1
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Ryan G, Poon J, Buckley R. ORIF or ORIF with primary subtalar arthrodesis (PSTA) for a Sanders IV fracture? Injury 2024; 55:111454. [PMID: 38432101 DOI: 10.1016/j.injury.2024.111454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/05/2024]
Affiliation(s)
- Gareth Ryan
- University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, T2N 5A1, Alberta, Canada
| | | | - Richard Buckley
- University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, T2N 5A1, Alberta, Canada.
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2
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Rizos J, Hebert-Seropian S, Buckley R. Do we try to salvage too many traumatic limb injuries with reconstruction and flaps when we should be doing more amputations? Injury 2024; 55:111489. [PMID: 38460479 DOI: 10.1016/j.injury.2024.111489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/11/2024]
Affiliation(s)
- Julian Rizos
- Foothills Medical Center, Department of Surgery, Calgary, AB T2N 5A1, Canada
| | | | - Richard Buckley
- University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW, Calgary, AB T2N 5A1, Canada.
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3
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Kendall J, Caines A, Buckley R. Do we fix front and back of every APC pelvic injury? Injury 2024; 55:111322. [PMID: 38232475 DOI: 10.1016/j.injury.2024.111322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Abstract
HISTORY-A 47-year-old male was on a cliff when he jumped into the water below. He jumped about 50 feet. Upon landing in the water, he felt his legs separate and abduct violently. He was taken to the Emergency unit of the nearest trauma center and was found to have no injuries except to his pelvis. He could not weight bear because of pelvic pain but had normal distal sensory and motor exam and rectal exam. His-pelvis was painful to examination anteriorly with minor left-sided posterior SI pain, and he had no blood at his meatus. X-rays and CT were done, (Figures 1-5).
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Affiliation(s)
- John Kendall
- Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta, T2N 5A1, Canada
| | - Andrew Caines
- Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta, T2N 5A1, Canada
| | - Richard Buckley
- University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta, T2N 5A1, Canada.
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4
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Rooke G, Sharplin P, Buckley R. Healed ORIF in a fibula fracture - Hardware removal or hardware retention for the fibula in a patient with minor symptoms? Injury 2024; 55:111190. [PMID: 37984011 DOI: 10.1016/j.injury.2023.111190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Abstract
HISTORY - A 31yo female is involved in a fall while climbing on some wet rocks. She was brought into the emergency department and was found to have suffered a closed fracture of the right fibula with a deltoid ligament injury. Distal neurovascular exam was normal. She is otherwise unhurt. She had ORIF of her ankle injury and it has gone onto heal with good results. She comes back at 6 months and complains of vague pain over her lateral ankle and hardware with a normal physical exam. She wonders about hardware removal, (Figs. 1 and 2). PAST MEDICAL HISTORY: - previous history of breast reduction surgery and she has delivered one child vaginally. No chronic diseases and she takes no pills except the birth control pill. SOCIAL HISTORY: - married with one child and works as an administrative assistant for a manufacturing company; she is a social drinker and nonsmoker. Has a history of using some recreational drugs but none for 10 years. She is moderately active.
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Affiliation(s)
- Gareth Rooke
- Department of Orthopedic Surgery, Wellington Regional Hospital, Riddiford Street, Wellington, New Zealand
| | - Paul Sharplin
- Christchurch Hospital, Department of Orthopedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New Zealand
| | - Richard Buckley
- University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta T2N 5A1, Canada.
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5
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Smith JR, Hall J, Buckley R. Midshaft humeral fracture - Operative or nonoperative treatment? Injury 2023; 54:111142. [PMID: 37866298 DOI: 10.1016/j.injury.2023.111142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2023]
Abstract
HISTORY A 49yo male is involved in a fall while skiing. He was brought off the ski hill and was found to have suffered a closed fracture of the left midshaft humerus. Distal neurovascular exam was normal. He is otherwise unhurt (Figs. 1 and 2). PAST MEDICAL HISTORY: previous history of back surgery for a disc problem when he was 35yo. Has been told that he has high blood pressure but does nothing for this. He is Right hand dominant. SOCIAL HISTORY: married with one child and works as an equipment operator for a crane company; he is a social drinker and smokes 1pack per day for 30 years. Has a history of using some recreational drugs but none for 10 years.
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Affiliation(s)
- James Ra Smith
- Bristol Royal Infirmary, Upper Maudlin Street, Bristol, UK
| | - Jeremy Hall
- Division of Orthopedic Surgery, University of Toronto, 55 Queen Street East, Suite 800, Toronto, Ontario M5C 1R6, Canada
| | - Richard Buckley
- University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta T2N 5A1, Canada.
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6
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Affiliation(s)
- Richard Buckley
- Foothills Medical Center, University of Calgary, Calgary, Alberta, Canada.
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7
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Tarrant S, Poon J, Sanders D, Buckley R. Is rib plating for a significant chest injury worthwhile? Injury 2023; 54:111000. [PMID: 37597468 DOI: 10.1016/j.injury.2023.111000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/21/2023]
Affiliation(s)
- Seth Tarrant
- Dept. of Traumatology, John Hunter Hospital, Locked Bag 1, Hunter Region Mail Center 2310, Newcastle, NSW, Australia
| | - Jeff Poon
- London Health Science Center, Victoria Hospital Room E1-326, 800 Commissioners Rd E. London, N6A 5W9 Ontario, Canada
| | - Dave Sanders
- London Health Science Center, Victoria Hospital Room E1-326, 800 Commissioners Rd E. London, N6A 5W9 Ontario, Canada
| | - Richard Buckley
- University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary T2N 5A1, Alberta, Canada.
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8
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van Raaij T, Al-Saadan W, Buckley R. Is there a time when we should treat a fresh hip fracture in a physiologically elder patient with palliative care? Injury 2023:S0020-1383(23)00439-4. [PMID: 37183088 DOI: 10.1016/j.injury.2023.05.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
HISTORY - A 92-year-old female patient presents to the Emergency Room with a displaced intertrochanteric hip fracture after a fall from bed. She lives in a full care nursing home with severe dementia and wears an adult diaper. She does not walk anymore (for 3 months) and the family decision makers (they have power of attorney) have decided that she is not a surgical candidate except under extreme circumstance. Medically, she has moderate aortic regurgitation and a long history of chronic pulmonary fibrosis that has required occasional oxygen supplementation. She has Type 2 diabetes and takes oral meds for this. She has swallowing difficulties and eats mostly pureed food. She only communicates when she has pain and does not recognize her family when they visit. Her hemoglobin and electrolytes are within normal limits. Her vitals are stable, and she is mildly hypertensive.
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Affiliation(s)
- Tom van Raaij
- Department of Orthopedics, Martini Hospital, van Swietenplein 1, Groningen, 9728NT, The Netherlands
| | - Waleed Al-Saadan
- Head of Joint Replacement Center, Medical City Teaching Complex, Baghdad, Iraq
| | - Richard Buckley
- University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta, T2N 5A1, Canada.
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Sharr J, Rizos J, Buckley R. Negative pressure wound therapy in orthopedic trauma - is it an efficacious tool or just convenient? Injury 2023:S0020-1383(23)00354-6. [PMID: 37068970 DOI: 10.1016/j.injury.2023.04.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
Affiliation(s)
- Jonny Sharr
- FACS Forte Hospital, 132 Peterborough Street. Christchurch Central, Christchurch, New Zealand
| | - Julian Rizos
- Foothills Medical Center, Department of Surgery, Calgary, Alberta, Canada
| | - Richard Buckley
- FRCS University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta T2N 5A1, Canada
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10
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Willms S, Fruson L, Buckley R. Nondisplaced talus neck fracture - Operative or nonoperative care? Injury 2023; 54:1027-1029. [PMID: 36740473 DOI: 10.1016/j.injury.2023.01.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- Scott Willms
- Orthopedic Trauma Surgeon, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Lee Fruson
- 9 Lott Creek Green, Calgary, Alberta, Canada
| | - Richard Buckley
- University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta, Canada T2N 5A1.
