Scholars@Duke
Jonathan Robert Manning Kaplan

Jonathan Robert Manning Kaplan

Associate Professor of Orthopaedic Surgery
Orthopaedic Surgery

Selected Publications

Outcomes After Percutaneous Zadek Osteotomy for Insertional Achilles Tendinopathy.

Journal Article Foot Ankle Int · September 2024 BACKGROUND: Surgical treatment of insertional Achilles tendinopathy (IAT) historically consists of Achilles tendon debridement with reattachment and excision of the posterosuperior calcaneal prominence with or without a gastrocnemius recession. Zadek osteo ... Full text Link to item Cite

Dorsal calcaneal wedge removal in zadek osteotomy: A cadaveric study.

Journal Article Foot Ankle Surg · August 2024 BACKGROUND: Insertional Achilles tendinopathy (IAT) is a common pathology with multiple surgical interventions available for treatment. The Zadek, dorsal closing wedge calcaneal osteotomy (ZO) has been demonstrated to be effective treatment of IAT. There h ... Full text Link to item Cite

Minimally invasive Dorsal cheilectomy and Hallux metatarsophalangeal joint arthroscopy for the treatment of Hallux Rigidus.

Journal Article Foot Ankle Surg · July 2024 BACKGROUND: Minimally invasive dorsal cheilectomy (MIDC) has become a popular alternative to an open approach for treating Hallux Rigidus (HR). To reduce some of the complications related to the MIDC approach, a first metatarsophalangeal (MTP) joint arthro ... Full text Link to item Cite

The surgical learning curve for percutaneous Zadek osteotomy for treatment of insertional achilles tendinopathy.

Journal Article Arch Orthop Trauma Surg · July 2024 INTRODUCTION: The Zadek Osteotomy has been described as an effective technique for the treatment of insertional Achilles tendinopathy. Recently, this strategy has been modified using minimally invasive techniques. A learning curve has been observed in many ... Full text Link to item Cite

Subtalar Osteochondral Lesions: Diagnosis, Indications, and Prognosis.

Journal Article Foot Ankle Clin · June 2024 Although most commonly found in the knee, elbow, and talar dome, osteochondral lesions can also be found in the subtalar joint and can occur due to either high or low energy trauma. Diagnosis of these lesions in the subtalar joint is typically confirmed wi ... Full text Link to item Cite

Fantasy football points capture performance declines in National Football League offensive skill players following an ankle injury.

Journal Article J Orthop · June 2024 BACKGROUND: The ankle is one of the anatomic sites most frequently injured in National Football League (NFL) players. Ankle injuries have previously been shown to have long-lasting negative impacts, and have been associated with impaired athletic performan ... Full text Link to item Cite

Percutaneous vs Open Zadek Osteotomy for Treatment of Insertional Achilles Tendinopathy and Haglund's Deformity: A Systematic Review.

Journal Article Foot Ankle Orthop · April 2024 BACKGROUND: Percutaneous Zadek osteotomy (ZO) has emerged as a surgical treatment of insertional Achilles tendinopathy (IAT) over the last decade. Existing literature is limited regarding the comparison of this approach with the more established, open ZO t ... Full text Link to item Cite

Academic productivity correlates with industry earnings in foot and ankle fellowship programs in the United States: A retrospective analysis.

Journal Article World J Orthop · February 18, 2024 BACKGROUND: The study investigates the connection between academic productivity and industry earnings in foot and ankle orthopedic surgery fellowships. Utilizing metrics like the H-index and Open Payments Database (OPD) data, it addresses a gap in understa ... Full text Link to item Cite

Risk Factors for Nonunion Following Ankle Arthrodesis: A Systematic Review and Meta-analysis.

