Scholars@Duke
Annunziato Amendola

Annunziato Amendola

Virginia Flowers Baker Distinguished Professor of Orthopaedic Surgery
Orthopaedic Surgery
ned.amendola@duke.edu
DUMC Box 3639, Durham, NC 27710
DUMC Box 3639, 3475 Erwin Road, Durham, NC 27710
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Selected Publications

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

Journal Article Am J Sports Med · July 2024 BACKGROUND: A 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 decrease ... Full text Link to item 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

Editorial: Knee cartilage injuries—an international Delphi consensus

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

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

Journal Article Journal of Cartilage and Joint Preservation · January 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

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

What Technical Pearls Do You Have When Performing a Single-Stage ACL Reconstruction and High Tibial Osteotomy?

Chapter · January 1, 2024 The preoperative planning and assessment of the patient is very important. As discussed in questions 39 and 40, it is important to understand the indications for the surgery and educate the patient about the condition of the knee joint, the malalignment, a ... Cite

Injury prevention strategies at the 2019 FIFA Women's World Cup display a multifactorial approach and highlight subjective wellness measurements.

Journal Article J ISAKOS · October 2023 OBJECTIVE: To report the injury prevention programs utilised by top-level female footballers competing internationally. METHODS: An online survey was administered to physicians of the 24 competing national teams at the 2019 Federation Internationale de Foo ... Full text Link to item Cite

Microdrilling Resulted in Less Subchondral Bone Destruction Than a Traditional Microfracture Awl for Articular Cartilage Defect Bone Marrow Stimulation.

Journal Article Arthrosc Sports Med Rehabil · October 2023 PURPOSE: The purpose of this study was to compare bone marrow stimulation using micro-computed tomography (micro-CT) analysis of an abrasion arthroplasty technique, drilling k-wire technique, traditional microfacture awl, or a microdrill instrument for sub ... Full text Open Access Link to item Cite

Modern Patellofemoral Arthroplasty.

Journal Article JBJS Rev · September 1, 2023 INTRODUCTION: The ideal procedure for isolated patellofemoral arthritis is a controversial topic. Patellofemoral arthroplasty (PFA) is an option that aims to restore normal kinematics to the knee while preserving bone. PFA has been shown to have benefits c ... Full text Link to item Cite

The anterior cruciate ligament injury severity scale (ACLISS) is an effective tool to document and categorize the magnitude of associated tissue damage in knees after primary ACL injury and reconstruction.

Journal Article Knee Surg Sports Traumatol Arthrosc · July 2023 PURPOSE: To develop a tool allowing to classify the magnitude of structural tissue damage occurring in ACL injured knees. The proposed ACL Injury Severity Scale (ACLISS) would provide an easy description and categorization of the wide spectrum of injuries ... Full text Link to item Cite

Risks Associated With Posterior Ankle Hindfoot Arthroscopy Complications.

Journal Article Foot Ankle Int · May 2023 BACKGROUND: The use of posterior ankle and hindfoot arthroscopy (PAHA) has been expanding over time. Many new indications have been reported in the literature. The primary objective of this study was to report the rate of PAHA complication in a large cohor ... Full text Link to item Cite

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

Journal Article Am J Sports Med · July 2024 BACKGROUND: A 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 decrease ... Full text Link to item 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

Editorial: Knee cartilage injuries—an international Delphi consensus

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

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

Journal Article Journal of Cartilage and Joint Preservation · January 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

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

What Technical Pearls Do You Have When Performing a Single-Stage ACL Reconstruction and High Tibial Osteotomy?

Chapter · January 1, 2024 The preoperative planning and assessment of the patient is very important. As discussed in questions 39 and 40, it is important to understand the indications for the surgery and educate the patient about the condition of the knee joint, the malalignment, a ... Cite

Injury prevention strategies at the 2019 FIFA Women's World Cup display a multifactorial approach and highlight subjective wellness measurements.

Journal Article J ISAKOS · October 2023 OBJECTIVE: To report the injury prevention programs utilised by top-level female footballers competing internationally. METHODS: An online survey was administered to physicians of the 24 competing national teams at the 2019 Federation Internationale de Foo ... Full text Link to item Cite

Microdrilling Resulted in Less Subchondral Bone Destruction Than a Traditional Microfracture Awl for Articular Cartilage Defect Bone Marrow Stimulation.

Journal Article Arthrosc Sports Med Rehabil · October 2023 PURPOSE: The purpose of this study was to compare bone marrow stimulation using micro-computed tomography (micro-CT) analysis of an abrasion arthroplasty technique, drilling k-wire technique, traditional microfacture awl, or a microdrill instrument for sub ... Full text Open Access Link to item Cite

Modern Patellofemoral Arthroplasty.

Journal Article JBJS Rev · September 1, 2023 INTRODUCTION: The ideal procedure for isolated patellofemoral arthritis is a controversial topic. Patellofemoral arthroplasty (PFA) is an option that aims to restore normal kinematics to the knee while preserving bone. PFA has been shown to have benefits c ... Full text Link to item Cite

The anterior cruciate ligament injury severity scale (ACLISS) is an effective tool to document and categorize the magnitude of associated tissue damage in knees after primary ACL injury and reconstruction.

Journal Article Knee Surg Sports Traumatol Arthrosc · July 2023 PURPOSE: To develop a tool allowing to classify the magnitude of structural tissue damage occurring in ACL injured knees. The proposed ACL Injury Severity Scale (ACLISS) would provide an easy description and categorization of the wide spectrum of injuries ... Full text Link to item Cite

Risks Associated With Posterior Ankle Hindfoot Arthroscopy Complications.

Journal Article Foot Ankle Int · May 2023 BACKGROUND: The use of posterior ankle and hindfoot arthroscopy (PAHA) has been expanding over time. Many new indications have been reported in the literature. The primary objective of this study was to report the rate of PAHA complication in a large cohor ... Full text Link to item Cite

Meniscal and Articular Cartilage Predictors of Outcome After Revision ACL Reconstruction: A 6-Year Follow-up Cohort Study.

Journal Article Am J Sports Med · March 2023 BACKGROUND: Meniscal and chondral damage is common in the patient undergoing revision anterior cruciate ligament (ACL) reconstruction. PURPOSE: To determine if meniscal and/or articular cartilage pathology at the time of revision ACL surgery significantly ... Full text Link to item Cite

Perioperative Management in the Collegiate Athlete: An Integrated Approach.

Journal Article Sports Med Int Open · January 2023 Collegiate athletes face rigorous physical, academic, and emotional demands. While significant attention has been paid to injury prevention among young athletes in the past two decades, orthopedic injury rates remain high among collegiate athletes, and a s ... Full text Open Access Link to item Cite

Stress Syndromes Around the Ankle

Chapter · January 1, 2023 Stress fractures, stress reactions, and overuse tendinopathies are common overuse injuries in athletes and can contribute to decreased performance if not recognized and managed effectively. Repetitive, high-mileage running and jumping sports predispose ath ... Full text Cite

Flaw sensitivity and tensile fatigue of a high-strength hydrogel

Journal Article International Journal of Fatigue · October 1, 2022 This work describes mechanical behavior of a high-strength hydrogel composite relative to costal cartilage. The materials are analyzed for monotonic ultimate tensile strength (UTS) with differing flaws that represent extreme differences in local stress con ... Full text Cite

Summary Report of the Arthritis Foundation and the American Orthopaedic Foot & Ankle Society's Symposium on Targets for Osteoarthritis Research: Part 1: Epidemiology, Pathophysiology, and Current Imaging Approaches.

Journal Article Foot Ankle Orthop · October 2022 This first of a 2-part series of articles recounts the key points presented in a collaborative symposium sponsored jointly by the Arthritis Foundation and the American Orthopaedic Foot & Ankle Society with the intent to survey the state of scientific knowl ... Full text Link to item Cite

Summary Report of the Arthritis Foundation and the American Orthopaedic Foot & Ankle Society's Symposium on Targets for Osteoarthritis Research: Part 2: Treatment Options.

Journal Article Foot Ankle Orthop · October 2022 UNLABELLED: This second of a 2-part series of articles recounts the key points presented in a collaborative symposium sponsored jointly by the Arthritis Foundation and the American Orthopaedic Foot & Ankle Society with the intent to survey current treatmen ... Full text Link to item Cite

Descriptive Characteristics and Outcomes of Patients Undergoing Revision Anterior Cruciate Ligament Reconstruction With and Without Tunnel Bone Grafting.

Journal Article Am J Sports Med · July 2022 BACKGROUND: Lytic or malpositioned tunnels may require bone grafting during revision anterior cruciate ligament reconstruction (rACLR) surgery. Patient characteristics and effects of grafting on outcomes after rACLR are not well described. PURPOSE: To desc ... Full text Link to item Cite

Is It Time to Create Training Pathways Allowing Earlier Subspecialization within the "House of Orthopaedics"?: AOA Critical Issues.

Journal Article J Bone Joint Surg Am · June 15, 2022 The ability to train an orthopaedic resident in all aspects of orthopaedics in 5 years has become increasingly difficult due to the growth in knowledge and techniques, work-hour restrictions, and reduced resident autonomy. It has become nearly universal fo ... Full text Link to item Cite

Returning to Activity After Anterior Cruciate Ligament Revision Surgery: An Analysis of the Multicenter Anterior Cruciate Ligament Revision Study (MARS) Cohort at 2 Years Postoperative.

Journal Article Am J Sports Med · June 2022 BACKGROUND: Patients with anterior cruciate ligament (ACL) revision report lower outcome scores on validated knee questionnaires postoperatively compared to cohorts with primary ACL reconstruction. In a previously active population, it is unclear if patien ... Full text Link to item Cite

Utilization of Arthroscopy During Ankle Fracture Fixation Among Early Career Surgeons: An Evaluation of the American Board of Orthopaedic Surgery Part II Oral Examination Database.

Journal Article Iowa Orthop J · June 2022 BACKGROUND: Rotational ankle fractures are common injuries associated with high rates of intra-articular injury. Traditional ankle fracture open reduction and internal fixation (ORIF) techniques provide limited capacity for evaluation of intra-articular pa ... Link to item Cite

Outcomes, Complications, and Reoperations After Meniscal Allograft Transplantation.

Journal Article Orthop J Sports Med · March 2022 BACKGROUND: Outcomes following meniscal allograft transplantation (MAT) are an evolving topic. PURPOSE: To review clinical outcomes in younger, previously active patients who underwent an isolated MAT or MAT plus any osteotomy. Concurrent surgeries, compli ... Full text Link to item Cite

Significant variations in surgical construct and return to sport protocols with syndesmotic injuries: an ISAKOS global perspective.

Journal Article J ISAKOS · February 2022 OBJECTIVES: Although the body of literature on syndesmosis injuries is growing with regard to both the biomechanics and clinical outcomes for various fixation constructs, there is little consensus on the optimal treatment and return to sport strategy for t ... Full text Link to item Cite

Altered lower extremity biomechanics following anterior cruciate ligament reconstruction during single-leg and double-leg stop-jump tasks: A bilateral total support moment analysis.

Journal Article Clin Biomech (Bristol, Avon) · January 2022 BACKGROUND: Injury to the anterior cruciate ligament (ACL) can lead to long-lasting biomechanical alterations that put individuals at risk of a second ACL injury. Examining the total support moment may reveal between- and within-limb compensatory strategie ... Full text Link to item Cite

Does Sagittal Tibiotalar Alignment of TAR Predict Failure?

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

Females have Lower Knee Strength and Vertical Ground Reaction Forces During Landing than Males Following Anterior Cruciate Ligament Reconstruction at the Time of Return to Sport.

Journal Article Int J Sports Phys Ther · 2022 PURPOSE: There is a high rate of second anterior cruciate ligament (ACL) injury (ipsilateral graft or contralateral ACL) upon return-to-sport (RTS) following ACL reconstruction (ACLR). While a significant amount of epidemiological data exists demonstrating ... Open Access Link to item Cite

Isometric Knee Strength is Greater in Individuals Who Score Higher on Psychological Readiness to Return to Sport After Primary Anterior Cruciate Ligament Reconstruction.

Journal Article Int J Sports Phys Ther · 2022 BACKGROUND: Anterior cruciate ligament (ACL) injury is extremely common among athletes. Rate of second ACL injury due to surgical graft rupture or contralateral limb ACL injury is approximately 15-32%. Psychological readiness to return to sport (RTS) may b ... Full text Open Access Link to item Cite

Opening-wedge high tibial osteotomy

Chapter · January 1, 2022 The proximal tibia osteotomy has been used as an effective treatment for cartilage injuries of the knee for nearly three-quarters of a century. Since its initial description, several advancements have been made in our diagnostic, pre-operative planning, an ... Full text Cite

Alignment and Instability: Managing Mechanical Contributors to Recurrent Ligament Injury and Instability

Chapter · January 1, 2022 Ankle sprains are one of the most common injuries encountered by orthopedic providers, and a large percentage of patients go on to develop recurrent ankle instability. In a subset of patients, mechanical alignment contributes to recurrent instability. In p ... Full text Cite

Arthroscopic Techniques and Anatomy of the Foot and Ankle: A Surgical Atlas

Book · January 1, 2022 This expansive, full-color atlas presents the detailed surgical anatomy and approaches for the most commonly performed arthroscopic procedures for the foot and ankle, including detailed descriptions of the equipment and operative set-up for successful arth ... Full text Cite

Meniscus cell regional phenotypes: Dedifferentiation and reversal by biomaterial embedding.

Journal Article J Orthop Res · October 2021 Meniscus injuries are common and a major cause of long-term joint degeneration and disability. Current treatment options are limited, so novel regenerative therapies or tissue engineering strategies are urgently needed. The development of new therapies is ... Full text Link to item Cite

Articular Cartilage and Meniscus Predictors of Patient-Reported Outcomes 10 Years After Anterior Cruciate Ligament Reconstruction: A Multicenter Cohort Study.

Journal Article Am J Sports Med · September 2021 BACKGROUND: Articular cartilage and meniscal damage are commonly encountered and often treated at the time of anterior cruciate ligament reconstruction (ACLR). Our understanding of how these injuries and their treatment relate to outcomes of ACLR is still ... Full text Link to item Cite

Impact of Early Weightbearing After Ankle Arthroscopy and Bone Marrow Stimulation for Osteochondral Lesions of the Talus.

Journal Article Orthop J Sports Med · September 2021 BACKGROUND: Osteochondral lesion of the talus (OLT) may be caused by osteochondritis dissecans, osteochondral fractures, avascular necrosis, or focal arthritic changes. For certain focal cartilage defects, bone marrow stimulation (BMS) has been a widely us ... Full text Open Access Link to item Cite

Association Between Graft Choice and 6-Year Outcomes of Revision Anterior Cruciate Ligament Reconstruction in the MARS Cohort.

Journal Article The American journal of sports medicine · August 2021 BackgroundAlthough graft choice may be limited in the revision setting based on previously used grafts, most surgeons believe that graft choice for anterior cruciate ligament (ACL) reconstruction is an important factor related to outcome.Hypot ... Full text Cite

The Intrarater and Inter-rater Reliability of Radiographic Evaluation of the Posterior Tibial Slope in Pediatric Patients.

Journal Article J Pediatr Orthop · July 1, 2021 BACKGROUND: In young athletes, an association exists between an increased posterior tibial slope (PTS) and the risk of primary anterior cruciate ligament (ACL) injury, ACL graft rupture, contralateral ACL injury, and inferior patient reported outcomes afte ... Full text Link to item Cite

Narrative review of lateral meniscus repair: Techniques and outcomes

Journal Article Annals of Joint · July 1, 2021 Objective: The aim of this manuscript is to review current meniscal repair to highlight elements of the clinical evaluation, diagnostic tests, case examples of inside-out, outside-in and all-inside repair techniques and summarize post-operative outcomes of ... Full text Cite

Long-term National Trends of Arthroscopic Meniscal Repair and Debridement.

Journal Article Am J Sports Med · May 2021 BACKGROUND: Optimal treatment of meniscal pathology continues to evolve in orthopaedic surgery, with a growing understanding of which patients benefit from which procedure and which patients might be best treated nonsurgically. In 2002, Moseley et al found ... Full text Link to item Cite

Operative costs associated with arthroscopic assisted open reduction and internal fixation of acute ankle fractures.

Journal Article Foot (Edinb) · March 2021 BACKGROUND: Ankle fractures are a common orthopedic injury that frequently involves associated cartilage lesions, soft tissue damage, and a significant inflammatory burden. Despite studies revealing intra-articular pathology in up to 79% of ankle fractures ... Full text Link to item Cite

Rate of infection following revision anterior cruciate ligament reconstruction and associated patient- and surgeon-dependent risk factors: Retrospective results from MOON and MARS data collected from 2002 to 2011.

Journal Article J Orthop Res · February 2021 Infection is a rare occurrence after revision anterior cruciate ligament reconstruction (rACLR). Because of the low rates of infection, it has been difficult to identify risk factors for infection in this patient population. The purpose of this study was t ... Full text Link to item Cite

Return to Sport After Anterior Cruciate Ligament Reconstruction in a Cohort of Division I NCAA Athletes From a Single Institution.

