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13. Arthroscopic Simulation in Orthopaedic Surgery Training.

Author

TESTA, EDWARD J., MODEST, JACOB M., BYRNE, RORY A., OWENS, BRETT D., and HSU, RAYMOND

Abstract

Surgical simulation has become a commonly utilized and well-researched training adjunct in nearly all surgical specialties. Balancing high-quality orthopaedic surgical training in the face of work hour restrictions and efficiency pressures has become a challenge to educators and trainees alike. Surgical simulation is an opportunity to enhance such training and potentially permit trainees to be better equipped for the operating room. In orthopaedics, various low-fidelity, high-fidelity, and virtual reality simulation platforms are readily available to almost all trainees and permit simulation of a wide array of arthroscopic surgeries. In this review, we seek to highlight the potential utility of simulation-based training in orthopaedic surgery, the various types of available simulators, and review the evidence for simulator use. [ABSTRACT FROM AUTHOR]

Published
2023

14. The effect of pre-operative shoulder injections on post-operative opioid use, infection and revision following shoulder arthroplasty.

Author

Lemme, Nicholas J, Yang, Daniel, Lama, Christopher, Testa, Edward J, Dworkin, Myles, Modest, Jacob M, Owens, Brett D, Daniels, Alan H, and DeFroda, Steven F

Subjects
INJECTIONS, ARTHROPLASTY, SHOULDER osteoarthritis, INTRA-articular injections, SHOULDER, REOPERATION, OPIOIDS
Abstract

Background: Treatment of glenohumeral osteoarthritis (GHOA) may include conservative management with use of intraarticular injections, prior to considering total shoulder arthroplasty (TSA). The purpose of this study was to assess trends in the use of preoperative cortisone (CO) and hyaluronic acid (HA) injections, as well as investigate the relationship between injection use and infection or revision arthroplasty following TSA. Methods: Pearl Driver was used to identify all patients undergoing TSA for GHOA between 2010 and 2018. Patients were categorized based on the type and number of injections they received. Outcomes of interest included post-operative opioid use, post-operative infection, and risk of revision surgery within 1 year of the index procedure. Results: The incidence of patients receiving a CO or HA injections within 1 year of their TSA decreased by 83% and 54%, respectively. Patients who had received 1 or more steroid injections had higher odds of prolonged opiate use following surgery. Patients that received 1 or 2 CO injection prior to TSA had an increased risk of needing revision surgery. Discussion: Use of intraarticular injections for the management of GHOA has declined. Patients receiving preoperative injections had increased odds of prolonged opiate use and the need for revision surgery. [ABSTRACT FROM AUTHOR]

Published
2023
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21. sj-pdf-1-ajs-10.1177_03635465221074694 ��� Supplemental material for Epidemiology and Revision Rates of Pediatric ACL Reconstruction in New York State

Author

Brodeur, Peter G., Licht, Aron H., Modest, Jacob M., Testa, Edward J., Gil, Joseph A., and Cruz, Aristides I.

Subjects
FOS: Clinical medicine, 110323 Surgery, 110604 Sports Medicine, FOS: Health sciences, 110314 Orthopaedics
Abstract

Supplemental material, sj-pdf-1-ajs-10.1177_03635465221074694 for Epidemiology and Revision Rates of Pediatric ACL Reconstruction in New York State by Peter G. Brodeur, Aron H. Licht, Jacob M. Modest, Edward J. Testa, Joseph A. Gil and Aristides I. Cruz in The American Journal of Sports Medicine

Published
2022
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25. Osteomalacia and Renal Osteodystrophy.

Author

MODEST, JACOB M., SHETH, HIMESH, GOHH, REGINALD, and AARON, ROY K.

Subjects
*RENAL osteodystrophy, *METABOLIC bone disorders, *OSTEOMALACIA, *BONE health, *KIDNEY failure
Abstract

Osteomalacia is defined by the undermineralization of newly formed bone due to a lack of available calcium, phosphorus, or vitamin D. Causative factors of osteomalacia include nutritional deficiency, diminished absorptive capabilities (often due to gastrointestinal disorders), and renal insufficiency. Renal osteodystrophy is a specific form of metabolic bone disease defined by the presence of osteomalacia and associated hyperparathy-roidism secondary to a malfunction in, or absence of, renal parenchyma. This reduces the conversion of vitamin D to its active form, thus leading to a cascade of effects that negatively impact the stability of the skeleton. Os-teomalacia occurs across a spectrum of severity and can produce severe consequences for specific populations, including patients with dietary, nutritional, and absorptive deficiencies. Renal osteodystrophy affects patients with chronic kidney disease, those undergoing dialysis, and renal transplant patients. Special considerations must be taken into account when assessing the bone health of patients fitting these criteria. [ABSTRACT FROM AUTHOR]

