Scholars@Duke
James Albert Nunley II

James Albert Nunley II

Goldner Jones Distinguished Professor of Orthopaedic Surgery
Orthopaedic Surgery
james.nunley@duke.edu
DUMC Box 104002, Durham, NC 27710
311 Trent Drive, Durham, NC 27710

Scholarly Works - Journal articles

Osteochondral Lesions of the Tibial Plafond (OLTPs): Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Journal article Foot Ankle Spec · July 31, 2026 BackgroundOsteochondral lesions of the tibial plafond (OLTPs) are considerably less common than osteochondral lesions of the talus (OLT), and the terminology, prognostic factors, and treatment strategies for these lesions remain poorly characterized.Method ... Full text Link to item Cite

Surgical Intervention for Moderate-To-Large lesions (1-2.9 cm2): Proceedings of the International Consensus Meetings on Cartilage Repair of the Ankle.

Journal article Foot Ankle Spec · July 29, 2026 BackgroundManagement of moderate-to-large (1-2.9 cm2) osteochondral lesions of the talus (OLT) remains challenging due to the transition from reparative to replacement surgical strategies and the absence of high-level comparative evidence guiding treatment ... Full text Link to item Cite

Bridging Conservative Management With Injectable Orthobiologic Therapies: Proceedings of the International Consensus Meetings on Cartilage Repair of the Ankle.

Journal article Foot Ankle Spec · July 24, 2026 BackgroundThe management of osteochondral lesions of the talus (OLT) is challenging, with 2 main options being conservative and surgical management. Orthobiologic therapies come to bridge the gap between these 2 options; however, inconsistencies in indicat ... Full text Link to item Cite

Is It Necessary to Repair the Plantar Plate in the Management of Metatarsophalangeal Joint Instability?

Journal article Clin Podiatr Med Surg · July 2026 Lesser metatarsophalangeal joint (MTPJ) instability is a common cause of metatarsalgia and is associated with plantar plate pathology. The instability is often due to chronic attenuation and attritional changes of the plantar plate and collateral ligaments ... Full text Link to item Cite

Radiographic and Clinical Outcomes of First Tarsometatarsal Joint Arthrodesis With a Biplanar Locking Plate System Versus the Modified Lapidus Technique With Crossed-Screw Fixation: A Retrospective Multicenter Comparison.

Journal article HSS J · February 2026 Background: Hallux valgus (HV) is recognized as a triplanar deformity. A biplanar locking plate (BLP) system corrects this deformity through first tarsometatarsal joint (TMTJ) arthrodesis, with specialized reduction tools and cutting guides. Yet the optima ... Full text Open Access Link to item Cite

Assessing Lisfranc Instability With Triplanar Weightbearing CT Alignment: Standardized Second Metatarsal Dorsal Offset.

Journal article Foot Ankle Orthop · January 2026 BACKGROUND: Subtle Lisfranc injuries may escape detection on conventional imaging. Weightbearing computed tomography (WBCT) offers 3-dimensional assessment under loadbearing conditions and may improve detection of instability. The interval between the medi ... Full text Link to item Cite

Clinical Characteristics, Complications, and Implant Survivorship Following Revision Total Ankle Arthroplasty: A Large Single-Center Study.

Journal article Foot Ankle Int · August 2025 BACKGROUND: As total ankle arthroplasty (TAA) rises in popularity nationwide, the incidence of revision TAA continues to increase. This study evaluates patient demographics, surgical techniques, complications, and implant survivorship following revision TA ... Full text Link to item Cite

Haglund’s Deformity with Preoperative Achilles Tendon Rupture: A Retrospective Comparative Study

Journal article Complications · August 1, 2025 Introduction: Haglund’s deformity, characterized by bony enlargement at the back of the heel, often coincides with Achilles tendon pathology due to impingement on the retrocalcaneal bursa and tendon insertion. Surgical management of Haglund’s defor ... Full text Cite

Association between work-from-home policies and United States public interest in foot surgery conditions during the COVID-19 pandemic: A Google Trends analysis.

Journal article Work · August 2025 BackgroundThe COVID-19 pandemic, marked by significant lifestyle changes and healthcare-seeking behavior shifts, prompted the implementation of widespread Work from Home (WFH) policies.ObjectiveThis study aimed to explore the impact of the COVID-19 pandemi ... Full text Link to item Cite

Are There Differences in Patient-Reported Outcomes Measurement Information System Scores After Total Knee and Total Ankle Arthroplasty in Matched Patients?

Journal article J Arthroplasty · July 2025 BACKGROUND: The purpose of this study was to evaluate Patient-Reported Outcomes Measurement Information System (PROMIS) scores, a generic patient-reported outcome measure (PROM), as a tool to compare outcomes between total knee (TKA) and total ankle arthro ... Full text Link to item Cite

Exploring Revision Total Ankle Arthroplasty Failures: A Comparison Between Failed and Successful Revision Cases.

Journal article Foot Ankle Spec · June 2025 This study assesses the comorbidities that are associated with failed revision total ankle arthroplasty (TAA) and explores the outcomes following a failed revision TAA. A retrospective analysis was conducted on a cohort of patients who underwent a revision ... Full text Link to item Cite

Comparison of PROMIS scores after total hip and total ankle arthroplasty : a propensity score-matched study.

Journal article Bone Jt Open · May 1, 2025 AIMS: This study evaluated joint-specific and generic patient-reported outcome measures (PROMs) after total hip arthroplasty (THA) and total ankle arthroplasty (TAA) in matched cohorts, while evaluating implant survivorship and 90-day hospital use. METHODS ... Full text Open Access Link to item Cite

Complication Rates and Functional Outcomes After Total Ankle Arthroplasty in Patients with Rheumatoid Arthritis.

Journal article J Bone Joint Surg Am · April 25, 2025 BACKGROUND: For patients with rheumatoid arthritis (RA) undergoing total ankle arthroplasty (TAA), conflicting data have been reported regarding complications and patient-reported outcome (PRO) improvement when compared with patients with osteoarthritis (O ... Full text Link to item Cite

Patient characteristics, postoperative protocols, and surgical outcomes in Haglund's resection: a single-institution retrospective cohort study.

Journal article Arch Orthop Trauma Surg · April 12, 2025 BACKGROUND: Haglund's syndrome represents a triad of posterosuperior calcaneal bony enlargement, retrocalcaneal bursitis, and Achilles tendinopathy. This study aims to improve the understanding of patient demographics, inform surgical and perioperative dec ... Full text Link to item Cite

Outcomes of Bilateral Scandinavian Total Ankle Replacement: A Detailed Analysis of Implant Survivability and Patient-Reported Outcomes.

Journal article Foot Ankle Orthop · April 2025 BACKGROUND: Total ankle replacement (TAR) is an established treatment for end-stage ankle arthritis, offering pain relief and improved functionality. The Scandinavian Total Ankle Replacement (STAR) was first used in the United States in 1998 and although u ... Full text Open Access Link to item Cite

Younger age correlates with increased gutter impingement rates after total ankle arthroplasty.

Journal article Foot Ankle Surg · February 2025 BACKGROUND: While total ankle arthroplasty (TAA) has evolved over the years with improved designs and enhanced bony fixation methods, it remains a technically demanding procedure with a risk of early postoperative complications. One of the most common comp ... Full text Link to item Cite

Higher BMI Is Associated With Wound Breakdown Following Resection of Haglund Deformity.

Journal article Foot Ankle Int · January 2025 BACKGROUND: Haglund deformity is characterized by an enlarged posterosuperior calcaneus, often with inflammation of the retrocalcaneal bursa and Achilles tendon. This study aims to determine if obesity is associated with an increased rate of complications ... Full text Link to item Cite

Radiographic soft tissue thickness is not a risk factor for infection after primary total ankle arthroplasty.

Journal article J Foot Ankle Surg · 2025 As the incidence of total ankle arthroplasty (TAA) for the management of end-stage arthritis is on the rise, identification of risk factors for periprosthetic joint infection (PJI) is essential. There has been limited research exploring the use of radiogra ... Full text Link to item Cite

Weightbearing Protocols and Outcomes in Open Surgical Management of Haglund Syndrome: A Large Retrospective Analysis.

Journal article Foot Ankle Orthop · January 2025 BACKGROUND: Following insertional Achilles tendinopathy debridement and Haglund prominence resection for Haglund syndrome, patients undergo varying degrees of weightbearing limitation (weightbearing as tolerated [WBAT], partial weightbearing [PWB], touchdo ... Full text Open Access Link to item Cite

Diversity Within Foot and Ankle Surgery: A Systematic Review.

Journal article J Surg Orthop Adv · 2025 This systematic review summarizes the state of historically underrepresented minority and gender diversity in foot and ankle surgery (FA) at multiple levels, particularly leadership and research productivity. A literature search was performed following the ... Link to item Cite

Is It Necessary to Repair the Plantar Plate in the Management of Metatarsophalangeal Joint Instability?

Journal article Foot Ankle Clin · December 2024 Lesser metatarsophalangeal joint (MTPJ) instability is a common cause of metatarsalgia and is associated with plantar plate pathology. The instability is often due to chronic attenuation and attritional changes of the plantar plate and collateral ligaments ... Full text Link to item Cite

Complications Following Surgical Treatment of Haglund's Syndrome With and Without Flexor Hallucis Longus Tendon Transfer.

Journal article J Am Acad Orthop Surg Glob Res Rev · December 1, 2024 BACKGROUND: In the surgical treatment of Haglund syndrome, combining a flexor hallucis longus (FHL) tendon transfer with Achilles tendon may improve plantarflexion strength and reduce strain on the repaired Achilles tendon. However, there is limited resear ... Full text Open Access Link to item Cite

Synovial Fluid Immune Cell Composition Following Intraarticular Fracture May Contribute to Posttraumatic Osteoarthritis.

Journal article Int J Mol Sci · November 9, 2024 Intra-articular ankle fracture (IAF) often leads to post-traumatic osteoarthritis (PTOA), resulting in significant long-term morbidity. While previous research has focused on the inflammatory cytokines and matrix metalloproteinases within the synovial flui ... Full text Link to item Cite

Initial Safety of Total Talus Replacement Used to Treat Talar Avascular Necrosis.

Journal article Foot Ankle Int · November 2024 BACKGROUND: Total talus replacement (TTR) implants are designed to replace the diseased talar anatomy, reduce pain, maintain ankle range of motion, and restore ankle function after conservative treatments have failed. Currently TTR implants are produced by ... Full text Link to item Cite

Diabetic management and infection risk in total ankle arthroplasty.

Journal article Foot Ankle Surg · October 2024 BACKGROUND: As total ankle arthroplasty (TAA) increases in popularity nationwide for the management of end-stage arthritis, it is essential to understand ways to mitigate the risk of infection. Diabetes increases the risk of infection due to compromised im ... Full text Link to item Cite

Interpositional Arthroplasty for Hallux Rigidus: Surgical Technique and Outcomes Discussion.

Journal article Foot Ankle Clin · September 2024 Interpositional arthroplasty for the treatment of hallux rigidus (HR) involves resection of the diseased joint surface and placement of spacer material within the joint to preserve length at the metatarsophalangeal joint while still allowing for range of m ... Full text Link to item Cite

Hallux Rigidus Revisited.

Journal article Foot Ankle Clin · September 2024 Full text Link to item Cite

The INVISION Talar Component in Revision Total Ankle Arthroplasty: Analysis of Early Outcomes.

Journal article Diagnostics (Basel) · July 26, 2024 INTRODUCTION: Launched in 2018 for revision total ankle arthroplasty (rTAA), the INVISION talar component addresses subsidence when poor talar bone stock is present. Due to the recency of the market-availability of the INVISION, studies evaluating its effi ... Full text Open Access Link to item Cite

Additional Procedures at the Time of Total Ankle Replacement Do Not Increase Risk of Short-term Complications: A Matched Cohort Analysis.

Journal article Foot Ankle Orthop · July 2024 BACKGROUND: This retrospective cohort study compared short-term complication rates following total ankle arthroplasty (TAA), alone or with concomitant procedures. Secondary independent risk factors were also examined as they related to postoperative outcom ... Full text Open Access Link to item Cite

Revision Total Ankle Arthroplasty Using the INBONE II System.

Journal article Foot Ankle Int · June 2024 BACKGROUND: The utilization of total ankle arthroplasty (TAA) for managing severe ankle osteoarthritis has become increasingly common, leading to a higher occurrence of revision TAA procedures because of failure of primary TAA. This study aims to examine t ... Full text Link to item Cite

Outcomes After Total Ankle Arthroplasty in Patients Aged ≤50 Years at Midterm Follow-up.

Journal article Foot Ankle Int · April 2024 BACKGROUND: Ankle arthritis differs from arthritis of the hip and knee in that 80% is posttraumatic and thus often occurs in a younger patient population. The literature supporting total ankle arthroplasty (TAA) in younger patients has increased over recen ... Full text Link to item Cite

Association of Radiographic Soft Tissue Thickness With Revision Total Ankle Arthroplasty Following Primary Total Ankle Arthroplasty: A Minimum of 5-year Follow-up.

Journal article Foot Ankle Orthop · April 2024 BACKGROUND: The incidence of primary total ankle arthroplasty (TAA) is rising, with a corresponding increase in revision surgeries. Despite this, research on risk factors for revision TAA following primary TAA remains limited. Radiographic soft tissue thic ... Full text Open Access Link to item Cite

Younger Patients Undergoing Total Ankle Arthroplasty Experience Higher Complication Rates and Worse Functional Outcomes.

Journal article J Bone Joint Surg Am · January 3, 2024 BACKGROUND: Although many patients with posttraumatic ankle arthritis are of a younger age, studies evaluating the impact of age on outcomes of primary total ankle arthroplasty (TAA) have revealed heterogenous results. The purpose of the present study was ... Full text Link to item Cite

Comparison of Radiographic Talar Loosening Rates Between Salto-Talaris and INBONE II.

Journal article Foot Ankle Int · January 2024 BACKGROUND: Despite substantial increase in total ankle arthroplasty (TAA) nationwide, there are few studies comparing flat-cut vs chamfer-cut talar systems in TAA with regard to radiographic aseptic loosening rates of the implant. METHODS: This retrospect ... Full text Link to item Cite

A Propensity Score Matched Exploration of Infection in Primary Total Ankle Arthroplasty.

Journal article Foot Ankle Int · November 2023 BACKGROUND: Infection is a serious complication of primary total ankle arthroplasty (TAA) and can lead to implant failure and revision surgery. Various demographic, comorbidity, and surgical factors have been associated with an increased risk of infection. ... Full text Link to item Cite

Total Ankle Arthroplasty: Does Obesity Matter?

Journal article Foot Ankle Int · July 2023 BACKGROUND: There is limited data evaluating the effect of obesity on outcomes following total ankle arthroplasty (TAA), especially in adequate sample sizes to detect impacts on patient-reported outcomes (PROs). The purpose of this study was to assess the ... Full text Link to item Cite

Republication of "Keeping It in the Fairway: Golf Handicap Following Total Ankle Arthroplasty".

Journal article Foot Ankle Orthop · July 2023 BACKGROUND: Total ankle arthroplasty (TAA) provides a surgical alternative to tibiotalar arthrodesis when treating end-stage ankle arthritis. TAA preserves range of motion at the tibiotalar joint leading to improved postoperative function. Many patients wh ... Full text Open Access Link to item Cite

Does a fibula-sparing approach improve outcomes in tibiotalocalcaneal arthrodesis?

Journal article Foot Ankle Surg · January 2023 BACKGROUND: Tibiotalocalcaneal (TTC) arthrodesis is considered a salvage procedure for either complex deformity or arthritis about the hindfoot, and can be performed via fibula-resection (FR) or fibula-sparing (FS) approaches. The primary aim of this study ... Full text Link to item Cite

Tibiopedal Motion Following Tendo-Achilles Lengthening or Gastrocnemius Recession in Total Ankle Replacement: A Comparative Cohort Study.