Journal Article Orthop J Sports Med · February 2021 BACKGROUND: Anterior cruciate ligament (ACL) tears are common in collegiate athletes. The rate of return to the preinjury level of sport activities after ACL reconstruction continues to evolve. PURPOSE/HYPOTHESIS: The purpose was to determine the return-to ... Full text Open Access Link to item Cite

In Response to COVID-19: Current Trends in Orthopaedic Surgery Sports Medicine Fellowships.

Journal Article Orthop J Sports Med · February 2021 BACKGROUND: The COVID-19 (SARS-COV-2) pandemic has brought unprecedented challenges to the health care system and education models. The reduction in case volume, transition to remote learning, lack of sports coverage opportunities, and decreased clinical i ... Full text Open Access Link to item Cite

Evolution in Surgical Management of Ankle Instability in Athletes.

Journal Article J Am Acad Orthop Surg · January 1, 2021 Recent concepts are changing the management of ankle instability. These include concurrent medial and lateral instabilities, use of ankle arthroscopy, use of suture anchors, all-arthroscopic stabilization, synthetic augmentation, and early postoperative re ... Full text Link to item Cite

Anterior Cruciate Ligament Reconstruction With Concomitant Meniscal Repair: Is Graft Choice Predictive of Meniscal Repair Success?

Journal Article Orthopaedic Journal of Sports Medicine · January 1, 2021 Background: When meniscal repair is performed during anterior cruciate ligament (ACL) reconstruction (ACLR), the effect of ACL graft type on meniscal repair outcomes is unclear. Hypothesis: The authors hypothesized that meniscal repairs would fail at the l ... Full text Cite

Osteochondral Lesions of the Ankle: Talus and Distal Tibia

Chapter · January 1, 2021 This chapter will review osteochondral lesions of the ankle. The anatomic characteristics of the lesions of both the talus and tibial plafond will be identified and reviewed. After exploring the anatomic aspects we will integrate and introduce treatment mo ... Full text Cite

Optimizing Return to Play for Common and Controversial Foot and Ankle Sports Injuries.

Journal Article JBJS Rev · December 18, 2020 »: Surgical decision-making should consider factors to help optimize return to play for athletes with foot and ankle injuries, including injuries to the syndesmosis, the Achilles tendon, the fifth metatarsal, and the Lisfranc complex. Understanding influen ... Full text Link to item Cite

Patient Preferences for Surgical Treatment of Knee Osteoarthritis: A Discrete-Choice Experiment Evaluating Total and Unicompartmental Knee Arthroplasty.

Journal Article J Bone Joint Surg Am · December 2, 2020 BACKGROUND: Total knee arthroplasty (TKA) is a common treatment for end-stage knee osteoarthritis but is associated with increased complication rates compared with unicompartmental knee arthroplasty (UKA). UKA offers better functional outcomes but is assoc ... Full text Link to item Cite

Meniscal Repair in the Setting of Revision Anterior Cruciate Ligament Reconstruction: Results From the MARS Cohort.

Journal Article The American journal of sports medicine · October 2020 BackgroundMeniscal preservation has been demonstrated to contribute to long-term knee health. This has been a successful intervention in patients with isolated tears and tears associated with anterior cruciate ligament (ACL) reconstruction. Howeve ... Full text Cite

Trends in open shoulder surgery among early career orthopedic surgeons: who is doing what?

Journal Article J Shoulder Elbow Surg · July 2020 BACKGROUND: The incidence of various open shoulder procedures has changed over time. In addition, various fellowships provide overlapping training in open shoulder surgery. There is a lack of information regarding the relationship between surgeon training ... Full text Link to item Cite

Do Patient Positioning and Portal Placement for Arthroscopic Subtalar Arthrodesis Matter?

Journal Article Orthop J Sports Med · July 2020 BACKGROUND: Arthroscopic subtalar arthrodesis was first described over 2 decades ago and originally performed in the lateral decubitus or supine position using anterolateral and posterolateral portals situated about the fibula. More recently, several autho ... Full text Link to item Cite

Predictors of clinical outcome following revision anterior cruciate ligament reconstruction.

Journal Article J Orthop Res · June 2020 The underlying theme throughout this series of studies authored by the Multicenter anterior cruciate ligament (ACL) Revision Study consortium has been to determine the modifiable predictors or risk factors of long-term outcomes of revision ACL reconstructi ... Full text Link to item Cite

Dynamic Stabilization of Syndesmosis Injuries Reduces Complications and Reoperations as Compared With Screw Fixation: A Meta-analysis of Randomized Controlled Trials.

Journal Article Am J Sports Med · March 2020 BACKGROUND: Several devices for obtaining dynamic fixation of the syndesmosis have been introduced in recent years, but their efficacy has been tested in only a few randomized controlled trials (RCTs), without demonstrating any clear benefit over the tradi ... Full text Link to item Cite

Anterior Cruciate Ligament Reconstruction in High School and College-Aged Athletes: Does Autograft Choice Influence Anterior Cruciate Ligament Revision Rates?

Journal Article Am J Sports Med · February 2020 BACKGROUND: Physicians' and patients' decision-making process between bone-patellar tendon-bone (BTB) and hamstring tendon autografts for anterior cruciate ligament (ACL) reconstruction (ACLR) may be influenced by a variety of factors in the young, active ... Full text Link to item Cite

Association of chemokine expression in anterior cruciate ligament deficient knee with patient characteristics: Implications for post-traumatic osteoarthritis.

Journal Article Knee · January 2020 BACKGROUND: Stromal cell-derived factor-1a (SDF-1α) and high mobility group box chromosomal protein 1 (HMGB1) are chemokines that can drive post-traumatic osteoarthritis (PTOA) induced by anterior cruciate ligament (ACL) injury. However, the influence of p ... Full text Link to item Cite

Total Ankle Arthroplasty and Ankle Arthrodesis Use: An American Board of Orthopaedic Surgery Part II Database Study.

Journal Article J Foot Ankle Surg · 2020 Total ankle arthroplasty (TAA) use has increased during the past 20 years, whereas ankle arthrodesis (AAD) use has remained constant. The purpose of this study was to examine trends in TAA and AAD use in American Board of Orthopedic Surgery Part II candida ... Full text Link to item Cite

Atlantic Coast Conference Mandatory College Football Medical Observer. A Necessary Addition to the Preexisting Medical Team?

Journal Article Iowa Orthop J · 2020 BACKGROUND: Some NCAA conferences now require a press box-based Medical Observer for all football games to identify injuries missed by on-field providers. The objective of this study was to determine whether a Medical Observer identified injuries missed by ... Link to item Cite

Anterior Cruciate Ligament Reconstruction: A Comparative Clinical Study Between Adjustable and Fixed Length Suspension Devices.

Journal Article Iowa Orthop J · 2020 BACKGROUND: Adjustable-length cortical suspension devices provide technical advantages over fixed-length devices for femoral graft fixation during anterior cruciate ligament (ACL) reconstruction but have shown increased lengthening during cyclic loading in ... Link to item Cite

Impingement Syndromes of the Ankle

Chapter · January 1, 2020 Impingement is derived from the Latin verb impingere, meaning “to force against” where an anatomic structure becomes entrapped causing pain, bony and soft tissue injury, decreased range of motion, and dysfunction. When impingement occurs, one bone repetiti ... Full text Cite

Basketball Sports Medicine and Science

Book · January 1, 2020 This book is designed as a comprehensive educational resource not only for basketball medical caregivers and scientists but for all basketball personnel. Written by a multidisciplinary team of leading experts in their fields, it provides information and gu ... Full text Cite

Preface

Book · January 1, 2020 Cite

Foot and Ankle Injuries in Basketball

Chapter · January 1, 2020 Basketball has become a popular sport in the United States and across the world. Currently, there are an estimated 450 million basketball participants worldwide. The increase in basketball participation has led to an increase in the incidence of basketball ... Full text Cite

Stress Fractures and the Stress Reaction Spectrum in Basketball

Chapter · January 1, 2020 Stress fractures are common overuse injuries among basketball players and can contribute to decrease performance if not treated. Repetitive, high-demand running and jumping predisposes basketball players to these overuse injuries. The lower extremity inclu ... Full text Cite

Osteoarthritis in Basketball Players

Chapter · January 1, 2020 Osteoarthritis is the most common form of arthritis and is especially prevalent in basketball players. Due primarily to the high-intensity cyclic loading and regular occurrence of injuries that impact normal anatomic biomechanics, basketball players are at ... Full text Cite

Risk Factors for Loss to Follow-up in 3202 Patients at 2 Years After Anterior Cruciate Ligament Reconstruction: Implications for Identifying Health Disparities in the MOON Prospective Cohort Study.

Journal Article Am J Sports Med · November 2019 BACKGROUND: Understanding the risk factors for loss to follow-up in prospective clinical studies may allow for a targeted approach to minimizing follow-up bias and improving the generalizability of conclusions in anterior cruciate ligament reconstruction ( ... Full text Link to item Cite

Anatomy of the Distal End of Flexor Digitorum Longus Tendon and Percutaneous Release Technique: A Cadaveric Study.

Journal Article Foot Ankle Orthop · October 2019 BACKGROUND: The transfer of flexor-to-extensor is widely used to correct lesser toe deformity and joint instability. The flexor digitorum longus tendon (FDLT) is percutaneously transected at the distal end and then routed dorsally to the proximal phalanx. ... Full text Link to item Cite

Surgical Anatomy of the Medial Cuneiform (Cotton) Osteotomy.

Journal Article Foot Ankle Orthop · October 2019 BACKGROUND: The Cotton osteotomy, or dorsal-opening wedge osteotomy of the medial cuneiform (MC), is used to address medial column alignment to restore the static-triangle of support. There are many described techniques regarding the incision and osteotomy ... Full text Open Access Link to item Cite

Predictors of Patient-Reported Outcomes at 2 Years After Revision Anterior Cruciate Ligament Reconstruction.

Journal Article Am J Sports Med · August 2019 BACKGROUND: Patient-reported outcomes (PROs) are a valid measure of results after revision anterior cruciate ligament (ACL) reconstruction. Revision ACL reconstruction has been documented to have worse outcomes when compared with primary ACL reconstruction ... Full text Link to item Cite

3D Talar Kinematics During External Rotation Stress Testing in Hindfoot Varus and Valgus Using a Model of Syndesmotic and Deep Deltoid Instability.

Journal Article Foot Ankle Int · July 2019 BACKGROUND: External rotation stress (ERS) identifies ankle instability after fibular reduction of rotational ankle injuries. Combined hindfoot and ankle motions and an inconsistent starting position could mask differing degrees of instability resulting fr ... Full text Link to item Cite

Limb Alignment: The Key to Success.

Journal Article Clin Sports Med · July 2019 Full text Link to item Cite

Relationship Between Sports Participation After Revision Anterior Cruciate Ligament Reconstruction and 2-Year Patient-Reported Outcome Measures.

Journal Article Am J Sports Med · July 2019 BACKGROUND: Anterior cruciate ligament (ACL) revision cohorts continually report lower outcome scores on validated knee questionnaires than primary ACL cohorts at similar time points after surgery. It is unclear how these outcomes are associated with physi ... Full text Link to item Cite

No Difference Between Posterolateral Corner Repair and Reconstruction With Concurrent ACL Surgery: Results From a Prospective Multicenter Cohort.

Journal Article Orthop J Sports Med · July 2019 BACKGROUND: Injuries to the posterolateral corner (PLC) may occur concurrently with anterior cruciate ligament (ACL) injury. PURPOSE/HYPOTHESIS: This study evaluated the outcomes of patients who underwent operative management of PLC injuries concurrently w ... Full text Link to item Cite

Neighborhood Socioeconomic Status Affects Patient-Reported Outcome 2 Years After ACL Reconstruction.

Journal Article Orthop J Sports Med · June 2019 BACKGROUND: Lower socioeconomic status (SES) is associated with worse patient-reported outcome (PRO) after orthopaedic procedures. In patients with anterior cruciate ligament (ACL) reconstruction, evaluating SES by use of traditional measures such as years ... Full text Link to item Cite

Outcomes of Grade III Medial Collateral Ligament Injuries Treated Concurrently With Anterior Cruciate Ligament Reconstruction: A Multicenter Study.

Journal Article Arthroscopy · May 2019 PURPOSE: To evaluate differences in repair and nonoperatively managed grade III medial collateral ligament (MCL) injuries during anterior cruciate ligament (ACL) reconstruction. METHODS: Patients enrolled in a multicenter prospective longitudinal group who ... Full text Link to item Cite

Rehabilitation Predictors of Clinical Outcome Following Revision ACL Reconstruction in the MARS Cohort.

Journal Article J Bone Joint Surg Am · May 1, 2019 BACKGROUND: Revision anterior cruciate ligament (ACL) reconstruction has been documented to have worse outcomes than primary ACL reconstruction. The reasons remain varied and not completely understood. METHODS: Patients undergoing revision ACL reconstructi ... Full text Link to item Cite

Talar exostosis (epiphyseal dysplasia): case report of posterior arthroscopic excision.

Journal Article Journal of biological regulators and homeostatic agents · March 2019 Posterior ankle impingement is a syndrome characterized by discomfort or pain at the hind foot during plantarflexion. The etiology can be divided into three main categories: overuse, trauma and anatomic abnormalities. Regarding overuse, usually patients th ... Cite

Patients treated with surgical irrigation and debridement for infection after ACL reconstruction have a high rate of subsequent knee surgery

Journal Article Journal of ISAKOS · March 1, 2019 Objectives The purpose of this cross-sectional study was to describe the rates of additional surgery and patient-reported outcomes in patients who underwent surgical irrigation and debridement (I&D) for infection following anterior cruciate ligament recons ... Full text Cite

Posterior subtalar arthroscopy

Chapter · January 30, 2019 Full text Cite

Trends in Knee Articular Cartilage Treatments: An American Board of Orthopaedic Surgery Database Study.

Journal Article J Knee Surg · January 2019 This study aims to evaluate the trends in treatment of knee articular cartilage lesions over the past decade using data obtained from the American Board of Orthopaedic Surgery (ABOS) Part II database. The ABOS Part II database was queried from 2004 to 2013 ... Full text Link to item Cite

PROMIS: a valid and efficient outcomes instrument for patients with ACL tears.

Journal Article Knee Surg Sports Traumatol Arthrosc · January 2019 PURPOSE: The current study compares the Patient Reported Outcomes Information System Physical Function Computer Adaptive Test (PROMIS PF CAT) to traditional knee PRO instruments in a healthy population undergoing surgery for ACL injuries with the following ... Full text Link to item Cite

Return to Sport Activity After Meniscal Allograft Transplantation: At What Level and at What Cost? A Systematic Review and Meta-analysis.

Journal Article Sports Health · 2019 CONTEXT:: Meniscal injuries are common among both sport- and non-sport-related injuries, with over 1.7 million meniscal surgeries performed worldwide every year. As meniscal surgeries become more common, so does meniscal allograft transplantation (MAT). Ho ... Full text Link to item Cite

Correlation of pre-operative planning to surgical correction of opening wedge HTO: a radiographic study utilizing a manual measurement method.

Journal Article J Biol Regul Homeost Agents · 2019 High tibial osteotomy (HTO) utilizing a medial opening wedge has become a common and effective surgical technique for treatment of isolated medial compartment knee osteoarthritis secondary to varus malalignment. To reduce the risk of under- or overcorrecti ... Link to item Cite

Correlation of pre-operative planning to surgical correction of opening wedge HTO: A radiographic study utilizing a manual measurement method

Journal Article Journal of Biological Regulators and Homeostatic Agents · January 1, 2019 High tibial osteotomy (HTO) utilizing a medial opening wedge has become a common and effective surgical technique for treatment of isolated medial compartment knee osteoarthritis secondary to varus malalignment. To reduce the risk of under- or overcorrecti ... Cite

Talar exostosis (epiphyseal dysplasia): Case report of posterior arthroscopic excision

Journal Article Journal of Biological Regulators and Homeostatic Agents · January 1, 2019 Cite

Osteotomy in Chronic Complex Ligament Injuries

Chapter · January 1, 2019 Osteotomies around the knee are rarely indicated to treat knee instability in the acute setting, unless significant deformities are present at the moment of ligament reconstruction. On the other hand, in the chronic setting, osteotomies are essential in tr ... Full text Cite

Minimally Invasive Versus Open Repair for Acute Achilles Tendon Rupture: Meta-Analysis Showing Reduced Complications, with Similar Outcomes, After Minimally Invasive Surgery.

Journal Article J Bone Joint Surg Am · November 21, 2018 BACKGROUND: There is no consensus on the optimal technique for repairing an acute Achilles tendon rupture. The purpose of this meta-analysis was to compare the complications, subjective outcomes, and functional results between minimally invasive surgery an ... Full text Link to item Cite

Postural stability deficit could predict ankle sprains: a systematic review.

Journal Article Knee Surg Sports Traumatol Arthrosc · October 2018 PURPOSE: To perform a systematic review aimed to determine (1) if the postural stability deficit represents a risk factor for ankle sprains; (2) the most effective postural stability evaluation to predict ankle sprains and (3) eventual confounding factors ... Full text Link to item Cite

Development of the KOOSglobal Platform to Measure Patient-Reported Outcomes After Anterior Cruciate Ligament Reconstruction.

