2022
The malnourished consult: A quiet prevalence in complex musculoskeletal patients
Lewis K, Islam S, Carney M, Junn A, Schneble C, Colen D, Prsic A. The malnourished consult: A quiet prevalence in complex musculoskeletal patients. Orthoplastic Surgery 2022, 10: 57-63. DOI: 10.1016/j.orthop.2022.09.006.Peer-Reviewed Original ResearchSpinal fusion patientsPatient risk factorsPlastic surgery consultationWound infectionFusion patientsSurgery consultationKnee arthroplastyRisk factorsHip arthroplastyEarly plastic surgeryResults Ninety patientsMajor perioperative complicationsWound-related complicationsRetrospective chart reviewHigh-risk surgerySingle academic centerLogistic regression modelsBackground MalnutritionNinety patientsPerioperative complicationsChart reviewPatient demographicsWound dehiscenceSurgical outcomesMusculoskeletal patients
2020
Microvascular free flap coverage for salvage of the infected total knee arthroplasty.
Lee GC, Colen DL, Levin LS, Kovach SJ. Microvascular free flap coverage for salvage of the infected total knee arthroplasty. The Bone & Joint Journal 2020, 102-B: 176-180. PMID: 32475267, DOI: 10.1302/0301-620x.102b6.bjj-2019-1661.r1.Peer-Reviewed Original ResearchConceptsInfected total knee arthroplastyTotal knee arthroplastyFree flap coverageLimb salvageFlap coverageClinical outcomesKnee arthroplastyMedian numberPersistent infectionClinical functionTissue transferKnee Society Scoring SystemMicrovascular free flap coverageTwo-stage reimplantation procedureMicrovascular free tissue transferExtensor mechanism problemsMean KSS scoreKnee prosthesisFailure of treatmentSoft tissue coverageSoft tissue defectsSoft tissue envelopeMicrovascular tissue transferFree tissue transferProsthesis reimplantation
2018
Soft-Tissue Reconstruction of the Complicated Knee Arthroplasty
Colen DL, Carney MJ, Shubinets V, Lanni MA, Liu T, Levin LS, Lee GC, Kovach SJ. Soft-Tissue Reconstruction of the Complicated Knee Arthroplasty. Plastic & Reconstructive Surgery 2018, 141: 1040-1048. PMID: 29596192, DOI: 10.1097/prs.0000000000004255.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastySoft tissue reconstructionRisk of amputationKnee arthroplastyKnee fusionProsthesis salvageExact testDefinitive soft tissue reconstructionTotal knee arthroplasty complicationsCLINICAL QUESTION/LEVELRevision total knee arthroplastyPlastic surgeonsPositive joint cultureMedial gastrocnemius flapCommon orthopaedic proceduresSoft tissue compromiseSoft tissue envelopeFisher's exact testKnee salvagePrimary outcomeSalvage rateRetrospective reviewArthroplasty complicationsJoint infectionGastrocnemius flap