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11
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Halai M, Meulenkamp B, Buckley R. Should a significantly displaced ankle fracture have an ankle arthroscopy before it is treated with ORIF? Injury 2023; 54:791-793. [PMID: 36443115 DOI: 10.1016/j.injury.2022.11.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Mansur Halai
- Orthopaedic Surgeon, University of Toronto, St. Michael's Hospital, Toronto, Ontario, Canada
| | - Brad Meulenkamp
- The Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Suite J129, Ottawa, Ontario, Canada
| | - Richard Buckley
- University of Calgary, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta T2N 5A1, Canada.
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12
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Tulchinsky I, Buckley R, Meek R, Lim JJY. Potentially avoidable emergency department transfers from residential aged care facilities for possible post-fall intracranial injury. Emerg Med Australas 2023; 35:41-47. [PMID: 35879249 PMCID: PMC10087771 DOI: 10.1111/1742-6723.14051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 06/27/2022] [Accepted: 07/03/2022] [Indexed: 01/19/2023]
Abstract
OBJECTIVES To determine the percentage of potentially preventable residential aged care facility (RACF) to ED transfers for potential intracranial injury post-fall. To describe rates of CT brain (CTB) performance, intracranial trauma-related findings, neurosurgical intervention, and patient outcome. METHODS Patient lists were obtained from the hospital electronic medical record, screened for eligibility and data abstracted. Potentially preventable was defined as: (1) RACF return from ED within 24 h, regardless of CTB performance or finding; (2) ED management could reasonably have been provided at the RACF. Comparisons between those with CTB performed or not, including external signs of craniofacial trauma, anticoagulant medication use, baseline cognitive impairment and presence of an advanced care directive (ACD) were made. RESULTS Of 784 patients, 415 (53%) were classified as potentially avoidable. Of these, 314 (76%) had a CTB. Of all 784 patients, 538 (69%) had a CTB performed. CTB was more likely with presence of external signs of craniofacial trauma (26% [95% CI 23-30] vs 20% [95% CI 15-25], P < 0.001) and anticoagulant use (59% [95% CI 55-63] vs 42% [95% CI 37-49], P < 0.001) but not for presence of cognitive impairment or ACD. From the 538 CTBs, 31 (6%) patients had acute intracranial trauma-related findings with all having conservative management. None of the 11 (1%) deaths were in the potentially preventable subgroup. CONCLUSION Just over half of the RACF to ED transfers were classified as 'potentially avoidable'.
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Affiliation(s)
- Igor Tulchinsky
- Department of Emergency Medicine, Monash Health, Melbourne, Victoria, Australia
| | - Richard Buckley
- Department of Emergency Medicine, Monash Health, Melbourne, Victoria, Australia
| | - Robert Meek
- Department of Emergency Medicine, Monash Health, Melbourne, Victoria, Australia.,School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia
| | - Joel Jun Yi Lim
- School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia
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13
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Tufton A, Ronchi V, Buckley R, Heath M, Laborde K, Wiltz D, Thaljeh L, Ogden B, Good M, Barkemeyer B, Spedale S, McDaniel L, Fang Z, Kim S. Noninvasive monitoring biomarker for neonatal necrotizing enterocolitis. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00601-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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14
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Sharplin P, Rooke G, Buckley R. Intra-articular base of 5th metatarsal fractures (Zone 2) - Should we be operating on more of these fractures? Injury 2023; 54:787-790. [PMID: 36253187 DOI: 10.1016/j.injury.2022.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Paul Sharplin
- Christchurch Hospital, Department of Orthopedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New Zealand
| | - Gareth Rooke
- Aintree Hospital, Liverpool University Hospitals, Liverpool, England
| | - Richard Buckley
- University of Calgary, 0490 McCaig Tower, Foothills Medical Center 3134 Hospital Dr NW Calgary, Alberta T2N 5A1, Canada.
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15
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Evaniew N, Kitzen J, Buckley R. Percutaneous fixation vs ORIF and fusion for an AO type B thoracolumbar fracture without neurologic injury. Injury 2022; 53:2413-2415. [PMID: 35577599 DOI: 10.1016/j.injury.2022.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/05/2022] [Indexed: 02/02/2023]
Affiliation(s)
- Nathan Evaniew
- Section of Orthopedic Surgery, Department of Surgery, Foothills Medical Center, University of Calgary, Canada
| | - Joep Kitzen
- Department of Orthopedic Surgery, Maasstad Hospital, Rotterdam, the Netherlands
| | - Richard Buckley
- Foothills Medical Center 3134 Hospital Dr NW Calgary, 0490 McCaig Tower, Alberta T2N 5A1, Canada.
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16
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Hurley C, Lacroix L, Lucas M, Buckley R, Blümel A, Sheehan K, Toomey S, Hennessy B, Crown J, Sautes-Fridman C, O'Connor D. 41P The impact of tumour-infiltrating lymphocyte subpopulations on pathological complete response in HER2+ breast cancer. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.03.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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17
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Aitken S, Balutis E, Buckley R. Immobilization of a young woman's wrist after fracture surgery - Yes or no and for how long? Injury 2022; 53:1305-1307. [PMID: 35164954 DOI: 10.1016/j.injury.2022.01.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Stuart Aitken
- Maine General Medical Center, 35 Medical Center Pkwy, Augusta, ME 04330, USA
| | | | - Richard Buckley
- 0490 McCaig Tower, Foothills Medical Center 3134 Hospital Dr NW Calgary, Alberta T2N 5A1, Canada.
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18
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Rayes J, Rizos J, Buckley R. Acute nondisplaced mid-waist scaphoid fracture - should we ORIF ? Injury 2022; 53:841-843. [PMID: 35042601 DOI: 10.1016/j.injury.2022.01.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Johnny Rayes
- St. Joseph University, Dept. of Orthopedic Surgery, Hotel Dieu de France Hospital, Alfred Naccache Blvd, Beirut, Lebanon
| | - Julian Rizos
- Foothills Medical Center, Department of Surgery, University of Calgary, Canada
| | - Richard Buckley
- 0490 McCaig Tower, Foothills Medical Center, 3134 Hospital Dr NW, Calgary, Alberta T2N 5A1, Canada.
