2024
Analyzing Alignment Error in Tibial Tuberosity-Trochlear Groove Distance in Clinical Scans Using 2D and 3D Methods.
Sieberer J, Park N, Rancu A, Desroches S, McDonald C, Manafzadeh A, Tommasini S, Wiznia D, Fulkerson J. Analyzing Alignment Error in Tibial Tuberosity-Trochlear Groove Distance in Clinical Scans Using 2D and 3D Methods. The American Journal Of Sports Medicine 2024, 3635465241279852. PMID: 39320426, DOI: 10.1177/03635465241279852.Peer-Reviewed Original ResearchTibial tuberosity-trochlear groove distanceSurgical decision-makingPatellofemoral instabilityIntraclass correlation coefficientGroove distanceTreatment of patellofemoral instabilityComputed tomography scanTT-TG distanceScans of patientsPatient's legsTT-TG measurementsTibial tubercle transferKnees of patientsInterrater reliabilityGt;5 mmTomography scanSurgical planningTubercle transferScanner gantryPatientsClinical scansClinical literatureTopographic landmarksKneeDecision-makingOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Tung W, Morris J, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 195-201. PMID: 39047269, PMCID: PMC11279383, DOI: 10.1097/nor.0000000000001039.Peer-Reviewed Original ResearchConceptsNurse navigatorPayer statusMedical managementMedical management guidelinesMedication reconciliationResource referralsPatient educationInsurance statusPreoperative optimization protocolFinancial concernsInsurance coveragePatient outcomesLiterature searchNursesTJA patientsManagement guidelinesPayersMedicationStatusInsuranceFinancial resourcesEducationPatientsRecommendationsReferralPoster 291: Entry Point-Transition Point Angle as a Novel 3-Dimensional Metric of Patellar Instability
Park N, Sieberer J, Rancu A, Manafzadeh A, McDonald C, Yu K, Wiznia D, Fulkerson J. Poster 291: Entry Point-Transition Point Angle as a Novel 3-Dimensional Metric of Patellar Instability. Orthopaedic Journal Of Sports Medicine 2024, 12: 2325967124s00258. PMCID: PMC11328264, DOI: 10.1177/2325967124s00258.Peer-Reviewed Original ResearchPatellar instabilityComputed tomographyTrochlear dysplasiaGeneral populationRecurrent dislocationDegree of dysplasiaRecurrent patellar dislocationMann-Whitney U testInstitutional review board exemptionDistal femurGeneral population cohortPatellofemoral painPatellar dislocationMann-WhitneyU testCT imagesDysplasiaAnteroposterior viewPatientsTrochlear morphologyInterclass correlationPopulation cohortNew Mexico Decedent Image DatabaseCohortFemurOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Tung W, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 132-140. PMID: 38861742, PMCID: PMC11178248, DOI: 10.1097/nor.0000000000001026.Peer-Reviewed Original ResearchConceptsNurse navigatorMental healthHousing statusTotal joint arthroplastyHousing concernsTotal joint arthroplasty patientsEligibility criteriaScreening toolPrevent patientsHealthImplement protocolsImproving postoperative outcomesLiterature searchIncreased focusLack of standardized protocolsJoint arthroplastyStatusStandard protocolNursesOutcomesPatientsConcernsPostoperative outcomesDecrease surgical riskRiskFabricating patient-specific 3D printed drill guides to treat femoral head avascular necrosis
Bell C, Feizi A, Roytman G, Ramji A, Tommasini S, Wiznia D. Fabricating patient-specific 3D printed drill guides to treat femoral head avascular necrosis. 3D Printing In Medicine 2024, 10: 10. PMID: 38564090, PMCID: PMC10986134, DOI: 10.1186/s41205-024-00208-z.Peer-Reviewed Original ResearchOff-the-Shelf Tibial Cone Sizes May Not Accommodate All Patients’ Bone Morphology and May Lead to Cortical Breaches in Revision Total Knee Arthroplasty: A 3D Modeling Study