Published
2022

26. Implant Charge Differences Between Distal Radius Fixation Constructs (CPT 25607, 25608, and 25609).

Author

Goodman, Avi D., Modest, Jacob M., Johnson, Joey P., Hayda, Roman A., Got, Christopher J., Gil, Joseph A., and Weiss, Arnold-Peter C.

Abstract

Background: Implants are a significant contributor to health care costs. We hypothesized that extra-articular fracture patterns would have a lower implant charge than intra-articular fractures and aimed to determine risk factors for increased cost. Methods: In total, 163 patients undergoing outpatient distal radius fracture fixation at 2 hospitals were retrospectively reviewed stratified by Current Procedural Terminology codes. Implants and associated charges were noted, as were sex, age, insurance status, surgeon specialty, and location. Bivariate and multivariable regression were used to determine associations. Results: Total implant charges were significantly lower for 25607 (extraarticular, $3,348) than 25608 (2-part intraarticular, $3,859) and 25609 (3+ part intraarticular, $3,991). In addition, intra-articular fractures had higher charges for distal screws/pegs and bone graft. Charge was lower when surgery was performed at a trauma center. There was no charge difference associated with insurance status, age, sex, hand surgery specialty, or fellow status. Substantial intersurgeon variation existed in all fracture types. Conclusion: Distal radius fractures may represent a good model for examining implant costs. Extra-articular fractures had lower implant charges than intra-articular fractures. These data may be used to help construct pricing for distal radius fracture bundles and potential cost savings. [ABSTRACT FROM AUTHOR]

Published
2022
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27. Successful Fracture Healing for Femoral Neck Nonunion with Bone Marrow Aspirate Concentrate.

Author

Modest, Jacob M., Lemme, Nicholas J., Testa, Edward J., Evans, Andrew R., and Reid, Daniel B. C.

Subjects
*FEMORAL neck fractures, *BONE grafting, *HEMIARTHROPLASTY, *BONE marrow, *FRACTURE healing, *UNUNITED fractures, *FEMUR neck
Abstract

Introduction: Femoral neck fractures in the young patient require prompt anatomic reduction and stabilization to preserve the vascular supply to the femoral head and minimize future need for arthroplasty. Secondary to unique biomechanical and vascular considerations, these injuries are prone to nonunion. Case Report: A 29-year-old male with a chronic femoral neck fracture nonunion who experienced successful fracture healing and symptom resolution following Bone Marrow Aspirate Concentrate (BMAC) administration. Discussion: Femoral neck nonunion in young patients is a challenging problem with treatment strategies aimed at improving the biological and biomechanical fracture environment. While the use of both vascularized and nonvascularized bone grafting has shown promising results, they have high complication rates and substantial donor site morbidity. BMAC has demonstrated multiple uses throughout orthopedic surgery and may result in an improved fracture healing environment with minimal patient morbidity. Conclusion: The success of the BMAC procedure for this patient is promising and may be considered in similar patients, with or without revision internal fixation methods. [ABSTRACT FROM AUTHOR]

