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Article ; Online: Trends in Pediatric Anterior Cruciate Ligament Reconstruction in Australia: An Analysis of Australian Medicare Benefits Schedule Database From 2001 to 2020.

Campbell, Ryan J / An, Vincent / Molnar, Robert / St George, Justine / Sivakumar, Brahman S / Symes, Michael

2024 Volume 44, Issue 5, Page(s) 347–352

Abstract: Background: Anterior cruciate ligament (ACL) injuries are common and increasingly prevalent in the pediatric population. However, there remain sparse epidemiological data on the surgical treatment of these injuries. The objective of this study is to ... ...

Abstract	Background: Anterior cruciate ligament (ACL) injuries are common and increasingly prevalent in the pediatric population. However, there remain sparse epidemiological data on the surgical treatment of these injuries. The objective of this study is to assess the trends in the rate of pediatric ACL reconstruction in Australia over the past 2 decades. Methods: The incidence of ACL reconstruction from 2001 to 2020 in patients 5 to 14 years of age was analyzed using the Australian Medicare Benefits Schedule (MBS) database. Data were stratified by sex and year. An offset term was introduced using population data from the Australian Bureau of Statistics to account for population changes over the study period. Results: A total of 3719 reconstructions for the management of pediatric ACL injuries were performed in Australia under the MBS in the 20-year period from 2001 to 2020. There was a statistically significant annual increase in the total volume and per capita volume of pediatric ACL reconstructions performed across the study period ( P <0.0001). There was a significant increase in the rate of both male and female reconstructions ( P <0.0001), with a greater proportion of reconstructions performed on males (n=2073, 56%) than females (n=1646, 44%). In 2020, the rate of pediatric ACL reconstructions decreased to a level last seen in 2015, likely due to the effects of COVID-19. Conclusions: The incidence of ACL reconstruction in skeletally immature patients has increased in Australia over the 20-year study period. This increase is in keeping with evidence suggesting poor outcomes with nonoperative or delayed operative management.
MeSH term(s)	Aged ; Humans ; Child ; Male ; Female ; Australia/epidemiology ; National Health Programs ; Anterior Cruciate Ligament Injuries/epidemiology ; Anterior Cruciate Ligament Injuries/surgery ; Anterior Cruciate Ligament Reconstruction ; Databases, Factual
Language	English
Publishing date	2024-02-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	604642-3
ISSN	1539-2570 ; 0271-6798
ISSN (online)	1539-2570
ISSN	0271-6798
DOI	10.1097/BPO.0000000000002646
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 1681: Show issues

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Article ; Online: Intramedullary Compression Screw Fixation for Middle Phalangeal Fractures.

George, Adam R / Abbot, Hagen / McCarron, Luke / Graham, David J / Sivakumar, Brahman S

The Journal of hand surgery

2024

Abstract: Purpose: This study aimed to evaluate short- and medium-term clinical and patient-reported outcomes of intramedullary compression screw fixation for extra-articular middle phalangeal fractures.: Methods: A retrospective study was performed on a ... ...

Abstract	Purpose: This study aimed to evaluate short- and medium-term clinical and patient-reported outcomes of intramedullary compression screw fixation for extra-articular middle phalangeal fractures. Methods: A retrospective study was performed on a series of 20 patients (with a total of 23 fractured digits) who underwent fixation of middle phalangeal fractures between January 2020 and March 2023. The results from this cohort were compared against those for plate and K-wire fixation in the literature. Results: Total active motion was 246°; Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score was 4.9; verbal numerical pain score was 1.1 of 10; mean time for return to work was 62.5 days; and a single complication was noted in the entire cohort. Conclusion: Intramedullary screw fixation is a viable option in the treatment of extra-articular middle phalangeal fractures. It offers a favorable postoperative range of motion, good duration for return to function, excellent rates of complication, and low pain scores. Type of study/level of evidence: Therapeutic IV.
Language	English
Publishing date	2024-02-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	605716-0
ISSN	1531-6564 ; 0363-5023
ISSN (online)	1531-6564
ISSN	0363-5023
DOI	10.1016/j.jhsa.2023.12.011
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Zs.A 1431: Show issues

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Article ; Online: Trends in the use of ankle arthrodesis and total ankle replacements in Australia over the past 20 years.