Tung W, Kunsel K, Roytman G, Donnelley C, Pratola D, Tommasini S, Bernstein J, Wiznia D. Off-the-Shelf Tibial Cone Sizes May Not Accommodate All Patients’ Bone Morphology and May Lead to Cortical Breaches in Revision Total Knee Arthroplasty: A 3D Modeling Study. Arthroplasty Today 2024, 26: 101340. PMID: 38455865, PMCID: PMC10918480, DOI: 10.1016/j.artd.2024.101340.Peer-Reviewed Original ResearchThe feasibility of a novel 3D-Printed patient specific cutting guide for extended trochanteric osteotomies
Bergemann R, Roytman G, Ani L, Ramji A, Leslie M, Tommasini S, Wiznia D. The feasibility of a novel 3D-Printed patient specific cutting guide for extended trochanteric osteotomies. 3D Printing In Medicine 2024, 10: 7. PMID: 38427157, PMCID: PMC10905807, DOI: 10.1186/s41205-024-00204-3.Peer-Reviewed Original ResearchPatient-specific cutting guidesCutting guidesPlanned osteotomySoft tissue injuriesTotal hip arthroplasty surgeryCT scanSurgical techniqueRevision total hip arthroplasty surgeryClinical trialsPerformed osteotomyHip arthroplasty surgeryTissue injuryNon-unionPatientsCadaveric testingSimpleware ScanIPOsteotomySoft tissueTrochanteric osteotomyProximal femurArthroplasty surgeryIntramedullary canalHuman subjectsExtended trochanteric osteotomyFemoral canalOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 75-83. PMID: 38546679, PMCID: PMC10987043, DOI: 10.1097/nor.0000000000001013.Peer-Reviewed Original ResearchConceptsNurse navigatorTotal joint arthroplastyModifiable risk factorsAssessment of nutritional statusLong-term interventionsTotal joint arthroplasty patientsNursesPractice standardsNutritional statusObesityRisk factorsImprove outcomesPatients to worse outcomesTargeted assessmentMalnutritionInterventionJoint arthroplastyLiterature reviewWorse outcomesPreoperative optimizationOutcomesRecommendationsBariatric treatmentPatientsPracticeA review of the design, manufacture, and outcomes of custom total joint replacement implants available in the United States
Kaszuba S, Hurley M, Beitler B, Abraham P, Tommasini S, Schwarzkopf R, Wiznia D. A review of the design, manufacture, and outcomes of custom total joint replacement implants available in the United States. Journal Of Clinical Orthopaedics And Trauma 2024, 49: 102354. PMID: 38361508, PMCID: PMC10865390, DOI: 10.1016/j.jcot.2024.102354.Peer-Reviewed Original ResearchTotal joint replacement implantsTotal joint replacementJoint replacement implantsManufacturing processDesign considerationsReplacement implantsPrimary total joint replacementImprove functional outcomesBone defectsJoint replacementCustomized implantsTreated patientsRevision surgeryTotal hipManufacturingRevision casesKnee arthroplasty implantsArthroplasty implantsImplantationDesignPatientsPrimary deformationSurgeons
2023
Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2023, 42: 334-343. PMID: 37989152, PMCID: PMC10664865, DOI: 10.1097/nor.0000000000000983.Peer-Reviewed Original ResearchConceptsPreoperative optimization protocolNurse navigatorSubstance useAlcohol usePreoperative optimization programsCommon risk factorsTotal joint arthroplastyPreoperative optimizationOpioid usePain specialistsCessation programsRisk factorsJoint arthroplastyPatientsPractice recommendationsSemistructured formatLiterature reviewOpioidsComplicationsSmokingArthroplastyInternistsMetrics for Monitoring Preoperative Optimization Programs for Total Joint Arthroplasty
