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Annunziato Amendola

Virginia Flowers Baker Distinguished Professor of Orthopaedic Surgery
Orthopaedic Surgery
DUMC Box 3639, Durham, NC 27710
DUMC Box 3639, 3475 Erwin Road, Durham, NC 27710

Selected Publications


Does Tibial Plateau Slope and Depth Influence ACL Strain In Vivo?

Journal Article Orthop J Sports Med · December 2024 BACKGROUND: The anterior cruciate ligament (ACL) is loaded under tension when the tibia translates anteriorly relative to the femur. The shape of the articular surfaces of the tibiofemoral joint may influence the amount of anterior tibial translation under ... 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 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

A Novel Machine Learning Model to Predict Revision ACL Reconstruction Failure in the MARS Cohort.

Journal Article Orthop J Sports Med · November 2024 BACKGROUND: As machine learning becomes increasingly utilized in orthopaedic clinical research, the application of machine learning methodology to cohort data from the Multicenter ACL Revision Study (MARS) presents a valuable opportunity to translate data ... Full text Link to item Cite

Addressing meniscal deficiency part 1: An umbrella review of systematic reviews and meta-analyses on meniscal allograft transplantation.

Journal Article J Exp Orthop · October 2024 PURPOSE: Meniscal injuries are common in the young and active population. There is increasing utilization of surgical interventions like meniscal allograft transplantation (MAT) to restore the protective function of menisci following injury leading to meni ... Full text Link to item Cite

The Fragility of Statistically Significant Binary Outcomes for Treating Achilles Tendinopathy: A Systematic Review of Randomized Trials.

Journal Article Foot Ankle Orthop · October 2024 BACKGROUND: Randomized controlled trials (RCTs) are the gold standard for treatment efficacy, but foot and ankle RCTs are often small or inconsistent. The Fragility Index (FI) evaluates the stability of significant findings. This study assessed the fragili ... Full text Link to item Cite

Editorial: Knee cartilage injuries—an international Delphi consensus

Journal Article Journal of Cartilage and Joint Preservation · September 1, 2024 Full text Cite

Management of failed knee cartilage surgery—an international Delphi consensus statement

Journal Article Journal of Cartilage and Joint Preservation · September 1, 2024 Introduction: Articular cartilage injuries of the knee are a complex and challenging clinical pathology. Objectives: The purpose of this study was to establish consensus statements via a Delphi process on the management of failed knee cartilage surgery. Me ... Full text Cite

The Utilization of Minimally Invasive Surgery for Os Trigonum Syndrome: A Systematic Review.

Journal Article The American journal of sports medicine · July 2024 BackgroundA symptomatic os trigonum is a common cause of posterior ankle pain that has been traditionally managed with open excision. Minimally invasive surgery (MIS) has been proposed as an alternative to open excision for improved outcomes and d ... Full text Cite

Addressing meniscal deficiency part 2: An umbrella review of systematic reviews and meta-analyses on meniscal scaffold-based approaches.

Journal Article J Exp Orthop · July 2024 PURPOSE: Meniscal injuries are common in knee surgery and often require preservation techniques to prevent secondary osteoarthritis. Despite advancements in repair techniques, some patients undergo partial meniscectomy, which can lead to postmeniscectomy s ... Full text Link to item Cite

Return to Duty in Military Servicemembers After High Tibial Osteotomy Not Associated With Preoperative Radiographic Parameters : A Retrospective Analysis.

Journal Article Orthop J Sports Med · May 2024 BACKGROUND: Evidence on return to sports/work after high tibial osteotomy (HTO) is limited, especially in a young, high-demand population. PURPOSE: To (1) identify whether preoperative knee pathology or intraoperative correction was associated with success ... Full text Link to item Cite

Pediatric Anterior Cruciate Ligament Reconstruction With Over-the-Top Femoral Position and All-Epiphyseal Tibial Tunnel.

Journal Article Arthrosc Tech · April 2024 In pediatric anterior cruciate ligament reconstruction, many factors should be considered: (1) risk of growth disturbance; (2) high risk of re-tear; (3) determination of the skeletal age, which is sometimes challenging; and (4) no single technique indicate ... Full text Link to item Cite

Anatomy and pathology of the achilles tendon: Tendonitis, tendinitis, or tendinopathy, which is it?

Chapter · February 23, 2024 The Achilles tendon is a conjoined tendon composed of the two heads of the gastrocnemius and the soleus muscles. The microstructure of the Achilles tendon consists of collagen fibrils cross-linked in a manner to provide exceptional strength as the Achilles ... Full text Cite

Diagnostic Subtalar Arthroscopy: Posterior Approach

Chapter · January 1, 2024 Since it was first published by Van Dijk et al in 2000, the posterior subtalar (ST) approach has gained in popularity for the management of the posterior ST joint and surrounding structures.1-9 Current literature supports a posterior arthroscopic approach ... Full text Cite

Proximal Tibial and Distal Femoral Osteotomy

Chapter · January 1, 2024 High tibial osteotomy (HTO) for the treatment of varus gonarthrosis isolated to the medial compartment of the knee was first described by Jackson et al in 1958 1 and popularized by Coventry. 2 Valgus-producing HTO for medial joint gonarthrosis has evolved ... Full text Cite

Posterior Ankle Impingement: It's Not Only About the Os Trigonum.

Journal Article Foot Ankle Orthop · January 2024 BACKGROUND: Os trigonum and Stieda process are common etiologies for posterior ankle impingement syndrome (PAIS), and diagnosis is typically made by radiographs, computed tomographic, or magnetic resonance imaging. However, these static tests may not detec ... Full text Link to item Cite

Malalignment-Varus-High Tibial Osteotomy

Chapter · January 1, 2024 Medial unicompartmental arthritis is frequently encountered in young patients. Degenerative changes of the articular cartilage are more often due to near-total loss of meniscal tissue, ligamentous instability, and malalignment. Alignment of the lower limb ... Full text Cite

How Do You Manage the Patient Who Has Early Degenerative Joint Disease and Has Complaints of Pain and Instability?

Chapter · January 1, 2024 First of all, the incidence and risk of degenerative joint disease of the anterior cruciate ligament (ACL)-deficient knee is significant, particularly with concomitant injury to the menisci and articular cartilage. In addition, a patient with predisposing ... Full text Cite

If You Have a Patient Who is a Candidate for a High Tibial Osteotomy and ACL Reconstruction, Should You Perform a 1-Stage or 2-Stage Procedure?

Chapter · January 1, 2024 Before answering this question it is important again to emphasize that chronic anterior cruciate ligament (ACL) deficiency in active patients continues to lead to progressive deterioration of the articular cartilage of the tibio-femoral joint, most commonl ... Full text Cite