Journal article Foot Ankle Int · December 2022 BACKGROUND: End-stage ankle arthritis is a debilitating condition often necessitating total ankle replacement (TAR). Tendo-Achilles lengthening (TAL) and gastrocnemius recession (GR) are commonly performed with TAR to improve ankle dorsiflexion (DF). No st ... Full text Link to item Cite

Clinical Outcomes and Complications of Simultaneous or Sequential Bilateral Total Ankle Arthroplasty: A Single-Center Comparative Cohort Study.

Journal article J Bone Joint Surg Am · October 5, 2022 BACKGROUND: The risk-benefit profiles of simultaneous total ankle arthroplasty (TAA) compared with sequential TAA continue to be debated. There are limited case series reporting outcomes after bilateral TAA, with no previous comparison of simultaneous TAA ... Full text Link to item Cite

Midterm Prospective Evaluation of Structural Allograft Transplantation for Osteochondral Lesions of the Talar Shoulder.

Journal article Foot Ankle Int · July 2022 BACKGROUND: In cases of large osteochondral lesions of the talus (OLTs), fresh structural or bulk osteochondral allograft transplantation has yielded favorable outcomes in several retrospective and few prospective case series. The purpose of this study was ... 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

Avascular Osteonecrosis of the Talus: Current Treatment Strategies.

Journal article Foot Ankle Int · February 2022 Avascular osteonecrosis (AVN) of the talus (AVNT) is a painful and challenging clinical diagnosis. AVNT has multiple known risk factors and etiologies and presents at different stages in severity. Given these unique factors, the optimal treatment solution ... Full text Link to item Cite

Treatment of Navicular Stress Fractures With an Algorithmic Approach.

Journal article Foot Ankle Int · January 2022 BACKGROUND: Navicular stress fractures are becoming increasingly more common. There is no universal consensus on treatment. We provide an algorithm that we feel will be useful in determining treatment. METHODS: A retrospective study was performed on all pa ... Full text Link to item Cite

Analysis of 408 Total Ankle Arthroplasty Adverse Events Reported to the US Food and Drug Administration From 2015 to 2018.

Journal article Foot Ankle Spec · October 2021 Background. Total ankle arthroplasty (TAA) use has increased with newer generation implants. Current reports in the literature regarding complications use data extracted from high-volume centers. The types of complications experienced by lower-volume cente ... Full text Link to item Cite

Improvement in Health-Related Quality of Life After Total Ankle Arthroplasty Compares Well With Other Successful Orthopaedic and Nonorthopaedic Procedures.

Journal article Foot Ankle Spec · October 2021 Background. Ankle arthritis is a major cause of disability. Orthopaedic literature suggests improvement in health-related quality of life (HRQOL) after total ankle arthroplasty (TAA). This has not been compared with improvements observed in successful orth ... Full text Link to item Cite

Histological and Inflammatory Cytokine Analysis of Osteochondral Lesions of the Talus After Failed Microfracture: Comparison With Fresh Allograft Controls.

Journal article Orthop J Sports Med · October 2021 BACKGROUND: The most common first-line treatment of osteochondral lesions of the talus (OLTs) is microfracture. Although many patients do well with this procedure, a number fail and require reoperation. The mechanism of failure of microfracture is unknown, ... Full text Open Access Link to item Cite

Effect of Gender Differences on Patient-Reported Outcomes and Complications in Total Ankle Replacement.

Journal article Foot Ankle Int · June 2021 BACKGROUND: The purpose of this study was to evaluate gender differences in patient outcomes and complications following total ankle replacement (TAR). METHODS: Consecutive patients who underwent primary TAR from July 2007 through May 2016 were prospective ... Full text Link to item Cite

Intermediate-term Patient-Reported Outcomes and Radiographic Evaluation Following Intramedullary- vs Extramedullary-Referenced Total Ankle Replacement.

Journal article Foot Ankle Int · May 2021 BACKGROUND: The purpose of this study was to report on the radiographic outcomes, clinical outcomes, and implant survivorship following extramedullary-referenced (EMr) vs intramedullary-referenced (IMr) total ankle replacement (TAR). METHODS: From May 2007 ... Full text Link to item Cite

Timeline for maximal subjective outcome improvement following total ankle arthroplasty.

Journal article Foot Ankle Surg · April 2021 BACKGROUND: Maximal medical improvement (MMI) establishes the timepoint when patients no longer experience clinically significant improvements following surgery. The purpose of this investigation is to establish when patients achieve MMI following total an ... Full text Link to item Cite

The Impact of Preoperative Mental Health and Depression on Outcomes After Total Ankle Arthroplasty.

Journal article J Bone Joint Surg Am · January 20, 2021 BACKGROUND: Preoperative mental health and depression have been shown to negatively impact patient-reported outcome measures after a broad array of orthopaedic procedures including total ankle arthroplasty. The hypothesis for this study was that decreased ... Full text Link to item Cite

Economic Analysis and Clinical Outcomes of Short-Stay Versus Inpatient Total Ankle Replacement Surgery.

Journal article Foot Ankle Int · January 2021 BACKGROUND: We aimed to perform an economic analysis and compare the clinical outcomes between inpatient and short-stay designation total ankle replacement (TAR). METHODS: We performed a retrospective study on 178 consecutive patients undergoing primary in ... Full text Link to item Cite

Prevalence of Hallux Rigidus in Patients With End-Stage Ankle Arthritis.

Journal article J Foot Ankle Surg · 2021 Arthritis of the foot is a significant cause of pain and disability. The prevalence of foot arthritis in adults aged ≥50 has been reported to be 17%. Of those, 25% are estimated to be radiographic arthritis of the first metatarsophalangeal joint. The purpo ... Full text Link to item Cite

Vitamin D and the athlete-patient: state of the art.

Journal article J ISAKOS · January 2021 Vitamin D deficiency is common in athletes. The conventional measurement of vitamin D levels provides a general indicator of body stores. However, there are nuances in its interpretation as values of 25(OH)D do not correlate absolutely with the amount of ' ... Full text Link to item Cite

Biomechanical Effect on Joint Stability of Including Deltoid Ligament Repair in an Ankle Fracture Soft Tissue Injury Model With Deltoid and Syndesmotic Disruption.

Journal article Foot Ankle Int · September 2020 BACKGROUND: The current operative standard of treatment for bimalleolar equivalent ankle fracture is open reduction and internal fixation (ORIF) of the lateral malleolus followed by syndesmotic stabilization if indicated. There is controversy surrounding t ... Full text Link to item Cite

Patient Characteristics of Possible Responders and Nonresponders to Total Ankle Arthroplasty.

Journal article Foot Ankle Int · August 2020 BACKGROUND: Characteristics of responders, or those who achieve a clinical improvement above the level of a minimal clinically important difference, have not been defined for total ankle arthroplasty (TAA). The purpose of this study was to determine patien ... Full text Link to item Cite

Comparison of Tibiotalocalcaneal Arthrodeses Using a Sustained Dynamic Compression Nail Versus Nondynamized Nails.

Journal article Foot Ankle Spec · June 2020 Background. Tibiotalocalcaneal (TTC) arthrodesis is a common treatment option for hindfoot arthritis and deformity. Loss of compression over time with statically locked nails may contribute to nonunion. A novel retrograde intramedullary nail with an intern ... Full text Link to item Cite

Results of Tibia and Fibula Osteotomies Performed Concomitant to Total Ankle Replacement.

Journal article Foot Ankle Int · March 2020 BACKGROUND: Neutral ankle alignment along with medial and lateral support are paramount to the success of total ankle replacement (TAR). Fibula, intra-articular medial malleolus, and supramalleolar tibia osteotomies have been described to achieve these goa ... Full text Link to item Cite

Surgical Technique of the VANTAGE Total Ankle Arthroplasty

Journal article Techniques in Foot and Ankle Surgery · January 1, 2020 The VANTAGE total ankle arthroplasty is a novel anatomic mobile or fixed-bearing total ankle arthroplasty with a good and simple instrumentation giving to surgeons a safe implantation ventral approach technique. Our first cases report a successful function ... Full text Cite

Prospective Randomized Trial Comparing Mobile-Bearing and Fixed-Bearing Total Ankle Replacement.

Journal article Foot Ankle Int · November 2019 BACKGROUND: Outcomes of total ankle replacement for the treatment of end-stage ankle arthritis continue to improve. Debate continues whether a mobile-bearing total ankle replacement (MB-TAR) or a fixed-bearing total ankle replacement (FB-TAR) is superior, ... Full text Link to item Cite

Patients at Risk for Exceeding CJR Cost Targets After Total Ankle Arthroplasty.

Journal article Foot Ankle Int · September 2019 BACKGROUND: The Comprehensive Care for Joint Replacement (CJR) model includes total ankle arthroplasty (TAA), under which a target reimbursement is established. Whether this reimbursement is sufficient to cover average cost remains unknown. We hypothesized ... Full text Link to item Cite

Outcomes of Total Ankle Arthroplasty in Moderate and Severe Valgus Deformity.

Journal article Foot Ankle Spec · June 2019 Introduction. Failure to correct coronal deformity at the time of total ankle arthroplasty (TAA) can lead to early implant failure. We aimed to determine clinical, radiographic, and patient-reported outcomes of patients with moderate to severe valgus defor ... Full text Link to item Cite

Algorithm for Management of Periprosthetic Ankle Fractures.

Journal article Foot Ankle Int · June 2019 BACKGROUND: Evidence on the management of and outcomes from periprosthetic fractures about a total ankle replacement (TAR) are limited. The purpose of this study was to develop an algorithm for the management of patients with postoperative periprosthetic f ... Full text Link to item Cite

Risk Factors for Failure of Total Ankle Arthroplasty With a Minimum Five Years of Follow-up.

Journal article Foot Ankle Int · March 2019 BACKGROUND:: As the popularity of total ankle arthroplasty (TAA) increases and indications expand, surgeons require a better understanding of which patient factors are associated with implant failure. In this study, we aimed to use a large total ankle data ... Full text Link to item Cite

Hindfoot Arthrodesis Screw Position and Trajectory Effect on Talus Subsidence When Performed With Total Ankle Arthroplasty.

Journal article Foot Ankle Int · March 2019 BACKGROUND:: Total ankle arthroplasty (TAA) is increasingly being recognized as an effective surgical option for end-stage ankle arthritis. Associated hindfoot arthrodesis procedures are at times needed to correct malalignment or to address adjacent joint ... Full text Link to item Cite

Vascularized Pedicle Graft for Talar Osteonecrosis.

Journal article Foot Ankle Clin · March 2019 Vascularized bone grafting for talar avascular osteonecrosis is indicated for patients with modified Ficat and Arlet stage I to III disease with minimal subchondral collapse. Outcomes may be more durable than core decompression alone, especially in patient ... Full text Link to item Cite

Tibiotalocalcaneal Arthrodesis for Severe Talar Avascular Necrosis.

Journal article Foot Ankle Clin · March 2019 Severe talar avascular necrosis has many etiologies and can cause bone loss/hindfoot deformity. Tibiotalar calcaneal arthrodesis is a salvage procedure after severe talar avascular necrosis. Large bone voids can present significant challenges. Modest succe ... Full text Link to item Cite

The Effect of Patient Characteristics on 1 to 2-Year and Minimum 5-Year Outcomes After Total Ankle Arthroplasty.

Journal article J Bone Joint Surg Am · February 6, 2019 BACKGROUND: Total ankle arthroplasty has shown durable improvements in patient-reported outcomes. However, the impact of common comorbidities and patient factors has not been fully characterized. The purpose of this study was to identify patient comorbidit ... Full text Link to item Cite

Analysis of Failed Ankle Arthroplasty Components.

Journal article Foot Ankle Int · February 2019 BACKGROUND:: Although advances in joint-replacement technology have made total ankle arthroplasty a viable treatment for end-stage arthritis, revision rates for ankle replacements are higher than in hip or knee replacements. The questions asked in this stu ... Full text Link to item Cite

Possible Implications for Bundled Payment Models of Comorbidities and Complications as Drivers of Cost in Total Ankle Arthroplasty.

Journal article Foot Ankle Int · February 2019 BACKGROUND:: The Comprehensive Care for Joint Replacement (CJR) model provides bundled payments for in-hospital and 90-day postdischarge care of patients undergoing total ankle arthroplasty (TAA). Defining patient factors associated with increased costs du ... Full text Link to item Cite

Patient-Reported Outcomes Before and After Primary and Revision Total Ankle Arthroplasty.

Journal article Foot Ankle Int · January 2019 BACKGROUND:: Studies examining the clinical outcomes of revision total ankle arthroplasty (TAA) are sparse. Revision TAA surgery has become more common with availability of revision implants and refinement of bone-conserving primary implants. In this study ... Full text Link to item Cite

Increased Early Revision Rate With the INFINITY Total Ankle Prosthesis.

Journal article Foot Ankle Int · January 2019 BACKGROUND:: A number of new 2-component total ankle arthroplasty systems that emphasize minimal bone resection have been introduced for which few clinical outcomes reports are available. Our aim was to identify the rate of early revision among patients re ... Full text Link to item Cite

Lower Bone Density on Preoperative Computed Tomography Predicts Periprosthetic Fracture Risk in Total Ankle Arthroplasty.

Journal article Foot Ankle Int · January 2019 BACKGROUND:: The effect of bone mineral density (BMD) on outcomes from total ankle arthroplasty (TAA) has not been studied. BMD can be estimated by measuring Hounsfield units (HU) on standard computed tomography (CT), which is frequently performed prior to ... Full text Link to item Cite

Isolated Subtalar Arthrodesis for Avascular Necrosis of the Talus.

Journal article J Surg Orthop Adv · 2019 Isolated subtalar arthrodesis has been attempted in talar avascular necrosis (AVN) patients to preserve the tibiotalar joint and potential revascularization. This article reports the efficacy of isolated subtalar arthrodesis in the setting of AVN. A retros ... Link to item Cite

Revision Surgery for Metal Component Failure in Total Ankle Arthroplasty.

Journal article Foot Ankle Orthop · January 2019 BACKGROUND: Metal component failure in total ankle arthroplasty (TAA) is difficult to treat. Traditionally, conversion to an arthrodesis has been advocated. Revision TAA surgery has become more common with availability of revision implants and refinement o ... Full text Open Access Link to item Cite

Outcomes of Acute Hematogenous Periprosthetic Joint Infection in Total Ankle Arthroplasty Treated With Irrigation, Debridement, and Polyethylene Exchange.

Journal article Foot Ankle Int · November 2018 BACKGROUND: Acute hematogenous periprosthetic joint infection (PJI) is defined in the literature as infection diagnosed and treated within 2 to 4 weeks from the onset of symptoms. In total hip and knee arthroplasty, irrigation and debridement (I&D) and pol ... Full text Link to item Cite

The Value of Motion: Patient-Reported Outcome Measures Are Correlated With Range of Motion in Total Ankle Replacement.

Journal article Foot Ankle Spec · October 2018 BACKGROUND: The proposed benefit of total ankle replacement (TAR) over ankle fusion is preserved ankle motion, thus we hypothesized that an increase in range of motion (ROM) is positively correlated with validated patient-reported outcome measures (PROMs) ... Full text Link to item Cite

Hallux Interphalangeal Arthrodesis Following First Metatarsophalangeal Arthrodesis.

Journal article Foot Ankle Int · October 2018 BACKGROUND: Hallux interphalangeal (IP) arthritis can occur after first metatarsophalangeal (MTP) arthrodesis. IP arthrodesis is a standard treatment, but in the setting of prior MTP surgery there will be increased stress on the IP joint. This may result i ... Full text Link to item Cite

Patient Risk Factors Do Not Impact 90-Day Readmission and Emergency Department Visitation After Total Ankle Arthroplasty: Implications for the Comprehensive Care for Joint Replacement (CJR) Bundled Payment Plan.

Journal article J Bone Joint Surg Am · August 1, 2018 BACKGROUND: The Comprehensive Care for Joint Replacement (CJR) model provides bundled payments for in-hospital care and care within 90 days following discharge for Medicare beneficiaries undergoing lower-extremity joint replacement involving the hip, knee, ... Full text Link to item Cite

Editorial.

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

Prospective Evaluation of Structural Allograft Transplantation for Osteochondral Lesions of the Talar Shoulder.