Journal Article Foot Ankle Spec · February 2023 BACKGROUND: Nonunion is a postoperative complication after ankle arthrodesis (AA), which leads to increased morbidity and revision rates. Previous studies have identified risk factors for nonunion following AA, but no meta-analysis has been performed to st ... Full text Link to item Cite

Patients With Opioid Use Disorder Have Increased Readmission Rates, Emergency Room Visits, and Costs Following a Hallux Valgus Procedure.

Journal Article Foot Ankle Spec · August 2022 BACKGROUND: Patients with a history of opioid use disorder (OUD) tend to have more complications, higher readmission rates, and increased costs following orthopaedic procedures. This study evaluated patients undergoing hallux valgus correction for their od ... Full text Link to item Cite

Achilles Injury and Access to Care in South Florida.

Journal Article Foot Ankle Spec · April 2022 Introduction. Despite the amount of orthopaedic research evaluating access to care based on insurance status, no study quantifies the effects of insurance status on the care of acute Achilles tendon ruptures. Methods. Using Current Procedural Terminology c ... Full text Link to item Cite

The STAMP Test: A Novel Clinical Test in Diagnosing Achilles Tendon Ruptures

Journal Article Foot and Ankle Orthopaedics · January 1, 2022 Full text Cite

Risk factors for nonunion following tibiotalocalcaneal arthrodesis: A systematic review and meta-analysis.

Journal Article Foot Ankle Surg · January 2022 BACKGROUND: The goal of this study is to review the literature to identify risk factors for nonunion after tibiotalocalcaneal arthrodesis (TTCA) and stratify them based on strength of evidence. METHODS: Five databases were searched from inception to May 17 ... Full text Link to item Cite

Performance Outcomes After Surgical Repair of Achilles Tendon Rupture in the Women's National Basketball Association.

Journal Article Orthop J Sports Med · September 2021 BACKGROUND: Achilles tendon ruptures are devastating in elite athletes. There are currently no studies examining the effects of Achilles tendon rupture on performance outcomes in the Women's National Basketball Association (WNBA). HYPOTHESIS: Athletes in t ... Full text Link to item Cite

Medical Student Mentorship in Orthopaedic Surgery.

Journal Article J Am Acad Orthop Surg · August 15, 2021 Mentorship is a key aspect of medical education, but the availability and quality of mentorship varies considerably between institutions. The lack of standardization results in information asymmetry and creates notable inequities. This disparity is particu ... Full text Link to item Cite

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

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

Effect of Achilles Tendon Repair on Performance Outcomes After Return to Play in National Collegiate Athletic Association Division I Basketball Athletes.

Journal Article Orthop J Sports Med · June 2021 BACKGROUND: Achilles tendon (AT) ruptures are devastating injuries that are highly prevalent among athletes. Despite our understanding of the effect of AT rupture and in particular its relationship to basketball, no study has examined the effects of AT rup ... Full text Link to item Cite

The Influence of Opioid Use Disorder on Open Reduction and Internal Fixation Following Ankle Fracture.

Journal Article Foot Ankle Spec · June 2021 BACKGROUND: Ankle fractures are common and may require open reduction and internal fixation (ORIF). Literature is scarce evaluating the associations of opioid use disorder (OUD) with ORIF postoperative outcomes. This study investigates whether OUD patients ... Full text Link to item Cite

Minimally Invasive Dorsal Cheilectomy and Hallux Metatarsal Phalangeal Joint Arthroscopy for the Treatment of Hallux Rigidus.

Journal Article Foot Ankle Orthop · January 2021 BACKGROUND: Hallux rigidus (HR) is a common source of forefoot pain and disability. For those who fail nonoperative treatment, minimally invasive dorsal cheilectomy (MIDC) is an increasingly popular alternative to the open approach with early positive resu ... Full text Link to item Cite

The Impact of COVID-19 on the Orthopaedic Surgery Residency Application Process.

Journal Article J Am Acad Orthop Surg · August 1, 2020 Over recent months, coronavirus disease 2019 (COVID-19) has swept the world as a global pandemic, largely changing the practice of medicine as it was previously known. Physician trainees have not been immune to these changes-uncertainty during this time is ... Full text Link to item Cite

Consumer Prices for Surgical Management of End-Stage Hallux Rigidus.

