Daniel J. Stinner
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View article: Management Strategies for Failed Pilon Fractures: A Personalized Approach to Revision Reconstruction
Management Strategies for Failed Pilon Fractures: A Personalized Approach to Revision Reconstruction Open
Despite advances in staged protocols and fixation techniques, treatment of pilon fractures remains a significant challenge in orthopedic trauma, with up to 21% of patients requiring revision surgery. Management of a pilon fracture that has…
View article: Extremity War Injury Symposium 2024: Sports Medicine and Medical Readiness Section Summary
Extremity War Injury Symposium 2024: Sports Medicine and Medical Readiness Section Summary Open
Collaboration between military and civilian investigators is necessary to develop strategies for optimizing treatments to diminish the sequelae of non–battle-related musculoskeletal injuries, which are highly prevalent among servicemembers…
View article: Letter to the Editor Regarding “Telemedicine-Guided Two-Incision Lower Leg Fasciotomy Performed by Combat Medics During Tactical Combat Casualty Care: A Feasibility Study”
Letter to the Editor Regarding “Telemedicine-Guided Two-Incision Lower Leg Fasciotomy Performed by Combat Medics During Tactical Combat Casualty Care: A Feasibility Study” Open
Journal Article Letter to the Editor Regarding "Telemedicine-Guided Two-Incision Lower Leg Fasciotomy Performed by Combat Medics During Tactical Combat Casualty Care: A Feasibility Study" Get access Ryan C Ross, BS, Ryan C Ross, BS Departm…
View article: Optimizing Advanced Trauma Life Support (ATLS®) to Maximize Readiness
Optimizing Advanced Trauma Life Support (ATLS®) to Maximize Readiness Open
Introduction The Army utilizes Individual Critical Task Lists (ICTLs) to track and ensure competency and deployment readiness of its medical service members. ICTLs are the various skills and procedures that the Army has deemed foundational…
View article: Negative pressure wound therapy: Where are we in 2022?
Negative pressure wound therapy: Where are we in 2022? Open
Summary: The use of negative pressure wound therapy (NPWT) continues to be an important tool for surgeons. As the use and general acceptance of NPWT have grown, so have the indications for its use. These indications have expanded to includ…
View article: Soft tissue coverage: techniques for the orthopaedic trauma surgeon
Soft tissue coverage: techniques for the orthopaedic trauma surgeon Open
There is wide variation in the types of soft tissue defects that an orthopaedic surgeon may encounter in their practice. Although some defects may be managed with negative pressure wound therapy or wet–dry dressings alone, others may requi…
View article: CORR Insights®: Is Self-reported Return to Duty an Adequate Indicator of Return to Sport and/or Return to Function in Military Patients?
CORR Insights®: Is Self-reported Return to Duty an Adequate Indicator of Return to Sport and/or Return to Function in Military Patients? Open
Where Are We Now? Not too long ago, the results reported in orthopaedic trauma studies essentially boiled down to “healed” or “not healed” and “infected” or “not infected”. Today, our thinking has evolved, where we now have a greater under…
View article: CORR Insights®: Is Reoperation Higher Than Expected after Below-the-knee Amputation? A Single-center Evaluation of Factors Associated with Reoperation at 1 Year
CORR Insights®: Is Reoperation Higher Than Expected after Below-the-knee Amputation? A Single-center Evaluation of Factors Associated with Reoperation at 1 Year Open
Where Are We Now? Below-the-knee (transtibial) amputation is commonly performed for trauma, infection, ischemia, and malignancy. Although relatively straightforward to perform, it is nonetheless associated with frequent complications and c…
View article: The Orthopaedic Trauma Service and COVID-19: Practice Considerations to Optimize Outcomes and Limit Exposure
The Orthopaedic Trauma Service and COVID-19: Practice Considerations to Optimize Outcomes and Limit Exposure Open
The COVID-19 pandemic has presented challenges to healthcare systems, including the cancellation and then staged resumption of elective procedures. The orthopaedic trauma community has continued to provide care to patients with acute muscu…
View article: Being Prepared for the Next Conflict Part II: Case Analysis of a Military Level 1 Trauma Center
Being Prepared for the Next Conflict Part II: Case Analysis of a Military Level 1 Trauma Center Open
Introduction Combat-related injuries have declined substantially in recent years as we have transitioned to a low-volume combat casualty flow era. Surgeons must remain actively committed to training for the next engagement to maintain life…
View article: Data for: The Risk of Fracture to the Tibia from a Fragment Simulating Projectile
Data for: The Risk of Fracture to the Tibia from a Fragment Simulating Projectile Open
Demographic, injury, and statistical data
View article: Osteomyelitis Risk Factors Related to Combat Trauma Open Upper Extremity Fractures: A Case–Control Analysis
Osteomyelitis Risk Factors Related to Combat Trauma Open Upper Extremity Fractures: A Case–Control Analysis Open
Objective: To determine risk factors for osteomyelitis in US military personnel with combat-related, extremity long bone (humerus, radius, and ulna) open fractures. Design: Retrospective observational case–control study. Setting: US milita…
View article: Optimization of outcomes following limb salvage of combat-related lower extremity trauma
Optimization of outcomes following limb salvage of combat-related lower extremity trauma Open
PhD by Published Work
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\nTemporary External Fixation Is Safe in a Combat Environment. Possley DR, Burns TC, Stinner DJ, Murray CK, Wenke JC, Hsu JR, Skeletal Trauma Research Consortium. J Trauma 2010;69:S135-S139.
