David Edward Attarian

Journal article J Arthroplasty · October 2013 Featured Work Multiple surgical approaches exist for total hip arthroplasty (THA). Each approach has risks and benefits in regard to complications and changes in postoperative gait. This study examined the effect of three surgical approaches on postoperative gait mechan ... Full text Link to item Cite

Developing a high-efficiency operating room for total joint arthroplasty in an academic setting.

Journal article Clin Orthop Relat Res · June 2013 Featured Work BACKGROUND: Developing a high-efficiency operating room (OR) for total joint arthroplasty (TJA) in an academic setting is challenging given the preexisting work cultures, bureaucratic road blocks, and departmental silo mentalities. Also, academic instituti ... Full text Link to item Cite

Creation of a femoral cortical window to facilitate total hip arthroplasty in patients with sickle cell hemoglobinopathies.

Journal article J Arthroplasty · February 2013 Featured Work Patients with sickle cell hemoglobinopathies often have femoral head osteonecrosis with collapse, and can benefit greatly from total hip arthroplasty. However, numerous procedural challenges and perioperative complications make these cases difficult. More ... Full text Link to item Cite

Late liner disassociation of a Pinnacle system acetabular component.

Journal article Orthopedics · April 2012 Featured Work This article describes a case of late locking mechanism failure and disassociation of a Pinnacle acetabular cup (DePuy, Warsaw, Indiana) and Marathon polyethylene liner (DePuy) 53 months after routine primary total hip arthroplasty in an active patient. Fo ... Full text Link to item Cite

The effect of total hip arthroplasty surgical approach on postoperative gait mechanics.

Journal article J Arthroplasty · September 2011 Featured Work Surgical approach for total hip arthroplasty (THA) is determined by clinician preference from limited prospective data. This study aimed to examine the effect of surgical approach (direct lateral, posterior, and anterolateral) on 6-week postoperative gait ... Full text Link to item Cite

Pain coping skills training for patients with elevated pain catastrophizing who are scheduled for knee arthroplasty: a quasi-experimental study.

Journal article Arch Phys Med Rehabil · June 2011 Featured Work OBJECTIVES: To (1) describe a behavioral intervention designed for patients with elevated pain catastrophizing who are scheduled for knee arthroplasty, and (2) use a quasi-experimental design to evaluate the potential efficacy of the intervention on pain s ... Full text Link to item Cite

Greater trochanteric osteoplasty in revision hip arthroplasty: two case reports.

Journal article Am J Orthop (Belle Mead NJ) · January 2011 Featured Work Proximal migration of the greater trochanter can make revision hip arthroplasty challenging, particularly in regard to surgically exposing the joint, establishing leg length, avoiding postoperative impingement and instability, and achieving a functional hi ... Link to item Cite

Tissue sparing total femoral arthroplasty: technical note.

Journal article J Surg Orthop Adv · 2011 Featured Work It is predicted that the number of revision hip and knee arthroplasties will double by the years 2026 and 2015, respectively. As the burden of end-stage prosthetic disease increases, there will be a greater potential need for total femoral arthroplasty. Th ... Link to item Cite

Aging is not associated with bone marrow-resident progenitor cell depletion.

Journal article J Gerontol A Biol Sci Med Sci · October 2010 Featured Work Changes in progenitor cell biology remain at the forefront of many theories of biologic aging, but there are limited studies evaluating this in humans. Aging has been associated with a progressive depletion of circulating progenitor cells, but age-related ... Full text Link to item Cite

Activity scale for arthroplasty patients after total hip arthroplasty.

Journal article J Arthroplasty · January 2010 Featured Work The purpose of the Activity Scale for Arthroplasty Patients (ASAP) is to develop and validate a self-report questionnaire that demonstrated discrimination of functional gains, low burden, appropriate concurrent validity, and was not limited by ceiling effe ... Full text Link to item Cite

Posterior capsular injections of ropivacaine during total knee arthroplasty: a randomized, double-blind, placebo-controlled study.

