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  • Michael J Bosse

    Prominent publications by Michael J Bosse

    KOL Index score: 22113

    Multiply injured patients (an Injury Severity Score of 17 points or more) who were admitted to one of two level-I regional trauma centers between 1983 and 1994 because of a fracture of the femoral shaft with a thoracic injury (an Abbreviated Injury Scale score of 2 points or more) or without a thoracic injury were studied retrospectively. The patient populations and the protocols for the treatment of trauma were similar at the two centers; however, the centers differed with regard to the ...

    Also Ranks for: Femoral Fracture |  respiratory distress |  thoracic injury |  pulmonary embolism |  multiply injured patients
    KOL Index score: 14273

    Previous studies have shown that pain, depression, and anxiety are common after trauma. A longitudinal relationship between depression, anxiety, and chronic pain has been hypothesized. Severe lower extremity trauma patients (n = 545) were followed at 3, 6, 12, and 24 months after injury using a visual analog "present pain intensity" scale and the depression and anxiety scales of the Brief Symptom Inventory. Structural model results are presented as Standardized Regression Weights (SRW). ...

    Also Ranks for: Anxiety Depression |  extremity trauma |  6 months |  chronic pain |  longitudinal studies
    KOL Index score: 13418

    BACKGROUND: Limb salvage for severe trauma has replaced amputation as the primary treatment in many trauma centers. However, long-term outcomes after limb reconstruction or amputation have not been fully evaluated.

    METHODS: We performed a multicenter, prospective, observational study to determine the functional outcomes of 569 patients with severe leg injuries resulting in reconstruction or amputation. The principal outcome measure was the Sickness Impact Profile, a multidimensional ...

    Also Ranks for: Amputation Patients |  sickness impact profile |  functional outcomes |  limb reconstruction |  major complications
    KOL Index score: 11644

    OBJECTIVES: The purpose of this study is to report the clinical and functional results of a cohort of patients with knee dislocations associated with vascular injury.

    METHODS: Patients with knee dislocation and associated vascular injury were prospectively assessed for outcome of severe lower extremity trauma during 2 years. The Sickness Impact Profile was used to assess the functional recovery of the patient. Surgeon and therapist assessments documented clinical metrics and treatment, ...

    Also Ranks for: Vascular Injury |  knee dislocation |  lower extremity |  process assessment |  articular recovery
    KOL Index score: 11315

    PURPOSE: Leg threatening injuries present patients and clinicians with a difficult decision: whether to pursue primary amputation or limb salvage? The purpose of our study was to review the literature in an effort to inform this management decision.

    METHODS: We systematically searched and selected observational studies that reported on individuals presenting with leg threatening injuries comparing outcomes of limb salvage versus primary amputation. We searched MEDLINE, CINAHL, and ...

    Also Ranks for: Limb Salvage |  observational studies |  early amputation |  length hospital stay |  leg injuries
    KOL Index score: 10839

    BACKGROUND: High-energy trauma to the lower extremity presents challenges with regard to reconstruction and rehabilitation. Failed efforts at limb salvage are associated with increased patient mortality and high hospital costs. Lower-extremity injury-severity scoring systems were developed to assist the surgical team with the initial decision to amputate or salvage a limb. The purpose of the present study was to prospectively evaluate the clinical utility of five lower-extremity ...

    Also Ranks for: Severity Scores |  clinical utility |  prospective evaluation |  extremity injury |  limb salvage
    KOL Index score: 10637

    BACKGROUND: Currently, the treatment of diaphyseal tibial fractures associated with substantial bone loss often involves autogenous bone-grafting as part of a staged reconstruction. Although this technique results in high healing rates, the donor-site morbidity and potentially limited supply of suitable autogenous bone in some patients are commonly recognized drawbacks. The purpose of the present study was to investigate the benefit and safety of the osteoinductive protein recombinant ...

    Also Ranks for: Tibial Fractures |  autogenous bone graft |  recombinant human |  absorbable collagen sponge |  bone morphogenetic
    KOL Index score: 10603

    BACKGROUND: Lower-extremity injury severity scoring systems were developed to assist surgeons in decision-making regarding whether to amputate or perform limb salvage after high-energy trauma to the lower extremity. These scoring systems have been shown to not be good predictors of limb amputation or salvage. This study was performed to evaluate the clinical utility of the five commonly used lower-extremity injury severity scoring systems as predictors of final functional ...

    Also Ranks for: Injury Severity |  limb salvage |  lower extremity |  scoring systems |  functional outcome
    KOL Index score: 10535

    OBJECTIVE: To determine the biomechanical characteristics of four different fixation constructs for split depression fractures of the lateral tibial plateau (OTA classification 41B3.1).

    DESIGN: Laboratory investigation using a cadaveric simulated split depression tibial plateau fracture model.

    SETTING: Split depression tibial plateau fractures were created, reduced, and instrumented in a matched pair design. Specimens were tested for stiffness using a materials testing ...

    Also Ranks for: Tibial Plateau |  biomechanical study |  split depression |  internal humans stress |  raft construct
    KOL Index score: 10287

    BACKGROUND: Urgent débridement of open fractures has been considered to be of paramount importance for the prevention of infection. The purpose of the present study was to evaluate the relationship between the timing of the initial treatment of open fractures and the development of subsequent infection as well as to assess contributing factors.

    METHODS: Three hundred and fifteen patients with severe high-energy lower extremity injuries were evaluated at eight level-I trauma centers. ...

    Also Ranks for: Lower Extremity |  time injury |  development infection |  surgical débridement |  female fractures
    KOL Index score: 10286

    Although the etiology of chronic pain following trauma is not well understood, numerous retrospective studies have shown that a significant proportion of chronic pain patients have a history of traumatic injury. The present analysis examines the prevalence and early predictors of chronic pain in a cohort of prospectively followed severe lower extremity trauma patients. Chronic pain was measured using the Graded Chronic Pain Scale, which measures both pain severity and pain interference ...

