2024
Extracorporeal Shock Wave Therapy Shows Comparative Results With Other Modalities for The Management of Plantar Fasciitis: A Systematic Review and Meta-Analysis
Tung W, Daher M, Covarrubias O, Herber A, Gianakos A. Extracorporeal Shock Wave Therapy Shows Comparative Results With Other Modalities for The Management of Plantar Fasciitis: A Systematic Review and Meta-Analysis. Foot And Ankle Surgery 2024 PMID: 39572278, DOI: 10.1016/j.fas.2024.11.005.Peer-Reviewed Original ResearchEffect of extracorporeal shock wave therapyExtracorporeal shock wave therapyPlantar fasciitisRandomized controlled trialsShock wave therapyManagement of plantar fasciitisMeta-analysisPost intervention VAS scoreTreatment modalitiesWave therapyVAS pain scoresConservative treatment optionsCustom orthoticsHeel painPain scoresSystematic reviewVAS scoreControlled trialsTreatment optionsGoogle ScholarPlaceboFasciitisTherapyModalitiesScoresHormonal Fluctuation and Ankle Instability in Women—Is There a Correlation?
Hartman H, Fehr S, Gianakos A. Hormonal Fluctuation and Ankle Instability in Women—Is There a Correlation? Foot & Ankle Orthopaedics 2024, 9: 24730114241300140. PMID: 39610646, PMCID: PMC11603572, DOI: 10.1177/24730114241300140.Peer-Reviewed Original ResearchAnkle joint laxityAnkle instabilityAnkle stabilitySway rateFemale athletesIncidence of ankle sprainsChronic ankle instabilityLigamentous laxityJoint laxityPostural swayAnkle sprainFollicular phaseInjury preventionLateral gastrocnemiusPeroneus longusHormonal fluctuationsTibialis anteriorImpaired balanceAnkleSystematic reviewCochrane Library databasesPRISMA guidelinesAthletesMenstrual cycle phaseDecreased muscleGender Differences in Achilles Tendon Ruptures—A Retrospective Study and a Review of the Literature
Hartman H, Cacace A, Leatherman H, Ashkani-Esfahani S, Guss D, Waryasz G, DiGiovanni C, Gianakos A. Gender Differences in Achilles Tendon Ruptures—A Retrospective Study and a Review of the Literature. The Journal Of Foot & Ankle Surgery 2024, 63: 614-620. PMID: 38763172, DOI: 10.1053/j.jfas.2024.04.005.Peer-Reviewed Original ResearchSport involvementPostoperative complicationsAchilles tendon ruptureSystematic reviewRetrospective studyFunctional outcomesRevision surgeryRisk factorsCross-sectional clinical studyRevision rateTendon ruptureSex-specific risk factorsIndependent risk factorPoor functional outcomeSports participationMechanism of injurySystematic literature reviewFemale patientsRetrospective analysisFollow-upClinical studiesInjury managementFemale sexIncreased incidenceLevel IIIDecreased Fertility Awareness Amongst Surgeons and Surgical Trainees and Potential Role of Formal Fertility Education
Hartman H, Kermanshahi N, Matzkin E, Keyser E, Gianakos A. Decreased Fertility Awareness Amongst Surgeons and Surgical Trainees and Potential Role of Formal Fertility Education. Journal Of Surgical Education 2024, 81: 947-959. PMID: 38749812, DOI: 10.1016/j.jsurg.2024.03.011.Peer-Reviewed Original ResearchAge-related fertility declineAssisted reproductive technologyFertility declineDelayed childbearingInstitutional supportElective oocyte cryopreservationFamily planning goalsRate of infertilityLevel of fertilityLack of institutional supportPolicy expansionFertility educationFertility awarenessIncreased rates of infertilityInstitutional