2025
Personalizing core decompression grafting technique for osteonecrosis of the femoral head: calculating the volume of bone resected and adjunct volume required to fill the defect
Bergemann R, Massey A, Tommasini S, Wiznia D. Personalizing core decompression grafting technique for osteonecrosis of the femoral head: calculating the volume of bone resected and adjunct volume required to fill the defect. Journal Of Orthopaedic Surgery And Research 2025, 20: 229. PMID: 40033401, PMCID: PMC11874654, DOI: 10.1186/s13018-025-05606-5.Peer-Reviewed Original ResearchConceptsAdjunctive therapyVolume of boneCore decompressionBone marrow aspirate concentrateRisk of complicationsFemoral headSynthetic bone substituteAmount of boneBone substituteAspirate concentrateExpandable reamerBone regenerationBone graftPrevent collapseDebilitating diseaseReamer systemBoneAdjunctGrafting techniqueDecompression
2024
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 headOsteochondral Allograft or Autograft Transplantation of the Femoral Head Leads to Improvement in Outcomes but Variable Survivorship: A Systematic Review
Fong S, Lee M, Pettinelli N, Norman M, Park N, Gillinov S, Zhu J, Gagné J, Lee A, Mahatme R, Jimenez A. Osteochondral Allograft or Autograft Transplantation of the Femoral Head Leads to Improvement in Outcomes but Variable Survivorship: A Systematic Review. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2024, 41: 357-373.e1. PMID: 38365122, DOI: 10.1016/j.arthro.2024.02.008.Peer-Reviewed Original ResearchPatient-reported outcomesFollow-upAutograft transplantationAllograft transplantationOsteochondral autograftReview patient-reported outcomesAverage follow-up timePostoperative patient-reported outcomesSystematic reviewLevel of Evidence IVSystematic Review of Level IV StudiesAge of patientsFollow-up timeOsteochondral allograft transplantationOsteochondral autograft transplantationRegister of Controlled TrialsTwo-year follow-upFemoral headLevel IV studiesEvidence IVIV studyPreferred Reporting ItemsOsteochondral allograftsOsteochondral lesionsTransplantation
2023
Comparison of Percutaneous Interventional Ablation-Osteoplasty-Reinforcement-Internal Fixation (AORIF), Long Intramedullary Nailing, and Hemiarthroplasty for the Treatment of Focal Metastatic Osteolytic Lesions in the Femoral Head and Neck
Jiang W, Friedlaender G, Lindskog D, Latich I, Lee F. Comparison of Percutaneous Interventional Ablation-Osteoplasty-Reinforcement-Internal Fixation (AORIF), Long Intramedullary Nailing, and Hemiarthroplasty for the Treatment of Focal Metastatic Osteolytic Lesions in the Femoral Head and Neck. CardioVascular And Interventional Radiology 2023, 46: 649-657. PMID: 37052716, DOI: 10.1007/s00270-023-03425-x.Peer-Reviewed Original ResearchConceptsOsteolytic lesionsFemoral headSurgical complicationsRevision proceduresLong intramedullary nailingResultsSixty-seven patientsPost-operative complicationsEffective alternative treatmentTraditional surgical approachesAmbulatory scoreCombined painPrimary outcomeMedical complicationsMetastatic lesionsOncologic careRetrospective studyIntramedullary nailingSurgical approachFunction scoresNeck lesionsEarly improvementIM groupHemiarthroplastyComparative efficacyAlternative treatmentManaging Native Hip Protrusio: Simplified Classification and Surgical Recommendations
Ani L, Radford Z, Rubin L. Managing Native Hip Protrusio: Simplified Classification and Surgical Recommendations. Osteologie/Osteology 2023, 3: 33-46. DOI: 10.3390/osteology3010005.Peer-Reviewed Original ResearchTotal hip arthroplastyHip arthroplastyProtrusio acetabuliRisk of complicationsSoft tissue releasePatient populationClassification systemNovel classification systemSurgical recommendationsTissue releaseSurgical complexityModern total hip arthroplastyBone graftFemoral headIliopectineal lineProtrusioTechnical pearlsArthroplastyHip 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 implants