Journal Article Foot Ankle Spec · August 2020 Background. Hallux rigidus is the most prevalent arthritic condition of the foot. Treatment of end-stage disease traditionally consists of a first metatarsophalangeal joint (MTPJ) arthrodesis; however, the use of a synthetic cartilage implant is becoming m ... Full text Link to item Cite

Intra-articular Calcaneus Fractures: Current Concepts Review.

Journal Article Foot Ankle Orthop · July 2020 Calcaneal fractures are the most common fracture of the tarsal bones and represent 1% to 2% of all fractures. Roughly 75% of these fractures include intra-articular involvement of the posterior facet of the calcaneus. Intra-articular calcaneal fractures ar ... Full text Link to item Cite

Factors influencing treatment recommendations for base of 5th metatarsal fractures in orthopaedic residency programs.

Journal Article Foot Ankle Surg · June 2020 BACKGROUND: Management of proximal 5th metatarsal fractures remains a controversial topic in orthopaedic surgery. Both operative and non-operative approaches have been described in the clinical setting. This confusion has led to non-standardized treatment ... Full text Link to item Cite

Unifying the Orthopaedic Surgery Residency Application Process Under a Single Accreditation System: A Primer.

Journal Article J Am Acad Orthop Surg · April 1, 2020 In 2020, the Accreditation Council for Graduate Medical Education and the American Osteopathic Association will merge creating a single accreditation system for graduate medical education in the United States under the National Residency Match Program. The ... Full text Link to item Cite

Diagnosis of Traumatic Ankle Arthrotomies Using Saline Load Tests, Methylene Blue, and Radiopaque Tracer: A Cadaveric Study.

Journal Article Foot Ankle Orthop · January 2020 BACKGROUND: The objective of this study was to define the volume (mLs) needed for a positive saline load challenge test in anterolateral (AL), anteromedial (AM), posterolateral (PL), or posteromedial (PM) ankle arthrotomy wounds using normal saline (NS) an ... Full text Link to item Cite

The Effect of Obesity on Achilles Rupture Repair.

Journal Article Foot Ankle Spec · December 2019 Introduction. Obesity is an increasingly common comorbidity that may negatively affect outcomes following orthopaedic surgery. It is valuable to determine whether obese patients are vulnerable for postoperative complications. The purpose of this study was ... Full text Link to item Cite

A Modification of the Fibular Osteotomy for Total Ankle Replacement Through the Lateral Transfibular Approach.

Journal Article J Bone Joint Surg Am · November 20, 2019 BACKGROUND: One disadvantage of lateral transfibular total ankle arthroplasty is the rate of symptoms related to the implant and wound issues requiring implant removal in association with the traditional fibular osteotomy. In the present study, lateral tot ... Full text Link to item Cite

Consumer Prices for Surgical Management of Ankle Arthritis: Limited Availability and Wide Variability.

Journal Article J Am Acad Orthop Surg Glob Res Rev · July 2019 BACKGROUND: Healthcare costs for the surgical management of ankle arthritis continue to rise. Patients are generally unaware of the prices of the services they use. Understanding the costs associated with surgical management of ankle arthritis is an import ... Full text Link to item Cite

During Draping for Total Ankle Arthroplasty (TAA), Should the Foot Be Prepped Into the Surgical Field or Be Covered?

Journal Article Foot Ankle Int · July 2019 RECOMMENDATION: There is insufficient data demonstrating any advantage or disadvantage to covering the toes during total ankle arthroplasty (TAA). LEVEL OF EVIDENCE: Moderate. DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Cons ... Full text Link to item Cite

Should Routine Methicillin-Resistant Staphylococcus aureus (S. aureus), or MRSA, Screening Be in Place Prior to Total Ankle Arthroplasty (TAA)?

