Publications/Research

Research

Dorsal bridge plating or transarticular screws for Lisfranc fracture dislocations: A retrospective study comparing functional and radiological outcomes

Authors: Kirzner N, Zotov P, Goldbloom D, Curry H, Bedi H
Journal: Bone Joint J 2018;100-B:468–74
Outcome: Patients treated with dorsal bridge plating have better functional and radiological outcomes than those treated with transarticular screws or a combination technique.

Link: — 10.1302/0301-620X.100B4.BJJ-2017-0899.R2

Evaluation of the clinical outcome of facet joints distraction following ACDF for patients with traumatic cervical spine injury

Authors: Kirzner N, Chan P, Etherington G, Ton L, Liew S, Humadi A
Journal: Bone Joint J 2018; 100-B:1201–7
Outcome: After undergoing ACDF for the treatment of cervical spine injury, patients with facet joint distraction of 3 mm or more have worse NDI and VAS pain scores.
Link: — 10.1302/0301-620X.100B9.BJJ-2018-0199.R1

Bone graft in posterior spine fusion for adolescent idiopathic scoliosis: a meta-analysis

Authors: Kirzner N, Hilliard L, Quan G, Liew S, Humadi A
Journal: ANZ J Surg. 2018 Dec; 88(12):1247-1252
Outcome: ICBG confers no advantage over the other graft options in achieving fusion in AIS surgery. Furthermore, crest harvesting was associated with significant increases in blood loss, operative time and post‐operative pain issues. 
Link: — 10.1111/ans.14551

Reverse shoulder arthroplasty vs BIO-RSA: Clinical and radiographic outcomes at short term follow up

Authors: Kirzner N, Paul E, Moaveni A
Journal: Journal of Orthopaedic Surgery and Research 2018; 13:256
Outcome: The BIO-RSA technique was associated with an increase in scapular stress fracture rate when compared to the standard RSA; however, this was not found to be significant. Furthermore, both techniques resulted in similar improvements in the measured functional outcomes. BIO-RSA, however, was associated with a lower scapular notching rate.

Link: — 10.1186/s13018-018-0955-2

Keeping Your Cool: A simple reusable neck cooling device improves surgeon comfort and reduces levels of perspiration: A Randomised Control trial

Authors: Wertheimer A, Kirzner N, Olaussen A, Martin C, Jones C
Journal: ANZ J Surg. 2018 Dec; 88(12):1294-1297
Outcome: Wearing a neck cooling device during surgery is feasible, reduces perceived levels of perspiration and decreases the negative impact of temperature and humidity on surgeons’ comfort levels.

Link: — 10.1111/ans.14902

A Comparative Study between Opportunistic Lumbar Spine CT Scan and DEXA Scan in the Assessment of Osteoporosis

Authors: Kirzner N, Gallagher C, Kimmel L, Fischer D, McLaurin W, Liew S, Humadi A
Journal: J Spine 2019, 8:1
Outcome: Compared CT scan vs DEXA scan for osteoporosis assessment
Link: —

A review of the literature on metastatic spine disease

Authors: Humadi A, Kirzner N, Darwood S, Quan G
Journal: J Spine 2019 Jan; 8:438
Outcome: This article reviews the key features, clinical presentation, workup and treatment options of spinal metastases.
Link: — 10.4172/2165-7939.1000438

Primary arthrodesis versus open reduction internal fixation for complete Lisfranc fracture dislocations: a retrospective study comparing functional and radiological outcomes

Authors: Kirzner N, Teoh W, Mannambeth R, Toemoe S, Hughes A, Goldbloom D, Curry H, Bedi H
Journal: ANZ J Surg Dec 2019
Outcome: Primary arthrodesis for complete Lisfranc fracture dislocations resulted in improved functional outcomes and quality of reduction compared to open reduction and internal fixation.
Link: — 10.1111/ans.15627

Can displaced extra-articular fractures of the scapula be stabilized through a direct lateral-column approach

Authors: Mannambeth R, Kirzner N, Moaveni A
Journal: Journal of Clinical Orthopaedics and Trauma, May 2020. 10.1016/j.jcot.2020.05.017
Outcome: The direct lateral-column approach is associated with correction of scapular angular deformity, no complications and good clinical results at more than 12 months' follow-up.
Link: 10.1016/j.jcot.2020.05.017

The translated proximal humerus fracture: A comparison of operative and nonoperative management

Authors: Cosic F, Kirzner N, Edwards E, Kimmel L, Gabbe B, Page R
Journal: Journal of Orthopaedic Trauma, Apr 2023. 10.1097/BOT.00000000000002612
Outcome: Translated proximal humerus fractures with ≥100% displacement demonstrate improved health status and radiological outcomes following surgical fixation. Patients with this injury should be considered for operative intervention.
Link: 10.1302/1358-992X.2023.2.071 

Comparison of outcomes of internal and non-operative management of 2-part and 3-part proximal humerus fractures in young adults

Authors: Cosic F, Kirzner N, Edwards E, Kimmel L, Gabbe B, Page R
Journal: Trauma, June 2023. 10.1177/14604086231183586
Outcome: In younger adults with proximal humerus fractures no differences in patient reported outcome measures were observed between groups. Operative management was associated with improved radiological outcomes, but a higher rate of subsequent surgery.
Link: 10.1177/14604086231183586

Factors associated with failure of locking plate fixation in proximal humerus fractures

Authors: Cosic F, Kirzner N, Edwards E, Kimmel L, Gabbe B, Page R
Journal: Injury, Nov 2024. 10.1016/j.injury.2024.112024
Outcome: Rates of locking plate fixation failure in proximal humerus fractures remain high. This study identified key factors including restoration of the medial calcar, cephalomedullary angle, and presence of calcar support screws, to reduce the risk of fixation failure and reduce the risk of avascular necrosis, varus malunion, non-union and the requirement for further surgery.
Link: 10.1016/j.injury.2024.112024

Proximal humerus fracture dislocation: outcomes of management

Authors: Cosic F, Kirzner N, Edwards E, Kimmel L, Gabbe B, Page R
Journal: ANZ J Surg Jan 2025
Outcome: Patient reported outcome measures post proximal humerus fracture dislocations do not return to normal population levels. Further, these injuries are associated with a high prevalence of complications. Appropriate patient counselling should be undertaken before embarking on definitive management.

Link: 10.1111/ans.19385