Featured Publications
Using Computed Tomography-Based Three-dimensional Modeling and Computer Navigation for Minimally Invasive Core Decompression and Adjuvant Orthobiologic Therapy of Femoral Head Avascular Necrosis
Feizi A, Bell C, Roytman G, Park N, Wang A, Tommasini S, Wiznia D. Using Computed Tomography-Based Three-dimensional Modeling and Computer Navigation for Minimally Invasive Core Decompression and Adjuvant Orthobiologic Therapy of Femoral Head Avascular Necrosis. Arthroplasty Today 2024, 26: 101337. PMID: 38497084, PMCID: PMC10940782, DOI: 10.1016/j.artd.2024.101337.Peer-Reviewed Original ResearchFemoral head avascular necrosisAvascular necrosisSurgical techniqueCore decompressionBone marrow aspirate concentrateDelay disease progressionOutcome of core decompressionAdjuvant therapyCellular therapyAspirate concentrateDisease progressionFemoral head collapseImprove outcomesLesionsDebilitating conditionTherapyComputer navigationNecrosisDecompressionHead collapseThree-dimensional modelFemoral head
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-makingVisualization of Trochlear Dysplasia using Three-Dimensional Curvature Analysis in Patients with Patellar Instability Facilitates Understanding and Improves the Reliability of the Entry-Point to Trochlea Groove Angle
Sieberer J, Park N, Manafzadeh A, Desroches S, Brennan K, McDonald C, Tommasini S, Wiznia D, Fulkerson J. Visualization of Trochlear Dysplasia using Three-Dimensional Curvature Analysis in Patients with Patellar Instability Facilitates Understanding and Improves the Reliability of the Entry-Point to Trochlea Groove Angle. Arthroscopy Sports Medicine And Rehabilitation 2024, 101010. DOI: 10.1016/j.asmr.2024.101010.Peer-Reviewed Original ResearchPatellofemoral instability patientsInterclass correlation coefficientInterrater reliabilityPatellofemoral instabilityLevel III-retrospective cohort studyResults Qualitative analysisIII-retrospective cohort studyTrochlear grooveClinical decision-makingRetrospective cohort studyAge-sex matched controlsCohort studyMann-Whitney U testAge-sexRecurrent patellar instabilityPatient's kneeControl kneesAP viewMatched controlsKneePatellar instabilityCT scanTrochlear dysplasiaMann-WhitneyU testNational trends in musculoskeletal urgent care centers: Improved Medicaid access from 2019 to 2023
Dlott C, O’Marr J, Jain S, Metcalfe T, Kayani J, Bahel A, Wiznia D. National trends in musculoskeletal urgent care centers: Improved Medicaid access from 2019 to 2023. Medicine 2024, 103: e38936. PMID: 39093793, PMCID: PMC11296439, DOI: 10.1097/md.0000000000038936.Peer-Reviewed Original ResearchRobotic Arm–Assisted Total Knee Arthroplasty Results in Smaller Femoral Components and Larger Tibial Baseplates Than the Manual Technique
Bernstein J, Hepinstall M, Donnelley C, Rajahraman V, Waren D, Schwarzkopf R, Wiznia D. Robotic Arm–Assisted Total Knee Arthroplasty Results in Smaller Femoral Components and Larger Tibial Baseplates Than the Manual Technique. Arthroplasty Today 2024, 101414. DOI: 10.1016/j.artd.2024.101414.Peer-Reviewed Original ResearchTotal knee arthroplastyMultivariate analysisImplant sizeTotal knee arthroplasty resultsThree-dimensional planningAcademic medical centerImplant size selectionManual cohortEffect modificationInstrumented total knee arthroplastyClinical outcomesImplant selectionMedical CenterCohortProsthetic designRobotic systemArthroplasty resultsKnee arthroplastyFemoral componentManual techniquesTibial componentOrthopaedic 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 251: Tibial Tuberosity to Trochlear Groove Distance (TT-TG): A Patellar Instability Gold Standard Prone to Errors?