Yasutomi, Motofumi / An, Vincent V G / Xu, Joshua / Wines, Andrew / Sivakumar, Brahman S / Symes, Michael J

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

2024 Volume 34, Issue 4, Page(s) 1997–2001

Abstract: Background: End stage ankle osteoarthritis (OA) is debilitating. Surgical management consists of either ankle arthrodesis (AA) or a total ankle replacement (TAR). The purpose of this study is to assess the trends in operative intervention for end stage ... ...

Abstract	Background: End stage ankle osteoarthritis (OA) is debilitating. Surgical management consists of either ankle arthrodesis (AA) or a total ankle replacement (TAR). The purpose of this study is to assess the trends in operative intervention for end stage ankle OA in an Australian population. Methods: This is a retrospective epidemiological study of 15,046 surgeries. Data were collected from publicly available national registries including the Australian Medicare Database and Australian Orthopaedic Association National Joint Replacement Registrar from 2001 to 2020. Results: There was a significant increase in all ankle surgeries performed across the period of interest. AA remained the more commonly performed procedure throughout the course of the study (11,946 cases, 79.4%) and was never surpassed by TAR (3100, 20.6%). The overall proportions demonstrated no significant changes from 2001 to 2020. Conclusion: The incidence of ankle surgeries continues to increase with the ageing and increasingly comorbid population of Australia. Despite demonstrating no significant overall change in the ratio of TAR and AA in our study population and period, there are noticeable trends within the timeframe, with a recent surge favouring TAR in the last 5 years.
MeSH term(s)	Humans ; Arthrodesis/statistics & numerical data ; Arthrodesis/trends ; Arthrodesis/methods ; Arthroplasty, Replacement, Ankle/statistics & numerical data ; Arthroplasty, Replacement, Ankle/trends ; Australia/epidemiology ; Osteoarthritis/surgery ; Osteoarthritis/epidemiology ; Retrospective Studies ; Male ; Ankle Joint/surgery ; Female ; Aged ; Middle Aged ; Registries
Language	English
Publishing date	2024-03-19
Publishing country	France
Document type	Journal Article
ZDB-ID	1231084-0
ISSN	1432-1068 ; 1633-8065 ; 0948-4817 ; 0940-3264
ISSN (online)	1432-1068
ISSN	1633-8065 ; 0948-4817 ; 0940-3264
DOI	10.1007/s00590-024-03884-z
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Zs.A 3479: Show issues

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Article ; Online: Flexor Digitorum Superficialis Excision for Trigger Finger - A Systematic Literature Review.

Crouch, Gareth / Xu, Joshua / Graham, David J / Sivakumar, Brahman S

The journal of hand surgery Asian-Pacific volume

2023 Volume 28, Issue 3, Page(s) 388–397

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Adult ; Humans ; Trigger Finger Disorder/surgery ; Retrospective Studies ; Prospective Studies ; Tendons/surgery ; Hand ; Contracture/surgery ; Joint Dislocations/complications ; Hand Deformities, Acquired/surgery
Language	English
Publishing date	2023-07-24
Publishing country	Singapore
Document type	Systematic Review ; Journal Article
ZDB-ID	2848651-1
ISSN	2424-8363 ; 2424-8355
ISSN (online)	2424-8363
ISSN	2424-8355
DOI	10.1142/S242483552350042X
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Zs.A 5911: Show issues

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Article ; Online: Simultaneous Reconstruction of the Distal Radioulnar Joint Ligaments and Interosseous Membrane Combined with Ulna Shortening Osteotomy for Chronic Essex-Lopresti Injury.

Thatcher, Keely M / Sivakumar, Brahman S / Graham, David J

The journal of hand surgery Asian-Pacific volume

2022 Volume 27, Issue 3, Page(s) 574–579

Abstract: The Essex-Lopresti pattern of injury comprises radial head fracture, distal radioulnar joint (DRUJ) dislocation and disruption of the interosseus membrane (IOM). Diagnosis is often delayed, and reconstruction remains a management dilemma, with several ... ...

