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  1. Article ; Online: Questioning the Use of the Manufacturer and User Facility Device Experience Database (MAUDE) to Compare Implant Performance.

    McLaurin, Toni M

    Journal of orthopaedic trauma

    2020  Volume 35, Issue 1, Page(s) e37

    MeSH term(s) Databases, Factual ; Equipment Failure ; Humans ; Nails ; United States
    Language English
    Publishing date 2020-08-25
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 639099-7
    ISSN 1531-2291 ; 0890-5339
    ISSN (online) 1531-2291
    ISSN 0890-5339
    DOI 10.1097/BOT.0000000000001948
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Establishing Orthopaedic Standards of Care for Incarcerated Patients: Ethical Challenges and Policy Considerations.

    Peairs, Emily / Aitchison, Alexandra Hunter / Premkumar, Ajay / Shea, Nell / Fleming, Mark / McLaurin, Toni M / Pean, Christian A

    The Journal of bone and joint surgery. American volume

    2024  Volume 106, Issue 5, Page(s) 477–481

    MeSH term(s) Humans ; Orthopedics ; Standard of Care ; Prisoners ; Policy ; Patients
    Language English
    Publishing date 2024-01-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 220625-0
    ISSN 1535-1386 ; 0021-9355
    ISSN (online) 1535-1386
    ISSN 0021-9355
    DOI 10.2106/JBJS.23.00137
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Treatment of Segmental Bone Defects Biology and Treatment Options.

    Schultz, Blake J / McLaurin, Toni M / Leucht, Philipp

    Bulletin of the Hospital for Joint Disease (2013)

    2022  Volume 80, Issue 1, Page(s) 53–64

    Abstract: Segmental bone defects (SBD) are difficult to treat, requiring a comprehensive understanding of the bone and soft tissue injury. Defect size, fracture characteristics, and local and systemic biology all help dictate treatment options. Bone grafting with ... ...

    Abstract Segmental bone defects (SBD) are difficult to treat, requiring a comprehensive understanding of the bone and soft tissue injury. Defect size, fracture characteristics, and local and systemic biology all help dictate treatment options. Bone grafting with autograft or allograft, Masquelet technique, and bone transport with external or internal fixation can all be used successfully in the correct patient. When deciding on the best treatment option and addressing any complications throughout the process, it is important to always keep in mind the three principles of bone healing: sterility, stability, and biology. The goal of this review is to present the history of treatment for critical SBD, including the indications and challenges that have been addressed and current and emerging treatment options.
    MeSH term(s) Biology ; Bone Transplantation/adverse effects ; Bone Transplantation/methods ; Debridement ; Fracture Fixation, Internal/adverse effects ; Fractures, Bone/surgery ; Humans ; Treatment Outcome
    Language English
    Publishing date 2022-03-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 390411-8
    ISSN 2328-5273 ; 1936-9727 ; 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
    ISSN (online) 2328-5273 ; 1936-9727
    ISSN 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Electric scooter injuries: Incidence and injury patterns at a level I trauma center.

    Fisher, Nina D / Nwakoby, Ekenedilichukwu / Hernandez, Hunter / McLaurin, Toni M

    Chinese journal of traumatology = Zhonghua chuang shang za zhi

    2023  Volume 26, Issue 6, Page(s) 334–338

    Abstract: Purpose: Electric scooters (e-scooters) have become an increasingly popular mode of public transportation in recent years. As the incidence of related injuries rises, it is important to understand specific fracture patterns unique to e-scooters and ... ...