Sieberer J, Park N, Rancu A, Manafzadeh A, Tommasini S, Wiznia D, Fulkerson J. Poster 251: Tibial Tuberosity to Trochlear Groove Distance (TT-TG): A Patellar Instability Gold Standard Prone to Errors? Orthopaedic Journal Of Sports Medicine 2024, 12: 2325967124s00220. PMCID: PMC11328310, DOI: 10.1177/2325967124s00220.Peer-Reviewed Original ResearchClinical decision-makingAngular malalignmentLongitudinal tibial axisDistal pointTT-TGClinical practiceTrochlear grooveAxial alignmentLateral patellofemoral instabilityPatellar instabilityError prevalenceKnee alignmentPatient careTibial axisDecision-makingKneeMann-Whitney U testRadiological protocolPatient's kneeFemoral posterior condylesInstitutional review boardTT-TG distanceCoronal angleExclusion criteriaControl kneesPoster 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 DatabaseCohortFemurUsing preoperative planning software to assess the effect of head length on prosthetic range of motion in a high-risk population: a three-dimensional modeling study
Eslam Pour A, Tung W, Donnelley C, Tommasini S, Wiznia D. Using preoperative planning software to assess the effect of head length on prosthetic range of motion in a high-risk population: a three-dimensional modeling study. International Orthopaedics 2024, 48: 2403-2410. PMID: 38767711, DOI: 10.1007/s00264-024-06191-8.Peer-Reviewed Original ResearchProsthetic range of motionPreoperative planning softwareRange of motionMethodsForty-three patientsTotal hip arthroplastyExternal rotationPlanning softwareHigh-risk populationPreoperative templatingCT-based modelSurgical planningPrimary total hip arthroplastyHip extensionMaximum external rotationProsthetic head diameterOutcome variablesRisk of impingementSurgeonsHipHip arthroplastyProsthetic impingementSustentaculum fracture fixation with lateral plate or medial screw fixation are equivalent
Roytman G, Salameh M, Rizzo S, Dhodapkar M, Tommasini S, Wiznia D, Yoo B. Sustentaculum fracture fixation with lateral plate or medial screw fixation are equivalent. Injury 2024, 55: 111532. PMID: 38614015, DOI: 10.1016/j.injury.2024.111532.Peer-Reviewed Original ResearchSubtalar jointCadaveric anklesSustentaculum tali fracturesFresh-frozen cadaveric anklesT-testAssess patient outcomesPaired t-testUn-paired t-testAnkle modelAnkleRight ankleLeft ankleMid-tibiaPatient outcomesRetrospective observational studyScrew fixationObservational studyMethod of fixationFracture fixationBiomechanical functionMedial approachBody massFixation methodsInterosseous ligamentNo significant differenceOrthopaedic 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 canalFemoral Head Core Decompressions: Characterization of Subsequent Conversion to Total Hip Arthroplasty and Related Complications
Jiang W, Sanchez J, Dhodapkar M, Li M, Wiznia D, Grauer J. Femoral Head Core Decompressions: Characterization of Subsequent Conversion to Total Hip Arthroplasty and Related Complications. JAAOS Global Research And Reviews 2024, 8: e24.00024. PMID: 38437034, PMCID: PMC10906578, DOI: 10.5435/jaaosglobal-d-24-00024.Peer-Reviewed Original ResearchOrthopaedic 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 treatmentPatientsPracticeOutcomes of Distal Third Femur Fractures in Patients 18 Years and Older: A Pilot Study
Roytman G, Jabbouri S, O'Marr J, Raghuram A, Beitler B, Irshad S, Fram B, Yoo B, Leslie M, Riedel M, Tommasini S, Wiznia D. Outcomes of Distal Third Femur Fractures in Patients 18 Years and Older: A Pilot Study. Cureus 2024, 16: e55136. PMID: 38558586, PMCID: PMC10979706, DOI: 10.7759/cureus.55136.Peer-Reviewed Original ResearchA 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 deformationSurgeonsOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Johnson C, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 2-9. PMID: 38266257, PMCID: PMC10832337, DOI: 10.1097/nor.0000000000000997.Peer-Reviewed Original ResearchConceptsNurse navigatorCardiovascular disease managementTotal joint arthroplastyCardiovascular diseaseCoordination of interventionsDisease managementImprove patient healthOptimal diabetesPatient educationPatient healthNursesPreoperative optimization protocolRisk factorsDiabetesCurrent practicesJoint arthroplastyLiterature reviewProgramRiskRecommendationsSurgical outcomesHealthInterventionOrthopaedicsDisease
2023
Fabricating Patient-Specific 3D Printed Drill Guides to Treat Femoral Head Avascular Necrosis.
Bell CE, Feizi A, Roytman GR, Ramji AF, Tommasini SM, Wiznia DH. Fabricating Patient-Specific 3D Printed Drill Guides to Treat Femoral Head Avascular Necrosis. Res Sq 2023 PMID: 38106183, DOI: 10.21203/rs.3.rs-3650115/v1.Peer-Reviewed Original Research