Scholars@Duke
Samuel Bruce Adams Jr.

Samuel Bruce Adams Jr.

Associate Professor of Orthopaedic Surgery
Orthopaedic Surgery
samuel.adams@duke.edu
Box 2887 Med Ctr, Durham, NC 27710
5601 Arringdon Park Dr, Suite 300, Morrisville, NC 27560

Selected Publications

Thirty-Day Complications Following Anterior Lumbar Interbody Fusion Versus Lumbar Disc Arthroplasty: A Propensity Score Matched Analysis

Journal Article Complications · January 9, 2025 The anterior lumbar interbody fusion (ALIF) and lumbar disc arthroplasty (LDA) procedures are both commonly performed to improve the quality of life and pain in people with lower back pain. However, few recent studies have compared 30-day complicat ... Full text Cite

Total ankle/total talus replacement - Retrospective comparison of surgeon decision relative to three-dimensional joint health assessment.

Journal Article J Foot Ankle Surg · 2025 Treatment of end-stage ankle conditions is a complex challenge in foot and ankle surgery. The talus is prone to issues such as osteoarthritis (OA) and avascular necrosis (AVN). Patient-specific total ankle and total talus replacement (TATTR) procedures hav ... Full text Link to item Cite

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

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

Racial Disparities in Total Ankle Arthroplasty Utilization: A National Database Analysis

Journal Article Osteology · December 27, 2024 Background: Total ankle arthroplasty (TAA) is successful at reducing pain and improving patient satisfaction. A paucity of literature exists regarding racial disparities in TAA. The aim of this study was to update the literature, analyze utilizatio ... Full text Cite

Tunable Alginate-Polyvinyl Alcohol Bioinks for 3D Printing in Cartilage Tissue Engineering.

Journal Article Gels · December 14, 2024 This study investigates 3D extrusion bioinks for cartilage tissue engineering by characterizing the physical properties of 3D-printed scaffolds containing varying alginate and polyvinyl alcohol (PVA) concentrations. We systematically investigated the effec ... Full text Link to item Cite

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

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

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

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

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

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

Regional Anesthesia Decreases Inpatient But Not Outpatient Opioid Demand in Ankle and Distal Tibia Fracture Surgery.

Journal Article Foot Ankle Spec · October 2024 INTRODUCTION: Regional anesthesia (RA) is commonly used in ankle and distal tibia fracture surgery. However, the pragmatic effects of this treatment on inpatient and outpatient opioid demand are unclear. The hypothesis was that RA would decrease inpatient ... Full text Link to item Cite

Diabetic management and infection risk in total ankle arthroplasty.

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

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

Journal Article Foot Ankle Spec · September 20, 2024 This study assesses the comorbidities that are associated with failed revision total ankle arthroplasty (TAA) and explores the outcomes following a failed revision TAA. A retrospective analysis was conducted on a cohort of patients who underwent a revision ... Full text Link to item Cite

Readmission within 30-days of open reduction and internal fixation for ankle fractures: NSQIP analysis of 29,905 patients.

Journal Article J Orthop Surg Res · September 18, 2024 BACKGROUND: Historically, ankle fractures have been treated with open reduction and internal fixation (ORIF) procedures, which are considered safe and effective. Patient characteristics may contribute to postoperative difficulties thereby increasing risk o ... Full text Link to item Cite

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

Journal Article Foot Ankle Surg · September 4, 2024 BACKGROUND: While total ankle arthroplasty (TAA) has evolved over the years with improved designs and enhanced bony fixation methods, it remains a technically demanding procedure with a risk of early postoperative complications. One of the most common comp ... Full text Link to item Cite

Ankle Osteoarthritis.

Journal Article J Am Acad Orthop Surg · August 15, 2024 Ankle osteoarthritis (OA) is less common than knee and hip OA, and 75% to 80% of all presentations are posttraumatic in nature, resulting from either ligamentous or bony injury to the ankle. While the ankle joint cartilage demonstrates capacity for self-re ... Full text Link to item Cite

Outcomes of cobalt-chrome 3D-printed total talus replacement with and without combined total ankle replacement.

Journal Article Foot Ankle Surg · August 2, 2024 BACKGROUND: Collapse of the talus and peri-talar arthritis pose treatment challenges due to the anatomy and location of the talus as a keystone of the foot and ankle. Custom 3D-printed total talus replacement (TTR) and combined total ankle total talus repl ... Full text Link to item Cite

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

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

Twelve-Year Progression of Osteochondral Lesions of the Talus Observed Using Magnetic Resonance Imaging.

Journal Article Diagnostics (Basel) · June 13, 2024 Osteochondral lesions of the talus are common injuries that are most often the result of trauma. The natural progression of osteochondral lesions is not well understood. It is still unclear which lesions eventually lead to joint degeneration and osteoarthr ... Full text Link to item Cite

Cartilage Injuries: Basic Science Update.

Journal Article Foot Ankle Clin · June 2024 The last several decades have brought about substantial development in our understanding of the biomolecular pathways associated with chondral disease and progression to arthritis. Within domains relevant to foot and ankle, genetic modification of stem cel ... Full text Link to item Cite

Revision Total Ankle Arthroplasty Using the INBONE II System.

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

The Use of Extracellular Vesicles in Achilles Tendon Repair: A Systematic Review.

Journal Article Biomedicines · April 23, 2024 Achilles tendon (AT) pathologies are common musculoskeletal conditions that can significantly impair function. Despite various traditional treatments, recovery is often slow and may not restore full functionality. The use of extracellular vesicles (EVs) ha ... Full text Link to item Cite

Diagnosis and Management of Infected Total Ankle Replacements.

Journal Article Orthop Clin North Am · April 2024 As the number of primary total ankle replacements increases for treatment of end-stage ankle arthritis, failures are also expected to rise. Periprosthetic joint infection is among the causes of failures and has been reported to be as high as 5%. Diagnosis ... Full text Link to item Cite

An examination of negative one-star patient reviews for foot and ankle orthopedic surgery: A retrospective analysis.

Journal Article Foot Ankle Surg · April 2024 BACKGROUND: Despite the questionable validity of online-based physician review websites (PRWs), negative reviews can adversely affect a provider's practice. Several investigations have explored the effect of extremely negative "one-star" reviews across sub ... Full text Link to item Cite

Outcomes following total ankle total talus replacement: A systematic review.

Journal Article Foot Ankle Surg · April 2024 BACKGROUND: Prosthetic substitution of the talus presents a significant challenge to the foot and ankle surgeon. The shear and compressive forces on the talus and its tenuous blood supply lead to high rates of avascular necrosis and eventual talar collapse ... Full text Link to item Cite

Use of 3D-Printed Implants in Complex Foot and Ankle Reconstruction.

Journal Article J Orthop Trauma · April 1, 2024 Treatment of traumatic critical-sized bone defects remains a challenge for orthopaedic surgeons. Autograft remains the gold standard to address bone loss, but for larger defects, different strategies must be used. The use of 3D-printed implants to address ... Full text Link to item Cite

3D Printing Materials and Technologies for Orthopaedic Applications.

Journal Article J Orthop Trauma · April 1, 2024 3D printing technologies have evolved tremendously over the last decade for uses in orthopaedic surgical applications, including being used to manufacture implants for spine, upper extremity, foot and ankle, oncologic, and traumatic reconstructions. Materi ... Full text Link to item Cite

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

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

Fabrication of a Novel 3D Extrusion Bioink Containing Processed Human Articular Cartilage Matrix for Cartilage Tissue Engineering.

Journal Article Bioengineering (Basel) · March 28, 2024 Cartilage damage presents a significant clinical challenge due to its intrinsic avascular nature which limits self-repair. Addressing this, our study focuses on an alginate-based bioink, integrating human articular cartilage, for cartilage tissue engineeri ... Full text Open Access Link to item Cite

Outcomes and Safety with Utilization of Metallic Midfoot Wedges in Foot and Ankle Orthopedic Surgery: A Systematic Review of the Literature

Journal Article Biomechanics (Switzerland) · March 1, 2024 The use of midfoot wedges for the correction of flatfeet disorders, such as progressive collapsing foot disorder, has increased greatly in recent years. However, the wedge material/composition has yet to be standardized. Metallic wedges offer advantages su ... Full text Cite

The Achilles Tendon: Pathology, treatment and rehabilitation

Book · February 23, 2024 Pathology of the Achilles tendon is one of the most commonly written about topics in foot and ankle surgery, yet there is no clear consensus on the management of these injuries; in addition, pathologic aspects of the Achilles tendon are not well understood ... Full text Cite

Orthobiologic augmentation of achilles tendinitis and tendon repairs

Chapter · February 23, 2024 Orthobiologics is a rapidly growing field within orthopedics as a specialty but has become particularly ubiquitous within foot and ankle surgery. When addressing Achilles tendon pathology specifically, the use of orthobiologics becomes abundantly useful du ... Full text Cite

Ruptures of the Medial Gastrocnemius Tendon ("Tennis Leg")

Chapter · February 23, 2024 Tennis leg refers to a partial or complete tear of the medial head of the gastrocnemius, occurring most commonly at the musculotendinous junction. The gastrocnemius spans three joints (knee, tibiotalar, and subtalar) and is subjected to excessive stretch a ... Full text Cite

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

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

Hallux Valgus Bunion Splint: Surgical Dressing Technique.

Journal Article Foot Ankle Spec · February 2024 BACKGROUND: Hallux valgus is a common condition with a complex etiology resulting in numerous treatment options. Recurrence of the deformity can occur following correction. Surgical technique and possibly also postoperative care play a role in reducing rec ... Full text Link to item Cite

Weightbearing Imaging Assessment of Midfoot Instability in Patients with Confirmed Hallux Valgus Deformity: A Systematic Review of the Literature.

Journal Article Diagnostics (Basel) · January 16, 2024 Hallux valgus deformity (HVD) involves subluxation of the first metatarsophalangeal joint. While HVD is primarily considered a forefoot condition, midfoot instability may play a significant role in its development and severity. However, very few studies ha ... Full text Link to item Cite

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

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

Outcomes after total ankle arthroplasty with an average follow-up of 10 years: A systematic review and meta-analysis.