    Abstract Purpose: Electric scooters (e-scooters) have become an increasingly popular mode of public transportation in recent years. As the incidence of related injuries rises, it is important to understand specific fracture patterns unique to e-scooters and electric bikes (e-bikes) to help guide management. The purpose of this study was to review the prevalence and describe specific fracture patterns of e-scooter and e-bike related injuries at the busiest level 1 trauma center in the borough of Manhattan.
    Methods: Chart review to determine mechanism of injury was performed on all patients for whom an orthopedic consult was requested from 1/1/2021 to 12/31/2021. All patients whose injuries were sustained due to an e-scooter or e-bike were further reviewed for demographics, injury characteristics including fracture pattern, and definitive injury management. Any patients who had an orthopedic consult placed for a reason other than an acute injury were excluded. Descriptive statistics are reported as frequency (percentage) for categorical variables and means for continuous variables.
    Results: Of the 1815 orthopedic consults requested, 1357 (74.8%) were for acute injury management. Of those with acute injuries, 119 (8.8%) sustained 136 e-scooter or e-bike related injuries. There were 92 (77.3%) males at an average age of (33.8 ± 15.7) years. Approximately one-fifth of all patients presented in June 2021 (26, 21.8%). There was a 9.2% rate of open fractures. The 136 injuries were evenly split between the upper and lower extremities, with 57 (47.9%) upper extremity, 57 (47.9%) lower extremity injuries, and 5 (4.2%) concomitant upper and lower extremity injuries. The most common fracture patterns were ankle fractures (16, 11.7%), followed by tibial shaft (14, 10.2%), tibial plateau (13, 9.5%), and radial head fractures (11, 8.0%). There was a 33.3% incidence of associated posterior malleolar fractures in the spiral tibial shaft fractures, 31.0% of posterior malleolar involvement and 18.8% of isolated vertical medial malleolar fractures in the ankle fractures, and 61.5% of posterior comminution in the tibial plateau fractures.
    Conclusion: E-scooter and e-bike related injuries have a high incidence of tibial shaft fractures, ankle fractures, tibial plateau fractures, and radial head fractures. There should be a high index of suspicion for posterior and medial involvement in lower extremity fractures sustained due to e-scooter or e-bikes. Identifying specific fracture patterns seen in e-scooter and e-bike related mechanisms will help guide management of these injuries.
    MeSH term(s) Male ; Humans ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Female ; Ankle Fractures ; Trauma Centers ; Incidence ; Radial Head and Neck Fractures ; Tibial Plateau Fractures ; Retrospective Studies ; Tibial Fractures/complications ; Radius Fractures
    Language English
    Publishing date 2023-02-24
    Publishing country China
    Document type Journal Article
    ZDB-ID 2276839-7
    ISSN 1008-1275
    ISSN 1008-1275
    DOI 10.1016/j.cjtee.2023.02.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Early Weight-bearing Following Surgical Treatment of Ankle Fractures Without Trans-syndesmotic Fixation Is Safe and Improves Short-term Outcomes.

    Herbosa, Christopher G / Saleh, Hesham / Kadiyala, Manasa L / Solasz, Sara / McLaurin, Toni M / Leucht, Philipp / Egol, Kenneth A / Tejwani, Nirmal C

    Journal of orthopaedic trauma

    2023  Volume 38, Issue 3, Page(s) e98–e104

    MeSH term(s) Humans ; Ankle Fractures/surgery ; Ankle ; Case-Control Studies ; Fracture Fixation, Internal ; Pain ; Weight-Bearing ; Treatment Outcome
    Language English
    Publishing date 2023-12-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639099-7
    ISSN 1531-2291 ; 0890-5339
    ISSN (online) 1531-2291
    ISSN 0890-5339
    DOI 10.1097/BOT.0000000000002741
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Electric scooter injuries

    Nina D. Fisher / Ekenedilichukwu Nwakoby / Hunter Hernandez / Toni M. McLaurin

    Chinese Journal of Traumatology, Vol 26, Iss 6, Pp 334-

    Incidence and injury patterns at a level I trauma center

    2023  Volume 338

    Abstract: Purpose: Electric scooters (e-scooters) have become an increasingly popular mode of public transportation in recent years. As the incidence of related injuries rises, it is important to understand specific fracture patterns unique to e-scooters and ... ...

    Abstract Purpose: Electric scooters (e-scooters) have become an increasingly popular mode of public transportation in recent years. As the incidence of related injuries rises, it is important to understand specific fracture patterns unique to e-scooters and electric bikes (e-bikes) to help guide management. The purpose of this study was to review the prevalence and describe specific fracture patterns of e-scooter and e-bike related injuries at the busiest level 1 trauma center in the borough of Manhattan. Methods: Chart review to determine mechanism of injury was performed on all patients for whom an orthopedic consult was requested from 1/1/2021 to 12/31/2021. All patients whose injuries were sustained due to an e-scooter or e-bike were further reviewed for demographics, injury characteristics including fracture pattern, and definitive injury management. Any patients who had an orthopedic consult placed for a reason other than an acute injury were excluded. Descriptive statistics are reported as frequency (percentage) for categorical variables and means for continuous variables. Results: Of the 1815 orthopedic consults requested, 1357 (74.8%) were for acute injury management. Of those with acute injuries, 119 (8.8%) sustained 136 e-scooter or e-bike related injuries. There were 92 (77.3%) males at an average age of (33.8 ± 15.7) years. Approximately one-fifth of all patients presented in June 2021 (26, 21.8%). There was a 9.2% rate of open fractures. The 136 injuries were evenly split between the upper and lower extremities, with 57 (47.9%) upper extremity, 57 (47.9%) lower extremity injuries, and 5 (4.2%) concomitant upper and lower extremity injuries. The most common fracture patterns were ankle fractures (16, 11.7%), followed by tibial shaft (14, 10.2%), tibial plateau (13, 9.5%), and radial head fractures (11, 8.0%). There was a 33.3% incidence of associated posterior malleolar fractures in the spiral tibial shaft fractures, 31.0% of posterior malleolar involvement and 18.8% of isolated vertical medial malleolar ...
    Keywords Electric scooter ; Electric bike ; Tibial shaft ; Ankle fractures ; Tibial plateau fractures ; Medicine (General) ; R5-920
    Subject code 796
    Language English
    Publishing date 2023-11-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Racial, Ethnic, and Socioeconomic Healthcare Disparities in Orthopaedics: What About Orthopaedic Trauma?