Abstract	The Essex-Lopresti pattern of injury comprises radial head fracture, distal radioulnar joint (DRUJ) dislocation and disruption of the interosseus membrane (IOM). Diagnosis is often delayed, and reconstruction remains a management dilemma, with several proposed techniques addressing the radial head via either replacement or fixation; reconstruction of the DRUJ ligaments via anatomic or non-anatomic methods; and IOM reconstruction with synthetic grafts, allograft or autograft. We present a 26-year-old man with a chronic Essex-Lopresti injury who underwent revision ulnar shortening osteotomy (USO), IOM reconstruction using a brachioradialis graft and an Adams-Berger ligament reconstruction of the DRUJ ligaments following a three-year course of increasing pain and instability following radial head dislocation. This case demonstrates the feasibility of a single-stage reconstruction of a chronic Essex-Lopresti injury using a brachioradialis and a palmaris longus autograft.
MeSH term(s)	Adult ; Humans ; Interosseous Membrane ; Joint Dislocations/diagnostic imaging ; Joint Dislocations/surgery ; Ligaments ; Male ; Osteotomy/methods ; Ulna/diagnostic imaging ; Ulna/surgery ; Wrist Joint/surgery
Language	English
Publishing date	2022-07-09
Publishing country	Singapore
Document type	Case Reports ; Journal Article
ZDB-ID	2848651-1
ISSN	2424-8363 ; 2424-8355
ISSN (online)	2424-8363
ISSN	2424-8355
DOI	10.1142/S2424835522720262
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Zs.A 5911: Show issues

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Article ; Online: Basic Statistics for Surgeons.

Xu, Joshua / An, Vincent V G / Sivakumar, Brahman S

The journal of hand surgery Asian-Pacific volume

2022 Volume 27, Issue 3, Page(s) 421–429

Abstract: Interpreting research is an important skill to ensure one can maintain their practise with current evidence. The technicalities of statistics can be daunting and thus, this article aims to provide a clear overview of key statistical tests that a surgeon ... ...

Abstract	Interpreting research is an important skill to ensure one can maintain their practise with current evidence. The technicalities of statistics can be daunting and thus, this article aims to provide a clear overview of key statistical tests that a surgeon will encounter. It highlights the various study designs, summary statistics and comparative tests that are used in clinical research. Furthermore, it provides a guide to determine which statistical method is most appropriate for various study designs. Overall, it aims to act as an introductory text to supplement further reading into the more advanced statistical methodologies.
MeSH term(s)	Humans ; Research Design ; Surgeons
Language	English
Publishing date	2022-07-09
Publishing country	Singapore
Document type	Journal Article
ZDB-ID	2848651-1
ISSN	2424-8363 ; 2424-8355
ISSN (online)	2424-8363
ISSN	2424-8355
DOI	10.1142/S2424835522300043
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Zs.A 5911: Show issues

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Article ; Online: Recurrent Trigger Finger Caused by Herniation of Flexor Digitorum Profundus through the Chiasma - A Case Report.

Tolerton, Sarah K / Sivakumar, Brahman S / Lawson, Richard D

The journal of hand surgery Asian-Pacific volume

2022 Volume 27, Issue 4, Page(s) 732–735

Abstract: Trigger digit is a common condition which is largely idiopathic in etiology. Less frequently, it has been described secondary to anatomical variations or space occupying lesions. We describe a patient who developed a recurrent trigger finger after a ... ...

Abstract	Trigger digit is a common condition which is largely idiopathic in etiology. Less frequently, it has been described secondary to anatomical variations or space occupying lesions. We describe a patient who developed a recurrent trigger finger after a surgical release of the first annular pulley. Intraoperatively, the trigger was noted to be caused by herniation of the flexor digitorum profundus (FDP) tendon into a noose formed by the two slips of the flexor digitorum superficialis tendon (FDS) and the proximal edge of the second annular pulley.
MeSH term(s)	Biomechanical Phenomena ; Hand ; Humans ; Muscle, Skeletal ; Tendons/diagnostic imaging ; Tendons/surgery ; Trigger Finger Disorder/etiology ; Trigger Finger Disorder/surgery
Language	English
Publishing date	2022-08-08
Publishing country	Singapore
Document type	Case Reports ; Journal Article
ZDB-ID	2848651-1
ISSN	2424-8363 ; 2424-8355
ISSN (online)	2424-8363
ISSN	2424-8355
DOI	10.1142/S2424835522720365
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Zs.A 5911: Show issues

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Article: Arthroscopic Bone Grafting and Arthrodesis of Partial Lunotriquetral Coalition.

