Paul E. Matuszewski
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View article: Topical antibiotic therapy to reduce infection after operative treatment of fractures at high risk of infection: TOBRA—a multicenter randomized controlled trial protocol
Topical antibiotic therapy to reduce infection after operative treatment of fractures at high risk of infection: TOBRA—a multicenter randomized controlled trial protocol Open
Introduction: Complex articular fractures of the proximal (plateau) and distal (pilon) tibia carry a substantial risk of deep surgical site infections (SSIs), often resulting in serious complications and hospital readmissions. The TOBRA st…
View article: Acute dislocations of the sternoclavicular joint: treatment and outcomes
Acute dislocations of the sternoclavicular joint: treatment and outcomes Open
Objectives: Identify treatment and describe outcomes and complications of acute anterior and posterior sternoclavicular joint dislocation. Design: Retrospective case series. Setting: Twelve level-one trauma centers. Patient/Participants: O…
View article: Defining the Temporal Progression of Normal and Nonunion Human Humeral Shaft Using Plasma Proteome
Defining the Temporal Progression of Normal and Nonunion Human Humeral Shaft Using Plasma Proteome Open
Current diagnostic tools are neither informative of, nor concurrent with the underlying biological processes of fracture healing. We examined if there would be protein markers in the plasma of non-operatively fixed, isolated, non-articular…
View article: Isolated injury, Charlson Comorbidity Index, and transfer from another facility are associated with delay in antibiotic administration: a retrospective study of 963 patients with open fractures
Isolated injury, Charlson Comorbidity Index, and transfer from another facility are associated with delay in antibiotic administration: a retrospective study of 963 patients with open fractures Open
Purpose: To identify factors associated with delays in administration and pharmacy and nursing preparation of antibiotics for patients with open fractures. Design: Retrospective review. Setting: Level I trauma center. Patients: Nine hundre…
View article: Factors Associated With Long-Term Quadriceps Muscle Function After Surgical Fixation of Lower Extremity Fractures
Factors Associated With Long-Term Quadriceps Muscle Function After Surgical Fixation of Lower Extremity Fractures Open
Objective The long-term performance of the quadriceps femoris muscle and physical function following surgical repair of a lower extremity fracture remains largely undefined. The purpose of this study was to investigate between-limb differe…
View article: CORR Insights®: Which Components of the Simple Shoulder Test Show Improvement After Scapulothoracic Fusion for Recalcitrant Scapular Winging? Clinical Results at a Minimum of 5 Years of Follow-up
CORR Insights®: Which Components of the Simple Shoulder Test Show Improvement After Scapulothoracic Fusion for Recalcitrant Scapular Winging? Clinical Results at a Minimum of 5 Years of Follow-up Open
1Associate Professor, Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky College of Medicine, Lexington, KY, USA P. E. Matuszewski ✉, Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky …
View article: How to get the most out of your gastrocnemius and soleus flaps
How to get the most out of your gastrocnemius and soleus flaps Open
Summary: Gastrocnemius and soleus flaps represent the workhorse local flaps to cover soft tissue defects of the proximal 1/3 and middle 1/3 of the leg, respectively. An important consideration before conducting a local flap is whether the …
View article: Erratum to: Early Antibiotic Administration Is Associated With a Reduced Infection Risk When Combined With Primary Wound Closure in Patients With Open Tibia Fractures
Erratum to: Early Antibiotic Administration Is Associated With a Reduced Infection Risk When Combined With Primary Wound Closure in Patients With Open Tibia Fractures Open
Zuelzer, David A. MD1; Hayes, Christopher B. MD2; Hautala, Gavin S. MD1; Akbar, Adam MD3; Mayer, Ryan R. MD1; Jacobs, Cale A. PhD1; Wright, Raymond D. MD1; Moghadamian, Eric S. MD1; Matuszewski, Paul E. MD1 Author Information
View article: Psychosocial Predictors of Chronic Pain 12 Months After Surgical Fixation for Lower Extremity Fracture: A Prospective Study
Psychosocial Predictors of Chronic Pain 12 Months After Surgical Fixation for Lower Extremity Fracture: A Prospective Study Open
Objective Pain is a common outcome after lower extremity fracture (LEF) requiring surgical fixation. Although psychosocial characteristics have meaningful associations with adverse outcomes, no studies have evaluated how psychosocial chara…
View article: Serology and Comorbidities in Patients With Fracture Nonunion: A Multicenter Evaluation of 640 Patients
Serology and Comorbidities in Patients With Fracture Nonunion: A Multicenter Evaluation of 640 Patients Open
Introduction: This multicenter cohort study investigated the association of serology and comorbid conditions with septic and aseptic nonunion. Methods: From January 1, 2011, to December 31, 2017, consecutive individuals surgically treated …
View article: Comparison of Short, Intermediate, and Long Cephalomedullary Nail Length Outcomes in Elderly Intertrochanteric Femur Fractures.
