Allison Williams

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OBJECTIVE The purpose of this study was to determine the efficacy of proximal humerus locking plates (PHLP) and to clarify predictors of loss of fixation. DESIGN Retrospective review of patients with proximal humerus fractures fixed with a PHLP. SETTING Five Level 1 trauma centers. PATIENTS One hundred fifty-three patients (111 female, 42 male) 18(More)
OBJECTIVE To evaluate the outcomes of haemodynamically unstable cases of pelvic ring injury treated with a protocol focused on either direct retroperitoneal pelvic packing or early pelvic angiography and embolisation. METHODS A retrospective review of a prospectively collected database in an academic level I trauma centre, treating matched(More)
Nasal colonization with Staphylococcus aureus (SA) increases the risk of surgical site infection (SSI). We first (1) determined the prevalence of asymptomatic nasal colonization with SA, (2) assessed trends in methicillin resistance with time, (3) ascertained risk factors for nasal colonization; and (4) correlated SSI to nasal colonization status and(More)
OBJECTIVES To determine reliable, early indicators of mortality and causes of death in hemodynamically unstable patients with pelvic ring injuries. DESIGN This was a retrospective review of a prospective pelvic database. METHODS In all, 187 hemodynamically unstable patients with pelvic fractures (persistent systolic blood pressure <90 mm Hg after(More)
BACKGROUND Autologous bone graft is the so-called gold standard for reconstruction of bone defects and nonunions. The most frequent complication is donor site pain. The iliac crest is a common source for autologous bone graft. The purpose of this study was to determine whether a continuous infusion of 0.5% bupivacaine into the iliac crest harvest site(More)
PURPOSE To evaluate healing rates and complications in patients treated with temporary external fixation (EF) and subsequent open reduction and internal fixation (ORIF) for high-energy distal femur or proximal tibia fractures. METHODS Retrospective analysis of prospectively collected data 1999 to 2005. Demographic data and injury severity score were(More)
BACKGROUND Optimal timing and treatment of patients with concomitant head, thoracic, or abdominal injury and femoral shaft fracture remain controversial. This study examines acute patient outcomes associated with early total care with intramedullary nailing (ETC group) versus damage control external fixation (DCO group) for multiple-injured patients with(More)
Osteoarthritis patients with diabetes who receive total knee arthroplasty are more vulnerable to complications, including aseptic loosening and need for revision surgery. To elucidate mechanisms related to arthroplasty failure in diabetes, we examined serum and synovial fluid markers as well as collagen crosslinks in bone and cartilage of 20 patients (10(More)
We know that microbes contribute to the production of odors that some animals use to communicate, but how common is this phenomenon? Recent studies capitalizing on new molecular technologies are uncovering fascinating associations between microbes and odors of wild animals, but causality is difficult to ascertain. Fundamental questions about the nature of(More)
OBJECTIVE To report the results of using the expandable nailing system in the treatment of femoral and tibial shaft fractures. DESIGN Prospective, cohort series. SETTING Two level-1 university trauma centers. PARTICIPANTS Forty-eight patients with acute, traumatic diaphyseal fractures of the tibia or femur. INTERVENTION Internal fixation of lower(More)