Mr. Templeman primarily studies various types of bone fractures, especially in the hip and pelvis, and the effectiveness of different surgical techniques used to treat them. He looks closely at patient outcomes, including how well patients recover over time and what factors can affect these outcomes. For instance, he explores how imaging techniques can help surgeons place implants more accurately during hip surgeries, and he investigates complications that arise years after treatment for fractures. His work also involves comparing different surgical methods to find the most effective ways to ensure patient safety and faster recovery, particularly for elderly patients with hip fractures and individuals with severe pelvic injuries.
Key findings
Using the new 'Winquist View' imaging technique led to successful implant placements without complications in all three patients studied, indicating its potential for improving surgical outcomes.
In a long-term follow-up of 28 patients with femoral head fractures, 75% experienced complications, and 30% required hip replacement surgery an average of 6.4 years later, highlighting significant long-term challenges.
In a study of pelvic injuries, patients with severe injuries reported worse health and pain, especially when the injury was displaced by more than 15mm.
The closed reduction and percutaneous fixation method for unstable pelvic ring injuries resulted in a better average alignment (1.9 mm displacement) compared to the open reduction technique (6.3 mm displacement).
Removing symphyseal cartilage during surgery for pelvic dislocations resulted in better alignment and significantly lower implant failure rates, with only two patients needing further surgery compared to none in the group that had the cartilage removed.
Frequently asked questions
Does Dr. Templeman study hip fractures?
Yes, Dr. Templeman specializes in research and treatment of hip fractures, focusing on improving surgical techniques and understanding long-term recovery challenges.
What treatments has Dr. Templeman researched?
He has researched various surgical methods for fixing hip and pelvic fractures, including new imaging techniques and approaches like closed reduction and percutaneous fixation.
Is Dr. Templeman's work relevant to elderly patients?
Absolutely, much of Dr. Templeman's research involves treatments for elderly patients with hip fractures, aiming to reduce complications and improve recovery.
What does Dr. Templeman's research say about long-term recovery?
His studies indicate that many patients experience significant long-term complications after hip and pelvic injuries, with some requiring additional surgeries years later.
How can Dr. Templeman's work help patients?
His work provides insights into more effective surgical techniques and long-term care strategies, helping patients recover better from serious injuries.
Publications in plain English
Winquist View of the Femoral Neck: Ideal Visualization of Femoral Neck Fixation.
2023
The Iowa orthopaedic journal
Cancio-Bello AM, Karam MD, Jahangir AA, Templeman D, Cross WW
Plain English This study focused on a new imaging technique called the "Winquist View" for improving the placement of implants during surgery for unstable hip fractures. Researchers found that using this technique allowed for better visualization of the femoral neck and led to successful implant placements in three patients, with no complications or failures reported afterward. This matters because good implant positioning is crucial for the stability of the fracture, which can prevent future problems.
Who this helps: This benefits surgeons performing hip fracture surgeries and their patients.
Patient-Reported Outcomes of Femoral Head Fractures with a Minimum 10-Year Follow-Up.
2020
Journal of orthopaedic trauma
Koerner M, Westberg J, Martin J, Templeman D
Plain English This study looked at the long-term outcomes of patients who suffered femoral head fractures, specifically analyzing 28 patients who had at least 10 years of follow-up after treatment. Researchers found that 75% of these patients experienced complications, and 30% had to undergo hip replacement surgery an average of 6.4 years later. On average, patients rated their hip function at 36.6 on a scale where a higher score indicates better function, showing that while some patients do well, many face significant challenges in the long term.
Who this helps: This research benefits patients recovering from femoral head fractures and their doctors, providing insight into necessary long-term care and treatment decisions.
APC Injuries With Symphyseal Fixation: What Affects Outcome?
2017
Journal of orthopaedic trauma
Lybrand K, Bell A, Rodericks D, Templeman D, Tornetta P
Plain English In this study, researchers looked at how the position of the injury and the type of damage influenced recovery in patients who had surgery for severe pelvic injuries. They followed 54 patients for an average of 7 years and found that those with more severe injuries reported worse health and more pain. Specifically, patients with injuries classified as "severe" (with an injury severity score over 16) had poorer outcomes, and those who experienced significant displacement of the injury (more than 15 mm) also had worse recovery results.
Who this helps: This research helps doctors understand factors that can impact recovery for patients with severe pelvic injuries.
Is Closed Reduction and Percutaneous Fixation of Unstable Posterior Ring Injuries as Accurate as Open Reduction and Internal Fixation?
2016
Journal of orthopaedic trauma
Lindsay A, Tornetta P, Diwan A, Templeman D
Plain English This study looked at two methods for fixing unstable pelvic ring injuries: closed reduction and percutaneous fixation (CRPF) and open reduction with internal fixation (ORIF). Researchers found that the CRPF method resulted in a smaller average displacement of 1.9 mm compared to 6.3 mm for ORIF, which means CRPF provided better alignment of the injury after treatment. This matters because using the less invasive CRPF technique can lead to better outcomes for patients with these injuries while potentially reducing recovery time and complications.