    Also Ranks for: Chronic Pain |  extremity trauma |  leg injuries |  threatening lower |  depression anxiety
    KOL Index score: 10145

    OBJECTIVE: To determine the effectiveness of exchange reamed nails for treatment of aseptic femoral delayed unions and nonunions.

    DESIGN: Retrospective chart review.

    PATIENTS: Nineteen patients admitted to the Carolinas Medical Center Level I trauma center from 1990 to 1996 for repair of femoral shaft fracture nonunion following contemporary locked nailing performed at least six months previously. These patients showed no radiographic evidence of progression of fracture healing for three ...

    Also Ranks for: Femoral Shaft |  exchange reamed |  intramedullary nails |  fracture healing |  ununited humans
    KOL Index score: 9947

    OBJECTIVES: To evaluate use of intraoperative fluoroscopy during acetabular surgery to determine fracture reduction and accurate placement of screws.

    DESIGN: Retrospective.

    SETTING: Level I trauma center.

    PARTICIPANTS: Thirty patients with thirty-two acetabular fractures.

    INTERVENTION: Patients were evaluated with fluoroscopy during surgery to assess fracture reduction and screw placement. Anterior-posterior (AP), oblique, and lateral pelvic fluoroscopic images were obtained ...

    Also Ranks for: Intraoperative Fluoroscopy |  fracture reduction |  acetabular surgery |  screw placement |  postoperative scans
    KOL Index score: 9914

    BACKGROUND: : Damage control with external fixation (DC-EF) of femoral shaft fractures in polytrauma patients is becoming standard treatment in many trauma centers. However, skeletal traction (ST) has long been used in the temporization of fractures. The purpose of this study was to compare the major physiologic clinical outcomes of provisional ST with DC-EF of femoral shaft fractures in severely injured patients.

    METHODS: : We retrospectively reviewed 205 patients sustaining blunt ...

    Also Ranks for: Femoral Shaft Fractures |  external fixation |  severely injured patients |  skeletal traction |  pulmonary embolism
    KOL Index score: 9775

    BACKGROUND: Complications associated with iliac crest bone-graft donor sites have been reported. This prospective study was conducted to determine the prevalence of pain and complications at the iliac crest donor site in patients undergoing treatment of fracture nonunion.

    METHODS: Ninety-two patients undergoing anterior iliac crest bone-grafting for nonunion or delayed union of a long-bone fracture were prospectively enrolled. Twenty-seven patients undergoing an alternative surgical ...

    Also Ranks for: Iliac Crest |  donor site |  internal fractures |  ununited humans |  fracture nonunion


    Michael J Bosse: Influence Statistics

    Sample of concepts for which Michael J Bosse is among the top experts in the world.
    Concept World rank
    setting level1 #1
    outcome healing outcomes #1
    intraoperative fluoroscopy #1
    extensile exposures #1
    imn bone gap #1
    antibiotic suppression retention #1
    infection rabg #1
    trauma bay evaluation #1
    gluteal vascular #1
    1324 patient encounters #1
    145 bmp2 applications #1
    lc2 pelvic #1
    sgv ligation #1
    specificity bone humans #1
    104 128 patients #1
    mobile hospital #1
    trauma 50 #1
    borne pathogens attitudes #1
    tibial diaphyseal fracture #1
    howmedica external #1
    longbone fracture stabilization #1
    practices bloodborne pathogens #1
    sga sgv injury #1
    sgv injury #1
    nailing 120 #1
    prescription encounters #1
    howmedica commercially #1
    antibiotics 66 minutes #1
    1058 surveys #1
    maintenance hardware #1
    malalignment time #1
    univariate analysis coverage #1
    “harm minimization #1
    nailing 30 #1
    fractures grade iii #1
    maximum barrier protection #1
    complex acetabular fracture #1
    volume bone defect #1
    intramedullary humans stay #1
    tibial fractures 95 #1
    nailing bilateral #1
    gunshot wounds gunshot #1
    internal humans grades #1
    modified extensile exposure #1
    unilateral hoffmann frame #1
    thirteen complications #1
    antibiotics early coverage #1
    hoffmann howmedica #1
    orthopaedic trauma service #1
    occluded combined #1

    Key People For Physical Therapy

    Top KOLs in the world
    Julie M Fritz
    physical therapy low pain spinal manipulation
    Bart Willem Koes
    general practice neck pain exercise therapy
    Lex M Bouter
    hoorn study general practice neck pain
    Maurits W van Tulder
    low pain exercise therapy economic evaluation
    Richard A Deyo
    chronic pain united states spinal stenosis
    Douglas G Douglas
    observational studies consort statement randomised trials

    Michael J Bosse:Expert Impact

    Concepts for whichMichael J Bossehas direct influence:Physical therapy,  Limb salvage,  Superior gluteal artery,  Heterotopic ossification,  Acetabular fractures,  Internal fractures,  Ankle fractures,  Orthopaedic trauma.

    Michael J Bosse:KOL impact

    Concepts related to the work of other authors for whichfor which Michael J Bosse has influence:Heterotopic ossification,  Acetabular fractures,  Fracture healing,  Limb salvage,  Internal fixation,  Lower extremity,  Intramedullary nailing.



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    Department of Orthopaedic Surgery, Carolinas Medical Center, Atrium Health Musculoskeletal Institute, Charlotte, NC. | Atrium Health Musculoskeletal Institute-Carolinas Medical Center, Charlotte, North Carolina, USA. | Department of Orthopaedic Surge