Published
2022

32. Contributors

Author

Abdelazeem, Mohamed A., Abelman, Rebecca A., Abrantes, Tatiana F., Afari, Maxwell Eyram, Afarideh, Mohsen, Ahmad, Ali, Ahn-Horst, Rosa, Akoto, Shanice, AlAbdulhadi, Abrar, Albright, J. Alex, Sierra, Maria Aldana, Ali, Tanya, Alipanah-Lechner, Narges, Anderson, Chelsea Bloom, Anderson, Chelsie, Anilowski, Kathryn Taylor, Anthony, Anngene, Aoun, Joe, Asaro, Joseph A., Asemota, Daniel, Asiedu, Daniel K., Astsaturov, Artem, Aulakh, Sudeep K., Avasare, Rupali, Babar, Tania B., Bachman, Emelia Argyropoulos, Bains, Ashika, Balaguera, Pedro, Bank, T. Caroline, Banwell, Brenda, Basman, Craig L., Bass, Crystal T., Beausang, Jasjit, Belcher, Ren, Bell, Jennifer, Bellinghausen, Amy L., Bennett, Colleen E., Benson, Nicole M., Bergen, Michael, Berger, Agatha, Berkowitz, Carol D., Bevington, Kristin, Bhagat, Vicky H., Bharmal, Murtaza, Bhatt, Harikrashna B., Bhuptani, Prachi H., Bido-Medina, Richard O., Bielak, Kendall, Bilodeau, Courtney Clark, Bird, Lisa, Bishop, Erin, Bissonette, Stefani, Bitar, Ghamar, Black, Julia E., Blakeney, Craig, Bland, Lauren, Blankenhorn, Brad, Block, Brian, Bochner, Risa, Boduch, Abigail N., Bortz, Christina M., Bouton, Tara C., Bove, Mary E., Bowlby, Lynn A., Box, Amanda, Brady, Mark F., Bratman, Russell E., Brennan, Keith, Bridges, Amy, Brown, Austin K., Brown, Emily, Bui, Eric, Burke, Christine, Burstein, Eleanor, Butler, William, Byanova, Katerina L., Caffrey, A. Gwendolyn, Cahill, Kate, Callanan, Tucker C., Campbell, Taylor, Canty, Katherine W., Cao, Damon H., Caraganis, Andrew, Carpenter, Randy S., Carragee, Eugene, Carrel-Lammert, Meredith, Carter, Ashlie Sewdass, Casillas, Ernesto, Jr., Castellon, Chrystina, Castillo, Jorge J., Catana, Andreea M., Cerezo, Carolina S., Chan, Philip A., Chang, Jacqueline, Chapman, Arlene, Chatterjee-Paer, Sudeshna, Chen, Kevin, Cheng, Vicky, Chin, Robin, Chofay, Dana Ricci, Cholankeril, George, Cholankeril, Rosann, Chou, Jonathan, Chou, Stella T., Choudhury, Natasha, Choxi, Shivali, Christian, Cindy W., Chua, Winona, Claman, David, Clark, Seth, Clarke, Nathan, Clebak, Karl T., Lawrenz, Michael, Cohen, Debbie L., Cohen, Lisa, Cohoon, Travis J., Congdon, Morgan, Constantinou, Maria, Copelin, Eddie L., II, Corley, James Earl, III, Cosgrove, Abigail, Craine, Rebecca, Cristofaro, Patricia, Cruz, Aristides I., Cunningham, Karlene, Curtin, Alicia J., Cusano, Joseph, Dabiri, Ganary, Dado, Lynn, Daly, Gerard H., Dan, Joshua, Dang, Frances, Dash, Miriam E., Dasilva, Manuel F., Davis, Mackenzie, Dedent, Alison, DeJong, Tyler, Denninger, John, Deol, Bisman, Desrochers, Colette, Devon, Erin Pete, Diaz, Joseph A., Dickherber, Jason L., DiMaria, Stephen, Disilvestro, Kevin J., Dohlman, Thomas H., Domenichini, David J., Doo, Kathleen, Dove, James H., Dubanchet, Alexandre, Dudley, John, Dutta, Roop, Dwivedi, Shashank, Dyster, Timothy G., Edmund, Joseph, Eggers, Erica, Eickhoff, Evlyn, Eisenhower, Christine, Ellsworth, Pamela, England, Melissa, Epstein, Alan, Espinosa, Patricio Sebastian, Evanoff, Anastasia, Everly, Eileen, Faber, Mark D., Fabio, Mary, Facer, Evan, Fadale, Paul, Fagan, Matthew J., Fallon, Ryan T., Farkas, Jon, Farrand, Erica, Fay, Kevin, Fernandez-Robles, Carlos, Ferreira, Jason D., Ferreira, Kaio S., Ferri, Fred F., Ferri, Heather, Fischer, Staci A., Wolpert, Marlene Fishman, Forbes, Kellie C., Forcier, Michelle, Ford, Sydney, Fort, Frank G., Fort, Glenn G., Freeman, Nancy, Fricchione, Gregory L., Frisch, Daniel R., Fru, Relindis Azenwi, Gasga, Arturo, Gentile, Tatiana Londoño, Gesthalter, Yaron B., Ghergurovich, Jonathan M., Gibson, Christopher, Gidwani, Nisha H., Gil, Joseph, Gilek-Seibert, Katarzyna, Gitelmaker, Dimitri, Gold, Raphaela, Goldburt, Alla, Goldfarb, Danielle, Goldsmith, Corey Elam, Gangadhara Rao Golla, Maheswara Satya, Gomez, Alexander, Gomez