Journal Article Foot Ankle Surg · January 2024 BACKGROUND: The literature demonstrating positive outcomes after total ankle arthroplasty (TAA) is mounting. However, the long-term outcomes of TAA (≥ 10 years) remain minimally reported. The purpose of this systematic review and meta-analysis was to evalu ... Full text Link to item Cite

A bending model for assessing relative stiffness and strength of orthopaedic fixation constructs.

Journal Article Clin Biomech (Bristol) · January 2024 BACKGROUND: The purpose of this study is to develop a simple and reproducible bending model that is compatible with a wide range of orthopaedic fixation devices and 3D printed spacers. METHODS: A robust 4-point bending model was constructed by securing saw ... Full text Link to item Cite

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

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

Assessing the Biomechanical, Kinematic, and Force Distribution Properties of the Foot Following Tarsometatarsal Joint Arthrodesis: A Systematic Review

Journal Article Applied Sciences (Switzerland) · January 1, 2024 The Lisfranc joint connects the forefoot to the midfoot. Tarsometatarsal (TMT) arthrodesis is commonly employed for Lisfranc joint injuries; however, there is active discussion regarding the optimal method of fixation for TMT arthrodesis. The purpose of th ... Full text Cite

Arthroscopic management of pediatric ankle fractures: a systematic review.

Journal Article Ann Jt · 2024 BACKGROUND: Arthroscopic-assisted treatment of ankle fractures has proven useful in the adult population, but little evidence exists for the utilization of arthroscopic-assisted ankle fracture fixation in the pediatric population. The purpose of this syste ... Full text Link to item Cite

Healthy and diabetic primary human osteoblasts exhibit varying phenotypic profiles in high and low glucose environments on 3D-printed titanium surfaces.

Journal Article Front Endocrinol (Lausanne) · 2024 BACKGROUND: The revolution of orthopedic implant manufacturing is being driven by 3D printing of titanium implants for large bony defects such as those caused by diabetic Charcot arthropathy. Unlike traditional subtractive manufacturing of orthopedic impla ... Full text Link to item Cite

Racial Disparities in Outcomes After Foot and Ankle Surgery: A Systematic Review and Meta-Analysis.

Journal Article J Foot Ankle Surg · 2024 This systematic review and meta-analysis delved into the impact of race and ethnicity on outcomes following foot and ankle surgery, an area garnering increasing attention within the medical community. Despite significant literature on postsurgical clinical ... Full text Link to item Cite

Fracture-Related Infections in the Foot and Ankle

Journal Article Foot and Ankle Clinics · January 1, 2024 Full text Cite

Evaluating the impact of work from home policies on Google search Trends related to ankle surgery during the COVID-19 pandemic.

Journal Article Work · 2024 BACKGROUND: The COVID-19 pandemic caused notable shifts in healthcare behavior, influenced by remote work policies. This study examines the impact of Work from Home (WFH) policies on public interest in ankle-related orthopaedic surgeries, utilizing Google ... Full text Link to item Cite

Nationally Representative Trends in Incidence of Procedures Done Concomitantly With Primary and Revision Total Ankle From 2012 to 2020.

Journal Article Foot Ankle Spec · December 11, 2023 BACKGROUND: As new literature emerges and practice patterns fluctuate, there is a significant potential for variation with regard to adjunctive procedures performed with primary total ankle arthroplasty (pTAA) and revision total ankle arthroplasty (rTAA). ... Full text Link to item Cite

The use of platelet-rich plasma in pathologies of the foot and ankle: A comprehensive review of the recent literature.

Journal Article Foot Ankle Surg · December 2023 Platelet-rich plasma (PRP) is an autologous serum containing higher concentrations of platelets and growth factors above normal blood. The process of obtaining PRP involves the extraction of blood from the patient which is then centrifuged to obtain a conc ... Full text Link to item Cite

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

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

Evaluating Failure Mechanisms for Total Talus Replacement: Contemporary Review.

Journal Article Foot Ankle Spec · October 31, 2023 BACKGROUND: As total talus replacement (TTR) grows in popularity as a salvage option for talar collapse, a critical evaluation of the complications associated with this procedure is indicated. METHODS: In this review of the literature, we present a patient ... Full text Link to item Cite

Evaluating the Biomechanical Integrity of Various Constructs Utilized for First Metatarsophalangeal Joint Arthrodesis: A Systematic Review.

Journal Article Materials (Basel) · October 5, 2023 The first metatarsophalangeal (MTP) joint is a frequently loaded joint, handling loads up to 90% of bodyweight. First MTP arthrodesis is a frequently performed procedure designed to improve pain in patients with degenerative MTP joint disease. There are a ... Full text Link to item Cite

Time and State Legislation Have Decreased Opioid Prescribing in Elective Foot and Ankle Surgery in the United States.

Journal Article Foot Ankle Spec · October 2023 BACKGROUND: Legislation in the United States has been enacted to reduce opioid overuse and abuse in the setting of the opioid epidemic, and a notable target has been opioid overprescription. However, the impact of this legislation on elective foot and ankl ... 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

Evaluating the Quality and Usability of Artificial Intelligence-Generated Responses to Common Patient Questions in Foot and Ankle Surgery.

Journal Article Foot Ankle Orthop · October 2023 BACKGROUND: Artificial intelligence (AI) platforms, such as ChatGPT, have become increasingly popular outlets for the consumption and distribution of health care-related advice. Because of a lack of regulation and oversight, the reliability of health care- ... Full text Link to item Cite

Evaluating the Correlation Between Various Orthopaedic Foot and Ankle Fellowship Characteristics and Total Industry Payments Through the Open Payments Database.

Journal Article Foot Ankle Orthop · October 2023 BACKGROUND: Since the Physician Payments Sunshine Act in 2010, a substantial body of work has explored the supplemental income received by physicians to understand trends in industry payments and investigate sources of bias. To date, no study has examined ... Full text Link to item Cite

Risks of Increased Operative Time and Longer Hospital Stays Based on Age in Total Ankle Arthroplasty.

Journal Article Foot Ankle Spec · September 7, 2023 BACKGROUND: As total ankle arthroplasty (TAA) is increasingly performed in younger individuals in the United States, the aim of this study was to analyze TAA outcomes and complications by age. METHODS: A total of 1619 primary and revision TAAs from 2012 to ... Full text Link to item Cite

Exposure of Tissue-Engineered Cartilage Analogs to Synovial Fluid Hematoma After Ankle Fracture Is Associated With Chondrocyte Death and Altered Cartilage Maintenance Gene Expression.

Journal Article Foot Ankle Int · September 2023 BACKGROUND: The first stage of fracture healing consists of hematoma formation with recruitment of proinflammatory cytokines and matrix metalloproteinases. Unfortunately, when there is an intra-articular fracture, these inflammatory mediators are not retai ... Full text Link to item Cite

Charcot Neuroarthropathy of the Foot and Ankle in the Acute Setting: An Illustrative Case Report and Targeted Review.

Journal Article West J Emerg Med · September 2023 Charcot neuroarthropathy (CN) is a rare but serious sequela of diabetes and other diseases that cause peripheral neuropathy. It is most commonly characterized by degeneration of the foot and/or ankle joints leading to progressive deformity and altered weig ... Full text Open Access Link to item Cite

Addressing the Need for a Better Understanding of Foot and Ankle Pathology Relevant to the Adolescent Athlete.

Journal Article Children (Basel) · August 3, 2023 Foot and ankle pathology in the adolescent athlete is a growing area of basic science, translational, and clinical research [...]. ... Full text Link to item Cite

Contemporary Review: The Use of Human Placental Tissues in Foot and Ankle Surgery.

Journal Article Foot Ankle Int · July 2023 The use of fetal tissues in regenerative medicine has long been a source of both promise and controversy. Since the turn of the century, their utilization has expanded because of antiinflammatory and analgesic properties, which have been theorized to act a ... Full text Link to item Cite

Total Ankle Arthroplasty: Does Obesity Matter?

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

Republication of "Osteochondral Lesions of the Talus: Current Concepts in Diagnosis and Treatment".

Journal Article Foot Ankle Orthop · July 2023 Osteochondral lesions of the talus (OLTs) are a difficult pathologic entity to treat. They require a strong plan. Lesion size, location, chronicity, and characteristics such as displacement and the presence of subchondral cysts help dictate the appropriate ... Full text Open Access Link to item Cite

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

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

Short-Term Complications Following Total Ankle Arthroplasty and Associated Risk Factors: A NSQIP Database Analysis.

Journal Article Foot Ankle Spec · June 2023 INTRODUCTION: Total ankle arthroplasty (TAA) has become increasingly utilized over the past 20 years to treat osteoarthritis of the ankle. The efficacy and safety of this procedure has been previously reported, but relatively few studies have documented th ... Full text Link to item Cite

Analyzing the quality and educational value of Achilles tendinopathy-related videos on TikTok.

Journal Article Foot Ankle Surg · June 2023 BACKGROUND: Social media platforms, like TikTok, have become popular options for the consumption and distribution of healthcare information. Due to the lack of scientific oversight, the consistency of healthcare-related videos has become a focus of the cur ... Full text Link to item Cite

Juvenile Osteochondral Lesions of the Talus: Current Concepts Review and an Update on the Literature.

Journal Article Children (Basel) · May 15, 2023 Osteochondral lesions of the talus (OLTs) are lesions that occur before the physis closes and are frequently associated with acute ankle trauma. These lesions are often difficult to diagnose due to swelling and inflammation that are present after the initi ... Full text Link to item Cite

A New Trend in Social Media and Medicine: The Poor Quality of Videos Related to Ankle Sprain Exercises on TikTok.

Journal Article Foot Ankle Orthop · April 2023 BACKGROUND: Social media platforms, like TikTok, have become popular options for the distribution of health care information. Because of the lack of scientific oversight, the quality of health care-related videos has become a focus of the current literatur ... Full text Link to item Cite

Robotic Technology in Foot and Ankle Surgery: A Comprehensive Review.

Journal Article Sensors (Basel) · January 6, 2023 Recent developments in robotic technologies in the field of orthopaedic surgery have largely been focused on higher volume arthroplasty procedures, with a paucity of attention paid to robotic potential for foot and ankle surgery. The aim of this paper is t ... Full text Link to item Cite

The Impact of Time and State Opioid Legislation on Opioid Prescription Filling in Total Ankle Arthroplasty.