Journal Article Am J Sports Med · October 2018 BACKGROUND: The Knee injury and Osteoarthritis Outcome Score (KOOS) has demonstrated inferior psychometric properties when compared with the International Knee Documentation Committee (IKDC) subjective knee form when assessing outcomes after anterior cruci ... Full text Link to item Cite

Physiologic Preoperative Knee Hyperextension Is a Predictor of Failure in an Anterior Cruciate Ligament Revision Cohort: A Report From the MARS Group.

Journal Article Am J Sports Med · October 2018 BACKGROUND: The occurrence of physiologic knee hyperextension (HE) in the revision anterior cruciate ligament reconstruction (ACLR) population and its effect on outcomes have yet to be reported. Hypothesis/Purpose: The prevalence of knee HE in revision ACL ... Full text Link to item Cite

Effect of High-Grade Preoperative Knee Laxity on 6-Year Anterior Cruciate Ligament Reconstruction Outcomes.

Journal Article Am J Sports Med · October 2018 BACKGROUND: Knee laxity in the setting of anterior cruciate ligament (ACL) injury is often assessed through physical examination using the Lachman, pivot shift, and anterior drawer tests. The degree of laxity noted on these examinations may influence treat ... Full text Link to item Cite

Vancouver Foot and Ankle WNS (Wound, Nerve, and Systemic) Classification System for Foot and Ankle Orthopedic Surgery.

Journal Article Foot Ankle Int · September 2018 BACKGROUND: Adverse events require consistent recording to determine the effect of alternate treatments. This study was undertaken to evaluate the Vancouver Foot and Ankle WNS complication scale to capture complications (W: wound, N: nerve, S: systemic) to ... Full text Link to item Cite

Tibial Tubercle Osteotomies: a Review of a Treatment for Recurrent Patellar Instability.

Journal Article Curr Rev Musculoskelet Med · June 2018 PURPOSE OF REVIEW: The goal of this review is to provide an overview of current surgical treatment options for tibial tubercle osteotomies as a treatment for recurrent patellofemoral instability. As such we sought to provide the reader with the most curren ... Full text Link to item Cite

Variance in Anterior Cruciate Ligament Reconstruction Graft Selection based on Patient Demographics and Location within the Multicenter Orthopaedic Outcomes Network Cohort.

Journal Article J Knee Surg · May 2018 The purpose of this study is to determine whether any regional or age-related patterns exist in graft choice for patients undergoing primary anterior cruciate ligament reconstruction (ACLR) within a large multicenter consortium. A retrospective cohort stud ... Full text Link to item Cite

Foot and Ankle Surgery: Common Problems and Solutions.

Journal Article Clin Sports Med · April 2018 Participation in sports activity has increased significantly during the last several decades. This phenomenon has exposed orthopedic sports medicine surgeons to new challenges regarding the diagnosis and management of common sport-related injuries. Arthros ... Full text Link to item Cite

The incidence and clinical outcomes of peroneal nerve injuries associated with posterolateral corner injuries of the knee.

Journal Article Knee Surg Sports Traumatol Arthrosc · March 2018 PURPOSE: The purpose of the study was to investigate the incidence of complete and partial peroneal nerve injuries in patients with posterolateral corner (PLC) knee injuries; additionally, to compare patient-reported outcomes among patients with and withou ... Full text Link to item Cite

Risk Factors and Predictors of Significant Chondral Surface Change From Primary to Revision Anterior Cruciate Ligament Reconstruction: A MOON and MARS Cohort Study.

Journal Article Am J Sports Med · March 2018 BACKGROUND: Articular cartilage health is an important issue following anterior cruciate ligament (ACL) injury and primary ACL reconstruction. Factors present at the time of primary ACL reconstruction may influence the subsequent progression of articular c ... Full text Link to item Cite

Ten-Year Outcomes and Risk Factors After Anterior Cruciate Ligament Reconstruction: A MOON Longitudinal Prospective Cohort Study.

Journal Article Am J Sports Med · March 2018 BACKGROUND: The long-term prognosis and risk factors for quality of life and disability after anterior cruciate ligament (ACL) reconstruction remain unknown. Hypothesis/Purpose: Our objective was to identify patient-reported outcomes and patient-specific r ... Full text Link to item Cite

Modified broström procedure

Chapter · January 1, 2018 Cite

Overuse injuries

Chapter · January 1, 2018 Cite

Who Is Performing Hip Arthroscopy?: An Analysis of the American Board of Orthopaedic Surgery Part-II Database.

Journal Article J Bone Joint Surg Am · December 20, 2017 BACKGROUND: Hip arthroscopy utilization has increased dramatically over the last decade. However, the lack of a formal training curriculum raises concern that inconsistent technical performance may be an issue for early-career hip arthroscopists. The purpo ... Full text Link to item Cite

Optimizing Arthroscopy for Osteochondral Lesions of the Talus: The Effect of Ankle Positions and Distraction During Anterior and Posterior Arthroscopy in a Cadaveric Model.

Journal Article Arthroscopy · December 2017 PURPOSE: To quantify arthroscopic accessibility of the talar dome with predefined ankle positions through anterior and posterior approaches. METHODS: Fourteen below-knee cadaver specimens underwent preoperative range of motion assessments. A 30° 2.7-mm art ... Full text Link to item Cite

Chronic Rupture of the Peroneal Tendons.

Journal Article Foot Ankle Clin · December 2017 Chronic rupture of the peroneal tendons can be a functionally limiting condition with a multitude of causes. Conservative and operative interventions are heterogenous and tailored to the functional demands of the patient. Surgical plans are based on muscle ... Full text Link to item Cite

Knee Extensor Rate of Torque Development Before and After Arthroscopic Partial Meniscectomy, With Analysis of Neuromuscular Mechanisms.

Journal Article J Orthop Sports Phys Ther · December 2017 Study Design Descriptive, prospective single-cohort longitudinal study. Background Though rapid torque development is essential in activities of daily living and sports, it hasn't been specifically tested by most physical therapists or incorporated into re ... Full text Link to item Cite

Chronic Rupture of the Peroneal Tendons

Chapter · December 1, 2017 Cite

Change in Anterior Cruciate Ligament Graft Choice and Outcomes Over Time.

Journal Article Arthroscopy · November 2017 PURPOSE: To analyze failure rate in 2-year increments to determine if graft choice changed over time and graft failure rate. METHODS: A prospective 2002-2008 database was used to identify risk factors for anterior cruciate ligament (ACL) retear. Subjects w ... Full text Link to item Cite

What Is the Mid-term Failure Rate of Revision ACL Reconstruction? A Systematic Review.

Journal Article Clin Orthop Relat Res · October 2017 BACKGROUND: When anterior cruciate ligament (ACL) reconstruction fails, a revision procedure may be performed to improve knee function, correct instability, and allow return to activities. The results of revision ACL reconstruction have been reported to pr ... Full text Link to item Cite

Effect of Ankle Position and Noninvasive Distraction on Arthroscopic Accessibility of the Distal Tibial Plafond.

Journal Article Foot Ankle Int · October 2017 BACKGROUND: Osteochondral lesions of the tibial plafond (OLTPs) can lead to chronic ankle pain and disability. It is not known how limited ankle motion or joint distraction affects arthroscopic accessibility of these lesions. The purpose of this study was ... Full text Link to item Cite

Surgical Predictors of Clinical Outcomes After Revision Anterior Cruciate Ligament Reconstruction.

Journal Article Am J Sports Med · September 2017 BACKGROUND: Revision anterior cruciate ligament (ACL) reconstruction has been documented to have worse outcomes compared with primary ACL reconstruction. HYPOTHESIS: Certain factors under the control of the surgeon at the time of revision surgery can both ... Full text Link to item Cite

Subsequent Surgery After Revision Anterior Cruciate Ligament Reconstruction: Rates and Risk Factors From a Multicenter Cohort.

Journal Article Am J Sports Med · July 2017 BACKGROUND: While revision anterior cruciate ligament reconstruction (ACLR) can be performed to restore knee stability and improve patient activity levels, outcomes after this surgery are reported to be inferior to those after primary ACLR. Further reopera ... Full text Link to item Cite

Performance of PROMIS for Healthy Patients Undergoing Meniscal Surgery.

Journal Article J Bone Joint Surg Am · June 7, 2017 BACKGROUND: The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed as an extensive question bank with multiple health domains that could be utilized for computerized adaptive testing (CAT). In the present study, we investigated ... Full text Link to item Cite

International Meniscus Reconstruction Experts Forum (IMREF) 2015 Consensus Statement on the Practice of Meniscal Allograft Transplantation.

Journal Article Am J Sports Med · May 2017 Meniscal allograft transplantation (MAT) has become relatively commonplace in specialized sport medicine practice for the treatment of patients with a symptomatic knee after the loss of a functional meniscus. The technique has evolved since the 1980s, and ... Full text Link to item Cite

Endoscopic Recession of the Gastrocnemius Tendon.

Journal Article Foot Ankle Int · April 2017 Gastrocnemius contracture is a common condition associated with painful overload symptoms in the forefoot and midfoot. Multiple techniques have been described for the recession of gastrocnemius tendon in patients who failed nonsurgical treatment. We presen ... Full text Link to item Cite

All-Inside Versus Inside-Out Meniscal Repair With Concurrent Anterior Cruciate Ligament Reconstruction: A Meta-regression Analysis .

Journal Article Am J Sports Med · March 2017 BACKGROUND: Meniscal tears are frequently repaired during anterior cruciate ligament reconstruction (ACLR). PURPOSE: To systematically evaluate differences in clinical failures between all-inside and inside-out meniscal repairs performed during ACLR. STUDY ... Full text Link to item Cite

Patient-Reported Outcomes After Multiligament Knee Injury: MCL Repair Versus Reconstruction.

Journal Article Orthop J Sports Med · March 2017 BACKGROUND: Management of the medial collateral ligament (MCL) in the setting of a multiligamentous knee injury (MLKI) represents an area of great controversy. PURPOSE: Our study was designed to compare long-term patient-reported outcomes (PROs) after MCL ... Full text Link to item Cite

Does the Chronicity of Anterior Cruciate Ligament Ruptures Influence Patient-Reported Outcomes Before Surgery?

Journal Article Am J Sports Med · March 2017 BACKGROUND: The time between an anterior cruciate ligament (ACL) injury and ACL reconstruction (ACLR) may influence baseline knee-related and general health-related patient-reported outcome measures (PROMs). Despite the common use of PROMs as main outcomes ... Full text Link to item Cite

Surgical Management and Treatment of the Anterior Cruciate Ligament-Deficient Knee with Malalignment.

Journal Article Clin Sports Med · January 2017 Varus malalignment and an increased tibial slope can result in instability in an anterior cruciate ligament (ACL)-deficient knee. Malalignment can also be a cause of recurrent instability following ACL reconstruction. Varus malalignment can contribute to l ... Full text Link to item Cite

Complications and Risk Factors for Morbidity in Elective Hip Arthroscopy: A Review of 1325 Cases.

Journal Article Am J Orthop (Belle Mead NJ) · 2017 We conducted a study of elective hip arthroscopy patients to determine type and incidence of complications and rates of and risk factors for minor and major morbidity. Retrospectively searching the National Surgical Quality Improvement Program database, we ... Link to item Cite

Bone contusion progression from traumatic knee injury: association of rate of contusion resolution with injury severity.

Journal Article Open Access J Sports Med · 2017 BACKGROUND: Bone contusions are frequently encountered in magnetic resonance imaging (MRI) evaluation of knee anterior cruciate ligament (ACL) injuries. Their role as indicators of injury severity remains unclear, primarily due to indeterminate levels of j ... Full text Link to item Cite

Intraoperative assessment of syndesmotic injury and how to assess if the syndesmosis is reduced

Journal Article Techniques in Orthopaedics · January 1, 2017 Injuries to the tibiofibular syndesmosis are common, both as isolated injuries and as a component of rotational ankle fractures. Recent evidence suggests a high incidence of tibiofibular syndesmosis malreduction with poor clinical outcomes associated with ... Full text Cite

Outside-In vs. Anteromedial Portal Drilling During Primary ACL Reconstruction: Comparison at Two Years.

Journal Article Iowa Orthop J · 2017 BACKGROUND: Anteromedial (AM) and outside-in (OI) are two commonly used techniques for drilling the femoral tunnel during anterior cruciate ligament reconstruction (ACLR). The purpose of this study was to compare clinical and radiographic outcomes of patie ... Link to item Cite

Age Differences in the Prevalence of Isolated Medial and Lateral Meniscal Tears in Surgically Treated Patients.

Journal Article Iowa Orthop J · 2017 PURPOSE: To compare the prevalence of isolated lateral and medial meniscal tears in different aged populations. METHODS: A five-year retrospective review for meniscal procedures performed on a total of 782 patients. Each chart was reviewed to document the ... Link to item Cite

Osteotomies in the ACL-deficient knee

Chapter · January 1, 2017 Historically, osteotomies have been used for localized medial and lateral compartment gonarthrosis with varus and valgus malalignment, due to their ability to redistribute abnormal mechanical forces across the joint. However, over the last several years, t ... Full text Cite

The use of autologous adult, allogenic juvenile, and combined juvenile-adult cartilage fragments for the repair of chondral defects.

Journal Article Knee Surg Sports Traumatol Arthrosc · December 2016 PURPOSE: The goal of the study was to evaluate the repair of chondral lesions treated with combined autologous adult/allogenic juvenile cartilage fragments, compared with isolated adult and isolated juvenile cartilage fragments. METHODS: Fifty-eight adult ... Full text Link to item Cite

Increasing Lower Extremity Injury Rates Across the 2009-2010 to 2014-2015 Seasons of National Collegiate Athletic Association Football: An Unintended Consequence of the "Targeting" Rule Used to Prevent Concussions?

Journal Article Am J Sports Med · December 2016 BACKGROUND: Sports-related concussions (SRCs) have gained increased societal interest in the past decade. The National Collegiate Athletic Association (NCAA) has implemented legislation and rule changes to decrease the incidence and risk of head injury imp ... Full text Open Access Link to item Cite

Effect of High-Grade Preoperative Knee Laxity on Anterior Cruciate Ligament Reconstruction Outcomes.

Journal Article Am J Sports Med · December 2016 BACKGROUND: Knee laxity in the setting of suspected anterior cruciate ligament (ACL) injury is frequently assessed through physical examination using the Lachman, pivot-shift, and anterior drawer tests. The degree of laxity noted on these examinations may ... Full text Link to item Cite

The Development and Early to Midterm Findings of the Multicenter Revision Anterior Cruciate Ligament Study.

Journal Article J Knee Surg · October 2016 Revision anterior cruciate ligament (ACL) reconstruction can present a series of unique challenges for the both the patient and the treating surgeon. The Multicenter ACL Revision Study (MARS) was established to identify the factors contributing to ACL graf ... Full text Link to item Cite

Ankle Injury Prevention Programs for Soccer Athletes Are Protective: A Level-I Meta-Analysis.

Journal Article J Bone Joint Surg Am · September 7, 2016 BACKGROUND: Soccer has one of the highest rates of ankle injury in sports for both males and females. Several injury prevention programs have been developed to address this concern. The purposes of this study were to conduct a meta-analysis of ankle injury ... Full text Link to item Cite

Sagittal Distal Tibial Articular Angle and the Relationship to Talar Subluxation in Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · September 2016 BACKGROUND: Longevity of total ankle replacement (TAR) depends heavily on anatomic alignment. The lateral talar station (LTS) classifies the sagittal position of the talus relative to the tibia. We hypothesized that correcting the sagittal distal tibial ar ... Full text Link to item Cite

Variable Volumes of Resected Bone Resulting From Different Total Ankle Arthroplasty Systems.

Journal Article Foot Ankle Int · August 2016 BACKGROUND: The increased popularity and success of total ankle arthroplasty (TAA) has resulted in the development of varying TAA hardware designs, many of which include specific bone-sparing or bone-sacrificing features. The goal of this work was to deter ... Full text Link to item Cite

Delayed administration of recombinant human parathyroid hormone improves early biomechanical strength in a rat rotator cuff repair model.

Journal Article J Shoulder Elbow Surg · August 2016 BACKGROUND: Despite advances in intraoperative techniques, rotator cuff repairs frequently do not heal. Recombinant human parathyroid hormone (rhPTH) has been shown to improve healing at the tendon-to-bone interface in an established acute rat rotator cuff ... Full text Link to item Cite

Factors Influencing Graft Choice in Revision Anterior Cruciate Ligament Reconstruction in the MARS Group.

Journal Article J Knee Surg · August 2016 It has not been known what drives revision anterior cruciate ligament (ACL) reconstruction graft choice in the past. We undertook this study to utilize the Multicenter ACL Revision Study (MARS) group and propensity score statistical analysis to determine t ... Full text Link to item Cite

Meniscal and Articular Cartilage Predictors of Clinical Outcome After Revision Anterior Cruciate Ligament Reconstruction.

Journal Article Am J Sports Med · July 2016 BACKGROUND: Revision anterior cruciate ligament (ACL) reconstruction has been documented to have worse outcomes compared with primary ACL reconstructions. PURPOSE/HYPOTHESIS: The purpose of this study was to determine if the prevalence, location, and/or de ... Full text Link to item Cite

Outcomes of ACL Reconstruction in Patients with Diabetes.