Slagle, Helen B., Gordon, Paul, Gorman, Deirdre C., Greenfield, Morgan, Grisham, Lindsey Anne, Guardino, Cara, Gultawatvichai, Patan, Guo, David, Gupta, Priya Sarin, Guttadauria, Brittany, Guzman, Herodes, Hack, Nawaz K.A., Hafeez, Muhammad Ubaid, Hajmohamed, Sherine, Hall, Sarah, Hallstead, Serica J., Handa, Sajeev, Handler, Stacy N., Harbord, Nikolas, Hardy, Erica J., Haribhakti, Nirav, Hartnett, Davis A., Hartvigsen, Nathan, Havele, Sonia A., Hawkins, Brian, Heinle, Rachel Wright, Helm, Leesha A., Helm, Matthew F., Hennebery, Ruth B., Herek, Jyothsna I., Hladky, Katherine, Hmoud, Hosam, Hodges, Ashley, Hoffman, R. Scott, Hogan, Dawn, Holderread, Brendan, Holiman, Jennifer J., Holland, N. Wilson, Holmes, Karima A., Holton, Siri M., Hsu, Raymond, Huang, Elena, Huang, Laurence, Hull, Mariam, Hume, Anne L., Hussain, Zilla, Hutchinson, Anne, Huynh, Donny V., Hyder, Sarah, Ibrahim, Zainab, Ingraham, Caitlin, Inman, Nicholas J., Innes, Brendan, Insalaco, Louis F., Isennock, Christopher, Ivkovic, Ana, Jafri, S. Hammad, Jain, Koyal, Jain, Vanita B.D., Jain, Vipul V., Jamal, Fariha, Jamil, Marcus L., Jamil, Nadia, Janigian, Robert H., Jr., Jasuja, Sonia, Javier, Noelle Marie, Jetty, Vybhav, Johl, Michael, Johnson, Michael P., Johnson, Steven D., Jolly, Angad, Jonas, Rebecca, Joshi, Shyam, Justice, Joshua, Kansara, Tikal, Karthikeyan, Vanji, Kass, Joseph S., Kass, Naomi R., Katarincic, Julia, Kaul, Bhavika, Kaur, Gurmehr, Kavandi, Hadiseh, Keleshian, Vasken, Keogh, Abigail, Kerrigan, Danielle, Keselman, Dennis, Khan, Adeeba, Khan, Rizwan, Khare, Sarthak, Khawaja, Hussain R., Ellen Kim, Eun Kyung, Kirchner, Robert M., Kodra, Arber, Kogan, Lawrence, Kohrman, Samuel I., Kojic, Erna Milunka, Kokkirala, Aravind Rao, Konstantino, Yuval, Kopyt, Nelson, Kosinski, Lindsay R., Kothadia, Savan, Koti, Ajay, Koulouridis, Ioannis, Kovacevic, Natalija, Kreider, Timothy R., Krishnamohan, Prashanth, Krueger, Van S., Kukreja, Mohit, Kumbar, Lalathaksha, Kuris, Eren O., Kurss, David I., Kutschke, Michael, L’Etoile, Nathan, Lacasce, Ann S., Lam, Uyen T., Lama, Christopher J., Lapite, Ajibike, Lau, Julianna, Leard, Lorriana E., Leavitt, David A., Leba, Christopher T., Lee, Kachiu C., Lee, Yvonne, Lemme, Nicholas J., Lento, René, Li, Jian, Lieberman, Leora, Lin, Erica, Lipner, Kaitlin, Lippincott, Jordan, Liu, Jonathan, London, Stephanie, López, Gabriela, Lord, Kito Akin, Lee Lowery, Curtis (Trey), III, Lucier, David J., Jr., Luther, Lauren, Ma’ayeh, Marwan, Maciag, Michelle C., MacKrell, Katherine, Maclean, Rachel L., MacMurdo, Maeve G., Madva, Elizabeth N., Makai, Gretchen, Makiyil, Jaibel, Malcolm, Katherine, Marcaccio, Stephen E., Marino, Daniel, Masaki, Charles, Mataya, Leslie, Matson, Kelly L., Mazzaglia, Peter J., Mbuyi, Nadine, McCrae, Brian, Jr., McCulloh, Russell J., McDonald, Christopher L., McGowen, Alexandra, McGuire, Leah, McGuirk, Barbara, McKenna, Jaclyn, McNamara, Kelly, Bido Medina, Richard Oliver, Meghani, Ozair K., Mercado, Jorge, Merrill, Scott J., Merritt, Rory, Metcalfe-Klaw, Robin, Michaels, Marian G., Michel, Jeremy, Midha, Shonali, Mikolasko, Brian D., Milner, John, Minami, Taro, Mitsuyama, Rei, Modest, Jacob M., Monhollon, Ethan, Montgrain, Philippe, Morelli, Leah, Morrissey, Patrick J., Mughal, Aleem I., Mukkamalla, Shiva Kumar R., Mullersman, Katherine M., Myers, Ellen, Mylhousen, Emily, Nadeem, Omar, Najem, Catherine E., Nandi, Minesh, Nasir, Uzma, Naveed, Asim, Neff, Robert, Neithardt, Adrienne B., Nelin, Timothy, Nestlerode, Christina, Ni, Samantha, Nokoff, Natalie, Novak, James E., Al Nuaimi, Saif K., Nuss, Emily E., O’Donnell, Ryan M., Oliver, Rebecca, Olszewski, Adam J., Onderko, Laura, Onyeaka, Henry K., Orchowski, Lindsay M., Osborne, Ashley D., Ovide, Gerry, Owens, Brett D., Oyelakin, Ayotomide, Pace, Paolo