Journal Article Foot Ankle Int · July 2019 RECOMMENDATION: Unknown. The role of screening for methicillin-resistant Staphylococcus aureus (MRSA) and decolonization prior to total ankle arthroplasty (TAA) remains unclear. Further data are needed to support this practice in TAA, which can be costly a ... Full text Link to item Cite

Does Deep Chronic Infection After Total Ankle Arthroplasty (TAA) Require Implant Removal?

Journal Article Foot Ankle Int · July 2019 RECOMMENDATION: Yes. Deep chronic infection after total ankle arthroplasty (TAA) requires implant removal unless otherwise contraindicated. LEVEL OF EVIDENCE: Strong. DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus). ... Full text Link to item Cite

Management of Isolated Lateral Malleolus Fractures.

Journal Article J Am Acad Orthop Surg · January 15, 2019 Isolated lateral malleolus fractures represent one of the most common injuries encountered by orthopaedic surgeons. Nevertheless, appropriate diagnosis and management of these injuries are not clearly understood. Ankle stability is maintained by ligamentou ... Full text Link to item Cite

Subfibular impingement: Current concepts, imaging findings and management strategies

Journal Article Current Orthopaedic Practice · January 1, 2019 Subfibular impingement is one cause of extraarticular ankle impingement characterized by pain in the lateral aspect of the hindfoot. Associated with severe hindfoot deformity, subfibular impingement can be secondary to posterior tibial tendon dysfunction, ... Full text Cite

AOFAS Position Statement Regarding Patient-Reported Outcome Measures.

Journal Article Foot Ankle Int · December 2018 Outcome measures evaluate various aspects of patient health, and when appropriately utilized can provide valuable information in both clinical practice and research settings. The orthopedic community has placed increasing emphasis on patient-reported outco ... Full text Link to item Cite

Operative Treatment of the Cavovarus Foot.

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

Ankle Arthroscopy

Chapter · 2018 Cite

Management of acute injuries of the tibiofibular syndesmosis.

Journal Article Eur J Orthop Surg Traumatol · May 2017 The syndesmosis is important for ankle stability and load transmission and is commonly injured in association with ankle sprains and fractures. Syndesmotic disruption is associated with between 5 and 10% of ankle sprains and 11-20% of operative ankle fract ... Full text Link to item Cite

Adult-acquired flatfoot deformity.

Journal Article Eur J Orthop Surg Traumatol · May 2017 Adult-acquired flatfoot deformity (AAFD) is a known and recognized cause of pain and disability. Loss of PTT function is the most important contributor to AAFD, and its estimated prevalence is thought to be over 3%. This review aims to summarize the curren ... Full text Link to item Cite

Evolution of Tendon Transfer to Allograft Reconstruction in Foot and Ankle Surgery

Journal Article Techniques in Foot and Ankle Surgery · January 1, 2017 Over the past several years, tendon transfers have been used to help correct deformity in a variety of clinical situations. Commonly, transfers are often used for addressing diseased tendons, including the anterior tibialis tendon, the Achilles tendon, the ... Full text Cite

Müller-Weiss Syndrome: Radiological Features and the Role of Weightbearing Computed Tomography Scan.

Journal Article Foot Ankle Spec · June 2016 UNLABELLED: Müller-Weiss disease (MWD) is a rare condition that results in dorsolateral collapse of the navicular associated with rotation of the talar head and subtalar varus deformity. There are also varying degrees of midfoot collapse and associated los ... Full text Link to item Cite

The Failed Cavovarus Foot: What Went Wrong and Why?

Journal Article Instr Course Lect · 2016 The adult cavovarus foot exists on a spectrum and, therefore, requires a thorough evaluation to determine the extent of the deformity and then choose from a multitude of surgical procedures to achieve correction. Regardless of the severity of the deformity ... Link to item Cite

Achilles pathology and ruptures

Chapter · December 27, 2012 Cite