    Cannada, Lisa K / Ortega, Gil / McLaurin, Toni M / Tejwani, Nirmal C / Little, Milton T M / Benson, Emily / Lang, Gerald / Pierrie, Sarah N / Krumrey, Jacque

    Journal of orthopaedic trauma

    2023  Volume 37, Issue 6, Page(s) e235–e239

    MeSH term(s) Humans ; United States ; Healthcare Disparities ; Orthopedics ; Racial Groups ; Socioeconomic Factors
    Language English
    Publishing date 2023-01-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639099-7
    ISSN 1531-2291 ; 0890-5339
    ISSN (online) 1531-2291
    ISSN 0890-5339
    DOI 10.1097/BOT.0000000000002564
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Diversity in orthopaedic trauma: where we are and where we need to be.

    Ortega, Gil / Benson, Emily / Pierrie, Sarah N / McLaurin, Toni M / Tejwani, Nirmal C

    OTA international : the open access journal of orthopaedic trauma

    2021  Volume 4, Issue 2, Page(s) e102

    Abstract: Diversity has multiple dimensions, and individuals' interpretation of diversity varies broadly. The Orthopaedic Trauma Association (OTA) leadership recognized the need to address issues of diversity within the organization and appointed the OTA Diversity ...

    Abstract Diversity has multiple dimensions, and individuals' interpretation of diversity varies broadly. The Orthopaedic Trauma Association (OTA) leadership recognized the need to address issues of diversity within the organization and appointed the OTA Diversity Committee in 2020. The OTA Diversity Committee has produced a statement that was confirmed by the OTA's board of directors reflecting the organization's position on diversity: "The OTA promotes and values diversity and inclusion at all levels with the goal of creating an environment where every member has the opportunity to excel in leadership, education, and culturally-competent orthopaedic trauma care." The OTA Diversity Committee surveyed its 1907 OTA members in the United States and Canada to assess its membership's attitudes toward and interpretation of this important topic.
    Methods: Two surveys were distributed. One 15-question survey was sent to 1907 OTA members with different membership categories in the United States and Canada requesting basic demographic information and asking how members felt about the degree to which women and underrepresented minorities (URM) are represented within the OTA and within its leadership. A second 11-question survey was sent to 30 past chairs of 2017-2019 OTA educational courses and meetings evaluating their criteria for choosing faculty for OTA courses. Comments were reviewed and summarized to identify recurring themes.
    Results: Two hundred seven responses from the membership and 14 from course chairs were received from the 1907 surveys that were emailed to OTA members in the United States and Canada. The results reveal awareness of the limited female and URM representation within the OTA. However, there is disagreement in how or even whether this should be addressed at an organizational level. Review of comments from both surveys reveals a number of common themes on these important topics.
    Conclusion: The members and course chairs surveyed recognize that there is limited diversity at the OTA leadership and faculty level. Many members feel that the OTA would benefit from increasing female and URM representation in committees, within the leadership, and as faculty at OTA-sponsored courses. However, survey comments reveal that many members and course chairs feel it is not the organization's role to regulate diversity and that diversity initiatives themselves may introduce an unnecessary form of bias.
    Language English
    Publishing date 2021-06-10
    Publishing country United States
    Document type Journal Article
    ISSN 2574-2167
    ISSN (online) 2574-2167
    DOI 10.1097/OI9.0000000000000102
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Arm Fasciotomy Through Lateral Approach.