G., Palma-Zamora, Isaac, Papaila, Alexa, Pappas-Taffer, Lisa, Parekh, Maria A., Pares, Marco, Parikh, Mihir, Parikh, Shivani, Partin, Michael T., Patel, Birju B., Patel, Devan D., Patel, Melissa D., Patel, Nima R., Patel, Pranav M., Patrick, Brett, Pattni, Chandni, Paudel, Shreedhar, Paul, Ritika, Paxton, E. Scott, Peay, Celeste, Perazella, Mark, Perez, Alyssa, Perez, David L., Pfeuti, Courtney, Pham, Lily C., Pham, Long, Phillips, Katharine A., Phillips, Oliver W., Piana, Lauren E., Plante, Wendy A., Plumley, Kevin V., Powell, Mitchell, Powers, Alexander, Prashar, Rohini, Priestly, Margaret, Pulice, Christine, Punko, Diana, Puthawala, Imran, Qawi, Imrana, Quesada, Adrian, Rachu, Gregory S, Radhakrishnan, Parvathi, Raducha, Jeremy E., Rafeq, Samaan, Ranieri, Gina, Rathore, Bharti, Rathore, Ritesh, Raukar, Neha P., Reagan, John L., Reddy, Bharathi V., Reddy, Snigdha T., Reed-Weston, Anne, Reginato, Anthony M., Reichart, James P., Reinhart, Michaela B., Restrepo, Judith A., Reus, Victor I., Rich, Harlan G., Riotto, Giancarlo, Rivera, Alvaro M., Rivera, Lauren Davis, Roberts, Todd F., Robertson, Melena J., Roche, Meaghan, Rodarte, Patricia, Morfin Rodriguez, Alejandra E., Romero Gómez, Perla M., Roof, Tucker J., Rosenbaum, Blake L., Roussel, Breton, Rubeor, Amity, Rubin, David, Ruhstaller, Kelly, Sadeghi, Noushine, Saeed, Firrah, Sahota, Ruchi Jalota, Saks, Emily, Sall, Jeffrey W., Salvi, Joshua D., Samaniego-Picota, Milagros, Santhosh, Lekshmi, Santos, Linda Herrera, Satpathy, Hemant K., Satpathy, Ruby K., Sauck, Emily, Sayeed, Syeda M., Saylor, Leah, Scaramangas-Plumley, Daphne, Scheel, Paul J., Jr., Schlussel, Bradley, Schmitt, Heiko, Schnitzer, Kristina, Sciscione, Anthony, Scott, Matthew Thomas, Seeber, Richard E., II, Seijo, Leslie, Selby, Sasha L., Sell, Peter J., Sewell, Rachel, Shaban, Hesham, Shah, Ankur, Ali Shaikh, Aaron, Sharma, Animesh, Sharma, Yuvraj, Sharp, Lydia, Shea, Timothy, Sherman, Alexander, Shill, Jessica E., Shimanovsky, Alexei, Shlossman, Philip A., Siddiqui, Khawja A., Siegel, Alyssa, Sigman, Mark, Silber, Zachary S., Singh, Harinder P., Singhal, Divya, Sittard, Lauren, Slingsby, Brett, Sloane, Amy, Smick, Alexandra H., Smith, Devon, Smith, Jeanette G., Smith, Matthew J, Shain, Rachel Smith, Sohaney, Ryann, Soi, Vivek, Soinski, Rebecca, Soler, Maria E., Soman, Sandeep, Song, Jeffrey S., Sorg, Emily, Sperati, C. John, Sprow, Grant, Stern, Diana, Stern, Ella, Stockwell, Philip, Suh, Edward, Sun, Jennifer K., Sundaramoorthy, Anjali, Suppogu, Nissi, Sutter, Stephanie, Sweeney, Hannah, Tabatabavakili, Sahar, Tabba, Maher, Takasaki, Kaoru, Takei, Ryosuke, Talley-Bruns, Rachel, Tammaro, Dominick, Tan, Laren, Taylor, Alan, Taylor, S. Trevor, Tellioglu, Tahir, Testa, Edward J., Thomas, Anthony G., Tibbetts, Erin, Tien, Alexandra Meyer, Tien, David Robbins, Tierney, Anna-Marie, Tiffany, Patrick, Tillquist, Kristen, Toma, Helen, Triplett, Thomas M., Trivedi, Hirsh D., Tryforos, Margaret, Tsaban, Gal, Tucci, Joseph R., Turco, David, Turock, Julia, Tyree, Griffin A., Uduman, Junior, Uiterwyk, Sean H., Ukaegbu, Rebecca, Umanth, Kausik, Vakili, Babak, van Kirk, Emily, Vemula, Ridhima, Venado, Aida, Vijayakumar, Shilpa, Vollum, Kathryn G., Vorel, Ethan, Wagner, Brent T., Walesko, Mary-Beth, Walsh, Devin, Walsh, Ryan, Walson, Ifeanyi, Wang, Angela, Wang, Danielle, Wang, Jarey H., Wang, Stephani C., Wang, Tisha, Weinberg, Marc S., Westreich, Roi, Wilhoite, Morgan, Wilson, Annise, Wilson, Joshua, Winikor, Jared M., Wininger, Bryce, Winokur, Daniel, Wutawunashe, Caleb V., Wylie, John, Xiao, Yasi, Xu, Jennifer, Yang, Anna, Yarimi, Jonathan M., Yee, Jerry, Yesodharan, Gemini, Yeung, Jennifer, Yin, Chun H., Yip, Agustin G., Young, John Q., Young, Shane, Yu, Elizabeth An, Zenlea, Talia, Zha, B. Shoshana, Ziaie, Navid, Zipursky, Rachel, Zollman, Joshua W., Zorin, Danylo, and Zurek, Olivia