challengesOocyte cryopreservationMale counterpartsInfertility challengesReproductive technologyCareer aspirationsChildbearingFormal educationPlanning goalsSystematic reviewInfertilityArthroscopic 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 complicationsPlatelet-Rich Plasma vs Extracorporeal Shock Wave Therapy in the Treatment of Plantar Fasciitis at 3-6 Months: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Daher M, Covarrubias O, Herber A, Oh I, Gianakos A. Platelet-Rich Plasma vs Extracorporeal Shock Wave Therapy in the Treatment of Plantar Fasciitis at 3-6 Months: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Foot & Ankle International 2024, 45: 796-803. PMID: 38419209, DOI: 10.1177/10711007241231959.Peer-Reviewed Original ResearchPlantar fascia thicknessExtracorporeal shock wave therapyRandomized controlled trialsPlatelet-rich plasmaPlantar fasciitisPlatelet-rich plasma groupShock wave therapyVisual analog scaleFascia thicknessControlled trialsMeta-analysisTreatment of plantar fasciitisExtracorporeal shock wave therapy groupPain scoresWave therapyVisual analog scale painMeta-analysis of randomized controlled trialsEffect of platelet-rich plasmaVAS pain scoresHigher pain reductionManagement of PFFoot disordersSystematic reviewInclusion criteriaPain reduction
2023
Sex differences in biomechanical properties of the Achilles tendon may predispose men to higher risk of injury: A systematic review
Gianakos A, Hartman H, Kerkhoffs G, Calder J, Kennedy J. Sex differences in biomechanical properties of the Achilles tendon may predispose men to higher risk of injury: A systematic review. Journal Of ISAKOS Joint Disorders & Orthopaedic Sports Medicine 2023, 9: 184-191. PMID: 37967617, DOI: 10.1016/j.jisako.2023.11.001.Peer-Reviewed Original ResearchAchilles tendonHigh riskCross-sectional areaSystematic reviewPrimary outcome measureAchilles tendon injuryVoluntary muscle contractionSystematic literature searchSex differencesImpact of sexRisk of injurySex-related differencesSecondary outcomesCochrane DatabaseTendon injuriesOutcome measuresSex-specific differencesInjuryMuscle contractionLiterature searchMenWomenBiomechanical propertiesRiskTendon
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 treatmentSurgical Management of Tibialis Anterior Tendon Ruptures: A Systematic Review and Proposed Treatment Algorithm
Weiss M, Azam M, Ubillus H, Gianakos A, Kirschner N, Walls R, Kennedy J. Surgical Management of Tibialis Anterior Tendon Ruptures: A Systematic Review and Proposed Treatment Algorithm. Foot & Ankle Orthopaedics 2022, 7: 2473011421s01000. PMCID: PMC9703547, DOI: 10.1177/2473011421s01000.Peer-Reviewed Original ResearchTibialis anterior tendonAppropriate surgical treatmentSurgical treatmentSystematic reviewSurgical managementTreatment algorithmSurgical interventionDirect repairTibialis Anterior Tendon RuptureAnkle-hindfoot scoreLevel II evidenceFunctional outcome scoresBetter clinical outcomesDifferent surgical interventionsQuality of evidenceLevel of evidenceMeta-Analyses (PRISMA) guidelinesPreferred Reporting ItemsPaucity of dataTwo-sample t-testAllograft cohortPostoperative AOFASSurgery criteriaTendon ruptureAnterior tendonOutcomes Following Arthroscopy for Anterior Impingement in the Ankle Joint in the General and Athletic Populations: Does Gender Play a Role?