Journal article Foot Ankle Int · January 2018 BACKGROUND: Structural or bulk osteochondral allograft transplantation for shoulder talar osteochondral lesions as a salvage procedure has demonstrated efficacy in several retrospective reviews. The purpose of this study was to evaluate prospectively patie ... Full text Link to item Cite

Effect of Facility on Operative Costs of Total Ankle Arthroplasties.

Journal article J Surg Orthop Adv · 2018 Cost containment and bundled payments are becoming increasingly important in health care. The purpose of this study was to investigate if ambulatory surgery centers (ASCs) can deliver lower cost care and to identify sources of those cost savings in total a ... Link to item Cite

Keeping It in the Fairway: Golf Handicap Following Total Ankle Arthroplasty

Journal article Foot and Ankle Orthopaedics · January 1, 2018 Background: Total ankle arthroplasty (TAA) provides a surgical alternative to tibiotalar arthrodesis when treating end-stage ankle arthritis. TAA preserves range of motion at the tibiotalar joint leading to improved postoperative function. Many patients wh ... Full text Cite

Treatment of Neglected Achilles Tendon Ruptures with Interpositional Allograft.

Journal article Foot Ankle Clin · December 2017 Although most astute clinicians can diagnose Achilles tendon ruptures by physical examination alone, more than 20% are not accurately diagnosed in a timely fashion. The definition of a "chronic" Achilles tendon rupture in foot and ankle literature varies w ... Full text Link to item Cite

Comparison of Posterior Approach With Intramedullary Nailing Versus Lateral Transfibular Approach With Fixed-Angle Plating for Tibiotalocalcaneal Arthrodesis.

Journal article Foot Ankle Int · December 2017 BACKGROUND: A variety of operative approaches and fixation techniques have been described for tibiotalocalcaneal (TTC) arthrodesis. The intramedullary (IM) nail and lateral, fixed-angle plating are commonly used because of ease of use and favorable biomech ... Full text Link to item Cite

Midterm Outcomes of a Fixed-Bearing Total Ankle Arthroplasty With Deformity Analysis.

Journal article Foot Ankle Int · December 2017 BACKGROUND: We present our results with an INBONE I (Wright Medical, Memphis, TN) prosthesis that have a minimum of 4 to 10 years of follow-up and include a preoperative deformity analysis on outcomes. METHODS: A consecutive series of 149 patients, from 20 ... Full text Link to item Cite

Midterm Results of the Salto Talaris Total Ankle Arthroplasty.

Journal article Foot Ankle Int · November 2017 BACKGROUND: The Salto Talaris total ankle replacement is a modern fixed-bearing implant used to treat symptomatic ankle arthritis with the goals of providing pain relief, restoring mechanical alignment, and allowing motion of the ankle joint. The goal of t ... Full text Link to item Cite

Hindfoot Arthritis Progression and Arthrodesis Risk After Total Ankle Replacement.

Journal article Foot Ankle Int · November 2017 BACKGROUND: The purpose of this study was to assess the radiographic progression of subtalar and talonavicular degenerative joint disease in a series of patients who had undergone TAA (total ankle arthroplasty) with minimum follow-up of 5 years. METHODS: T ... Full text Link to item Cite

Vascularized Pedicle Bone-Grafting from the Cuboid for Talar Osteonecrosis: Results of a Novel Salvage Procedure.

Journal article J Bone Joint Surg Am · May 17, 2017 BACKGROUND: Osteonecrosis of the talar body represents a complex clinical challenge with treatment options currently limited to core decompression, vascularized and nonvascularized bone-grafting, total talar replacement, and hindfoot arthrodesis. Vasculari ... Full text Link to item Cite

Ratio of Range of Motion of the Ankle and Surrounding Joints After Total Ankle Replacement: A Radiographic Cohort Study.

Journal article J Bone Joint Surg Am · April 5, 2017 BACKGROUND: This study attempted to identify where motion occurs after total ankle replacement, the difference in range-of-motion contributions between fixed-bearing and mobile-bearing total ankle replacements, and the contribution of abnormal peritalar mo ... Full text Link to item Cite

Operative Wound Complications Following Total Ankle Arthroplasty.

Journal article Foot Ankle Int · April 2017 BACKGROUND: Wound complications following total ankle replacement (TAR) potentially lead to devastating consequences. The aim of this study was to compare the operative and demographic differences in patients with and without major wound problems which req ... Full text Link to item Cite

Surgical Treatment of Bony and Soft-Tissue Impingement in Total Ankle Arthroplasty.

Journal article Foot Ankle Spec · February 2017 BACKGROUND: Impingement may be an underreported problem following modern total ankle replacements (TARs). The etiology of impingement is unclear and likely multifactorial. Because of the lack of conservative treatment options for symptomatic impingement af ... Full text Link to item Cite

Association of Cigarette Use and Complication Rates and Outcomes Following Total Ankle Arthroplasty.

Journal article Foot Ankle Int · October 2016 BACKGROUND: Tobacco use is a known risk factor for increased perioperative complications and having worse functional outcomes in many orthopedic procedures. To date, no study has elucidated the effect of cigarette smoking on complications or functional out ... Full text Link to item Cite

Tibiotalar Arthrodesis Conversion to Total Ankle Arthroplasty.

Journal article JBJS Essent Surg Tech · September 28, 2016 INTRODUCTION: Although conversion of the painful ankle arthrodesis to total ankle arthroplasty remains controversial, this surgical modality has satisfactorily expanded the treatment armamentarium for addressing this pathology. STEP 1 PREOPERATIVE PREPARAT ... Full text Open Access Link to item Cite

An analysis of changes in in vivo cartilage thickness of the healthy ankle following dynamic activity.

Journal article J Biomech · September 6, 2016 Abnormal cartilage loading after injury is believed to be an important factor leading to post-traumatic ankle osteoarthritis. Due to the viscoelastic behavior of cartilage, it is possible to measure localized cartilage strains from changes in thickness fol ... Full text Link to item Cite

Effectiveness of Allograft Reconstruction vs Tenodesis for Irreparable Peroneus Brevis Tears: A Cadaveric Model.

Journal article Foot Ankle Int · August 2016 BACKGROUND: Irreparable peroneus brevis tendon tears are uncommon, and there is scant evidence on which to base operative treatment. Options include tendon transfer, segmental resection with tenodesis to the peroneus longus tendon, and allograft reconstruc ... Full text Link to item Cite

Secondary Arthrodesis After Total Ankle Arthroplasty.

Journal article Foot Ankle Int · July 2016 BACKGROUND: While it is thought that stresses through the subtalar and talonavicular joints will be decreased after total ankle replacement (TAR) relative to ankle fusion, progressive arthritis or deformity of these joints may require a fusion after a succ ... Full text Link to item Cite

Computed Tomographic Evaluation of Joint Geometry in Patients With End-Stage Ankle Osteoarthritis.

Journal article Foot Ankle Int · June 2016 BACKGROUND: Deformation of the talus and the distal tibia can be frequently observed during ankle joint osteoarthritis (OA). The aim of this study was to objectify these morphologic changes. We hypothesized that a flattening of the talus and a broadening o ... Full text Link to item Cite

Characterization and Surgical Management of Achilles Tendon Sleeve Avulsions.

Journal article Foot Ankle Int · June 2016 BACKGROUND: An Achilles sleeve avulsion occurs when the tendon ruptures distally from its calcaneal insertion as a continuous "sleeve." This relatively rare injury pattern may not be appreciated until the time of surgery and can be challenging to treat bec ... Full text Link to item Cite

Systematic Quantification of Stabilizing Effects of Subtalar Joint Soft-Tissue Constraints in a Novel Cadaveric Model.

Journal article J Bone Joint Surg Am · May 18, 2016 BACKGROUND: Distinguishing between ankle instability and subtalar joint instability is challenging because the contributions of the subtalar joint's soft-tissue constraints are poorly understood. This study quantified the effects on joint stability of syst ... Full text Link to item Cite

Soft Tissue Reconstruction After Total Ankle Arthroplasty.

Journal article Foot Ankle Int · May 2016 BACKGROUND: Wound complications following total ankle replacement (TAR) may potentially lead to devastating consequences. Soft tissue coverage of the prosthesis and tendons with a flap potentially prevent a catastrophic cascade leading to infection and imp ... Full text Link to item Cite

Outcomes of Tibiotalocalcaneal Arthrodesis Through a Posterior Achilles Tendon-Splitting Approach.

Journal article Foot Ankle Int · March 2016 BACKGROUND: A number of operative approaches have been described to perform a tibiotalocalcaneal (TTC) arthrodesis. Here we present the largest reported series of a posterior Achilles tendon-splitting approach for TTC fusion. METHODS: With institutional re ... Full text Link to item Cite

Outcomes of Bone Grafting of Bone Cysts After Total Ankle Arthroplasty.

Journal article Foot Ankle Int · February 2016 BACKGROUND: The operative treatment of bone cysts after total ankle replacements (TAR) is not well described. Bone cysts may cause component migration, implant failure, and pain. Surgery is performed on cysts with the goals of reducing pain and preventing ... Full text Link to item Cite

The Effect of Obesity on Functional Outcomes and Complications in Total Ankle Arthroplasty.

Journal article Foot Ankle Int · February 2016 BACKGROUND: The prevalence of obesity in the United States is staggering. Currently, the effect of obesity on third-generation total ankle replacement (TAR) is unknown. METHODS: We prospectively identified a consecutive series of 455 primary TARs operated ... Full text Link to item Cite

Acute Achilles Tendon Ruptures.

Journal article Foot Ankle Int · February 2016 Full text Link to item Cite

Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions.

Journal article J Am Acad Orthop Surg · January 2016 Osteochondral lesions of the talus, large or small, present a challenge to the treating orthopaedic surgeon. These cartilage and bony defects can cause substantial pain and functional disability. Surgical treatment of small lesions of the talus has been th ... Full text Link to item Cite

Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions.

Journal article Instr Course Lect · 2016 Osteochondral lesions of the talus, large or small, are challenging for the treating orthopaedic surgeon. These cartilage and bony defects can cause substantial pain and functional disability. Surgical treatment of small osteochondral lesions of the talus ... Link to item Cite

Conversion of Tibiotalar Arthrodesis to Total Ankle Arthroplasty.

Journal article J Bone Joint Surg Am · December 16, 2015 BACKGROUND: Conversion of ankle arthrodesis to total ankle arthroplasty remains controversial. Although satisfactory outcomes have been published, not all foot and ankle surgeons performing total ankle arthroplasty have embraced this modality. METHODS: Twe ... Full text Link to item Cite

Total Ankle Arthroplasty Following Prior Infection About the Ankle.

Journal article Foot Ankle Int · December 2015 BACKGROUND: We evaluated whether a history of prior infection about the native ankle joint, bone, or soft tissues was associated with a higher rate of infection following total ankle arthroplasty (TAA) when compared with that of primary TAA in the general ... Full text Link to item Cite

Prospective, Multicenter Evaluation of Allogeneic Bone Matrix Containing Viable Osteogenic Cells in Foot and/or Ankle Arthrodesis.

Journal article Foot Ankle Int · October 2015 BACKGROUND: Cellular bone allograft (CBA) possesses osteogenic, osteoinductive, and osteoconductive elements essential for bone healing. The purpose of this study was to assess the safety and effectiveness of CBA in foot and/or ankle arthrodeses. METHODS: ... Full text Link to item Cite

Impact of Diabetes on Outcome of Total Ankle Replacement.

Journal article Foot Ankle Int · October 2015 BACKGROUND: As the incidence of diabetes mellitus (DM) grows, managing patients with diabetes and concomitant ankle arthritis poses a challenging clinical dilemma. While diabetes is known to be a risk factor for complications relating to open reduction and ... Full text Link to item Cite

Allograft Reconstruction of Chronic Tibialis Anterior Tendon Ruptures.

Journal article Foot Ankle Int · October 2015 BACKGROUND: Chronic ruptures of the tibialis anterior tendon are often associated with tendon retraction and poor-quality tissue, resulting in large segmental defects that make end-to-end repair impossible. Interpositional allograft reconstruction has prev ... Full text Link to item Cite

Radiographic Outcomes of a Mobile-Bearing Total Ankle Replacement.

Journal article Foot Ankle Int · September 2015 BACKGROUND: Contemporary total ankle prostheses embody design changes intended to address weaknesses in first-generation implants. Due to these changes, outcomes of the newer designs are of particular interest. We have previously published self-reported pa ... Full text Link to item Cite

Subtalar Fusion Rate in Patients With Previous Ipsilateral Ankle Arthrodesis.

Journal article Foot Ankle Int · September 2015 BACKGROUND: Isolated subtalar arthrodesis is generally successful, with reported fusion rates of 84% to 100%. However, alteration of subtalar joint mechanics and talar body vasculature after ankle fusion may negatively influence subsequent ipsilateral subt ... Full text Link to item Cite

Navicular Stress Fractures.

Journal article Foot Ankle Int · September 2015 Full text Link to item Cite

Comparison of First- and Second-Generation Fixed-Bearing Total Ankle Arthroplasty Using a Modular Intramedullary Tibial Component.

Journal article Foot Ankle Int · August 2015 BACKGROUND: This series reviews the clinical and radiographic outcomes of patients who underwent total ankle replacement (TAR) using first- and second-generations of a modern fixed-bearing prosthesis utilizing a modular intramedullary stem. METHODS: A cons ... Full text Link to item Cite

Radiographic Outcomes Following Lateral Column Lengthening With a Porous Titanium Wedge.

Journal article Foot Ankle Int · August 2015 BACKGROUND: Lateral column lengthening (LCL) is commonly utilized in treating stage II posterior tibialis tendon dysfunction. This study aimed to analyze the outcomes of LCL with porous titanium wedges compared to historic controls of iliac crest autograft ... Full text Link to item Cite

Effect of Age on Outcomes in Total Ankle Arthroplasty.

Journal article Foot Ankle Int · August 2015 BACKGROUND: Little is known about the efficacy and durability of total ankle arthroplasty (TAA) in younger patients. The purpose of this study was to determine the effect of age on the clinical, radiographic, and patient-reported outcomes of patients with ... Full text Link to item Cite

Low incidence of symptomatic thromboembolic events after total ankle arthroplasty without routine use of chemoprophylaxis.

Journal article Foot Ankle Int · June 2015 BACKGROUND: There is little evidence regarding the incidence of symptomatic venous thromboembolism (VTE) following total ankle arthroplasty (TAA) to allow formulation of treatment recommendations. The purpose of this study was to determine the incidence of ... Full text Link to item Cite

Deltoid ligament repair versus syndesmotic fixation in bimalleolar equivalent ankle fractures.

Journal article J Orthop Trauma · May 2015 OBJECTIVES: To compare the outcomes of bimalleolar equivalent ankle fractures treated with lateral malleolus open reduction and internal fixation (ORIF) with transsyndesmotic fixation versus lateral malleolus ORIF with deltoid ligament repair. DESIGN: Retr ... Full text Link to item Cite

Musculoskeletal ultrasound education: orthopaedic resident ability following a multimedia tutorial.

Journal article J Surg Orthop Adv · 2015 Musculoskeletal ultrasound (MSK-US) is a quick and effective imaging tool that can be utilized by orthopaedic surgeons to identify common musculoskeletal pathology such as ankle tendinopathy. This study evaluated the ability of 15 orthopaedic surgery resid ... Link to item Cite

Early to mid-term results of fixed-bearing total ankle arthroplasty with a modular intramedullary tibial component.

Journal article J Bone Joint Surg Am · December 3, 2014 BACKGROUND: There has been a continuing increase in the use of total ankle arthroplasty for the treatment of end-stage ankle arthritis. Our aim was to determine the clinical, radiographic, and functional outcomes of total ankle arthroplasties done with a p ... Full text Link to item Cite

Medial-sided stress fractures: Medial malleolus and navicular stress fractures

Journal article Operative Techniques in Sports Medicine · December 1, 2014 Although medial-sided stress fractures of the foot and ankle are a relatively uncommon injury, the delay in diagnosis and improper treatment can cause long-term pain and functional loss. Evaluation of medial-sided foot and ankle pain in the athlete prompts ... Full text Cite

Radiation exposure in total ankle replacement.