Published
2023
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35. Management of Post-Amputation Pain.

Author

MODEST, JACOB M., RADUCHA, JEREMY E., TESTA, EDWARD J., and EBERSON, CRAIG P.

Subjects
*PAIN management, *PHANTOM limbs, *COGNITIVE therapy, *RESIDUAL limbs, *TRICYCLIC antidepressants, *LOCAL anesthetics
Abstract

Introduction: The prevalence of amputation and post-amputation pain (PAP) is rising. There are two main types of PAP: residual limb pain (RLP) and phantom limb pain (PLP), with an estimated 95% of people with amputations experiencing one or both. Medical Management: The majority of chronic PAP is due to phantom limb pain, which is neurogenic in nature. Common medications used include tricyclic antidepressants, gabapentin, and opioids. Newer studies are evaluating alternative drugs such as ketamine and local anesthetics. Rehabilitation Management: Mirror visual feedback and cognitive behavioral therapy are often effective adjunct therapies and have minimal adverse effects. Surgical Management: Neuromodulatory treatment and surgery for neuromas have been found to help select patients with PAP. Conclusion: PAP is a complex condition with mechanisms that can be located at the residual limb, spinal cord, and brain -- or a combination. This complex pain can be difficult to treat. The mainstays of treatment are largely medical, but several surgical options are also being studied. [ABSTRACT FROM AUTHOR]

Published
2020

37. Robotic Simulation in Urologic Surgery.

Author

BERK, BRITTANY D., D'ANDREA, VINCENT D., MODEST, JACOB M., and WOLLIN, DANIEL A.