Who this helps: Patients with unstable pelvic ring injuries.
Plain English This paper looks at problems when broken bones in the leg (the femur and tibia) don’t heal properly. The review finds that these issues are common, and highlights recent research on how to assess and treat these nonunions. It also includes information on unusual fractures that can happen in patients taking specific medications for bone health.
Who this helps: This helps patients with broken leg bones and their doctors.
Functional outcomes after total hip arthroplasty for the acute management of acetabular fractures: 1- to 14-year follow-up.
2015
Journal of orthopaedic trauma
Lin C, Caron J, Schmidt AH, Torchia M, Templeman D
Plain English This study looked at how well patients recover after surgery that combines fixing a type of hip fracture and replacing the hip joint in one operation. They followed 33 patients for an average of 5.6 years and found that 94% had functioning hips, with 93% reporting good to excellent movement. The approach resulted in a 15% complication rate, showing that this combined surgery can be a safe and effective option, avoiding the need for two separate surgeries.
Who this helps: This helps patients with serious hip fractures and their doctors by providing a treatment option that may improve recovery outcomes.
Plain English This study looked at different surgical techniques for fixing femoral neck fractures, which are breaks near the hip. It found that using open surgery techniques, like the Watson-Jones or Smith-Petersen methods, allows doctors to see and directly manipulate the broken pieces of bone, leading to better outcomes. Proper understanding of hip anatomy and using imaging tools during surgery significantly improves the chances of a successful repair.
Who this helps: This helps patients with femoral neck fractures receive better surgical care and recover more effectively.
Does Removal of the Symphyseal Cartilage in Symphyseal Dislocations Have Any Effect on Final Alignment and Implant Failure?
2015
Journal of orthopaedic trauma
Lybrand K, Kurylo J, Gross J, Templeman D, Tornetta P
Plain English This study looked at how removing a specific cartilage during surgery for pelvic dislocations affects recovery in patients. Researchers compared two groups of 96 patients: one group had the cartilage removed, and the other did not. They found that those who had the cartilage removed experienced better alignment of the bones and a significantly lower chance of implant failure, with only 2 needing further surgery compared to none in the cartilage removal group.
Who this helps: This benefits patients with pelvic dislocations by leading to better surgical outcomes and fewer complications.
How to get the most out of your orthopaedic fellowship: thinking about practice-based learning.
2012
Journal of orthopaedic trauma
Templeman D
Plain English This study focuses on how orthopedic trauma fellows can enhance their learning during their training. It highlights three straightforward strategies: reviewing each case three times, examining patient outcomes in four key areas, and applying the 80/20 rule to prioritize what to focus on. These methods help fellows become more effective in analyzing their clinical experiences, ultimately improving patient care.
Who this helps: This benefits orthopedic fellows and their patients.
Plain English This study looked at how to reduce problems after surgery for a specific type of hip fracture in elderly patients. Researchers found that factors like bone strength and the way the fracture looks affect recovery, and emphasized the importance of careful surgery techniques to improve outcomes. This matters because better surgical practices can lead to fewer complications, helping patients recover faster and regain their mobility.
Who this helps: This helps elderly patients with hip fractures and their doctors.
Interrater reliability in grading abstracts for the orthopaedic trauma association.
2004
Clinical orthopaedics and related research
Bhandari M, Templeman D, Tornetta P
Plain English This study looked at how consistently different reviewers scored abstracts submitted for presentations at the Orthopaedic Trauma Association’s annual meetings in 2001 and 2002. They reviewed 440 abstracts in 2001 and 438 in 2002, finding that the agreement between reviewers was low, with scores of just 0.23 and 0.27, meaning they often disagreed on quality. This matters because it highlights potential biases in how abstracts are evaluated, as many high-ranking presentations were initially rated poorly.
Who this helps: This helps researchers and conference organizers ensure fairer evaluations of scientific work.
The semantic category effect increases with worsening anomia in Alzheimer's type dementia.
2003
Brain and language
Whatmough C, Chertkow H, Murtha S, Templeman D, Babins L +1 more
Plain English Researchers studied how well people with Alzheimer's type dementia and mild cognitive impairment can name pictures of different types of items (living things versus non-living things). They found that as patients’ naming ability worsened, they were better at naming non-living items compared to living ones, especially among those with more severe symptoms. This finding is important because it reveals a clear pattern in how naming ability declines in Alzheimer's, helping to understand the nature of language difficulties in these patients.
Who this helps: This helps doctors and caregivers understand language challenges in patients with Alzheimer's.
Associated injuries complicating the management of acetabular fractures: review and case studies.