    Carlock, Kurtis D / Shenoy, Kartik / Ramme, Austin / McLaurin, Toni M

    Journal of orthopaedic trauma

    2019  Volume 33 Suppl 1, Page(s) S15–S16

    Abstract: Acute compartment syndrome represents one of the few true orthopaedic emergencies. Timely management is essential to prevent permanent sequelae. This video describes a case of acute compartment syndrome of the arm. Relevant patient history, physical ... ...

    Abstract Acute compartment syndrome represents one of the few true orthopaedic emergencies. Timely management is essential to prevent permanent sequelae. This video describes a case of acute compartment syndrome of the arm. Relevant patient history, physical examination, and laboratory findings are discussed, and a presentation of the operative technique for arm fasciotomy through a lateral approach is highlighted. Diagnostic criteria for acute compartment syndrome and indications for fasciotomy are reviewed, with a discussion of published outcomes after fasciotomy.
    MeSH term(s) Anterior Compartment Syndrome/surgery ; Arm/surgery ; Fasciotomy/methods ; Humans ; Male ; Middle Aged
    Language English
    Publishing date 2019-03-01
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 639099-7
    ISSN 1531-2291 ; 0890-5339
    ISSN (online) 1531-2291
    ISSN 0890-5339
    DOI 10.1097/BOT.0000000000001539
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Decreasing Postoperative Opioid Prescriptions After Orthopedic Trauma Surgery: The "Lopioid" Protocol.

    Landes, Emma K / Leucht, Philipp / Tejwani, Nirmal C / Ganta, Abhishek / McLaurin, Toni M / Lyon, Thomas R / Konda, Sanjit R / Egol, Kenneth A

    Pain medicine (Malden, Mass.)

    2022  Volume 23, Issue 10, Page(s) 1639–1643

    Abstract: Objective: To assess the effectiveness of a multimodal analgesic regimen containing "safer" opioid and non-narcotic pain medications in decreasing opioid prescriptions after surgical fixation in orthopedic trauma.: Design: Retrospective cohort study.! ...

    Abstract Objective: To assess the effectiveness of a multimodal analgesic regimen containing "safer" opioid and non-narcotic pain medications in decreasing opioid prescriptions after surgical fixation in orthopedic trauma.
    Design: Retrospective cohort study.
    Setting: One urban, academic medical center.
    Subjects: Patients with traumatic fracture from 2018 (n=848) and 2019 (n=931).
    Methods: In 2019, our orthopedic trauma division began a standardized protocol of postoperative pain medications that included 50 mg of tramadol four times daily, 15 mg of meloxicam once daily, 200 mg gabapentin twice daily, and 1 g of acetaminophen every 6 hours as needed. This multimodal regimen was dubbed the "Lopioid" protocol. We compared patients who received this protocol with all patients from the prior year who had followed a standard protocol that included Schedule II narcotics.
    Results: Greater mean morphine milligram equivalents were prescribed at discharge from fracture surgery under the standard protocol than under the Lopioid protocol (252.3 vs 150.0; P < 0.001), and there was a difference in the type of opioid medication prescribed (P < 0.001). There was a difference in the number of refills filled for patients discharged with opioids after surgical treatment between the standard and Lopioid cohorts (0.31 vs 0.21; P = 0.002). There were no differences in the types of medication-related complications (P = 0.710) or the need for formal pain management consults (P = 0.199), but patients in the Lopioid cohort had lower pain scores at discharge (2.2 vs 2.7; P = 0.001).
    Conclusions: The Lopioid protocol was effective in decreasing the amount of Schedule II narcotics prescribed at discharge and the number of opioid refills after orthopedic surgery for fractures.
    MeSH term(s) Acetaminophen/therapeutic use ; Analgesics/therapeutic use ; Analgesics, Opioid/therapeutic use ; Gabapentin/therapeutic use ; Humans ; Meloxicam/therapeutic use ; Morphine Derivatives/therapeutic use ; Narcotics ; Orthopedic Procedures/adverse effects ; Pain, Postoperative/drug therapy ; Pain, Postoperative/etiology ; Prescriptions ; Retrospective Studies ; Tramadol/therapeutic use
    Chemical Substances Analgesics ; Analgesics, Opioid ; Morphine Derivatives ; Narcotics ; Acetaminophen (362O9ITL9D) ; Tramadol (39J1LGJ30J) ; Gabapentin (6CW7F3G59X) ; Meloxicam (VG2QF83CGL)
    Language English
    Publishing date 2022-01-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2015903-1
    ISSN 1526-4637 ; 1526-2375
    ISSN (online) 1526-4637
    ISSN 1526-2375
    DOI 10.1093/pm/pnac002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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