Journal Article Med Sci Sports Exerc · June 2016 PURPOSE: Diabetes has been associated with adverse outcomes after various types of surgery. There are no previously published data regarding the effect of diabetes on outcomes from anterior cruciate ligament reconstruction (ACLR). The purpose of this study ... Full text Link to item Cite

Factors Associated With High-Grade Lachman, Pivot Shift, and Anterior Drawer at the Time of Anterior Cruciate Ligament Reconstruction.

Journal Article Arthroscopy · June 2016 PURPOSE: To determine which patient and injury factors are associated with the detection of high-grade laxity on examination under anesthesia before anterior cruciate ligament (ACL) reconstruction. METHODS: We identified 2,318 patients who underwent primar ... Full text Link to item Cite

Cortical Bone Thickness of the Distal Part of the Tibia Predicts Bone Mineral Density.

Journal Article J Bone Joint Surg Am · May 4, 2016 BACKGROUND: Poor bone density may affect surgical planning, treatment outcome, and postoperative protocols. Many patients with foot and ankle problems have not undergone a dual x-ray absorptiometry (DXA) scan, which is currently the gold standard for deter ... Full text Link to item Cite

Outcomes and Complications After Open Versus Posterior Arthroscopic Subtalar Arthrodesis in 121 Patients.

Journal Article J Bone Joint Surg Am · April 20, 2016 BACKGROUND: Subtalar arthrodesis is a standard treatment for subtalar arthritis. Both open and arthroscopic techniques have been described and are commonly used. The cases of a consecutive series of 121 patients treated with either open or posterior arthro ... Full text Link to item Cite

Outcomes of Ankle Distraction for the Treatment of Ankle Arthritis.

Journal Article Instr Course Lect · 2016 Ankle arthrodesis and total ankle arthroplasty are the most common treatments for end-stage ankle osteoarthritis; however, these surgeries are not ideal for young, active patients because of the nature and long-term consequences of sacrificing the ankle jo ... Link to item Cite

Comparison of Three Virtual Reality Arthroscopic Simulators as Part of an Orthopedic Residency Educational Curriculum.

Journal Article Iowa Orthop J · 2016 PURPOSE: Orthopedic education continues to move towards evidence-based curriculum in order to comply with new residency accreditation mandates. There are currently three high fidelity arthroscopic virtual reality (VR) simulators available, each with multip ... Link to item Cite

Simple Neurectomy Versus Neurectomy With Intramuscular Implantation for Interdigital Neuroma: A Comparative Study.

Journal Article Foot Ankle Int · December 2015 BACKGROUND: Simple neurectomy is a standard treatment of interdigital nerve neuroma after failure of conservative treatment. Recently, neurectomy with intramuscular implantation of the proximal nerve stump has been proposed as a safe and effective alternat ... Full text Link to item Cite

High Ankle Sprains and Syndesmotic Injuries in Athletes.

Journal Article J Am Acad Orthop Surg · November 2015 Treatment of athletes with ligamentous injuries of the tibiofibular syndesmosis can be problematic. The paucity of historic data on this topic has resulted in a lack of clear guidelines to aid in imaging and diagnosing the injury, assessing injury severity ... Full text Link to item Cite

The Fate of Meniscus Tears Left In Situ at the Time of Anterior Cruciate Ligament Reconstruction: A 6-Year Follow-up Study From the MOON Cohort.

Journal Article Am J Sports Med · November 2015 BACKGROUND: The management of meniscus tears identified at the time of primary anterior cruciate ligament (ACL) reconstruction is highly variable and includes repair, meniscectomy, and nontreatment. HYPOTHESIS/PURPOSE: The purpose of this study was to dete ... Full text Link to item Cite

Tenosynovial Osteochondromatosis of the Flexor Hallucis Longus in a Division I Tennis Player.

Journal Article Clin J Sport Med · November 2015 Tenosynovial (extra-articular) chondromatosis (TC) is a condition characterized by the cartilaginous proliferation of synovial cells derived from the synovial lining of bursa and tendon sheaths. These lesions are often multinodular and most commonly presen ... Full text Link to item Cite

Arthroscopic Management of Popliteal Tendon Dysfunction in Total Knee Arthroplasty.

Journal Article Arthrosc Tech · October 2015 Unexplainable knee pain may follow knee replacement surgery. The popliteal tendon should be evaluated as a possible cause of lateral knee pain and dysfunction after knee arthroplasty. The tendon can snap over or impinge on lateral osteophytes or prominent ... Full text Link to item Cite

Why Do Osteochondral Allografts Survive? Comparative Analysis of Cartilage Biochemical Properties Unveils a Molecular Basis for Durability.

Journal Article Am J Sports Med · October 2015 BACKGROUND: Transplantation of osteochondral allografts (OCAs) freshly preserved for ≥30 days has proven to be a reliable technique for cartilage resurfacing. However, the prolonged storage of allografts comes at the expense of chondrocyte viability, which ... Full text Link to item Cite

Surgical treatment of multiligament knee injuries.

Journal Article Knee Surg Sports Traumatol Arthrosc · October 2015 PURPOSE: To analyse one institution's experience with multiligament knee injuries. METHODS: Over 10 years, 133 multiligament knee injuries including 130 patients were included in the study. Inclusion criteria included: (1) injury to two or more knee ligame ... Full text Link to item Cite

KOOS pain as a marker for significant knee pain two and six years after primary ACL reconstruction: a Multicenter Orthopaedic Outcomes Network (MOON) prospective longitudinal cohort study.

Journal Article Osteoarthritis Cartilage · October 2015 OBJECTIVE: The prevalence of radiographic osteoarthritis (OA) after anterior cruciate ligament reconstruction (ACLR) approaches 50%, yet the prevalence of significant knee pain is unknown. We applied three different models of Knee injury and Osteoarthritis ... Full text Link to item Cite

Patient demographics and surgical characteristics in ACL revision: a comparison of French, Norwegian, and North American cohorts.

Journal Article Knee Surg Sports Traumatol Arthrosc · August 2015 PURPOSE: The goal of this paper is to compare patient factors, intra-operative findings, and surgical techniques between patients followed in large cohorts in France, Norway, and North America. METHODS: Data collected on 2,286 patients undergoing revision ... Full text Link to item Cite

Ankle Arthroscopy Simulation Improves Basic Skills, Anatomic Recognition, and Proficiency During Diagnostic Examination of Residents in Training.

Journal Article Foot Ankle Int · July 2015 BACKGROUND: The purpose of this study was to determine whether low-fidelity arthroscopic simulation training improves basic ankle arthroscopy performance and efficiency among orthopedic trainees. METHODS: Twenty-nine orthopedic surgery trainees with varyin ... Full text Link to item Cite

Trends in articular cartilage treatments of the knee: An American board of orthopaedic surgery database study

Journal Article Orthopaedic Journal of Sports Medicine · July 1, 2015 Objectives: Full-thickness articular cartilage defects of the knee are often encountered during arthroscopy. Management likely varies between surgeons and may include chondroplasty, microfracture, or osteochondral grafting procedures. The purpose of this s ... Full text Cite

Risk Factors and Predictors of Subsequent ACL Injury in Either Knee After ACL Reconstruction: Prospective Analysis of 2488 Primary ACL Reconstructions From the MOON Cohort.

Journal Article Am J Sports Med · July 2015 BACKGROUND: Anterior cruciate ligament (ACL) reinjury results in worse outcomes and increases the risk of posttraumatic osteoarthritis. PURPOSE: To identify the risk factors for both ipsilateral and contralateral ACL tears after primary ACL reconstruction ... Full text Link to item Cite

The Fate Of Meniscus Tears Left in situ At The Time Of Anterior Cruciate Ligament Reconstruction : A 6-year Follow-up Study From The Moon Cohort

Journal Article Orthopaedic journal of sports medicine · July 2015 Objectives: Meniscus tears frequently accompany acute anterior cruciate ligament ruptures. Management of meniscus tears is highly variable and includes repair, meniscectomy, and non-treatment of tears identified at the time of ACL reconstruction. ... Cite

Association of Meniscal Status, Lower Extremity Alignment, and Body Mass Index With Chondrosis at Revision Anterior Cruciate Ligament Reconstruction.

Journal Article Am J Sports Med · July 2015 BACKGROUND: Knees undergoing revision anterior cruciate ligament reconstruction (rACLR) have a high prevalence of articular cartilage lesions. HYPOTHESIS: The prevalence of chondrosis at the time of rACLR is associated with meniscal status and lower extrem ... Full text Link to item Cite

Causes and Predictors of 30-Day Readmission After Shoulder and Knee Arthroscopy: An Analysis of 15,167 Cases.

Journal Article Arthroscopy · June 2015 PURPOSE: To evaluate the incidence, causes, and risk factors for unplanned 30-day readmission after shoulder and knee arthroscopy. METHODS: A multicenter, prospective clinic registry, the American College of Surgeons National Surgical Quality Improvement P ... Full text Link to item Cite

Anterior Cruciate Ligament Reconstruction Rehabilitation: MOON Guidelines.

Journal Article Sports Health · May 2015 CONTEXT: Anterior cruciate ligament (ACL) reconstruction rehabilitation has evolved over the past 20 years. This evolution has been driven by a variety of level 1 and level 2 studies. EVIDENCE ACQUISITION: The MOON Group is a collection of orthopaedic surg ... Full text Link to item Cite

Intermediate-term follow-up after ankle distraction for treatment of end-stage osteoarthritis.

Journal Article J Bone Joint Surg Am · April 1, 2015 BACKGROUND: Treatment of end-stage ankle osteoarthritis remains challenging, especially in young patients. Initial reports have shown early benefits of joint distraction for the treatment of ankle osteoarthritis. We report the five to ten-year results of a ... Full text Link to item Cite

Large fresh osteochondral allografts of the knee: a systematic clinical and basic science review of the literature.

Journal Article Arthroscopy · April 2015 PURPOSE: The aim of this study was to conduct an updated review of the literature regarding the clinical and basic science knowledge on osteochondral allograft transplantation in the knee for the treatment of large defects. METHODS: According to specific c ... Full text Link to item Cite

Meniscal allograft transplantation: a systematic review.

Journal Article Am J Sports Med · April 2015 BACKGROUND: Meniscal allograft transplantation (MAT) was developed as a means of treating the symptoms of compartmental overload after meniscectomy. Despite more than 20 years of research in this field, many controversies still exist regarding meniscal tra ... Full text Link to item Cite

Mechanical hyperalgesia and reduced quality of life occur in people with mild knee osteoarthritis pain.

Journal Article Clin J Pain · April 2015 OBJECTIVES: This study determined whether individuals with mild knee pain due to osteoarthritis (OA) experience hyperalgesia and central sensitivity by comparing them with age-matched and sex-matched control participants and determined whether these levels ... Full text Link to item Cite

Baseline predictors of health-related quality of life after anterior cruciate ligament reconstruction: a longitudinal analysis of a multicenter cohort at two and six years.

Journal Article J Bone Joint Surg Am · April 1, 2015 BACKGROUND: Limited information exists regarding predictors of general quality of life following anterior cruciate ligament (ACL) reconstruction with up to six-year follow-up. We hypothesized that certain variables evaluated at the time of ACL reconstructi ... Full text Link to item Cite

Factors associated with infection following anterior cruciate ligament reconstruction.

Journal Article J Bone Joint Surg Am · March 18, 2015 BACKGROUND: Although rare, infection can be devastating after anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to test the association between infection after ACL reconstruction and potential risk factors such as age, body mas ... Full text Link to item Cite

Posterior ankle and subtalar arthroscopy: Safety, efficacy, and expanding indications

Journal Article Techniques in Foot and Ankle Surgery · March 6, 2015 Over the last decade, arthroscopy in the prone position for hindfoot pathology has gained popularity in addition to open and supine anterior arthroscopic approaches. Open approaches to the hindfoot limits visualization and may increase surgical morbidity, ... Full text Cite

Endoscopic coalition resection.

Journal Article Foot Ankle Clin · March 2015 Excision of symptomatic tarsal coalitions, after failure of attempted conservative treatment, is a widely accepted surgical procedure, when the surrounding joints are not degenerated. Historically, the literature has supported open resection. Recently, art ... Full text Link to item Cite

Injury risk to extraosseous knee vasculature during osteotomies: a cadaveric study with CT and dissection analysis.

Journal Article Clin Orthop Relat Res · March 2015 BACKGROUND: Realignment osteotomies about the knee may be performed as distal femoral or proximal tibial osteotomies; both may be performed either on the medial or lateral sides of the knee, in closing- or opening-wedge fashion. Although rare, injury to ne ... Full text Link to item Cite

The Impact of the Multicenter Orthopaedic Outcomes Network (MOON) Research on Anterior Cruciate Ligament Reconstruction and Orthopaedic Practice.

Journal Article J Am Acad Orthop Surg · March 2015 With an estimated 200,000 anterior cruciate ligament reconstructions performed annually in the United States, there is an emphasis on determining patient-specific information to help educate patients on expected clinically relevant outcomes. The Multicente ... Full text Link to item Cite

Erratum: Transtibial ACL femoral tunnel preparation increases odds of repeat ipsilateral knee surgery

Journal Article Journal of Bone and Joint Surgery - American Volume · February 18, 2015 Cite

Perioperative Implications of End-stage Renal Disease in Orthopaedic Surgery.

Journal Article J Am Acad Orthop Surg · February 2015 End-stage renal disease is a prevalent condition that substantially impacts a patient's quality of life. As medical advancements improve function and rates of survival, the number of persons with end-stage renal disease will grow, with orthopaedic surgeons ... Full text Link to item Cite

Assessing Lower Limb Alignment: Comparison of Standard Knee Xray vs Long Leg View.

Journal Article Iowa Orthop J · 2015 BACKGROUND: High tibial osteotomy (HTO) is a well-established and commonly utilized technique in medial knee osteoarthritis secondary to varus malalignment. Accurate measurement of the preoperative limb alignment, and the amount of correction required are ... Link to item Cite

Bone bruises in anterior cruciate ligament injured knee and long-term outcomes. A review of the evidence.

Journal Article Open Access J Sports Med · 2015 BACKGROUND: Bone bruises are frequently associated with anterior cruciate ligament (ACL) tears as a result of trauma or direct shear stress of the bone. PURPOSE: To review the evidence regarding the characteristics of the bone bruise associated with ACL te ... Full text Link to item Cite

Safety and efficacy of turoctocog alfa (NovoEight®) during surgery in patients with haemophilia A: results from the multinational guardian™ clinical trials.

Journal Article Haemophilia · January 2015 Recombinant factor VIII (rFVIII) products provide a safe and efficacious replacement therapy for prevention and treatment of bleeding episodes in patients with haemophilia A. The present investigations from the multinational, open-label guardian(™) clinica ... Full text Link to item Cite

Medicare data transparency may confuse consumers comparing hospitals for total joint arthroplasty.

Journal Article J Arthroplasty · January 2015 The release of new hospital-specific Medicare data was heralded as a major development in transparency that would empower consumers. Using this data, we sought to investigate differences in payments and outcomes for total joint arthroplasty (TJA). We compa ... Full text Link to item Cite

Correlation of knee and hindfoot deformities in advanced knee OA: compensatory hindfoot alignment and where it occurs.

Journal Article Clin Orthop Relat Res · January 2015 BACKGROUND: Many patients undergoing TKA have both knee and ankle pathology, and it seems likely that some compensatory changes occur at each joint in response to deformity at the other. However, it is not fully understood how the foot and ankle compensate ... Full text Link to item Cite

Posterolateral Knee Reconstruction Versus Repair.

Journal Article Iowa Orthop J · 2015 BACKGROUND: Recent literature has shown that posterolateral corner injuries of the knee have poor results when treated with repair, when compared to reconstruction. Our study sought to compare outcomes of posterolateral knee injuries treated with repair ve ... Link to item Cite

High tibial osteotomy: indications, techniques, and postoperative management.

Journal Article Instr Course Lect · 2015 High tibial osteotomy is a safe and effective treatment for medial compartment arthrosis of the knee accompanied by varus alignment. This procedure has seen increasing use as an adjunct to cartilage restoration procedures, such as autologous chondrocyte an ... Link to item Cite

Endoscopic gastrocnemius release.

Journal Article Foot Ankle Clin · December 2014 Endoscopic gastrocnemius release (EGR) is a recently developed procedure that is a reliable option for surgical management of ankle equinus contracture. Comfort with endoscopic equipment and surgical anatomy, especially the sural nerve, is of paramount imp ... Full text Link to item Cite

High tibial osteotomy.

Journal Article Curr Rev Musculoskelet Med · December 2014 High tibial osteotomy (HTO) is a widely accepted and performed procedure to treat medial knee arthrosis. The aim of this review is to evaluate the different surgical options in medial knee arthrosis, focusing on indications, patient's selection, long-term ... Full text Link to item Cite

Talar osteochondral defects: Current techniques

Journal Article Operative Techniques in Sports Medicine · December 1, 2014 Osteochondral defects (OCDs) of the talus are an increasingly recognized common injury and may occur in up to 50% of ankle sprains and fractures. There is a consensus regarding nonoperative management of asymptomatic OCDs of the talus. Surgery is often ind ... Full text Cite

Effect of body mass index on patients with multiligamentous knee injuries.

