Scholars@Duke
Christopher David Murawski

Christopher David Murawski

Assistant Professor in Orthopaedic Surgery
Orthopaedic Surgery

Selected Publications

Comparison of Postoperative Complications by Surgical Technique After Acute Midsubstance Achilles Tendon Repair.

Journal Article Am J Sports Med · October 2025 BACKGROUND: Midsubtance Achilles tendon ruptures remain the most common tendon injury within the lower extremity. While the incidence continues to rise, changing immobilization protocols, surgical techniques, and surgeon preferences have evolved over the p ... Full text Link to item Cite

Managing Hallux Rigidus in the Elite Athlete.

Journal Article Foot Ankle Clin · September 2024 Hallux rigidus can present a difficult problem to both competitive and elite athletic populations. Once an appropriate diagnostic workup has been performed, nonoperative management strategies, including anti-inflammatory medications, injection therapies, s ... Full text Link to item Cite

Editorial Commentary: Large, Deep, and Cystic Osteochondral Lesions of the Talus May Be Better Treated With Bone Grafting Techniques or Autologous Osteochondral Transplantation Rather Than Bone Marrow Stimulation.

Journal Article Arthroscopy · October 2023 Osteochondral lesions of the talus are a challenging problem to treat. Debridement with bone marrow stimulation has represented the mainstay of treatment for the injuries, with good to excellent results reported. However, some patients do not do well with ... Full text Link to item Cite

Management of High-Energy Tibial Pilon Fractures.

Journal Article J Bone Joint Surg Am · July 19, 2023 ➤ Pilon fractures in the younger patient population are frequently high-energy, intra-articular injuries and are associated with devastating, long-term impacts on patient-reported outcomes and health-related quality of life, as well as high rates of persis ... Full text Link to item Cite

Paediatric ankle cartilage lesions: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference J ISAKOS · October 2022 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Nonoperative and Operative Soft-Tissue and Cartilage Regeneration and Orthopaedic Biologics of the Foot and Ankle: An Orthoregeneration Network Foundation Review.

Journal Article Arthroscopy · July 2022 Orthoregeneration is defined as a solution for orthopaedic conditions that harnesses the benefits of biology to improve healing, reduce pain, improve function, and optimally, provide an environment for tissue regeneration. Options include drugs, surgical i ... Full text Link to item Cite

Osteochondral lesions of the talar dome in the athlete: what evidence leads to which treatment

Journal Article Journal of Cartilage and Joint Preservation · June 1, 2022 Osteochondral lesions of the talar dome (OLT) are common injuries that involve cartilage and subchondral bone. These injuries appear in up to 42% of professional soccer players on magnetic resonance imaging (MRI). Typically, patients are 20 35-yearold male ... Full text Cite

Terminology for osteochondral lesions of the ankle: proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference J ISAKOS · April 2022 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advan ... Full text Link to item Cite

Osteochondral Lesions of the Tibial Plafond and Ankle Instability With Ankle Cartilage Lesions: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Journal Article Foot Ankle Int · March 2022 BACKGROUND: An international consensus group of experts was convened to collaboratively advance toward consensus opinions based on the best available evidence on key topics within cartilage repair of the ankle. The purpose of this article is to present the ... Full text Link to item Cite

Thread Delamination in 4.5 mm AO Cannulated Screws: A Small Case Series in the Pediatric Trauma Population.

Journal Article J Pediatr Orthop · March 1, 2022 BACKGROUND: Thread delamination associated with cannulated screws have been reported but likely represent an under-recognized complication in the orthopaedic literature. The purpose of this study is to report the occurrence of repeated hardware failures th ... Full text Link to item Cite

Stress Shielding of Ligaments Using Nonabsorbable Suture Augmentation May Influence the Biology of Ligament Healing.

Journal Article J Hand Surg Am · March 2022 Nonabsorbable suture augmentation of ligament reconstruction has seen an increase in use over the past several years with the goal of protecting the newly reconstructed ligament while allowing early rehabilitation for a potential earlier return to activity ... Full text Link to item Cite

The Mandated Publication of Individual Hospital Charge Description Masters Does Not Permit the Estimation of Complex Procedure Charges.

Journal Article J Am Acad Orthop Surg · January 1, 2022 BACKGROUND: As healthcare spending continues to rise, price transparency is crucial for patients to calculate a reasonable cost estimate for tests and procedures. Legislative efforts have been successful at mandating increased hospital price transparency, ... Full text Link to item Cite

Freddie Fu: A Leader of Leaders.

