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  1. 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
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    In stock of ZB MED Cologne/Königswinter

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    Zs.MO 464: Show issues

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  2. Article: Consideration of load distribution and native soft tissue anatomy when choosing an animal bony model.

    Anastasio, Albert T / Grant, Caitlin / Peairs, Emily M / Fernandez-Moure, Joseph S

    Annals of translational medicine

    2023  Volume 11, Issue 10, Page(s) 336

    Language English
    Publishing date 2023-07-20
    Publishing country China
    Document type Editorial ; Comment
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm-23-1513
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  3. Article: Juvenile Osteochondral Lesions of the Talus: Current Concepts Review and an Update on the Literature.

    Anastasio, Albert T / Bagheri, Kian / Peairs, Emily M / Grant, Caitlin / Adams, Samuel B

    Children (Basel, Switzerland)

    2023  Volume 10, Issue 5

    Abstract: Osteochondral lesions of the talus (OLTs) are lesions that occur before the physis closes and are frequently associated with acute ankle trauma. These lesions are often difficult to diagnose due to swelling and inflammation that are present after the ... ...

    Abstract Osteochondral lesions of the talus (OLTs) are lesions that occur before the physis closes and are frequently associated with acute ankle trauma. These lesions are often difficult to diagnose due to swelling and inflammation that are present after the initial injury. A growing body of literature has assessed the effects of OLTs in the adult population. However, the literature examining these lesions in the juvenile population is sparse. The purpose of this review is to provide a thorough understanding of OLTs, with a specific focus on the juvenile population. We evaluate the recent literature regarding the outcomes of various surgical treatment; modalities in the pediatric patient. While the outcomes after surgical treatment of pediatric OLTs are generally favorable, the paucity of investigation in this demographic is alarming. Further research is needed to better inform practitioners and families regarding these outcomes, as treatment plans are highly dependent on the individual patient in question.
    Language English
    Publishing date 2023-05-15
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children10050884
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  4. Article ; Online: Association Between Hospital Monopoly Status, Patient Socioeconomic Disadvantage, and Total Joint Arthroplasty Price Disclosure.

    Peairs, Emily M / Zhang, Gloria X / Kerr, David / Erickson, Melissa M / Zhang, Yuqi / Cerullo, Marcelo

    The Journal of the American Academy of Orthopaedic Surgeons

    2023  Volume 31, Issue 19, Page(s) 1019–1026

    Abstract: Introduction: In recent years, healthcare institutions and regulatory bodies have enacted cost transparency mandates for routine interventions such as total hip arthroplasty and total knee arthroplasty. However, disclosure rates remain low. This study ... ...

    Abstract Introduction: In recent years, healthcare institutions and regulatory bodies have enacted cost transparency mandates for routine interventions such as total hip arthroplasty and total knee arthroplasty. However, disclosure rates remain low. This study examined the effect of financial characteristics of hospitals and the socioeconomic status of patients on price disclosure.
    Methods: Hospitals conducting total hip arthroplasty/total knee arthroplasty, their quality ratings, and procedural volumes were identified using the Leapfrog Hospital Survey and linked to procedure-specific prices. Financial performance and the Area Deprivation Index (ADI) were used to correlate disclosure rates with hospital and patient characteristics. Hospital financial, operational, and patient summary statistics were compared by price-disclosure status using two-sample t -tests for continuous variables and Pearson chi-square test for categorical variables. The association between total joint arthroplasty price disclosure and hospital ADI was further evaluated using modified Poisson regression.
    Results: A total of 1,425 hospitals certified by the Centers for Medicare & Medicaid Services were identified in the United States. 50.5% (n = 721) of hospitals had no published payer-specific price information. Hospitals in an area of higher socioeconomic disadvantage were more likely to disclose prices of total joint arthroplasty (incidence rate ratio = 0.966, 95% CI: 0.937 to 0.995, P = 0.024). Hospitals that were considered monopolies or were for-profit were less likely to disclose prices (IRR = 1.15, 95% CI: 1.030 to 1.280, P = 0.01; IRR = 1.256, 95% CI: 0.986 to 1.526, P = 0.038, respectively). When accounting for both ADI and monopoly status, hospitals with patients who had a higher ADI were more likely to disclose costs for a total joint arthroplasty, whereas for-profit hospitals or hospitals considered monopolies in their HSA were less likely to disclose prices.
    Discussion: For nonmonopoly hospitals, a higher ADI correlated with a higher likelihood of price disclosure. However, for monopoly hospitals, there was no significant association between ADI and price disclosure.
    Level of evidence: II.
    MeSH term(s) Humans ; Aged ; United States ; Disclosure ; Socioeconomic Disparities in Health ; Medicare ; Hospitals ; Arthroplasty, Replacement, Knee ; Arthroplasty, Replacement, Hip
    Language English
    Publishing date 2023-05-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1200524-1
    ISSN 1940-5480 ; 1067-151X
    ISSN (online) 1940-5480
    ISSN 1067-151X
    DOI 10.5435/JAAOS-D-22-00953
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4048: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 274: Show issues

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  5. Article ; Online: Risks of Increased Operative Time and Longer Hospital Stays Based on Age in Total Ankle Arthroplasty.

