2024
Neurologic Complications Following Peripheral Nerve Block in Foot and Ankle Surgery
Balboni J, Kermanshahi N, Kregling C, Webber K, Tung W, Fram B, Gianakos A. Neurologic Complications Following Peripheral Nerve Block in Foot and Ankle Surgery. JBJS Reviews 2024, 12: e24.00081. DOI: 10.2106/jbjs.rvw.24.00081.Peer-Reviewed Original ResearchPeripheral nerve blocksAnkle surgeryNeurological complicationsComplication rateNerve blockNerve injuryDescription of levels of evidenceMotor nerve dysfunctionIncidence of postoperative neurological complicationsLevel of evidenceRisk of nerve injuryLong-lasting symptomsPostoperative neurological complicationsPatient-specific factorsMotor compromiseAnkleChronic painPrimary outcomePregnant populationScreening protocolLevel of sedationTransient paresthesiaNerve deficitsNerve dysfunctionBlock administrationArthroscopic Assisted Reduction of Talus Fractures Leads to Improved Clinical Outcomes at Mid- Term Follow-Up
Hartman H, Tornberg H, Fine-Lease P, Gianakos A. Arthroscopic Assisted Reduction of Talus Fractures Leads to Improved Clinical Outcomes at Mid- Term Follow-Up. Foot & Ankle Orthopaedics 2024, 9: 2473011424s00049. PMCID: PMC11015800, DOI: 10.1177/2473011424s00049.Peer-Reviewed Original ResearchTreatment of talus fracturesArthroscopically treated patientsArthroscopically assisted reductionTalus fracturesClinical outcomesComplication rateFollow-upPatients treated with ORIFRisk of postoperative complicationsArthroscopic treatmentMid-term follow-upSystematic reviewRetrospective comparative studyConventional open reductionMinimally invasive approachTerm follow-upCochrane Library databasesLevel of evidenceSF-36 scoresArthroscopic cohortORIF patientsAssisted reductionPreferred Reporting ItemsConventional ORIFPostoperative complicationsExcellent Clinical Outcomes and Rapid Return to Activity Following In-Office Needle Tendoscopy for Chronic Achilles Tendinopathy
Butler J, Randall G, Schoof L, Roof M, Weiss M, Gianakos A, Kennedy J. Excellent Clinical Outcomes and Rapid Return to Activity Following In-Office Needle Tendoscopy for Chronic Achilles Tendinopathy. Arthroscopy Sports Medicine And Rehabilitation 2024, 6: 100937. PMID: 39006796, PMCID: PMC11240018, DOI: 10.1016/j.asmr.2024.100937.Peer-Reviewed Original ResearchVictorian Institute of Sports Assessment-AchillesChronic Achilles tendinopathyVisual analog scaleClinical outcomesFollow-upPostoperative scoresVictorian Institute of Sports Assessment-Achilles scoreAchilles tendinopathyTreatment of chronic Achilles tendinopathyShort-term follow-upExcellent clinical outcomeFollow-up timeRetrospective case seriesFollow-up visitPre-operative scoresReturn to activityYears of agePatient satisfaction scoresReturn to workComplication rateRetrospective reviewCase seriesEvaluating patientsRetrospective studyAnalog scale
2022
Treatment of Acute Achilles Tendon Ruptures: A Systematic Review of Overlapping Meta-Analyses
Seow D, Ubillus H, Azam M, Weiss M, Gianakos A, Yasui Y, Pearce C, Kennedy J. Treatment of Acute Achilles Tendon Ruptures: A Systematic Review of Overlapping Meta-Analyses. Foot & Ankle Orthopaedics 2022, 7: 2473011421s00927. PMCID: PMC9703160, DOI: 10.1177/2473011421s00927.Peer-Reviewed Original ResearchAcute Achilles tendon ruptureRe-rupture rateAchilles tendon ruptureConservative treatmentTendon ruptureEarly rehabilitationWound infectionInfection rateSystematic reviewOverlapping Meta-analysesPooled complication rateDeep wound infectionEarly functional rehabilitationLate rehabilitationQuality of evidenceLevel of evidenceMeta-Analyses (PRISMA) guidelinesPreferred Reporting ItemsTotal infection rateWound complicationsComplication ratePercutaneous repairOpen repairOperative repairOperative treatmentAutologous Osteochondral Transplantation for Osteochondral Lesions of the Talus: Does Gender Impact Outcomes?