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19
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Rajmohan N, Price D, Buckley R, Komar SJ, Bamka WJ, Petit EA, Cabrera RI, Gianfagna T, Simon JE, Wyenandt CA. First report of Powdery Mildew Caused by Golovinomyces ambrosiae on Industrial Hemp in New Jersey. Plant Dis 2022; 106:2534. [PMID: 35130039 DOI: 10.1094/pdis-12-21-2657-pdn] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
In December 2019, New Jersey became one of the first states to have its industrial hemp (Cannabis sativa L.) plan approved by the U.S. Department of Agriculture (USDA) following enactment of the 2018 Farm Bill that authorized the production of hemp. Following this approval, hemp was legally grown for the first time in 2020. During the growing seasons of 2020 and 2021, powdery mildew-like symptoms were observed during the summer months (Jun to Aug) in greenhouse hemp research and fall months (Aug to Oct) in field production plots on Rutgers Agricultural Experiment Station farms in southern and northern New Jersey. Symptoms were observed on leaves and stems of hemp cultivars 'CB Genius', 'Cherry Wine' and 'Bay Mist'. Symptoms initially appeared as small white patches of mycelia and conidia on the adaxial surface of leaves that gradually spread to entire leaves and stems. Leaf discoloration (e.g., chlorosis) and premature leaf drop were observed. More severe symptoms and damage were observed in the greenhouse than outdoor cultivation. A voucher specimen was deposited in the U.S National Fungus Collections, USDA-ARS, Beltsville, MD (accession number 929187). Morphological examination of the white colonies from the cultivar 'Baymist' was carried out using light microscopy and further characterized by sequencing. This isolate was labelled PMH2. Hyphae were septate, conidiophores were hyaline, unbranched, measuring 130 to 240 μm in length and produced 1 to 4 conidia in chains. Conidia were hyaline, ellipsoid to ovoid in shape and measured 20 to 36 ×10 to 18 μm (n=30). Oil-like drops were present within conidia, although no distinct fibrosin bodies were observed. Chasmothecia were not observed. Morphological observations were consistent with those of Golovinomyces spp. as described by Braun and Cook (2012). Morphological observations (conidiophore and conidial measurements) were also similar to the description of G. ambrosiae on Hemp, as described in Wiseman et al, 2021. Sequencing of internal transcribed spacer (ITS), large ribosomal subunit (28S), intergenic spacer (IGS), beta- tubulin (TUB2) and chitin synthase 1(CHS1) region, were carried out with the primer sets ITS5/ITS4, LSU1/LSU2, IGS-12a/NS1R, TubF1/TubR1 and gCS1a1/gCS1b respectively, as shown by Qiu et al. (2020). Maximum-likelihood phylogenetic analysis confirmed the grouping of the PMH2 isolate within the G. ambrosiae accessions. Each individual gene alignment was treated as a separate partition. Sequences were not concatenated for maximum -likelihood phylogenetic analysis. Sequence data were deposited in GenBank under the accessions OK626453 (ITS), OK626454 (28S), OL456201 (IGS), OL415512 (TUB2) and OL415513(CHS1). To fulfill Koch's postulates, two mature, potted plants of C. sativa cv. 'Alpha Explorer' were inoculated by gently pressing symptomatic hemp leaves onto their leaf surface. They were incubated in an indoor grow room at 23°C and relative humidity of 50%. Non-inoculated healthy plants of C. sativa cv. 'Alpha Explorer' served as control. Inoculated plants developed powdery mildew symptoms within 10 to 12 days, while all control plants were asymptomatic. The powdery mildew on inoculated plants was found to be morphologically similar to the original. G. ambrosiae has been reported on C.sativa in Oregon (Wiseman et al. 2021) and G. ambrosiae (as G. spadiceus) has been reported on Cannabis in Kentucky (Szarka et al. 2019), Ohio (Farinas and Hand 2020) and New York (Weldon et al. 2020). This is the first known report of Golovinomyces ambrosiae causing powdery mildew on hemp in New Jersey. With the recent opening ( Dec15, 2021) of cultivation licensing and retailing of recreational marijuana, the acreage of Hemp production in New Jersey is expected to significantly increase, particularly for greenhouse production. It is important to document the species to develop management strategies to control this disease.
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Affiliation(s)
- Nimmi Rajmohan
- Rutgers University, 242612, Plant Biology, New Brunswick, New Jersey, United States;
| | - Dana Price
- Rutgers The State University of New Jersey, 242612, Entomology, New Brunswick, New Jersey, United States;
| | - Richard Buckley
- Rutgers The State University of New Jersey, 242612, New Brunswick, New Jersey, United States;
| | - Stephen J Komar
- Rutgers The State University of New Jersey, 242612, New Brunswick, New Jersey, United States;
| | - William J Bamka
- Rutgers The State University of New Jersey, 242612, New Brunswick, New Jersey, United States;
| | - Eric A Petit
- Rutgers The State University of New Jersey, 242612, New Brunswick, New Jersey, United States;
| | - Raul I Cabrera
- Rutgers The State University of New Jersey, 242612, New Brunswick, New Jersey, United States;
| | - Tom Gianfagna
- Rutgers University, Plant Biology and Pathology, 59 DudleyRoad, New Brunswick, New Jersey, United States, 08901;
| | - James E Simon
- Rutgers University, 242612, Plant Biology, New Brunswick, New Jersey, United States;
| | - Christian A Wyenandt
- Rutgers University, 242612, Plant Biology, SEBS - Plant Bio, 121 Northville Road, Bridgeton, New Jersey, United States, 08302;
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Forward D, Vaidya R, Buckley R. To infix or not to infix an unstable pelvic injury. Injury 2022; 53:215-217. [PMID: 34986980 DOI: 10.1016/j.injury.2021.12.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Daren Forward
- Orthopedic Trauma Surgeon, Department of Orthopedic Trauma, Nottingham University Hospitals, Nottingham, UK
| | - Rahul Vaidya
- Chief of Orthopedic Trauma, Detroit Medical Center, Professor of Orthopedics, Wayne State University, 9B University Health Center, Detroit Receiving Hospital, 4201 St. Antoine Boulevard, Detroit, MI, 48201 United States
| | - Richard Buckley
- Professor of Orthopedics, 0490 McCaig Tower, Foothills Medical Center 3134 Hospital Dr NW Calgary, Alberta, T2N 5A1 Canada.
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21
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Kubik J, Aitken S, Buckley R. Induced membrane technique for bone loss in the lower limb - Does the Masquelet technique work as well as its' reputation says it does? Injury 2022; 53:224-226. [PMID: 34980464 DOI: 10.1016/j.injury.2021.12.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Jeremy Kubik
- Peter Lougheed Center, Department of Surgery, University of Calgary, Canada
| | - Stuart Aitken
- Maine General Medical Center, 35 Medical Center Pkwy, Augusta, ME 04330, USA
| | - Richard Buckley
- 0490 McCaig Tower, Foothills Medical Center 3134 Hospital Dr NW Calgary, Alberta T2N 5A1, Canada.
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22
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Dodd A, Halai M, Buckley R. Unstable weber B Ankle fracture with a deltoid ligament rupture - ORIF of the fibula with no repair of the deltoid ligament versus ORIF of the fibula but operative repair of the deltoid ligament. Injury 2022; 53:221-223. [PMID: 34991864 DOI: 10.1016/j.injury.2021.12.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Andrew Dodd
- Section of Orthopedic Surgery, University of Calgary, Calgary, Alberta, Canada
| | - Mansur Halai
- Assistant Professor, University of Toronto, Orthopedic Surgeon, St. Michael's Hospital, Toronto, Ontario, Canada
| | - Richard Buckley
- University of Calgary, Dept. of Surgery, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta, T2N 5A1, Canada.
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23
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Reynolds GO, Manning L, Kirn D, Klein H, Hampton O, Burke O, Buckley R, Rentz D, Sperling R, Marshall GA, Amariglio RE. Subjective Cognitive Decline in a Registry Sample: Relation to Psychiatric History, Loneliness, and Personality. J Prev Alzheimers Dis 2022; 9:435-440. [PMID: 35841244 PMCID: PMC8940594 DOI: 10.14283/jpad.2022.31] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 06/09/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND With the increasing focus on prevention of Alzheimer's disease, there is need for characterization of preclinical populations. Local participant registries offer an opportunity to facilitate research engagement via remote data collection, inform recruitment, and characterize preclinical samples, including individuals with subjective cognitive decline. OBJECTIVES We sought to characterize subjective cognitive decline in a registry sample, as related to psychiatric history and related variables, including personality and loneliness, quality of life, and factors related to dementia risk (e.g., family history of dementia). DESIGN, SETTING, PARTICIPANTS Participants were 366 individuals (mean age=67.2 (range 50-88), 65% female, 94% white, 97% non-Hispanic or Latino, 82% with at least a bachelor's degree) with no reported history of mild cognitive impairment or dementia. All participants had expressed interest in research, primarily via community outreach events and prior research involvement. Data was collected via electronic surveys, distributed using REDCap. Electronic questionnaires included questions on demographic variables, subjective cognitive decline, quality of life, loneliness, and personality. RESULTS There was a high prevalence of risk factors for dementia in the registry sample (68% with family history of dementia, 31% with subjective cognitive decline). Subjective cognitive decline was more common in women and associated with history of depression, but not with family history of dementia. Subjective cognitive decline was also associated with lower conscientiousness and lower emotional stability, as well as higher loneliness and lower quality of life. Among participants who endorsed a psychiatric history, most reported onset more than 10 years prior, rather than within the last 10 years. CONCLUSIONS Subjective cognitive decline in a registry sample may be more strongly associated with longstanding psychiatric and personality variables, rather than family history of dementia, adding to the literature on characterization of subjective cognitive decline across different settings. These findings highlight the acceptability of remote data collection and the potential of registries to inform recruitment by characterizing registrants, which may help to stratify dementia risk and match participants to eligible trials.
