Publications by authors named "Robert D Kay"
Prevalence of Vitamin D Deficiency in Patients With Charcot Arthropathy: A Single-Center Analysis.
J Am Acad Orthop Surg Glob Res Rev
October 2022
Article Synopsis
- Vitamin D deficiency is common in patients with Charcot arthropathy, with 84.2% of those studied either insufficient or deficient.
- A total of 57 patients were screened, revealing that 47.4% were deficient, 36.8% insufficient, and only 15.8% sufficient in vitamin D.
- This suggests that addressing vitamin D levels could potentially help manage Charcot arthropathy, as it may influence the condition's development.
Background: Bone deficiencies in dysplastic acetabula create technical difficulties during total hip arthroplasty (THA). Bulk femoral head autograft (FHA) is one method to increase cup coverage and bone stock of the true acetabulum; however, only limited data exist on its efficacy through a direct anterior approach (DAA). This study aimed to evaluate the outcomes of FHA during THA via a DAA in dysplastic hips.
View Article and Find Full Text PDFOutcomes of an Institutional Rapid Recovery Protocol for Total Joint Arthroplasty at a Safety Net Hospital.
J Am Acad Orthop Surg Glob Res Rev
March 2022
Introduction: Rapid recovery protocols (RRPs) for total joint arthroplasty (TJA) can reduce hospital length of stay (LOS) and improve patient care in select cohorts; however, there is limited literature regarding their utility in marginalized patient populations. This report aimed to evaluate the outcomes of an institutional RRP for TJA at a safety net hospital.
Methods: A retrospective review of 573 primary TJA patients was done, comparing the standard recovery protocol (n = 294) and RRP cohorts (n = 279).
Background: Selective dental clearance before total joint arthroplasty (TJA) has been proposed; however, effective strategies of carrying out this practice are lacking. This study aims to determine the positive predictive value (PPV) of a novel oral examination performed by an orthopedic surgeon to better direct limited resources for marginalized patients in a safety net hospital system.
Methods: A retrospective review was conducted on 105 consecutive patients who had an oral examination performed by a single surgeon before elective TJA.
Case: A 26-year-old man presented after an automobile versus pedestrian accident with a Type IIIA open femur fracture complicated by a necrotizing soft-tissue infection (NSTI) with significant bone loss. Multiple limb-preserving operations failed, including the placement of a plate-assisted, motorized lengthening intramedullary nail with a chimeric free flap. We describe the patient's successful definitive treatment with a Van Nes rotationplasty (VNR).
View Article and Find Full Text PDFAims: This study aimed to evaluate whether an enhanced recovery protocol (ERP) for arthroplasty established during the COVID-19 pandemic at a safety net hospital can be associated with a decrease in hospital length of stay (LOS) and an increase in same-day discharges (SDDs) without increasing acute adverse events.
Methods: A retrospective review of 124 consecutive primary arthroplasty procedures performed after resuming elective procedures on 11 May 2020 were compared to the previous 124 consecutive patients treated prior to 17 March 2020, at a single urban safety net hospital. Revision arthroplasty and patients with < 90-day follow-up were excluded.
Outpatient Total Hip and Knee Arthroplasty Performed in a Safety Net Hospital System.
J Am Acad Orthop Surg Glob Res Rev
September 2021
Article Synopsis
- The study explores the implementation of a rapid recovery protocol (RRP) for outpatient total joint arthroplasty (TJA) in a safety net hospital system.
- The research analyzed two groups of patients (overnight discharge vs. same-day discharge) and found that 86.9% of the same-day discharge cohort was able to leave the hospital on the day of surgery, significantly reducing average hospital stay by 17.7 hours.
- Overall, there were no significant differences in short-term adverse events or readmission rates between the two groups, indicating that outpatient TJA is safe to perform in such settings.
Study Design: Level-1 diagnostic study.
Objective: The purpose of this study was to evaluate the sensitivity and specificity of combined motor and sensory intraoperative neuromonitoring (IONM) for cervical spondylotic myelopathy (CSM).
Summary Of Background Data: Intraoperative neuromonitoring during spine surgery began with sensory modalities with the goal of reducing neurological complications.
Objectives: The objective of this study was to describe a novel cadaver model and to determine the utility of this model for teaching and assessing students in performing knee, elbow, and wrist arthrocentesis.
Methods: Third year medical students were evaluated while performing arthrocentesis during a fresh cadaver training sessions.
Results: Sixty-three participants were included in this analysis.