Journal Article Knee Surg Sports Traumatol Arthrosc · January 2022 Freddie Fu had a profound and undeniable impact on the field of orthopaedic surgery. He was a leader both personally and professionally and dedicated his career to ensuring that those around him had the opportunity to thrive. His life and career were disti ... Full text Link to item Cite

Temporizing Care of Acute Traumatic Foot and Ankle Injuries.

Journal Article Orthop Clin North Am · January 2022 Temporizing care has become a critical part of the treatment armamentarium for select foot and ankle injuries. Indications for performing temporizing care are based on the specific injury pattern, the host, associated injuries, as well as surgeon resources ... Full text Link to item Cite

Evidence-based Treatment of Failed Primary Osteochondral Lesions of the Talus: A Systematic Review on Clinical Outcomes of Bone Marrow Stimulation.

Journal Article Cartilage · December 2021 OBJECTIVE: The purpose of this study is to systematically review the literature and to evaluate the outcomes following bone marrow stimulation (BMS) for nonprimary osteochondral lesions of the talus (OLT). DESIGN: A literature search was performed to ident ... Full text Link to item Cite

The Use of a Synthetic Cartilage Implant for Hallux Rigidus: A Systematic Review.

Journal Article Foot Ankle Spec · August 2021 Background. Hallux rigidus is a common pathology afflicting the foot, for which various joint salvage techniques have been described with a multitude of different implants. Recently, a synthetic cartilage implant composed of polyvinyl alcohol (PVA) receive ... Full text Link to item Cite

Platelet-Rich Plasma Versus Corticosteroids for Plantar Fasciitis: A Systematic Review of Randomized Controlled Trials

Journal Article Orthopaedic Journal of Sports Medicine · April 1, 2020 Background: Plantar fasciitis is the most common cause of plantar heel pain. Several recent randomized control trials (RCTs) have been published comparing the use of platelet-rich plasma (PRP) and corticosteroids (CSs) for the treatment of plantar fasciiti ... Full text Cite

Suture Button Versus Syndesmotic Screw for Syndesmosis Injuries: A Meta-analysis of Randomized Controlled Trials.

Journal Article Am J Sports Med · September 2019 BACKGROUND: Operative treatment is indicated for unstable syndesmosis injuries, and approximately 20% of all ankle fractures require operative fixation for syndesmosis injuries. PURPOSE: To perform a meta-analysis of randomized controlled trials evaluating ... Full text Link to item Cite

Medical comorbidities increase the rate of surgical site infection in primary Achilles tendon repair.

Journal Article Knee Surg Sports Traumatol Arthrosc · September 2019 PURPOSE: To assess the effects of medical comorbidities on the incidence of surgical site infection following primary Achilles tendon repair. A secondary aim was to assess the effects of specific medical comorbidities on the cost and extent of healthcare u ... Full text Link to item Cite

How Should Postoperative Cellulitis Be Treated in Patients With Total Ankle Arthroplasty (TAA) in Place?

Journal Article Foot Ankle Int · July 2019 RECOMMENDATION: In the absence of evidence, we recommend that (1) patients with total ankle arthroplasty (TAA) in place who develop postoperative cellulitis be evaluated thoroughly to rule out periprosthetic joint infection of the ankle, and that (2) isola ... Full text Link to item Cite

The Role of Platelet-Rich Plasma in Cartilage Pathology: An Updated Systematic Review of the Basic Science Evidence.

Journal Article Arthroscopy · March 2019 PURPOSE: To review the basic science studies on platelet-rich plasma (PRP) for cartilage and determine whether there has been an improvement in methodology and outcome reporting that would allow for a more meaningful analysis regarding the mechanism of act ... Full text Link to item Cite

Postoperative Reoperations and Complications in 32,307 Ankle Fractures With and Without Concurrent Ankle Arthroscopic Procedures in a 5-Year Period Based on a Large U.S. Healthcare Database.

Journal Article J Foot Ankle Surg · January 2019 Residual symptoms often persist even after successful operative reduction and internal fixation (ORIF) of ankle fractures. Concurrent ankle arthroscopic procedures (CAAPs) have been proposed to improve clinical outcomes; however, a dearth of evidence is av ... Full text Link to item Cite

Osteochondral Allograft: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advan ... Full text Link to item Cite

Scaffold-Based Therapies: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Debridement, Curettage, and Bone Marrow Stimulation: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Rehabilitation and Return to Sports: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Diagnosis: History, Physical Examination, Imaging, and Arthroscopy: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Editorial.

Journal Article Foot Ankle Int · July 2018 Full text Link to item Cite

Fixation Techniques: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advan ... Full text Link to item Cite

Conservative Management and Biological Treatment Strategies: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Revision and Salvage Management: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Subchondral Pathology: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Post-treatment Follow-up, Imaging, and Outcome Scores: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Platelet-Rich Plasma and Hyaluronic Acid Are Not Synergistic When Used as Biological Adjuncts with Autologous Osteochondral Transplantation.