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Affiliation(s)
- G O Reynolds
- Gretchen Reynolds PhD, 60 Fenwood Road, Boston MA 02115, USA,
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Gibbons C, Gaynor E, Duggan J, Blackstock J, Mullen M, Keena A, Buckley R, Callaly E. 61 AUDIT: MEDICATION REVIEW POST INPATIENT FALLS. Age Ageing 2021. [DOI: 10.1093/ageing/afab219.61] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
Abstract
Background
Falls are the most commonly reported incident in the Health Service Executive (HSE). Inappropriate medications and polypharmacy in the elderly can contribute to increased falls risk.
Our aim was to assess whether a medication review was being completed at the time of the post-fall clinician review.
Methods
We completed a retrospective chart review using an audit tool of consecutive inpatient falls, resulting in serious injury, from March–December 2019.
Standards measured against were: HSE Guideline—Service User Falls: A Practical Guide for Review, Medicines and Falls in Hospital: British Society Guidelines, STOPP & START criteria and NICE Guidelines: Falls in Older People 2013.
Results
We identified 33 charts for review (n = 33)—54.55% (18) female and 45.45% (15) male. Average age was 81 ± 11.2 years. The immediate post-fall review was mainly completed by interns (48.49% (16)) and SHO’s (39.39% (13)). A medication review was carried out 9.09% (3) of the time.
A total of n = 28 (84.85%) had poly pharmacy. When analysed for medications known to increase risk of falling, 51.52% (n = 17) were on anti-hypertensives, 45.45% (n = 15) on laxatives, 24.24% (n = 8) on sedative medications, 18.18% (n = 6) on hypnotics/anxiolytics, 15.15% (n = 5) on opioids and 15.15% (n = 5) on diuretics at the time of fall. The majority of these medications (77.42% (n = 24)) were commenced prior to admission. None of these medications were discontinued or the dose changed on review post fall.
Conclusion
Our audit demonstrates that in a cohort of patients who had an inpatient fall medication discontinuation and dose reductions were not performed. Yet, a high burden of polypharmacy and high-risk falls medication were found. This may result in missing a pertinent opportunity to prevent future falls. We advise a structured medication review is carried out for each patient who suffers an in-patient fall to efficiently modify such an easily identifiable risk factor.
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Affiliation(s)
- C Gibbons
- Mater Misericordiae University Hospital , Dublin, Ireland
| | - E Gaynor
- Mater Misericordiae University Hospital , Dublin, Ireland
| | - J Duggan
- Mater Misericordiae University Hospital , Dublin, Ireland
| | - J Blackstock
- Mater Misericordiae University Hospital , Dublin, Ireland
| | - M Mullen
- Mater Misericordiae University Hospital , Dublin, Ireland
| | - A Keena
- Mater Misericordiae University Hospital , Dublin, Ireland
| | - R Buckley
- Mater Misericordiae University Hospital , Dublin, Ireland
| | - E Callaly
- Mater Misericordiae University Hospital , Dublin, Ireland
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25
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Oppy A, Mohtadi N, Buckley R. Achilles tendon rupture in a healthy 37yo male. Injury 2021; 52:2756-2758. [PMID: 34719427 DOI: 10.1016/j.injury.2020.10.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Andrew Oppy
- Royal Melbourne Hospital - Orthopedic Department, Grattan Street, Melbourne 3050, Australia
| | - Nick Mohtadi
- Dip. Sport Med; Clinical Professor in Orthopaedics, Department of Surgery, Cumming School of Medicine; Adjunct Professor Faculty of Kinesiology; Medical Director Sport Medicine Centre, University of Calgary, Alberta, Canada
| | - Richard Buckley
- Clinical Professor in Orthopedics, Department of Surgery, Cumming School of Medicine, University of Calgary, 0490 McCaig Tower, 3134 Hospital Drive NW, Foothills Hospital, Calgary, Alberta, Canada.
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26
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Affiliation(s)
- James Ra Smith
- Southmead Hospital North Bristol NHS Trust Bristol, United Kingdom BS10 5NB
| | - Joep Kitzen
- Department of Orthopedic Surgery, Maxima Medical Center, Eindhoven, The Netherlands
| | - Richard Buckley
- 0490 McCaig Tower, Foothills Medical Center 3134 Hospital Dr NW Calgary, Alberta, Canada T2N 5A1.
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27
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Wong M, Congdon B, Buckley R. Geriatric four part proximal humeral fracture - ORIF or replace with reverse total shoulder arthroplasty (RTSA). Injury 2021; 52:1664-1666. [PMID: 33715845 DOI: 10.1016/j.injury.2021.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Murray Wong
- University of Calgary, Department of Surgery, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta, T2N 5A1, Canada
| | - Barry Congdon
- University of Alberta, Department of Surgery, 404 Community Service Centre, Royal Alexandra Hospital, 10240 Kingsway Avenue, Edmonton, Alberta, T5H 3V9, Canada
| | - Richard Buckley
- University of Calgary, Department of Surgery, 0490 McCaig Tower, Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta, T2N 5A1, Canada.
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28
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Misselyn D, Schepers T, Buckley R, Swords M, Matricali G, Nijs S. Three-Dimensional Imaging of Displaced Intra-articular Calcaneal Fractures Correlates With the Perioperative Diagnosis. Foot & Ankle Orthopaedics 2021; 6:24730114211019729. [PMID: 35097457 PMCID: PMC8564932 DOI: 10.1177/24730114211019729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Background: Intra-articular calcaneal fractures are complex injuries, and CT imaging has become the standard imaging in the preoperative assessment. Most classifications of these fractures are CT-based but have been associated with limited interobserver agreement. Three-dimensional imaging has become widely available and may give a better perspective but often with 1 image only. There is not much evidence of the added value of this imaging, compared with the CT imaging. Methods: Eight experienced trauma surgeons assessed 28 different intra-articular calcaneal fractures, on conventional radiology (CR), CT, and 3-D imaging. All had extensive experience in the diagnosis and treatment of this difficult injury. The main questions concerned Sanders classification, the severity of the injury and the difficulty of the operative procedure, choice of approach, and choice of procedure. Results: The classical 2-D CT imaging of the fractures were associated with a higher Sanders classification ranking, compared with the 3-D imaging scores. However, the interobserver agreement, as measured by the Fleiss kappa, was low for all 3 imaging modalities. We found more frequent Sanders III and IV classifications with CT scan imaging compared with 3-D imaging or CR. The scores obtained after assessing 3-D imaging were also not statistically significantly different from the scores of a consensus achieved by 2 authors and based on the 3 imaging modalities and the perioperative diagnosis. Conclusion: The 3-D imaging may result in a more realistic view, reducing the frequency of classifying Sanders III fractures than with the 2-D CT imaging series. 3-D imaging may be more reliable than CT in the planning of operative treatment of displaced intra-articular calcaneal fractures. Level of Evidence: Level III.
