Stephanie A. Kwan
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View article: Are orthopaedic trauma surgeons at risk of occupational noise-induced hearing loss?
Are orthopaedic trauma surgeons at risk of occupational noise-induced hearing loss? Open
Objectives: Orthopaedic surgeons are at risk of occupational, noise-induced hearing loss due to exposure to instruments in the operating room. The primary objective of this study was to determine whether orthopaedic trauma procedures excee…
View article: Postoperative Outcomes Following Metacarpal Neck Fractures Treated With Intramedullary Screws Versus Closed Reduction Percutaneous Pinning
Postoperative Outcomes Following Metacarpal Neck Fractures Treated With Intramedullary Screws Versus Closed Reduction Percutaneous Pinning Open
Background: Metacarpal neck fractures are frequently encountered by hand surgeons. Certain operative metacarpal neck fractures are amenable to both retrograde intramedullary screw (IMS) fixation and closed reduction percutaneous pinning (C…
View article: 3D Printed Models of Periarticular Fractures of the Shoulder and Elbow Improve Surgical Decision Making in Orthopedic Trainees.
3D Printed Models of Periarticular Fractures of the Shoulder and Elbow Improve Surgical Decision Making in Orthopedic Trainees. Open
Orthopedic trainees benefit from 3D printed fracture models when performing preoperative planning of complex periarticular shoulder and elbow injuries. Given the rarity and difficulty of these injuries, use of this technology could allow f…
View article: Occupational Noise Exposure in Foot and Ankle Surgery and the Risk of Noise Induced Hearing Loss
Occupational Noise Exposure in Foot and Ankle Surgery and the Risk of Noise Induced Hearing Loss Open
Category: Other; Basic Sciences/Biologics Introduction/Purpose: Occupational exposure to high levels of noise increases the risk of noise induced hearing loss (NIHL), resulting in significant long term quality of life implications. Hearing…
View article: Noise-Induced Hearing Loss: Should Surgeons Be Wearing Ear Protection During Primary Total Joint Arthroplasty?
Noise-Induced Hearing Loss: Should Surgeons Be Wearing Ear Protection During Primary Total Joint Arthroplasty? Open
Background: The risk of noise-induced hearing loss (NIHL) to orthopedic surgeons due to occupational exposures is unknown. A level of 85 decibels (dB) over an 8-hour time-weighted average (TWA) is considered hazardous. Question/Purpose: We…
View article: Screw Position Following Percutaneous Versus Mini-Open Intramedullary Retrograde Screw Fixation of Metacarpal Fractures
Screw Position Following Percutaneous Versus Mini-Open Intramedullary Retrograde Screw Fixation of Metacarpal Fractures Open
Background: Metacarpal fracture fixation using the retrograde intramedullary screw technique can be performed through two different approaches. The mini-open approach requires greater soft tissue dissection but allows for direct visualizat…
View article: Outcomes in Patients with Bilateral Distal Radius Fractures
Outcomes in Patients with Bilateral Distal Radius Fractures Open
Background Fractures of the distal radius that occur bilaterally are comparatively uncommon, with the incidence of these injuries and patient outcomes following different modes of treatment being unknown. Purpose This article evaluates the…
View article: Risk of noise-induced hearing loss in the spine surgeon
Risk of noise-induced hearing loss in the spine surgeon Open
Spine surgeons are routinely exposed to damaging noise levels (>85 dBA) during operative intervention. With spine surgeons often performing multiple surgeries a day, the cumulative risk of noise exposure cannot be ignored. The synergistic …
View article: Radiographic Edema Is a Predictor of de Quervain's Tenosynovitis
Radiographic Edema Is a Predictor of de Quervain's Tenosynovitis Open
Background de Quervain's tenosynovitis (DeQ) is a clinical diagnosis; however, due to the symptom overlap with other pathologies, it can occasionally be challenging to make an accurate diagnosis, especially for nonorthopaedic trained physi…
View article: Routine Preoperative Dental Clearance for Total Joint Arthroplasty: Is There a Benefit?
Routine Preoperative Dental Clearance for Total Joint Arthroplasty: Is There a Benefit? Open
Background Periprosthetic joint infections (PJIs) place significant psychological and financial burdens on patients and healthcare systems. One measure to reduce the risk of PJIs is preoperative dental screening, for which there is no curr…
View article: Systemic Manifestation of Periprosthetic Joint Infection Is Associated With Increased In-Hospital Mortality
Systemic Manifestation of Periprosthetic Joint Infection Is Associated With Increased In-Hospital Mortality Open
Introduction Periprosthetic joint infection (PJI) is one of the most devastating complications of total joint arthroplasty. Systemic symptoms of infection may indicate a patient who is at a higher risk of serious complications. The goal of…
View article: Blocking Screw Technique for Maintaining Reduction during Intramedullary Screw Fixation of Oblique Metacarpal Fractures.
Blocking Screw Technique for Maintaining Reduction during Intramedullary Screw Fixation of Oblique Metacarpal Fractures. Open
Intramedullary screw fixation provides a less-invasive means of surgically managing metacarpal fractures. While there are advantages to using this technique compared to CRPP and ORIF, disadvantages of intramedullary screw fixation include …
View article: Metacarpal Shortening with Intramedullary Screw Fixation: A Cadaveric Study
Metacarpal Shortening with Intramedullary Screw Fixation: A Cadaveric Study Open
Background Intramedullary screw fixation is a commonly used technique for the management of metacarpal fractures. However, compression across the fracture site can lead to unintentional shortening of the metacarpal. Questions/Purposes Our …
View article: Household Transmission of Group A Streptococcus Necrotizing Fasciitis
Household Transmission of Group A Streptococcus Necrotizing Fasciitis Open
A healthy 40-year-old woman was diagnosed with necrotizing fasciitis 2 days after her husband's death from the same infectious process. Prompt identification and immediate surgical intervention prevented a similar result in this patient. A…
View article: Effect of Perioperative Corticosteroid Administration on Early Postoperative Range of Motion and Functional Outcomes Following Dupuytren’s Fasciectomy
Effect of Perioperative Corticosteroid Administration on Early Postoperative Range of Motion and Functional Outcomes Following Dupuytren’s Fasciectomy Open
Background: The purpose of the study was to evaluate whether perioperative corticosteroid (CS) administration improves early postoperative range of motion (ROM) and function in patients undergoing Dupuytren’s fasciectomy. Methods: We retro…
View article: A Look at the Course and Management of Non-Traumatic Upper Extremity Amputation
A Look at the Course and Management of Non-Traumatic Upper Extremity Amputation Open
Objectives Amputation is a major source of morbidity and mortality. Non-traumatic amputations of the upper extremity are less common, and less well-characterized, than the lower extremity. We hypothesize that upper extremity amputations ar…
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: Sex- and Gender-specific Analysis in Orthopaedic Studies
Sex- and Gender-specific Analysis in Orthopaedic Studies Open
Background Orthopaedic studies have reported the prevalence of injuries and outcomes after treatment in men and women patients, and although these differences have been recognized, few studies have evaluated for gender-specific injury patt…
View article: Esmarch technique for maintaining reduction during intramedullary nailing of tibial shaft fractures
Esmarch technique for maintaining reduction during intramedullary nailing of tibial shaft fractures Open
Given the frequency of tibial shaft fractures that undergo intramedullary fixation, the aim of this case report is to demonstrate an easily reproducible technique for fracture reduction maintenance intra-operatively using a non-invasive te…