Journal Article Cartilage · July 2018 UNLABELLED: Introduction Autologous osteochondral transplantation (AOT) is a treatment for osteochondral lesions with known concerns, including histological degradation of the graft and poor cartilage integration. Platelet-rich plasma (PRP) and hyaluronic ... Full text Link to item Cite

Extracellular Matrix Cartilage Allograft and Particulate Cartilage Allograft for Osteochondral Lesions of the Knee and Ankle Joints: A Systematic Review.

Journal Article Am J Sports Med · June 2018 BACKGROUND: Extracellular matrix cartilage allografts (EMCAs) and particulate cartilage allografts (PCAs) are relatively new biologics that may improve the quality of cartilage regeneration after bone marrow stimulation. The increasing popularity of these ... Full text Link to item Cite

Incidence of reoperation and wound dehiscence in patients treated for peroneal tendon dislocations: comparison between osteotomy versus soft tissue procedures.

Journal Article Knee Surg Sports Traumatol Arthrosc · March 2018 PURPOSES: There is a lack of substantial clinical evidence endorsing the clinical outcomes of osteotomy for peroneal tendon dislocations. The aim of this study was to compare the post-operative reoperation rates following osteotomy techniques and soft tiss ... Full text Link to item Cite

No differences in subjective knee function between surgical techniques of anterior cruciate ligament reconstruction at 2-year follow-up: a cohort study from the Swedish National Knee Ligament Register.

Journal Article Knee Surg Sports Traumatol Arthrosc · December 2017 PURPOSE: The purpose of this study was to investigate how different techniques of single-bundle anterior cruciate ligament (ACL) reconstruction affect subjective knee function via the Knee injury and Osteoarthritis Outcome Score (KOOS) evaluation 2 years a ... Full text Link to item Cite

Radiographic femoral bicondylar width predicts anterior cruciate ligament insertion site sizes.

Journal Article Knee Surg Sports Traumatol Arthrosc · August 2017 PURPOSE: The purpose of this study was to determine whether radiographic femoral bicondylar width predicts intra-operative anterior cruciate ligament (ACL) insertion site sizes. METHODS: Seventy-three consecutive patients (39 males and 34 females; mean age ... Full text Link to item Cite

Lesion Size Is a Predictor of Clinical Outcomes After Bone Marrow Stimulation for Osteochondral Lesions of the Talus: A Systematic Review.

Journal Article Am J Sports Med · June 2017 BACKGROUND: The critical lesion size treated with bone marrow stimulation (BMS) for osteochondral lesions of the talus (OLTs) has been 150 mm2 in area or 15 mm in diameter. However, recent investigations have failed to detect a significant correlation betw ... Full text Link to item Cite

Reoperation rates following ankle ligament procedures performed with and without concomitant arthroscopic procedures.

Journal Article Knee Surg Sports Traumatol Arthrosc · June 2017 PURPOSE: Over 50 % of the patients with chronic lateral ankle instability present with some degree of intra-articular pathology. To date, no consensus regarding the concomitant ankle arthroscopy procedures along with ankle ligament procedures has been reac ... Full text Link to item Cite

Current concepts review: Arthroscopic treatment of anterior ankle impingement.

Journal Article Foot Ankle Surg · March 2017 Anterior ankle impingement is a common cause of chronic ankle pain, particularly in athletic populations. Morris and McMurray provided the earliest descriptions of anterior impingement, coining the condition as "athlete's ankle" or "footballer's ankle". Th ... Full text Link to item Cite

Operative Treatment for Osteochondral Lesions of the Talus: Biologics and Scaffold-Based Therapy.

Journal Article Cartilage · January 2017 OBJECTIVE: Numerous basic science articles have published evidence supporting the use of biologic augmentation in the treatment of osteochondral lesions of the talus (OLT). However, a comprehensive evaluation of the clinical outcomes of those treatment mod ... Full text Link to item Cite

Magnetic Resonance Imaging Evidence of Postoperative Cyst Formation Does Not Appear to Affect Clinical Outcomes After Autologous Osteochondral Transplantation of the Talus.

Journal Article Arthroscopy · September 2016 PURPOSE: To identify potential cysts using magnetic resonance imaging (MRI) after autologous osteochondral transplantation (AOT) for osteochondral lesions of the talus (OLTs) as well as to determine the effect of cysts on short-term clinical outcomes. METH ... Full text Link to item Cite

Macroscopic anatomical, histological and magnetic resonance imaging correlation of the lateral capsule of the knee.