Journal article Foot Ankle Int · November 2014 BACKGROUND: Radiation exposure from diagnostic imaging procedures is associated with increased cancer risk. No published data currently exist regarding ionizing radiation exposure in total ankle replacement surgery. This study quantified intraoperative flu ... Full text Link to item Cite

The influence of concomitant triceps surae lengthening at the time of total ankle arthroplasty on postoperative outcomes.

Journal article Foot Ankle Int · September 2014 BACKGROUND: Concomitant procedures are being performed with total ankle replacement (TAR) to improve alignment, function, and mobility. The purpose of this study was to examine the differences in outcomes between patients who had a concomitant triceps sura ... Full text Link to item Cite

Total Ankle Arthroplasty with a Modern Fixed-Bearing System: The Salto Talaris Prosthesis.

Journal article JBJS Essent Surg Tech · September 2014 INTRODUCTION: The Salto Talaris total ankle replacement is a fixed-bearing system that integrates a mobile tibial trial component that allows self-alignment on the distal tibial resected surface, as guided by the talar component. STEP 1 PREOPERATIVE PLANNI ... Full text Open Access Link to item Cite

Patient-Reported Outcomes, Function, and Gait Mechanics After Fixed and Mobile-Bearing Total Ankle Replacement.

Journal article J Bone Joint Surg Am · June 18, 2014 BACKGROUND: The popularity of total ankle replacement as a treatment for end-stage arthritis continues to grow. The purpose of this study was to assess changes in ankle kinetics and kinematics from a preoperative time point through two years postoperativel ... Full text Link to item Cite

Outcomes After Total Ankle Replacement in Association With Ipsilateral Hindfoot Arthrodesis.

Journal article Foot Ankle Int · June 2014 BACKGROUND: Ipsilateral hindfoot arthrodesis in combination with total ankle replacement (TAR) may diminish functional outcome and prosthesis survivorship compared to isolated TAR. We compared the outcome of isolated TAR to outcomes of TAR with ipsilateral ... Full text Open Access Link to item Cite

A comparison of nonlocking semitubular plates and precontoured locking plates for first metatarsophalangeal joint arthrodesis.

Journal article Foot Ankle Int · May 2014 BACKGROUND: First metatarsophalangeal (MTP) joint arthrodesis is a successful, commonly performed procedure for many conditions affecting this joint. The purpose of this retrospective study was to compare the clinical and radiographic outcomes between pati ... Full text Link to item Cite

Bilateral differences in gait mechanics following total ankle replacement: a two year longitudinal study.

Journal article Clin Biomech (Bristol) · April 2014 BACKGROUND: Following total ankle replacement (TAR) patients demonstrate improvements in gait. The purpose of this study was to assess the changes in gait symmetry from a pre-operative assessment through two years following TAR. METHODS: Seventy-eight pati ... Full text Link to item Cite

Biomechanical assessment of flexible flatfoot correction: comparison of techniques in a cadaver model.

Journal article J Bone Joint Surg Am · March 19, 2014 BACKGROUND: Options for surgical correction of acquired flexible flatfoot deformity involve bone and soft-tissue reconstruction. We used an advanced cadaver model to evaluate the ability of key surgical procedures to correct the deformity and to resist sub ... Full text Link to item Cite

Long-term results of debridement and primary repair of peroneal tendon tears.

Journal article Foot Ankle Int · March 2014 BACKGROUND: Peroneal tendon tears are relatively common; however, there are few reports on the long-term success of operative treatment. The purpose of this study was to review the long-term clinical and patient-reported outcomes of a cohort of patients wi ... Full text Link to item Cite

Plantar Loading During Cutting While Wearing a Rigid Carbon Fiber Insert.

Journal article J Athl Train · February 12, 2014 Context : Stress fractures are one of the most common injuries in sports, accounting for approximately 10% of all overuse injuries. Treatment of fifth metatarsal stress fractures involves both surgical and nonsurgical interventions. Fifth metatarsal stress ... Full text Open Access Link to item Cite

Plantar loading during jumping while wearing a rigid carbon graphite footplate.

Journal article Gait Posture · February 2014 Fifth metatarsal stress fractures are common in sports and often result in delayed and non-union. The purpose of this study was to examine the effect of a rigid carbon graphite footplate (CGF) on plantar loading during take-off and landing from a jump. Nin ... Full text Open Access Link to item Cite

Plantar loading during cutting while wearing a rigid carbon fiber insert.

Journal article J Athl Train · 2014 CONTEXT: Stress fractures are one of the most common injuries in sports, accounting for approximately 10% of all overuse injuries. Treatment of fifth metatarsal stress fractures involves both surgical and nonsurgical interventions. Fifth metatarsal stress ... Full text Link to item Cite

Equivalent pain relief with and without resection of the posterior tibial tendon in adult flatfoot reconstruction.

Journal article J Surg Orthop Adv · 2014 Transfer of the flexor digitorum longus (FDL) is indicated to compensate for the loss of posterior tibial tendon (PTT) function in the treatment of adult acquired flatfoot deformity (AAFD). The aim of this study was to determine the effect of PTT resection ... Link to item Cite

Heterotopic ossification following total ankle replacement: clinical significance and factors affecting its formation.

Journal article J Surg Orthop Adv · 2014 Little is known about the clinical significance of heterotopic ossification after total ankle replacement and the factors contributing to its occurrence. This study documented the incidence of heterotopic ossification in a large ankle arthroplasty series; ... Link to item Cite

The failed total ankle.

Journal article Foot Ankle Spec · December 2013 Full text Link to item Cite

Comparison of extramedullary versus intramedullary referencing for tibial component alignment in total ankle arthroplasty.

Journal article Foot Ankle Int · December 2013 BACKGROUND: The majority of total ankle arthroplasty (TAA) systems use extramedullary alignment guides for tibial component placement. However, at least 1 system offers intramedullary referencing. In total knee arthroplasty, studies suggest that tibial com ... Full text Open Access Link to item Cite

Differences in outcomes following total ankle replacement in patients with neutral alignment compared with tibiotalar joint malalignment.

Journal article J Bone Joint Surg Am · November 6, 2013 BACKGROUND: Excessive tibiotalar malalignment in the coronal plane has been considered by some to be a contraindication to total ankle replacement. The purpose of the present study was to compare clinical outcomes and physical performance measures accordin ... Full text Link to item Cite

Allograft reconstruction of peroneal tendons: operative technique and clinical outcomes.

Journal article Foot Ankle Int · September 2013 BACKGROUND: Irreparable peroneal tendon tears are uncommon and require complex surgical decision making. Intercalary segment allograft reconstruction has been previously described as a treatment option; however, there are no reports of the outcomes of this ... Full text Link to item Cite

A biomechanical analysis of two anterior ankle arthrodesis systems.

Journal article Foot Ankle Int · July 2013 BACKGROUND: An increasingly popular ankle fusion method uses plates and screws positioned on the anterior aspect of the tibiotalar joint. This study compared the mechanical properties of 2 contemporary plate systems for ankle arthrodesis, one based on a si ... Full text Link to item Cite

Early prospective clinical results of a modern fixed-bearing total ankle arthroplasty.

Journal article J Bone Joint Surg Am · June 5, 2013 BACKGROUND: Several fixed-bearing total ankle arthroplasty systems are available in the United States. We report on the early clinical results of the largest known cohort of patients in the United States who received a Salto Talaris total ankle replacement ... Full text Link to item Cite

Bovine xenograft failures in pediatric foot reconstructive surgery.

Journal article J Pediatr Orthop · June 2013 BACKGROUND: Structural bone grafting serves an important and necessary role during pediatric foot reconstruction. Different bone grafts have been used for such reconstructions including corticocancellous autografts, allografts, and synthetic grafts. Bovine ... Full text Link to item Cite

Isolated spring ligament failure as a cause of adult-acquired flatfoot deformity.

Journal article Foot Ankle Int · June 2013 BACKGROUND: Adult-acquired flatfoot deformity is usually secondary to failure of the tibialis posterior tendon, with secondary injury to the surrounding osseous-ligamentous complex. Rarely, patients may present with a normal tibialis posterior tendon and a ... Full text Link to item Cite

Single-incision medial approach for double arthrodesis of hindfoot in posterior tibialis tendon dysfunction.

Journal article Foot Ankle Int · March 2013 BACKGROUND: Triple arthrodesis through a 2-incision approach has been the primary salvage procedure for rigid hindfoot malalignment resulting from posterior tibialis dysfunction. However, complications like calcaneocuboid joint nonunion, lateral wound dehi ... Full text Link to item Cite

Botox as an adjuvant to tendon transfer for foot drop.

Journal article J Surg Orthop Adv · 2013 The authors' hypothesis was that weakening the gastrocnemius muscle at the time of tendon transfer will reduce the risk of rupture and facilitate faster rehabilitation with increased active dorsiflexion and improved overall outcome, because the transferred ... Full text Link to item Cite

Changes in plantar loading based on shoe type and sex during a jump-landing task.

Journal article J Athl Train · 2013 CONTEXT: Metatarsal stress fractures are common in cleated-sport athletes. Previous authors have shown that plantar loading varies with footwear, sex, and the athletic task. OBJECTIVE: To examine the effects of shoe type and sex on plantar loading in the m ... Full text Link to item Cite

Effect of increased weight on ankle mechanics and spatial temporal gait mechanics in healthy controls.

Journal article Foot Ankle Int · November 2012 BACKGROUND: Ankle osteoarthritis has been associated with trauma, instability, and inflammatory arthritis. Limited literature exists examining the effect of body weight on ankle joint loading. The purpose of this study was to examine the relationship betwe ... Full text Link to item Cite

Pseudotear of the peroneus longus tendon on MRI, secondary to a fibrocartilaginous node.

Journal article Skeletal Radiol · November 2012 OBJECTIVE: The purpose of this study was to identify the presence of a fibrocartilaginous node within the distal peroneus longus tendon (PLT) just proximal to the cubital tunnel and correlate this with MRI signal characteristics of the distal PLT, which co ... Full text Link to item Cite

Vascularized pedicle bone grafting for nonunions of the tarsal navicular.

Journal article Foot Ankle Int · September 2012 BACKGROUND: Osteonecrosis and nonunions of the tarsal navicular remain a challenging clinical problem. This article presents a series of patients treated with local vascularized pedicle bone grafting to the navicular. The purpose of this study was to deter ... Full text Link to item Cite

The effect of modified Broström-Gould repair for lateral ankle instability on in vivo tibiotalar kinematics.

Journal article Am J Sports Med · September 2012 BACKGROUND: Lateral ankle instability leads to an increased risk of tibiotalar joint osteoarthritis. Previous studies have found abnormal tibiotalar joint motions with lateral ankle instability that may contribute to this increased incidence of osteoarthri ... Full text Link to item Cite

J. Leonard Goldner Award 2011: changes in pain, function, and gait mechanics two years following total ankle arthroplasty performed with two modern fixed-bearing prostheses.

Journal article Foot Ankle Int · July 2012 BACKGROUND: Total ankle replacement (TAR) continues to grow as an alternative to arthrodesis for patients who suffer from end-stage ankle arthritis. The purpose of this study was to examine changes in gait mechanics from before surgery to 1 and 2 years aft ... Full text Link to item Cite

Differences in Walking Mechanics between End-stage Ankle and Hip Osteoarthritis

Journal article MEDICINE AND SCIENCE IN SPORTS AND EXERCISE · May 1, 2012 Link to item Cite

Jones fracture fixation: a biomechanical comparison of partially threaded screws versus tapered variable pitch screws.

Journal article Am J Sports Med · March 2012 BACKGROUND: Stabilization of fifth metatarsal Jones fractures with intramedullary screw fixation is the most common method for surgical fixation when operative treatment is indicated. Conventional partially threaded screws of various diameters are routinel ... Full text Link to item Cite

Structural Allograft Transplantation for Osteochondral Lesions of the Talus.

Journal article JBJS Essent Surg Tech · February 2012 INTRODUCTION: We describe the technique for structural allograft transplantation to treat large talar shoulder lesions. STEP 1 PATIENT SELECTION AND EDUCATION: The patient and surgeon must be prepared for a waiting time of unknown length and have a flexibl ... Full text Link to item Cite

Analysis of past secular trends of hip fractures and predicted number in the future 2010-2050.

Journal article J Orthop Trauma · February 2012 BACKGROUND: Understanding past trends and predicted future incidence of hip fractures is important for the assessment of Medicare sustainability and resource allocation. The purpose of this article was an analysis of most recent data on the incidence of hi ... Full text Link to item Cite

Preface

Journal article Mendelssohn and His World · January 16, 2012 Full text Cite

Intermediate to long-term outcomes of the STAR Total Ankle Replacement: the patient perspective.

Journal article J Bone Joint Surg Am · January 4, 2012 BACKGROUND: The purpose of the present study was to document the patient self-reported improvements in quality of life, function, and overall impairment scores, as well as the improvement in the clinically derived outcome scores, following a Scandinavian T ... Full text Link to item Cite

Ceramic interpositional arthroplasty for fourth and fifth tarsometatarsal joint arthritis.

Journal article J Surg Orthop Adv · 2012 The lateral midfoot is significantly more mobile than the corresponding medial joints, thereby giving some surgeons concern over the use of arthrodesis in patients with symptomatic fourth and fifth tarsometatarsal arthritis. Limited treatment options exist ... Full text Link to item Cite

Arthroscopic treatment of osteochondral lesions of the talus: microfracture and drilling versus debridement.

Journal article J Surg Orthop Adv · 2012 Operative treatment of osteochondral lesions of the talus (OLTs) is frequently based on lesion size, stability, and surgeon preference. The purpose of this study was to determine if one arthroscopic treatment is superior to another for improving pain in pa ... Full text Link to item Cite

Percutaneous fixation of proximal fifth metatarsal fractures

Journal article · December 1, 2011 Fractures of the fifth metatarsal base have garnered a significant amount of attention since Sir Robert Jones' classic description of his own such fracture suffered while dancing.10 Despite numerous publications on the topic, controversy continu ... Full text Cite

Structural allograft reconstruction for large osteochondral lesions of the talus

Journal article Techniques in Foot and Ankle Surgery · December 1, 2011 Most osteochondral lesions of the talus (OLTs) may be managed successfully with arthroscopic debridement in combination with either microfracture or drilling. However, treatment with debridement and microfracture/drilling tends to be less reliable in large ... Full text Cite

Coronal plane ankle alignment, gait, and end-stage ankle osteoarthritis.

Journal article Osteoarthritis Cartilage · November 2011 OBJECTIVE: Unilateral ankle osteoarthritis (OA) is a debilitating condition which may lead to limb deformity, severe pain, and functional disability due to tibiotalar malalignment and gait dysfunction. The purpose of this study was to determine if coronal ... Full text Link to item Cite

Long-term clinical outcomes following the central incision technique for insertional Achilles tendinopathy.

Journal article Foot Ankle Int · September 2011 BACKGROUND: The central incision technique, more than any other exposure, allows for optimal access to the diseased Achilles tendon as well as the Haglund's prominence and the retro calcaneal bursa. We hypothesized that the central incision technique would ... Full text Link to item Cite

Effect of facility on the operative costs of distal radius fractures.

Journal article J Hand Surg Am · July 2011 PURPOSE: The purpose of this study was to investigate whether ambulatory surgery centers can deliver lower-cost care and to identify sources of those cost savings. METHODS: We performed a cost identification analysis of outpatient volar plating for closed ... Full text Link to item Cite

Effect of Shoe Type and Gender on Loading During a Jump Landing Task

Journal article Medicine & Science in Sports & Exercise · May 2011 Full text Cite

Does Increased Weight Alter Frontal Plane Mechanics In Healthy Controls?

Journal article Medicine & Science in Sports & Exercise · May 2011 Full text Cite

J. Leonard Goldner Award 2010. Ligament balancing for total ankle arthroplasty: an in vitro evaluation of the elongation of the hind- and midfoot ligaments.

Journal article Foot Ankle Int · May 2011 BACKGROUND: The changes in length of the hindfoot ligaments in response to alterations in ankle and subtalar joint orientation under physiologic load in eight fresh-frozen cadaver limbs were documented. RESULTS: In eversion, the tibiocalcaneal (11% ± 4%, m ... Full text Link to item Cite

Midterm results of osteochondral lesions of the talar shoulder treated with fresh osteochondral allograft transplantation.