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Affiliation(s)
- Dominique Misselyn
- Trauma Surgery Department, Gasthuisberg University Hospital, Herestraat, Leuven, Belgium
| | - Tim Schepers
- Amsterdam UMC location AMC Trauma Unit, Amsterdam, North Holland, the Netherlands
| | - Richard Buckley
- Division of Orthopedic Trauma Surgery, Foothills Medical Centre, Calgary, Alberta, Canada
| | - Michael Swords
- Department of Orthopedic Surgery, Michigan Orthopedic Center, Sparrow Hospital, Lansing, MI, USA
| | - Giovanni Matricali
- Orthopaedic Surgery Department, Gasthuisberg University Hospital, Herestraat, Leuven, Belgium
| | - Stefaan Nijs
- Trauma Surgery Department, Gasthuisberg University Hospital, Herestraat, Leuven, Belgium
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You D, Skeith L, Korley R, Cantle P, Lee A, McBeth P, McDonald B, Buckley R, Duffy P, Martin CR, Soo A, Schneider P. Identification of hypercoagulability with thrombelastography in patients with hip fracture receiving thromboprophylaxis. Can J Surg 2021; 64:E324-E329. [PMID: 34085509 PMCID: PMC8327983 DOI: 10.1503/cjs.021019] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Venous thromboembolism (VTE) is the second most common complication after hip fracture surgery. We used thrombelastography (TEG), a wholeblood, point-of-care test that can provide an overview of the clotting process, to determine the duration of hypercoagulability after hip fracture surgery. Methods: In this prospective study, consecutive patients aged 51 years or more with hip fractures (trochanteric region or neck) amenable to surgical treatment who presented to the emergency department were eligible for enrolment. Thrombelastography, including calculation of the coagulation index (CI) (combination of 4 TEG parameters for an overall assessment of coagulation) was performed daily from admission until 5 days postoperatively, and at 2 and 6 weeks postoperatively. All patients received 28 days of thromboprophylaxis. We used single-sample t tests to compare mean maximal amplitude (MA) values (a measure of clot strength) to the hypercoagulable threshold of greater than 65 mm, a predictor of in-hospital VTE. Results: Of the 35 patients enrolled, 11 (31%) were hypercoagulable on admission based on an MA value greater than 65 mm, and 29 (83%) were hypercoagulable based on a CI value greater than 3.0; the corresponding values at 6 weeks were 23 (66%) and 34 (97%). All patients had an MA value greater than 65 mm at 2 weeks. Patients demonstrated normal coagulation on admission (mean MA value 62.2 mm [standard deviation (SD) 6.3 mm], p = 0.01) but became significantly hypercoagulable at 2 weeks (mean 71.6 mm [SD 2.6 mm], p < 0.001). There was a trend toward persistent hypercoagulability at 6 weeks (mean MA value 66.2 mm [SD 3.8 mm], p = 0.06). Conclusion: More than 50% of patients remained hypercoagulable 6 weeks after fracture despite thromboprophylaxis. Thrombelastography MA thresholds or a change in MA over time may help predict VTE risk; however, further study is needed.
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Affiliation(s)
- Daniel You
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
| | - Leslie Skeith
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
| | - Robert Korley
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
| | - Paul Cantle
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
| | - Adrienne Lee
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
| | - Paul McBeth
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
| | - Braedon McDonald
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
| | - Richard Buckley
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
| | - Paul Duffy
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
| | - C. Ryan Martin
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
| | - Andrea Soo
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
| | - Prism Schneider
- From the Division of Orthopaedic Surgery, University of Calgary, Calgary, Alta. (You, Korley, Buckley, Duffy, Martin, Schneider); the Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alta. (Skeith, Lee); the Section of General Surgery, University of Calgary, Calgary, Alta. (Cantle, McBeth); the Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Cantle); and the Department of Critical Care, University of Calgary, Calgary, Alta. (McBeth, McDonald, Soo)
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You D, Sepehri A, Buckley R. Unipolar or bipolar hip hemiarthroplasty - Which is most efficacious and cost effective? Injury 2021; 52:671-672. [PMID: 33268077 DOI: 10.1016/j.injury.2020.10.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Daniel You
- University of Calgary, Section of Orthopaedics, Department of Surgery, Foothills Medical Center, 29th St. NW, Calgary, Alberta T2N 5A1, Canada
| | - Aresh Sepehri
- University of British Columbia, Department of Orthopaedics, Faculty of Medicine, Vancouver General Hospital, 899 W 12th Ave, Vancouver, British Columbia V5Z 1M9, Canada
| | - Richard Buckley
- University of Calgary, 0490 McCaig Tower, Foothills Medical Center, 3134 Hospital Drive NW, Calgary, Alberta T2N 5A1, Canada.
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31
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Bastian JD, Tarrant SM, Buckley R. Geriatric acetabular fracture-ORIF or ORIF and acute total hip arthroplasty(aTHA). Injury 2021; 52:384-386. [PMID: 33483107 DOI: 10.1016/j.injury.2021.01.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Johannes D Bastian
- Head Orthogeriatric Service Department of Orthopedic Surgery and Traumatology Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Seth M Tarrant
- Dept of Traumatology, John Hunter Hospital, Locked Bag 1, Hunter Region Mail Center, Newcastle, NSW 2310, Australia
| | - Richard Buckley
- Orthopedic Trauma, University of Calgary, Foothills Medical Center, 3134 Hospital Drive NW, Calgary, Alberta T2N 5A1, Canada.
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32
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Daley J, Buckley R, Cannon K, Aydin A, Bonz J, Joseph D, Coughlin R, Belsky J, Moore C, Johnson A. 364 Feasibility Study of Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Medical Cardiac Arrest. Ann Emerg Med 2020. [DOI: 10.1016/j.annemergmed.2020.09.380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Affiliation(s)
- Peter Dryden
- University of British Columbia, Rebalance MD, Suite 104-3551 Blanshard St, Victoria, BC, V8Z 0B9, Canada
| | - Mansur Halai
- Honorary Clinical Senior Lecturer & Consultant Orthopaedic Surgeon, Glasgow Royal Infirmary, 84 Castle Street, Glasgow, G40SF, Scotland
| | - Richard Buckley
- University of Calgary, Canada; 0490 McCaig Tower Foothills Hospital, 3134 Hospital Drive NW Calgary, Alberta, T2N 5A1, Canada.
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Kendal JK, Clark D, Longino D, Marion TE, Buckley R, Schneider PS, Martin R. VIS-IT: Visualizing the Injured Tibia-A Cadaveric Study of Limb Positioning for Posterolateral Tibial Plateau Fracture Visualization. J Knee Surg 2020; 33:132-137. [PMID: 30677784 DOI: 10.1055/s-0038-1676799] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Posterolateral tibial plateau (PLTP) fractures are often associated with anterior cruciate ligament (ACL) incompetence, such as tibial eminence fractures. Both occur from a pivot shift like mechanism. Malreductions of the tibial plateau most frequently occur in the posterolateral quadrant. Acquiring adequate intraoperative visualization of the PLTP poses a challenge. We hypothesized that visualization of PLTP could be improved by positioning the knee at 110 degrees of flexion with the addition of a varus anterolateral rotatory vector. This position and maneuver take advantage of both the nonisometric nature of the lateral soft tissues and, when present, ACL incompetence. In this cadaveric study, we digitally quantified the percentage of the lateral tibial plateau visualized under different conditions after performing an anterolateral surgical approach with submeniscal arthrotomy. Four conditions were assessed for articular visualization: (1) 30 degrees of knee flexion, (2) 110 degrees of knee flexion, (3) 110-degrees of knee flexion plus varus anterolateral rotatory vector, (4) 110-degrees of knee flexion plus varus anterolateral rotatory vector with ACL sacrifice (ACL incompetence model). In the ACL competent models, maximal lateral tibial plateau exposure was obtained with the knee positioned at 110 degrees of flexion with a varus anterolateral rotatory vector (58.2%, range: 52.9-63.4%). Articular visualization was further improved with the ACL incompetent model (82.4%, range: 77.1-87.7%), modeling a tibial eminence fracture.