Journal Article J Foot Ankle Surg · 2023 Total ankle arthroplasty (TAA) is an increasingly utilized treatment for ankle arthritis, and opioids are commonly used as part of perioperative pain control. However, many states have enacted opioid-limiting legislation to reduce perioperative opioid pres ... Full text Link to item Cite

The efficacy of platelet-rich plasma in osseous foot and ankle pathology: a review.

Journal Article Regen Med · January 2023 The purpose of this review is to develop evidence-based practices for the use of platelet-rich plasma (PRP) to treat osseous pathologies of the lower extremity. There is moderate high-quality evidence to support the efficacy of PRP as a surgical augment to ... Full text Link to item Cite

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

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

Midterm Clinical and Radiographic Outcomes of the Calcaneal Z-Osteotomy for the Correction of Cavovarus Foot.

Journal Article Foot Ankle Orthop · January 2023 BACKGROUND: The Malerba calcaneal Z-osteotomy is an operative procedure to treat the hindfoot varus component of adult cavovarus deformity. Basic science studies support the corrective ability of this osteotomy. However, there have been no published midter ... Full text Link to item Cite

AAOS Technology Overview Summary: Concentrated Bone Marrow Aspirate for Knee Osteoarthritis.

Journal Article J Am Acad Orthop Surg · January 1, 2023 The Concentrated Bone Marrow Aspirate (CBMA) for Knee Osteoarthritis Technology Overview is based on a systematic review of current scientific and clinical research. Through analysis of the current best evidence, this technology overview seeks to evaluate ... Full text Link to item Cite

Three-Year Follow-Up of a Traumatic Critical-Sized Tibial Bone Defect Treated with a 3D Printed Titanium Cage: A Case Report.

Journal Article JBJS Case Connect · January 1, 2023 CASE: We report a case involving a 21-year-old woman who sustained a Grade III open pilon fracture of the left ankle during a motor vehicle accident that resulted in a 12-cm critical-sized bone defect (CSD) that was successfully treated with a three-dimens ... Full text Link to item Cite

Fracture through Pre-Existing Tarsal Coalition: A Narrative Review.

Journal Article Children (Basel) · December 29, 2022 Tarsal coalitions are abnormal fibrous or bony connections between the tarsal bones of the foot. While not always symptomatic, coalitions can cause pain, alterations in forefoot and hindfoot morphology, and alterations in foot and ankle biomechanics. Previ ... Full text Link to item Cite

Histologic grading correlates with inflammatory biomarkers in tibialis posterior tendon dysfunction.

Journal Article Foot Ankle Surg · December 2022 BACKGROUND: It has been theorized that tibialis posterior tendon dysfunction (TPTD) is a degenerative process unrelated to inflammation. The purpose of this study was to determine if inflammatory cytokines, matrix metalloproteases (MMPs), and glutamate wer ... Full text Link to item Cite

Outcomes following total talus replacement: A systematic review.

Journal Article Foot Ankle Surg · December 2022 INTRODUCTION: The treatment of pathologic changes to the talus and surrounding joints presents a unique challenge to the foot and ankle surgeon. The purpose of this systematic review is to summarize the literature for unconstrained (no surrounding fusion o ... Full text Link to item Cite

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

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

Efficacy of Platelet-Rich Plasma in Soft Tissue Foot and Ankle Pathology.

Journal Article JBJS Rev · October 1, 2022 ➢: The preparation methodology for platelet-rich plasma (PRP) may have important clinical implications with varying effectiveness with leukocyte, platelet, and growth factor concentrations. ➢: There is high-quality evidence to support the superiority of PR ... Full text Link to item Cite

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

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

Nonoperative and Operative Soft-Tissue and Cartilage Regeneration and Orthopaedic Biologics of the Foot and Ankle: An Orthoregeneration Network Foundation Review.

Journal Article Arthroscopy · July 2022 Orthoregeneration is defined as a solution for orthopaedic conditions that harnesses the benefits of biology to improve healing, reduce pain, improve function, and optimally, provide an environment for tissue regeneration. Options include drugs, surgical i ... Full text Link to item Cite

3D-bioprinted GelMA-gelatin-hydroxyapatite osteoblast-laden composite hydrogels for bone tissue engineering

Journal Article Bioprinting · June 1, 2022 Introduction: The treatment of large bone defects remains an area of significant challenge in orthopaedic surgery. In cases where critical-sized defects (CSDs) remain, current treatment options are underwhelming and are often fraught with complications. 3D ... Full text Cite

Outcomes of Surgical Reconstruction Using Custom 3D-Printed Porous Titanium Implants for Critical-Sized Bone Defects of the Foot and Ankle.

Journal Article Foot Ankle Int · June 2022 BACKGROUND: Treating critically sized defects (CSDs) of bone remains a significant challenge in foot and ankle surgery. Custom 3D-printed implants are being offered to a small but growing subset of patients as a salvage procedure in lieu of traditional alt ... Full text Link to item Cite

Three-dimensional Printing in Orthopedic Surgery: Current Applications and Future Developments

Conference Techniques in Orthopaedics · March 10, 2022 Three-dimensional (3D) printing technology has revolutionized how the authors examine, diagnose, and treat various medical conditions across a wide range of specialties. Synonymous with additive manufacturing, 3D printing fuses materials together layer by ... Full text Cite

Intra-Articular Synovial Fluid With Hematoma After Ankle Fracture Promotes Cartilage Damage In Vitro Partially Attenuated by Anti-Inflammatory Agents.

Journal Article Foot Ankle Int · March 2022 BACKGROUND: Intra-articular ankle fracture (IAF) causes posttraumatic osteoarthritis (PTOA), but the exact mechanism is unknown. Proinflammatory mediators have been shown to be present in the synovial fluid fracture hematoma (SFFH) but have not been linked ... Full text Link to item Cite

Computational and image processing methods for analysis and automation of anatomical alignment and joint spacing in reconstructive surgery.

Journal Article Int J Comput Assist Radiol Surg · March 2022 PURPOSE: Reconstructive surgeries to treat a number of musculoskeletal conditions, from arthritis to severe trauma, involve implant placement and reconstructive planning components. Anatomically matched 3D-printed implants are becoming increasingly patient ... Full text Link to item Cite

In situ 3D bioprinting of musculoskeletal tissues in orthopedic surgery

Journal Article Journal of 3D Printing in Medicine · March 1, 2022 Annually, millions of Americans require some form of reconstructive surgery as the result of a traumatic injury, degenerative process or pathologic state. In the field of orthopedic surgery, the gold standard for augmenting bone, cartilage and soft tissue ... Full text Cite

Patient-specific 3D-printed titanium implant for distal tibial critical bone defect

Journal Article Journal of 3D Printing in Medicine · March 1, 2022 Aim: Post-traumatic large critical bone defects remain a challenge for today's orthopedist. Despite multiple available options for treatment including autograft, massive allograft and various methods of bone transport, no strategy has shown itself to be fr ... Full text Cite

State regulation positively impacts opioid prescribing patterns in ankle fracture surgery: A national and state-level analysis.

Journal Article Injury · February 2022 BACKGROUND: The impact of time and state regulation on opioid prescribing in orthopedic trauma is not well known. The purpose of this study is to evaluate the impact of time and state-level opioid legislation on 90-day perioperative opioid prescribing in a ... Full text Link to item Cite

Increasing age and modifiable comorbidities are associated with short-term complications after open reduction and internal fixation of ankle fractures.

Journal Article Eur J Orthop Surg Traumatol · January 2022 BACKGROUND: Ankle fractures are common orthopedic injuries with complication rates fixation of up to 40%. Limited evidence exists in the literature regarding complications in the elderly population, and moreover, these studies frequently define elderly arb ... Full text Link to item Cite

Short-Term Efficacy and Safety of Combined Total Talus and Total Ankle Replacement

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Ankle Arthritis Introduction/Purpose: The indications for both total talus replacement (TTR) and total ankle replacement (TAR) are expanding. Combined total ankle-total talus (combined TAR) is a novel treatment option for ... Cite

High-strength, porous additively manufactured implants with optimized mechanical osseointegration.

Journal Article Biomaterials · December 2021 Optimization of porous titanium alloy scaffolds designed for orthopedic implants requires balancing mechanical properties and osseointegrative performance. The tradeoff between scaffold porosity and the stiffness/strength must be optimized towards the goal ... Full text Link to item Cite

Three-Dimensional Printed Cage in Patients With Tibiotalocalcaneal Arthrodesis Using a Retrograde Intramedullary Nail: Early Outcomes.

Journal Article Foot Ankle Spec · October 2021 Introduction. Segmental bone loss in the hindfoot hinders the chance of successful outcomes. Tibiotalocalcaneal arthrodesis is a reliable option; nevertheless, the risk of nonunion is high. Three-dimensional (3D) printed titanium implants offer a strong sc ... Full text Link to item Cite

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

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

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

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

Effect of surface topography on in vitro osteoblast function and mechanical performance of 3D printed titanium.

Journal Article J Biomed Mater Res A · October 2021 Critical-sized defects remain a significant challenge in orthopaedics. 3D printed scaffolds are a promising treatment but are still limited due to inconsistent osseous integration. The goal of the study is to understand how changing the surface roughness o ... Full text Open Access Link to item Cite

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

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

Talonavicular Joint-Sparing 3D Printed Navicular Replacement for Osteonecrosis of the Navicular.

Journal Article Foot Ankle Int · September 2021 Pathology of the navicular can be a difficult entity to treat, particularly when the injury has progressed to osteonecrosis. While various nonoperative and operative modalities have been described, the emerging field of additive manufacturing has become a ... Full text Link to item Cite

Avascular Necrosis of the Talus After Subchondroplasty.

Journal Article Foot Ankle Int · September 2021 BACKGROUND: Subchondroplasty (SCP) is a relatively new procedure, developed in 2007 for the treatment of bone marrow lesions (BMLs), that has shown promising results in the knee through several different case series. The foot and ankle literature, however, ... 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

Adverse events involving hallux metatarsophalangeal joint implants: Analysis of the United States Food and Drug Administration data from 2010 to 2018.