Dlott C, Miguez S, Wilkins S, Khunte A, Johnson C, Kurek D, Wiznia D. Metrics for Monitoring Preoperative Optimization Programs for Total Joint Arthroplasty. Orthopaedic Nursing 2023, 42: 158-164. PMID: 37262375, DOI: 10.1097/nor.0000000000000942.Peer-Reviewed Original ResearchConceptsPreoperative optimization programsTotal joint arthroplastySurgical factorsJoint arthroplastyOutcomes of patientsLength of stayElectronic medical recordsPatient characteristicsOrthopaedic nursesMedical recordsPatient outcomesLong-term effectsPatientsArthroplastyOutcomesReadmissionStayFactorsNursesLimited researchCharacterizing the lack of diversity in musculoskeletal urgent care website content
Dlott C, Metcalfe T, Bahel A, Jain S, Donnelley C, Kayani J, Wiznia D. Characterizing the lack of diversity in musculoskeletal urgent care website content. BMC Health Services Research 2023, 23: 297. PMID: 36978168, PMCID: PMC10053459, DOI: 10.1186/s12913-023-09270-5.Peer-Reviewed Original ResearchConceptsUrgent care centersCare centerUnivariate logistic regressionMedicaid insuranceEmergency departmentObese individualsPatient populationSpecialty carePatients' perceptionsOrthopedic injuriesOrthopaedic careMedical providersMedical careLogistic regressionMethodsOur groupMedicaid acceptanceBody typeCarePatientsThe Use of Risk Scores in Patient Preoperative Optimization for Total Joint Arthroplasty
Dlott C, Wilkins S, Miguez S, Khunte A, Johnson C, Kurek D, Wiznia D. The Use of Risk Scores in Patient Preoperative Optimization for Total Joint Arthroplasty. Orthopaedic Nursing 2023, 42: 123-127. PMID: 36944208, DOI: 10.1097/nor.0000000000000931.Peer-Reviewed Original ResearchConceptsPreoperative optimizationNurse navigatorTotal joint arthroplastyRisk scoreJoint arthroplastyPreoperative decision-making processVariety of comorbiditiesRisk of complicationsBody mass indexPatient-specific factorsPatient comorbiditiesMass indexOrthopaedic nursesComorbiditiesScoresArthroplastyComplicationsDiabetesPatientsNursesHip Abduction Can Be Considered the Sole Posterior Precaution Strategy to Lower the Rate of Impingement After Posterior Approach Total Hip Arthroplasty With Large Femoral Head: A Computer Simulation Study
Eslam Pour A, Tung W, Donnelley C, Tommasini S, Wiznia D. Hip Abduction Can Be Considered the Sole Posterior Precaution Strategy to Lower the Rate of Impingement After Posterior Approach Total Hip Arthroplasty With Large Femoral Head: A Computer Simulation Study. The Journal Of Arthroplasty 2023, 38: 1385-1391. PMID: 36709882, PMCID: PMC10257737, DOI: 10.1016/j.arth.2023.01.027.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyAnterior pelvic tilt angleHip abductionPelvic tilt angleHip arthroplastyHip precautionsPosterior approach total hip arthroplastyPrimary total hip arthroplastyAnterior inferior iliac spineLarger prosthetic headsHip internal rotationRisk of dislocationHip external rotationCup anteversion angleLarge femoral headsAbsolute riskBony impingementHip flexionIliac spineFemoral headExternal rotationProsthetic headAnteversion anglePatientsAcetabular implantsOrthopaedic Nurse Navigator Involvement in Preoperative Optimization for Total Joint Arthroplasty
Dlott C, Miguez S, Wilkins S, Khunte A, Johnson C, Kurek D, Wiznia D. Orthopaedic Nurse Navigator Involvement in Preoperative Optimization for Total Joint Arthroplasty. Orthopaedic Nursing 2023, 42: 48-52. PMID: 36702096, DOI: 10.1097/nor.0000000000000916.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyPreoperative optimization programsNurse navigatorPreoperative optimizationJoint arthroplastyNurse navigator programSpecific medical comorbiditiesOrthopaedic surgical teamStandardized referralMedical comorbiditiesPostoperative complicationsOrthopaedic nursesCare pathwayHeart diseaseNavigator programSurgical teamArthroplastyPatientsInvolvementComorbiditiesComplicationsDiabetesReferralNursesDisease
2022