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Affiliation(s)
- Joseph K Kendal
- Department of Surgery, Section of Orthopaedic Surgery, University of Calgary, Health Sciences Center, Northwest Calgary, Alberta, Canada
| | - Damian Clark
- Department of Surgery, Section of Orthopaedic Surgery, University of Calgary, Health Sciences Center, Northwest Calgary, Alberta, Canada.,Department of Orthopaedics, Southmead Hospital, Bristol, United Kingdom
| | - David Longino
- Department of Surgery, Section of Orthopaedic Surgery, University of Calgary, Health Sciences Center, Northwest Calgary, Alberta, Canada
| | - Travis E Marion
- Department of Surgery, Section of Orthopaedic Surgery, University of Calgary, Health Sciences Center, Northwest Calgary, Alberta, Canada.,Division of Orthopaedic Surgery, Clinical Affiliate with the Northern Ontario School of Medicine, Sudbury, Ontario, Canada
| | - Richard Buckley
- Department of Surgery, Section of Orthopaedic Surgery, University of Calgary, Health Sciences Center, Northwest Calgary, Alberta, Canada
| | - Prism S Schneider
- Department of Surgery, Section of Orthopaedic Surgery, University of Calgary, Health Sciences Center, Northwest Calgary, Alberta, Canada
| | - Ryan Martin
- Department of Surgery, Section of Orthopaedic Surgery, University of Calgary, Health Sciences Center, Northwest Calgary, Alberta, Canada
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Affiliation(s)
- Brad Meulenkamp
- The Ottawa Hospital - Civic Campus, 1053 Carling Avenue, Suite J129, Ottawa, Ontario, Canada
| | - Jonny Sharr
- Forte Hospital, 132 Peterborough Street, Christchurch Central, Christchurch, New Zealand
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Buckley R, Giannoudis P. “Morbidity and Mortality”: A new section in Trauma Case Reports to help us learn from our mistakes. Trauma Case Rep 2019; 24:100255. [PMID: 31768412 PMCID: PMC6872795 DOI: 10.1016/j.tcr.2019.100255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Affiliation(s)
| | - Peter Giannoudis
- Leeds General Infirmary University Hospital, Leeds, United Kingdom
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37
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Buckley R, Wang E. M285 ADULT MALE WITH STAT3 GAIN-OF-FUNCTION MUTATION PREVIOUSLY DIAGNOSED AS COMMON VARIABLE IMMUNODEFICIENCY. Ann Allergy Asthma Immunol 2019. [DOI: 10.1016/j.anai.2019.08.390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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38
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Pape HC, Halvachizadeh S, Leenen L, Velmahos GD, Buckley R, Giannoudis PV. Timing of major fracture care in polytrauma patients - An update on principles, parameters and strategies for 2020. Injury 2019; 50:1656-1670. [PMID: 31558277 DOI: 10.1016/j.injury.2019.09.021] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVES Sustained changes in resuscitation and transfusion management have been observed since the turn of the millennium, along with an ongoing discussion of surgical management strategies. The aims of this study are threefold: a) to evaluate the objective changes in resuscitation and mass transfusion protocols undertaken in major level I trauma centers; b) to summarize the improvements in diagnostic options for early risk profiling in multiply injured patients and c) to assess the improvements in surgical treatment for acute major fractures in the multiply injured patient. METHODS I. A systematic review of the literature (comprehensive search of the MEDLINE, Embase, PubMed, and Cochrane Central Register of Controlled Trials databases) and a concomitant data base (from a single Level I center) analysis were performed. Two authors independently extracted data using a pre-designed form. A pooled analysis was performed to determine the changes in the management of polytraumatized patients after the change of the millennium. II. A data base from a level I trauma center was utilized to test any effects of treatment changes on outcome. INCLUSION CRITERIA adult patients, ISS > 16, admission < less than 24 h post trauma. Exclusion: Oncological diseases, genetic disorders that affect the musculoskeletal system. Parameters evaluated were mortality, ICU stay, ICU complications (Sepsis, Pneumonia, Multiple organ failure). RESULTS I. From the electronic databases, 5141 articles were deemed to be relevant. 169 articles met the inclusion criteria and a manual review of reference lists of key articles identified an additional 22 articles. II. Out of 3668 patients, 2694 (73.4%) were male, the mean ISS was 28.2 (SD 15.1), mean NISS was 37.2 points (SD 17.4 points) and the average length of stay was 17.0 days (SD 18.7 days) with a mean length of ICU stay of 8.2 days (SD 10.5 days), and a mean ventilation time of 5.1 days (SD 8.1 days). Both surgical management and nonsurgical strategies have changed over time. Damage control resuscitation, dynamic analyses of coagulopathy and lactate clearance proved to sharpen the view of the worsening trauma patient and facilitated the prevention of further complications. The subsequent surgical care has become safer and more balanced, avoiding overzealous initial surgeries, while performing early fixation, when patients are physiologically stable or rapidly improving. Severe chest trauma and soft tissue injuries require further evaluation. CONCLUSIONS Multiple changes in management (resuscitation, transfusion protocols and balanced surgical care) have taken place. Moreover, improvement in mortality rates and complications associated with several factors were also observed. These findings support the view that the management of polytrauma patients has been substantially improved over the past 3 decades.
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Affiliation(s)
- H-C Pape
- Department of Trauma, University Hospital Zurich, University of Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
| | - S Halvachizadeh
- Department of Trauma, University Hospital Zurich, University of Zurich, Raemistrasse 100, 8091, Zurich, Switzerland
| | - L Leenen
- Department of Trauma, University Medical Centre Utrecht, Suite G04.228, Heidelberglaan 100, 3585 GA, Utrecht, the Netherlands.
| | - G D Velmahos
- Dept. of Trauma, Emergency Surgery and Critical Care, Harvard University, Mass. General Hospital, 55 Fruit St., Boston, MA, 02114, USA
| | - R Buckley
- Section of Orthopedic Trauma, University of Calgary, Foothills Medical Center, 0490 McCaig Tower, 3134 University Drive NW Calgary, Alberta, T2N 5A1, Canada.
| | - P V Giannoudis
- Trauma & Orthopaedic Surgery, Clarendon Wing, A Floor, Great George Street, Leeds General Infirmary University Hospital, University of Leeds, Leeds, LS1 3EX, UK.
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Buckley R, Cunningham C, Lennon O, Blake C, Gallagher C. P143 A multidimensional analysis of exercise capacity amongst adults with cystic fibrosis. J Cyst Fibros 2018. [DOI: 10.1016/s1569-1993(18)30438-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Crijns TJ, Janssen SJ, Davis JT, Ring D, Sanchez HB, Amini MH, Appleton P, Babis GC, Babst RH, Ballas EG, Barquet A, Begue T, Bishop J, Borris LC, Buckley R, Chesser T, Choudhari P, Cornell C, Crist BD, DeCoster TA, Elias N, Frihagen F, Garnavos C, Giordano V, Haverlag R, Havlicek T, Hurwit S, Ibrahim EF, Iyer VM, Jenkinson R, Jeray K, Kabir K, Kanakaris NK, Klostermann C, Kreder HJ, Kreis B, Kristan A, Lygdas P, McGraw I, Mica L, Mirck B, Moreta-Suarez J, Morgan SJ, Nikolaou VS, Omara T, Pesantez R, Pirpiris M, Poelhekke L, Pountos I, Prayson M, Quell M, Rodríguez-Roiz JM, Satora W, Schandelmaier P, Schepers T, Short NL, Smith RM, Spoor A, Stojkovska Pemovska E, Swiontkowski M, Taitsman L, Tosounidis T, Tyllianakis M, Van bergen C, Van de Sande M, Van Helden S, Verbeek DO, Wascher DC, Weil Y. Reliability of the classification of proximal femur fractures: Does clinical experience matter? Injury 2018; 49:819-823. [PMID: 29549969 DOI: 10.1016/j.injury.2018.02.023] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2018] [Accepted: 02/21/2018] [Indexed: 02/02/2023]
Abstract
BACKGROUND Radiographic fracture classification helps with research on prognosis and treatment. AO/OTA classification into fracture type has shown to be reliable, but further classification of fractures into subgroups reduces the interobserver agreement and takes a considerable amount of practice and experience in order to master. QUESTIONS/PURPOSES We assessed: (1) differences between more and less experienced trauma surgeons based on hip fractures treated per year, years of experience, and the percentage of their time dedicated to trauma, (2) differences in the interobserver agreement between classification into fracture type, group, and subgroup, and (3) differences in the interobserver agreement when assessing fracture stability compared to classifying fractures into type, group and subgroup. METHODS This study used the Science of Variation Group to measure factors associated with variation in interobserver agreement on classification of proximal femur fractures according to the AO/OTA classification on radiographs. We selected 30 anteroposterior radiographs from 1061 patients aged 55 years or older with an isolated fracture of the proximal femur, with a spectrum of fracture types proportional to the full database. To measure the interobserver agreement the Fleiss' kappa was determined and bootstrapping (resamples = 1000) was used to calculate the standard error, z statistic, and 95% confidence intervals. We compared the Kappa values of surgeons with more experience to less experienced surgeons. RESULTS There were no statistically significant differences in the Kappa values on each classification level (type, group, subgroup) between more and less experienced surgeons. When all surgeons were combined into one group, the interobserver reliability was the greatest for classifying the fractures into type (kappa, 0.90; 95% CI, 0.83 to 0.97; p < 0.001), reflecting almost perfect agreement. When comparing the kappa values between classes (type, group, subgroup), we found statistically significant differences between each class. Substantial agreement was found in the clinically relevant groups stable/unstable trochanteric, displaced/non-displaced femoral neck, and femoral head fractures (kappa, 0.60; 95% CI, 0.53 to 0.67, p < 0.001). CONCLUSIONS This study adds to a growing body of evidence that relatively simple distinctions are more reliable and that this is independent of surgeon experience.