Journal Article Foot Ankle Surg · June 2021 BACKGROUND: The prevalence of osteoarthritis of the hallux metatarsophalangeal joint (MTPJ) is 1 in 40 people over the age of 50. Surgical treatment options for MTPJ arthritis include joint preservation, joint resurfacing, and arthrodesis. Hallux MTPJ impl ... Full text Link to item Cite

From Patient to Procedure: The Process of Creating a Custom 3D-Printed Medical Device for Foot and Ankle Pathology.

Journal Article Foot Ankle Spec · June 2021 Three-dimensional (3D) printing technology has advanced greatly over the past decade and is being used extensively throughout the field of medicine. Several orthopaedic surgery specialties have demonstrated that 3D printing technology can improve patient c ... Full text Link to item Cite

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

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

Incidence and Risk Factors for Flap Coverage After Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · June 2021 BACKGROUND: Wound complications following total ankle arthroplasty (TAA) can have a significant impact on patient morbidity, particularly when they require flap coverage. We sought to determine the risk factors associated with the need for flap coverage af ... Full text Link to item Cite

Immune cell profiling in the joint following human and murine articular fracture.

Journal Article Osteoarthritis Cartilage · June 2021 OBJECTIVE: Human and in vivo animal research implicates inflammation following articular fracture as contributing to post-traumatic arthritis. However, relevant immune cell subsets present following injury are currently undefined. Immunophenotyping human a ... Full text Link to item Cite

Rotational Wear and Friction of Ti-6Al-4V and CoCrMo against Polyethylene and Polycarbonate Urethane

Journal Article Biotribology · June 1, 2021 Total joint replacement (TJR) is a successful procedure for millions of patients each year. Optimizing mechanical properties of bearing couples is important to increase implant longevity and improve patient outcomes. Softer viscoelastic materials offer a p ... Full text Open Access Cite

Tibiotalocalcaneal arthrodesis after failed total ankle replacement: Metallic 3D printed custom cages

Chapter · June 1, 2021 Total ankle replacement failure continues to occur and there are limited choices for revision ankle replacement. Severe loss of bone stock of the talus, and sometimes the tibia or both bones, is the most important indication for salvage tibiotalocalcaneal ... Full text Cite

Risk factors for failure of primary total ankle replacement

Chapter · June 1, 2021 Total ankle arthroplasty is becoming an increasingly popular alternative to arthrodesis for the treatment of end-stage tibiotalar arthritis. As our indications evolve due to new advancements in our current generation of total ankle implants and improvement ... Full text Cite

Three-dimensional Printing in Orthopaedic Surgery: Current Applications and Future Developments.

Journal Article J Am Acad Orthop Surg Glob Res Rev · April 20, 2021 Three-dimensional (3D) printing is an exciting form of manufacturing technology that has transformed the way we can treat various medical pathologies. Also known as additive manufacturing, 3D printing fuses materials together in a layer-by-layer fashion to ... Full text Link to item Cite

Total ankle arthroplasty and ankle arthrodesis in rheumatic disease patients: An analysis of outcomes and complications using the National Inpatient Sample (NIS) database.

Journal Article Foot Ankle Surg · April 2021 INTRODUCTION: Rheumatoid arthritis (RA), can manifest as an inflammatory arthropathy in the ankle. As a result, this study sought to examine the role of RA with respect to complications in patients undergoing either total ankle arthroplasty or ankle arthro ... 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

Biomanufacturing organized collagen-based microfibers as a Tissue ENgineered Device (TEND) for tendon regeneration.

Journal Article Biomed Mater · February 25, 2021 Approximately 800, 000 surgical repairs are performed annually in the U.S. for debilitating injuries to ligaments and tendons of the foot, ankle, knee, wrist, elbow and shoulder, presenting a significant healthcare burden. To overcome current treatment sho ... Full text Link to item Cite

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

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

Intraoperative Fire Risk: Evaluating the 3-Minute Wait After Chlorhexidine-Alcohol Antiseptic Scrub.

Journal Article J Orthop Trauma · January 1, 2021 OBJECTIVE: We sought to determine the flammability of the skin at different time intervals after chlorhexidine-alcohol antiseptic scrub application, to provide evidence for hospital protocols recommending a 3-minute drying time. METHODS: Swine feet, which ... Full text Link to item Cite

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

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

Fresh Osteochondral Allograft Transplantation for Osteochondral Lesions of the Talus: A Systematic Review.

Journal Article J Foot Ankle Surg · 2021 Osteochondral lesions of the talus (OLTs) are difficult to treat. Despite a multitude of interventions, there are no generally-agreed-upon guidelines regarding treatment. The objective of this study was to conduct a systematic review of clinical outcomes a ... Full text Link to item Cite

Clinical applications of custom 3D printed implants in complex lower extremity reconstruction.

Journal Article 3D Print Med · October 2, 2020 BACKGROUND: Three dimensional printing has greatly advanced over the past decade and has made an impact in several industries. Within the field of orthopaedic surgery, this technology has vastly improved education and advanced patient care by providing inn ... Full text Link to item Cite

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

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

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

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

Salvage Arthrodesis for Failed Total Ankle Replacement.

Journal Article Foot Ankle Clin · June 2020 Salvage arthrodesis for failed total ankle replacement can be a successful procedure. The decision to perform salvage arthrodesis is based on many factors, but the following are the most important indications: severe loss of bonestock (tibia, talus, or bot ... Full text Link to item Cite

Arthroscopic Treatment of Osteochondral Lesions of the Talus With Microfracture and Platelet-Rich Plasma-Infused Micronized Cartilage Allograft.

Journal Article Arthrosc Tech · May 2020 Osteochondral lesions of the talus (OLTs) are difficult to treat. Arthroscopic microfracture augmented with micronized cartilage (BioCartilage; Arthrex, Naples, FL) and platelet-rich plasma is emerging as a treatment for moderate-sized, well-contained full ... Full text Link to item Cite

Inflammatory cytokines and matrix metalloproteinases in the synovial fluid after intra-articular elbow fracture.

Journal Article J Shoulder Elbow Surg · April 2020 BACKGROUND AND HYPOTHESIS: Post-traumatic elbow contracture remains a common and challenging complication with often unsatisfactory outcomes. Although the etiology is unknown, elevated or abnormal post-fracture synovial fluid cytokine levels may result in ... Full text Link to item Cite

Systematic Review of Subtalar Distraction Arthrodesis for the Treatment of Subtalar Arthritis.

Journal Article Foot Ankle Int · April 2020 BACKGROUND: Subtalar distraction arthrodesis (SDA) was developed as a means of treating the symptoms of subtalar arthritis. Despite almost 30 years of research in this field, many controversies still exist regarding SDA. The objective of this study was to ... Full text Link to item Cite

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

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

Particulated juvenile articular cartilage allograft transplantation for osteochondral lesions of the knee and ankle.

Journal Article Expert Rev Med Devices · March 2020 Introduction: Osteochondral lesions have been challenging to treat due to the limited regenerative capacity of native hyaline cartilage. Although surgical options are available, a newer technique, Particulated Juvenile Cartilage Allograft Transplantation ( ... Full text Link to item Cite

A Novel Technique for Creating an Articulating Cement Spacer for Ankle Prosthetic Joint Infections.

Journal Article J Foot Ankle Surg · 2020 Total ankle arthroplasty has been increasing as a treatment for end-stage ankle arthritis. With this increase, the incidence of total ankle prosthetic infections will also increase. Treatment of these infections depends on the duration of symptoms and whet ... Full text Link to item Cite

The MARBLE Study Protocol: Modulating ApoE Signaling to Reduce Brain Inflammation, DeLirium, and PostopErative Cognitive Dysfunction.

Journal Article J Alzheimers Dis · 2020 BACKGROUND: Perioperative neurocognitive disorders (PND) are common complications in older adults associated with increased 1-year mortality and long-term cognitive decline. One risk factor for worsened long-term postoperative cognitive trajectory is the A ... Full text Open Access Link to item Cite

Comparison of 3D Printed Spherical Implants versus Femoral Head Allografts for Tibiotalocalcaneal Arthrodesis.

Journal Article J Foot Ankle Surg · 2020 Successful tibiotalocalcaneal (TTC) arthrodesis can be difficult to achieve in patients with bulk bone defects even with the use of femoral head allograft. Retrograde intramedullary nail placement through custom 3-dimensional (3D) spherical implants is an ... Full text Link to item Cite

Total Ankle Total Talus Replacement Using a 3D Printed Talus Component: A Case Report.

Journal Article J Foot Ankle Surg · 2020 The 3D custom total talus replacement is a novel treatment for avascular necrosis of the talus. However, patients who require a total talus replacement often have concomitant degenerative changes to the tibiotalar, subtalar, or talonavicular joints. The co ... Full text Link to item Cite

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

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

Pathogenesis of Posttraumatic Osteoarthritis of the Ankle.

Journal Article Orthop Clin North Am · October 2019 Ankle osteoarthritis affects a significant portion of the global adult population. Unlike other joints, arthritis of the ankle often develops as a response to traumatic injury (intra-articular fracture) of the ankle joints. The full mechanism leading to po ... Full text Link to item Cite

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

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

Management of Complications of Achilles Tendon Surgery.

Journal Article Foot Ankle Clin · September 2019 There are multiple techniques to treat tendon defects in the event end-to-end repair cannot be achieved after débridement. In general, the choice of treatment technique is based on size of the resultant gap. Although each treatment technique has literature ... Full text Link to item Cite

The Use of Modern Intramedullary Nailing in Distal Fibula Fracture Fixation.

Journal Article Foot Ankle Spec · August 2019 Background. Lateral malleolus (LM) fixation is necessary for unstable ankle fractures. Traditional fixation relies on the use of plates through a lateral incision, wound healing can be an issue for such incisions. A novel intramedullary (IM) fixation devic ... Full text Link to item Cite

The Use of Bone Grafts, Bone Graft Substitutes, and Orthobiologics for Osseous Healing in Foot and Ankle Surgery.

Journal Article Foot Ankle Orthop · July 2019 UNLABELLED: Achieving fusion in osseous procedures about the foot and ankle presents unique challenges to the surgeon. Many patients have comorbidities that reduce osseous healing rates, and the limited space and high weightbearing demand placed on fusion ... Full text Link to item Cite

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

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

Algorithm for Management of Periprosthetic Ankle Fractures.