Journal Article Knee Surg Sports Traumatol Arthrosc · September 2016 PURPOSE: The objective of the present study was to correlate macroscopic and microscopic anatomy of the lateral capsule of the knee joint with high-quality magnetic resonance imaging (MRI), with a hypothesis that a distinct lateral capsular ligament would ... Full text Link to item Cite

Quantitative analysis of the patella following the harvest of a quadriceps tendon autograft with a bone block.

Journal Article Knee Surg Sports Traumatol Arthrosc · September 2016 PURPOSE: The objective of this study was to determine parameters associated with patellar fracture after quadriceps tendon autograft harvest. METHODS: Thirteen non-fractured and five fractured patella surface models were created based on patient data obtai ... Full text Link to item Cite

Authors’ Reply

Journal Article Arthroscopy Journal of Arthroscopic and Related Surgery · August 1, 2016 Full text Cite

Autologous Osteochondral Transplantation for Osteochondral Lesions of the Talus: Does Previous Bone Marrow Stimulation Negatively Affect Clinical Outcome?

Journal Article Arthroscopy · July 2016 PURPOSE: To determine if functional outcomes and magnetic resonance imaging (MRI) outcomes were significantly different between patients receiving primary autologous osteochondral transplantation (AOT) and patients receiving secondary AOT surgery after fai ... Full text Link to item Cite

Operative Treatment of Lateral Ankle Instability.

Journal Article JBJS Rev · May 31, 2016 Chronic lateral ankle instability can occur in a subset of patients following ankle inversion sprains. Operative treatment to restore stability in the ankle and hindfoot and to prevent further degenerative changes may be indicated in cases in which nonoper ... Full text Link to item Cite

Trends of Concurrent Ankle Arthroscopy at the Time of Operative Treatment of Ankle Fracture: A National Database Review.

Journal Article Foot Ankle Spec · April 2016 BACKGROUND: The purpose of this study was to report trends associated with concurrent ankle arthroscopy at the time of operative treatment of ankle fracture. METHOD: The current procedural terminology (CPT) billing codes were used to search the PearlDiver ... Full text Link to item Cite

Autologous Osteochondral Transplantation for Osteochondral Lesions of the Talus.

Journal Article Foot Ankle Int · April 2016 BACKGROUND: Autologous osteochondral transplantation (AOT) is used to treat osteochondral lesions (OCLs) of the talus, typically reserved for lesions greater than 150 mm(2). Few studies exist examining the functional and magnetic resonance imaging (MRI) ou ... Full text Link to item Cite

Functional outcomes after peroneal tendoscopy in the treatment of peroneal tendon disorders.

Journal Article Knee Surg Sports Traumatol Arthrosc · April 2016 PURPOSE: The primary purpose of this study was to evaluate clinical outcomes following peroneal tendoscopy for the treatment of peroneal pathology. Correlation between pre-operative magnetic resonance imaging (MRI) and peroneal tendoscopic diagnostic findi ... Full text Link to item Cite

Effects of gastrocnemius recession on ankle motion, strength, and functional outcomes: a systematic review and national healthcare database analysis.

Journal Article Knee Surg Sports Traumatol Arthrosc · April 2016 PURPOSE: The purpose of this systematic review was to report the effects of gastrocnemius recession on ankle dorsiflexion range of motion, function, and push-off power. METHODS: The MEDLINE and EMBASE databases were reviewed with terms "gastrocnemius reces ... Full text Link to item Cite

Primary Tumors of the Foot and Ankle.

Journal Article Foot Ankle Spec · February 2016 UNLABELLED: Tumors of the foot and ankle are rarely encountered in the general patient population. Even among studies of tumor patients, foot and ankle neoplasms are uncommon. Given the weight-bearing demands of the foot and its relatively small area, even ... Full text Link to item Cite

Arthroscopic Bone Marrow Stimulation and Concentrated Bone Marrow Aspirate for Osteochondral Lesions of the Talus: A Case-Control Study of Functional and Magnetic Resonance Observation of Cartilage Repair Tissue Outcomes.

Journal Article Arthroscopy · February 2016 PURPOSE: This study compares retrospective functional and magnetic resonance imaging (MRI) outcomes after arthroscopic bone marrow stimulation (BMS) with and without concentrated bone marrow aspirate (cBMA) as a biological adjunct to the surgical treatment ... Full text Link to item Cite

Low Level of Evidence and Methodologic Quality of Clinical Outcome Studies on Cartilage Repair of the Ankle.