Journal article J Bone Joint Surg Am · April 6, 2011 BACKGROUND: With osteochondral lesions of the talar shoulder, their size, the articular cartilage geometry, and the loss of the medial or lateral articular buttress often preclude treatment with traditional osteochondral autograft techniques. We hypothesiz ... Full text Link to item Cite

Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach.

Journal article JBJS Essent Surg Tech · 2011 INTRODUCTION: Although displaced intra-articular calcaneal fractures were historically treated nonoperatively because of unreliable outcomes, they are now commonly treated with open reduction and internal fixation (ORIF). STEP 1 PREOPERATIVE PLANNING AND O ... Full text Open Access Link to item Cite

Comparison of surgical outcomes of intra-articular calcaneal fractures by age.

Journal article J Bone Joint Surg Am · December 15, 2010 BACKGROUND: Internal fixation is an accepted treatment for displaced fractures of the calcaneus. Operative intervention in older patients, however, is traditionally discouraged in the literature. The purpose of this study was to compare the outcomes of int ... Full text Link to item Cite

Dimensionality of measures for severe unilateral ankle arthritis.

Journal article PM R · November 2010 OBJECTIVE: To analyze the dimensionality of 2 self-report outcome measures (Foot/Ankle Disability Index [FADI] and Short-Form [SF]-36), 3 biomechanical measures (stance and step symmetry measures, gait speed, and step width), 2 physical-performance measure ... Full text Link to item Cite

Painful bone marrow edema syndrome of the foot and ankle.

Journal article Foot Ankle Int · November 2010 BACKGROUND: Bone marrow edema syndrome (BMES) of the foot and ankle is an uncommon and often undiagnosed disorder that, to our knowledge, has not previously been reported in the orthopaedic literature. The current study reviews a consecutive series of pati ... Full text Link to item Cite

Osteochondral lesions of the talus.

Journal article J Am Acad Orthop Surg · October 2010 Full text Link to item Cite

In vivo cartilage contact strains in patients with lateral ankle instability.

Journal article J Biomech · September 17, 2010 Damage to the anterior talofibular ligament (ATFL) and cacaneofibular ligament (CFL) during an ankle sprain may be linked to the development of osteoarthritis. Although altered tibiotalar kinematics have been demonstrated, the effects of lateral ankle inst ... Full text Link to item Cite

Age-associated increases in the size of the infrapatellar fat pad in knee osteoarthritis as measured by 3T MRI.

Journal article J Orthop Res · September 2010 Obesity, as a primary risk factor for osteoarthritis (OA), has been shown to alter joint loading, but may also result in metabolic changes characterized by chronic, low-level inflammation due to increased circulating levels of adipose-derived cytokines, or ... Full text Link to item Cite

Allograft replacement for peroneal tendon tears

Journal article Techniques in Foot and Ankle Surgery · June 1, 2010 Current treatment options for chronic ruptures of both the peroneus longus and brevis tendon with a large tendon defect are limited. Previous recommendations have included tendon transfer, tenodesis, or a 2-stage procedure. We present a novel technique for ... Full text Cite

Three-dimensional ankle kinematics and kinetics during running in women.

Journal article Gait Posture · April 2010 Stress fractures are common in athletics and are more prevalent in women. The current literature has not identified a reason for this gender difference. We hypothesized that females with a history of a second/third metatarsal stress fracture will demonstra ... Full text Link to item Cite

The effect of footwear on preoperative gait mechanics in a group of total ankle replacement patients.

Journal article J Surg Orthop Adv · 2010 Debate exists within the current clinical literature as to whether patients should be tested barefoot or in shoes either before or following surgical interventions. The objective of this study was to determine the effect of shod versus barefoot walking on ... Link to item Cite

Effect of shoe type on plantar pressure: a gender comparison.

Journal article Gait Posture · January 2010 Despite the differences in materials, racing flats have begun to be used not only for racing, but also for daily training. As there are data suggesting a gender difference in overuse injuries in runners, shoe choice may affect loading patterns during runni ... Full text Link to item Cite

Treatment of chronic achilles tendon ruptures with an acellular dermal matrix augmentation

Journal article · December 1, 2009 Although Achilles tendon repairs have been augmented using fascia lata, gastrocnemius flaps, plantaris tendon grafts, the palmaris longus, the flexor hallucis longus, and synthetic grafts, the implementation of a single surgical model has not been universa ... Full text Cite

Insertional achilles tendinopathy: The central approach

Journal article · December 1, 2009 Insertional Achilles tendinopathy is a painful, frequently disabling condition of the posterior foot and ankle. Discomfort and irritation typically arise along the posterior aspect of the heel. As with most tendinopathies, pain begins intermittently and gr ... Full text Cite

Overview of insertional achilles tendinopathy

Journal article · December 1, 2009 Overuse injury of the Achilles tendon is becoming a more common problem in the United States as the younger population becomes more athletic and as elderly patients assume ever-increasing levels of physical activity. Thus, it is not surprising that the Ach ... Full text Cite

Ultrasound examination of the achilles tendon

Journal article · December 1, 2009 There is growing evidence that the clinical and operative use of ultrasound imaging can benefit patients with Achilles tendon pathology. Although ultrasonography has been stigmatized as too operator dependent and necessitating a steep learning curve, it ha ... Full text Cite

In vivo kinematics of the tibiotalar joint after lateral ankle instability.

Journal article Am J Sports Med · November 2009 BACKGROUND: Previous studies have suggested that injury to the anterior talofibular ligament (ATFL) may be linked to altered kinematics and the development of osteoarthritis of the ankle joint. However, the effects of ATFL injury on the in vivo kinematics ... Full text Link to item Cite

Long-term functional outcomes after operative treatment for intra-articular fractures of the calcaneus.

Journal article J Bone Joint Surg Am · August 2009 BACKGROUND: Calcaneal fractures can have long-term consequences in terms of pain and disability. Comparative studies have suggested that operative treatment of these fractures may result in better outcomes than nonoperative treatment; however, to our knowl ... Full text Link to item Cite

Prospective controlled trial of STAR total ankle replacement versus ankle fusion: initial results.

Journal article Foot Ankle Int · July 2009 BACKGROUND: Mobile-bearing ankle replacements have become popular outside of the United States over the past two decades. The goal of the present study was to perform a prospective evaluation of the safety and efficacy of a mobile-bearing prosthesis to tre ... Full text Link to item Cite

The financial impact of orthopaedic fellowship training.

Journal article J Bone Joint Surg Am · July 2009 BACKGROUND: Previous reports have compared the expected financial return of a medical education with those expected in other professions. However, we know of no published report estimating the financial return of orthopaedic training. The purpose of this s ... Full text Link to item Cite

Differences in plantar loading between flat and normal feet during different athletic tasks.

Journal article Gait Posture · June 2009 The purpose of this study was to determine if foot type (flat or normal) resulted in loading differences during four sport-specific tasks (cross-cut, side-cut, shuttle run, and landing from a simulated lay-up). Twenty-two healthy subjects (12 normal feet a ... Full text Link to item Cite

Differences in plantar loading between training shoes and racing flats at a self-selected running speed.

Journal article Gait Posture · April 2009 The purpose of this study was to examine the difference in plantar loading between two different running shoe types. We hypothesized that a higher maximum force, peak pressure, and contact area would exist beneath the entire foot while running in a racing ... Full text Link to item Cite

Accuracy of ultrasound guided injections in the foot and ankle.

Journal article Foot Ankle Int · March 2009 BACKGROUND: Ultrasonography is an emerging imaging modality which affords dynamic, real-time, cost-effective and surgeon controlled visualization of the foot and ankle. The purpose of this study was to evaluate the accuracy of ultrasound guided injections ... Full text Link to item Cite

Correlation between static foot type measurements and clinical assessments.

Journal article Foot Ankle Int · March 2009 BACKGROUND: An accurate and consistent differentiation of foot type is needed to assess appropriate treatments and to examine potential risk factors for acute and overuse injuries. MATERIALS AND METHODS: One hundred forty-seven members of the American Orth ... Full text Link to item Cite

Plantar loading comparisons between women with a history of second metatarsal stress fractures and normal controls.

Journal article Am J Sports Med · February 2009 BACKGROUND: Stress fractures are common in athletics and are more prevalent in women. The current literature has not identified a reason for this gender difference. HYPOTHESIS: Women with a history of a second/third metatarsal stress fracture will demonstr ... Full text Link to item Cite

A new option for intramedullary fixation of Jones fractures: the Charlotte Carolina Jones Fracture System.

Journal article Foot Ankle Int · December 2008 BACKGROUND: A number of different screws are used for Jones fracture fixation in cases in which hastened healing is desirable or nonoperative treatment has failed. None of them were designed for this application, and consequently there is a lack of continu ... Full text Link to item Cite

The effect of foot type on in-shoe plantar pressure during walking and running.

Journal article Gait Posture · October 2008 The purpose of this study was to determine if low arch feet have altered plantar loading patterns when compared to normal feet during both walking and running. Fifty healthy subjects (34 normal feet, 16 flat feet) walked and ran five trials each at standar ... Full text Link to item Cite

Distinguishing Jones and proximal diaphyseal fractures of the fifth metatarsal.

Journal article Clin Orthop Relat Res · August 2008 UNLABELLED: Jones and proximal diaphyseal fractures of the fifth metatarsal are in close anatomic proximity and often are difficult to differentiate. We determined whether it is necessary to differentiate between these two diagnoses. Retrospectively, the t ... Full text Link to item Cite

Revision tibiotalar arthrodesis.

Journal article J Bone Joint Surg Am · June 2008 BACKGROUND: Contemporary recommendations for primary and revision ankle arthrodesis favor internal compression techniques involving the use of screw and/or plate fixation. While tibiotalocalcaneal arthrodesis with internal fixation may be a suitable method ... Full text Link to item Cite

Repair of a chronic anterior tibial tendon rupture using allograft

Journal article Techniques in Foot and Ankle Surgery · June 1, 2008 Current treatment of long-standing anterior tibialis tendon rupture with a large tendon defect is not well described. We present a technique for management of large tendon defects greater than 4 cm not otherwise amenable to currently described techniques o ... Full text Cite

First metatarsal lengthening

Journal article Techniques in Foot and Ankle Surgery · March 1, 2008 Shortening of the first metatarsal is known to occur during hallux valgus surgeries. If the shortened first ray disrupts the normal weight transfer, then transfer metatarsalgia may result. After failed conservative treatment, a common operative option is o ... Full text Cite

MRI appearance of surgically proven abnormal accessory anterior-inferior tibiofibular ligament (Bassett's ligament).

Journal article Skeletal Radiol · January 2008 OBJECTIVE: A thickened accessory anterior-inferior tibiofibular ligament (Bassett's ligament) of the ankle can be a cause of ankle impingement. Its imaging appearance is not well described. The purpose of this study was to determine if the ligament could b ... Full text Link to item Cite

Computer-assisted tibia preparation for total ankle arthroplasty: a cadaveric study.

Journal article Int J Med Robot · December 2007 BACKGROUND: Most surgeons performing total ankle arthroplasty (TAA) suggest that accurate tibial preparation perpendicular to the tibial shaft axis improves outcomes. Recent studies demonstrate that computerized surgical navigation significantly improves t ... Full text Link to item Cite

Stress fractures of the second metatarsal base occur in nondancers.

Journal article Clin Orthop Relat Res · August 2007 Stress fractures of the base of the second metatarsal are common in ballet dancers and essentially are unreported in nondancers. We presumed base of the second metatarsal stress fractures in nondancers occur in a wide variety of individuals regardless of d ... Full text Link to item Cite

Second metatarsal stress fracture in sport: comparative risk factors between proximal and non-proximal locations.

Journal article Br J Sports Med · August 2007 BACKGROUND: Stress fractures of the second metatarsal are common injuries in athletes and military recruits. There are two distinct areas in the second metatarsal where stress fractures develop: one proximal (at the base) and the other non-proximal (distal ... Full text Link to item Cite

Describing the medial longitudinal arch using footprint indices and a clinical grading system.

Journal article Foot Ankle Int · April 2007 BACKGROUND: The current literature is not clear regarding the best method of determining medial longitudinal arch (MLA) height. Differences in MLA height can significantly alter lower extremity biomechanics; therefore, an accurate and reproducible assessme ... Full text Link to item Cite

Distraction osteogenesis for the shortened metatarsal after hallux valgus surgery.

Journal article Foot Ankle Int · February 2007 BACKGROUND: Shortening of the first metatarsal is known to occur during hallux valgus surgeries. If the shortened first ray disrupts the normal weight transfer, then transfer metatarsalgia may result. After failed conservative treatment, a common operative ... Full text Link to item Cite

Preface

Journal article Revista Mexicana de Ciencias Geologicas · 2007 Cite

The reliability and reproducibility of foot type measurements using a mirrored foot photo box and digital photography compared to caliper measurements.

Journal article J Biomech · 2007 UNLABELLED: The height of the medial longitudinal arch (MLA) is thought to be a predisposing factor to various lower extremity injuries. Discrepancy exists as to whether MLA height plays a role in injury prevention. The purpose of this study was to determi ... Full text Link to item Cite

Cryotherapy temperature differences after total knee arthroplasty: a prospective randomized trial.

Journal article J Surg Orthop Adv · 2007 In spite of its widespread use after orthopaedic procedures, the literature evaluating the clinical efficacy of cryotherapy is controversial. The purpose of this prospective randomized trial was to compare two different temperatures for administering cryot ... Link to item Cite

Achilles tendon torsion has no effect on percutaneous triple-cut tenotomy results.

Journal article Foot Ankle Int · November 2006 BACKGROUND: Achilles tendon lengthening is an important part of the operative management of numerous foot and ankle disorders. The most commonly used percutaneous technique involves three hemitenotomies: medial, lateral, and medial. The discovery that Achi ... Full text Link to item Cite

Validation of a Spanish version of the Short Musculoskeletal Function Assessment Questionnaire (SMFA).

Journal article J Orthop Trauma · October 2006 OBJECTIVES: The purpose of this study was to develop a linguistically appropriate, culturally adapted, and appropriately validated Spanish version of the SMFA (SMFA-Mex). DESIGN: Validation of a survey-based outcome instrument. SETTING: Busy state hospital ... Full text Link to item Cite

In response

Journal article Journal of Orthopaedic Trauma · October 1, 2006 Full text Cite

Bending stiffness and pull-out strength of tapered, variable pitch screws, and 6.5-mm cancellous screws in acute Jones fractures.

Journal article Foot Ankle Int · October 2006 BACKGROUND: Stabilization of fifth metatarsal Jones fractures with intramedullary screws is popular, particularly in athletes, because nonoperative treatment involves prolonged casting and a distinct risk of nonunion or delayed union. Conventional lag scre ... Full text Link to item Cite

Posttraumatic proximal interphalangeal joint flexion contractures.

Journal article J Am Acad Orthop Surg · September 2006 Normal motion of the proximal interphalangeal joint requires bony support, intact articular surfaces, unimpeded tendon gliding, and uncompromised integrity of the collateral ligaments and volar plate. Deficiency in any one of these structural requirements ... Full text Link to item Cite

A Tribute to J. Leonard Goldner

Journal article Hand Clinics · August 1, 2006 Full text Cite

Composition and transport properties of human ankle and knee cartilage.

Journal article J Orthop Res · February 2006 The incidence of osteoarthritis is significantly higher in the knee as compared to the ankle, suggesting that differences in the properties of cartilage from these joints may contribute to the development of osteoarthritis. As an avascular tissue, articula ... Full text Link to item Cite

Extensor retinaculum augmentation reinforces anterior talofibular ligament repair.

Journal article Clin Orthop Relat Res · January 2006 Repair of the anterior talofibular ligament often is augmented with the inferior extensor retinaculum because it is thought to reinforce the primary ligament repair. The additional dissection and suturing extend the duration of surgery, and not all surgeon ... Full text Link to item Cite

From clinical pathways to CPOE: challenges and opportunities in standardization and computerization of postoperative orders for total joint replacement.

