Abhiram R. Bhashyam

Massachusetts General Hospital

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Marilyn Heng

Harvard University

Neal C. Chen

Massachusetts General Hospital

Roderick M. Houwert

University Medical Center Utrecht

Salman Bhai

Institute for Exercise and Environmental Medicine

Quirine M.J. van der Vliet

University Medical Center Utrecht

Rohit Garg

Massachusetts General Hospital

Matthew Basilico

Harvard University

Jesse B. Jupiter

Massachusetts General Hospital

Mitchel B. Harris

Massachusetts General Hospital

Falco Hietbrink

University Medical Center Utrecht

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Harvard University

148

Massachusetts General Hospital

110

Brigham and Women's Hospital

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Harvard University Press

Boston University

University Medical Center Utrecht

Biosearch Life (Spain)

Beth Israel Deaconess Medical Center

Clinical Orthopaedics and Related Research

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Arthroscopic-Assisted Fracture Fixation About the Elbow

Hand Clinics (2023)

Abhiram R. Bhashyam Neal C. Chen

Radial head fracture

10.1016/j.hcl.2023.05.006

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Citations (3)

Does Literature on Elbow Arthroscopy Put Complications Into Perspective?

Arthroscopy The Journal of Arthroscopic and Related Surgery (2024)

Rachel Cross Huub H. de Klerk Nick F. J. Hilgersom Abhiram R. Bhashyam Michel P.J. van den Bekerom

10.1016/j.arthro.2024.02.004

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Citations (0)

Excess Opioid Disposal Following Orthopaedic Surgery: A Randomized Clinical Trial

Foot & Ankle Specialist (2020)

Cornelia Keyser Abhiram R. Bhashyam Abdurrahman Abdurrob Jeremy T. Smith Eric M. Bluman

Background Previous research indicates low disposal rates of excess postoperative narcotics, leaving them available for diversion or abuse. This study examined the effect of introducing a portable disposal device on excess opiate opioid disposal rates after lower extremity orthopaedic surgery. Methods This was a single site randomized control trial within an outpatient orthopaedic clinic. All patients 18 years or older, undergoing outpatient foot and ankle surgery between December 1, 2017 and August 1, 2018 were eligible. Patients were prospectively enrolled and randomized to receive standard opioid disposal instructions or a drug deactivation device at 2-week postoperative appointments. Participants completed an anonymous survey at 6-week postoperative appointments. Results Of the 75 patients surveyed, 68% (n = 26) of the experimental group and 56% (n = 21) of the control group had unused opioid medication. Of these, 84.6% of patients who were given Deterra Drug Deactivation System deactivation pouches safely disposed of excess medication, compared with 38% of controls (P = .003). When asked if they would use a disposal device for excess medication in the future, 97.4% (n = 37) of the experimental and 83.8% (n = 31) of the control group reported that they would. Conclusions Providing a portable disposal device with postoperative narcotic prescriptions may increase safe disposal rates of excess opioid medication following lower extremity orthopaedic surgery. Levels of Evidence Level I

Outpatient surgery

Narcotic

10.1177/1938640020980921

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Citations (3)

Racial Bias in Initial Opioid Prescribing for Orthopaedic Trauma Patients

Journal of the American College of Surgeons (2018)

Matthew Basilico Abhiram R. Bhashyam Marilyn Heng

10.1016/j.jamcollsurg.2018.07.340

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Citations (1)

Concise Review on Surgical Fixation of Distal Humerus Fractures

Grace X. Xiong Abhiram R. Bhashyam

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Citations (1)

Reversed Palmaris Longus Muscle Causing Volar Forearm Pain and Ulnar Nerve Paresthesia

The Journal Of Hand Surgery (2016)

Abhiram R. Bhashyam Carl M. Harper Matthew L. Iorio

10.1016/j.jhsa.2016.11.016

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Citations (12)

Intramedullary screw fixation for simple displaced olecranon fractures

European Journal of Trauma and Emergency Surgery (2019)

Willem-Maarten Bosman Benjamin L. Emmink Abhiram R. Bhashyam Roderick M. Houwert Jort Keizer