Journal Article Arthroscopy · January 2016 PURPOSE: To examine the level of evidence and methodologic quality of studies reporting surgical treatments for osteochondral lesions of the ankle. METHODS: A search was performed using the PubMed/Medline, Embase, CINAHL (Cumulative Index to Nursing and Al ... Full text Link to item Cite

Peroneal tendon disorders (ICL 14)

Chapter · January 1, 2016 Peroneal tendon pathologies account for a substantial amount of posterolateral ankle complaints and typically occur after recurrent ankle sprains due to chronic lateral ankle instability or overuse [12, 23, 51, 58]. With an important role in the lateral st ... Full text Cite

Open Versus Arthroscopic Ankle Arthrodesis: A Comparison of Subsequent Procedures in a Large Database.

Journal Article J Foot Ankle Surg · 2016 Arthroscopic and open ankle arthrodesis have been compared in very few studies, and no consensus has been reached regarding the incidence of postoperative revision surgery associated with each technique. The purpose of the present study was to compare thes ... Full text Link to item Cite

Platelet-Rich Plasma May Improve Osteochondral Donor Site Healing in a Rabbit Model

Journal Article Cartilage · January 1, 2016 Purpose: The purpose of this study was to assess the effect(s) of platelet-rich plasma (PRP) on osteochondral donor site healing in a rabbit model. Methods: Osteochondral donor sites 3 mm in diameter and 5 mm in depth were created bilaterally on the femora ... Full text Cite

Arthroscopic Treatment for Anterior Ankle Impingement: A Systematic Review of the Current Literature.

Journal Article Arthroscopy · August 2015 PURPOSE: To provide a comprehensive overview of the clinical outcomes of arthroscopic procedures used as a treatment strategy for anterior ankle impingement. METHODS: A systematic literature search of the Medline, Embase (Classic), and CINAHL (Cumulative I ... Full text Link to item Cite

Tissue engineering of ligaments for reconstructive surgery.

Journal Article Arthroscopy · May 2015 PURPOSE: The use of musculoskeletal bioengineering and regenerative medicine applications in orthopaedic surgery has continued to evolve. The aim of this systematic review was to address tissue-engineering strategies for knee ligament reconstruction. METHO ... Full text Link to item Cite

Intercondylar notch dimensions and graft failure after single- and double-bundle anterior cruciate ligament reconstruction.

Journal Article Knee Surg Sports Traumatol Arthrosc · March 2015 PURPOSE: The objective of this study was to evaluate the dimensions of the femoral intercondylar notch intraoperatively and to determine whether a small intercondylar notch increases the risk of graft failure after individualized anatomic single- or double ... Full text Link to item Cite

Graft maturity of the reconstructed anterior cruciate ligament 6 months postoperatively: a magnetic resonance imaging evaluation of quadriceps tendon with bone block and hamstring tendon autografts.

Journal Article Knee Surg Sports Traumatol Arthrosc · March 2015 PURPOSE: The purpose of this study was to report the potential differences associated with graft maturity measured on magnetic resonance imaging (MRI) between quadriceps tendon with bone block and hamstring tendon autografts 6 months after ACL reconstructi ... Full text Link to item Cite

Individualized anatomic anterior cruciate ligament reconstruction.

Journal Article Phys Sportsmed · February 2015 Anterior cruciate ligament (ACL) injuries are often seen in young participants in sports such as soccer, football, and basketball. Treatment options include conservative management as well as surgical intervention, with the goal of enabling the patient to ... Full text Link to item Cite

Innovation in sports medicine

Chapter · January 1, 2015 Innovation is important to keep the field of sports medicine moving forward. However, innovation is not synonymous with improvement, and before ever considering the prospect of financial return for any new technology or procedure, there should be proper sc ... Full text Cite

Knee ligament surgery: Future perspectives

Chapter · January 1, 2015 Ligament injuries are commonly encountered in sports medicine. Current research is focused upon the augmentation of healing after ligament injury and reconstruction (an emphasis placed on anterior cruciate ligament (ACL) reconstruction) with the use of bio ... Full text Cite

Concussion in sports traumatology: Future trends

Chapter · January 1, 2015 Evaluation and management of sports-related concussive injuries has received tremendous attention by the media as well as the medical and scientific community in the past decade. The assessment of sports-related concussions, however, remains challenging fo ... Full text Cite

A single platelet-rich plasma injection for chronic midsubstance achilles tendinopathy: a retrospective preliminary analysis.

Journal Article Foot Ankle Spec · October 2014 UNLABELLED: The purpose of this study was to evaluate a series of patients undergoing a single platelet-rich plasma (PRP) injection for the treatment of chronic midsubstance Achilles tendinopathy, in whom conservative treatment had failed. Thirty-two patie ... Full text Link to item Cite

Osteochondral lesions of the talus: a current concepts review and evidence-based treatment paradigm.

