Kevin Lutsky
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View article: Hand and Wrist Dog-Leash Injuries in the Outpatient Setting: A Review of 443 Cases
Hand and Wrist Dog-Leash Injuries in the Outpatient Setting: A Review of 443 Cases Open
Background: Injuries sustained from dog leashes often result in visits to hand surgeons. This study presents an analysis of dog-leash-related upper-extremity injuries at a single orthopedic practice, including treatment options for these i…
View article: The Five-Year Growth of an Orthopedic Urgent Care Center: Identifying Patient and Center Trends
The Five-Year Growth of an Orthopedic Urgent Care Center: Identifying Patient and Center Trends Open
OUCCs are an effective means of expanding access to care for patients and increasing the volume of an orthopedic practice. Continued monitoring of the types of patients seen within oUCCs will further optimize care delivery.
View article: Incidence of Operating Room Fires During Hand Surgical Procedures.
Incidence of Operating Room Fires During Hand Surgical Procedures. Open
BACKGROUND: The purpose of the present study is to report the incidence of operating room fires during hand surgical procedures. METHODS: The clinic and OR electronic medical records of seven fellowship-trained orthopedic hand surgeons at …
View article: Three Dimensionally Printed Versus Conventional Casts in Pediatric Wrist Fractures
Three Dimensionally Printed Versus Conventional Casts in Pediatric Wrist Fractures Open
Background and objective With significant advancement in the field of biomaterials, alternatives to conventional fiberglass casts such as customized three-dimensional (3D) orthotics have been developed. However, there is a scarcity of repo…
View article: Time to Improvement After Corticosteroid Injection for Trigger Finger
Time to Improvement After Corticosteroid Injection for Trigger Finger Open
Purpose Trigger finger is a commonly occurring hand condition that presents with symptoms of pain, clicking, locking, and catching of the finger. A common non-operative management option is corticosteroid injection. The purpose of this stu…
View article: Unplanned Office Visits Following Outpatient Hand Surgery
Unplanned Office Visits Following Outpatient Hand Surgery Open
Background Returning to the office for an unplanned visit postoperatively can be burdensome to both the patient and provider. The purpose of this study was to quantify the rate of unplanned office visits after common soft tissue hand surge…
View article: Deep Infection after Distal Radius Open-reduction Internal Fixation: A Case Series.
Deep Infection after Distal Radius Open-reduction Internal Fixation: A Case Series. Open
The reported rate of deep infection after distal radius ORIF is less than 1%. There is no well-defined treatment algorithm for patients with deep infection after distal radius ORIF. However, removal of hardware and post-operative oral or i…
View article: Nonsurgical Providers Provide the Majority of Postoperative Opioid Prescriptions After Hand Surgery
Nonsurgical Providers Provide the Majority of Postoperative Opioid Prescriptions After Hand Surgery Open
Introduction The increased use of Prescription Drug Monitoring Program (PDMP) websites has helped physicians to limit overlapping controlled substance prescriptions and help prevent opioid abuse. Many studies have investigated risk factors…
View article: Outcomes After Surgically Managed Oblique Extra-Articular Proximal Phalanx Fractures: A Comparison of Closed-Reduction Percutaneous Pinning and Open-Reduction Internal Fixation With Lag Screws
Outcomes After Surgically Managed Oblique Extra-Articular Proximal Phalanx Fractures: A Comparison of Closed-Reduction Percutaneous Pinning and Open-Reduction Internal Fixation With Lag Screws Open
Background Long oblique extra-articular proximal phalanx fractures are common orthopedic injuries. When unstable and without substantial comminution, treatment options include closed-reduction percutaneous pinning (CRPP) and open-reduction…
View article: The Clinical Impact of Ambient Operating Room Temperature and Other Perioperative Factors on Patient Comfort during Wide-awake Hand Surgery Using Local Anesthesia.
The Clinical Impact of Ambient Operating Room Temperature and Other Perioperative Factors on Patient Comfort during Wide-awake Hand Surgery Using Local Anesthesia. Open
Patient comfort during surgery using local anesthesia is not substantially affected by operating room temperature. Tourniquet use negatively impacts patient-reported comfort. Continued studies into the optimization of patient comfort durin…
View article: Outcomes of Type I Open Distal Radius Fractures: A Comparison of Delayed and Urgent Open Reduction Internal Fixation
Outcomes of Type I Open Distal Radius Fractures: A Comparison of Delayed and Urgent Open Reduction Internal Fixation Open
Background Type I open distal radius fractures treated with open reduction internal fixation (ORIF) have demonstrated minimal risk of infection. For this reason, they may not require urgent surgical treatment. The purpose of this study was…
View article: Comparison of the Costs of Reusable Versus Disposable Equipment for Endoscopic Carpal Tunnel Release Procedures Using Activity-Based Costing Analysis
Comparison of the Costs of Reusable Versus Disposable Equipment for Endoscopic Carpal Tunnel Release Procedures Using Activity-Based Costing Analysis Open
Economic Analysis II.
