D. M. Kahler

Learn More
OBJECTIVE The current standard treatment of anterior column acetabular fractures includes formal open reduction with internal fixation (ORIF) through a variety of anterior approaches. These approaches have been associated with significant blood loss, infection, lengthy operative times, and neurovascular complications. It therefore seems reasonable to(More)
OBJECTIVE The purpose of this study was to determine the prevalence and nature of a horizontal cleft in the posterior aspect of Hoffa's infrapatellar fat pad and to show pathologic processes involving this cleft. MATERIALS AND METHODS Fifty consecutive MR imaging examinations of the knee were evaluated for the presence and appearance of a cleft in the(More)
OBJECTIVE: To examine the effects of oral creatine (Cr) monohydrate supplementation on muscle Cr concentration, body mass, and total body water (TBW), extracellular water (ECW), and intracellular water (ICW) volumes. DESIGN AND SETTING: After an overnight fast, urinary Cr and creatinine concentrations, muscle Cr concentration, body mass, TBW, ECW, and ICW(More)
Computer-assisted orthopaedic surgery slowly is making its way into routine orthopaedic practice. Orthopaedic trauma has long been identified as a potential impact area of this new technology. Early experience with three-dimensional (3D) image-guided surgery was promising, but this particular technique was limited by the inability to update the 3D computer(More)
BACKGROUND The presence of persistent occult hypoperfusion (OH) is associated with higher morbidity and mortality rates after trauma. Early femur fracture fixation in trauma patients with multiple injuries is associated with decreased morbidity and mortality. Association of OH and incidence of postoperative complications after intramedullary (IM) fixation(More)
To adequately assess isokinetic human muscle performance, it is important for clinicians to understand how the muscle functions across a range of velocities. Thus, the purpose of this study was to re-examine the in vivo quadriceps torque-velocity relationship using trend analysis. Twelve uninjured university-age females performed three concentric and(More)
Applying a stable anterior pelvic external fixator frame is a skill that should be mastered by all orthopedic surgeons who treat acutely injured patients. Splinting of an unstable pelvis during resuscitation can help to reduce the volume of the true pelvis, pending definitive surgical stabilization of the pelvic ring. Supra-acetabular pin placement, less(More)
Stress radiography of the ankle commonly is used to evaluate talar tilt in patients with a history of inversion ankle sprains. Manual and instrumented procedures have been variously described in the literature. No reports have documented normative talar tilt as measured using the Telos ankle stress device in a large clinical population. In addition, little(More)
OBJECTIVES Screw navigation techniques with different image guidance [2-dimensional (2D) vs. 3-dimensional (3D) fluoroscopy] were evaluated for acetabular fracture surgery. METHODS Two-dimensional and 3D navigation images were analyzed for visualization of different osseous corridors: supra-acetabular, anterior column, posterior column, and(More)