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 reimplantationFlap Reconstruction for Deep Sternal Wound Infections: Factors Influencing Morbidity and Mortality
Piwnica-Worms W, Azoury SC, Kozak G, Nathan S, Stranix JT, Colen D, Othman S, Vallabhajosyula P, Serletti J, Kovach S. Flap Reconstruction for Deep Sternal Wound Infections: Factors Influencing Morbidity and Mortality. The Annals Of Thoracic Surgery 2020, 109: 1584-1590. PMID: 31982440, DOI: 10.1016/j.athoracsur.2019.12.014.Peer-Reviewed Original ResearchConceptsDeep sternal wound infectionVertical rectus abdominis myocutaneousSuperficial surgical site infectionEnd-stage renal diseaseSternal wound infectionPectoralis muscle flapFlap reconstructionRenal diseasePostoperative complicationsWound infectionMuscle flapHigh mortalityBilateral pectoralis muscle flapsAnesthesiologists physical status classificationFactors Influencing MorbidityPredominant postoperative complicationSingle reconstructive surgeonCardiopulmonary bypass timeHigher American SocietyPredictor of morbidityComplicated postoperative courseCongestive heart failureSurgical site infectionPhysical status classificationSoft tissue coverage
2019
Surgical Treatment of Chronic Hand Ischemia: A Systematic Review and Case Series
Colen DL, Ben-Amotz O, Stephanie T, Serebrakian A, Carney MJ, Gerety PA, Levin LS. Surgical Treatment of Chronic Hand Ischemia: A Systematic Review and Case Series. The Journal Of Hand Surgery (Asian-Pacific Volume) 2019, 24: 359-370. PMID: 31438795, DOI: 10.1142/s2424835519500462.Peer-Reviewed Original ResearchConceptsChronic hand ischemiaHand ischemiaNew ulcerationSurgical interventionSurgical treatmentSystematic reviewLast-line treatmentRest painArtery bypassIschemic symptomsMedical optimizationConservative treatmentPharmacologic therapyPrimary outcomeSecondary amputationVenous arterializationCase seriesLine treatmentCold intoleranceMore complicationsArterial bypassConservative measuresSurgical techniqueIschemiaPRISMA guidelines
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 flapManagement of Infected Mesh After Abdominal Hernia Repair
Shubinets V, Carney MJ, Colen DL, Mirzabeigi MN, Weissler JM, Lanni MA, Braslow BM, Fischer JP, Kovach SJ. Management of Infected Mesh After Abdominal Hernia Repair. Annals Of Plastic Surgery 2018, 80: 145-153. PMID: 28671890, DOI: 10.1097/sap.0000000000001189.Peer-Reviewed Original ResearchConceptsInfected abdominal wallSingle institution experienceSingle-stage reconstructionComplex clinical problemAbdominal hernia repairMesh patientsInfected meshHernia repairAbdominal wallClinical problemTreatment approachesBiologic meshSystematic reviewSingle-institution retrospective analysisMeta-Analyses (PRISMA) guidelinesPreferred Reporting ItemsFull-text articlesBridged repairsDevastating complicationConservative managementMost patientsPrimary closureHernia recurrenceRetrospective analysisCurrent evidence
2017
Anatomical Basis and Clinical Application of Synovial Flaps in the Wrist and Distal Forearm
Colen DL, Yeh JT, Colen LB. Anatomical Basis and Clinical Application of Synovial Flaps in the Wrist and Distal Forearm. Plastic & Reconstructive Surgery 2017, 139: 1165-1174. PMID: 28092337, DOI: 10.1097/prs.0000000000003278.Peer-Reviewed Original ResearchMeSH KeywordsAdultCadaverFemaleForearmHumansMaleMedian NerveMiddle AgedSurgical FlapsSynovial MembraneWristYoung AdultConceptsMedian nerveDistal forearmSynovial flapFlap dimensionsAnatomical basisMedian nerve repairUncomplicated postoperative courseMedian nerve lesionFresh cadaver upper extremitiesCarpal tunnel syndromeTransverse carpal ligamentFlexor tendon sheathCadaver upper extremitiesLocal flap optionsIntraneural fibrosisNeuropathic symptomsPerineural adhesionsReoperative surgeryNerve lesionsPostoperative courseArc of rotationArterial anatomyPrevent recurrenceTunnel syndromeSynovial liningBurden of Hand Maladies in US Emergency Departments
Colen DL, Fox JP, Chang B, Lin IC. Burden of Hand Maladies in US Emergency Departments. Hand 2017, 13: 228-236. PMID: 28720041, PMCID: PMC5950962, DOI: 10.1177/1558944717695749.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAccidents, TrafficAdolescentAdultAge DistributionAgedAmputation, TraumaticContusionsCross-Sectional StudiesDatabases, FactualEmergency Service, HospitalFemaleFractures, BoneHand InjuriesHumansLacerationsMaleMiddle AgedPrevalenceSeasonsSex DistributionSprains and StrainsUnited StatesYoung AdultConceptsHealth care chargesEmergency departmentCare chargesED encountersHand conditionsHealth care resource utilizationNational Emergency Department SampleCommon hand conditionsUS emergency departmentsEmergency Department SampleYears of ageHealth care resourcesVolume of patientsJoint painPrimary outcomeCommon etiologyEmergency settingCommon causeED volumeCare resourcesOpen woundsYoung adultsPatientsEtiologyFinal sample