Gianakos A, Okedele O, Flynn S, Mulcahey M, Kennedy J. Autologous Osteochondral Transplantation for Osteochondral Lesions of the Talus: Does Gender Impact Outcomes? Foot & Ankle Orthopaedics 2022, 7: 2473011421s00204. PMCID: PMC8795102, DOI: 10.1177/2473011421s00204.Peer-Reviewed Original ResearchAutologous osteochondral transplantationTalar osteochondral lesionsFemale patientsMale patientsChronic ankle instabilityOsteochondral lesionsOsteochondral transplantationAnkle instabilityKnee donor-site morbidityCartilage repair tissue (MOCART) scoreMean MOCART scoreLonger symptom durationAnkle Outcome ScoreDonor site morbidityMean FAOSFAOS scoresSymptom durationComplication rateConsecutive patientsMagnetic resonance observationOutcome scoresFunctional outcomeRevision surgeryMOCART scorePatients
2021
Interpositional Arthroplasty in the Treatment of Hallux Rigidus: A Systematic Review
Butler J, Shimozono Y, Gianakos A, Kennedy J. Interpositional Arthroplasty in the Treatment of Hallux Rigidus: A Systematic Review. The Journal Of Foot & Ankle Surgery 2021, 61: 657-662. PMID: 35033445, DOI: 10.1053/j.jfas.2021.11.024.Peer-Reviewed Original ResearchConceptsRange of motionTotal ROMInterpositional arthroplastyHallux rigidusSystematic reviewComplication rateClinical evidenceAnkle Society Hallux Metatarsophalangeal-Interphalangeal scoreAdvanced-stage hallux rigidusVisual analog scale scoreAOFAS-HMI scoreCommon arthritic conditionAmerican Orthopaedic FootAnalog scale scoreModerate complication rateCochrane Library databasesQuality of evidenceInclusion/exclusion criteriaMeta-Analyses (PRISMA) guidelinesPreferred Reporting ItemsBiologic spacerOrthopaedic FootPostoperative complicationsROM outcomesArthritic conditionsOutcomes After Arthroscopic Surgery for Anterior Impingement in the Ankle Joint in the General and Athletic Populations: Does Sex Play a Role?
Gianakos A, Ivander A, DiGiovanni C, Kennedy J. Outcomes After Arthroscopic Surgery for Anterior Impingement in the Ankle Joint in the General and Athletic Populations: Does Sex Play a Role? The American Journal Of Sports Medicine 2021, 49: 2834-2842. PMID: 33400547, DOI: 10.1177/0363546520980096.Peer-Reviewed Original ResearchConceptsAnterior ankle impingementAnkle impingementChronic ankle instabilityPatient sexAthletic populationSystematic reviewComplication rateMale patientsConcomitant pathologyFemale patientsAnkle sprainFunctional outcomeChondral injuriesAnkle instabilityAnkle Society (AOFAS) scaleAverage complication rateCommon concomitant pathologyAmerican Orthopaedic FootExcellent functional outcomeFoot Function IndexLow complication rateVisual analog scaleSystematic literature searchHigh rateAnteromedial impingement
2020
Outcome Following Lower Extremity Nerve Block during Foot and Ankle Surgery: A Systematic Review
Gianakos A, Romanelli F, Badri M, Rao N, Lubberts B, Guss D, DiGiovanni C. Outcome Following Lower Extremity Nerve Block during Foot and Ankle Surgery: A Systematic Review. Foot & Ankle Orthopaedics 2020, 5: 2473011420s00228. PMCID: PMC8705312, DOI: 10.1177/2473011420s00228.Peer-Reviewed Original ResearchPostoperative pain levelsAnkle surgeryNerve blockElective footOpioid consumptionPain levelsPain managementSystematic reviewBlock techniquePostoperative opioid consumptionOptimal pain managementManagement of painRetrospective comparison studyHigh complication ratePeripheral nerve blocksLength of stayNerve block techniqueProspective comparison studyRisk-benefit perspectiveFemoral blockAdductor canalComplication ratePerioperative periodPopliteal blockComplication riskAutologous Osteochondral Transplantation for Osteochondral Lesions of the Talus: Does Gender Impact Outcomes?