Journal Article Arthroscopy · November 2014 PURPOSE: Our goal was to evaluate the impact of body mass index (BMI) on complications and associated injuries in patients undergoing surgical treatment for multiligamentous knee injuries (MLKIs). METHODS: Over a period of 10 years, 126 MLKIs (123 patients ... Full text Link to item Cite

Validation and reproducibility of a biplanar imaging system versus conventional radiography of foot and ankle radiographic parameters.

Journal Article Foot Ankle Int · November 2014 BACKGROUND: Diagnosis of foot deformities is frequently supported by objective measures of bony alignment made on AP and lateral weight-bearing radiographs. The EOS biplanar imaging system has the capability of simultaneously capturing orthogonal AP and la ... Full text Link to item Cite

Osteotomy for malalignment following failed ACL reconstruction

Chapter · November 1, 2014 Failed anterior cruciate ligament reconstruction represents a challenge in orthopedics and surgeons are often compelled to face many different complicated clinical situations. No decision-making algorithms are available regarding tibial osteotomy and ACL r ... Full text Cite

The effect of suture-button fixation on simulated syndesmotic malreduction: a cadaveric study.

Journal Article J Bone Joint Surg Am · October 15, 2014 BACKGROUND: The accuracy of reduction of distal tibiofibular syndesmosis disruptions has been associated with the clinical outcome. Suture-button fixation of the syndesmosis is a dynamic alternative mode of fixation. We hypothesized that with deliberate cl ... Full text Link to item Cite

Effect of graft choice on the outcome of revision anterior cruciate ligament reconstruction in the Multicenter ACL Revision Study (MARS) Cohort.

Journal Article Am J Sports Med · October 2014 BACKGROUND: Most surgeons believe that graft choice for anterior cruciate ligament (ACL) reconstruction is an important factor related to outcome; however, graft choice for revision may be limited due to previously used grafts. HYPOTHESES: Autograft use wo ... Full text Link to item Cite

Creatine kinase levels during preseason camp in National Collegiate Athletic Association Division I football athletes.

Journal Article Clin J Sport Med · September 2014 OBJECTIVE: To investigate mean creatine kinase (CK) levels in National Collegiate Athletic Association (NCAA) Division I football athletes and the relationship between mean CK levels and demographic variables. DESIGN: Observational cohort. SETTING: NCAA Di ... Full text Link to item Cite

Arthroscopic approaches to the ankle joint

Journal Article Operative Techniques in Orthopaedics · September 1, 2014 This chapter reviews anterior and posterior arthroscopic approaches to the ankle and subtalar joints. The specific anatomy relevant to arthroscopy is reviewed including the major tendon, vascular, nerve and ligament structures along with the bony anatomy o ... Full text Cite

Endoscopic Gastrocnemius Recession for the Treatment of Isolated Gastrocnemius Contracture: A Prospective Study on 320 Consecutive Patients.

Journal Article Foot Ankle Int · August 2014 BACKGROUND: Endoscopic gastrocnemius recession has been proposed as a minimally invasive technique for the treatment of isolated gastrocnemius contracture. We report on the safety and efficacy of endoscopic gastrocnemius recession, as an isolated procedure ... Full text Link to item Cite

Total joint arthroplasty: trends in medicare reimbursement and implant prices.

Journal Article J Arthroplasty · August 2014 Total joint arthroplasty (TJA) continues to be a popular target of cost control efforts. In order to provide a unique overview of financial trends facing TJA, we analyzed Medicare databases including 100% of beneficiaries, as well as industry surveys of im ... Full text Link to item Cite

Anterior cruciate ligament tunnel placement.

Journal Article J Knee Surg · August 2014 The purpose of this cadaveric study was to analyze variation in anterior cruciate ligament (ACL) tunnel placement between surgeons and the influence of preferred surgical technique and surgeon experience level using three-dimensional (3D) computed tomograp ... Full text Link to item Cite

Osteoarthritis Classification Scales: Interobserver Reliability and Arthroscopic Correlation.

Journal Article J Bone Joint Surg Am · July 16, 2014 BACKGROUND: Osteoarthritis of the knee is commonly diagnosed and monitored with radiography. However, the reliability of radiographic classification systems for osteoarthritis and the correlation of these classifications with the actual degree of confirmed ... Full text Link to item Cite

Cost-Effectiveness Analysis of Early Reconstruction Versus Rehabilitation and Delayed Reconstruction for Anterior Cruciate Ligament Tears.

Journal Article Am J Sports Med · July 2014 BACKGROUND: An initial anterior cruciate ligament (ACL) tear can be treated with surgical reconstruction or focused rehabilitation. The KANON (Knee Anterior cruciate ligament, NON-surgical versus surgical treatment) randomized controlled trial compared reh ... Full text Link to item Cite

Are articular cartilage lesions and meniscus tears predictive of IKDC, KOOS, and Marx activity level outcomes after anterior cruciate ligament reconstruction? A 6-year multicenter cohort study.

Journal Article Am J Sports Med · May 2014 BACKGROUND: Identifying risk factors for inferior outcomes after anterior cruciate ligament reconstruction (ACLR) is important for prognosis and future treatment. HYPOTHESIS: Articular cartilage lesions and meniscus tears/treatment would predict Internatio ... Full text Link to item Cite

Risks to the blood supply of the talus with four methods of total ankle arthroplasty: a cadaveric injection study.

Journal Article J Bone Joint Surg Am · March 5, 2014 BACKGROUND: Despite the use of contemporary total ankle arthroplasty implant designs, clinical outcomes of total ankle arthroplasty continue to lag behind those of other joint replacement procedures. Disruption of the extraosseous talar blood supply at the ... Full text Link to item Cite

Trends in the use of total ankle replacement and ankle arthrodesis in the United States Medicare population.

Journal Article Foot Ankle Int · March 2014 BACKGROUND: Total ankle replacement (TAR) has gained acceptance as an alternative to traditional ankle arthrodesis (AA) for end-stage ankle arthritis. Little is known about long-term trends in volume, utilization, and patient characteristics. The objective ... Full text Link to item Cite

Arthroscopic repair of "peel-off" lesion of the posterior cruciate ligament at the femoral condyle.

Journal Article Arthrosc Tech · February 2014 Posterior cruciate ligament (PCL) injuries are uncommon, and most occur in association with other lesions. The treatment of PCL injuries remains controversial; in addition, PCL injuries have been documented to have a propensity to heal. In the literature s ... Full text Link to item Cite

Minimizing alteration of posterior tibial slope during opening wedge high tibial osteotomy: a protocol with experimental validation in paired cadaveric knees.

Journal Article Iowa Orthop J · 2014 INTRODUCTION: The High Tibial Osteotomy (HTO) is a reliable procedure in addressing uni- compartmental arthritis with associated coronal deformities. With osteotomy of the proximal tibia, there is a risk of altering the tibial slope in the sagittal plane. ... Link to item Cite

Osteochondral allograft of the talus.

Journal Article Iowa Orthop J · 2014 Osteochondral lesions of the talus are being recognized as an increasingly common injury. They are most commonly located postero-medially or antero-laterally, while centrally located lesions are uncommon. Large osteochondral lesions have significant biomec ... Link to item Cite

HTO and peripheral instability

Chapter · January 1, 2014 High tibial osteotomy (HTO) is a surgical procedure used to change the mechanical weight-bearing axis of the lower limb. Traditionally knee instabilities were considered as a contraindication to this surgery. Recently it has been emphasized that an HTO pro ... Full text Cite

Outcomes of open surgery versus nonoperative management of acute achilles tendon rupture.

Journal Article Clin J Sport Med · January 2014 OBJECTIVE: To compare the outcomes (reruptures and other complications, strength, and return to work) of open surgical repair of acute Achilles tendon ruptures with nonoperative management, by means of a meta-analysis of the results of randomized controlle ... Full text Link to item Cite

Patient characteristics as predictors of clinical outcome of distraction in treatment of severe ankle osteoarthritis.

Journal Article J Orthop Res · January 2014 Osteoarthritis (OA) is a slowly progressive joint disease. Joint distraction can be a treatment of choice in case of severe OA. Prediction of failure will facilitate implementation of joint distraction in clinical practice. Patients with severe ankle OA, w ... Full text Link to item Cite

Proximal interphalangeal joint arthrodesis of the lesser toes: 2-part design

Journal Article Techniques in Foot and Ankle Surgery · January 1, 2014 Hammer toe deformity is one of the most common conditions affecting lesser toes that often requires surgical reconstruction including soft-tissue repair, resection arthroplasty, or arthrodesis. The success of the proximal interphalangeal arthrodesis depend ... Full text Cite

Lateral talar station: a clinically reproducible measure of sagittal talar position.

Journal Article Foot Ankle Int · December 2013 BACKGROUND: The sagittal relationship of the talus to the tibial shaft can prove invaluable to the orthopedist in understanding and effectively treating ankle pathologies such as ligamentous laxity and ankle arthritis. Any useful radiographic analysis tool ... Full text Link to item Cite

Transtibial ACL femoral tunnel preparation increases odds of repeat ipsilateral knee surgery.

Journal Article J Bone Joint Surg Am · November 20, 2013 BACKGROUND: Recent efforts to improve the results of anterior cruciate ligament (ACL) reconstruction have focused on placing the femoral tunnel anatomically. Medial portal femoral tunnel techniques facilitate drilling of femoral tunnels that are more anato ... Full text Link to item Cite

Three-dimensional characterization of the femoral footprint of the posterior cruciate ligament.

Journal Article Arthroscopy · November 2013 PURPOSE: The purpose of this study was to define an anatomic standard for the femoral footprint of the posterior cruciate ligament (PCL) based on 3-dimensional (3D) surface reconstructions of computed tomography (CT) scans of cadaveric knees. METHODS: The ... Full text Link to item Cite

Tripod index: a new radiographic parameter assessing foot alignment.

Journal Article Foot Ankle Int · October 2013 BACKGROUND: No single radiographic measurement takes into account complete foot alignment. We have created the Tripod Index (TI) to allow assessment of complex foot deformities using a standing anteroposterior (AP) radiograph of the foot. We hypothesized t ... Full text Link to item Cite

Is there any value to arthroscopic debridement of ankle osteoarthritis and impingement?

Journal Article Foot Ankle Clin · September 2013 This article summarizes the current literature regarding the use of arthroscopy for the various types of ankle osteoarthritis with impingement symptoms. Discussion includes the role of diagnostic arthroscopy and adjunctive use of arthroscopy with other mod ... Full text Link to item Cite

Ankle joint distraction arthroplasty: why and how?

Journal Article Foot Ankle Clin · September 2013 For select patients, distraction ankle arthroplasty may be a promising treatment approach for ankle osteoarthritis; however, there is still limited literature addressing its efficacy and clinical long-term results. In this article, the literature regarding ... Full text Link to item Cite

A cluster of exertional rhabdomyolysis affecting a Division I Football team.

Journal Article Clin J Sport Med · September 2013 OBJECTIVE: To identify risk factors for exertional rhabdomyolysis (ER) among collegiate football athletes. We hypothesized that a back squat workout triggered ER in some players, and that the risk of ER was altered by players' characteristics or other expo ... Full text Link to item Cite

Are articular cartilage lesions and meniscus tears predictive of IKDC, KOOS, and marx activity level outcomes after ACL reconstruction? A 6-year MOON cohort study

Conference Orthopaedic Journal of Sports Medicine · September 1, 2013 Objectives: Identifying risk factors for inferior outcomes after ACL reconstruction (ACLR) is important for prognosis and future treatment. Study goal: Analyze a sufficiently large enough cohort to evaluate whether articular cartilage and meniscal variable ... Full text Cite

Posterolateral knee repair versus reconstruction

Journal Article Orthopaedic Journal of Sports Medicine · September 1, 2013 Objectives: Our goal was to compare clinical, functional and radiographic outcomes of posterolateral knee injuries treated with repair versus reconstruction. In addition, we compared varus stress radiographs of these patients with controls. Methods: A retr ... Full text Cite

Erratum: Triceps surae contracture: Implications for foot and ankle surgery (The Journalregrets (2013) 21:7 (398-407))

Journal Article Journal of the American Academy of Orthopaedic Surgeons · August 1, 2013 Full text Cite

Radiographic findings in revision anterior cruciate ligament reconstructions from the Mars cohort.

Journal Article J Knee Surg · August 2013 The Multicenter ACL (anterior cruciate ligament) Revision Study (MARS) group was developed to investigate revision ACL reconstruction outcomes. An important part of this is obtaining and reviewing radiographic studies. The goal for this radiographic analys ... Full text Link to item Cite

Triceps surae contracture: implications for foot and ankle surgery.

Journal Article J Am Acad Orthop Surg · July 2013 Restricted ankle dorsiflexion secondary to contracture of the gastrocnemius-soleus complex is frequently encountered in patients with foot and ankle pain and is well documented in the literature. During gait, decreased dorsiflexion shifts weight-bearing pr ... Full text Link to item Cite

Biomechanical properties of double- and single-row suture anchor repair for surgical treatment of insertional Achilles tendinopathy.

Journal Article Am J Sports Med · July 2013 BACKGROUND: Because of intratendinous ossifications, retrocalcaneal bursitis, or intratendinous necrosis commonly found in insertional tendinosis, it is often necessary to detach the tendon partially or entirely from its tendon-to-bone junction. HYPOTHESIS ... Full text Link to item Cite

The rate of subsequent surgery and predictors after anterior cruciate ligament reconstruction: two- and 6-year follow-up results from a multicenter cohort.

Journal Article Am J Sports Med · July 2013 BACKGROUND: Subsequent surgeries have a profound effect on patient satisfaction and outcome after primary anterior cruciate ligament reconstruction (ACLR). There have been no prospective studies to date describing the rate and predictors (surgical and pati ... Full text Link to item Cite

Differences in mechanisms of failure, intraoperative findings, and surgical characteristics between single- and multiple-revision ACL reconstructions: a MARS cohort study.

Journal Article Am J Sports Med · July 2013 BACKGROUND: The factors that lead to patients failing multiple anterior cruciate ligament (ACL) reconstructions are not well understood. HYPOTHESIS: Multiple-revision ACL reconstruction will have different characteristics than first-time revision in terms ... Full text Link to item Cite

Complications of osteotomies about the knee.

Journal Article Sports Med Arthrosc Rev · June 2013 High tibial osteotomy and distal femoral osteotomy are 2 popular techniques for the treatment of monocompartmental osteoarthritis of the knee joint in young patients. Injury to the popliteal neurovascular bundle is still considered to be the most severe co ... Full text Link to item Cite

Variability in ACL tunnel placement: observational clinical study of surgeon ACL tunnel variability.

Journal Article Am J Sports Med · June 2013 BACKGROUND: Multicenter and multisurgeon cohort studies on anterior cruciate ligament (ACL) reconstruction are becoming more common. Minimal information exists on intersurgeon and intrasurgeon variability in ACL tunnel placement. Purpose/ HYPOTHESIS: The p ... Full text Link to item Cite

Revision anterior cruciate ligament

Chapter · March 1, 2013 The incidence rate of ACL rupture in young patients (15-40 years) has recently been reported to be 85 per 100,000 person-year, and it is estimated that approximately 250,000 ACL reconstructions are performed yearly in Europe and the United States. Although ... Full text Cite

Varus external rotation stress test for radiographic detection of deep deltoid ligament disruption with and without syndesmotic disruption: a cadaveric study.

Journal Article Foot Ankle Int · February 2013 BACKGROUND: External rotation stress is used intraoperatively for diagnosing medial ankle and syndesmotic instability in rotational ankle fractures after reduction and fixation of the fibula. However, external rotation includes hindfoot, midfoot, and ankle ... Full text Link to item Cite

The role of high tibial osteotomy in the ACL-deficient knee

Chapter · January 1, 2013 Anterior cruciate ligament (ACL) de fi ciency in the setting of underlying lower extremity malalignment poses a special clinical challenge for surgeons because of the myriad considerations required to reconstruct a stable, durable, and functional knee. Man ... Full text Cite

Tripod Index: diagnostic accuracy in symptomatic flatfoot and cavovarus foot: part 2.

Journal Article Iowa Orthop J · 2013 BACKGROUND: The Tripod Index (TI) has been created to allow assessment of complex foot deformities. It utilizes tripod relationship between center of the heel, medial/lateral borders of the forefoot, and compare it to the center of the talar head. This stu ... Link to item Cite

Femoral tunnel placement in medial patellofemoral ligament reconstruction.

Journal Article Iowa Orthop J · 2013 INTRODUCTION: Medial Patellofemoral Ligament (MPFL) reconstruction is an accepted treatment for recurrent patellofemoral instability when patients have normal alignment and deficient proximal medial restraints. There are several reports of malpositioned fe ... Link to item Cite

Imaging biopsy composition at ACL reconstruction.