2002
The Orthopedic clinics of North America
Kregor PJ, Templeman D
Plain English This paper examines how other injuries in the hip region, like those to the femoral head and femur, affect the treatment of acetabular fractures, which are breaks in the socket of the hip joint. The authors found that these additional injuries can greatly complicate the care process and that doctors must carefully plan surgery and treatment to ensure better outcomes for patients. Understanding these complications is essential, as it can lead to improved recovery and results after surgery.
Who this helps: This helps patients with hip fractures and their doctors.
Plain English This study looked at a case of a 28-year-old woman who was in a bicycle accident when she was hit by a car, resulting in an acetabular fracture (a break in the pelvis). Along with her pelvic injury, she also suffered a spleen injury that can be managed without surgery and briefly lost consciousness but had no brain injury shown in her CT scan. Understanding these types of injuries is important for guiding effective treatment and recovery.
Who this helps: This helps doctors in emergency and trauma care.
Decision making errors in the use of interlocking tibial nails.
1997
Clinical orthopaedics and related research
Templeman D, Larson C, Varecka T, Kyle RF
Plain English This study looked at 71 leg fractures treated with a specific type of nail to stabilize the bone. Researchers found that 11% of these fractures lost proper alignment after treatment, particularly those with spiral and oblique shapes, while no alignment issues were observed in fractures with a straight transverse shape. This matters because it shows that some types of fractures may need different treatment methods to avoid complications.
Who this helps: This helps doctors find better ways to treat patients with specific types of leg fractures.
Internal fixation of displaced fractures of the sacrum.
1996
Clinical orthopaedics and related research
Templeman D, Goulet J, Duwelius PJ, Olson S, Davidson M
Plain English This study looked at the treatment of 30 patients with severe fractures in the sacrum, a bone in the lower back. The researchers found that most patients, 40%, had nerve damage, and those who had surgery to realign the bone (open reduction) healed more effectively than those who were treated with a less invasive method (percutaneous fixation). Overall, all fractures healed, but having a neurologic injury was linked to poorer recovery outcomes.
Who this helps: This helps patients with sacral fractures and their doctors in deciding on treatment options.
Proximity of iliosacral screws to neurovascular structures after internal fixation.
1996
Clinical orthopaedics and related research
Templeman D, Schmidt A, Freese J, Weisman I
Plain English This study looked at how close iliosacral screws, used to stabilize pelvic injuries, are to important nerves and blood vessels after surgery. They examined CT scans from 31 patients and found that these screws were, on average, only 3 mm away from the S1 foramen and 4.8 mm from the front of the sacrum. Understanding this proximity is crucial because even a small mistake in placement can cause serious complications.
Who this helps: This information benefits surgeons and their patients, especially those with pelvic injuries.
Exchange reamed intramedullary nailing for delayed union and nonunion of the tibia.
1995
Clinical orthopaedics and related research
Templeman D, Thomas M, Varecka T, Kyle R
Plain English This study looked at how changing the type of nail used to fix tibial fractures can help promote healing when the bones are slow to unite. Out of 28 patients treated with the new method, 25 fully healed after the procedure. This matters because it shows that switching to a different type of internal nail can successfully encourage bone healing, especially in cases where the original treatment wasn't working.
Who this helps: This benefits patients with delayed healing tibial fractures and their doctors by providing an effective treatment option.
Plain English The research focused on compartment syndrome, a serious condition that occurs after an injury to the limbs, which can be prevented if caught and treated early. The study found that when compartment syndrome is diagnosed quickly, performing a procedure called fasciotomy leads to good recovery outcomes, both in function and appearance. However, delaying treatment can result in poor results and lasting damage.
Who this helps: This helps patients suffering from limb injuries and their doctors in managing complications effectively.
Lower-extremity compartment syndromes associated with use of pneumatic antishock garments.
1987
The Journal of trauma
Templeman D, Lange R, Harms B
Plain English This study investigated the connection between pneumatic antishock garments (PASGs) and serious complications called compartment syndromes in the lower legs. The researchers found instances where patients developed these syndromes without any injuries to their legs after the use of PASGs. This matters because it highlights a potential risk of using PASGs, which are often applied in emergency situations to treat shock.
Who this helps: This information is important for doctors and emergency medical teams.
Effect of capsaicin on electrical slow waves in the isolated cat colon.
1977
Gut
Anuras S, Christensen J, Templeman D
Plain English This study looked at how capsaicin, the active ingredient in chili peppers, affects the electrical activity in the colon of cats. Researchers found that at a certain concentration, capsaicin significantly lowered the frequency of electrical signals in the upper part of the colon, reducing it to just 45% of normal levels, while the lower part of the colon showed no significant change. This matters because it helps explain why capsaicin can have a laxative effect, which could contribute to how treatments for constipation are developed.
Who this helps: This helps patients struggling with constipation.