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Affiliation(s)
- Tom J Crijns
- Department of Surgery and Perioperative Care, Dell Medical School, Health Discovery Building 6.706, 1701 Trinity St., Austin, TX 78723, USA.
| | - Stein J Janssen
- Department of General Surgery, OLVG, Oosterpark 9, 1091 AC Amsterdam, The Netherlands.
| | - Jacob T Davis
- Department of Orthopaedic Surgery, JPS Health Network, 1500 S. Main St, Fort Worth, TX 76104, USA.
| | - David Ring
- Department of Surgery and Perioperative Care, Dell Medical School, Health Discovery Building 6.706, 1701 Trinity St., Austin, TX 78723, USA.
| | - Hugo B Sanchez
- Department of Orthopaedic Surgery, Acclaim Physician Group, Ben Hogan Center, 800 5th Ave, Suite 400, Fort Worth, TX 76104, USA.
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Kubik J, Schneider P, Buckley R, Korley R, Duffy P, Martin R. Evaluating the Utility of the Lateral Elbow Radiograph in Central Articular Olecranon Reduction: An Anatomic and Radiographic Study. J Orthop Trauma 2018; 32:e81-e85. [PMID: 29461446 DOI: 10.1097/bot.0000000000001037] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVES The surgical reduction of intra-articular olecranon fractures is judged primarily on the lateral elbow radiograph, as orthogonal imaging of the articular surface is not obtainable. We sought to determine surgeon accuracy in identifying intra-articular olecranon malreductions on the lateral elbow radiograph. METHODS Six human fresh-frozen cadaveric elbow specimens were sagittally sectioned in 5-mm increments after olecranon dissection, preservation of soft tissue envelope, and rigid fixation of the elbow in an external fixator. Three patterns of central intra-articular olecranon malreduction were created in each elbow using a ruler and bone saw. Perfect lateral elbow radiographs were taken of each malreduction, and these images were randomized along with x-rays of normal cadaveric olecranons. The image series was presented to 4 masked trauma-trained surgeons to determine whether the olecranon was malreduced or anatomic. Surgeons interpreted the same image series on 2 separate occasions separated by 6 weeks. Percent correct was recorded, and the interobserver and intraobserver reliability was calculated. RESULTS Orthopedic trauma surgeons correctly identified olecranon malreductions only 73% of the time on the lateral elbow radiograph. Interobserver agreement was moderate for the first review of images and fair for the second review, with respective Fleiss Kappa values of 0.43 and 0.28. Intrarater reliability revealed moderate agreement with Cohen's Kappa value ranging from 0.56 to 0.66. CONCLUSIONS Intra-articular olecranon malreductions are inconsistently recognized by trauma surgeons on the lateral elbow radiograph. Therefore, articular incongruity may still be present after surgical fixation of comminuted olecranon fractures. We must further define the radiographic anatomic representation of the articular olecranon to improve surgical reduction and clinical outcomes.
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Affiliation(s)
- Jeremy Kubik
- Section of Orthopaedic Surgery, University of Calgary, Cumming School of Medicine, Calgary, AB, Canada
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Buckley R, Brink P, Kojima K, Taha W, Moore D, Cunningham M. International needs analysis in orthopaedic trauma for practising surgeons with a 3-year review of resulting actions. J Eur CME 2017; 6:1398555. [PMID: 29644140 PMCID: PMC5843042 DOI: 10.1080/21614083.2017.1398555] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2017] [Accepted: 10/19/2017] [Indexed: 12/02/2022] Open
Abstract
Introduction: To ensure best-quality education in orthopaedic trauma, the AOTrauma Education Commission conducted a Global Needs Analysis with practising surgeons worldwide. Material and methods: During July to November 2012, an email invitation to complete an online set of 30 questions in eight languages was sent to our members and associates in all countries through AOTrauma’s regional networks. Non-members were invited to participate through collaboration with orthopaedic societies. Results: A total of 3,790 surgeons practising orthopaedic trauma (49%), orthopaedic (15%), general trauma (15%) and specialty orthopaedic (13%) surgeons responded worldwide. Seventy per cent completed all questions, and the top 10 countries accounted for half the responses. The top 3 areas of educational need were orthopaedic trauma, joint replacement and preservation, and pelvis and acetabulum. Aspects influencing likelihood to attend face-to-face courses were: expert faculty, focus on a specific topic, clear objectives, and discussion and feedback from experts. Barriers to attending courses were time away from practice, cost and lack of availability or access. Conclusion: The Global Needs Analysis helped our educational committees to identify short- and mid-term priorities over recent years. Adjustments in our planning have helped meet the needs of our audience on a global, regional and national level.
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Affiliation(s)
- Richard Buckley
- Foothills Medical Center, University of Calgary, Alberta, Canada
| | - Peter Brink
- Department of Traumatology, Maastricht University Medical Center, Maastricht, The Netherlands
| | - Kodi Kojima
- Hospital das Clinicas HCFMUSP, Faculdade de Medicina Universidade de Sao Paulo, Sao Paulo, Brazil
| | - Wa'el Taha
- King Abdulaziz Medical City, Al-Madinah, Saudi Arabia
| | - Donald Moore
- Office for Continuing Professional Development, Vanderbilt University Medical Center, Nashville TN, USA
| | - Mike Cunningham
- AO Foundation, AO Education Institute, Duebendorf, Switzerland
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Willshire C, Buckley R, Bron A. Estimating basal rear osmolarity in normal and dry eye subjects. Acta Ophthalmol 2017. [DOI: 10.1111/j.1755-3768.2017.01542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- C. Willshire
- Vision and Eye Research Unit; Anglia Ruskin University; Cambridge United Kingdom
| | - R. Buckley
- Vision and Eye Research Unit; Anglia Ruskin University; Cambridge United Kingdom
| | - A. Bron
- Vision and Eye Research Unit; Anglia Ruskin University; Cambridge United Kingdom
- Nuffield Department of Clinical Neurosciences and Nuffield Laboratory of Ophthalmology; University of Oxford; Oxford United Kingdom
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Buckley R, Reilly CM, Kelly S, Ward E, O'Connor C, Carter S, Gallagher CG, McKone EF. Corrigendum to "WS04.1 The effect of Orkambi® on exercise capacity and muscle strength" [J Cyst Fibros, volume 16, supplement 1, June 2017, pages S6-S7]. J Cyst Fibros 2017; 16:S1569-1993(17)30771-3. [PMID: 28826587 DOI: 10.1016/j.jcf.2017.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- R Buckley
- St. Vincent's University Hospital, Dublin, Ireland.
| | - C M Reilly
- St. Vincent's University Hospital, Dublin, Ireland
| | - S Kelly
- St. Vincent's University Hospital, Dublin, Ireland
| | - E Ward
- St. Vincent's University Hospital, Dublin, Ireland
| | - C O'Connor
- St. Vincent's University Hospital, Dublin, Ireland
| | - S Carter
- St. Vincent's University Hospital, Dublin, Ireland
| | | | - E F McKone
- St. Vincent's University Hospital, Dublin, Ireland
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Buckley R, Reilly C, Kelly S, Ward E, Gallagher C, McKone E. WS04.1 The effect of Orkambi® on exercise capacity and muscle strength. J Cyst Fibros 2017. [DOI: 10.1016/s1569-1993(17)30175-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
Metatarsal fractures are one of the most common injuries of the foot. There has been conflicting literature on management of fifth metatarsal fractures due to inconsistency with respect to classification of these fractures. This article provides a thorough review of fifth metatarsal fractures with examination of relevant literature to describe the management of fifth metatarsal fractures especially the proximal fracture. A description of nonoperative and operative management for fifth metatarsal fractures according to anatomical region is provided.
