Explanipedia

Primary closure versus secondary healing of pin sites after the removal of provisional external fixator: a systematic review and meta-analysis Open

Michael D. McKee · 2025

Background External fixators are commonly used for managing complex fractures, but they are associated with the risk of pin site infections. Pin site management following external fixator removal can be performed using either primary closu…

Proximal humerus fractures: Treatment controversies Open

Utku Kandemir, Guy Putzeys, Michael D. McKee · 2025

The treatment of proximal humerus fractures is challenging, and significant controversy exists even regarding which patients are indicated for surgical treatment. When surgery is indicated, open reduction and internal fixation is the most …

Clinical outcomes following surgical fixation of acromion fractures Open

Tram L Tran, Molly G. Sekar, Nik Bhardwaja, Jessica A. McGraw-Heinrich, Michael D. McKee , et al. · 2024

Evolution of Reverse Shoulder Arthroplasty Design Rationales and Where We Are Now Open

Anup Shah, Mihir Sheth, Michael D. McKee, Evan Lederman · 2024

Reverse shoulder arthroplasty (RSA) will soon reach its 20-year anniversary in the United States and has now become the most performed shoulder arthroplasty in the United States. The evolution from Grammont style implants to lateralized de…

Distal femur fractures: basic science and international perspectives Open

Aaron Nauth, Justin M. Haller, Peter Augat, Donald D. Anderson, Michael D. McKee , et al. · 2024

Distal femur fractures are challenging injuries to manage, and complication rates remain high. This article summarizes the international and basic science perspectives regarding distal femoral fractures that were presented at the 2022 Orth…

Anatomic variations of the deltoid muscle insertion: a cadaveric study Open

Arjun Vohra, Benjamin C. Paul, Patrick Saunders, Youssef Galal, Stephen Yao , et al. · 2024

The current study demonstrates a novel insertion pattern for the deltoid muscle that has not been previously characterized. This "step-off" insertion pattern shows that the anterior, middle, and posterior tendons are inserted superior-medi…

Humerus fractures: selecting fixation for a successful outcome Open

Utku Kandemir, Emily H. Naclerio, Michael D. McKee, David J. Weatherby, Peter A. Cole , et al. · 2023

Summary: Current evidence suggests at least one-third of humeral shaft fractures initially managed nonoperatively will fail closed treatment, and this review highlights surgical considerations in those circumstances. Although operative ind…

Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries Open

Niloofar Dehghan, Aaron Nauth, Emil H. Schemitsch, Milena Vicente, Richard Jenkinson , et al. · 2022

Importance Unstable chest wall injuries have high rates of mortality and morbidity. In the last decade, multiple studies have reported improved outcomes with operative compared with nonoperative treatment. However, to date, an adequately p…

A systematic review of the use of titanium versus stainless steel implants for fracture fixation Open

Collin C. Barber, Matthew Burnham, Ogaga Ojameruaye, Michael D. McKee · 2021

Background: Controversy exists regarding the use of titanium and stainless steel implants in fracture surgery. To our knowledge, no recent, comprehensive review on this topic has been reported. Purpose: To perform a systematic review of th…

Comparative effectiveness of treatment options for displaced midshaft clavicle fractures Open

John R. Martin, Patrick Saunders, Mark Phillips, Sean M. Mitchell, Michael D. McKee , et al. · 2021

Aims The aims of this network meta-analysis (NMA) were to examine nonunion rates and functional outcomes following various operative and nonoperative treatments for displaced mid-shaft clavicle fractures. Methods Initial search strategy in…

Threaded Intramedullary Nails Are Biomechanically Superior to Crossed K-wires for Metacarpal Neck Fractures Open

Midhat Patel, Paulo Castañeda, David H. Campbell, Jill G. Putnam, Michael D. McKee · 2021

Background Intramedullary nail (IMN) fixation of metacarpal fractures is an alternative to Kirschner wire (K-wire) fixation. The goal of this study was to compare the biomechanical properties of K-wire fixation with a threaded IMN (InNate;…

Orthopaedic Systems Response to and Return from the COVID-19 Pandemic Open

Ronald A. Navarro, Nithin C. Reddy, Jennifer M. Weiss, Adolph J. Yates, Freddie H. Fu , et al. · 2020

The coronavirus disease 2019 (COVID-19) pandemic has become the dominant health-care issue of this generation and has reached every corner of the health-care delivery spectrum. Our 3 orthopaedic departments enacted a response to the COVID-…

An evaluation of treatment options for medial, midshaft, and distal clavicle fractures: a systematic review and meta-analysis Open

Christopher Vannabouathong, Justin Chiu, Rahil Patel, Shreyas Sreeraman, Mohamed Elseyoufi , et al. · 2020

This study can provide guidance on the management of medial, midshaft, and distal clavicle fractures. The current evidence suggests that plating, an ESIN, and a CRx intramedullary nail are all good options for midshaft fractures; an LP wit…