Gianakos A, Okedele O, Flynn S, Kennedy J, DiGiovanni C. Autologous Osteochondral Transplantation for Osteochondral Lesions of the Talus: Does Gender Impact Outcomes? Foot & Ankle Orthopaedics 2020, 5: 2473011420s00227. PMCID: PMC8696434, DOI: 10.1177/2473011420s00227.Peer-Reviewed Original ResearchAutologous osteochondral transplantationFemale patientsTalar osteochondral lesionsOsteochondral lesionsMale patientsMOCART scoreOsteochondral transplantationKnee donor-site morbidityCartilage repair tissue (MOCART) scoreMean MOCART scoreLonger symptom durationAnkle Outcome ScoreDonor site morbidityMean FAOSSymptom durationFAOS scoresComplication rateConsecutive patientsMagnetic resonance observationOutcome scoresFunctional outcomeMean MRIRevision surgeryPatientsLesion sizeOutcomes Following Arthroscopy for Anterior Impingement in the Ankle Joint: Need for Gender as a Variable in Analysis
Gianakos A, Ivander A, DiGiovanni C, Kennedy J. Outcomes Following Arthroscopy for Anterior Impingement in the Ankle Joint: Need for Gender as a Variable in Analysis. Foot & Ankle Orthopaedics 2020, 5: 2473011420s00229. PMCID: PMC8704851, DOI: 10.1177/2473011420s00229.Peer-Reviewed Original ResearchAnterior ankle impingementComplication rateAnkle impingementFunctional outcomeSystematic reviewAverage complication rateCommon associated pathologyExcellent functional outcomeFunctional outcome scoresMajority of patientsLow complication rateSystematic literature searchAnteromedial impingementMeniscoid lesionsFFI scoresClinical outcomesMale patientsAnterior impingementArthroscopic interventionCochrane DatabaseOutcome scoresArthroscopic treatmentPatient satisfactionArthroscopic evaluationWorse outcomesTreatment for Acute Proximal Interphalangeal Joint Fractures and Fracture-Dislocations: A Systematic Review of the Literature
Gianakos A, Yingling J, Athens C, Barra A, Capo J. Treatment for Acute Proximal Interphalangeal Joint Fractures and Fracture-Dislocations: A Systematic Review of the Literature. Journal Of Hand And Microsurgery 2020, 12: s9-s15. PMID: 33335365, PMCID: PMC7735550, DOI: 10.1055/s-0040-1713323.Peer-Reviewed Original ResearchInterphalangeal joint fracturesDynamic external fixationVolar plate arthroplastyExternal fixationProximal interphalangeal joint fracturesLow complication rateCochrane Library databasesCommon hand injuriesLevel III studiesMore complex injuriesSeverity of injuryHemi-hamate arthroplastyJoint fracturesComplication rateIII studyPercutaneous pinningRecurrent painClosed reductionFracture dislocationFunctional outcomeHand injuriesInjury patternsInternal fixationTreatment optionsComplex injuries
2019
Interpositional Arthroplasty for Hallux Rigidus: A Systematic Review
Butler J, Shimozono Y, Gianakos A, Kennedy J. Interpositional Arthroplasty for Hallux Rigidus: A Systematic Review. Foot & Ankle Orthopaedics 2019, 4: 2473011419s00125. PMCID: PMC8696928, DOI: 10.1177/2473011419s00125.Peer-Reviewed Original ResearchInterpositional arthroplastyQuality of evidenceHallux rigidusComplication rateSystematic reviewTotal ROMOverall clinical dataPreoperative joint spaceHigh complication rateCochrane Library databasesInclusion/exclusion criteriaJoint spaceMeta-Analyses (PRISMA) guidelinesRange of motionPreferred Reporting ItemsDegenerative joint conditionsTotal joint replacementBiologic spacerMean AOFASAOFAS scorePostoperative complicationsVAS scoresSF36 scoresPlain radiographsROM outcomes
2018
Postoperative Reoperations and Complications in 32,307 Ankle Fractures With and Without Concurrent Ankle Arthroscopic Procedures in a 5-Year Period Based on a Large U.S. Healthcare Database