Journal Article Orthop Res Rev · 2013 PURPOSE: Early-stage osteoarthritis (OA) includes glycosaminoglycan (GAG) loss and collagen disruption that cannot be seen on morphological magnetic resonance imaging (MRI). T1ρ MRI is a measurement that probes the low-frequency rate of exchange between pr ... Full text Link to item Cite

Comparison of T1ρ, dGEMRIC, and quantitative T2 MRI in preoperative ACL rupture patients.

Journal Article Acad Radiol · January 2013 RATIONALE AND OBJECTIVES: T1ρ, inversion recovery sequence with a gadolinium contrast agent (dGEMRIC), and T2 mapping have shown sensitivity toward different osteoarthritic-associated compositional changes after joint injury, but have not been studied conc ... Full text Link to item Cite

Prognosis and predictors of ACL reconstructions using the MOON cohort: a model for comparative effectiveness studies.

Journal Article J Orthop Res · January 2013 Injury to the anterior cruciate ligament (ACL) threatens an active lifestyle and exposes the patient to risk of early osteoarthritis (OA). ACL reconstruction is typically chosen by individuals to allow a return to their previous work and sports activities. ... Full text Link to item Cite

Articular Cartilage Injury

Chapter · January 1, 2013 In an effort to decrease the risk of post-traumatic osteoarthritis, surgeons and scientists have been seeking ways to prevent progressive joint degeneration following injury. Surgeons have used operative treatments, including penetrating subchondral bone, ... Full text Cite

Arthroscopic agreement among surgeons on anterior cruciate ligament tunnel placement.

Journal Article Am J Sports Med · December 2012 BACKGROUND: Little is known about surgeon agreement and accuracy using arthroscopic evaluation of anterior cruciate ligament (ACL) tunnel positioning. PURPOSE: To investigate agreement on ACL tunnel position evaluated arthroscopically between operating sur ... Full text Link to item Cite

Return to high school- and college-level football after anterior cruciate ligament reconstruction: a Multicenter Orthopaedic Outcomes Network (MOON) cohort study.

Journal Article Am J Sports Med · November 2012 BACKGROUND: There is a relative paucity of data regarding the effect of anterior cruciate ligament (ACL) reconstruction on the ability of American high school and collegiate football players to return to play at the same level of competition as before thei ... Full text Link to item Cite

Femoral tunnel malposition in ACL revision reconstruction.

Journal Article J Knee Surg · November 2012 The Multicenter Anterior Cruciate Ligament (ACL) Revision Study (MARS) group was formed to study a large cohort of revision ACL reconstruction patients. The purpose of this subset analysis study of the MARS database is to describe specific details of femor ... Full text Link to item Cite

Reliability of tunnel measurements and the quadrant method using fluoroscopic radiographs after anterior cruciate ligament reconstruction.

Journal Article Am J Sports Med · October 2012 BACKGROUND: Anterior cruciate ligament (ACL) reconstruction tunnel placement is often evaluated by radiographs. This study examines the interobserver reliability of various radiographic measurements of ACL tunnels. HYPOTHESIS: When ideal radiographic views ... Full text Link to item Cite

Radiographic sizing for meniscal transplantation using 3-D CT reconstruction.

Journal Article J Knee Surg · July 2012 In meniscus transplantation, allograft size mismatch causes increased contact pressures and early degeneration of the knee. The purpose of this study is to compare the accuracy and reliability of sizing the tibial plateau using three-dimensional (3-D) comp ... Full text Link to item Cite

Effects of transcutaneous electrical nerve stimulation on pain, pain sensitivity, and function in people with knee osteoarthritis: a randomized controlled trial.

Journal Article Phys Ther · July 2012 BACKGROUND: Transcutaneous electrical nerve stimulation (TENS) is commonly used for the management of pain; however, its effects on several pain and function measures are unclear. OBJECTIVE: The purpose of this study was to determine the effects of high-fr ... Full text Link to item Cite

The knee joint: Surgical techniques and strategies

Book · July 1, 2012 Pushed by the progress of biology, technology and biomechanics, knee surgery has dramatically evolved in the last decades. This book is a "state of the art" concerning all aspects of knee surgery from ligament reconstruction to Total Knee Arthroplasty. An ... Full text Cite

The menisci: Anatomy, healing response, and biomechanics

Chapter · July 1, 2012 Injury to the meniscus from both sports injuries and daily living activities is common. As a result, arthroscopic treatment of meniscal lesions has become one of the most common orthopaedic surgical procedures, with arthroscopic partial meniscectomy as one ... Full text Cite

Results of HTO in medial OA of the knee

Chapter · July 1, 2012 High tibial osteotomy (HTO) is a widely accepted and performed procedure in medial osteoarthritis of the knee. Many techniques have been described (i.e., closing, opening, dome, and en chevron osteotomies), but the most commonly preferred are the opening ( ... Full text Cite

Graft choice in ACL reconstruction

Chapter · July 1, 2012 The anterior cruciate ligament (ACL) reconstruction is the sixth most common procedure in orthopaedic surgery, with more than 100,000 surgeries performed in the United States per year (1). Although widely accepted and investigated, ACL reconstruction still ... Full text Cite

Reliability of early postoperative radiographic assessment of tunnel placement after anterior cruciate ligament reconstruction.

Journal Article Arthroscopy · July 2012 PURPOSE: To evaluate the interobserver and intraobserver reliability of radiographic assessment of tunnel placement in anterior cruciate ligament reconstruction. METHODS: Seven sports fellowship-trained orthopaedic surgeons in the Multicenter Orthopaedic O ... Full text Link to item Cite

Posterior Ankle and Hindfoot Arthroscopy.

Journal Article JBJS Essent Surg Tech · July 2012 INTRODUCTION: Posterior ankle and hindfoot arthroscopy, performed with use of posteromedial and posterolateral portals with the patient in the prone position, has become an important diagnostic and therapeutic procedure for various intra-articular and extr ... Full text Link to item Cite

Motion versus fixed distraction of the joint in the treatment of ankle osteoarthritis: a prospective randomized controlled trial.

Journal Article J Bone Joint Surg Am · June 6, 2012 BACKGROUND: Initial reports have shown the efficacy of fixed distraction for the treatment of ankle osteoarthritis. We hypothesized that allowing ankle motion during distraction would result in significant improvements in outcomes compared with distraction ... Full text Link to item Cite

Update on anterior ankle impingement.

Journal Article Curr Rev Musculoskelet Med · June 2012 Anterior ankle impingement results from an impingement of the ankle joint by a soft tissue or osteophyte formation at the anterior aspect of the distal tibia and talar neck. It often occurs secondary to direct trauma (impaction force) or repetitive ankle d ... Full text Link to item Cite

Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction.

Journal Article Am J Sports Med · April 2012 BACKGROUND: Knees undergoing revision anterior cruciate ligament (ACL) reconstruction typically have more intra-articular injuries than do knees undergoing primary reconstruction. HYPOTHESIS: Previous partial meniscectomy (PM) is associated with a higher r ... Full text Link to item Cite

Postoperative complications of posterior ankle and hindfoot arthroscopy.

Journal Article J Bone Joint Surg Am · March 7, 2012 BACKGROUND: Posterior ankle and hindfoot arthroscopy, performed with use of posteromedial and posterolateral portals with the patient in the prone position, has been utilized for the treatment of various disorders. However, there is limited literature addr ... Full text Link to item Cite

Radiographic Evaluation and Preoperative Planning for High Tibial Osteotomies

Journal Article Operative Techniques in Sports Medicine · March 1, 2012 A standard set of preoperative plain radiographs includes the following: bilateral weight-bearing anteroposterior views in full extension, bilateral weight-bearing posteroanterior tunnel views at 30° flexion, lateral views, skyline views of the patellofemo ... Full text Cite

Subtalar instability: diagnosis and treatment.

Journal Article Foot Ankle Int · February 2012 Subtalar instability is challenging to diagnose. It rarely follows a complete subtalar dislocation, an event more likely to result in subtalar pain, stiffness, and arthritis. By history, subtalar instability can be suggested by the patient’s feeling of ank ... Full text Link to item Cite

Revision ACL reconstruction outcomes: MOON cohort.

Journal Article J Knee Surg · December 2011 Many clinicians believe that the results of revision anterior cruciate ligament (ACL) reconstruction compare unfavorably with primary ACL reconstruction. However, few prospective studies have evaluated revision ACL reconstruction using validated patient-ba ... Full text Link to item Cite

Cocultures of adult and juvenile chondrocytes compared with adult and juvenile chondral fragments: in vitro matrix production.

Journal Article Am J Sports Med · November 2011 BACKGROUND: The use of allogenic juvenile chondrocytes or autologous chondral fragments has shown promising laboratory results for the repair of chondral lesions. HYPOTHESIS: Juvenile chondrocytes would not affect matrix production when mixed with adult ch ... Full text Link to item Cite

The role of high tibial osteotomy in the varus knee.

Journal Article J Am Acad Orthop Surg · October 2011 High tibial osteotomy (HTO) is a widely performed procedure, and good results can be achieved with appropriate patient selection and precise surgical technique. Clinical indications include varus alignment of the knee associated with medial compartment art ... Full text Link to item Cite

415 EFFECTS OF SPIN-LOCK TIME SELECTION IN T1RHO RELAXOMETRY

Journal Article Osteoarthritis and Cartilage · September 2011 Full text Cite

Intra-articular findings in primary and revision anterior cruciate ligament reconstruction surgery: a comparison of the MOON and MARS study groups.

Journal Article Am J Sports Med · September 2011 BACKGROUND: At the time of anterior cruciate ligament (ACL) reconstruction, there are usually concurrent meniscal and articular cartilage injuries. It is unclear if there is a significant difference between intra-articular injuries at the time of a primary ... Full text Link to item Cite

Pediatric anterior cruciate ligament reconstruction.

Journal Article Curr Rev Musculoskelet Med · June 2011 An increasing number of anterior cruciate ligament (ACL) injuries are seen in children now than in the past due to increased sports participation. The natural history of ACL deficient knees in active individuals, particularly in children is poor. Surgical ... Full text Link to item Cite

Subchondral bone remodeling is related to clinical improvement after joint distraction in the treatment of ankle osteoarthritis.

Journal Article Osteoarthritis Cartilage · June 2011 OBJECTIVE: In osteoarthritis (OA), subchondral bone changes alter the joint's mechanical environment and potentially influence progression of cartilage degeneration. Joint distraction as a treatment for OA has been shown to provide pain relief and function ... Full text Link to item Cite

The role of arthroscopy in the management of fractures about the ankle.

Journal Article J Am Acad Orthop Surg · April 2011 Anatomic restoration of the joint is the goal of management in fractures about the ankle. Open reduction and internal fixation (ORIF) is the standard of care for unstable ankle fractures; however, arthroscopic management has been proposed. The use of arthr ... Full text Link to item Cite

The effect of irrigation solution at different temperatures on articular cartilage metabolism.

Journal Article Arthroscopy · April 2011 PURPOSE: The purpose of this study was to determine the effects of saline solution at different temperatures on the metabolism of chondrocytes. METHODS: Porcine osteochondral explants were precultured under laboratory conditions. The cartilage explants wer ... Full text Link to item Cite

Arthroscopic resection of talocalcaneal coalitions.

Journal Article Arthroscopy · March 2011 Excision of symptomatic talocalcaneal coalitions, after failure of an adequate conservative treatment, is a widely accepted surgical treatment when less than 50% of the subtalar joint is involved and in the absence of degenerative changes to the subtalar o ... Full text Link to item Cite

Role of high tibial osteotomy in chronic injuries of posterior cruciate ligament and posterolateral corner.

Journal Article J Orthop Traumatol · March 2011 High tibial osteotomy (HTO) is a surgical procedure used to change the mechanical weight-bearing axis and alter the loads carried through the knee. Conventional indications for HTO are medial compartment osteoarthritis and varus malalignment of the knee ca ... Full text Link to item Cite

Preventing damage to arthroscopic lens during surgery.

Journal Article Arthroscopy · March 2011 PURPOSE: To evaluate the relation between the relative diameter of instrument tips and the distance between the arthroscopic lens and the tips of the instruments in terms of preventing lens damage during arthroscopy. METHODS: By use of a custom-designed st ... Full text Link to item Cite

The prognosis and predictors of sports function and activity at minimum 6 years after anterior cruciate ligament reconstruction: a population cohort study.

Journal Article Am J Sports Med · February 2011 BACKGROUND: The predictors of anterior cruciate ligament reconstruction (ACLR) outcome at 6 years as measured by validated patient-based outcome instruments are unknown. HYPOTHESIS: Certain variables evaluated at the time of ACLR will predict return to spo ... Full text Link to item Cite

Arthroscopic debridement of the talonavicular joint using dorsomedial and dorsolateral portals: a cadaveric study of safety and access.

Journal Article Arthroscopy · February 2011 PURPOSE: The purpose of this study was to examine the safety and access talonavicular arthroscopy provides for the purpose of arthrodesis through dorsomedial and dorsolateral portals in a cadaveric model. METHODS: The talonavicular joints of 8 cadaveric sp ... Full text Link to item Cite

Integrating carthage-specific T1rho MRI into knee clinic diagnostic imaging.

Journal Article Iowa Orthop J · 2011 With a rise in post-traumatic osteoarthritis, OA no longer is considered just a disease of aging. The 'gold standard' for OA diagnosis has long been planar radiographs for visualizing osteophytes, joint space narrowing and sclerotic changes. A typical magn ... Link to item Cite

Allograft Versus Autograft Anterior Cruciate Ligament Reconstruction: Predictors of Failure From a MOON Prospective Longitudinal Cohort.

Journal Article Sports Health · January 2011 BACKGROUND: Tearing an anterior cruciate ligament (ACL) graft is a devastating occurrence after ACL reconstruction (ACLR). Identifying and understanding the independent predictors of ACLR graft failure is important for surgical planning, patient counseling ... Full text Link to item Cite

Is there a role for high tibial osteotomies in the athlete?

Journal Article Sports Health · January 2011 CONTEXT: The use of high tibial osteotomies (HTOs) in elite and professional athletes has been slow to gain acceptance by both the athlete and the surgeon because it is generally thought that return to competitive sports will be unlikely. Conversely, HTOs ... Full text Link to item Cite

Operative versus nonoperative treatment of acute Achilles tendon ruptures: a multicenter randomized trial using accelerated functional rehabilitation.

Journal Article J Bone Joint Surg Am · December 1, 2010 BACKGROUND: To date, studies directly comparing the rerupture rate in patients with an Achilles tendon rupture who are treated with surgical repair with the rate in patients treated nonoperatively have been inconclusive but the pooled relative risk of reru ... Full text Link to item Cite

Bilateral spontaneous concurrent rupture of the patellar tendon in a healthy man: case report and review of the literature.

Journal Article Musculoskelet Surg · November 2010 Knee extensor mechanism disruption is a serious injury usually requiring emergent treatment. Rupture of the patellar tendon is rare in the normal population; bilateral spontaneous concurrent rupture in a healthy population is an exceptional event. We descr ... Full text Link to item Cite

Predictors of activity level 2 years after anterior cruciate ligament reconstruction (ACLR): a Multicenter Orthopaedic Outcomes Network (MOON) ACLR cohort study.

Journal Article Am J Sports Med · October 2010 OBJECTIVE: The study was conducted to quantify activity level 2 years after anterior cruciate ligament reconstruction and identify explanatory variables measured at baseline (demographics, concomitant meniscal/articular cartilage injuries and their treatme ... Full text Link to item Cite

Descriptive epidemiology of the Multicenter ACL Revision Study (MARS) cohort.

Journal Article Am J Sports Med · October 2010 BACKGROUND: Revision anterior cruciate ligament (ACL) reconstruction has worse outcomes than primary reconstructions. Predictors for these worse outcomes are not known. The Multicenter ACL Revision Study (MARS) Group was developed to perform a multisurgeon ... Full text Link to item Cite

Which preoperative factors, including bone bruise, are associated with knee pain/symptoms at index anterior cruciate ligament reconstruction (ACLR)? A Multicenter Orthopaedic Outcomes Network (MOON) ACLR Cohort Study.

Journal Article Am J Sports Med · September 2010 BACKGROUND: Increased knee pain at the time of anterior cruciate ligament reconstruction may potentially predict more difficult rehabilitation, prolonged recovery, and/or be predictive of increased knee pain at 2 years. HYPOTHESIS: A bone bruise and/or oth ... Full text Link to item Cite

Biomechanical comparison of figure-of-8 versus cylindrical tibial inlay constructs for arthroscopic posterior cruciate ligament reconstruction.

Journal Article Arthroscopy · July 2010 PURPOSE: To determine the biomechanical strength of Achilles tendon allografts with 2 different bone plug configurations as prepared for arthroscopic posterior cruciate ligament reconstruction when fixed as tibial inlay constructs. METHODS: Nine matched pa ... Full text Link to item Cite

The potential of human allogeneic juvenile chondrocytes for restoration of articular cartilage.

Journal Article Am J Sports Med · July 2010 BACKGROUND: Donor-site morbidity, limited numbers of cells, loss of phenotype during ex vivo expansion, and age-related decline in chondrogenic activity present critical obstacles to the use of autologous chondrocyte implantation for cartilage repair. Chon ... Full text Link to item Cite

Combined medial meniscal transplantation and high tibial osteotomy.