Journal Article Foot Ankle Spec · October 2014 UNLABELLED: Osteochondral lesions of the talar dome are increasingly diagnosed and are a difficult pathology to treat. Conservative treatment yields best results in pediatric patients, often leaving surgical options for adult populations. There is a paucit ... Full text Link to item Cite

Osteochondral tissue engineering with biphasic scaffold: current strategies and techniques.

Journal Article Tissue Eng Part B Rev · October 2014 The management of osteoarthritis (OA) remains challenging and controversial. Although several clinical options exist for the treatment of OA, regeneration of the damaged articular cartilage has proved difficult due to the limited healing capacity. With the ... Full text Link to item Cite

Knee morphology and risk factors for developing an anterior cruciate ligament rupture: an MRI comparison between ACL-ruptured and non-injured knees.

Journal Article Knee Surg Sports Traumatol Arthrosc · May 2014 PURPOSE: The objective of this study was to evaluate multiple morphological features on MR images in patients with and without ACL rupture to evaluate whether there are certain variables that confer a higher risk for an ACL rupture. METHODS: MRI measuremen ... Full text Link to item Cite

The concept of individualized anatomic anterior cruciate ligament (ACL) reconstruction.

Journal Article Knee Surg Sports Traumatol Arthrosc · May 2014 PURPOSE: To describe the concept of individualized anatomic anterior cruciate ligament (ACL) reconstruction. METHODS: The PubMed/Medline database was searched using keywords pertaining to ACL reconstruction. Relevant articles were reviewed in order to summ ... Full text Link to item Cite

Operative treatment of primary anterior cruciate ligament rupture in adults.

Journal Article J Bone Joint Surg Am · April 16, 2014 Operative management of an acute anterior cruciate ligament (ACL) rupture may be required in young and active patients to stabilize the knee and return patients to desired daily activities. ACL reconstruction should be performed anatomically. The majority ... Full text Link to item Cite

Osteochondral lesions of the talus: aspects of current management.

Journal Article Bone Joint J · February 2014 Osteochondral lesions (OCLs) occur in up to 70% of sprains and fractures involving the ankle. Atraumatic aetiologies have also been described. Techniques such as microfracture, and replacement strategies such as autologous osteochondral transplantation, or ... Full text Link to item Cite

A comprehensive, targeted approach to the clinical care of athletes following sport-related concussion.

Journal Article Knee Surg Sports Traumatol Arthrosc · February 2014 PURPOSE: The purpose of this paper is to discuss risk and prognostic factors for concussion outcomes, review comprehensive approaches to assessment, and describe a new method for conceptualizing treatment for sport-related concussion using clinical experie ... Full text Link to item Cite

Posterior hindfoot arthroscopy: a review.

Journal Article Am J Sports Med · January 2014 In recent years, minimally invasive surgery has developed and progressed the standard of care in orthopaedics and sports medicine. In particular, the use of posterior hindfoot arthroscopy in the treatment of posterior ankle and hindfoot injury is increasin ... Full text Link to item Cite

Anatomic Anterior Cruciate Ligament Reconstruction: Current Concepts and Future Perspective

Journal Article Cartilage · December 30, 2013 Anatomic anterior cruciate ligament (ACL) reconstruction is common procedure performed by orthopedic surgeons, particularly in association with sports-related injuries. Whereas traditional reconstruction techniques used a single bundle graft that was typic ... Full text Cite

The effect of platelet-rich plasma on autologous osteochondral transplantation: an in vivo rabbit model.

Journal Article J Bone Joint Surg Am · December 18, 2013 BACKGROUND: Autologous osteochondral transplantation restores a cartilage defect with a cylindrical unit of bone and articular cartilage. Previous studies have described poor graft integration at the chondral interface and degeneration of the cartilage. Th ... Full text Link to item Cite

Strategies for revision surgery after primary double-bundle anterior cruciate ligament (ACL) reconstruction.

Journal Article Knee Surg Sports Traumatol Arthrosc · September 2013 PURPOSE: The purpose of this article was to discuss pre- and intra-operative considerations as well as surgical strategies for different femoral and tibial tunnel scenarios in revision surgery following primary double-bundle anterior cruciate ligament (ACL ... Full text Link to item Cite

Hindfoot arthroscopic surgery for posterior ankle impingement: a systematic surgical approach and case series.

Conference Am J Sports Med · August 2013 BACKGROUND: Hindfoot arthroscopic surgery has been described as a minimally invasive surgical treatment for posterior ankle impingement syndrome. The current article describes a systematic approach for identifying relevant hindfoot structures as well as th ... Full text Link to item Cite

Treatment of chronic syndesmotic injury: a systematic review and meta-analysis.

