Publications by authors named "Mikhail A Bethell"

Background: The purpose of this study is to perform a systematic review of the literature comparing the utilization of tension-band wiring (TBW) and plate fixation for the surgical management of olecranon fractures.

Methods: A systematic search of articles in PubMed and Embase databases was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies comparing TBW to plate fixation for olecranon fractures were included.

View Article and Find Full Text PDF

Orthopedic trauma care is impacted by social determinants of health (SDOH) like socioeconomic status, education, and health care access. Disparities in these areas lead to worse outcomes, particularly in rural and low-income urban populations, who face higher mortality and delayed care. Despite their importance, routine SDOH screenings are underused in trauma settings.

View Article and Find Full Text PDF

Background: Outpatient arthroplasty offers several benefits, including reduced hospital stay, lower costs, and decreased risk of hospital-acquired infections. The purpose of this study is to compare short-term outcomes, including complication rates, readmissions and reoperations, between inpatient and outpatient revision reverse total shoulder arthroplasty (rTSA).

Materials And Methods: All revision rTSA performed from July 2013 and January 2024 were retrospectively analyzed.

View Article and Find Full Text PDF

Purpose: The purpose of this study was to systematically review the literature to assess surgical complications following surgical management of olecranon fractures.

Methods: A literature search of MEDLINE, Embase, and the Cochrane Library was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Clinical studies reporting complications following olecranon fracture management were included.

View Article and Find Full Text PDF

Background: Superior labral tears are common shoulder injuries among athletes, and for athletes undergoing surgical intervention, one of the main priorities is to return to preinjury levels of activity in a timely manner. However, the literature surrounding return to play after superior labral repair presents inconsistent results, with limited studies evaluating the timing of return to play.

Purpose: To systematically review the rate and timing of return to play in athletes after arthroscopic superior labral repair.

View Article and Find Full Text PDF

Purpose: Studies demonstrate similar long-term Total Knee Arthroplasty (TKA) outcomes in patients with significant versus minimal preoperative coronal plane deformity. Limited short-term outcomes data, which determine costs of care, exist.

Methods: We retrospectively explored the impact of preoperative coronal plane deformity on operative time, length of stay (LOS), and discharge to skilled nursing facility (SNF) in TKA.

View Article and Find Full Text PDF

Background: Understanding the impact of Social Drivers of Health on shoulder arthroplasty is pivotal for the development of equitable value-based payment models that enhance the quality of patient care. This investigation aims to understand the influence of Area Deprivation Index (ADI) on hospital admissions, readmissions, and associated costs postshoulder arthroplasty.

Methods: We conducted an analysis using US Medicare claims data from 2019 to 2021, identifying patients who received shoulder arthroplasty in either an inpatient or outpatient setting using Current Procedural Terminology codes.

View Article and Find Full Text PDF

Background: The aim of this study was to systematically review the literature on concomitant repair of superior labral and rotator cuff tears, in light of the paucity of published clinical evidence.

Methods: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses compliant search of PubMed, Embase, and Cochrane Library databases was performed for clinical studies of patients undergoing combined repairs of the rotator cuff and superior labrum.

Results: Ten studies comprising 241 shoulders were included, with a mean age of 52.

View Article and Find Full Text PDF

Background: Reverse shoulder arthroplasty (RSA) is an established operative treatment for failed rotator cuff repair (RCR) that may not be amenable to revision repair. The purpose of this meta-analysis is to evaluate the clinical outcomes for patients undergoing RSA following prior failed RCR compared with patients without prior RCR undergoing primary RSA.

Methods: A systematic search of articles in Pubmed, EMBASE and The Cochrane Library databases was carried out according to PRISMA guidelines.

View Article and Find Full Text PDF

Introduction: In low- and middle-income countries such as Haiti, musculoskeletal injuries are the leading cause of morbidity and mortality. Untreated injuries can contribute to decreased mobility, leading to disability and reduced productivity for individuals. The accessibility of timely fracture care poses a substantial challenge in Haiti, where socioeconomic instability and recent surges in gang violence exacerbate an already strained healthcare infrastructure.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines the quality and educational value of TikTok videos related to carpal tunnel syndrome exercises, assessing 101 videos using multiple grading scales.
  • A total of 20,985,730 views were recorded, with healthcare professionals contributing 72% of the videos, yet a high percentage (79%) of their uploads were rated as "poor."
  • Despite healthcare professionals performing better in the DISCERN grading scale, the overall quality of the content on TikTok for this topic was found to be lacking.
View Article and Find Full Text PDF

Importance: Institutions have adopted protocol-driven standardized hip fracture programs (SHFPs). However, concerns persist regarding bias in adherence to guideline-concordant care leading to disparities in implementing high-quality care for patients recovering from surgery for hip fracture.