    Peairs, Emily M / Anastasio, Albert T / Kim, Billy / Walley, Kempland / Adams, Samuel B

    Foot & ankle specialist

    2023  , Page(s) 19386400231194775

    Abstract: Background: As total ankle arthroplasty (TAA) is increasingly performed in younger individuals in the United States, the aim of this study was to analyze TAA outcomes and complications by age.: Methods: A total of 1619 primary and revision TAAs from ... ...

    Abstract Background: As total ankle arthroplasty (TAA) is increasingly performed in younger individuals in the United States, the aim of this study was to analyze TAA outcomes and complications by age.
    Methods: A total of 1619 primary and revision TAAs from 2012 to 2020 were collected and included from the National Surgical Quality Improvement Program. Patients were stratified by age into those younger than 55 years, between 55 and 70 years, and older than 70 years. Demographics, medical comorbidities, American Society of Anesthesiology Physical Classification (ASA) class, operative time, 30-day complications, and comorbid conditions were compared by univariable analysis. Multivariable analysis was used to analyze readmission rates, reoperation rates, operative time, and hospital length of stay.
    Results: Patients younger than 55 years were found to have a significantly longer operative time compared to patients older than 70 years of age or between 55 and 70 years (P < .001, P = .034). Patients older than 70 years were found to have a significantly longer hospital stay (P < .001) and a greater risk of discharging to a nonhome location (P < .001). By multivariable analysis, patients 55 to 70 have a statistically lower risk of readmission compared to the other 2 cohorts (P = .043). No difference in postoperative complications was demonstrated between the different groups.
    Conclusions: As the incidence of total ankle arthroplasty increases across all ages, it is important to understand specific perioperative risks for each age group. Younger patients tended to have longer surgeries and higher body mass indexes (BMIs). Patients aged 55 to 70 years had the lowest risks for perioperative complications. Patients greater than 70 years were at risk for longer hospital stays and discharge to nonhome locations. There were no differences in postoperative complications by age.
    Level of evidence: Level III: Retrospective comparative study.
    Language English
    Publishing date 2023-09-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2488579-4
    ISSN 1938-7636 ; 1938-6400
    ISSN (online) 1938-7636
    ISSN 1938-6400
    DOI 10.1177/19386400231194775
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    Zs.A 7037: Show issues Location:
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  6. Article: Fracture through Pre-Existing Tarsal Coalition: A Narrative Review.

    Anastasio, Albert T / Peairs, Emily M / Grant, Caitlin / Kim, Billy I / Duruewuru, Anthony / Adams, Samuel B

    Children (Basel, Switzerland)

    2022  Volume 10, Issue 1

    Abstract: Tarsal coalitions are abnormal fibrous or bony connections between the tarsal bones of the foot. While not always symptomatic, coalitions can cause pain, alterations in forefoot and hindfoot morphology, and alterations in foot and ankle biomechanics. ... ...

    Abstract Tarsal coalitions are abnormal fibrous or bony connections between the tarsal bones of the foot. While not always symptomatic, coalitions can cause pain, alterations in forefoot and hindfoot morphology, and alterations in foot and ankle biomechanics. Previous research has described the association of tarsal coalitions with fractures of the lower extremity. Multiple reports of acute fracture in the presence of tarsal coalition have been presented, as have reports of stress fractures of the foot and ankle with concomitant coalition, insidious in onset and thought to be related to aberrancies in foot and ankle biomechanics. The purpose of this review is to discuss the biomechanics seen in tarsal coalitions and to describe reports of fracture occurring concomitantly with tarsal coalitions. We will discuss diagnostic options and treatment approaches in the setting of fracture with preexisting tarsal coalition.
    Language English
    Publishing date 2022-12-29
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children10010072
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  7. Article: Telehealth Physical Therapy for Sports Medicine Rehabilitation: What Is Its Role in the Postpandemic Era?

    Kim, Billy I / Peairs, Emily / Lander, Sarah / Antonelli, Christopher / Lau, Brian C

    Orthopaedic journal of sports medicine

    2022  Volume 10, Issue 10, Page(s) 23259671221127721

    Abstract: Background: The adoption of telehealth visits for physical therapy (PT) has accelerated because of the COVID-19 pandemic. Patient reception of virtual PT at the outbreak of the pandemic was positive, but it is unclear how telehealth visits compare to in- ...

