Posts by Marilyn M. Heng, MD, MPH, FRCSC
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Hemorrhage Control After Pelvic Trauma: Mass General Algorithm Incorporates Debated Approaches
Dennis Hundersmarck, MD, and Marilyn Heng, MD, MPH, orthopaedic trauma surgeon in the Department of Orthopedic Surgery, and colleagues confirm the effectiveness and safety of two different strategies for hemorrhage control after pelvic trauma in an 18-year retrospective study.
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Closed Operative Treatment Often Feasible for Tongue-type Calcaneal Fractures
Closed reduction internal fixation usually yields sufficient fixation and results in fewer infectious complications, compared with open surgery, in the treatment of tongue-type calcaneal fractures.
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Radiation Therapy Benefits Patients with Locally Resectable Extraskeletal Osteosarcoma
In the largest study to date of a series of patients with localized extraskeletal osteosarcoma, the use of radiation therapy decreased the risk of local recurrence.
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Radiostereometric Analysis Useful for Evaluating Healing of Distal Femoral Fractures
Radiostereometric analysis after distal femoral fracture fixation revealed clear differences in micromotion patterns between patients with union and those with nonunion within three months postoperatively.
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Prolonged Opioid Use After Orthopaedic Surgery Linked to Quantity Prescribed Upon Discharge
A clinical study found that prolonged use of opioids in patients treated for a surgical musculoskeletal injury is tied to the dosage of their prescription, rather than the type of opioid prescribed.
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Patient-specific Factors Should Guide Treatment of Acute Achilles Tendon Rupture
Open or minimally invasive surgery for acute Achilles tendon rupture reduces the risk of re-rupture compared with nonoperative treatment, the latest meta-analysis shows. However, surgery presented a higher risk of other complications, mostly infections.
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Opinion: Benefits of Surgery Not Always Greater Than the Risks of Undergoing an Operation
It is important that surgeons know when they should operate, but even more so, when they should not. Meta-analyses by Dr. Marilyn Heng and colleagues revealed that the benefits of surgery may not outweigh the risks of undergoing an operation.
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No Survival Difference Found Between Fixation and Revision After Vancouver B Fracture
No research has ever compared patient survival after the major treatment options for Vancouver B periprosthetic femur fractures. Surgeons set out to bridge that knowledge gap.
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VIDEO: Improving Opioid Prescribing Patterns for Orthopedic Trauma Patients
At the American Academy of Orthopaedic Surgeons Annual Meeting 2018, Marilyn M. Heng, MD, described how she is seeking to develop a more objective, rational method of prescribing opioids for orthopedic trauma surgery patients.
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How Orthopedic Surgeons Can Combat the Opioid Epidemic
Orthopedic surgeons rank among the highest prescribers of opioids. How can orthopedists curb opioid prescriptions while addressing their patients’ pain? Mass General surgeon Marilyn Heng, MD, shares potential solutions.
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Timing of Humeral Shaft Fracture Repair Does Not Affect Risk of Iatrogenic Radial Nerve Injury
Radial nerve palsy is common after reduction and fixation of diaphyseal humerus fractures, which often influences patients to pursue nonsurgical management. Mass General researchers were part of the first team to evaluate whether earlier surgery reduces the risk.
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Greater Opioid Intake After Ankle Fracture Linked to Increased Pain
After fracture surgery, patients who consume more opioids do not experience less pain or greater satisfaction than patients who consume lower amounts of opioid medication, according to past studies. Mass General researchers wondered whether the same was true specifically for ankle fracture surgery.
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Most Patients Believe Marijuana Is Effective for Pain Relief After Musculoskeletal Injury
With medical marijuana becoming legal in many states, patients want to know whether it can help them during orthopedic trauma recovery. Mass General physicians led the first research team to investigate.
Biography
Dr. Heng obtained her medical degree from the University of Toronto. She completed her orthopedic surgery residency at the University of Toronto in 2012 and is board certified in orthopedic surgery by the Royal College of Physicians and Surgeons of Canada and the American Board of Orthopaedic Surgery. She received subspecialty training in orthopedic trauma from the Harvard Combined Trauma Fellowship at Massachusetts General Hospital and Brigham & Women's Hospital. She has also completed a second subspecialty fellowship in orthopedic oncology from Mt. Sinai Hospital at the University of Toronto, Canada.
Orthopaedic Care at Mass General
At Mass General, our world-class physicians and surgeons treat the full spectrum of musculoskeletal conditions throughout the body, from sprains and strains on the athletic field to carpal tunnel syndrome. Our team offers innovative, research-based treatments that range from limb-saving oncological procedures to complex spinal reconstruction.