Sivakumar, Brahman S / Smith, Nicholas C

Journal of wrist surgery

2020 Volume 9, Issue 6, Page(s) 523–527

Abstract: ... ...

Abstract	Background
Language	English
Publishing date	2020-06-09
Publishing country	United States
Document type	Case Reports
ZDB-ID	2678060-4
ISSN	2163-3924 ; 2163-3916
ISSN (online)	2163-3924
ISSN	2163-3916
DOI	10.1055/s-0040-1712516
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: APL Lasso Suspensionplasty for Trapeziectomy.

Sivakumar, Brahman S / Graham, David J

Techniques in hand & upper extremity surgery

2019 Volume 24, Issue 3, Page(s) 108–113

Abstract: Base of thumb arthritis is a common pathology, with late-stage disease often treated by trapeziectomy and a form of ligament reconstruction or suspension. No therapeutic option for suspension or ligament reconstruction has proven to be superior to others, ...

Abstract	Base of thumb arthritis is a common pathology, with late-stage disease often treated by trapeziectomy and a form of ligament reconstruction or suspension. No therapeutic option for suspension or ligament reconstruction has proven to be superior to others, with risks inherent to all. Here, the authors describe a novel technique utilizing an accessory slip of abductor pollicis longus looped around the second metacarpal base to suspend the metacarpal and prevent subsidence after trapeziectomy. This technique aims to mitigate some of the risks seen in other methods, while providing similar biomechanical strength. Early clinical results are also presented.
MeSH term(s)	Arthritis/physiopathology ; Arthritis/surgery ; Carpometacarpal Joints/physiopathology ; Carpometacarpal Joints/surgery ; Humans ; Tendon Transfer/methods ; Thumb/surgery ; Trapezium Bone/surgery
Language	English
Publishing date	2019-12-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2075789-X
ISSN	1531-6572 ; 1089-3393
ISSN (online)	1531-6572
ISSN	1089-3393
DOI	10.1097/BTH.0000000000000276
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Zs.A 5635: Show issues

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Article ; Online: Scaphoid plating for recalcitrant scaphoid fractures: a systematic review.

Morgan, Samuel D J / Sivakumar, Brahman S / Graham, David J

The Journal of hand surgery, European volume

2021 Volume 46, Issue 6, Page(s) 616–620

Abstract: We conducted a systematic review of scaphoid plating for recalcitrant scaphoid fractures using EMBASE, Pubmed, Cochrane and MEDLINE. Thirteen studies were included. Ninety-three per cent of cases reported were male with a mean age of 27 years. Bony union ...

Abstract	We conducted a systematic review of scaphoid plating for recalcitrant scaphoid fractures using EMBASE, Pubmed, Cochrane and MEDLINE. Thirteen studies were included. Ninety-three per cent of cases reported were male with a mean age of 27 years. Bony union was reported in eleven studies and achieved in 72% to 100% of cases. Scaphoid plates showed no significant difference in union incidence compared with headless compression screws. Mean removal incidence of plates was 21%. Postoperative flexion-extension arc was 119°. Grip strength improved by 14% postoperatively over that before surgery. There was a general improvement in patient-reported outcome measures. Eighty-six per cent of reported participants returned to their previous work. In these clinical reports, plates frequently required removal more frequently than headless compression screws.
MeSH term(s)	Adult ; Bone Screws ; Fracture Fixation, Internal ; Fractures, Bone/surgery ; Fractures, Ununited ; Humans ; Male ; Retrospective Studies ; Scaphoid Bone/surgery ; Treatment Outcome
Language	English
Publishing date	2021-04-16
Publishing country	England
Document type	Journal Article ; Systematic Review
ZDB-ID	2272801-6
ISSN	2043-6289 ; 1753-1934
ISSN (online)	2043-6289
ISSN	1753-1934
DOI	10.1177/17531934211005637
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Zs.A 1940: Show issues

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