Journal article J Surg Orthop Adv · 2006 Clinical pathways, or caremaps, have become key tools for hospitals to streamline patient care. They are most applicable in situations where a high degree of predictability regarding treatment and/or diagnostic intervention is expected. Perceived advantage ... Link to item Cite

Ankle Tendon Disorders and Ruptures

Journal article · January 1, 2006 Full text Cite

The impact of diabetes on patient outcomes after ankle fracture.

Journal article J Bone Joint Surg Am · August 2005 BACKGROUND: Ankle fracture is one of the most common injuries treated by orthopaedic surgeons, and the presence of diabetes complicates treatment and recovery from this injury. Although a higher prevalence of adverse postoperative events has been found in ... Full text Link to item Cite

Inhibition of inducible nitric oxide synthase promotes recovery of motor function in rats after sciatic nerve ischemia and reperfusion.

Journal article J Hand Surg Am · July 2005 PURPOSE: To investigate the effects of inhibition of inducible nitric oxide synthase (iNOS) on the recovery of motor function in the rat sciatic nerve after ischemia and reperfusion injury. METHODS: A 10-mm segment of the sciatic nerve from 169 rats had 2 ... Full text Link to item Cite

MRI of spring ligament tears.

Journal article AJR Am J Roentgenol · May 2005 OBJECTIVE: Surgical repair of the spring ligament is becoming recognized as an important management component of adult-acquired flatfoot, yet little literature exists on the MRI appearance of spring ligament abnormalities. In this article, we describe the ... Full text Link to item Cite

The effects of exogenous nitric oxide donor on motor functional recovery of reperfused peripheral nerve.

Journal article J Hand Surg Am · May 2005 PURPOSE: To investigate the effects of the nitric oxide donor S-nitroso-N-acetylcysteine (SNAC) on motor functional recovery of reperfused rat sciatic nerve. METHODS: Seventy-eight rats were divided into groups treated with SNAC (100 nmol/100 g/min), methy ... Full text Link to item Cite

Reverse end-to-side neurotization.

Journal article J Reconstr Microsurg · January 2005 The authors describe a reverse end-to-side neurorrhaphy model in which the proximal end of a donor nerve is sutured to an epineurial window in the side of a recipient nerve. If effective, this technique would have useful applications in nerve reconstructiv ... Full text Link to item Cite

Avascular necrosis of the talus: current treatment options.

Journal article Foot Ankle Clin · December 2004 AVN of the talus is a challenging disease process with respect to patho-physiology and treatment. We believe that our algorithm is a legitimate approach to aid the orthopedic surgeon in initiating a promising treatment. It is divided into different levels ... Full text Link to item Cite

Torque resistance after fixation of Jones fractures with intramedullary screws.

Journal article Foot Ankle Int · December 2004 BACKGROUND: Intramedullary screws frequently are used for fixation of Jones fractures of the fifth metarsal. While the ability of intramedullary screw fixation in fifth metatarsals to resist bending and tensile forces is well known, the ability to withstan ... Full text Link to item Cite

Xanthogranuloma of the sciatic nerve: case report.

Journal article Neurosurgery · December 2004 OBJECTIVE AND IMPORTANCE: Xanthogranulomas involving the central or peripheral nervous system are extraordinarily rare. None have been reported in the lower extremity. Here, we report and characterize the first case of xanthogranuloma of the sciatic nerve. ... Link to item Cite

Torsional strains in the proximal fifth metatarsal: implications for Jones and stress fracture management.

Journal article Foot Ankle Int · September 2004 BACKGROUND: Reports of nonunion of proximal fifth metatarsal fractures treated by internal fixation indicate that current fixation methods do not always adequately address the stresses to which the bone is subjected during ambulation. In particular, the in ... Full text Link to item Cite

Potential donor rotational bone grafts using vascular territories in the foot and ankle.

Journal article J Bone Joint Surg Am · September 2004 BACKGROUND: An improved understanding of the extraosseous and intraosseous blood supply of the distal aspect of the tibia, distal aspect of the fibula, cuboid, and cuneiforms should identify vascular territories that would enable surgeons to perform rotati ... Full text Link to item Cite

Tibiofibular synostosis stress fracture: a case report.

Journal article Foot Ankle Int · July 2004 A case of tibiofibular synostosis stress fracture is reported with its clinical and radiographic appearance as well as treatment. ... Full text Link to item Cite

Ankle arthrodesis.

Journal article J Surg Orthop Adv · 2004 This review article deals with ankle fusions, their indications, preoperative assessment, surgical technique, and postoperative treatment along with a discussion of complications and long-term results. ... Link to item Cite

Ulnohumeral arthroplasty.

Journal article Iowa Orthop J · 2004 Seven patients underwent 9 ulnohumeral arthroplasties for degenerative arthritis of the elbow. At mean follow-up of 26 months, 5 elbows were pain free; two continued to cause mild pain and one to cause moderate pain. Extension improved from 22 degrees+/-8 ... Link to item Cite

Open calcaneal fractures: results of operative treatment.

Journal article J Orthop Trauma · January 2004 OBJECTIVE: To review our series of open calcaneal fractures compared with other series. DESIGN: Retrospective review. SETTING: All patients were treated at a single Level 1 trauma center. PATIENTS/PARTICIPANTS: We reviewed 19 consecutive patients, each wit ... Full text Link to item Cite

Lateral antebrachial cutaneous nerve compression

Journal article Chirurgie De La Main · January 1, 2004 Lateral antebrachial cutaneous nerve is the terminal sensory branch of the musculocutaneous nerve at the elbow. The compression of the lateral antebrachial cutaneous nerve by the deep fascia at the point of exit from the lateral biceps is presented. Sympto ... Full text Cite

Participation in sports after arthrodesis of the foot or ankle.

Journal article Foot Ankle Int · July 2002 Featured Publication Currently no data or guidelines exist for the surgeon on how to advise patients about returning to sports participation after arthrodesis within the foot or ankle. Sequelae of inappropriate activity after arthrodesis includes periarticular arthrosis, arthr ... Full text Link to item Cite

The transverse dorsal approach to the Lisfranc joint.

Journal article Foot Ankle Int · May 2002 Featured Publication While multiple longitudinal skin incisions can be utilized to visualize the joints of the midfoot, we feel that exposure can be difficult. Dorsal transverse and T incisions were undertaken to expose the tarsometatarsal joints (TMTJs) in 12 patients. Five o ... Full text Link to item Cite

Fractures of the elbow's lateral column radial head and capitellum.

Journal article Hand Clin · February 2002 Featured Publication Fractures of the lateral column of the elbow involve radial head fractures or capitellum fractures. As the biomechanics of the elbow have become better understood, the importance of the radiocapitellar joint in stabilizing the elbow has been emphasized. Pr ... Full text Link to item Cite

Total ankle arthroplasty.

Journal article J Am Acad Orthop Surg · 2002 Featured Publication First-generation total ankle arthroplaty designs had unacceptably high complication and failure rates compared with ankle arthrodesis. More recent prostheses have had encouraging intermediate results because of refined surgical techniques and improved desi ... Full text Link to item Cite

Measurement of the first/second intermetatarsal angle following proximal oblique metatarsal osteotomy.

Journal article Foot Ankle Int · January 2002 Featured Publication The radiographs of 21 consecutive patients who had undergone proximal oblique metatarsal osteotomy were reviewed. The first/second intermetatarsal and MP angles were measured before and after surgery using two different well-described methods. Values for e ... Full text Link to item Cite

Classification, investigation, and management of midfoot sprains: Lisfranc injuries in the athlete.

Journal article Am J Sports Med · 2002 Featured Publication BACKGROUND: Midfoot sprains in athletes represent a spectrum of injuries to the Lisfranc ligament complex, from partial sprains with no displacement to complete tears with frank diastasis. Treatment of these injuries varies from the treatment of high-veloc ... Full text Link to item Cite

History of orthopaedic education.

Journal article J South Orthop Assoc · 2002 Link to item Cite

Intramedullary screw fixation of Jones fractures.

Journal article Foot Ankle Int · July 2001 Featured Publication BACKGROUND: Jones fractures of the fifth metatarsal can be stabilized using intramedullary screw fixation techniques. A range of screw diameters from 4.5 mm to 6.5 mm can be used, but the optimal screw for this procedure has yet to be defined. In clinical ... Full text Link to item Cite

Treatment of stage 4 adult acquired flatfoot.

Journal article Foot Ankle Clin · March 2001 Featured Publication Stage 4 PTT dysfunction is a rare anatomic condition in which fixed hindfoot valgus is associated with valgus tilting of the talus within the ankle mortise. Success with nonoperative management is the exception rather than the rule. The surgical options ar ... Full text Link to item Cite

Fractures of the base of the fifth metatarsal: the Jones fracture.

Journal article Orthop Clin North Am · January 2001 Featured Publication The Jones fracture continues to be a problem fracture for the orthopedic surgeon and sports medicine physician. This injury seems to occur in athletes as well as nonathletes. The underlying inherent poor blood supply of the proximal metaphyseal diaphyseal ... Full text Link to item Cite

Outcome of subtalar arthrodesis after calcaneal fracture.

Journal article J South Orthop Assoc · 2001 Featured Publication Between 1983 and 1995, we used subtalar arthrodesis to treat 16 consecutive patients for continued pain after an intra-articular calcaneal fracture. Average time to union was 3 months (2 to 4 months). Complications were minor in 4 patients, and major in 4 ... Link to item Cite

Lateral antebrachial cutaneous neuropathy

Journal article Operative Techniques in Sports Medicine · January 1, 2001 Lateral antebrachial cutaneous neuropathy is an uncommon, but easily overlooked, cause of elbow pain in the throwing athlete. Compression of the lateral antebrachial cutaneous nerve by the biceps tendon occurs at the nerve's exit point from the brachial fa ... Full text Cite

Pregnancy-related avascular necrosis.

Journal article J Bone Joint Surg Am · October 2000 Full text Link to item Cite

Pregnancy-Related Avascular Necrosis

Journal article The Journal of Bone and Joint Surgery-American Volume · October 2000 Full text Cite

Ambulatory Continuous Perineural Infusion: Are We Ready?

Journal article Anesthesiology · August 1, 2000 Full text Cite

Ulnar nerve function following total elbow arthroplasty: a prospective study comparing preoperative and postoperative clinical and electrophysiologic evaluation in patients with rheumatoid arthritis.

Journal article J Hand Surg Am · March 2000 Featured Publication A study was conducted to determine the incidence of ulnar and peripheral neuropathy in patients with rheumatoid arthritis undergoing total elbow arthroplasty and the effect it has on ulnar nerve function after surgery. Preoperative and postoperative clinic ... Full text Link to item Cite

Fixation of three-part proximal humeral fractures: a biomechanical evaluation.

Journal article J Orthop Trauma · January 2000 Featured Publication OBJECTIVES: To examine the biomechanical stability of three constructs currently used for the management of three-part proximal humerus fractures. Tension band wires (TBW) with supplemental Enders nails, modified cloverleaf plate and screws, and intramedul ... Full text Link to item Cite

Transesophageal echocardiography in quantification of emboli during femoral nailing: reamed versus unreamed techniques.

Journal article J South Orthop Assoc · 2000 Featured Publication We quantified the embolic load to the lungs created with two different techniques of femoral nailing. Eleven patients with 12 traumatic femur fractures were randomized to reamed (7 fractures) and unreamed (5 fractures) groups. Intramedullary nailing was wi ... Link to item Cite

Delayed rupture of the flexor pollicis longus tendon after inappropriate placement of the pi plate on the volar surface of the distal radius.

Journal article J Hand Surg Am · November 1999 The pi plate (Synthes Ltd, Paoli, PA) was designed to fit the unique contour of the dorsal aspect of the distal radius. Complications of pi plate fixation of the dorsal distal radius have been previously reported to include both extensor tenosynovitis and ... Full text Link to item Cite

The MR imaging features of the posterior intermalleolar ligament in patients with posterior impingement syndrome of the ankle.

Journal article Skeletal Radiol · October 1999 OBJECTIVE: To describe the MR imaging features of the posterior intermalleolar ligament (IML) in patients with posterior impingement syndrome (PIS) of the ankle. DESIGN AND PATIENTS: Three patients (one male and two females, 13-25 years of age) are present ... Full text Link to item Cite

Risk of avulsion of the Achilles tendon after partial excision for treatment of insertional tendonitis and Haglund's deformity: a biomechanical study.

Journal article Foot Ankle Int · July 1999 Surgical treatment of posterior heel pain caused by insertional (calcific) Achilles tendonitis or retrocalcaneal bursitis includes resection of diseased tendon or exostectomy. Currently, no guidelines exist to determine how much tendon may be excised witho ... Full text Link to item Cite

Osteonecrosis of the femoral head associated with pregnancy. A preliminary report.

Journal article J Bone Joint Surg Am · June 1999 BACKGROUND: Osteonecrosis is usually associated with trauma, use of corticosteroids, or alcohol abuse. We investigated the rare association of osteonecrosis of the femoral head and pregnancy, and we defined differences between the disorder in pregnant wome ... Full text Link to item Cite

Heterotopic ossification complicating total elbow replacement in a patient with rheumatoid arthritis.

Journal article J South Orthop Assoc · 1999 Heterotopic ossification after total elbow replacement is a new complication. In this particular case, it resulted in severe limitation of motion. Excision of the heterotopic bone resulted in an excellent functional outcome for the patient. ... Link to item Cite

Median nerve palsy presenting as absent elbow flexion: a result of a ruptured pectoralis major to biceps tendon transfer.

Journal article J South Orthop Assoc · 1999 We describe a patient with a preexisting posttraumatic brachial plexopathy who had a complete high median nerve palsy due to rupture of the pectoralis major to biceps transfer near its distal insertion at the elbow region. ... Link to item Cite

Tibia and fibula fractures in soccer players.

Journal article Knee Surg Sports Traumatol Arthrosc · 1999 We performed a retrospective review of 31 athletes who sustained a fracture of the lower leg from a direct blow while playing soccer. Fifteen fractures involved both the tibia and fibula 11 only the tibia, and 5 only the fibula. Information was collected u ... Full text Link to item Cite

How to reduce the cost of hindfoot fusion.

Journal article Foot Ankle Int · November 1998 The purpose of this study was to determine whether modification of a surgical practice by using regional anesthesia and local bone grafting would yield the same surgical results as traditional anesthesia and iliac crest bone graft, with a cost reduction. A ... Full text Link to item Cite

Musculocutaneous nerve entrapment revisited.

Journal article J Shoulder Elbow Surg · 1998 Compression of the lateral cutaneous nerve of the forearm (LCNF), the distal sensory termination of the musculocutaneous nerve, can occur below the biceps aponeurosis, most commonly after strenuous elbow extension or forearm pronation. Between 1965 and 199 ... Full text Link to item Cite

Isolated paralysis of the extensor digitorum communis associated with the posterior (Thompson) approach to the proximal radius.

Journal article J Hand Surg Am · January 1998 Seven patients presented with an isolated extensor digitorum communis (EDC) palsy immediately after undergoing surgery in which the posterior (Thompson) approach to the proximal radius was used. All had normal neurologic examination findings documented pri ... Full text Link to item Cite

Compression neuropathies of the wrist and hand

Journal article Sports Medicine and Arthroscopy Review · January 1, 1998 In this review the authors cover compression neuropathies localized to the wrist and hand. Specifically, these include carpal tunnel syndrome, ulnar tunnel syndrome, Wartenberg's syndrome, distal posterior interosseous nerve syndrome, and bowler's thumb. F ... Full text Cite

A biomechanical comparison of intramedullary nail and crossed lag screw fixation for tibiotalocalcaneal arthrodesis.

Journal article Foot Ankle Int · October 1997 This study compared the mechanical bending and torsional properties of intramedullary nail fixation and lag screw fixation for tibiotalocalcaneal arthrodesis. Seven matched pairs of human cadaver lower extremities were studied, with one hindfoot in each pa ... Full text Link to item Cite

Treatment of segmental defects of the radius with use of the vascularized osteoseptocutaneous fibular autogenous graft.