2022
The Circumferential Femoroplasty: An All-Arthroscopic Technique for Addressing a Challenging Hip Deformity
Owens JS, Saks BR, Fox JD, Jimenez AE, Lall AC, Domb BG. The Circumferential Femoroplasty: An All-Arthroscopic Technique for Addressing a Challenging Hip Deformity. Arthroscopy Techniques 2022, 11: e1737-e1745. PMID: 36311314, PMCID: PMC9596604, DOI: 10.1016/j.eats.2022.06.009.Peer-Reviewed Case Reports and Technical NotesFemoral neckAll-Arthroscopic TechniqueAspherical femoral headPreoperative planning softwareAnterolateral quadrantCam decompressionHip painArthroscopic decompressionHip deformityFemoroacetabular impingementArthroscopic correctionBony deformityLabral tearingCommon causeHip rangeCartilage damageArthroscopic techniqueFemoral headAcetabular rimDeformityAbnormal contactNeckDecompressionQuadrantPlanning software
2021
Radiographic Relationships of the Femoral Head, Inguinal Ligament, and Common Femoral Artery Bifurcation for Optimal Vascular Access
Brahmandam A, Huttler J, Bellamkonda K, Setia O, Cardella J, Stewart W, Guzman R, Chaar C. Radiographic Relationships of the Femoral Head, Inguinal Ligament, and Common Femoral Artery Bifurcation for Optimal Vascular Access. Journal Of Vascular Surgery 2021, 74: e328-e329. DOI: 10.1016/j.jvs.2021.07.081.Peer-Reviewed Original ResearchHow much change in pelvic sagittal tilt can result in hip dislocation due to prosthetic impingement? A computer simulation study
Pour AE, Schwarzkopf R, Patel KPK, Anjaria MP, Lazennec JY, Dorr LD. How much change in pelvic sagittal tilt can result in hip dislocation due to prosthetic impingement? A computer simulation study. Journal Of Orthopaedic Research® 2021, 39: 2604-2614. PMID: 33749925, PMCID: PMC8455710, DOI: 10.1002/jor.25022.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastySagittal pelvic tiltProsthetic impingementPelvic retroversionPelvic tiltHip motionAnterior pelvic tiltNeck-shaft anglePelvic sagittal tiltHigher neck-shaft angleLarge femoral headsTHA dislocationHip dislocationHip arthroplastySpinal fusionFemoral offsetLarge diameter headsSpinal pathologyHip flexionPelvic anteversionFemoral headSagittal tiltBone impingementDiameter headsImplant orientation
2020
Applying the hip-spine relationship in total hip arthroplasty
Wiznia DH, Buchalter DB, Kirby DJ, Buckland AJ, Long WJ, Schwarzkopf R. Applying the hip-spine relationship in total hip arthroplasty. Hip International 2020, 31: 144-153. PMID: 32787460, DOI: 10.1177/1120700020949837.Peer-Reviewed Original ResearchConceptsHip-spine relationshipTotal hip arthroplastyHip arthroplastyAnatomical safe zoneTotal hip arthroplasty dislocationHip arthroplasty dislocationDual-mobility articulationLarge femoral headsRadiographic evaluationOffset stemFemoral headAcetabular anteversionPatientsArthroplastySafe zoneAdditional protection
2018
Differentiating Subchondral Insufficiency Fracture from Osteonecrosis May Help Avoid Unnecessary Total Hip Arthroplasty
Moya-Angeler J, Haring R, Li A, Greditzer IV H, Lane J, Gianakos A. Differentiating Subchondral Insufficiency Fracture from Osteonecrosis May Help Avoid Unnecessary Total Hip Arthroplasty. The Journal Of Hip Surgery 2018, 02: 047-053. DOI: 10.1055/s-0038-1646937.Peer-Reviewed Original ResearchSubchondral insufficiency fractureInsufficiency fracturesClinical featuresMagnetic resonance imaging (MRI) findingsLow signal intensity bandResonance Imaging FindingsX-ray findingsBone mineral densityTotal hip arthroplastyNonoperative managementRadiologic featuresImaging findingsMineral densityOperative procedureHip arthroplastyHigher oddsOsteonecrosisFemoral headMRI analysisBlinded radiologistsPatientsMRINo Difference in Conventional Polyethylene Wear Between Yttria-stabilized Zirconia and Cobalt-chromium-molybdenum Femoral Heads at 10 Years