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

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

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

Tibiotalocalcaneal Arthrodesis for Severe Talar Avascular Necrosis.

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

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

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

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

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

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

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

Revision Surgery for Metal Component Failure in Total Ankle Arthroplasty.

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

Five-Year Follow-Up of Distal Tibia Bone and Foot and Ankle Trauma Treated with a 3D-Printed Titanium Cage.

Journal Article Case Rep Orthop · 2019 Large bone defects from trauma or cancer are difficult to treat. Current treatment options include the use of external fixation with bone transport, bone grafting, or amputation. These modes of therapy continue to pose challenges as they are associated wit ... Full text Link to item Cite

AOFAS Position Statement Regarding Patient-Reported Outcome Measures.

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

Basic Science behind the Development of Posttraumatic Osteoarthritis of the Ankle

Journal Article Techniques in Foot and Ankle Surgery · December 1, 2018 As the diagnosis of ankle osteoarthritis (OA) increases over time due to the use of new imaging modalities, including both direct visualization through arthroscopy and indirect imaging modalities such as magnetic resonance imaging and computed tomography, ... Full text Cite

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

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

Chronic Achilles Ruptures: Reconstructive Options.

Journal Article J Am Acad Orthop Surg · November 1, 2018 Achilles tendon ruptures, if neglected or identified late, lead to impairments in function and gait. Surgical reconstruction is typically required to restore the resting length and tension to the gastrocnemius-soleus complex. A variety of reconstructive op ... Full text Link to item Cite

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

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

Amino Acid Profile of Synovial Fluid Following Intra-articular Ankle Fracture.

Journal Article Foot Ankle Int · October 2018 BACKGROUND: Post-traumatic osteoarthritis (PTOA) is a frequent complication in patients with a previous traumatic joint injury, and the pathophysiology is not well understood. The goal of this study was to characterize the biochemical signature of amino ac ... Full text Link to item Cite

Intra-articular clearance of labeled dextrans from naive and arthritic rat knee joints.

Journal Article J Control Release · August 10, 2018 OBJECTIVE: Determine the effects of arthritis on the trans-synovial clearance of small and large model compounds following local delivery to the knee joint in a rat model. DESIGN: Intra-articular delivery was studied in rat knee joints in an osteoarthritis ... Full text Link to item Cite

Use of Patient-Specific 3D-Printed Titanium Implants for Complex Foot and Ankle Limb Salvage, Deformity Correction, and Arthrodesis Procedures.

Journal Article Foot Ankle Int · August 2018 BACKGROUND: The advancement of 3D printing technology has allowed for the use of custom-designed implants for difficult-to-treat foot and ankle pathologies. This study reports on the radiographic and functional outcomes of a case series of patients treated ... Full text Link to item Cite

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

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

Osteochondral Allograft: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advan ... Full text Link to item Cite

Scaffold-Based Therapies: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Debridement, Curettage, and Bone Marrow Stimulation: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Rehabilitation and Return to Sports: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Osteochondral Autograft: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: Treatment guidelines for cartilage lesions of the talus have been based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions on ... Full text Link to item Cite

Diagnosis: History, Physical Examination, Imaging, and Arthroscopy: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Editorial.

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

Fixation Techniques: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advan ... Full text Link to item Cite

Conservative Management and Biological Treatment Strategies: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Revision and Salvage Management: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Subchondral Pathology: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Post-treatment Follow-up, Imaging, and Outcome Scores: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Conference Foot Ankle Int · July 2018 BACKGROUND: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively adva ... Full text Link to item Cite

Wound Surface Area as a Risk Factor for Flap Complications among Patients with Open Fractures.

Journal Article Plast Reconstr Surg · July 2018 BACKGROUND: Soft-tissue complications often dictate the success of limb salvage and the overall outcome of open fractures. Based on prior work at the R Adams Cowley Shock Trauma Center, the authors hypothesize that wounds larger than 200 cm are associated ... Full text Link to item Cite

Linking a Total Ankle Arthroplasty Registry to Medicare Inpatient Claims without Unique Identifiers.

Journal Article J Bone Joint Surg Am · June 20, 2018 BACKGROUND: Linking clinical registries to administrative claims data enables researchers to capitalize on the specific strengths of each data source with respect to the depth, breadth, and completeness of information. The objectives of this study were to ... Full text Link to item Cite

Are large clinical trials in orthopaedic trauma justified?

Journal Article BMC Musculoskelet Disord · April 20, 2018 BACKGROUND: The objective of this analysis is to evaluate the necessity of large clinical trials using FLOW trial data. METHODS: The FLOW pilot study and definitive trial were factorial trials evaluating the effect of different irrigation solutions and pre ... Full text Link to item Cite

Conservative Management of Metatarsalgia and Lesser Toe Deformities.

Journal Article Foot Ankle Clin · March 2018 There are several forefoot conditions that can result in metatarsal head pain. Various points of the gait cycle can predispose the metatarsal heads to pain based on intrinsic and extrinsic imbalances. Metatarsalgia can further be classified according to pr ... Full text Link to item Cite

Efficacy of Particulated Juvenile Cartilage Allograft Transplantation for Osteochondral Lesions of the Talus.

Journal Article Foot Ankle Int · March 2018 BACKGROUND: Particulated juvenile cartilage allograft transplantation (PJCAT) is a novel treatment option for osteochondral lesions of the talus (OLTs). It is typically employed as a salvage procedure after initial debridement and microfracture has failed ... Full text Link to item Cite

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

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

Osteochondral Lesions of the Talus: Current Concepts in Diagnosis and Treatment

Journal Article Foot and Ankle Orthopaedics · January 1, 2018 Osteochondral lesions of the talus (OLTs) are a difficult pathologic entity to treat. They require a strong plan. Lesion size, location, chronicity, and characteristics such as displacement and the presence of subchondral cysts help dictate the appropriate ... Full text Cite

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

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

Surgical resident involvement in foot and ankle surgery.

Journal Article Foot Ankle Surg · December 2017 BACKGROUND: Surgical resident participation in the operating room is necessary for education and progression toward safe and independent practice. However, the impact of resident involvement on patient outcomes in foot and ankle surgery is unknown. METHODS ... Full text Link to item Cite

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

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

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

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

Tendonitis and Tendinopathy: What Are They and How Do They Evolve?

Journal Article Foot Ankle Clin · December 2017 The development of tendinitis and tendinopathy is often multifactorial and the result of both intrinsic and extrinsic factors. Intrinsic factors include anatomic factors, age-related factors, and systemic factors, whereas extrinsic factors include mechanic ... Full text Link to item Cite

Midterm Results of the Salto Talaris Total Ankle Arthroplasty.

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

Hindfoot Arthritis Progression and Arthrodesis Risk After Total Ankle Replacement.

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

Comparison of Open Reduction and Internal Fixation Versus Closed Reduction and Percutaneous Fixation for Medial Malleolus Fractures.

Journal Article J Am Acad Orthop Surg Glob Res Rev · November 2017 INTRODUCTION: Surgical treatment of medial malleolus (MM) fractures can be performed through open or percutaneous approaches, although comparisons between these two approaches have not been undertaken. In this study, we compared patients with MM fractures ... Full text Link to item Cite

Are There Differences in Gait Mechanics in Patients With A Fixed Versus Mobile Bearing Total Ankle Arthroplasty? A Randomized Trial.

Journal Article Clin Orthop Relat Res · October 2017 BACKGROUND: Total ankle arthroplasty (TAA) is an alternative to arthrodesis, but no randomized trial has examined whether a fixed bearing or mobile bearing implant provides improved gait mechanics. QUESTIONS/PURPOSES: We wished to determine if fixed- or mo ... Full text Link to item Cite

Osteochondral Lesions of the Ankle.

Journal Article Foot Ankle Spec · October 2017 Full text Link to item Cite

Time-Dependent Effects on Synovial Fluid Composition During the Acute Phase of Human Intra-articular Ankle Fracture.

Journal Article Foot Ankle Int · October 2017 BACKGROUND: The study objective was to examine the effect of time and fracture severity on the undiluted synovial fluid (SF) microenvironment during the acute phase following intra-articular fracture (IAF) of the human ankle. METHODS: Ankle SF from 54 pati ... Full text Link to item Cite

Topical Review: MACI as an Emerging Technology for the Treatment of Talar Osteochondral Lesions.

Journal Article Foot Ankle Int · September 2017 UNLABELLED: Matrix-induced autologous chondrocyte implantation (MACI) is a viable procedure that can be used as both a primary or revision cartilage regenerative procedure in high-functioning individuals without tibiotalar arthritis. Both short-term and mi ... Full text Link to item Cite

Predictors of Time to Union After Operative Fixation of Closed Ankle Fractures.

Journal Article Foot Ankle Spec · August 2017 BACKGROUND: Ankle fractures are common and represent a significant burden to society. We aim to report the rate of union as determined by clinical and radiographic data, and to identify factors that predict time to union. METHODS: A cohort of 112 consecuti ... Full text Link to item Cite

Inflammatory Microenvironment Persists After Bone Healing in Intra-articular Ankle Fractures.

Journal Article Foot Ankle Int · May 2017 BACKGROUND: Post-traumatic osteoarthritis (PTOA) is responsible for the majority of cases of ankle arthritis. While acute and end-stage intra-articular inflammation has previously been described, the state of the joint between fracture healing and end-stag ... Full text Link to item Cite

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

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

Lipid profile of human synovial fluid following intra-articular ankle fracture.

Journal Article J Orthop Res · March 2017 This study characterizes the metabolic profile of synovial fluid after intra-articular ankle fracture with an emphasis on changes in the lipid profile. Bilateral ankle synovial fluid from 19 patients with unilateral intra-articular ankle fracture was submi ... Full text Link to item Cite

Efficacy of a Cellular Bone Allograft for Foot and Ankle Arthrodesis and Revision Nonunion Procedures.