View article: Variability in Medicaid Reimbursement in Hand Surgery May Lead to Inequality in Access to Patient Care
Variability in Medicaid Reimbursement in Hand Surgery May Lead to Inequality in Access to Patient Care Open
Background: Medicare (MCR) and Medicaid (MCD) remain the dominant providers of government-funded health insurance in the United States. The purpose of this study was to evaluate the variability between MCR and MCD reimbursements for common…
View article: Evaluation of the Incidence and Etiology of Unplanned Return to Operating Room Following Open Reduction Internal Fixation of Distal Radius Fractures
Evaluation of the Incidence and Etiology of Unplanned Return to Operating Room Following Open Reduction Internal Fixation of Distal Radius Fractures Open
Background: Distal radius fractures (DRF) are the most common upper extremity fractures in adults. The purpose of this study was to determine the incidence, causes, and independent predictors for unplanned return to the operating room (URT…
View article: Does Undergoing Outpatient Hand Surgery Lead to Prolonged Opioid Use? A Comparison of Surgical and Nonsurgical Patients
Does Undergoing Outpatient Hand Surgery Lead to Prolonged Opioid Use? A Comparison of Surgical and Nonsurgical Patients Open
Background: Orthopedic surgical patients in general have been found to be at higher risk for developing opioid dependence in the postoperative period. However, there is conflicting evidence in the literature whether opioid exposure after h…
View article: Are Plain X-Rays Necessary in the Diagnosis of De Quervain's Tenosynovitis?
Are Plain X-Rays Necessary in the Diagnosis of De Quervain's Tenosynovitis? Open
Background The routine use of plain radiography represents a significant expenditure and has been proven unnecessary in several orthopedic conditions. The utility of plain radiographs in the diagnosis of De Quervain's tenosynovitis (DeQ) i…
View article: Overall Opioid Consumption Is Not Associated With the Amount of Opioids Administered and Prescribed on the Day of Upper Extremity Surgery
Overall Opioid Consumption Is Not Associated With the Amount of Opioids Administered and Prescribed on the Day of Upper Extremity Surgery Open
Background: Orthopedic surgeons need to better understand the effect their opioid-prescribing habits have on patients. The purpose of our study was to evaluate whether the type of procedure or initial amount of opioids prescribed postopera…
View article: Morphometric Assessment of the Residual Width of the Distal Hamate Articular Surface after Graft Harvest for Hemi-hamate Arthroplasty.
Morphometric Assessment of the Residual Width of the Distal Hamate Articular Surface after Graft Harvest for Hemi-hamate Arthroplasty. Open
There is likely to be a very small amount of residual hamate articular surface width left after the graft is harvested if the entire base of P2 is reconstructed.
View article: Antegrade Versus Retrograde Technique for Fixation of Scaphoid Waist Fractures: A Comparison of Screw Placement
Antegrade Versus Retrograde Technique for Fixation of Scaphoid Waist Fractures: A Comparison of Screw Placement Open
Background Scaphoid waist fractures are often treated using headless compression screws using dorsal or volar approaches. Objectives The purpose of this study is to compare differences in screw position using a volar (retrograde) or dorsal…
View article: Volume of the Thumb Carpometacarpal Joint
Volume of the Thumb Carpometacarpal Joint Open
Background The volume of the carpometacarpal joint of the thumb (TCMC) and its capacity to accommodate fluid injection is unknown. Questions/Purpose The purpose of the present study is to assess the volume of the TCMC. Methods Forty-two th…
View article: MRI Utility in Hand Surgery
MRI Utility in Hand Surgery Open
Background: Magnetic resonance imaging (MRI) is frequently used in the diagnosis of upper extremity conditions. We hypothesize that the results often do not change treatment. The purpose of the present study was to prospectively assess the…
View article: Preoperative Exposure to Benzodiazepines or Sedative/hypnotics Increases the Risk of Greater Filled Opioid Prescriptions After Surgery
Preoperative Exposure to Benzodiazepines or Sedative/hypnotics Increases the Risk of Greater Filled Opioid Prescriptions After Surgery Open
Background The effect of the preoperative exposure to controlled substances such as benzodiazepines and sedative/hypnotics on prolonged opioid consumption after hand surgery is not known. Questions/purposes (1) Is preoperative exposure to …
View article: A Prospective Evaluation of the Anatomy of the First Dorsal Compartment in Patients Requiring Surgery for De Quervain's Tenosynovitis
A Prospective Evaluation of the Anatomy of the First Dorsal Compartment in Patients Requiring Surgery for De Quervain's Tenosynovitis Open
Background We prospectively evaluated the surgical anatomy during first dorsal compartment release for De Quervain's tenosynovitis, with special attention to the superficial branch of the radial nerve (SBRN). Additionally, the incidence of…
View article: An Evaluation of Digital Imaging Studies in an Outpatient Orthopedic Setting.
An Evaluation of Digital Imaging Studies in an Outpatient Orthopedic Setting. Open
III.
View article: Outcomes of Distal Ulna Fractures Associated With Operatively Treated Distal Radius Fractures
Outcomes of Distal Ulna Fractures Associated With Operatively Treated Distal Radius Fractures Open
Background: The purpose of this study was to report outcomes in patients with nonstyloid distal ulna fractures treated in conjunction with open reduction internal fixation (ORIF) of distal radius fractures. Methods: A retrospective review …