Journal article J Bone Joint Surg Am · April 1997 Nine patients who had a complex, combined skeletal and soft-tissue defect involving the radius were managed with operative reconstruction with use of a vascularized osteoseptocutaneous fibular autogenous graft. All of the patients were male, and the averag ... Full text Link to item Cite

Stress fracture of the tibia after arthrodesis of the ankle or the hindfoot.

Journal article J Bone Joint Surg Am · April 1997 We studied twelve patients who had a stress fracture of the tibia and one patient who had a stress fracture of the fibula after arthrodesis of the ankle or the foot. A second stress fracture subsequently developed in two patients. All but two patients were ... Link to item Cite

Stress Fracture of the Tibia after Arthrodesis of the Ankle or the Hindfoot*

Journal article The Journal of Bone & Joint Surgery · April 1997 Full text Cite

Centrocentral anastomosis with autologous nerve graft treatment of foot and ankle neuromas.

Journal article Foot Ankle Int · February 1996 Painful neuromatas in the foot and around the ankle can be difficult to treat. Five patients of clinically and histologically proven neuromas underwent centrocentral union with autologous transplantation. Three patients had previous toe amputations involvi ... Full text Link to item Cite

Results of interfascicular nerve grafting for radial nerve lesions.

Journal article Microsurgery · 1996 During the 10 year interval 1979-1989, 20 patients underwent nerve grafting of a radial nerve lesion, 13 high radial and 7 posterior interosseous. Average follow-up was 38 months (range 12 months-10 years). Overall 72% of patients achieved a Highet Scale r ... Full text Link to item Cite

A nursing career leadership program.

Journal article Nurs Manage · September 1995 A three-level leadership track to parallel the clinical career ladder focuses on communication and interpersonal skills, professional, clinical and leadership experience, continuing education and leadership training. The program's success has led to career ... Link to item Cite

Fracture of a supracondylar humeral myositis ossificans.

Journal article J Orthop Trauma · June 1995 Although myositis ossificans is a well-known sequela of elbow trauma, reinjury to the affected region can also occur, resulting in acute symptoms from a fracture of the myositis ossificans. An 18-year-old man presented with localized pain, soft-tissue swel ... Full text Link to item Cite

The restoration of elbow flexion with intercostal nerve transfers.

Journal article Clin Orthop Relat Res · May 1995 Seventeen patients with absent elbow flexion secondary to brachial plexus avulsion injury underwent intercostal neurotization of the biceps muscle. Followup was performed at an average of 5 years. The average age in this series was 21.8 years; the mean tim ... Link to item Cite

Treatment of osteonecrosis of the femoral head with free vascularized fibular grafting. A long-term follow-up study of one hundred and three hips.

Journal article J Bone Joint Surg Am · May 1995 The results for 103 consecutive hips (eighty-nine patients) that had been treated with free vascularized fibular grafting because of symptomatic osteonecrosis of the femoral head were reviewed in a prospective study. The disease was associated with consump ... Full text Link to item Cite

Interlocked supracondylar intramedullary nails for supracondylar fractures after total knee arthroplasty. A new treatment method.

Journal article J Arthroplasty · February 1995 Supracondylar fractures in patients with total knee prostheses are challenging surgical problems for which there has been no single satisfactory method of management. The authors present four cases to show that a fully cannulated, closed-section, stainless ... Link to item Cite

Results after replantation and revascularization in the upper extremity in children.

Journal article J Bone Joint Surg Am · December 1994 The rates of survival of the amputated part and the functional outcomes were studied retrospectively after seventy-three replantations and eighty-nine revascularizations in the upper extremity in 120 children. All operations were performed between January ... Full text Link to item Cite

Fractures of the supracondylar process of the humerus.

Journal article J Hand Surg Am · November 1994 The supracondylar process of the humerus is a relatively rare but well-known anatomic variant that can be associated with other anomalies. While it usually remains clinically silent, the spur can be responsible for a wide spectrum of symptoms. We present 3 ... Full text Link to item Cite

Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes.

Journal article Foot Ankle Int · July 1994 Four rating systems were developed by the American Orthopaedic Foot and Ankle Society to provide a standard method of reporting clinical status of the ankle and foot. The systems incorporate both subjective and objective factors into numerical scales to de ... Full text Link to item Cite

A biomechanical comparative analysis of two techniques for tibiotalar arthrodesis.

Journal article Foot Ankle Int · June 1994 Two commonly used techniques for tibiotalar fusion were quantitatively compared using instrumented testing of the strength of the construct. The tibiae and tali from 10 pairs of fresh-frozen cadaveric limbs were used. One joint of each pair was fused using ... Full text Link to item Cite

Secondary reconstruction after vascularized fibular transfer.

Journal article J Bone Joint Surg Am · October 1993 We evaluated the results of skeletal reconstruction performed through a mature, vascularized fibular graft in five patients. The average time-interval between the original transplant and the secondary reconstruction was sixty-eight months. The indication f ... Full text Link to item Cite

The effect of upper extremity trauma on handedness.

Journal article Am J Occup Ther · September 1993 The effect of severe trauma on handedness was studied through patient responses from 146 questionnaires that were correlated with individual chart review. Subjects were asked to designate their hand use preference, before and after injury, when performing ... Full text Link to item Cite

The management of soft-tissue problems associated with calcaneal fractures.

Journal article Clin Orthop Relat Res · May 1993 Soft-tissue problems associated with fractures of the calcaneus are common and can present many pitfalls. A classification of soft-tissue problems has been devised to facilitate treatment: Type 1, closed fractures treated by open reduction and internal fix ... Link to item Cite

Distal forearm fractures in children. Complications and surgical indications.

Journal article Orthop Clin North Am · April 1993 Appropriate indications for operative management of pediatric distal forearm fractures include: 1. Compartment syndrome for fasciotomy. 2. Open fractures for irrigation and debridement. 3. Soft tissue/nerve entrapment. 4. Displaced intra-articular physeal ... Link to item Cite

Tibial nerve grafting for restoration of plantar sensation.

Journal article Foot Ankle · 1993 Five patients with a segmental loss of the tibial nerve and insensate plantar aspect of the foot were evaluated at an average of 5 years (2.5-9.5) postsural nerve grafting of the tibial nerve. Free-tissue transfer was required in three patients. The result ... Full text Link to item Cite

Free vascularized fibula in traumatic long bone defects and in limb salvaging following tumor resection: comparative study.

Journal article Microsurgery · 1993 In this retrospective analysis, we present our experience with two groups of patients who had long bone defects secondary to trauma or tumor resection and who were treated with a free vascularized fibular graft for skeletal reconstruction. Both groups were ... Full text Link to item Cite

Replantation proximal to the wrist.

Journal article Hand Clin · August 1992 Technical aspects of importance in replantation proximal to the wrist are somewhat different from those involved with digital replantation. Re-establishing blood flow rapidly by insertion of an arterial shunt, meticulous debridement, stable internal fixati ... Link to item Cite

Metatarsal lengthening by distraction osteogenesis: a report of two cases.

Journal article Foot Ankle · 1992 Two cases of lengthening of metatarsals by distraction osteogenesis are reported. One of these cases is an acquired deformity of the first metatarsal; the other is a congenital short fourth metatarsal. By following the principles set forth by Ilizarov, it ... Full text Link to item Cite

Direct end-to-end repair of flexor pollicis longus tendon lacerations.

Journal article J Hand Surg Am · January 1992 Between 1976 and 1986, 38 consecutive acute isolated flexor pollicis longus lacerations were repaired. This study excluded all replanted or mutilated digits and all lacerations with associated fracture. Average follow-up was 26 months. Tendon rehabilitatio ... Full text Link to item Cite

DIRECT END-TO-END REPAIR OF FLEXOR POLLICIS LONGUS TENDON LACERATIONS

Journal article JOURNAL OF HAND SURGERY-AMERICAN VOLUME · January 1, 1992 Link to item Cite

Biomechanical and functional testing of plate fixation devices for proximal phalangeal fractures.

Journal article J Hand Surg Am · November 1991 Functional testing in fresh cadaver digits of a dorsally applied mini-H plate, a mini-straight plate, and a laterally applied mini-condylar plate demonstrated that all three significantly reduce (p less than 0.2) simulated active PIP joint flexion. The min ... Full text Link to item Cite

Digital ranges of motion: normal values in young adults.

Journal article J Hand Surg Am · September 1991 Analysis of the range of motion of fingers was done in young (eighteen to thirty-five year old) adult volunteers with no history of previous injury to their hands. The data show that there are slight differences between the individual digits. Notably, meta ... Full text Link to item Cite

Analyzing pain in rheumatoid arthritis patients. Pain coping strategies in patients who have had knee replacement surgery.

Journal article Pain · August 1991 This study used the Coping Strategies Questionnaire (CSQ) to investigate pain coping strategies in 52 rheumatoid arthritis patients who reported having knee pain 1 year or more following knee replacement surgery. Data analysis revealed that, as a group, th ... Full text Link to item Cite

Tetracycline labeling of the femoral head following acute intracapsular fracture of the femoral neck.

Journal article Clin Orthop Relat Res · June 1991 The purpose of this study was to assess the utility of tetracycline hydrochloride (HCl) labeling of the femoral head following acute intracapsular fracture of the femoral neck to indirectly assess femoral head viability and vascularity. A standard labeling ... Link to item Cite

Rupture of the posterior tibial tendon associated with closed ankle fracture.

Journal article Foot Ankle · June 1991 Rupture of the posterior tibial tendon has rarely been associated with closed ankle fractures. All previous cases have been in association with pronation-external rotation type fractures in which the medial malleolus has been fractured. This case represent ... Full text Link to item Cite

Influences of the protected passive mobilization interval on flexor tendon healing. A prospective randomized clinical study.

Journal article Clin Orthop Relat Res · March 1991 A prospective multicenter clinical study was carried out to determine whether improved tendon gliding could be achieved with greater durations of daily passive-motion rehabilitation after flexor tendon repair. Fifty-one patients were placed randomly into t ... Link to item Cite

Replantation in children.

Journal article Microsurgery · 1991 The authors have replanted 162 parts in 120 children over the past 15 years. The youngest patient, undergoing successful replantation, was aged 7 months, 3 weeks. Unlike an adult, any child suffering a traumatic amputation should be considered for a possib ... Full text Link to item Cite

Occult orthopaedic trauma in the multiply injured patient.

Journal article J Orthop Trauma · 1991 A retrospective review of 111 multitrauma patients revealed that of 401 orthopaedic injuries, 24 injuries (6%) were not initially diagnosed in 20 patients. Patients with occult injuries tended to have greater overall trauma, as reflected by lower trauma an ... Full text Link to item Cite

Tibial nerve causalgia

Journal article Journal of the Japanese Orthopaedic Association · January 1, 1991 Cite

Repair of isolated axillary nerve lesions after infraclavicular brachial plexus injuries: case reports.

Journal article Neurosurgery · September 1990 Stretch injuries of the infraclavicular brachial plexus have a much better prognosis for spontaneous recovery than do their supraclavicular counterparts. We present three patients with stretch injuries of the infraclavicular brachial plexus who had spontan ... Full text Link to item Cite

Bone-grafting in total hip arthroplasty for protrusio acetabuli. A follow-up note.

Journal article J Bone Joint Surg Am · February 1990 The results of total hip arthroplasty with the use of medial and superior bone-graft augmentation in thirty-nine hips (thirty-two patients) that had protrusio acetabuli were previously reported after two to eight years (mean, 4.7 years) of follow-up. We fo ... Link to item Cite

Bone-grafting in total hip arthroplasty for protrusio acetabuli. A follow-up note.

Journal article The Journal of Bone & Joint Surgery · February 1990 Full text Cite

Pain coping skills training in the management of osteoarthritic knee pain: A comparative study

Journal article Behavior Therapy · January 1, 1990 The purpose of this study was to determine whether a cognitive-behavioral intervention designed to improve pain coping skills could reduce pain, physical disability, psychological disability, and pain behavior in osteoarthritic knee pain patients. Patients ... Full text Cite

Pain coping skills training in the management of osteoarthritic knee pain-II: Follow-up results

Journal article Behavior Therapy · January 1, 1990 This study examines six months follow-up data obtained from osteoarthritic knee pain patients participating in a study comparing pain coping skills training, arthritis education, and a standard care control condition. At the time of follow-up, patients rec ... Full text Cite

Reconstruction of tibial bone defects in tibial nonunion.

Journal article Microsurgery · 1990 The management of tibial nonunions with small and large bony defects is discussed. Factors that prevent union and techniques for eliminating or minimizing these factors are presented. ... Full text Link to item Cite

One hundred eleven thumb amputations: replantation vs revision.

Journal article Microsurgery · 1990 One hundred eleven patients who sustained isolated, complete thumb amputation between 1971 and 1985 were reviewed to assess results of replantation and to compare these with results of amputation revision. Routine postoperative evaluation was performed in ... Full text Link to item Cite

Quantitative analysis of cold stress performance after digital replantation.

Journal article J Orthop Res · January 1990 Isolated cold stress testing (ICST) has been used to assess cold stress performance or digital thermoregulation, but statistical analysis of the results has been limited to visual comparisons of data. In this prospective study, 11 patients who underwent co ... Full text Link to item Cite

Magnetic resonance imaging of the femoral head after acute intracapsular fracture of the femoral neck.

Journal article J Bone Joint Surg Am · January 1990 In fifteen patients who had a subcapital fracture of the femoral neck (twelve displaced fractures and three non-displaced fractures), magnetic resonance imaging of the femoral head was done with two-dimensional Fourier transform spin-echo technique within ... Link to item Cite

Management of severe musculoskeletal injuries of the upper extremity.

Journal article J Orthop Trauma · 1990 Limb salvage was successful in 25 patients treated for severe grade III upper extremity injuries. In a retrospective review of 20 men and five women, follow-up time averaged 26 months. These high-energy injuries were characterized by massive soft-tissue in ... Link to item Cite

Nerve transposition for the restoration of elbow flexion following brachial plexus avulsion injuries.

Journal article J Neurosurg · January 1990 Despite technical advances, the ability to restore motor function following a brachial plexus avulsion is limited. Twenty patients who suffered the loss of elbow flexion following a brachial plexus avulsion injury underwent a neurotization procedure in an ... Full text Link to item Cite

MAGNETIC-RESONANCE-IMAGING OF THE FEMORAL-HEAD AFTER ACUTE INTRACAPSULAR FRACTURE OF THE FEMORAL-NECK

Journal article JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME · January 1990 Full text Link to item Cite

Intra-articular talar fractures: repair using the Herbert bone screw.

Journal article Foot Ankle · October 1989 Intra-articular fractures of the talus remain a problem because of the difficulty in achieving and maintaining anatomic reduction, and because of the risk of degenerative arthritis of the hindfoot if such reduction is not achieved. We report our experience ... Full text Link to item Cite

The Grice procedure. Extra-articular subtalar arthrodesis.

Journal article Orthop Clin North Am · October 1989 The Grice procedure is an extra-articular arthrodesis of the subtalar joint performed through a lateral approach using a corticocancellous bone graft. It is useful in multiple hindfoot deformities, especially in the growing child, in whom its use allows fo ... Link to item Cite

Use of the anterior branch of the medial antebrachial cutaneous nerve as a graft for the repair of defects of the digital nerve.

Journal article J Bone Joint Surg Am · April 1989 Using the anterior branch of the medial antebrachial cutaneous nerve, grafting was performed on twenty-one digital nerves. The goal of the procedure was to repair a traumatic defect of greater than one centimeter in the digital nerves of fourteen patients. ... Link to item Cite

Dysphagia due to diffuse idiopathic skeletal hyperostosis.

Journal article Am Fam Physician · April 1989 Although diffuse idiopathic skeletal hyperostosis generally affects the lumbar spine, any segment of the spine may be involved. When the cervical spine is affected, dysphagia may occur. Diabetes mellitus is commonly present. A history of previous cervical ... Link to item Cite

Digital replantation at the level of the distal interphalangeal joint and the distal phalanx.

Journal article J Hand Surg Am · March 1989 Forty-two complete, single digit amputations at the level of the distal interphalangeal joint or distal phalanx are reviewed. Viability was 81%. Operative time averaged 4.6 hours. Average age of patients was 28 years and 90% were male. Forty-eight percent ... Full text Link to item Cite

Variations in two-point discrimination as a function of terminal probes.