Yasui Y, Shimozono Y, Hung C, Marangon A, Wollstein A, Gianakos A, Murawski C, Kennedy J. Postoperative Reoperations and Complications in 32,307 Ankle Fractures With and Without Concurrent Ankle Arthroscopic Procedures in a 5-Year Period Based on a Large U.S. Healthcare Database. The Journal Of Foot & Ankle Surgery 2018, 58: 6-9. PMID: 30243789, DOI: 10.1053/j.jfas.2018.03.030.Peer-Reviewed Original ResearchConceptsAnkle fracture fixationAnkle fracturesOsteochondral autograft transferAnkle arthroscopic proceduresArthroscopic proceduresFracture fixationReoperation rateComplication rateAnkle arthrodesisReoperation proceduresAutograft transferDeep vein thrombosisBone marrow stimulationPostoperative reoperationUnderwent reoperationPulmonary embolismVein thrombosisPearlDiver databaseClinical outcomesOperative reductionWound dehiscenceResidual symptomsInternal fixationWound surgeryDearth of evidenceMicrofracture of subchondral bone leads to persistent subchondral sclerosis and poorer functional outcomes following distraction arthroplasty of the ankle joint while biologic augment may improve recovery times
Gianakos A, Kennedy J. Microfracture of subchondral bone leads to persistent subchondral sclerosis and poorer functional outcomes following distraction arthroplasty of the ankle joint while biologic augment may improve recovery times. Foot & Ankle Orthopaedics 2018, 3: 2473011418s00056. DOI: 10.1177/2473011418s00056.Peer-Reviewed Original ResearchAnkle distractionFunctional outcomeLong-term clinical outcomesSubchondral boneTerm clinical outcomesAnkle Outcome ScoreGood functional outcomeRecords of patientsPoor functional outcomeTreatment of ankleSubchondral bone sclerosisJoint spaceChi-square testingJoint space changesMean followPostoperative rangeAnkle osteoarthritisComplication rateArthroplasty resultsBiologic agentsClinical outcomesAnkle arthritisOutcome scoresMean ageBone sclerosisLimited evidence for adipose‐derived stem cell therapy on the treatment of osteoarthritis
Hurley E, Yasui Y, Gianakos A, Seow D, Shimozono Y, Kerkhoffs G, Kennedy J. Limited evidence for adipose‐derived stem cell therapy on the treatment of osteoarthritis. Knee Surgery, Sports Traumatology, Arthroscopy 2018, 26: 3499-3507. PMID: 29713784, DOI: 10.1007/s00167-018-4955-x.Peer-Reviewed Original ResearchConceptsStromal vascular fractionPlatelet-rich plasmaTreatment of osteoarthritisClinical outcomesSystematic reviewForm of SVFUse of SVFAdipose-derived stem cell therapyEffects of ADSCsIncidence of swellingFavorable clinical outcomeLevel IV studiesCochrane Library databasesEffects of AdiposeDonor siteStem cell therapySVF injectionComplication rateBiological adjuvantsClinical studiesLevel IVExclusion criteriaLibrary databasesSide effectsAdipose tissue
2017
Achilles Tendon Repair- A Systematic Review of Overlapping Meta-Analyses
Hurley E, Yasui Y, Gianakos A, Seow D, Kromka J, Shimozono Y, Megill R, Kennedy J. Achilles Tendon Repair- A Systematic Review of Overlapping Meta-Analyses. Foot & Ankle Orthopaedics 2017, 2: 2473011417s000212. DOI: 10.1177/2473011417s000212.Peer-Reviewed Original ResearchAcute Achilles tendon ruptureRe-rupture rateAchilles tendon repairNon-operative treatmentWound infection rateEarly functional rehabilitationLevel of evidenceFunctional rehabilitationTendon repairPercutaneous repairOptimal treatmentClinical resultsAcute ATRInfection rateCommon sports-related injuriesOverlapping Meta-analysesOverall complication rateAchilles tendon ruptureSports-related injuriesRandomized control trialComplication rateConservative rehabilitationTendon ruptureOpen repairOperative treatment
2015
Effects of gastrocnemius recession on ankle motion, strength, and functional outcomes: a systematic review and national healthcare database analysis
Gianakos A, Yasui Y, Murawski C, Kennedy J. Effects of gastrocnemius recession on ankle motion, strength, and functional outcomes: a systematic review and national healthcare database analysis. Knee Surgery, Sports Traumatology, Arthroscopy 2015, 24: 1355-1364. PMID: 26685692, DOI: 10.1007/s00167-015-3939-3.Peer-Reviewed Original ResearchConceptsGastrocnemius recessionDorsiflexion rangeFunctional outcomeInclusion criteriaSystematic reviewMean complication rateAnkle dorsiflexion rangeFull-text reviewHealthcare database analysesPeer-reviewed journalsComplication ratePearlDiver databaseEvidence 4Neurologic conditionsEmbase databasesClinical studiesSubtalar jointAnkle motionCadaveric studyGait kinematicsNormal levelsAvailable evidencePatient informationDatabase analysisEvidence score