Objective: To assess disparities in the implementation of guideline-concordant care for patients after hip fracture surgery in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Targeted Hip Fracture (THF) Database.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate patient outcomes after performing tendon transfers during reverse total shoulder arthroplasty (RTSA).
  • A systematic search found 17 relevant studies involving 300 shoulders, mostly affecting older women, showcasing significant improvements in shoulder function and pain relief after tendon transfers.
  • Despite a moderate complication rate of 11.3%, the findings indicate that both combined latissimus dorsi and teres major transfers, and latissimus dorsi transfers alone result in notable positive changes in patients' shoulder function.
View Article and Find Full Text PDF

Introduction: The effect of social drivers of health (SDOH) on readmissions and costs after total hip arthroplasty (THA) and total knee arthroplasty (TKA) is poorly understood. Policies such as the Hospital Readmissions Reduction Program have targeted overall readmission reduction, using value-based strategies to improve healthcare quality. However, the implications of SDOH on these outcomes are not yet understood.

View Article and Find Full Text PDF

Background: The purpose of this study is to systematically review the evidence in the literature to ascertain the functional outcomes, range of motion (ROM), and complication and reoperation rates after revision reverse shoulder arthroplasty (RSA) for a failed primary total shoulder arthroplasty (TSA) or hemiarthroplasty (HA).

Methods: Two independent reviewers performed the literature search based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using the EMBASE, MEDLINE, and The Cochrane Library databases. Studies were included if they reported clinical outcomes for revision RSA for a failed primary TSA or HA.

View Article and Find Full Text PDF

Background: The purpose of this study is to systematically review the evidence in the literature to ascertain the functional outcomes, recurrence rates, and subsequent revision rates following type V superior labrum anterior to posterior (SLAP) repair.

Methods: Two independent reviewers performed a literature search based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, utilizing the EMBASE, MEDLINE, and the Cochrane Library Databases. Studies were included if they had clinical outcomes on the patients undergoing type V SLAP repair.

View Article and Find Full Text PDF

Background: Videos relating to rehabilitation exercises for common injuries relevant to younger populations such as anterior cruciate ligament (ACL) tear receive high view counts on social media platforms such as TikTok.

Purpose/hypothesis: The purpose of this study was to analyze the quality, reliability, and educational value of TikTok videos among the patient population for ACL injury. It was hypothesized that TikTok videos related to ACL rehabilitation exercises would lack quality, reliability, and educational value.

View Article and Find Full Text PDF

BackgroundAs new literature emerges and practice patterns fluctuate, there is a significant potential for variation with regard to adjunctive procedures performed with primary total ankle arthroplasty (pTAA) and revision total ankle arthroplasty (rTAA). Our study aims to evaluate yearly trends in the incidence of concomitant procedures and compare the incidence of adjunctive procedures between pTAA and rTAA.MethodsThe 2012-2020 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried for all pTAA and rTAA.

View Article and Find Full Text PDF

Background: The purpose of this study is to perform a systematic review of the literature evaluating the importance of subscapularis repair in patients who underwent reverse shoulder arthroplasty (RSA).

Methods: A systematic search of articles in PubMed, EMBASE, and the Cochrane Library databases was carried out according to the PRISMA guidelines. Cohort studies comparing RSA with subscapularis repair vs.

View Article and Find Full Text PDF

Background: Because of the lack of scientific oversight, the quality, applicability, and consistency of healthcare-related TikTok videos have become a focus of research exploration. The orthopaedic surgery literature lags behind other medical fields in analyzing the widespread utilization of TikTok videos for medical information delivery.

Methods: TikTok was queried using the hashtag #shoulderstabilityexercises, and 109 videos were included.

View Article and Find Full Text PDF

Background: Social media platforms, like TikTok, have become popular options for the distribution of health care information. Because of the lack of scientific oversight, the quality of health care-related videos has become a focus of the current literature. However, orthopaedic surgery has lagged behind other fields in acknowledging the widespread utilization of TikTok videos for medical information consumption.

View Article and Find Full Text PDF

Background: Social media platforms, like TikTok, have become popular options for the consumption and distribution of healthcare information. Due to the lack of scientific oversight, the consistency of healthcare-related videos has become a focus of the current literature. However, orthopaedic surgery has lagged behind other specialties in acknowledging the widespread utilization of TikTok videos for medical information.

View Article and Find Full Text PDF