Abstract

Robotic surgery continues to revolutionize the field of urologic surgery, and thus it is crucial that graduating urologic surgery residents demonstrate proficiency with this technology. The large learning curve of utilizing robotic technology limits resident immediate participation in real-life robotic surgery, and skill acquisition is further challenged by variable case volume. Robotic simulation offers an invaluable opportunity for urologic trainees to cultivate strong foundational skills in a non-clinical setting, ultimately leading to both competence and operative confidence. Several different simulation technologies and robotic assessment protocols have been developed and demonstrate validity in several domains. However, despite their demonstrable utility, there is no formal robotic curricula within US urologic surgery residencies. In this article, we will review the current state of robotic simulation training in urologic surgery and highlight the importance of its widespread utilization in urologic surgery residency training programs. [ABSTRACT FROM AUTHOR]

Published
2023

41. Surgical Management of Rheumatoid Arthritis of the Hand.

Author

DWIVEDI, SHASHANK, TESTA, EDWARD J., MODEST, JACOB M., IBRAHIM, ZAINAB, and GIL, JOSEPH A.

Subjects
*TENOSYNOVITIS, *RHEUMATOID arthritis, *MEDICAL societies, *ANATOMICAL planes, *SURGICAL excision, *OPERATIVE surgery, *WRIST
Abstract

The article presents a review of nonsurgical, surgical, and alternative treatment approaches for osteoarthritic (OA) pain. Topics discussed include traditional treatments for painful OA, including nonsurgical and procedural or surgical options, as well as nontraditional methods; controlled studies demonstrated that pain was correlated with joint space narrowing and other structural abnormalities; and nerve growth factor (NGF), which promotes axon growth and survival of peripheral neurons,.

Published
2020

42. The Effects of Social and Demographic Factors on High-Volume Hospital and Surgeon Care in Shoulder Arthroplasty.

Author

Testa EJ, Brodeur PG, Kim KW, Modest JM, Johnson CW, Cruz AI, and Gil JA

Subjects
Adult, Arthroplasty, Demography, Hospitals, High-Volume, Humans, Arthroplasty, Replacement, Shoulder, Surgeons
Abstract

Introduction: This study seeks to evaluate (1) the relationship between hospital and surgeon volumes of shoulder arthroplasty and complication rates and (2) patient demographics/socioeconomic factors that may affect access to high-volume shoulder arthroplasty care., Methods: Adults older than 40 years who underwent shoulder arthroplasty between 2011 and 2015 were identified in the New York Statewide Planning and Research Cooperative System database using International Classification of Disease 9/10 and Current Procedural Terminology codes. Medical/surgical complications were compared across surgeon and facility volumes. The effects of demographic factors were analyzed to determine the relationship between such factors and surgeon/facility volume in shoulder arthroplasty., Results: Seven thousand seven hundred eighty-five patients were included. Older, Hispanic/African American, socially deprived, nonprivately insured patients were more likely to be treated by low-volume facilities. Low-volume facilities had higher rates of readmission, urinary tract infection, renal failure, pneumonia, and cellulitis than high-volume facilities. Low-volume surgeons had patients with longer hospital lengths of stay., Discussion: Important differences in patient socioeconomic factors exist in access to high-volume surgical care in shoulder arthroplasty, with older, minority, and underinsured patients markedly more likely to receive care by low-volume surgeons and facilities. This may highlight an area of potential focus to improve access to high-volume care., (Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.)

Published
2022
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44. Mechanistic insights into the Brust-Schiffrin two-phase synthesis of organo-chalcogenate-protected metal nanoparticles.

Author

Li Y, Zaluzhna O, Xu B, Gao Y, Modest JM, and Tong YJ

Abstract

New insights into the formation chemistry of chalcogenate-protected metal nanoparticles (NPs) synthesized via the well-known Brust-Schiffrin two-phase method are presented here. On the basis of Raman, NMR, and surface plasmon resonance characterizations, it is concluded that, before the formation of any metal-chalcogen bonds, metal nucleation centers/NPs are first formed inside the inverse micelles of the tetrabutylammonium bromide in the organic solvent, where the metal ions are reduced by NaBH(4). The ensuing formation of the metal-chalcogen bonds between the naked metal NPs inside the micelles and the organo-chalcogen ligands in the organic solvent is the mechanism by which the further growth of the metal core can be controlled. This proposed mechanism is further examined in the formation of Ag and Cu NPs.

Published
2011
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