Journal Article Knee Surg Sports Traumatol Arthrosc · July 2010 This study describes a new surgical technique for combined medial meniscal transplantation and opening wedge high tibial osteotomy for meniscal-deficient knees with malalignment. The technique allows wider medial joint opening, better visualization of the ... Full text Link to item Cite

Effect of implantation accuracy on ankle contact mechanics with a metallic focal resurfacing implant.

Journal Article J Bone Joint Surg Am · June 2010 BACKGROUND: Talar osteochondral defects can lead to joint degeneration. Focal resurfacing with a metallic implant has shown promise in other joints. We studied the effect of implantation accuracy on ankle contact mechanics after focal resurfacing of a defe ... Full text Link to item Cite

False FHL: a normal variant posing risks in posterior hindfoot endoscopy.

Journal Article Arthroscopy · May 2010 Posterior hindfoot endoscopy has been more commonly used in the treatment of various pathologies by surgeons with different arthroscopic experience. The flexor hallucis longus is usually the initial and most important landmark serving as a medial boundary ... Full text Link to item Cite

Minimally invasive distraction technique for prone posterior ankle and subtalar arthroscopy.

Journal Article Foot Ankle Int · April 2010 BACKGROUND: Prone ankle and subtalar arthroscopy is challenging in part due to the limited working space in these joints. MATERIALS AND METHODS: Fourteen patients undergoing prone posterior arthroscopy with a novel skeletal traction method were reviewed an ... Full text Link to item Cite

Rehabilitation following high tibial osteotomy.

Journal Article Clin Sports Med · April 2010 Tibial osteotomy is an effective surgical intervention for treating knee malalignment associated with pain or arthrosis in young and active patients. Although the techniques have evolved, the basic principle has been used for many years. The advent of impr ... Full text Link to item Cite

When is ankle arthroscopy indicated in ankle instability?

Journal Article Operative Techniques in Sports Medicine · March 1, 2010 Ankle sprains are among the most common injuries encountered in work and sport, with well over 2 million individuals experiencing ankle ligament trauma each year in the United States. Although most of these respond well to conservative management, acute an ... Full text Cite

Results of high tibial osteotomy: review of the literature.

Journal Article Int Orthop · February 2010 The aim of this review is to evaluate long-term follow-up and survival analysis studies regarding high tibial osteotomies (HTO) for the treatment of medial knee arthritis. Despite the good number of studies available, comparison and pooling of the results ... Full text Link to item Cite

Case report: successful treatment of acute exertional paraspinal compartment syndrome with hyperbaric oxygen therapy.

Journal Article Iowa Orthop J · 2010 An NCAA football player developed an acute paraspinal compartment syndrome after a weight-lifting strain. The patient presented with myonecrosis (CK up to 77,400 U/L), and myoglobinuria. Treatment consisted of forced diuresis and six sessions in the hyperb ... Link to item Cite

Complications associated with realignment osteotomy of the knee performed simultaneously with additional reconstructive procedures.

Journal Article Iowa Orthop J · 2010 Debate remains regarding whether knee realignment osteotomy should be performed concomitantly with additional major knee reconstruction procedures or if it should be performed in a staged fashion. The purpose of this study is to analyze complications that ... Link to item Cite

Total ankle replacement: why, when and how?

Journal Article Iowa Orthop J · 2010 Total ankle replacement (TAR) was first attempted in the 1970s, but poor results led to its being considered inferior to ankle fusion until the late 1980s and early 1990s. By that time, newer designs which more closely replicated the natural anatomy of the ... Link to item Cite

Current strategies for nonsurgical, arthroscopic, and minimally invasive surgical treatment of knee cartilage pathology.

Journal Article Instr Course Lect · 2010 The current approaches to treating articular cartilage defects in the knee comprise a spectrum from pharmacologic therapies to total knee arthroplasty. Nonsurgical treatment can include anti-inflammatory medications, bracing, and physical therapy. Surgical ... Link to item Cite

Cross-cultural comparison of patients undergoing ACL reconstruction in the United States and Norway.

Journal Article Knee Surg Sports Traumatol Arthrosc · January 2010 Data from large prospectively collected anterior cruciate ligament (ACL) cohorts are being utilized to address clinical questions regarding ACL injury demographics and outcomes of ACL reconstruction. These data are affected by patient and injury factors as ... Full text Link to item Cite

Avoiding and managing complications in osteotomies of the knee

Chapter · December 1, 2009 Osteotomies around the knee are technically demanding surgical procedures requiring careful preoperative planning and precise surgical technique. When procedures do not go as planned, it is important that the surgeon recognizes the problem and/or complicat ... Full text Cite

Potential market for new meniscus repair strategies: evaluation of the MOON cohort.

Journal Article J Knee Surg · July 2009 This study aimed to determine the incidence of meniscal tears and describe the tear morphology and selected treatment in patients undergoing anterior cruciate ligament (ACL) reconstruction. We also will discuss the potential market for future tissue engine ... 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

Osteochondral lesions: medial versus lateral, persistent pain, cartilage restoration options and indications.

Journal Article Foot Ankle Clin · June 2009 Chronic giving way and ankle dysfunction are common after ankle sprains. In our approach to chronic ankle pain and giving way, one must consider the differential diagnosis before treatment can be directed appropriately. One of the common diagnoses associat ... Full text Link to item Cite

Success of meniscal repair at anterior cruciate ligament reconstruction.

Journal Article Am J Sports Med · June 2009 BACKGROUND: Meniscal repair is performed in an attempt to prevent posttraumatic arthritis resulting from meniscal dysfunction after meniscal tears. The socioeconomic implications of premature arthritis are significant in the young patient population. Inves ... Full text Link to item Cite

What do we really know about allografts?

Journal Article Clin Sports Med · April 2009 The use of allografts in sports medicine is becoming increasingly popular, and, therefore, this issue of Clinics in Sports Medicine is dedicated to the use of allografts in sports medicine. The majority of indications are related to the use of soft tissue ... Full text Link to item Cite

Preventing Ankle Injuries

Chapter · March 5, 2009 Full text Cite

A posterior 3-portal arthroscopic approach for isolated subtalar arthrodesis.

Journal Article Arthroscopy · November 2008 Arthroscopic subtalar arthrodesis was developed to improve on open methods of fusion. A posterior 3-portal arthroscopic approach with the patient in the prone position provides a new and optimal method for isolated subtalar arthrodesis. It facilitates safe ... Full text Link to item Cite

A systematic review of anterior cruciate ligament reconstruction rehabilitation: part II: open versus closed kinetic chain exercises, neuromuscular electrical stimulation, accelerated rehabilitation, and miscellaneous topics.

Journal Article J Knee Surg · July 2008 Anterior cruciate ligament (ACL) reconstruction is a common surgical knee procedure that requires intensive postoperative rehabilitation by the patient. A variety of randomized controlled trials have investigated aspects of ACL reconstruction rehabilitatio ... Full text Link to item Cite

A systematic review of anterior cruciate ligament reconstruction rehabilitation: part I: continuous passive motion, early weight bearing, postoperative bracing, and home-based rehabilitation.

Journal Article J Knee Surg · July 2008 Anterior cruciate ligament (ACL) reconstruction is a common surgical knee procedure that requires intensive postoperative rehabilitation by the patient. A variety of randomized controlled trials have investigated aspects of ACL reconstruction rehabilitatio ... Full text Link to item Cite

Quadriceps and hamstrings muscle control in athletic males and females.

Journal Article J Orthop Res · June 2008 The aim of this study was to investigate whether athletic males and females have differences in their quadriceps and hamstrings muscle control strategies. Twenty-four people (12 males, 12 females) active in level I activities volunteered to participate. Th ... Full text Link to item Cite

Outcome of posterior ankle arthroscopy for hindfoot impingement.

Journal Article Arthroscopy · February 2008 PURPOSE: To provide short-term clinical results of posterior ankle arthroscopy in the treatment of posterior ankle impingement. METHODS: This was a retrospective evaluation of the clinical outcomes of posterior ankle arthroscopy in a series of patients wit ... Full text Link to item Cite

Patellofemoral resurfacing arthroplasty: literature review and description of a novel technique.

Journal Article Iowa Orthop J · 2008 There are a variety of operative and non operative modalities that can be used to address patellofemoral pain secondary to arthrosis. Patellofemoral Arthroplasty (PFA) is one of the latest alternatives designed to address the pain caused by severe, isolate ... Link to item Cite

High Tibial Osteotomy

Chapter · January 1, 2008 Full text Cite

High Tibial Osteotomy

Chapter · January 1, 2008 Full text Cite

Fluorescent viability stains overestimate chondrocyte viability in osteoarticular allografts.

Journal Article Am J Sports Med · November 2007 BACKGROUND: Allografts from many tissue banks are carefully processed and stored with the goal of preserving chondrocyte viability. However, the importance of living chondrocytes for graft stability is unclear, in part because actual viabilities of individ ... Full text Link to item Cite

Plastic femoral deformity in a 9-year-old Boy.

Journal Article Clin Orthop Relat Res · September 2007 We report the case of a 9-year-old boy who sustained a closed middiaphyseal plastic femoral deformation after a motor vehicle accident. The patient was treated nonoperatively with protected weightbearing to the involved extremity. Although he showed sympto ... Full text Link to item Cite

Syndesmotic ankle sprains in athletes.

Journal Article Am J Sports Med · July 2007 Ankle sprains are among the most common athletic injuries and represent a significant source of persistent pain and disability. Despite the high incidence of ankle sprains in athletes, syndesmosis injuries have historically been underdiagnosed, and assessm ... Full text Link to item Cite

Risk of tearing the intact anterior cruciate ligament in the contralateral knee and rupturing the anterior cruciate ligament graft during the first 2 years after anterior cruciate ligament reconstruction: a prospective MOON cohort study.

Journal Article Am J Sports Med · July 2007 BACKGROUND: The risk of tear of the intact anterior cruciate ligament in the contralateral knee after anterior cruciate ligament reconstruction of the opposite knee and the incidence of rupturing the anterior cruciate ligament graft during the first 2 year ... Full text Link to item Cite

Effectiveness of bioabsorbable arrows compared with inside-out suturing for vertical, reparable meniscal lesions: a randomized clinical trial.

Journal Article Am J Sports Med · June 2007 BACKGROUND: Techniques for repairing the meniscus include both open and arthroscopic techniques using sutures and bioabsorbable implants. The purpose of this study was to compare the effectiveness of inside-out suturing and bioabsorbable arrows for repair ... Full text Link to item Cite

Technique and early experience with posterior arthroscopic subtalar arthrodesis.

Journal Article Foot Ankle Int · March 2007 BACKGROUND: Subtalar arthrodesis is a reliable procedure for pain relief and improved function in patients with isolated subtalar arthritis. Arthroscopic subtalar arthrodesis (ASTA) was designed to improve upon traditional methods by using a minimally inva ... Full text Link to item Cite

Knee osteotomy and meniscal transplantation: indications, technical considerations, and results.

Journal Article Sports Med Arthrosc Rev · March 2007 Meniscal transplantation for the symptomatic postmeniscectomized knee has become an accepted procedure. Successful outcomes depend on patient selection and having a stable, nonarthritic, well-aligned knee, in addition to the technical aspects. In achieving ... Full text Link to item Cite

Technique of prone ankle and subtalar arthroscopy

Journal Article Techniques in Foot and Ankle Surgery · March 1, 2007 Intra-articular and periarticular lesions in the posterior aspect of the ankle and subtalar joints are challenging to address surgically. Open approaches to this area often require neurovascular dissection or malleolar osteotomies that may result in consid ... Full text Cite

Syndesmosis sprains of the ankle: a systematic review.

Journal Article Clin Orthop Relat Res · February 2007 Syndesmosis sprains have received increasing recognition during recent years because of a heightened awareness of the mechanism, symptoms, and signs of injury. Syndesmosis injuries take longer to recover than lateral ankle sprains, and no consensus exists ... Full text Link to item Cite

Acute treatment of inversion ankle sprains: immobilization versus functional treatment.

Conference Clin Orthop Relat Res · February 2007 Inversion ankle sprains are one of the most common injuries in sports. Although these injuries are often considered minor, they can lead to persistent disability in athletes. We conducted a systematic review of the literature to evaluate the effect of immo ... Full text Link to item Cite

Articular cartilage injury

Chapter · January 1, 2007 Full text Cite

Reply [3]

Journal Article Clinical Orthopaedics and Related Research · January 1, 2007 Full text Cite

Contribution of articular surface geometry to ankle stabilization.

Journal Article J Bone Joint Surg Am · December 2006 BACKGROUND: Passive ankle stability under weight-bearing conditions has been found to depend substantially on the role of the articular surface geometry. In the present study, it was hypothesized that, in the ankle under axial loading, contact-stress chang ... Full text Link to item Cite

Evidence-based approach to treatment of acute traumatic syndesmosis (high ankle) sprains.

Journal Article Sports Med Arthrosc Rev · December 2006 Ankle sprains in the athlete are one of the most common injuries, and syndesmosis or "high-ankle" sprains seem to being diagnosed at an increasing rate. As a result, there has been a heightened interest in recognizing and treating these difficult injuries ... Full text Link to item Cite

Role of high tibial and distal femoral osteotomies in the treatment of lateral-posterolateral and medial instabilities of the knee.

Journal Article Sports Med Arthrosc Rev · June 2006 Mechanical alignment has been overlooked as an important contributor to knee stability with respect to collateral ligament laxity. The detrimental effects of varus or valgus limb malalignment become more obvious when the restraining force is lost because o ... Full text Link to item Cite

Arthroscopic visualization of the posterior subtalar joint in the prone position: a cadaver study.

Journal Article Arthroscopy · May 2006 PURPOSE: Subtalar arthroscopy in the prone position is thought to allow broader access to the posterior aspect of the joint than in the standard supine or lateral position. This study is aimed to assess if using the posteromedial (PM) portal in the prone p ... Full text Link to item Cite

Ankle alignment on lateral radiographs. Part 2: reliability and validity of measures.

Journal Article Foot Ankle Int · February 2006 BACKGROUND: In ankles with end-stage osteoarthritis or after total ankle replacement (TAR), radiographic landmarks based on joint surface morphology usually are obscured and inadequate for measurement. Two methods for quantifying anteroposterior tibial-tal ... Full text Link to item Cite

Other surgical techniques for osteoarthritis.

Journal Article Best Pract Res Clin Rheumatol · February 2006 Prior to the need for arthroplasty, there are numerous surgical options for management of osteoarthritis. This chapter is aimed at addressing the current state of knowledge and practice regarding: (1) arthroscopic lavage and debridement; (2) articular surf ... Full text Link to item Cite

Ankle alignment on lateral radiographs. Part 1: sensitivity of measures to perturbations of ankle positioning.

Journal Article Foot Ankle Int · February 2006 BACKGROUND: In ankles with end-stage osteoarthritis or with total ankle replacement (TAR), radiographic landmarks based on joint surface morphology usually are obscured and inadequate for radiographic measurement. Furthermore, because of difficulty in repr ... Full text Link to item Cite

MCL injuries of the knee: current concepts review.

Journal Article Iowa Orthop J · 2006 Medial collateral ligament (MCL) injury is one of the most common knee injuries, especially in young athletic patients. Most MCL injuries can be managed conservatively with good results. However, a complete understanding of knee anatomy and the involved st ... Link to item Cite

Navicular stress fractures.

Journal Article Clin Sports Med · January 2006 Since the stress fracture of the tarsal navicular was first described in 1970, awareness of the injury has increased, and navicular stress fractures have represented up to 35% of stress fractures in recent series. However, these injuries remain difficult t ... Full text Link to item Cite

Tensile engagement of the peri-ankle ligaments in stance phase.

Journal Article Foot Ankle Int · December 2005 BACKGROUND: Development of reconstructive operative procedures to restore normal ankle kinematics after injury requires an understanding of the biomechanics of the ankle during gait. The contribution of the peri-ankle ligaments to ankle motion control is n ... Full text Link to item Cite

Management and return to play of stress fractures.

Journal Article Clin J Sport Med · November 2005 OBJECTIVE: The purpose of this article is to provide the clinician an evidence/experience-based algorithm for the management of stress fractures. DATA SOURCES: Medline search of peer reviewed publications regarding stress fracture etiology, classification, ... Full text Link to item Cite

Multirater agreement of arthroscopic grading of knee articular cartilage.

Journal Article Am J Sports Med · November 2005 BACKGROUND: Acute and chronic cartilage injury of the knee has an important impact on prognosis. The validity of the classification of such injuries is critical for prospective multicenter studies. The agreement among multiple surgeons at different institu ... Full text Link to item Cite

High tibial osteotomy for the treatment of unicompartmental arthritis of the knee.

Journal Article Orthop Clin North Am · October 2005 Knee axial deformities associated with medial or lateral compartment osteoarthritis can be reliably addressed with high tibial osteotomies. Different surgical techniques can be successfully used for achieving the correction. Whatever the technique used, ac ... Full text Link to item Cite

Dorsal modified calcaneal plate for extensive midfoot arthrodesis.