Journal article J Arthroplasty · September 2009 Featured Work We investigated the hypothesis that a posterior capsular injection of ropivacaine would improve pain and accelerate functional recovery after total knee arthroplasty in a randomized, double-blind, placebo-controlled study design. Sixty-six patients receive ... Full text Link to item Cite

Cementless porous-coated anatomic total hip arthroplasty at Duke: 18- to 24-year follow-up.

Journal article J Surg Orthop Adv · 2009 Featured Work The porous-coated anatomic (PCA) total hip was a first-generation cementless implant system introduced in 1983 for both primary and revision total hip arthroplasty. Between February 1983 and June 1989, 219 uncemented PCA total hips were implanted in 194 pa ... Link to item Cite

Medicolegal aspects of hip and knee arthroplasty.

Journal article Clin Orthop Relat Res · April 2005 Featured Work Hip and knee arthroplasties usually are satisfying for the patient and the surgeon; however, these procedures also have considerable risks for generating a medical malpractice lawsuit. Strict adherence to the standard of care and recently implemented patie ... Full text Link to item Cite

MR imaging of infrapatellar plica injury.

Journal article AJR Am J Roentgenol · May 2003 Featured Work OBJECTIVE: Injury to the infrapatellar plica (ligamentum mucosum) has not been previously described in the radiology literature to our knowledge. This article shows the MR imaging appearance of injury to the infrapatellar plica. CONCLUSION: Injury to the i ... Full text Link to item Cite

Observations on the growth of loose bodies in joints.

Journal article Arthroscopy · October 2002 Featured Work The categorization, origin, natural history, and histopathology of loose bodies in joints are well described in the literature. Clinical and basic science data have indirectly concluded that loose bodies grow over time; however, to date, there is no clearl ... Full text Link to item Cite

The derotation sign for perioperative diagnosis of significant partial-thickness rotator cuff tears.

Journal article Arthroscopy · March 2002 Featured Work PURPOSE: To describe and evaluate a simple perioperative test (the derotation sign) that differentiates significant (grade 3) partial-thickness and small full-thickness rotator cuff tears from insignificant (grades 1 and 2) partial-thickness rotator cuff t ... Full text Link to item Cite

Multifocal osteonecrosis and human immunodeficiency virus infection.

Journal article J South Orthop Assoc · 2002 Featured Work Over the past decade, a causal relationship between infection with human immunodeficiency virus (HIV) and osteonecrosis has been proposed. This case report (the first example presented in the English orthopaedic literature) of multifocal (> 3 sites) osteon ... Link to item Cite

The team physician: ethics and enterprise.

Journal article J Bone Joint Surg Am · February 2001 Featured Work Full text Link to item Cite

Septic sacroiliitis: the overlooked diagnosis.

Journal article J South Orthop Assoc · 2001 Featured Work Infection of the sacroiliac joint is extraordinarily rare. However, the initial symptoms and signs associated with this condition are mundane, thus leading to delay in diagnosis, or even misdiagnosis. I report an extremely unusual pyogenic sacroiliitis cau ... Link to item Cite

Isolated acute hip adductor brevis strain.

Journal article J South Orthop Assoc · 2000 Featured Work Acute muscle strain occurs as a result of an eccentric contraction that exceeds the biomechanical strength of the musculotendinous junction of a single muscle within a synergistic group. To date, only the (hip) adductor longus was shown to sustain this typ ... Link to item Cite

Atraumatic floating clavicle and total claviculectomy.

Journal article J South Orthop Assoc · 1999 Featured Work We describe a patient with a floating clavicle of atraumatic origin treated by total claviculectomy. Clavicular function and anatomy are summarized relative to complete excision. Other treatment options for panclavicular instability are also discussed. ... Link to item Cite

Industrialized health care and midcareer crises.

Journal article Pharos Alpha Omega Alpha Honor Med Soc · 1999 Featured Work Link to item Cite

Bipolar arthroplasty for recurrent total hip instability.

Journal article J South Orthop Assoc · 1999 Featured Work Bipolar arthroplasty has been reported as a method for correction of recurrent dislocations of total hip replacements. This retrospective review of six patients with multiple dislocations of total hip replacements treated by conversion to simple bipolar hi ... Link to item Cite

Diagnosis and management of laryngeal trauma in sports.