Journal Article Knee Surg Sports Traumatol Arthrosc · August 2013 PURPOSE: The purpose of this study is to systematically review and meta-analyse the available literature on the treatment of chronic syndesmotic injuries of the ankle. METHODS: A systematic review of the PubMed/MEDLINE and EMBASE databases was conducted in ... Full text Link to item Cite

Surgical treatment for posterior ankle impingement.

Journal Article Arthroscopy · July 2013 PURPOSE: This study aims to provide an overview of both the open and endoscopic procedures used to treat posterior ankle impingement, as well as an analysis, evaluation, and comparison of their outcomes. METHODS: A systematic literature search of the Medli ... Full text Link to item Cite

Operative treatment of osteochondral lesions of the talus.

Journal Article J Bone Joint Surg Am · June 5, 2013 ➤ Osteochondral lesions of the talus are common injuries in recreational and professional athletes, with up to 50% of acute ankle sprains and fractures developing some form of chondral injury. Surgical treatment paradigms aim to restore the articular surfa ... Full text Link to item Cite

Chevron-type medial malleolar osteotomy: a functional, radiographic and quantitative T2-mapping MRI analysis.

Journal Article Knee Surg Sports Traumatol Arthrosc · June 2013 PURPOSE: The purpose of this study was to retrospectively evaluate a large series of patients for functional, radiographic and MRI outcomes after a Chevron-type medial malleolar osteotomy. METHODS: Sixty-two patients underwent a Chevron-type medial malleol ... Full text Link to item Cite

The deltoid ligament: an in-depth review of anatomy, function, and treatment strategies.

Journal Article Knee Surg Sports Traumatol Arthrosc · June 2013 PURPOSE: A literature review of the deltoid ligament was conducted, examining the current literature on anatomy, function, and treatment strategies. In particular, anatomical inconsistencies within the literature were evaluated, and detailed anatomical dis ... Full text Link to item Cite

A systematic review on the reporting of outcome data in studies on autologous osteochondral transplantation for the treatment of osteochondral lesions of the talus.

Journal Article Foot Ankle Spec · June 2013 PURPOSE: The purpose of this study was to systematically review studies on autologous osteochondral transplantation (AOT) for osteochondral lesions (OCLs) of the talus and descriptively analyze the outcome data reported to determine whether it is consisten ... Full text Link to item Cite

Platelet-rich plasma in tendon models: a systematic review of basic science literature.

Journal Article Arthroscopy · March 2013 PURPOSE: To perform a systematic review of the basic science literature on the use of platelet-rich plasma (PRP) in tendon models. METHODS: We searched the PubMed/Medline and Embase databases in June 2012 using the following parameters: ((tenocytes OR tend ... Full text Link to item Cite

Microfracture for osteochondral lesions of the talus: a systematic review of reporting of outcome data.

Journal Article Am J Sports Med · March 2013 BACKGROUND: Microfracture is recognized as a primary treatment strategy for osteochondral lesions of the talus up to 15 mm in size. The ability of fibrocartilage to withstand the mechanical loading of the joint over time is unknown. PURPOSE: The purpose of ... Full text Link to item Cite

Innovation in orthopaedic surgery as it relates to evidence-based practice.

Journal Article Knee Surg Sports Traumatol Arthrosc · March 2013 Full text Link to item Cite

Effects of different platelet-rich plasma methods.

Journal Article Am J Sports Med · February 2013 Full text Link to item Cite

Platelet-rich plasma in the pathologic processes of cartilage: Review of basic science evidence

Journal Article Arthroscopy Journal of Arthroscopic and Related Surgery · January 1, 2013 Purpose: The purpose of this study was to systematically review the basic science evidence for the use of platelet-rich plasma (PRP) in the treatment of pathologic processes of cartilage, both as an adjunct to cartilage repair and as a conservative managem ... Full text Cite

Anatomic lateral ligament reconstruction in the ankle: a hybrid technique in the athletic population.

Journal Article Am J Sports Med · October 2012 BACKGROUND: Anatomic and checkrein tenodesis reconstruction techniques have been described as a means of treatment for chronic lateral ligament instability in the ankle. The current article describes a hybrid procedure using the most advantageous concepts ... Full text Link to item Cite

The lateral dorsal cutaneous branch of the sural nerve: clinical importance of the surgical approach to proximal fifth metatarsal fracture fixation.

