Michael J. Gardner
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View article: Prevalence & Economic Burden of Adult Spinal Deformity in a Large United States Commercial Payer Population
Prevalence & Economic Burden of Adult Spinal Deformity in a Large United States Commercial Payer Population Open
The burden of both operative and nonoperative care for ASD is large. Considerable opportunity exists for development of improved nonoperative treatment modalities to increase the value of ASD care by reducing the need for continued nonoper…
View article: Implementation of a 3-Tier Priority System for Emergency Department Patients’ Follow-up in Orthopaedic Surgery
Implementation of a 3-Tier Priority System for Emergency Department Patients’ Follow-up in Orthopaedic Surgery Open
Introduction: Increasing demand for emergency department (ED) services and strained specialty- care access requires referral precision and was the impetus for a collaborative redesign of referrals between the Department of Emergency Medici…
View article: Human skeletal development and regeneration are shaped by functional diversity of stem cells across skeletal sites
Human skeletal development and regeneration are shaped by functional diversity of stem cells across skeletal sites Open
The skeleton is one of the most structurally and compositionally diverse organ systems in the human body, depending on unique cellular dynamisms. Here, we integrate prospective isolation of human skeletal stem cells (hSSCs; CD45-CD235a-TIE…
View article: Osseointegration and fixation opportunities of sacroiliac instrumentation: a preclinical evaluation in a large animal model
Osseointegration and fixation opportunities of sacroiliac instrumentation: a preclinical evaluation in a large animal model Open
Implant designs that provide osseointegration via ongrowth, ingrowth and through growth improve implant fixation.
View article: Outcomes of Patients with Preoperative Thrombocytosis After Hip Fracture Surgery
Outcomes of Patients with Preoperative Thrombocytosis After Hip Fracture Surgery Open
Introduction: Low platelet counts have clinically relevant effects on patient outcomes after hip fracture surgery; however, the relationship between abnormally high platelet counts and postoperative outcomes in this population is unknown. …
View article: 3D Topographical Scanning for the Detection of Osteoporosis
3D Topographical Scanning for the Detection of Osteoporosis Open
Our results showed significant correlations between DEXA T-scores and topographical measurements from mobile device acquired 3D scans, although these were in the "moderate" range. Mobile device-based 3D scanning may hold promise as an adju…
View article: Contextual Determinants of Time to Surgery for Patients With Hip Fracture
Contextual Determinants of Time to Surgery for Patients With Hip Fracture Open
Importance Surgery within 24 hours after a hip fracture improves patient morbidity and mortality, which has led some hospitals to launch quality improvement programs (eg, targeted resource management, documented protocols) to address delay…
View article: Limb position affects intraoperative assessment of condylar width
Limb position affects intraoperative assessment of condylar width Open
Purpose We sought to define how changes in position and rotation of fluoroscopic imaging may affect the assessment of condylar widening intraoperatively. Methods Thirty-three patients with tibial plateau fractures were prospectively identi…
View article: Poster 379: Mentorship and Research Program to Improve Opportunity Among Underrepresented Students Pursuing Orthopaedic Surgery and Sports Medicine
Poster 379: Mentorship and Research Program to Improve Opportunity Among Underrepresented Students Pursuing Orthopaedic Surgery and Sports Medicine Open
Objectives: In North America, the orthopaedic specialty has limited diversity with over 80% of orthopaedic surgeons being caucaisan male. Over the last 20 years, many specialty societies have attempted to improve diversity in the specialty…
View article: Olecranon fractures
Olecranon fractures Open
Despite being one of the most common injuries around the elbow, the optimal treatment of olecranon fractures is far from established and stimulates debate among both general orthopaedic trauma surgeons and upper limb specialists. It is alm…
View article: Syndesmotic Suture Button Fixation Results in Higher Tegner Activity Scale Scores When Compared to Screw Fixation: A Multicenter Investigation
Syndesmotic Suture Button Fixation Results in Higher Tegner Activity Scale Scores When Compared to Screw Fixation: A Multicenter Investigation Open