Journal Article Foot Ankle Int · July 2005 BACKGROUND: Extensive midfoot fusions can be challenging because of bone loss, deformity, and soft tissue anatomy. Several options have been advocated, including multiple screw fixation, medial plating, and plantar plating. We report a new technique using ... Full text Link to item Cite

Considerations for osteotomy in the ACL deficient knee

Journal Article Sports Medicine and Arthroscopy Review · June 17, 2005 The natural history of the isolated ACL deficient knee with or without reconstruction remains unclear. Although multifactorial in nature, evidence demonstrates these knees gradually deteriorate over time. Mechanical overload from knee malalignment has been ... Full text Cite

Epidemiology of ankle arthritis: report of a consecutive series of 639 patients from a tertiary orthopaedic center.

Journal Article Iowa Orthop J · 2005 The purpose of our study was to identify the cause of symptomatic ankle arthritis in a consecutive series of patients presenting in a tertiary care setting. Between 1991 and 2004, 639 patients with Kellgren grade 3 or 4 ankle arthritis presented to the Uni ... Link to item Cite

ACL tears in collegiate wrestlers: report of six cases in one season.

Journal Article Iowa Orthop J · 2005 Six NCAA Division I wrestlers at The University of Iowa tore an anterior cruciate ligament (ACL) during the 2002-03 season. In comparison, between the years of 1993 and 2002, only five wrestlers sustained the same injury. Retrospective review and video dat ... Link to item Cite

Surgical treatment of the middle-aged patient with arthritic knees.

Journal Article Instr Course Lect · 2005 Arthritic knee disease is increasingly more common in the active aging population. The pathology seen in this patient group can run a spectrum of localized degenerative change through tricompartmental arthritis. Nonsurgical options to treat early symptoms ... Link to item Cite

Impact of osteoarthritis on sports careers.

Journal Article Clin Sports Med · January 2005 The number of people participating in sports continues to increase. The relationship between sports participation, joint injury, and subsequent osteoarthritis is complex. A history of joint injury and participation in high joint loading sports increases th ... Full text Link to item Cite

Multirater agreement of arthroscopic meniscal lesions.

Journal Article Am J Sports Med · December 2004 BACKGROUND: Establishing the validity of classification schemes is a crucial preparatory step that should precede multicenter studies. There are no studies investigating the reproducibility of arthroscopic classification of meniscal pathology among multipl ... Full text Link to item Cite

PEMF as treatment for delayed healing of foot and ankle arthrodesis.

Journal Article Foot Ankle Int · November 2004 BACKGROUND: Arthrodesis is the most common surgical treatment for foot and ankle arthritis. In adults, these procedures are associated with a 5% to 10% rate of nonunion. Pulsed electromagnetic field (PEMF) stimulation was approved by the Federal Drug Admin ... Full text Link to item Cite

The role of the interosseous talocalcaneal ligament in subtalar joint stability.

Journal Article Foot Ankle Int · August 2004 BACKGROUND: Injury of the interosseous talocalcaneal ligament (ITCL) has been recognized as a cause of subtalar instability, though lack of an accepted clinical test has limited the ability of clinicians to reliably make the diagnosis. Clinical effects of ... Full text Link to item Cite

Extracorporeal shock wave therapy for the treatment of plantar fasciitis.

Journal Article Foot Ankle Int · May 2004 One hundred fifty patients were enrolled in a multicenter, randomized, placebo-controlled, prospective, double-blind study to assess the clinical safety and effectiveness of extracorporeal shock wave therapy (ESWT) using the Dornier Epos Ultra for the trea ... Full text Link to item Cite

Minimally invasive ankle reconstruction: current scope and indications.

Journal Article Orthop Clin North Am · April 2004 Minimally invasive techniques in ankle reconstruction offer the benefits of therapeutic intervention while minimizing the risks for open incisions in this region with tenuous healing capacity. Arthroscopic arthrodesis seems to result in fusion rates that a ... Full text Link to item Cite

Management of troublesome stress fractures.

Journal Article Instr Course Lect · 2004 Stress fractures can be challenging to treat. It is important to educate the clinician in the pathophysiology, etiology, evaluation, and treatment of stress fractures with special emphasis on troublesome and upper extremity stress fractures, along with the ... Link to item Cite

Opening wedge high tibial osteotomy for symptomatic hyperextension-varus thrust.

Journal Article Am J Sports Med · 2004 BACKGROUND: The purpose of this study was to assess the functional outcome of opening wedge high tibial osteotomy (HTO) in a young, active group of patients with instability rather than osteoarthritis. METHODS: The results of 17 opening wedge HTOs in 16 pa ... Full text Link to item Cite

Accuracy and reliability of arthroscopic assessments of chondral defects in cadaveric knee specimens

Conference PROCEEDINGS OF THE 5TH SYMPOSIUM OF THE INTERNATIONAL CARTILAGE REPAIR SOCIETY - ICRS · January 1, 2004 Link to item Cite

Surgeon training and complications in total ankle arthroplasty.

Journal Article Foot Ankle Int · June 2003 BACKGROUND: This study assessed the problems with initial use of ankle arthroplasty by surgeons who were trained by observing the surgeon/inventor (group I), who have completed a structured, hands-on surgical training course (group II), or who were trained ... Full text Link to item Cite

The effect of fixation technique on graft position in anterior cruciate ligament reconstruction.

Journal Article Iowa Orthop J · 2003 The purpose of this paper was to determine the extent to which the technique used in ACL reconstruction and fixation influences graft placement. This is a Comparative Radiographic cohort study. Precise graft placement is one of the most crucial components ... Link to item Cite

Placement of the Posteromedial Portal in Posterior Ankle Arthroscopy

Journal Article The Journal of Bone and Joint Surgery-American Volume · January 2003 Full text Cite

Long-term outcome of ankle arthrodesis.

Journal Article Foot Ankle Clin · December 2002 The small number of long-term studies performed after successful arthrodesis suggests that most patients are satisfied with their outcomes. Some patients, however, eventually become limited by pain and degenerative changes elsewhere in the foot. Over time, ... Full text Link to item Cite

[Extracorporeal shockwave therapy in symptomatic heel spurs. An overview].

Journal Article Orthopade · July 2002 Extracorporeal shock wave application (ESWA) has been successfully used for years in routine clinical management of plantar fasciitis. So far no clinical trails have shown the efficiency in placebo-controlled protocols. This paper presents an overview of c ... Full text Link to item Cite

Posterior ankle arthroscopy: an anatomic study.

Journal Article J Bone Joint Surg Am · May 2002 BACKGROUND: Ankle arthroscopy has generally been performed with use of anterior portals with the patient in the supine position. Little has been published on ankle arthroscopy performed with use of posterior portals, particularly with the patient in the pr ... Link to item Cite

Forty-year outcome of ankle "cup" arthroplasty for post-traumatic arthritis.

Journal Article Iowa Orthop J · 2002 Ankle arthroplasty for post-traumatic tibiotalar arthritis remains controversial. The current literature strongly recommends arthrodesis, especially in those patients who will overload the joint: the young, the active and the overweight patients. The case ... Link to item Cite

Bony injuries around the hip

Journal Article Sports Medicine and Arthroscopy Review · January 1, 2002 Athletic hip injuries represent a wide spectrum of stress placed either acutely or chronically on the bony and soft tissue structures of the lower extremity. Hip injuries tend to occur less commonly than other lower extremity injuries, but because of the r ... Full text Cite

Syndesmosis injuries in the athlete: When and how to operate

Journal Article Current Opinion in Orthopaedics · January 1, 2002 Syndesmosis injury in the athlete presents a difficult and complex injury. Early and accurate diagnosis is the key to having good results. Establishing the severity of the injury is also of great importance to maximize treatment and minimize time lost for ... Full text Cite

Posterior ankle arthroscopy - An anatomic study

Journal Article JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME · 2002 Full text Cite

Retrospective review of eighteen patients who underwent transtibial amputation for intractable pain.

Journal Article J Bone Joint Surg Am · October 2001 BACKGROUND: Amputations are rarely performed solely for pain relief because of concerns regarding the persistence of pain and disability after the procedure. The purpose of this study was to assess the outcome of below-the-knee amputations performed to rel ... Full text Link to item Cite

Exercise-induced leg pain: sifting through a broad differential.

Journal Article Phys Sportsmed · June 2001 The causes of exertional leg pain are not always easily determined but are often linked to repetitive stress. Medial tibial stress syndrome or periostitis, tibial stress fractures, deep posterior compartment syndrome, exertional compartment syndrome, fasci ... Full text Link to item Cite

Elastomeric pumps for ambulatory patient controlled regional analgesia.

Journal Article Can J Anaesth · September 2000 PURPOSE: To report our experience with the use of the (Eclipse) elastomeric pump for ambulatory Patient Controlled Regional Analgesia (PCRA) METHOD: After a pilot study using this device in patients admitted to the hospital, seven patients received PCRA at ... Full text Link to item Cite

Management of injuries to the anterior cruciate ligament: results of a survey of orthopaedic surgeons in Canada.

Journal Article Clin J Sport Med · April 2000 OBJECTIVE: To identify the approaches to management of anterior cruciate ligament (ACL) injury by Canadian orthopedic surgeons. METHODS: A questionnaire was mailed to 234 physicians randomly chosen from the Canadian Orthopaedic Association directory to obt ... Full text Link to item Cite

The efficacy of femoral nerve block in pain reduction for outpatient hamstring anterior cruciate ligament reconstruction: a double-blind, prospective, randomized trial.

Journal Article Arthroscopy · April 2000 The purpose of this study was to assess the efficacy of intraoperative femoral nerve block (FNB) in the reduction of postoperative pain following anterior cruciate ligament (ACL) hamstring reconstruction. Patients undergoing primary ACL reconstruction with ... Full text Link to item Cite

Tourniquet versus no tourniquet use in routine knee arthroscopy: a prospective, double-blind, randomized clinical trial.

Journal Article Arthroscopy · March 2000 PURPOSE: The purpose of this study was to determine the effects of tourniquet use for routine knee arthroscopy based on both subjective and objective functional outcome measures. TYPE OF STUDY: The study was a prospective, double-blind, randomized clinical ... Full text Link to item Cite

Radiographic evaluation and preoperative planning for high tibial osteotomies

Journal Article Operative Techniques in Sports Medicine · January 1, 2000 A standard set of preoperative plain radiographs includes the following: bilateral weight-bearing anteroposterior views in full extension, bilateral weight-bearing posteroanterior tunnel views at 30° flexion, lateral views, skyline views of the patellofemo ... Full text Cite

MR imaging of the foot and ankle: The orthopedic surgeon’s perspective

Chapter · January 1, 2000 The complex anatomy, biomechanics, and associated diagnoses affecting the foot and ankle can be intimidating to the clinician. A systematic and logical approach is necessary to use the diagnostic tools available efficiently to investigate and treat these p ... Cite

Compartment pressure monitoring during anterior cruciate ligament reconstruction.

Journal Article Arthroscopy · September 1999 A prospective double blind randomized study was carried out using 20 healthy males with anterior cruciate ligament (ACL) insufficiency undergoing bone-patellar tendon-bone ACL reconstruction. The subjects were randomized into either water or saline irrigat ... Full text Link to item Cite

The effect of bracing on varus gonarthrosis.

Journal Article J Bone Joint Surg Am · April 1999 BACKGROUND: The purpose of this study was to compare a custom-made valgus-producing functional knee (unloader) brace, a neoprene sleeve, and medical treatment only (control group) with regard to their ability to improve the disease-specific quality of life ... Full text Link to item Cite

Occult osteochondral lesions after anterior cruciate ligament rupture. Six-year magnetic resonance imaging follow-up study.

Journal Article Am J Sports Med · 1999 Twenty-three patients with acute anterior cruciate ligament injuries, normal radiographs, and occult osteochondral lesions revealed by magnetic resonance imaging were reviewed 6 years after initial injury and anterior cruciate ligament hamstring autograft ... Full text Link to item Cite

Is stress radiography necessary in the diagnosis of acute or chronic ankle instability?

Journal Article Clin J Sport Med · January 1999 BACKGROUND: Clinicians often use the talar tilt (TT) and anterior drawer (AD) stress x-rays to diagnose acute or chronic mechanical ankle instability. However, the wide range of TT and AD values in normal and injured ankles makes interpretation of the test ... Full text Link to item Cite

The anterior cruciate ligament and arthritis.

Journal Article Clin Sports Med · January 1999 In this article, the authors assess the natural history of osteoarthritis in the anterior cruciate ligament deficient knee, and examine the factors which may influence its progression: meniscal resection, osteochondral lesions, malalignment, concomitant li ... Full text Link to item Cite

The efficacy of cryotherapy following arthroscopic knee surgery.

Journal Article J Orthop Sports Phys Ther · July 1997 Cryotherapy has historically been used as a treatment following knee surgery. In the literature, there is little evidence of beneficial effects which support this practice. This study examined the effects of cryotherapy treatments on 45 subjects following ... Full text Link to item Cite

Technique for arthroscopic suture fixation of displaced tibial intercondylar eminence fractures.

Journal Article Arthroscopy · June 1997 Our modification of the technique for arthroscopic reduction and suture fixation of displaced fractures of the intercondylar eminence of the tibia is described in this report. The advantages of this technique include no retained hardware, ability to treat ... Full text Link to item Cite

Comparison of bioabsorbable pins and Kirschner wires in the fixation of chevron osteotomies for hallux valgus.

Journal Article Foot Ankle Int · October 1996 A retrospective review of the medical records and radiographs of 32 consecutive patients, totaling 52 extremities with chevron osteotomies for hallux valgus, was conducted to compare K wire fixation with absorbable (poly-p-dioxanone) pin fixation. Each gro ... Full text Link to item Cite

Ankle arthroscopy: outcome in 79 consecutive patients.

Journal Article Arthroscopy · October 1996 Seventy-nine consecutive ankle arthroscopies were analyzed at a minimum 2-year follow-up to evaluate the risks and benefits of the procedure. All arthroscopies were performed over a 2-year period by a single surgeon using the same nonskeletal traction tech ... Full text Link to item Cite

Subtalar arthrodesis using interposition iliac crest bone graft after calcaneal fracture.

Journal Article Foot Ankle Int · October 1996 Fifteen consecutive patients with hindfoot pain after calcaneal fracture underwent subtalar arthrodesis using interposition iliac crest bone graft. Outcome and correction of calcaneal collapse were assessed before and after surgery with clinical examinatio ... Full text Link to item Cite

Noninvasive ankle distraction: relationship between force, magnitude of distraction, and nerve conduction abnormalities.

Journal Article Arthroscopy · February 1996 Seven healthy volunteers (14 ankles; four males, 3 females) with no history of ankle or foot pathology were placed in a modified beach chair position on an operating table for ankle distraction using a noninvasive ankle distractor. In-line traction of 0 to ... Full text Link to item Cite

Anterior cruciate ligament tear: prospective evaluation of diagnostic accuracy of middle- and high-field-strength MR imaging at 1.5 and 0.5 T.

Journal Article Radiology · December 1995 PURPOSE: To compare the diagnostic efficacy of current-generation middle- and high-field-strength magnetic resonance (MR) imagers in the diagnosis of anterior cruciate ligament (ACL) tears. MATERIALS AND METHODS: In 114 of 230 patients referred for knee im ... Full text Link to item Cite

The evaluation and treatment ofexertional compartment syndrome

Journal Article Operative Techniques in Sports Medicine · January 1, 1995 Exertional compartment syndrome (ECS) is becoming increasingly recognized as a cause of exercise-induced legpain in the athletic population. Unfortunately, the pathophysiology is not clearly understood. The use of 31P-NMR has shown that ischemia is not a s ... Full text Cite

Osteoid osteoma of the neck of the talus: percutaneous, computed tomography-guided technique for complete excision.

Journal Article Foot Ankle Int · August 1994 CT-guided core drill excision of talar neck osteoid osteomas, in addition to other locations, appears to be a promising alternative to standard surgical treatment. As in this report, the technique is minimally invasive, which allows for complete, accurate ... Full text Link to item Cite

Isolated peroneal compartment syndrome: A case report

Journal Article Clinical Journal of Sport Medicine · January 1, 1993 Full text Cite

Allograft anterior cruciate ligament reconstruction in a sheep model. The effect of synthetic augmentation.

Journal Article Am J Sports Med · 1992 The purpose of this study was to assess the effect of synthetic augmentation of a bone-patellar tendon-bone allograft on the basis of biomechanical, morphologic, and histologic evaluation. The anterior cruciate ligament was reconstructed in the left knee o ... Full text Link to item Cite

The use of magnetic resonance imaging in exertional compartment syndromes.

Journal Article Am J Sports Med · 1990 This prospective, double-blind study was carried out to assess the usefulness of magnetic resonance imaging (MRI) as a noninvasive method in the diagnosis of chronic compartment syndrome (CCS). As well, a new radiopharmaceutical known as methoxy isobutyl i ... Full text Link to item Cite

Total knee arthroplasty following high tibial osteotomy for osteoarthritis.

Journal Article J Arthroplasty · 1989 The authors assessed the effect of proximal tibial osteotomy on the results of a subsequent total knee arthroplasty. A retrospective, clinical and radiographic analysis was carried out between a study group of 39 patients with 42 total knee arthroplasties ... Full text Link to item Cite