Journal Article Am J Sports Med · August 2012 BACKGROUND: Fractures of the proximal fifth metatarsal are one of the most common forefoot injuries encountered by orthopaedic surgeons in sports medicine. The percutaneous surgical approach to Jones fracture fixation and corresponding anatomy has received ... Full text Link to item Cite

Platelet-rich plasma as a biological adjunct to the surgical treatment of osteochondral lesions of the talus

Journal Article Techniques in Foot and Ankle Surgery · March 1, 2012 Platelet-rich plasma (PRP) has become an increasingly utilized biological adjunct in orthopedics, particularly in sports medicine. Cartilage repair is one such application for which PRP has been utilized. Osteochondral lesions of the talus are common athle ... Full text Cite

Establishing proof of concept: Platelet-rich plasma and bone marrow aspirate concentrate may improve cartilage repair following surgical treatment for osteochondral lesions of the talus

Journal Article World Journal of Orthopedics · January 1, 2012 Osteochondral lesions of the talus are common injuries in the athletic patient. They present a challenging clinical problem as cartilage has a poor potential for healing. Current surgical treatments consist of reparative (microfracture) or replacement (aut ... Full text Cite

Autologous osteochondral transplantation of the talus partially restores contact mechanics of the ankle joint.

Journal Article Am J Sports Med · November 2011 BACKGROUND: Autologous osteochondral transplantation procedures provide hyaline cartilage to the site of cartilage repair. It remains unknown whether these procedures restore native contact mechanics of the ankle joint. PURPOSE: This study was undertaken t ... Full text Link to item Cite

The treatment of osteochondral lesions of the talus with autologous osteochondral transplantation and bone marrow aspirate concentrate: Surgical technique

Journal Article Cartilage · October 1, 2011 Objective: To present the functional results after autologous osteochondral transplantation with bone marrow aspirate concentrate in 72 patients, while placing an emphasis on the surgical technique. Methods: Between 2005 and 2009, 72 patients underwent aut ... Full text Cite

Percutaneous internal fixation of proximal fifth metatarsal jones fractures (Zones II and III) with Charlotte Carolina screw and bone marrow aspirate concentrate: an outcome study in athletes.

Journal Article Am J Sports Med · June 2011 BACKGROUND: Internal fixation is a popular first-line treatment method for proximal fifth metatarsal Jones fractures in athletes; however, nonunions and screw breakage can occur, in part because of nonspecific fixation hardware and poor blood supply. PURPO ... Full text Link to item Cite

Platelet-rich plasma for foot and ankle disorders in the athletic population

Journal Article Techniques in Foot and Ankle Surgery · March 1, 2011 Athletes and their physicians are constantly searching for ways to heal injuries faster and allow for a quicker return to activity and sport. However, reliable and effective means of treating foot and ankle tendon/ligament disorders as well as fracture non ... Full text Cite

Bone marrow aspirate concentrate and platelet-rich plasma as biological adjuncts to the surgical treatment of osteochondral lesions of the talus

Journal Article Techniques in Orthopaedics · March 1, 2011 Symptomatic osteochondral lesions of the talus can be debilitating injuries in both the general and athletic populations, where surgical treatment is often required to provide functional pain relief and return to play in athletes. The most common surgical ... Full text Cite

A rotational scarf osteotomy decreases troughing when treating hallux valgus.

Journal Article Clin Orthop Relat Res · March 2011 BACKGROUND: The traditional scarf osteotomy has been associated with complication rates between 1.1% and 45%. We have modified the traditional technique with a rotational osteotomy to reduce these complications. QUESTIONS/PURPOSES: We determined whether a ... Full text Link to item Cite

Bone marrow aspirate concentrate (BMAC) as a biological adjunct to the surgical treatment of osteochondral lesions of the talus

Journal Article Techniques in Foot and Ankle Surgery · March 1, 2011 Osteochondral lesions of the talus are common injuries, particularly in athletes. Traditional surgical treatment paradigms for osteochondral lesions include reparative and restorative techniques. The concern with reparative techniques (ie, microfracture an ... Full text Cite

Anteromedial impingement in the ankle joint: outcomes following arthroscopy.

Journal Article Am J Sports Med · October 2010 BACKGROUND: Arthroscopic debridement is a well-accepted method of removing osseous and/or soft tissue impingement from the ankle joint. To the best of the authors' knowledge, this is the first case series reporting the outcomes following arthroscopic resec ... Full text Link to item Cite

A review of arthroscopic bone marrow stimulation techniques of the talus: The good, the bad, and the causes for concern

Journal Article Cartilage · April 1, 2010 Osteochondral lesions of the talus are common injuries following acute and chronic ankle sprains. Numerous surgical treatment strategies have been employed for treating these lesions; arthroscopic bone marrow stimulation is recognized as the first-line tec ... Full text Cite

Ankle instability in sports

Journal Article Physician and Sportsmedicine · January 1, 2009 Ankle stability is integral to normal motion and to minimizing the risk of ankle sprain during participation in sport activities. The ability of the dynamic and static stabilizers of the ankle joint to maintain their structural integrity is a major compone ... Full text Cite