Journal Article Foot Ankle Int · March 2017 BACKGROUND: Bone graft substitutes are often required in patients at risk for nonunion, and therefore, an allograft that most closely mimics an autograft is highly sought after. This study explored the utility and efficacy of a cellular bone allograft used ... Full text Link to item Cite

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

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

Single-Stage Bipedicle Local Tissue Transfer and Skin Graft for Achilles Tendon Surgery Wound Complications.

Journal Article Foot Ankle Spec · February 2017 INTRODUCTION: Achilles tendon and posterior heel wound complications are difficult to treat. These typically require soft tissue coverage via microvascular free tissue transfer at a tertiary referral center. Here, we describe coverage of a series of poster ... Full text Link to item Cite

Radiolucent Triangle as a Positioning Tool to Simplify Prone Ankle Fracture Surgery.

Journal Article Foot Ankle Spec · February 2017 UNLABELLED: Prone positioning affords significant benefits for the fixation of trimalleolar ankle fractures and has been the long-time standard for treatment of these injuries. However, 2 primary disadvantages hamper its utility. First, access to the media ... Full text Link to item Cite

Evaluation and repair of syndesmosis injuries associated with ankle fractures

Journal Article Techniques in Orthopaedics · January 1, 2017 Full text Cite

Measurement of Nitinol Recovery Distance Using Pseudoelastic Intramedullary Nails for Tibiotalocalcaneal Arthrodesis.

Journal Article Foot Ankle Spec · December 2016 BACKGROUND: Tibiotalocalcaneal arthrodesis is a salvage procedure for patients with complex disease of the ankle and subtalar joints. Despite the clinical efficacy and mechanical advantage of intramedullary nails, complications, such as nonunion, are commo ... Full text Link to item Cite

Efficacy of a Cellular Allogeneic Bone Graft in Foot and Ankle Arthrodesis Procedures.

Journal Article Foot Ankle Clin · December 2016 A cellular allogeneic bone graft can be used in patients at high risk for nonunion after arthrodesis surgery. This study explores the utility and efficacy of MAP3 in foot and ankle arthrodesis procedures. Map3 is a cellular allogeneic bone graft that conta ... Full text Link to item Cite

Bone Marrow Aspirate Concentrate for Bone Healing in Foot and Ankle Surgery.

Journal Article Foot Ankle Clin · December 2016 Autologous bone marrow aspirate concentrate (BMAC) has become a popular orthobiologic to augment bone healing. The potential benefit comes from osteoprogenitor cells and growth factors that can lead to new bone formation in the setting of foot and ankle ar ... Full text Link to item Cite

Technique Tip: Novel Use of a Targeting Drill Guide for Syndesmotic Screw Placement.

Journal Article Foot Ankle Spec · October 2016 UNLABELLED: Ankle fractures are among the most common traumatic injuries encountered by orthopaedic surgeons, but obtaining anatomic syndesmosis fixation can be difficult. Previous authors have described the centroidal axis of the syndesmosis. Our group ha ... Full text Link to item Cite

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

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

Tibiotalar Arthrodesis Conversion to Total Ankle Arthroplasty.

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

Alternative method to remove polyethylene liner from inbone total ankle arthroplasty: Operative technique

Journal Article Techniques in Foot and Ankle Surgery · August 23, 2016 Total ankle arthroplasty (TAA) is an evolving treatment indicated in end-stage idiopathic, posttraumatic, or inflammatory ankle arthrosis. Currently, there are 4 Food and Drug Administration approved TAAs systems available in the United States, one of whic ... Full text Cite

Outcomes of Cutaneous Scar Revision During Surgical Implant Removal in Children with Cerebral Palsy.

Journal Article J Bone Joint Surg Am · August 17, 2016 BACKGROUND: Children who have had surgery involving the placement of an implant frequently undergo a subsequent surgery for hardware removal. The cosmesis of surgical scars following initial and subsequent surgeries is unpredictable. Scar incision (subsequ ... Full text Link to item Cite

Secondary Arthrodesis After Total Ankle Arthroplasty.

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

The effect of tibiotalar alignment on coronal plane mechanics following total ankle replacement.

Journal Article Gait Posture · July 2016 BACKGROUND: Gait mechanics following total ankle replacement (TAR) have reported improved ankle motion following surgery. However, no studies have addressed the impact of preoperative radiographic tibiotalar alignment on post-TAR gait mechanics. We therefo ... Full text Link to item Cite

Soft Tissue Reconstruction After Total Ankle Arthroplasty.

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

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

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

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

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

Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions.

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

Novel Technique for Treatment of Calcaneal Tuberosity Fractures.

Journal Article J Surg Orthop Adv · 2016 Calcaneal tuberosity fractures comprise only 1% to 2% of all calcaneal fractures. Treatment of these injuries has traditionally included open reduction and internal fixation with various means including lag screws, suture anchors, and K-wires. This article ... Link to item Cite

Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions.

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

A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds.

Journal Article N Engl J Med · December 31, 2015 BACKGROUND: The management of open fractures requires wound irrigation and débridement to remove contaminants, but the effectiveness of various pressures and solutions for irrigation remains controversial. We investigated the effects of castile soap versus ... Full text Link to item Cite

Conversion of Tibiotalar Arthrodesis to Total Ankle Arthroplasty.

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

Dual plating with bone block arthrodesis of the first metatarsophalangeal joint: A clinical retrospective review.

Journal Article Foot Ankle Surg · December 2015 BACKGROUND: First metatarsal phalangeal joint (MTP) arthrodesis is challenging in the setting of bone loss. The purpose of this study was to describe the results of interpositional grafting and arthrodesis of the first MTP joint using two plates in a 90/90 ... Full text Link to item Cite

Total Ankle Arthroplasty Following Prior Infection About the Ankle.

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

Atlas of radiographic features of osteoarthritis of the ankle and hindfoot.

Journal Article Osteoarthritis Cartilage · December 2015 OBJECTIVE: To develop a radiographic atlas of osteoarthritis (OA) for use as a template and guide for standardized scoring of radiographic features of OA of the ankle and hindfoot joints. METHOD: Under Institutional Review Board approval, ankle and hindfoo ... Full text Link to item Cite

Inflammatory Cytokines and Matrix Metalloproteinases in the Synovial Fluid After Intra-articular Ankle Fracture.

Journal Article Foot Ankle Int · November 2015 BACKGROUND: Posttraumatic osteoarthritis (PTOA) can occur after intra-articular fracture despite anatomic fracture reduction. It has been hypothesized that an early inflammatory response after intra-articular injury could lead to irreversible cartilage dam ... Full text Link to item Cite

The effect of location and configuration on forearm and upper arm hemodialysis arteriovenous grafts.

Conference J Vasc Surg · November 2015 OBJECTIVE: The arteriovenous graft (AVG) is most often used in hemodialysis patients when an autogenous fistula is not feasible. The optimal location (forearm or upper arm) and configuration (loop or straight) of AVGs are not known. To evaluate relationshi ... Full text Link to item Cite

Impact of Diabetes on Outcome of Total Ankle Replacement.

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

Biomechanical Comparison of External Fixation and Compression Screws for Transverse Tarsal Joint Arthrodesis.

Journal Article Foot Ankle Int · October 2015 BACKGROUND: Transverse tarsal joint arthrodesis is commonly performed in the operative treatment of hindfoot arthritis and acquired flatfoot deformity. While fixation is typically achieved using screws, failure to obtain and maintain joint compression some ... Full text Link to item Cite

Tibiotalocalcaneal Arthrodesis Using a Nitinol Intramedullary Hindfoot Nail.

Journal Article Foot Ankle Spec · October 2015 UNLABELLED: Tibiotalocalcaneal (TTC) arthrodesis using an intramedullary hindfoot nail is a common procedure for deformity correction and the treatment of combined tibiotalar and subtalar end-stage arthritis. Nonunion at one or both fusion sites is a diffi ... Full text Link to item Cite

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

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

Effect of Age on Outcomes in Total Ankle Arthroplasty.

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

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

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

Ankle arthrodesis after failed total ankle replacement: a systematic review of the literature.

Journal Article Foot Ankle Spec · April 2015 PURPOSE: As the number of total ankle replacements (TARs) performed has risen, so has the need for revision. The purpose of this investigation was to perform a systematic review of clinical outcomes following a salvage ankle arthrodesis from a failed TAR t ... Full text Link to item Cite

Allograft reconstruction of peroneus longus and brevis tendons tears arising from a single muscular belly. Case report and surgical technique.

Journal Article Foot Ankle Surg · March 2015 Anatomic variants of the peroneal tendons may cause tendon disorders. Moreover, there is a lack of evidence on how to address chronic tendon pathology when a variant of the peroneal tendons is causing the patient's symptoms. We present a patient with an un ... Full text Link to item Cite

Chronic exertional compartment syndrome of the superficial posterior compartment: Soleus syndrome.

Journal Article Indian J Orthop · 2015 Chronic exertional compartment syndrome (CECS) represents the second most-common cause of exertional leg pain with incidence of 27-33%. CECS of the superficial posterior compartment, or soleus syndrome, is rare and has only been discussed briefly in the li ... Full text Link to item Cite

Biomarkers of PTA

Chapter · January 1, 2015 Prognostic biomarkers may indicate the likelihood of disease development and speed of progression or may serve as predictive indicators of responsiveness to treatment. Joint injuries, particularly severe injuries, may result in post-traumatic osteoarthriti ... Full text Open Access Cite

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

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

Inflammatory cytokines and cellular metabolites as synovial fluid biomarkers of posttraumatic ankle arthritis.

Journal Article Foot Ankle Int · December 2014 BACKGROUND: There is a paucity of research on posttraumatic ankle arthritis (PTAA). We aimed to identify synovial fluid PTAA biomarkers using cytokine analysis and metabolic profiling. METHODS: Ankle joint synovial fluid was obtained from 20 patients with ... Full text Link to item Cite

Particulated juvenile cartilage allograft for treatment of osteochondral lesions of the talus (OCLT). A case report

Journal Article Fuss und Sprunggelenk · December 1, 2014 In the current literature, different surgical techniques have been described for the treatment of the talar osteochondral lesions. In the present case report, we describe a novel surgical technique using juvenile cartilage allograft. ... Full text Cite

Radiation exposure in total ankle replacement.