Abstract Purpose Olecranon fractures are common and typically require surgical fixation due to displacement generated by the pull of the triceps muscle. The most common techniques for repairing olecranon fractures are tension-band wiring or plate fixation, but these methods are associated with high rates of implant-related soft-tissue irritation. Another treatment option is fixation with an intramedullary screw, but less is known about surgical results using this strategy. Thus, the purpose of this study was to report the clinical and functional outcomes of olecranon fractures treated with an intramedullary cannulated screw. Methods We identified 15 patients (average age at index procedure 44 years, range 16–83) with a Mayo type I or IIA olecranon fracture who were treated with an intramedullary cannulated screw at a single level 2 trauma center between 2012 and 2017. The medical record was reviewed to assess radiographic union, postoperative range of motion and complications (including hardware removal). Patient-reported outcome was evaluated using the Disabilities of the Arm, Shoulder and Hand (DASH) score. Average follow-up was 22 months (range 8–36 months). Results By the 6th month post-operative visit, 14 patients had complete union of their fracture and 1 patient had an asymptomatic non-union that did not require further intervention. Average flexion was 145° (range 135–160) and the average extension lag was 11° (range 0–30). Implants were removed in 5 patients due to soft-tissue irritation. Average DASH score (± standard deviation) by final follow-up was 16 ± 10. Conclusions Fixation of simple olecranon fractures with an intramedullary screw is a safe and easy fixation method in young patients, leading to good functional and radiological results. Compared to available data, less hardware removal is necessary than with tension-band wiring or plate fixation.

Tension band wiring

10.1007/s00068-019-01114-4

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Citations (29)

Association of Patient-reported Outcomes With Clinical Outcomes After Distal Humerus Fracture Treatment

JAAOS Global Research and Reviews (2020)

Abhiram R. Bhashyam Yassine Ochen Quirine M.J. van der Vliet Luke P. H. Leenen Falco Hietbrink

Purpose: In this study, we assessed the patient-reported outcomes of distal humerus fracture treatment using Patient-Reported Outcomes Measurement Information System (PROMIS) or QuickDASH (Disabilities of the Arm, Shoulder, and Hand) scores and the association between patient-reported outcomes and clinical outcomes. Methods: We performed a retrospective cohort study of 76 adult patients who sustained an acute distal humerus fracture between 2016 and 2018; 53 patients completed at least one patient-reported outcome measure used to assess physical function (PF) during their routine follow-up care (69.7% response rate). The average time to follow-up patient-reported outcome measure was 10.3 months. Patients completed the PROMIS PF 10a, PROMIS upper extremity (UE) 16a, and/or QuickDASH based on the treating institution/service. In addition, the PROMIS Global (Mental) subscale score was used as a measure of self-rated mental health. To assess clinical outcomes, we measured radiographic union, range of motion, and postoperative complications. Results: Most fractures were intra-articular (67.9%), and 84.9% were treated surgically. After treatment, 98.1% of fractures united radiographically. By the final follow-up, the average arc of motion was 18° to 122°. Average (±SD) PROMIS PF and UE scores were 41.7 ± 11.1 and 40.8 ± 12.4, respectively. The average QuickDASH score was 39.4 ± 26.5. The arc of flexion-extension and PROMIS Global (Mental) score were independently associated with PROMIS PF and PROMIS UE scores. Conclusions: We found that clinical factors (the arc of flexion-extension) and patient psychological factors (PROMIS Global [Mental] score) were independently associated with PROMIS measures of PF after distal humerus fracture treatment. These data can be used to contextualize patient outcomes and guide patient expectations.

Patient-reported outcome

10.5435/jaaosglobal-d-19-00122

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Citations (10)

Virtual reality training for intraoperative imaging in orthopaedic surgery: an overview of current progress and future direction

Frontiers in Virtual Reality (2024)

Jayanth Pratap Charlotte Laane Neal C. Chen Abhiram R. Bhashyam

Trauma and orthopedic surgery commonly rely on intraoperative radiography or fluoroscopy, which are essential for visualizing patient anatomy and safely completing surgical procedures. However, these imaging methods generate ionizing radiation, which in high doses carries a potential health risk to patients and operating personnel. There is an established need for formal training in obtaining precise intraoperative imaging while minimizing radiation exposure. Virtual reality (VR) simulation serves as a promising tool for orthopaedic trainees to develop skills in safe intraoperative imaging, without posing harm to patients, operating room staff, or themselves. This paper aims to provide a brief overview of literature surrounding VR training for intraoperative imaging in orthopaedic surgery. In addition, we discuss areas for improvement and future directions for development in the field.

10.3389/frvir.2024.1392825

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Mitochondrial iron chelation ameliorates cigarette smoke–induced bronchitis and emphysema in mice

Nature Medicine (2016)

Suzanne M. Cloonan Kimberly Glass María Laucho-Contreras Abhiram R. Bhashyam Morgan Cervo

Chronic bronchitis

10.1038/nm.4021

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Citations (223)