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\nStudy…
View article: Orthopedic Trauma: Extremity Fractures
Orthopedic Trauma: Extremity Fractures Open
Fractures continue to account for a large proportion of combat-related injuries. The basic tenets of irrigation, debridement, soft tissue care, and vigilant monitoring/fasciotomy for acute compartment syndrome persist. Closed management of…
View article: Surgical Management of Musculoskeletal Trauma
Surgical Management of Musculoskeletal Trauma Open
Musculoskeletal injuries cause a significant burden to society and can have a considerable impact on patient morbidity and mortality. It was initially thought that these patients were too sick to undergo surgery and later believed that the…
View article: Multimedia Campaign Enhances Orthopaedic Patient Perceptions of Health Care Quality: A Prospective Analysis of Effect at a Military Treatment Facility
Multimedia Campaign Enhances Orthopaedic Patient Perceptions of Health Care Quality: A Prospective Analysis of Effect at a Military Treatment Facility Open
The implementation of a multimedia campaign resulted in significant improvements among indices of orthopaedic patient satisfaction. We believe this model could be used at other military or nonmilitary treatment facilities as a means to eng…
View article: The Importance of Medical Readiness Training Exercises: Maintaining Medical Readiness in a Low-Volume Combat Casualty Flow Era
The Importance of Medical Readiness Training Exercises: Maintaining Medical Readiness in a Low-Volume Combat Casualty Flow Era Open
Appropriately planned MEDRETEs can provide a concentrated case volume to allow maintenance of complex surgical skills related to the management of severe combat-related extremity injuries. These training exercises will be vital to maintain…
View article: Being Prepared for the Next Conflict: A Case Analysis of a Military Level I Trauma Center
Being Prepared for the Next Conflict: A Case Analysis of a Military Level I Trauma Center Open
This data supports prior identified trends in military cases correlating increased number of procedures with increased combat activity related to the conflicts in Iraq and Afghanistan in 2007 and 2011, respectively. The data showed relativ…
View article: A Unique Application of Negative Pressure Wound Therapy Used to Facilitate Patient Engagement in the Amputation Recovery Process
A Unique Application of Negative Pressure Wound Therapy Used to Facilitate Patient Engagement in the Amputation Recovery Process Open
Amputation rates during recent military conflicts were at an all-time high, but medical treatment of those amputations and attitudes of service members to get back to duty are also surging ahead. We present the cases of an active duty resc…
View article: Military and Civilian Collaboration: The Power of Numbers
Military and Civilian Collaboration: The Power of Numbers Open
The purpose of this study was to compare the number and types of extremity injuries treated at civilian trauma centers (CIV CENs) versus military treatment facilities (MTFs) participating in the Major Extremity Trauma Research Consortium (…
View article: Improving Outcomes Following Extremity Trauma: The Need for a Multidisciplinary Approach
Improving Outcomes Following Extremity Trauma: The Need for a Multidisciplinary Approach Open
Extremity injuries contribute a significant amount to the overall disability of combat-injured soldiers. Tracking patient outcomes allows military health care providers to gain a better understanding of the disability associated with vario…
View article: Falls in a Young Active Amputee Population: A Frequent Cause of Rehospitalization?
Falls in a Young Active Amputee Population: A Frequent Cause of Rehospitalization? Open
Falls occur in up to 50% of amputees within a single year of their operation and up to 40% of these falls result in injury. However, there is a lack of data evaluating falls in a young, active amputee population despite an estimated 58% of…
View article: Characteristics of Genitourinary Injuries Associated With Pelvic Fractures During Operation Iraqi Freedom and Operation Enduring Freedom
Characteristics of Genitourinary Injuries Associated With Pelvic Fractures During Operation Iraqi Freedom and Operation Enduring Freedom Open
A higher incidence of genitourinary injuries in patients with combat-related pelvic fractures (60%) was found than that of their civilian counterparts. Of the survivors, 100% of those with genitourinary injuries were being treated for erec…