Category: Ankle Introduction/Purpose: Injuries of the syndesmosis may occur in isolation or association with rotational ankle fractures. The use of suture button 'tight-ropes' versus metal screws for fixation across the syndesmosis has bec…
View article: A Pilot Program: Remote Summer Program to Improve Opportunity and Mentorship Among Underrepresented Students Pursuing Orthopaedic Surgery
A Pilot Program: Remote Summer Program to Improve Opportunity and Mentorship Among Underrepresented Students Pursuing Orthopaedic Surgery Open
Background: The purpose of this study was to evaluate the impact of an 8-week remote summer program in supporting underrepresented students interested in orthopaedic surgery. Methods: We received 115 applications, and a total of 17 student…
View article: Cost minimization analysis of the treatment of olecranon fracture in elderly patients: a retrospective analysis
Cost minimization analysis of the treatment of olecranon fracture in elderly patients: a retrospective analysis Open
Background: Operative treatment of olecranon fractures in the elderly can lead to greater complications with similar outcomes to nonoperative treatment. The purpose of this study was to analyze cost differences between operative and nonope…
View article: Cross-species comparisons reveal resistance of human skeletal stem cells to inhibition by non-steroidal anti-inflammatory drugs
Cross-species comparisons reveal resistance of human skeletal stem cells to inhibition by non-steroidal anti-inflammatory drugs Open
Fracture healing is highly dependent on an early inflammatory response in which prostaglandin production by cyclo-oxygenases (COX) plays a crucial role. Current patient analgesia regimens favor opioids over Non-Steroidal Anti-Inflammatory …
View article: “My Surgical Success”: Feasibility and Impact of a Single-Session Digital Behavioral Pain Medicine Intervention on Pain Intensity, Pain Catastrophizing, and Time to Opioid Cessation After Orthopedic Trauma Surgery—A Randomized Trial
“My Surgical Success”: Feasibility and Impact of a Single-Session Digital Behavioral Pain Medicine Intervention on Pain Intensity, Pain Catastrophizing, and Time to Opioid Cessation After Orthopedic Trauma Surgery—A Randomized Trial Open
BACKGROUND: Behavioral pain treatments may improve postsurgical analgesia and recovery; however, effective and scalable options are not widely available. This study tested a digital perioperative behavioral medicine intervention in orthope…
View article: Association of COVID-19 With Achieving Time-to-Surgery Benchmarks in Patients With Musculoskeletal Trauma
Association of COVID-19 With Achieving Time-to-Surgery Benchmarks in Patients With Musculoskeletal Trauma Open
In this cohort study, there was no association between meeting time-to-surgery benchmarks in either open fracture or closed femur/hip fracture during the COVID-19 pandemic compared with before the pandemic. This is counter to concerns that…
View article: Bone infections: local delivery of antibiotics and their effectiveness.
Bone infections: local delivery of antibiotics and their effectiveness. Open
Bone infection continues to be the most devastating complication post fracture fixation.[1] Its incidence has been reported to be as high as 5%, although after open fractures can be even higher.[2] Classification systems of the spread of t…
View article: Antibiotic resistance: still a cause of concern?
Antibiotic resistance: still a cause of concern? Open
Antibiotic resistance remains a global public health concern with significant patient morbidity and tremendous associated health care costs. Drivers of antibiotic resistance are multifaceted and differ between developing and developed coun…
View article: Is Uncontrolled Diabetes Mellitus Associated with Incidence of Complications After Posterior Instrumented Lumbar Fusion? A National Claims Database Analysis
Is Uncontrolled Diabetes Mellitus Associated with Incidence of Complications After Posterior Instrumented Lumbar Fusion? A National Claims Database Analysis Open
Background Previous research has shown that diabetes mellitus (DM) is associated with postoperative complications, including surgical site infections (SSIs). However, evidence for the association between diabetes control and postoperative …
View article: Impact on periosteal vasculature after dual plating of the distal femur: a cadaveric study
Impact on periosteal vasculature after dual plating of the distal femur: a cadaveric study Open
Objectives: Although dual plating of distal femur fractures has been described for injuries at risk of varus displacement, the vascular insult to the medial distal femur utilizing this technique is unknown. The aim of this study was to eva…