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

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

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

Particulated juvenile cartilage allograft transplantation for the treatment of osteochondral lesions of the talus

Journal Article Operative Techniques in Orthopaedics · September 1, 2014 Osteochondral lesions of the talus present a formidable treatment challenge to the orthopaedic surgeon. Although debridement with either microfracture, drilling, or curettage is often successful in relieving pain and growing fibrocartilage within a standar ... Full text Cite

Treatment of Spontaneous Osteonecrosis of the Tarsal Navicular With a Free Medial Femoral Condyle Vascularized Bone Graft: A New Approach to Managing a Difficult Problem.

Journal Article Foot Ankle Spec · August 1, 2014 UNLABELLED: Adult-onset spontaneous osteonecrosis of the tarsal navicular joint, or Mueller-Weiss syndrome (MWS), is an uncommon debilitating disease characterized by a painful clinical course with progressive midfoot deformity. Treatment options include n ... Full text Link to item Cite

Reversal of Peroneal Tenodesis With Allograft Reconstruction of the Peroneus Brevis and Longus: Case Report and Surgical Technique.

Journal Article Foot Ankle Spec · August 1, 2014 Chronic peroneal tendinopathy and tears represent a challenging clinical situation. Traditionally, tenodesis of the torn tendon to the remaining healthy tendon has been advocated if more than half of the tendon is compromised. Allograft reconstructions hav ... Full text Link to item Cite

Arthroscopic Particulated Juvenile Cartilage Allograft Transplantation for the Treatment of Osteochondral Lesions of the Talus.

Journal Article Arthrosc Tech · August 2014 Several options exist for the treatment of osteochondral lesions of the talus. Particulated juvenile cartilage allograft transplantation (PJCAT) has become a viable treatment modality for osteochondral lesions of the talus that are not amenable to microfra ... Full text Link to item Cite

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

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

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

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

Cartilage repair, replacement, and regenerative strategies for osteochondral lesions of the talus

Chapter · June 1, 2014 Osteochondral lesions of the talus present a formidable treatment challenge to the orthopaedic surgeon. Historical cartilage repair strategies often result in the formation of fibrocartilage leading to suboptimal clinical results. With advances in regenera ... Full text Cite

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

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

Arthroscopic delivery of particulated juvenile cartilage allograft for osteochondral lesions of the talus

Journal Article Techniques in Foot and Ankle Surgery · March 1, 2014 Osteochondral lesions of the talus are a common source of ankle pain, and often present in patients with a history of acute ankle trauma or chronic ankle instability. The management of these lesions can be divided between reparative and restorative techniq ... Full text Cite

Stem cell-bearing suture improves Achilles tendon healing in a rat model.

Journal Article Foot Ankle Int · March 2014 BACKGROUND: Tendon healing is a slow and complicated process that results in inferior structural and functional properties when compared to healthy tendon tissue. It may be possible to improve outcomes of tendon healing with enhancement of biological aspec ... Full text Link to item Cite

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

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

Surgical approach to lateral OLT

Chapter · January 1, 2014 Posterolateral osteochondral lesions of the talus (OLTs) represent approximately 5 % of all OLTs. With current arthroscopic techniques, most posterolateral OLTs may be readily managed arthroscopically. Should the posterolateral OLT fail to respond to or no ... Full text Cite

Total ankle arthroplasty in end-stage ankle arthritis.

Journal Article Curr Rev Musculoskelet Med · December 2013 Recent advancements in ankle prosthesis design, combined with improved surgical techniques for correction of coronal plane deformity and ligamentous balancing, have led to a resurgence of interest in total ankle arthroplasty for the treatment of end-stage ... Full text Link to item Cite

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

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

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

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

Early experience of talonavicular arthrodesis using an intraosseous fix system: A case series

Journal Article Techniques in Foot and Ankle Surgery · September 1, 2013 Talonavicular arthrodesis is generally recommended for treating isolated degenerative arthritis and deformities of this joint. In general, good results have been published in the literature; however, nonunion of the talonavicular joint still remains a fact ... Full text Cite

Use of external fixation as an adjunct in the reduction and fixation of displaced intra-articular calcaneus fractures: A review and surgical technique

Journal Article Techniques in Foot and Ankle Surgery · September 1, 2013 The treatment of displaced, intra-articular calcaneus fractures is controversial. Complications are associated with both closed and open treatment methods. Various forms of external fixation have been used, including a definitive means of fixation and temp ... Full text Cite

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

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

Vascularized pedicle bone grafting for nonunions of the tarsal navicular.

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

Wound healing agents.

Journal Article Crit Care Nurs Clin North Am · June 2012 Full text Link to item Cite

Wound Healing Agents

Journal Article CRITICAL CARE NURSING CLINICS OF NORTH AMERICA · June 1, 2012 Full text Link to item Cite

Kinematic and dynamic gait compensations resulting from knee instability in a rat model of osteoarthritis.

Journal Article Arthritis Res Ther · April 17, 2012 INTRODUCTION: Osteoarthritis (OA) results in pain and disability; however, preclinical OA models often focus on joint-level changes. Gait analysis is one method used to evaluate both preclinical OA models and OA patients. The objective of this study is to ... Full text Open Access Link to item Cite

Structural Allograft Transplantation for Osteochondral Lesions of the Talus.

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

Global metabolic profiling of human osteoarthritic synovium.

Journal Article Osteoarthritis Cartilage · January 2012 Osteoarthritis (OA) is a debilitating disease associated with pain and loss of function in numerous diarthrodial joints of the body. Assessments of the severity and/or progression of OA are commonly based on radiographic stages and pain level, which aren't ... Full text Link to item Cite

Ceramic interpositional arthroplasty for fourth and fifth tarsometatarsal joint arthritis.

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

Structural allograft reconstruction for large osteochondral lesions of the talus

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

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

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

Results of total ankle arthroplasty.

Journal Article J Bone Joint Surg Am · August 3, 2011 Most published reports related to total ankle arthroplasty have a fair to poor-quality level of evidence. Comparative studies with a fair to good-quality level of evidence suggest that total ankle arthroplasty provides equal pain relief and possibly improv ... Full text Link to item Cite

Plantar pressure distribution after tibiotalar arthrodesis.

Journal Article Clin Biomech (Bristol) · July 2011 INTRODUCTION: Arthrodesis is a well-established treatment option for end-stage osteoarthritis of the ankle. Osteoarthritis of the ankle can alter plantar pressure distribution. However, surprisingly little is known about the effect of ankle arthrodesis to ... Full text Link to item Cite

Modular prosthetic reconstruction of major bone defects of the distal end of the humerus.

Journal Article J Bone Joint Surg Am · June 1, 2011 BACKGROUND: Bone defects of the distal end of the humerus require complex reconstructions, for which standard prostheses may be insufficient. We investigated the outcomes of distal humeral reconstruction with use of a modular prosthesis. METHODS: Fifty-thr ... Full text Link to item Cite

Particulated juvenile articular cartilage allograft transplantation for osteochondral lesions of the talus

Journal Article Techniques in Foot and Ankle Surgery · June 1, 2011 Osteochondral lesions of the talus present a formidable treatment challenge to the orthopedic surgeon. This explains the multitude of treatment options described for this pathology. Currently, in the United States, surgical treatment options for symptomati ... Full text Cite

Persistent or recurrent interdigital neuromas.

Journal Article Foot Ankle Clin · June 2011 Recurrent or persistent symptoms following surgical neurectomy for an interdigital neuroma are quite common, because of incorrect initial diagnosis, true neuroma formation, nerve stump adhesions, accessory nerve branches, or an adjacent web space neuroma. ... Full text Link to item Cite

Interdigital neuralgia.

Journal Article Foot Ankle Clin · June 2011 Interdigital neuralgia affects a significant number of individuals, with an average age of presentation in the sixth decade and a 4- to 15-fold increased prevalence in women. Historical descriptions date back to the 19th century. Nonoperative treatment wit ... Full text Link to item Cite

Gait and behavior in an IL1β-mediated model of rat knee arthritis and effects of an IL1 antagonist.

Journal Article J Orthop Res · May 2011 Interleukin-1 beta (IL1β) is a proinflammatory cytokine that mediates arthritic pathologies. Our objectives were to evaluate pain and limb dysfunction resulting from IL1β over-expression in the rat knee and to investigate the ability of local IL1 receptor ... Full text Open Access Link to item Cite

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

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

Timing of definitive fixation of severe tibial plateau fractures with compartment syndrome does not have an effect on the rate of infection.

Journal Article J Trauma · December 2010 BACKGROUND: Tibial plateau fractures with associated compartment syndrome are severe injuries with elevated infection rates. The objective of this article was to analyze whether there is an association between infection and the timing of definitive fractur ... Full text Link to item Cite

Plantar loading after chevron osteotomy combined with postoperative physical therapy.

Journal Article Foot Ankle Int · November 2010 BACKGROUND: Recent pedobarographic studies have demonstrated decreased loading of the great toe region and the first metatarsal head at a short- and intermediate-term followup. The purpose of the present study was to determine if a postoperative rehabilita ... Full text Link to item Cite

Femoral neck fracture in association with low-energy pelvic ring fractures in an elderly patient.

Journal Article Am J Emerg Med · July 2010 Concomitant fractures of the pelvic ring and proximal femur in the setting of low-energy trauma are rare but not mutually exclusive. An 82-year-old woman, without prior hip pain, presented to our institution after a fall from standing height. Ipsilateral p ... Full text Link to item Cite

Evaluating intra-articular drug delivery for the treatment of osteoarthritis in a rat model.

Journal Article Tissue Eng Part B Rev · February 2010 Osteoarthritis (OA) is a degenerative joint disease that can result in joint pain, loss of joint function, and deleterious effects on activity levels and lifestyle habits. Current therapies for OA are largely aimed at symptomatic relief and may have limite ... Full text Open Access Link to item Cite

Rehabilitation after hallux valgus surgery: importance of physical therapy to restore weight bearing of the first ray during the stance phase.

Journal Article Phys Ther · September 2009 BACKGROUND: Operative treatment of people with hallux valgus can yield favorable clinical and radiographic results. However, plantar pressure analysis has demonstrated that physiologic gait patterns are not restored after hallux valgus surgery. OBJECTIVE: ... Full text Link to item Cite

Sustained release of antibiotics from injectable and thermally responsive polypeptide depots.