Journal article Microsurgery · 1989 A study was designed to investigate the role of terminal probes as determinates of two-point discrimination in the normal hand. A Vernier caliper was modified to allow an exchange of probes with different diameters and with different terminal shapes. These ... Full text Link to item Cite

Digital replantation.

Journal article Surg Annu · 1989 Link to item Cite

Effect of hyaluronic acid/chondroitin sulfate on healing of full-thickness tendon lacerations in rabbits.

Journal article J Orthop Res · 1989 Viscoat, a high-molecular-weight, highly purified hyaluronic acid (HA) and chondroitin sulfate (CS) compound, was instilled around rabbit plantaris tendon following full-thickness laceration and surgical repair. After 3 weeks of immobilization, no signific ... Full text Link to item Cite

Immunohistologic analysis of the distribution of cell adhesion molecules within the inflammatory synovial microenvironment.

Journal article Arthritis Rheum · January 1989 Antigen-independent binding of T lymphocytes to a variety of cell types has been shown to be mediated by receptor-ligand pairs of adhesion molecules. In forms of inflammatory synovitis (including rheumatoid arthritis), T cells home to synovium, become acti ... Full text Link to item Cite

RAILROAD RELATED INJURIES - THEIR ORTHOPEDIC EVALUATION, MANAGEMENT, AND OUTCOME

Journal article SOUTHERN MEDICAL JOURNAL · September 1, 1988 Link to item Cite

Synovial microenvironment-T cell interactions. Human T cells bind to fibroblast-like synovial cells in vitro.

Journal article Arthritis Rheum · August 1988 Synovitis in rheumatoid arthritis is characterized by infiltration of the synovium by T and B lymphocytes and monocytes, as well as by the proliferation of synovial lining cells, fibroblasts, and endothelial cells. To study synovial cell-T cell interaction ... Full text Link to item Cite

Treatment of Aseptic Necrosis of the Femoral Head by Free Vascularized Fibular Graft

Journal article Journal of Bone and Joint Surgery, American Volume · 1988 Cite

Management of Severe Musculoskeletal Injuries of the Upper Extremity

Journal article Journal of Bone and Joint Surgery, American Volume · 1988 Cite

Concomitant fractures of the capitellum and radial head.

Journal article J Orthop Trauma · 1988 Seven cases of coexisting capitellum and radial head fractures are reported. Our best results were obtained when early open reduction and internal fixation (ORIF) of the larger, more suitable fracture was combined with excision of the smaller fracture frag ... Full text Link to item Cite

Microvascular replantation in a seven-month-old girl: a case report.

Journal article Microsurgery · 1988 Replantation of an amputated digit in a child demands special techniques for success. Our experiences with replantation in this age group have shown that although these patients have a lower viability rate after digital replantation, those digits that do s ... Full text Link to item Cite

Effects of ankle taping on the motion and loading pattern of the foot for walking subjects.

Journal article J Orthop Res · 1988 Gait analysis was used to compare the ground reaction forces, ankle and foot rotations in the sagittal plane, and the center of pressure pattern beneath the right feet of seven normal subjects walking barefoot, with and without their right ankles taped in ... Full text Link to item Cite

Bilateral silicone induced synovitis of the wrist.

Journal article J Rheumatol · December 1987 Silicone induced synovitis is a rare, but well reported complication of implant surgery for rheumatoid disease and osteoarthritis (OA). Although familiar to the orthopedists and particularly the hand surgeons, this clinical entity deserves greater attentio ... Link to item Cite

Demographics and replantation.

Journal article J Hand Surg Am · September 1987 We reviewed demographic data on 761 patients who had one or more amputated parts replanted at Duke University Medical Center between 1972 and 1984 to learn more about the population that sustained amputation and replantation. Ninety-four percent were from ... Full text Link to item Cite

PRELIMINARY-RESULTS OF POROUS COATED ANATOMIC UNCEMENTED TOTAL HIP REPLACEMENTS

Journal article SOUTHERN MEDICAL JOURNAL · September 1, 1987 Link to item Cite

Pain coping strategies in osteoarthritis patients.

Journal article J Consult Clin Psychol · April 1987 Full text Link to item Cite

Osteoarthritic knee pain: a behavioral analysis.

Journal article Pain · March 1987 This study used behavioral assessment techniques to analyze pain in osteoarthritis (OA) patients. Eighty-seven OA patients having chronic knee pain served as subjects. Pain behavior was evaluated using a standard observation method and functional impairmen ... Full text Link to item Cite

Longitudinal epiphyseal growth after replantation and transplantation in children.

Journal article J Hand Surg Am · March 1987 Previous investigators have shown that epiphyses are unlikely to grow after free grafting although there have been rare reports of good and even normal growth. However, growth has usually continued whenever the epiphyseal vascular supply has been maintaine ... Full text Link to item Cite

Arterial stump pressure: a determinant of arterial patency?

Journal article J Hand Surg Am · March 1987 Twenty-seven patients with acute injuries to the radial or ulnar arteries had arterial repairs using microvascular techniques. No patient had an ischemic hand secondary to his arterial injury. The overall patency rate for all repaired vessels was 56%. For ... Full text Link to item Cite

Congenital arteriovenous malformation of the hand.

Journal article Orthop Rev · January 1987 A congenital arteriovenous malformation of the hand occurred in a 39-year-old woman. Review of the literature reveals that this presents a challenging therapeutic problem. A case report is presented, along with a review of the laboratory assessment and tre ... Link to item Cite

The wraparound procedure for thumb and finger reconstruction.

Journal article Microsurgery · 1987 Nineteen thumb and finger reconstructions were performed using the wraparound procedure; there were five early arterial failures. Thirteen of the 14 successful digital reconstructions were reviewed at an average of 26 months after surgery. There were compl ... Full text Link to item Cite

Skeletal fixation in digital replantation. Use of the "H" plate.

Journal article Clin Orthop Relat Res · January 1987 Many forms of bone fixation have been advocated for use in digital replantation, and successful series have been reported using such methods as intramedullary Kirschner-wire fixation, crossed Kirschner-wires, bone pegs, double-headed screws, and bone plate ... Link to item Cite

Compressive fixation of osteochondritis dissecans fragments with Herbert screws.

Journal article J Orthop Trauma · 1987 Current methods of fixation of femoral osteochondritic fragments do not provide rigid enough stabilization to allow early postoperative motion. We describe a technique using Herbert screws in a patient to secure a large unstable medial condylar fragment. A ... Full text Link to item Cite

Thermoregulatory control after upper extremity replantation.

Journal article J Hand Surg Am · July 1986 Four patients with complete forearm amputations between the wrist and elbow were analyzed prospectively to determine the interrelationships of thermoregulation to pain, cold intolerance, arterial integrity, venous competence, motor nerve recovery, sensory ... Full text Link to item Cite

Knee flexion contractures in myelodysplasia.

Journal article South Med J · July 1986 From 1976 to 1982, 12 children with myelodysplasia had surgery at our institution for knee flexion contractures (21 affected knees). Follow-up was a minimum of 18 months and averaged 47 months. Soft tissue lengthening of the hamstring tendons and release o ... Full text Link to item Cite

Management of Severe Open Extremity Fractures

Journal article Journal of Bone and Joint Surgery, American Volume · 1986 Cite

Avascular Necrosis of the Femoral Head Treated by Vascularized Fibular Graft.

Journal article Journal of Bone and Joint Surgery, American Volume · 1986 Cite

Occult carpal pathology: tomographic evaluation.

Journal article Skeletal Radiol · 1986 Pluridirectional tomography in coronal and sagittal planes has been used to identify occult carpal pathology in 23 patients with chronic wrist pain following recent or remote trauma. The tomographic studies have detected or further defined the carpal patho ... Full text Link to item Cite

21 SEVERE OPEN TIBIAL FRACTURES TREATED BY FREE TISSUE TRANSFER

Journal article JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME · January 1, 1986 Link to item Cite

Microscopes and microinstruments.

Journal article Hand Clin · May 1985 This article outlines the basic physical principles of the operating microscope; in addition, it provides up-to-date, "state of the art" information of microinstruments. ... Link to item Cite

Thumb reconstruction by the wrap-around method.

Journal article Clin Orthop Relat Res · May 1985 Reconstruction of a thumb amputated distal to the metacarpophalangeal joint can be accomplished by the "wrap-around" procedure. The operative procedure calls for an iliac crest graft to replace the bone of the amputated thumb. A flap from the great toe wit ... Link to item Cite

The results of replantation after amputation of a single finger.

Journal article J Bone Joint Surg Am · April 1985 We reviewed fifty-nine consecutive cases of patients who had replantation of a single finger (excluding the thumb) after traumatic amputation, with an average follow-up of fifty-three months. Fifty-one (86 per cent) of the replanted fingers survived. Survi ... Link to item Cite

Digital Replantation at the Level of the DIP joint and Distal Phalanx

Journal article Journal of Bone and Joint Surgery, American Volume · 1985 Cite

Twenty-One Severe Open Tibial Fractures Treated by Free Tissue Transfer

Journal article Journal of Bone and Joint Surgery, American Volume · 1985 Cite

Carpal ligamentous disruptions and negative ulnar variance.

Journal article Skeletal Radiol · 1985 Negative ulnar variance is a condition in which the ulna is relatively shorter than the radius at the carpus. It was found in 21% of 203 normal wrists. We have observed an increased incidence (49%) of this anomaly in patients with carpal ligamentous instab ... Full text Link to item Cite

THE RESULTS OF REPLANTATION AFTER AMPUTATION OF A SINGLE FINGER

Journal article JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME · 1985 Full text Link to item Cite

SINGLE FINGER REPLANTATION

Journal article JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME · January 1, 1985 Link to item Cite

THE RESULT OF FREE TISSUE TRANSFER IN THE MANAGEMENT OF LOWER-EXTREMITY TRAUMA

Journal article JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME · January 1, 1985 Link to item Cite

Metacarpal reconstruction with free autogenous cartilage and bone following tumor resection. A case report.

Journal article Clin Orthop Relat Res · November 1984 A 26-year-old woman with a giant cell tumor of the metacarpal bone of the index finger was treated by en bloc resection and metacarpal reconstruction. A free autogenous iliac crest bone graft was used to reconstruct the metacarpal and a free autogenous cos ... Link to item Cite

Isolated cold stress testing in the assessment of symptoms in the upper extremity: preliminary communication.

Journal article J Hand Surg Am · May 1984 Isolated cold stress testing is introduced as a method for quantification of thermoregulatory capacity of the upper extremities. Ninety-six patients with pain, numbness, or cold intolerance were studied. All diagnoses were confirmed by operation, arteriogr ... Full text Link to item Cite

Computed tomography of axial skeletal osteoid osteomas.

Journal article AJR Am J Roentgenol · April 1984 Five cases of axial skeletal osteoid osteomas were viewed with particular attention to the role of computed tomography (CT) as a key diagnostic tool in the evaluation of osteoid osteoma. The complex anatomy of the axial skeleton can make the diagnosis of o ... Full text Link to item Cite

Dynamic radionuclide imaging as a means of evaluating vascular perfusion of the upper extremity: a preliminary report.

Journal article J Hand Surg Am · July 1983 Vascular competence in the upper extremities of 44 patients was evaluated by three-phase bone scans consisting of rapid sequence dynamic radionuclide imaging (DRI), an immediate postinjection "blood pool" image, and a 3- to 4-hour delayed image. Findings w ... Full text Link to item Cite

COMPUTED TOMOGRAPHY OF AXIAL SKELETON OSTEOIO OSTEOMAS

Journal article Investigative Radiology · July 1983 Full text Cite

Should a Single Amputated Finger Be Replanted?

Journal article Journal of Bone and Joint Surgery, American Volume · 1983 Cite

A Ten Year Experience with Replantation of Amputated Extremities

Journal article Journal of Bone and Joint Surgery, American Volume · 1983 Cite

Lateral talocalcaneal angle in assessment of subtalar valgus: follow-up of seventy Grice-Green arthrodeses.

Journal article Foot Ankle · 1983 To determine whether definitive radiographic criteria could be elucidated for the Grice-Green extra-articular subtalar arthrodesis, all 70 cases performed at the Shriner's Hospital for Crippled Children, Erie, Pennsylvania, from 1972 to 1980 were reviewed. ... Full text Link to item Cite

Treatment of isolated fractures of the shaft of the ulna.

Journal article Orthopedics · December 1982 One hundred and two cases of isolated fracture of the shaft of the ulna were treated in a prospective manner. Ninety-nine fractures were closed, and three were open. No fracture was manipulated; all patients were treated in below elbow plaster casts. The a ... Full text Link to item Cite

Pyogenic arthritis: emphasis on the need for surgical drainage of the infected joint.

Journal article South Med J · October 1982 A ten-year retrospective review of patients with acute hematogenous pyogenic arthritis at the Duke University Medical Center yielded 14 affected joints in the pediatric group and 32 in adults. Follow-up ranged from six months to eight years. Analysis of fa ... Link to item Cite

Compression of the musculocutaneous nerve at the elbow.

Journal article J Bone Joint Surg Am · September 1982 From 1965 to 1981, eleven patients with compression of the sensory portion of the musculocutaneous nerve by the biceps aponeurosis and tendon were seen at Duke University Medical Center and followed until the completion of treatment. Four patients responde ... Link to item Cite

The vascularized cutaneous scapular flap.

Journal article Plast Reconstr Surg · May 1982 Five cases of cutaneous free tissue transfer using the cutaneous and circumflex scapular vessels are presented. The free scapular flap is an excellent choice when intermediate-sized (6 to 10 by 10 to 16 cm) uninnervated flap coverage is necessary and canno ... Full text Link to item Cite

The results of radial and ulnar arterial repair in the forearm. Experience in three medical centers.

Journal article J Bone Joint Surg Am · March 1982 Sixty-two patients with ninety injuries to the radial or the ulnar artery, or to both of these arteries, had arterial repairs using microvascular techniques in three medical centers. Twenty-six of the twenty-eight patients who had an ischemic hand secondar ... Link to item Cite

The Free Vascularized Scapular Flap. Ortho. Transactions.

Journal article Journal of Bone and Joint Surgery, American Volume · 1982 Cite

The results of radial and ulnar arterial repair in the forearm

Journal article Journal of Bone and Joint Surgery Series A · January 1, 1982 Sixty-two patients with ninety injuries to the radial or the ulnar artery, or to both of these arteries, had arterial repairs using microvascular techniques in three medical centers. Twenty-six of the twenty-eight patients who had an ischemic hand secondar ... Full text Cite

A 10 YEAR EXPERIENCE WITH REPLANTATION OF AMPUTATED HANDS AND DIGITS

Journal article JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME · January 1, 1982 Link to item Cite

Arterial shunting as an adjunct to major limb revascularization.

Journal article Ann Surg · March 1981 Temporary arterial and venous shunting has been employed to reduce warm ischemia in major limb replantation and revascularization on eight occasions. This has allowed identification of vital structures, thorough debridement, and rigid internal or external ... Full text Link to item Cite

Bone-grafting in total hip replacement for acetabular protrusion.

Journal article J Bone Joint Surg Am · October 1980 Since 1971 we have used homologous and autogenous bone grafts to reinforce the medial acetabular wall when doing a total hip replacement in patients with painful protrusio acetabuli. Thirty-two patients have been followed for a minimum of two years, the lo ... Link to item Cite

Characterization of Immobilized β-N-Acetylhexosaminidase1

Journal article Analytical Letters · January 1, 1977 The properties of β -N -acetylhexosaminidase chemically bound to Sepharose 4B were determined and compared to those of the soluble enzyme. External diffusion effects on the kinetics of the immobilized enzyme were eliminated by assaying in a recirculation r ... Full text Cite

A new design for an implantable hearing aid.

Journal article Biomed Sci Instrum · May 3, 1976 Link to item Cite

A new design for an implantable hearing aid.

Journal article ISA Trans · 1976 There have been attempts to design a totally implantable hearing aid but, so far, the devices described in the literature have had various disadvantages. This paper describes a new type of hearing aid that is being implanted and tested in chinchillas. This ... Link to item Cite