Morrison T, Moore R, Meng J, Rimnac C, Kraay M. No Difference in Conventional Polyethylene Wear Between Yttria-stabilized Zirconia and Cobalt-chromium-molybdenum Femoral Heads at 10 Years. HSS Journal ® 2018, 14: 60-66. PMID: 29398997, PMCID: PMC5786591, DOI: 10.1007/s11420-017-9579-z.Peer-Reviewed Original Research
2016
Treatment of Pre-Collapse Stages of Osteonecrosis of the Femoral Head: A Systematic Review of Randomized Control Trials
Villa J, Husain S, van der List J, Gianakos A, Lane J. Treatment of Pre-Collapse Stages of Osteonecrosis of the Femoral Head: A Systematic Review of Randomized Control Trials. HSS Journal ® 2016, 12: 261-271. PMID: 27703421, PMCID: PMC5026659, DOI: 10.1007/s11420-016-9505-9.Peer-Reviewed Original ResearchRandomized clinical trialsFemoral head collapseBone marrow mesenchymal cellsCore decompressionPre-collapse ONFHHead collapseLower riskFemoral headSystematic reviewLow-level evidence studiesMore RCTsQuestions/PurposesThe purposeNew combination therapiesMeta-Analyses (PRISMA) guidelinesRandomized control trialStandardized outcome measuresPreferred Reporting ItemsPre-collapse stageMethodsUsing PubMedRadiologic outcomesBisphosphonate treatmentClinical evidenceMarrow mesenchymal cellsCombination therapyFunctional outcomeThe Efficacy of Bisphosphonates with Core Decompression and Mesenchymal Stem Cells Compared with Bisphosphonates Alone in the Treatment of Osteonecrosis of the Hip: A Retrospective Study
Gianakos A, Moya-Angeler J, Duggal S, Zambrana L, Fields K, Mintz D, Cornell C, Lane J. The Efficacy of Bisphosphonates with Core Decompression and Mesenchymal Stem Cells Compared with Bisphosphonates Alone in the Treatment of Osteonecrosis of the Hip: A Retrospective Study. HSS Journal ® 2016, 12: 137-144. PMID: 27385942, PMCID: PMC4916091, DOI: 10.1007/s11420-016-9487-7.Peer-Reviewed Original ResearchModified Harris Hip ScoreVisual analogue scoreTotal hip arthroplastyBisphosphonate therapyCore decompressionMesenchymal stem cellsFunctional outcomeTreatment groupsHip replacementFemoral headEfficacy of bisphosphonatesFicat stage IRadiologic outcome measuresHarris hip scoreYear of diagnosisTreatment of osteonecrosisFuture prospective studiesEarly-stage ONFHInclusion/exclusion criteriaStem cellsJoint preserving proceduresTotal hip replacementProgression of collapseFicat stageInstitution's registryCapital Femoral Growth Plate Extension Predicts Cam Morphology in a Longitudinal Radiographic Study
Morris WZ, Weinberg DS, Gebhart JJ, Cooperman DR, Liu RW. Capital Femoral Growth Plate Extension Predicts Cam Morphology in a Longitudinal Radiographic Study. Journal Of Bone And Joint Surgery 2016, 98: 805-812. PMID: 27194490, DOI: 10.2106/jbjs.15.01028.Peer-Reviewed Original ResearchConceptsCapital femoral epiphysisEpiphyseal extension ratioLongitudinal radiographic studyCapital femoral physisCam morphologyAlpha angleEpiphyseal extensionFemoral epiphysisLeft hipFemoral physisRadiographic studiesFemoral growth plateExcellent diagnostic accuracyAnnual radiographsPhyseal closureStage 5Femoral neckAnteroposterior radiographsClinical relevanceHealthy adolescentsFemoral headMean increaseSuperior epiphyseal extension ratioRatio of extension
2015
Current concepts on osteonecrosis of the femoral head
Moya-Angeler J, Gianakos A, Villa J, Ni A, Lane J. Current concepts on osteonecrosis of the femoral head. World Journal Of Orthopedics 2015, 6: 590-601. PMID: 26396935, PMCID: PMC4573503, DOI: 10.5312/wjo.v6.i8.590.Peer-Reviewed Original ResearchMagnetic resonance imagingFemoral headCore decompressionFrog-leg lateral radiographsNatural historyFirst radiographic changeTrue natural historyLevel 1 evidenceOptimal treatment protocolTotal hip arthroplastyJoint preserving proceduresPre-collapse stageOsteonecrosis diagnosisPlain anteroposteriorSurgical treatmentAvascular necrosisPlain radiographsSclerotic changesTreatment optionsMinimal symptomsRadiographic changesTreatment modalitiesRisk factorsPharmacologic agentsSymptomatic stage
2014
Femoroacetabular impingement: a review of current concepts.