Comparison of Short, Intermediate, and Long Cephalomedullary Nail Length Outcomes in Elderly Intertrochanteric Femur Fractures. Open
Patients receiving long nails had markedly higher rates of postoperative anemia and blood loss requiring blood transfusion with markedly longer mean procedure length than patients receiving short and intermediate CMNs. Long nails did not r…
View article: Comparison of Short, Intermediate, and Long Cephalomedullary Nail Length Outcomes in Elderly Intertrochanteric Femur Fractures
Comparison of Short, Intermediate, and Long Cephalomedullary Nail Length Outcomes in Elderly Intertrochanteric Femur Fractures Open
Introduction: Cephalomedullary nail (CMN) length for intertrochanteric femur fractures without subtrochanteric extension has been an ongoing debate. The authors hypothesize that increasing nail length would result in increasing surgical ti…
View article: Optimizing the implementation of a multisite feasibility trial of a mind–body program in acute orthopedic trauma
Optimizing the implementation of a multisite feasibility trial of a mind–body program in acute orthopedic trauma Open
The Toolkit for Optimal Recovery (TOR) is a mind–body program for patients with acute orthopedic injuries who are at risk for persistent pain/disability. In preparation for a multisite feasibility trial of TOR at three orthopedic trauma ce…
View article: Early Pain Catastrophizing Exacerbates Impaired Limb Loading and 6-Minute Walk Test Distance 12 Months After Lower Extremity Fracture
Early Pain Catastrophizing Exacerbates Impaired Limb Loading and 6-Minute Walk Test Distance 12 Months After Lower Extremity Fracture Open
Objective Disability is common after lower extremity fracture (LEF). Although psychosocial factors have been associated with patient-reported outcomes after LEF, they have not been associated with objective measures of function. Aberrant g…
View article: A Live Video Program to Prevent Chronic Pain and Disability in At-Risk Adults With Acute Orthopedic Injuries (Toolkit for Optimal Recovery): Protocol for a Multisite Feasibility Study
A Live Video Program to Prevent Chronic Pain and Disability in At-Risk Adults With Acute Orthopedic Injuries (Toolkit for Optimal Recovery): Protocol for a Multisite Feasibility Study Open
Background Despite the pivotal role of psychosocial factors in pain and disability after orthopedic injury, there are no evidence-based preventive interventions targeting psychosocial factors in patients with acute orthopedic injuries. We …
View article: A Live Video Program to Prevent Chronic Pain and Disability in At-Risk Adults With Acute Orthopedic Injuries (Toolkit for Optimal Recovery): Protocol for a Multisite Feasibility Study (Preprint)
A Live Video Program to Prevent Chronic Pain and Disability in At-Risk Adults With Acute Orthopedic Injuries (Toolkit for Optimal Recovery): Protocol for a Multisite Feasibility Study (Preprint) Open
BACKGROUND Despite the pivotal role of psychosocial factors in pain and disability after orthopedic injury, there are no evidence-based preventive interventions targeting psychosocial factors in patients with acute orthopedic injuries. We…
View article: Early Antibiotic Administration Is Associated with a Reduced Infection Risk When Combined with Primary Wound Closure in Patients with Open Tibia Fractures
Early Antibiotic Administration Is Associated with a Reduced Infection Risk When Combined with Primary Wound Closure in Patients with Open Tibia Fractures Open
Background Early administration of antibiotics and wound coverage have been shown to decrease the deep infection risk in all patients with Type 3 open tibia fractures. However, it is unknown whether early antibiotic administration decrease…