Journal Article J Biomed Mater Res B Appl Biomater · July 2009 Biodegradable polymeric scaffolds are of interest for delivering antibiotics to local sites of infection in orthopaedic applications, such as bone and diarthrodial joints. The objective of this study was to develop a biodegradable scaffold with ease of dru ... Full text Link to item Cite

Release and activity of anti-TNFalpha therapeutics from injectable chitosan preparations for local drug delivery.

Journal Article J Biomed Mater Res B Appl Biomater · July 2009 BACKGROUND: Tumor necrosis factor alpha (TNFalpha) is a cytokine that regulates immune and inflammatory overactivation in various pathological states. Protein therapeutics may antagonize this cytokine, but may also have systemic toxicities. Small molecule ... Full text Link to item Cite

Gait abnormalities and inflammatory cytokines in an autologous nucleus pulposus model of radiculopathy.

Journal Article Spine (Phila Pa 1976) · April 1, 2009 STUDY DESIGN: The authors investigated gait abnormalities and mechanical hypersensitivity associated with invertebral disc herniation in a rat model of radiculopathy. Further evaluation involved assessing how nucleus pulposus (NP) injury affected systemic ... Full text Link to item Cite

Calcaneocuboid joint subluxation after calcaneal lengthening for planovalgus foot deformity in children with cerebral palsy.

Journal Article J Pediatr Orthop · March 2009 BACKGROUND: Calcaneal lengthening is a common procedure for the treatment of symptomatic planovalgus deformity in children with cerebral palsy. Stabilization of the calcaneocuboid joint to prevent subluxation at the time of lengthening has been described. ... Full text Link to item Cite

Intermediate-term results of the Ludloff osteotomy in one hundred and eleven feet.

Journal Article J Bone Joint Surg Am · March 2008 BACKGROUND: The modified Ludloff proximal first metatarsal osteotomy is indicated for the surgical correction of moderate-to-severe hallux valgus deformity associated with metatarsus primus varus. We report the intermediate-term results of this procedure. ... Full text Link to item Cite

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

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

Cellular repair of meniscal tears in the avascular region

Journal Article European Cells and Materials · December 1, 2007 Cite

Role of plate thickness as a cause of dysphagia after anterior cervical fusion.

Journal Article Spine (Phila Pa 1976) · November 1, 2007 STUDY DESIGN: Prospective radiographic analysis with clinical correlates. OBJECTIVE: The purpose of this study was to determine whether patients with cervical plates protruding off the vertebral body more prominently than pre-existing osteophytes had highe ... Full text Link to item Cite

Meniscus tears: Current strategies for repair, rehabilitation and the future of tissue engineering

Journal Article Minerva Ortopedica e Traumatologica · April 1, 2007 Injury to the meniscus is a common occurrence in today's active society. It is frequently the cause of pain, swelling and mechanical symptoms In the knee. Despite its frequent presentation, the decision to repair or resect a torn meniscus is not always str ... Cite

Does knee position at the time of tourniquet inflation affect knee range of motion?

Journal Article J Surg Orthop Adv · 2007 Pneumatic tourniquets about the thigh are commonly employed in lower extremity orthopaedic surgery to maintain a bloodless operative field. The purpose of this study was to determine whether the position of the knee at the time of tourniquet inflation has ... Link to item Cite

Wound healing agents.

Journal Article Foot Ankle Clin · December 2006 This report presented a review of the process of wound healing as well as influencing factors in the process such as wound healing agents. A greater understanding of the alterations in diabetes mellitus allows selection of the optimal wound healing agents ... Full text Link to item Cite

An allogenic cell-based implant for meniscal lesions.

Journal Article Am J Sports Med · November 2006 BACKGROUND: Meniscal tears in the avascular zones do not heal. Although tissue-engineering approaches using cells seeded onto scaffolds could expand the indication for meniscal repair, harvesting autologous cells could cause additional trauma to the patien ... Full text Link to item Cite

Healing potential of transplanted allogeneic chondrocytes of three different sources in lesions of the avascular zone of the meniscus: a pilot study.

Journal Article Arch Orthop Trauma Surg · November 2006 UNLABELLED: Successful treatment of tears to the avascular region of the meniscus remains a challenge. Current repair techniques, such as sutures and anchors, are effective in stabilizing the peripheral, vascularized regions of the meniscus, but are not ad ... Full text Link to item Cite

High-resolution imaging of progressive articular cartilage degeneration.

Journal Article J Orthop Res · April 2006 The objective of this study was to develop and verify a new technique for monitoring the progression of osteoarthritis (OA) by combining a rat model with the imaging modality optical coherence tomography (OCT). Time-sequential, in vivo, OCT imaging was per ... Full text Link to item Cite

Mastication causing segmental spinal motion in common cervical orthoses.

Journal Article Spine (Phila Pa 1976) · February 15, 2006 STUDY DESIGN: In vivo fluoroscopic quantification of segmental cervical spinal motion in asymptomatic volunteers during mastication. OBJECTIVE: To quantify the degree of segmental cervical spine motion in patients during mastication and while wearing sever ... Full text Link to item Cite

Patient behavior if given their surgeon's cellular telephone number.

Journal Article Clin Orthop Relat Res · October 2005 Technologic advances in communications potentially may affect the patient-doctor relationship. We assessed call patterns, reasons for calling, and attitudes if patients had their surgeon's cellular telephone number, to determine if there are potential bene ... Full text Link to item Cite

Tissue engineering for meniscus repair.

Journal Article J Knee Surg · January 2005 Meniscus injury is common in today's active society. Despite the frequent presentation of meniscus injury, the decision to repair or resect a torn meniscus is not always straightforward. Current repair techniques are effective in the peripheral vascularize ... Full text Link to item Cite

Imaging the microstructure of menisci using optical coherence tomography

Journal Article Transactions - 7th World Biomaterials Congress · December 1, 2004 The ability of optical coherence tomography (OCT) to assess the meniscus in healthy and artificially created diseased states was investigated. The meniscus was composed of highly organized I collagen in a circumferential along the peripheral margin with mo ... Cite

Predictors of progression of scoliosis after decompression of an Arnold Chiari I malformation.

Journal Article Spine (Phila Pa 1976) · February 1, 2004 STUDY DESIGN: Retrospective study of patients with scoliosis and an Arnold Chiari I malformation requiring operative management. OBJECTIVES: Determine the factors that could predict whether a particular spinal deformity might progress despite neurosurgical ... Full text Link to item Cite

Attenuation Measurements of Optical Coherence Tomography Signals for the Assessment of Vascular Tissue Composition

Conference Optics InfoBase Conference Papers · January 1, 2004 Optical Coherence Tomography (OCT) has significant potential for assessing coronary artery disease. The OCT signal attenuation was measured in several arterial tissue types and may contribute to methods for classifying plaque composition and severity. ... Cite

Imaging the microstructure of menisci using optical coherence tomography

Conference Optics InfoBase Conference Papers · January 1, 2004 Using optical coherence tomography, changes in the polarization sensitivity of pig menisci were detected both in healthy and enzymatically degraded samples. ... Cite

Imaging of cartilage degeneration in vivo using ultrahigh resolution OCT

Journal Article Proceedings of SPIE - The International Society for Optical Engineering · December 1, 2003 Ultrahigh resolution OCT is used to visualize experimentally induced osteoarthritis in a rat knee model. Using a Cr4+:Forsterite laser, ultrahigh image resolutions of 5um are achieved in vivo. Progression of osteoarthritic remodeling and cartilage degenera ... Cite

A new approach for assessing early osteoarthritis in the rat.

Journal Article Anal Bioanal Chem · November 2003 Several animal models have been developed to investigate osteoarthritis and potential disease-modifying therapeutics. However, early disease data from these models are limited by the resolution of current imaging modalities. In this in-vitro study, an opti ... Full text Link to item Cite

Torticollis in an infant caused by hereditary muscle aplasia.

Journal Article Am J Orthop (Belle Mead NJ) · November 2003 Torticollis is a common condition presenting to the general or pediatric orthopedist. We describe the case of a child with severe torticollis caused by a hereditary unilateral absence of the sternocleidomastoid and trapezius muscles. Both his father and pa ... Link to item Cite

The use of polarization sensitive optical coherence tomography and elastography to assess connective tissue

Conference Optics InfoBase Conference Papers · January 1, 2003 We demonstrate the ability of polarization spectroscopy and elastography, in conjunction with optical coherence tomography, to determine the properties of collagen organization in musculoskeletal tissue. Optical coherence tomography images correlated with ... Cite

Imaging of cartilage degeneration in vivo using ultrahigh resolution OCT

Conference Optics InfoBase Conference Papers · January 1, 2003 Ultrahigh resolution OCT is used to visualize experimentally induced osteoarthritis in a rat knee model. Using a Cr4+:Forsterite laser, ultrahigh image resolutions of 5um are achieved in vivo. Progression of osteoarthritic remodeling and cartilage degenera ... Cite

New technology for assessing microstructural components of tendons and ligaments.

Journal Article Int Orthop · 2003 This study investigated the ability of optical coherence tomography (OCT), a recently developed technology with micron-scale resolution, to assess the microstructure of tendons and ligaments. In vitro structural- and polarization-sensitive OCT was performe ... Full text Link to item Cite

The use of polarization sensitive optical coherence tomography and elastography to assess connective tissue

Journal Article OSA Trends in Optics and Photonics Series · January 1, 2003 We demonstrate the ability of polarization spectroscopy and elastography, in conjunction with optical coherence tomography, to determine the properties of collagen organization in musculoskeletal tissue. Optical coherence tomography images correlated with ... Cite

Soft tissue mass of the second toe in an 11-year-old boy.

Journal Article Clin Orthop Relat Res · August 2002 Full text Link to item Cite

Safety and efficacy of the popliteal fossa nerve block when utilized for foot and ankle surgery.

Journal Article Foot Ankle Int · May 2002 The popliteal fossa nerve block (PFNB) offers numerous advantages that make it a suitable anesthetic technique for foot and ankle surgery. In this retrospective study, we investigated the acute and long-term safety and efficacy of this relatively underutil ... Full text Link to item Cite