Correction to: Pathologic Clavicle Fracture Secondary to Cutibacterium acnes Abscess: Case Report and Review of Literature Open

Robert Ravinsky, Amit Anand, Michael D. McKee · 2020

Pathologic Clavicle Fracture Secondary to Propionibacterium acnes Abscess: Case Report and Review of Literature Open

Robert Ravinsky, Amit Anand, Michael D. McKee · 2020

Clinical and policy contexts for cancer care: Evidence from Denmark, Ireland and Ontario (Canada) Open

Melanie Morris, Susan Landon, Michael D. McKee, Ellen Nolte · 2019

Background We know there are large differences in cancer survival between countries. We know much less about why they exist and persist. In the International Cancer Benchmarking Partnership, we are seeking to understand the influences on p…

Long-term outcomes of total elbow arthroplasty for distal humeral fracture: results from a prior randomized clinical trial Open

Niloofar Dehghan, Matthew J. Furey, Laura A. Schemitsch, Bill Ristevski, Thomas J. Goetz , et al. · 2019

What’s New in Orthopaedic Trauma Open

Niloofar Dehghan, Michael D. McKee · 2019

The field of orthopaedic trauma is constantly evolving, and it can be difficult to keep up to date on all of the important developments and advancements. This article provides a summary of high-quality studies that were published or read i…

NASHA hyaluronic acid for the treatment of shoulder osteoarthritis: a prospective, single-arm clinical trial Open

Michael D. McKee, Robert Litchfield, Jeremy Hall, Tawana Wester, John T. Jones , et al. · 2019

Background: Osteoarthritis of the shoulder or glenohumeral joint is a painful condition that can be debilitating. Intra-articular injection with hyaluronic acid should be considered for patients not responding adequately to physical…

What’s New in Orthopaedic Trauma Open

Niloofar Dehghan, Michael D. McKee · 2018

JBJS

Clavicle Malunions: Surgical Treatment and Outcome—a Literature Review Open

Claudia C. Sidler-Maier, Nicolas J. Dedy, Emil H. Schemitsch, Michael D. McKee · 2017

Background Successful treatment of clavicle malunion represents a major challenge for orthopedic surgeons. Questions/Purposes The aim of this study was to provide an overview of surgical options for the treatment of clavicle malunions rega…

To operate or not to operate, that is the question Open

Michelle Ghert, Michael D. McKee · 2016

To operate or not to operate, that is the question. In the case of a displaced diaphyseal fracture of the femur, this question is not a challenge. We do not need a randomised controlled trial to determine if intramedullary nailing of a fra…

Are patients willing to pay for total shoulder arthroplasty? Evidence from a discrete choice experiment Open

Nathan N. O’Hara, Gerard P. Slobogean, Tima Mohammadi, Carlo A. Marra, Milena Vicente , et al. · 2016

Our results suggest that patients waiting for TSA to treat severe shoulder OA have minimal willingness to pay for a reduction in wait time or travel time for surgery, yet will pay higher amounts for treatment by an experienced surgeon.

Open Reduction and Internal Fixation of Both-Bones Forearm Fractures* Open

Aaron Nauth, Michael D. McKee · 2015

Compared with closed reduction or older fixation methods, open reduction and compression plate fixation has dramatically improved the outcomes of displaced diaphyseal forearm fractures. However, the procedure can be technically demanding, …

Total Hip Arthroplasty After Acetabular Fracture Is Associated With Lower Survivorship and More Complications Open

Zachary Morison, Dirk Jan F. Moojen, Aaron Nauth, Jeremy Hall, Michael D. McKee , et al. · 2015

Level III, therapeutic study.

A scoping review of biomechanical testing for proximal humerus fracture implants Open

David W. Cruickshank, Kelly A. Lefaivre, Herman Johal, Norma J. MacIntyre, Sheila Sprague , et al. · 2015

The biomechanical literature was found to be both diverse and heterogeneous. More complex fracture patterns and RTSA implants have not been adequately tested. These gaps in the current literature will need to be addressed to ensure that fu…

A scoping review of the proximal humerus fracture literature Open

Gerard P. Slobogean, Herman Johal, Kelly A. Lefaivre, Norma J. MacIntyre, Sheila Sprague , et al. · 2015

Reliability, Validity, and Responsiveness of the Western Ontario and McMaster Universities Osteoarthritis Index for Elderly Patients with a Femoral Neck Fracture Open

P.T.P.W. Burgers, Rudolf W. Poolman, Theodorus M. J. van Bakel, Wim E. Tuinebreijer, Stephanie M. Zielinski , et al. · 2015

The results are based on two clinical trials. The questionnaires used concern pure, clinically relevant issues (ability to walk, climb stairs, etc.). Moreover, the results can be used for future research comparing clinical outcomes (or tre…

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