Posterior Malleolus Fracture Displacement is Associated with Rotational Ankle Fracture Stability in Patients without Medial Malleolar Fractures Open
Background The optimal method for the determination of ankle stability remains controversial in rotational ankle fractures without medial bony injury. Questions/Purposes The purposes of this study were to (1) evaluate whether posterior mal…
View article: Supination External Rotational Ankle Fracture Injury Pattern Correlation With Regional Bone Density
Supination External Rotational Ankle Fracture Injury Pattern Correlation With Regional Bone Density Open
Background: Rotational ankle fractures can present with an array of possible osseous and ligamentous injury combinations in reliable anatomic locations. What accounts for these different injury patterns and whether specific patient and inj…
View article: Gait Analysis After Intertrochanteric Hip Fracture: Does Shortening Result in Gait Impairment?
Gait Analysis After Intertrochanteric Hip Fracture: Does Shortening Result in Gait Impairment? Open
Objective: To determine the association between fracture collapse with altered gait after intertrochanteric (IT) fracture using the trochanteric fixation nail (TFN) and helical blade. Design: Prospective cohort study. Setting: Academic Lev…
View article: Tranexamic acid in hip fracture patients: a protocol for a randomised, placebo controlled trial on the efficacy of tranexamic acid in reducing blood loss in hip fracture patients
Tranexamic acid in hip fracture patients: a protocol for a randomised, placebo controlled trial on the efficacy of tranexamic acid in reducing blood loss in hip fracture patients Open
Introduction There is a high incidence of blood transfusion following hip fractures in elderly patients. Tranexamic acid (TXA) has proven efficacy in decreasing blood loss in general trauma patients as well as patients undergoing elective …