Dr. Mark Brinker, Houston Orthopedic Surgeon Article RSS http://drbrinker.com Dr. Mark Brinker, Houston Orthopedic Surgeon Article RSS feed. . Dr. Mark Brinker, Houston Orthopedic Surgeon http://drbrinker.com/tresources/en/images/icons/tendenci34x15.gif http://drbrinker.com no Copyright 2005, Dr. Mark Brinker, Houston Orthopedic Surgeon Tendenci Membership Management Software by Schipul - The Web Marketing Company en-us noemail@drbrinker.com Tue, 07 Apr 2015 21:56:12 GMT Articles http://drbrinker.com/en/art/70/ <br> <h2>J Orthop Trauma, Vol. 2, No. 9, October 2007<br> </h2> <h3>Author: M.R. Brinker, MD and Daniel P.O O'Conner, PhD<br> </h3> <p>Click here to read the entire <a target="_blank" href="/attachments/articles/70/Tib NU Older Adults J Orthop Trauma 2007.pdf">published article by Dr Brinker</a></p> <br> <hr /> <div><strong>Objectives: </strong>To describe the functional outcomes of treatment using the Ilizarov method for tibial nonunions in older patients (.60 years of age). </div> <div>&nbsp;</div> <div><strong>Design:</strong> Prospective case series. Setting: Tertiary referral center. </div> <div><strong>&nbsp;</strong></div> <div><strong>Patients</strong>: Twenty-three consecutive patients with an average age of 72 years (61 to 92) who had tibial nonunions for an average duration of 13 months (3 to 46). Fourteen patients had an associated deformity and eight patients had infection. </div> <div>&nbsp;</div> <div><strong>Intervention:</strong> Ilizarov deformity correction, compression, or bone transport. </div> <div>&nbsp;</div> <div><strong>Main Outcome Measurements:</strong> Brief Pain Inventory, American Academy of Orthopaedic Surgeons (AAOS) Lower Limb Core Scale, Short Form (SF)-12, quality-adjusted life years. </div> <div>&nbsp;</div> <div><strong>Results:</strong> Three patients did not complete treatment: two patients died of cardiovascular disease during the treatment period and one patient demanded early removal of the Ilizarov device against medical advice. All 20 patients who completed treatment achieved bony union. Two of the 20 patients died before final follow-up, one patient was unable to participate in follow-up, and one patient was lost. At an average follow-up of 38 months (18 to 61), all of the remaining 16 patients were bearing full weight. AAOS Lower Limb Core Scale scores improved from 39 to 78 points (P , 0.001), pain intensity decreased from 3.6 to 0.9 (P = 0.001), SF-12 Physical Component Summary scores improved from 26.5 points to 35.3 points (P = 0.030), and SF-12 Mental Component Summary scores improved from 41.6 points to 48.7 points (P = 0.011). The improvement in quality of life is equivalent to 5.3 quality-adjusted life years per patient, which was larger than the average improvement in quality of life following total hip arthroplasty reported in published series. </div> <div>&nbsp;</div> <div><strong>Conclusions:</strong> Treatment using the Ilizarov method restored function and had a profoundly positive effect on quality of life in these elderly patients with tibial nonunions. </div> <div><strong>&nbsp;</strong></div> <div><strong>Click the PDF below to read the full article. </strong><br> </div> <br><br>1-Oct-07 0:00 AM Outcomes of Tibial Nonunion in Older Adults Following Treatment Using the Ilizarov Method J Orthop Trauma, Vol. 2, No. 9, October 2007 Author: M.R. Brinker, MD and Daniel P.O O'Conner, PhD Click here to read the entire published article by Dr Brinker Objectives: To describe the functional outcomes of treatment using the Ilizarov method for tibial nonunions in older patients (.60 years of age). Design: Prospective case series. Setting: Tertiary referral center. Patients: Twenty-three consecutive patients with an average age of 72 years (61 to 92) who had tibial nonunions for an average duration of 13 months (3 to 46). Fourteen patients had an associated deformity and eight patients had infection. Intervention: Ilizarov deformity correction, compression, or bone transport. Main Outcome Measurements: Brief Pain Inventory, American Academy of Orthopaedic Surgeons (AAOS) Lower Limb Core Scale, Short Form (SF)-12, quality-adjusted life years. Results: Three patients did not complete treatment: two patients died of cardiovascular disease during the treatment period and one patient demanded early removal of the Ilizarov device against medical advice. All 20 patients who completed treatment achieved bony union. Two of the 20 patients died before final follow-up, one patient was unable to participate in follow-up, and one patient was lost. At an average follow-up of 38 months (18 to 61), all of the remaining 16 patients were bearing full weight. AAOS Lower Limb Core Scale scores improved from 39 to 78 points (P , 0.001), pain intensity decreased from 3.6 to 0.9 (P = 0.001), SF-12 Physical Component Summary scores improved from 26.5 points to 35.3 points (P = 0.030), and SF-12 Mental Component Summary scores improved from 41.6 points to 48.7 points (P = 0.011). The improvement in quality of life is equivalent to 5.3 quality-adjusted life years per patient, which was larger than the average improvement in quality of life following total hip arthroplasty reported in published series. Conclusions: Treatment using the Ilizarov method restored function and had a profoundly positive effect on quality of life in these elderly patients with tibial nonunions. Click the PDF below to read the full article. no http://drbrinker.com/en/art/70/ Mon, 01 Oct 2007 05:00:00 GMT