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Publications (29)
On the surface, the benefits of evidence-based medicine (EBM) seem self-evident. However, reliance on the scientific literature alone has limitations. Studies may be biased, statistically fragile, and/or not reproducible. Reliance solely on EBM may ignore physician clinical experience and individual patient characteristics and input. Reliance solel...
Tissue engineering requires cells, scaffolds, growth factors, and mechanical stimulation. In terms of cartilage restoration or repair, various innovative approaches are evolving, using host or allograft cells, biomimetic scaffolds, matrices, or membranes including hyaluronic acid, as well as diverse biological and growth factors. A current approach...
Recurrent instability and future joint damage occur if there is a repeated anterior cruciate ligament injury after reconstruction. This prognostic declaration is said to those who have sustained a rupture to the repaired anterior cruciate ligament. Both younger and older patients seek stable knees to allow a return to stability and twisting activit...
A recent investigation using the Swedish National Knee Registry large database showed that "The risk of ACL revision did not differ between HT and PT autografts in patients undergoing ACL reconstruction with a non-surgically treated MCL injury. However, the use of ST-G was associated with poorer two-year patient-reported knee function compared with...
Objective:
Powered surgical instruments use to cut bones and fashion them for joint implant produce noise. Prior studies have not analyzed direct in vivo measurements of multiple procedures and exposure time. This study evaluates actual surgical noise levels exposure to the surgeon and this cumulative exposure that can result in noise-induced hear...
Patients undergoing meniscal allograft transplantation show improvement at 10 years and even 15 years of follow-up. However, it is unclear what factors influence the results, including but not limited to bone plug versus all-suture repair, fresh versus cryopreserved grafts, proper sizing, and rehabilitation.
When it comes to medical research, incentives align to promote "publish or perish." This results in quantity over quality. A solution is to change the goal of medical scientist and clinician training from bolstering a curriculum vitae to mastering scientific research methods. In addition, the metric for scholarly authorship should be quality, for w...
The use of isolation helmets has gained popularity as a method of possible protection of the operating-room personnel from diseases that can be transmitted during operative procedures. However, the use of these systems has been associated with a variety of symptoms, including fatigue, diaphoresis, nausea, headache, and irritability. These symptoms...
This study presents an average of 43-month results (range, 23 to 75 months) of 82 arthroscopically assisted, outpatient semitendinosus-gracilis anterior cruciate ligament reconstructions evaluated with the Cincinnati Knee Rating System. There were 44 acute and 38 chronic injuries. The results showed no significant effect of injury chronicity on all...
It has been recommended that reconstruction of the anterior cruciate ligament (ACL) in skeletally immature patients should not violate the physeal plate of the distal femur or proximal tibia as growth irregularity might occur. Despite the lack of conclusive evidence that tendon transfers through growth areas cause growth irregularity, recent report...
The differential diagnosis of unexplained hip pain after trauma in patients with normal radiographs includes both soft tissue and bony abnormalities. We have presented a case of an isolated fracture of the greater trochanter in an adult with normal radiographs where the diagnosis was made by MRI.
Ankle arthroscopy is an effective procedure for the evaluation and management of osteochondritis dissecans of the talus. For active individuals with detached lesions, excision, curettage, and drilling are an effective treatment. The ability to drill arthroscopically significantly reduces the morbidity associated with open procedures. The use of an...
Loss of the meniscus has been proved to be associated with increased joint pressures, mechanical changes, and ultimately hyaline cartilage degradation. Since the first arthritic changes following meniscectomy were appreciated, attempts have been made to alter and reverse the joint deterioration that occurs after removal of the knee fibrocartilage....
Mechanical properties of patellar tendon autografts used to replace the anterior cruciate ligament (ACL) in the cynomolgus monkey were measured at four time periods up to 1 year. The ACL was replaced in each knee with the medial half of the patellar tendon: as a vascularized graft (VG) on one side and as a nonvascularized or free graft (FG) on the...
Computerized thermography was used to evaluate eight patients with the complaint of non-traumatic anterior knee pain. Computerized thermograms were recorded before and after subjects performed a specific rehabilitation program. Thermographic imaging was then repeated 4 weeks to 8 weeks after the initial thermogram. Among the subject group, thermal...
Superior dislocation of the patella with interlocking osteophytes was only once found roentgenologically documented. Such a dislocation occurs without tendon rupture, and can occur with a hyperextension force. Reduction is easily accomplished by manipulation of the patella without anesthesia. Full active motion is present post-reduction. This entit...