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Driver B, Dodd K, Buckley R, Robinson A, Prekker M. 26 Use of a Bougie for Emergency Intubation is Associated With Increased First-Pass Success. Ann Emerg Med 2016. [DOI: 10.1016/j.annemergmed.2016.08.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Claessen FMAP, Stoop N, Doornberg JN, Guitton TG, van den Bekerom MPJ, Ring D, Chauhan A, Wahegaonkar A, Shafritz A, Garcia G A, Miller A, Barquet A, Kristan A, Apard T, Armstrong A, Berner A, Jubel A, Kreis B, Babis C, Sutker B, Sears B, Nolan B, Crist B, Cross B, Wills B, Barreto C, Ekholm C, Swigart C, Oliveira Miranda C, Manke C, Zalavras C, Goldfarb C, Cassidy C, Walsh C, Jones C, Garnavos C, Young C, Moreno-Serrano C, Lomita C, Klostermann C, van Deurzen D, Rikli D, Polatsch D, Beingessner D, Drosdowech D, Eygendaal D, Patel M, Brilej D, Walbeehm E, Ballas E, Ibrahim E, Melamed E, Stojkovska Pemovska E, Hofmeister E, Hammerberg E, Kaplan F, Suarez F, Fernandes C, Lopez-Gonzalez F, Walter F, Frihagen F, Kraan G, Kontakis G, Dyer G, Kohut G, Panagopoulos G, Hernandez G, Porcellini G, Bayne G, Merrell G, DeSilva G, Della Rocca G, Bamberger H, Broekhuyse H, Durchholz H, Kodde I, McGraw I, Harris I, Pountos I, Wiater J, Choueka J, Kazanjian J, Gillespie J, Biert J, Fanuele J, Johnson J, Greenberg J, Abrams J, Hall J, Fischer J, Scheer J, Itamura J, Capo J, Braman J, Rubio J, Ortiz J, Filho J, Nolla J, Abboud J, Conflitti J, Abzug J, Patiño J, Rodríguez Roiz J, Adams J, Bishop J, Kabir K, Chivers K, Prommersberger K, Egol K, Rumball K, Dickson K, Jeray K, Poelhekke L, Campinhos L, Mica L, Borris L, Adolfsson L, Schulte L, Elmans L, Lane L, Paz L, Taitsman L, Guenter L, Austin L, Waseem M, Palmer M, Abdel-Ghany M, Richard M, Rizzo M, Pirpiris M, Di Micoli M, Bonczar M, Loebenberg M, Richardson M, Mormino M, Menon M, Soong M, Wood M, Meylaerts S, Darowish M, Nancollas M, Prayson M, Grafe M, Kessler M, Kaminaris M, Pirela-Cruz M, Mckee M, Merchant M, Tyllianakis M, Shafi M, Powell A, Shortt N, Felipe N, Parnes N, Bijlani N, Elias N, Akabudike N, Rossiter N, Lasanianos N, Kanakaris N, Brink O, van Eerten P, Paladini P, Martineau P, Appleton P, Levin P, Althausen P, Evans P, Jebson P, Krause P, Schandelmaier P, Peters A, Dantuluri P, Blazar P, Andreas P, Inna P, Quell M, Ramli R, de Bedout R, Ranade A, Ashish S, Smith R, Babst R, Omid R, Buckley R, Jenkinson R, Gilbert R, Page R, Papandrea R, Zura R, Gray R, Wagenmakers R, Pesantez R, van Riet R, Calfee R, van Helden S, Bouaicha S, Kakar S, Kaplan S, Scott F, Kaar S, Mitchell S, Rowinski S, Dodds S, Kennedy S, Beldner S, Schepers T, Guitton T, Gosens T, Baxamusa T, Taleb C, Tosounidis T, Wyrick T, Begue T, DeCoster T, Dienstknecht T, Varecka T, Mittlmeier T, Fischer T, Chesser T, Omara T, Bafus T, Siff T, Havlicek T, Sabesan V, Nikolaou V, Philippe V, Giordano V, Vochteloo A, Batson W, Hammert W, Satora W, Weil Y, Ruch D, Marsh L, Swiontkowski M, Hurwit S. Interpretation of Post-operative Distal Humerus Radiographs After Internal Fixation: Prediction of Later Loss of Fixation. J Hand Surg Am 2016; 41:e337-e341. [PMID: 27522299 DOI: 10.1016/j.jhsa.2016.07.094] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 04/17/2016] [Accepted: 07/13/2016] [Indexed: 02/02/2023]
Abstract
PURPOSE Stable fixation of distal humerus fracture fragments is necessary for adequate healing and maintenance of reduction. The purpose of this study was to measure the reliability and accuracy of interpretation of postoperative radiographs to predict which implants will loosen or break after operative treatment of bicolumnar distal humerus fractures. We also addressed agreement among surgeons regarding which fracture fixation will loosen or break and the influence of years in independent practice, location of practice, and so forth. METHODS A total of 232 orthopedic residents and surgeons from around the world evaluated 24 anteroposterior and lateral radiographs of distal humerus fractures on a Web-based platform to predict which implants would loosen or break. Agreement among observers was measured using the multi-rater kappa measure. RESULTS The sensitivity of prediction of failure of fixation of distal humerus fracture on radiographs was 63%, specificity was 53%, positive predictive value was 36%, the negative predictive value was 78%, and accuracy was 56%. There was fair interobserver agreement (κ = 0.27) regarding predictions of failure of fixation of distal humerus fracture on radiographs. Interobserver variability did not change when assessed for the various subgroups. CONCLUSIONS When experienced and skilled surgeons perform fixation of type C distal humerus fracture, the immediate postoperative radiograph is not predictive of fixation failure. Reoperation based on the probability of failure might not be advisable. TYPE OF STUDY/LEVEL OF EVIDENCE Diagnostic III.
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Affiliation(s)
- Femke M A P Claessen
- Orthopaedic Hand and Upper Extremity Service, Harvard Medical School, Massachusetts General Hospital, Boston, MA
| | - Nicky Stoop
- Orthopaedic Hand and Upper Extremity Service, Harvard Medical School, Massachusetts General Hospital, Boston, MA
| | - Job N Doornberg
- Orthotrauma Research Center Amsterdam, University of Amsterdam Orthopaedic Residency Program, Amsterdam, The Netherlands
| | - Thierry G Guitton
- Orthotrauma Research Center Amsterdam, University of Amsterdam Orthopaedic Residency Program, Amsterdam, The Netherlands
| | | | - David Ring
- Orthopaedic Hand and Upper Extremity Service, Harvard Medical School, Massachusetts General Hospital, Boston, MA.
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Brough A, Morgan B, Robinson C, Appleby J, Buckley R, Rutty G. Biological profiling of Richard III using post-mortem computed tomography scanning. ACTA ACUST UNITED AC 2016. [DOI: 10.1016/j.jofri.2016.01.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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