Sangal RB, Waryasz GR, Schiller JR. Femoroacetabular impingement: a review of current concepts. Rhode Island Medical Journal 2014, 97: 33-8. PMID: 25365818.Peer-Reviewed Original ResearchConceptsLong-term outcome studiesDevelopment of osteoarthritisQuality of lifeHip painMost patientsCommon diagnosisPlain radiographsSurgical interventionPhysical examinationDefinitive diagnosisFemoroacetabular impingementOpen procedurePhysical therapyPatient historyCT scanOutcome studiesFemoral headDiagnostic imagingBony anatomyOrthopaedic communitySurgical planningYoung populationCurrent conceptsDiagnosisOsteoarthritis
2012
A rare but radiographically recognizable cause of an irreducible hip fracture-dislocation
Lawrence DA, Smitaman E, Baumgartner M, Haims A. A rare but radiographically recognizable cause of an irreducible hip fracture-dislocation. Clinical Imaging 2012, 37: 595-597. PMID: 23601776, DOI: 10.1016/j.clinimag.2012.06.009.Peer-Reviewed Original Research
2011
Testicular Doses in Image-Guided Radiotherapy of Prostate Cancer
Deng J, Chen Z, Yu JB, Roberts KB, Peschel RE, Nath R. Testicular Doses in Image-Guided Radiotherapy of Prostate Cancer. International Journal Of Radiation Oncology • Biology • Physics 2011, 82: e39-e47. PMID: 21489702, DOI: 10.1016/j.ijrobp.2011.01.071.Peer-Reviewed Original ResearchConceptsImage-guided radiotherapyTesticular dosesFull-fan modeProstate cancerFemoral headLess doseCBCT scansHalf-fan modeProstate cancer patientsKilovoltage cone-beamCancer patientsIntensity-modulated radiotherapy (IMRT) treatmentKilovoltage CBCTSuperior-inferior directionCone beamDosesCBCT fieldProstate patientsRectumDoseProstateMore doseRadiotherapy treatmentPatientsRadiotherapyKilovoltage Imaging Doses in the Radiotherapy of Pediatric Cancer Patients
Deng J, Chen Z, Roberts KB, Nath R. Kilovoltage Imaging Doses in the Radiotherapy of Pediatric Cancer Patients. International Journal Of Radiation Oncology • Biology • Physics 2011, 82: 1680-1688. PMID: 21477943, DOI: 10.1016/j.ijrobp.2011.01.062.Peer-Reviewed Original ResearchConceptsPediatric cancer patientsCancer patientsTesticular shieldingSpinal cordKilovoltage cone-beamCBCT dosesMean dosesClinical conditionsDose reductionLarge dosesFemoral headPatientsCBCT scansCone beamDosesFull-fan modeOptical nerveCBCT fieldCordDose increaseImaging dosesScanning protocolOARsRadiotherapyHalf-fan mode
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