Michelle L Wright

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BACKGROUND Few options other than amputation exist for some patients with peripheral arterial occlusive disease (PAD) and severe anatomical limitations. METHODS This prospective study presents short-term results of dual intramuscular and intra-arterial autologous bone marrow mononuclear cell (BM-MNC) implantation for the treatment of patients with severe(More)
BACKGROUND The purpose of this study was to review the management of lower extremity arterial injuries to determine incidence, assess the current management strategy, and evaluate hospital outcome. METHODS This was a retrospective review, including trauma database query, and medical records review set in an urban level I trauma center. Sixty-five patients(More)
BACKGROUND Despite progress in diagnosing and managing blunt cerebrovascular injury (BCVI), controversy remains regarding the appropriate population to screen. A systematic review of published literature was conducted to summarize the overall incidence of BCVI and the various screening criteria used to detect BCVI. A meta-analysis was performed to evaluate(More)
Although relatively uncommon, upper extremity arterial injuries are serious and may significantly impact the outcome of the trauma patient. Management of upper extremity arterial injuries at an urban level I trauma center was reviewed to determine incidence, assess the current management strategy, and evaluate hospital outcome. Upper extremity trauma(More)
Complex diabetic ulcers of the lower extremity can be slow to heal and may lead to amputation. A retrospective study was conducted to evaluate the effect of a form of electrical stimulation using high-voltage, pulsed current (HVPC) as an adjunct to a multidisciplinary approach to limb salvage for chronic diabetic wounds of the lower extremity. Data from 30(More)
BACKGROUND Fresh osteochondral allograft transplantation can be used to replace talar osteochondral defects (OCDs) with single bulk osteochondral graft. While limited studies report improvement of function, improvement in quality of life and radiographic durability is unknown. QUESTIONS/PURPOSE We therefore determined if this technique improved function,(More)
Chronic lower leg pain results from various conditions, most commonly, medial tibial stress syndrome, stress fracture, chronic exertional compartment syndrome, nerve entrapment, and popliteal artery entrapment syndrome. Symptoms associated with these conditions often overlap, making a definitive diagnosis difficult. As a result, an algorithmic approach was(More)
BACKGROUND Previous studies have examined the impact of the immediate presence of attending trauma surgeons on category I trauma alert activation outcomes. STUDY OBJECTIVES This study sought to determine if the initial presence of an attending surgeon influences category II trauma activation outcomes. METHODS This 2-year retrospective review of category(More)
INTRODUCTION Little consensus exists over the management of high-grade renal injuries, with continued debate over observation versus invasive surgery. Blunt renal artery injury (BRAI) is a high-grade injury that may result in renal dysfunction, hypertension, or failure. MATERIALS AND METHODS Management of BRAI at a level I trauma centre during a decade(More)
Short- to mid-term results of a prospective study evaluating dual intramuscular and intra-arterial autologous bone-marrow mononuclear cell (BM-MNC) implantation for the treatment of patients with severe peripheral arterial occlusive disease (PAD) in whom amputation was considered the only viable treatment option are presented. Ankle-brachial indices (ABIs),(More)