Journal article South Med J · June 1996 Featured Work The management of sports-related laryngeal trauma presents a diagnostic and therapeutic challenge. The application of basic treatment principles such as airway monitoring, thorough physical examination, and fiberoptic laryngeal examination will direct the ... Full text Link to item Cite

Management of nonunion below proximal humeral prosthesis.

Journal article Contemp Orthop · April 1995 Featured Work Fractures below proximal humeral prostheses are rare and their successful management presents technical difficulties. Closed treatment usually results in nonunion. A case illustrating this disabling complication is reported and a literature review is prese ... Link to item Cite

Conversion of hip arthrodesis to total joint arthroplasty.

Journal article Contemp Orthop · January 1995 Featured Work Conversion of a hip arthrodesis to a total joint arthroplasty is an uncommon procedure compared to the standard or revision total hip replacement. In this report, two illustrative cases are presented in which conversion to a total joint arthroplasty was pe ... Link to item Cite

Annular ligament reconstruction in chronic posttraumatic radial head dislocation in children.

Journal article Contemp Orthop · September 1993 Featured Work Traumatic radial head dislocation without an associated fracture is an unusual injury in children. Occasionally, the diagnosis is missed or the injury is not treated acutely, leading to chronic radial head dislocation. The recommended treatment has been co ... Link to item Cite

Lateral condyle fractures: missed diagnoses in pediatric elbow injuries.

Journal article Mil Med · September 1990 Featured Work Pediatric elbow injuries represent diagnostic dilemmas to all health care personnel. In particular, nondisplaced lateral condyle fractures are often missed when the child first presents for evaluation, and if left untreated, can potentially produce disastr ... Link to item Cite

Neuromas of the superficial radial nerve.

Journal article Mil Med · August 1988 Featured Work Link to item Cite

Biomechanical characteristics of human ankle ligaments.

Journal article Foot Ankle · October 1985 Featured Work The purpose of this study was to define the biomechanical characteristics of the isolated, individual bone-ligament-bone complexes of the human ankle. Twenty human ankles were dissected of all soft tissues to leave only the tibia, fibula, talus, and calcan ... Full text Link to item Cite

A biomechanical study of human lateral ankle ligaments and autogenous reconstructive grafts.

Journal article Am J Sports Med · 1985 Featured Work The purpose of this study was to investigate the biomechanical behavior of human anterior talofibular and calcaneofibular ligaments, as well as peroneus brevis, split peroneus brevis, and toe extensor tendon grafts. This article represents the first publis ... Full text Link to item Cite

Depressed high-energy phosphate content in hypertrophied ventricles of animal and man: the biologic basis for increased sensitivity to ischemic injury.

Journal article Ann Surg · September 1982 Featured Work It is frequently stated that hypertrophied ventricles tolerate ischemia less well than nonhypertrophied ventricles. The authors' earlier studies in a rat supravalvular aortic stenosis model and canine valvular aortic stenosis model, both with concentric le ... Full text Link to item Cite

Characteristics of chronic left ventricular hypertrophy induced by subcoronary valvular aortic stenosis. II. Response to ischemia.

Journal article J Thorac Cardiovasc Surg · March 1981 Featured Work The increased susceptibility of hearts with chronic left ventricular hypertrophy (CLVH) to damage during ischemia has been suggested but not documented. The purpose of this study was to isolate ischemic events in hearts with CLVH from reperfusion events. U ... Link to item Cite

Characteristics of chronic left ventricular hypertrophy induced by subcoronary valvular aortic stenosis. I. Myocardial blood flow and metabolism.

Journal article J Thorac Cardiovasc Surg · March 1981 Featured Work Using a canine model of subcoronary valvular aortic stenosis, we determined myocardial blood flow, high-energy phosphate content, and mitochondrial function in eight hearts with chronic left ventricular hypertrophy. Fourteen normal hearts were used for con ... Link to item Cite