    Abstract Background: The adoption of telehealth visits for physical therapy (PT) has accelerated because of the COVID-19 pandemic. Patient reception of virtual PT at the outbreak of the pandemic was positive, but it is unclear how telehealth visits compare to in-person visits in the postpandemic era.
    Purpose: To evaluate utilization trends and patient satisfaction with virtual PT compared with in-person PT during and after the COVID-19 pandemic.
    Study design: Cross-sectional study; Level of evidence, 3.
    Methods: We identified 59,461 in-person and 2016 telehealth visits at a single physical rehabilitation center between March 2020 and December 2021. Patient socioeconomic and demographic variables, including insurance status, were compared between telehealth users and in-person visitors. A total of 1012 patient satisfaction surveys were available and analyzed using the top-box method. Univariable statistics (
    Results: Overall, telehealth users when compared with in-person visitors were older (median age, 47 vs 42 years, respectively;
    Conclusion: We noted a decline in telehealth PT use during the postpandemic era, consistent with reduced patient satisfaction when compared with in-person visits. Telehealth is a useful option for populations with limited time or access to care and may serve a role in a hybrid care model. Further studies on long-term outcomes after telehealth PT are warranted to evaluate its efficacy.
    Language English
    Publishing date 2022-10-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2706251-X
    ISSN 2325-9671
    ISSN 2325-9671
    DOI 10.1177/23259671221127721
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  8. Article ; Online: Employing non-canonical amino acids towards the immobilization of a hyperthermophilic enzyme to increase protein stability.

    Switzer, Hannah J / Howard, Christina A / Halonski, John F / Peairs, Emily M / Smith, Nolan / Zamecnik, Maddy P / Verma, Sanjana / Young, Douglas D

    RSC advances

    2023  Volume 13, Issue 13, Page(s) 8496–8501

    Abstract: A carboxylesterase derived ... ...

    Abstract A carboxylesterase derived from
    Language English
    Publishing date 2023-03-14
    Publishing country England
    Document type Journal Article
    ISSN 2046-2069
    ISSN (online) 2046-2069
    DOI 10.1039/d3ra00392b
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  9. Article ; Online: Evaluating Failure Mechanisms for Total Talus Replacement: Contemporary Review.

    Anastasio, Albert T / Peairs, Emily M / Tabarestani, Troy Q / Krez, Alexandra N / Shaffrey, Isabel / Henry, Jensen K / Demetracopoulos, Constantine A / Adams, Samuel B

    Foot & ankle specialist

    2023  , Page(s) 19386400231206041

    Abstract: Background: As total talus replacement (TTR) grows in popularity as a salvage option for talar collapse, a critical evaluation of the complications associated with this procedure is indicated.: Methods: In this review of the literature, we present a ... ...

    Abstract Background: As total talus replacement (TTR) grows in popularity as a salvage option for talar collapse, a critical evaluation of the complications associated with this procedure is indicated.
    Methods: In this review of the literature, we present a patient report and provide a review of several complications seen after TTR, including ligamentous instability, infection, and adjacent joint osteoarthritis, which we have encountered in our practice.
    Results: Total talus replacement has the potential to reduce pain and preserve range of motion. However, the treating surgeon must be cognizant of the variety of adverse outcomes. We have presented cases of potential devastating complications from our own clinical experience and the literature.
    Conclusions: In conclusion, TTR may have utility in the properly selected patient with end-stage talar collapse, but implant composition, indications, and patient demographic variables complicate the interpretation of the literature.
    Language English
    Publishing date 2023-10-31
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2488579-4
    ISSN 1938-7636 ; 1938-6400
    ISSN (online) 1938-7636
    ISSN 1938-6400
    DOI 10.1177/19386400231206041
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    Zs.A 7037: Show issues Location:
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  10. Article: The expanding use of three-dimensional printing in orthopaedic and spine surgery.

    Anastasio, Albert T / Peairs, Emily M / Tabarestani, Troy Q / Kim, Billy I / Adams, Samuel B / Lark, Robert K

    Journal of spine surgery (Hong Kong)

    2022  Volume 8, Issue 3, Page(s) 300–303

    Language English
    Publishing date 2022-09-28
    Publishing country China
    Document type Editorial ; Comment
    ZDB-ID 2874556-5
    ISSN 2414-4630 ; 2414-469X
    ISSN (online) 2414-4630
    ISSN 2414-469X
    DOI 10.21037/jss-22-63
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