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Your search keyword '"Maltenfort, Mitchell G."' showing total 180 results
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180 results on '"Maltenfort, Mitchell G."'

1. Clinical characteristics and favorable treatment responses of recurrent focal segmental glomerulosclerosis or steroid-resistant nephrotic syndrome in children after kidney transplantation

Author

Dharnidharka, Vikas R., Scobell, Rebecca R., Kallash, Mahmoud, Davies, Amy J. Goodwin, Marchesani, Nicole, Maltenfort, Mitchell G., Walther, Leslie, Kelton, Megan, Bock, Margret, Blanchette, Eliza, Stone, Hillarey K., Gluck, Caroline, Hullekes, Frank, Riella, Leonardo V., Smoyer, William E., Mitsnefes, Mark, Dixon, Bradley P., Flynn, Joseph T., Somers, Michael J. G., Forrest, Christopher B., Furth, Susan, and Denburg, Michelle R.

Published
2024
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33. Republication of "Open Repair of Acute Achilles Tendon Ruptures: Is the Incidence of Clinically Significant Wound Complications Overestimated?".

Author

Bishop, Meghan E., Comer, Carly D., Kane, Justin M., Maltenfort, Mitchell G., and Raikin, Steven M.

Subjects
CONFIDENCE intervals, ACQUISITION of data, RETROSPECTIVE studies, FISHER exact test, MANN Whitney U Test, ACHILLES tendon rupture, COMPARATIVE studies, INFECTION, CRITICAL care medicine, SURGICAL site, MEDICAL records, DESCRIPTIVE statistics, DATA analysis software, LONGITUDINAL method
Abstract

Background: Conflicting evidence exists regarding the optimal management of acute Achilles tendon ruptures. Operative repair is thought to afford patients a lower risk of rerupture, albeit at a higher overall risk of wound complications. Methods: A retrospective chart review of 369 consecutive patients undergoing open repair of acute Achilles tendon ruptures performed by a single foot and ankle fellowship-trained orthopedic surgeon was undertaken. Healing was classified as no complications, complications without prolonging treatment, complications requiring prolonged local treatment, and complications requiring operative intervention. A statistical analysis comparing the rates of complications in this cohort to that reported in the literature was conducted. Results: There were a total of 33 (8.94%) wound complications. Compared to the rates reported in the literature, no significant difference was detected (P = .3943; CI 6.24-12.33). However, when the complications not requiring additional treatment or prolonged care were excluded, only 9 wound complications (2.44%) were identified--a significantly lower complication rate than that reported in the literature (P < .0001; CI 1.12-4.58). There were only 2 (0.54%) major complications requiring operative intervention, also a significantly lower rate than in the literature (P < .0001; CI 0.067-1.94). Conclusion: In the past, wound-healing complications have been cited as a concern when treating patients operatively. We found that when solely looking at healing complications prolonging the patients' overall recovery, a significantly lower rate of complications existed compared to that reported in the literature. [ABSTRACT FROM AUTHOR]

Published
2023
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34. Ureteral Stent Placement Prior to Definitive Stone Treatment Is Associated With Higher Postoperative Emergency Department Visits and Opioid Prescriptions for Youth Having Ureteroscopy or Shock Wave Lithotripsy.

Author

Tasian, Gregory E., Maltenfort, Mitchell G., Rove, Kyle, Ching, Christina B., Ramachandra, Puneeta, DeFoor, Bob, Fernandez, Nicolas, Forrest, Christopher B., and Ellison, Jonathan S.

Subjects
EXTRACORPOREAL shock wave lithotripsy, URETEROSCOPY, SURGICAL stents, SHOCK waves, HOSPITAL emergency services, LITHOTRIPSY, ELECTRONIC health records
Abstract

Purpose: Little is known about the impact of ureteral stents on youth having stone surgery. We evaluated the association of ureteral stent placement before or concurrent with ureteroscopy and shock wave lithotripsy with emergency department visits and opioid prescriptions among pediatric patients. Materials and Methods: We conducted a retrospective cohort study of individuals aged 0-24 years who underwent ureteroscopy or shock wave lithotripsy from 2009-2021 at 6 hospitals in PEDSnet, a research network that aggregates electronic health record data from children's health systems in the United States. The exposure, primary ureteral stent placement, was defined as a stent placed concurrent with or within 60 days before ureteroscopy or shock wave lithotripsy. Associations between primary stent placement and stone-related ED visits and opioid prescriptions within 120 days of the index procedure were evaluated with mixed-effects Poisson regression. Results: Two-thousand ninety-three patients (60% female; median age 15 years, IQR 11-17) had 2,477 surgical episodes; 2,144 were ureteroscopy and 333 were shock wave lithotripsy. Primary stents were placed in 1,698 (79%) ureteroscopy episodes and 33 (10%) shock wave lithotripsy episodes. Ureteral stents were associated with a 33% higher rate of emergency department visits (IRR 1.33; 95% CI 1.02-1.73) and a 30% higher rate of opioid prescriptions (IRR 1.30; 95% CI 1.10-1.53). The magnitudes of both associations were greater for shock wave lithotripsy. Results were similar for age <18 and were lost when restricted to concurrent stent placement. Conclusions: Primary ureteral stent placement was associated with more frequent emergency department visits and opioid prescriptions, driven by prestenting. These results support elucidating situations where stents are not necessary for youth with nephrolithiasis. [ABSTRACT FROM AUTHOR]

Published
2023
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42. Effectiveness of Quickcast Versus Custom-Fabricated Thermoplastic Orthosis Immobilization for the Treatment of Mallet Fingers: A Randomized Clinical Trial.

Author

Cavanaugh, Priscilla K., Watkins, Cynthia, Jones, Christopher, Maltenfort, Mitchell G., Beredjiklian, Pedro K., and Rivlin, Michael

Abstract

Background: Mallet finger is a common injury involving a detachment of the terminal extensor tendon from the distal phalanx. This injury is usually treated with immobilization in a cast or splint. The purpose of this study is to compare outcomes of mallet fingers treated with either a cast (Quickcast) or a traditional thermoplastic custom-fabricated orthosis. Methods: Our study was a prospective, assessor-blinded, single-center randomized clinical trial of 58 consecutive patients with the diagnosis of bony or soft tissue mallet finger treated with immobilization. Patients were randomized to either an orfilight thermoplastic custom-fabricated orthosis or a Quickcast orthosis. Patients were evaluated at 3, 6, and 10 weeks for bony and 4, 8, and 12 weeks for soft tissue mallets. Skin complications, pain with orthosis, compliance, need for surgical intervention, and extensor lag were compared between the 2 groups. Results: Both bony and soft tissue mallet finger patients experienced significantly less skin complications (33% vs 64%) and pain (11.2 vs 21.6) when using Quickcast versus an orfilight thermoplastic custom-fabricated orthosis. The soft tissue mallet group revealed a greater difference in pain, favoring Quickcast (6.2 vs 22). No significant difference in final extensor droop or need for secondary surgery was found between the 2 groups. Conclusions: Quickcast immobilization for the treatment of mallet finger demonstrated fewer skin complications and less pain compared with orfilight custom-fabricated splints. [ABSTRACT FROM AUTHOR]

Published
2022
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