Evaluating musculoskeletal urgent care center triage and transfer of emergency conditions for emergency surgical assessment and intervention
Dlott C, Metcalfe T, Khunte A, Jain S, Bahel A, Hsiang W, Donnelley C, Kayani J, Wiznia D. Evaluating musculoskeletal urgent care center triage and transfer of emergency conditions for emergency surgical assessment and intervention. Medicine 2022, 101: e32519. PMID: 36595864, PMCID: PMC9794202, DOI: 10.1097/md.0000000000032519.Peer-Reviewed Original ResearchConceptsEmergency departmentCompartment syndromeLower extremity compartment syndromeExtremity compartment syndromeUrgent surgical interventionUrgent care centersDelay of careClinician suspicionEmergency surgeryJoint painOrthopedic emergencySurgical interventionAnkle sprainCare centerCritical patientsOrthopedic injuriesSurgical assessmentTriage questionsPrognostic studiesPatientsED resourcesOrthopedic conditionsReferral frequencyTriage practicesLevel IIThe Use of Race in Risk Assessment Tools Contributes to Systemic Racism
Dlott C, O’Connor M, Wiznia D. The Use of Race in Risk Assessment Tools Contributes to Systemic Racism. Journal Of Racial And Ethnic Health Disparities 2022, 10: 1-3. PMID: 36414930, DOI: 10.1007/s40615-022-01451-y.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyRisk of complicationsRisk of surgeryTotal joint replacementRisk assessment toolPerioperative riskRisk calculatorPatient raceJoint arthroplastyDecision-making discussionsJoint replacementInclusion of raceComplicationsPatientsSurgeryRiskAssessment toolReadmissionArthroplastyOsteoarthritisHipRaceSurgeonsOperative Techniques to Reduce Hip and Knee Arthroplasty Complications in Morbidly Obese Patients
Rankin KA, Gibson D, Schwarzkopf R, O’Connor M, Wiznia DH. Operative Techniques to Reduce Hip and Knee Arthroplasty Complications in Morbidly Obese Patients. Arthroplasty Today 2022, 17: 120-125. PMID: 36082285, PMCID: PMC9445224, DOI: 10.1016/j.artd.2022.07.016.Peer-Reviewed Original ResearchTotal joint arthroplastyBody mass indexObese patientsMorbidly obese patientsPatient selection criteriaPostoperative complicationsMass indexObese populationArthroplasty complicationsFunctional outcomeJoint arthroplastyOperative techniquePostoperative considerationsHigh riskKnee surgeonsLife metricsOrthopaedic surgeonsPatientsSurgeonsComplicationsHipRiskAmerican AssociationComprehensive literature reviewLiterature reviewTotal Joint Arthroplasty Direct-to-Consumer Advertising by Medical Device Companies Lacks Patient Diversity
Rankin KA, Bahel A, Khunte A, Oris RJ, O'Connor MI, Wiznia DH. Total Joint Arthroplasty Direct-to-Consumer Advertising by Medical Device Companies Lacks Patient Diversity. Arthroplasty Today 2022, 16: 96-100. PMID: 35662990, PMCID: PMC9160652, DOI: 10.1016/j.artd.2022.04.010.Peer-Reviewed Original ResearchComputer-Assisted Navigation for Complex Revision of Unstable Total Hip Replacement in a Patient With Post-traumatic Arthritis
Rankin KA, Petit L, Nasreddine A, Minotti P, Leslie M, Wiznia DH. Computer-Assisted Navigation for Complex Revision of Unstable Total Hip Replacement in a Patient With Post-traumatic Arthritis. Arthroplasty Today 2022, 15: 153-158. PMID: 35586609, PMCID: PMC9108506, DOI: 10.1016/j.artd.2022.03.015.Peer-Reviewed Original ResearchPost-traumatic arthritisComputer-assisted navigationImageless computer-assisted navigationUnstable total hip replacementRevision total hip arthroplastyAdult male patientsRecurrent hip instabilityTotal hip arthroplastyComplex revision casesTotal hip replacementMale patientsAcetabular fracturesHip arthroplastyJoint instabilityHip instabilityRevision casesComponent malpositioningHip replacementCup positioningArthritisPatientsComplex revisions