Gianakos A, Ivander A, DiGiovanni C, Kennedy J. Outcomes Following Arthroscopy for Anterior Impingement in the Ankle Joint in the General and Athletic Populations: Does Gender Play a Role? Foot & Ankle Orthopaedics 2022, 7: 2473011421s00207. PMCID: PMC8795043, DOI: 10.1177/2473011421s00207.Peer-Reviewed Original ResearchAnterior ankle impingementAnkle impingementChronic ankle instabilityAnkle instabilityMale patientsFemale patientsAnkle sprainArthroscopic treatmentChondral injuriesAthletic populationSystematic reviewChronic lateral ankle instabilityLateral ankle ligament repairCommon concomitant pathologyExcellent functional outcomeFunctional outcome scoresAnkle ligament repairLateral ankle instabilitySystematic literature searchHigh rateAnteromedial impingementMeniscoid lesionsSport ratesAnterior impingementClinical outcomesClinical Outcomes of Peroneal Tendon Tears: A Systematic Review
Mercer N, Gianakos A, Mercurio A, Kennedy J. Clinical Outcomes of Peroneal Tendon Tears: A Systematic Review. Foot & Ankle Orthopaedics 2022, 7: 2473011421s00364. PMCID: PMC8795031, DOI: 10.1177/2473011421s00364.Peer-Reviewed Original ResearchReturn to Play and Clinical Outcomes in the Surgical Treatment of Peroneal Tendon Dislocation and Subluxation
Mercer N, Gianakos A, van Dijk P, Mercurio A, Kerkhoffs G, Kennedy J. Return to Play and Clinical Outcomes in the Surgical Treatment of Peroneal Tendon Dislocation and Subluxation. Foot & Ankle Orthopaedics 2022, 7: 2473011421s00366. PMCID: PMC8793618, DOI: 10.1177/2473011421s00366.Peer-Reviewed Original ResearchPeroneal tendon dislocationTendon dislocationSurgical treatmentClinical outcomesSurgical interventionSystematic reviewWeighted mean timeMean postoperative scoreMean preoperative scoreOverall clinical outcomeCurrent systematic reviewAOFAS scorePreoperative scoresPostoperative scoresMean ageClinical studiesPatientsSubluxationAvailable evidenceMean timeOutcomesTreatmentScoresRepairMonthsBullying, Discrimination, Harassment, Sexual Harassment, and the Fear of Retaliation During Surgical Residency Training: A Systematic Review
Gianakos A, Freischlag J, Mercurio A, Haring R, LaPorte D, Mulcahey M, Cannada L, Kennedy J. Bullying, Discrimination, Harassment, Sexual Harassment, and the Fear of Retaliation During Surgical Residency Training: A Systematic Review. World Journal Of Surgery 2022, 46: 1587-1599. PMID: 35006329, DOI: 10.1007/s00268-021-06432-6.Peer-Reviewed Original ResearchConceptsSurgical residentsSystematic reviewHigh prevalence ratesAnxiety/depressionCochrane DatabaseSurgical residency trainingPrevalence ratesGeneral surgeryPRISMA guidelinesSurgeryOrthopedic surgeryPlastic surgeryFemale residentsSearch termsMajority of residentsBDHSResident respondentsResidency trainingResidency programsCommon perpetratorsDepressionSurgical trainingPercentReviewResidents
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 conditionsClinical Outcomes of Peroneal Tendon Tears: A Systematic Review
Mercer N, Gianakos A, Mercurio A, Kennedy J. Clinical Outcomes of Peroneal Tendon Tears: A Systematic Review. The Journal Of Foot & Ankle Surgery 2021, 60: 1008-1013. PMID: 33785239, DOI: 10.1053/j.jfas.2021.03.003.Peer-Reviewed Original ResearchAre Arthroplasty Procedures Really Better in the Treatment of Complex Proximal Humerus Fractures? A Comprehensive Meta-Analysis and Systematic Review.
Pizzo R, Gianakos A, Haring R, Gage M, Stevens N, Liporace F, Yoon R. Are Arthroplasty Procedures Really Better in the Treatment of Complex Proximal Humerus Fractures? A Comprehensive Meta-Analysis and Systematic Review. Journal Of Orthopaedic Trauma 2021, 35: 111-119. PMID: 33079841, DOI: 10.1097/bot.0000000000001926.Peer-Reviewed Original ResearchConceptsComplex proximal humerus fracturesProximal humerus fracturesActive forward flexionHumerus fracturesTotal shoulder arthroplastyInternal fixationForward flexionShoulder arthroplastySystematic reviewOpen reduction internal fixationReverse total shoulder arthroplastyOutcomes of ORIFTherapeutic Level IVReduction internal fixationHigher Constant scoreBetter outcome scoresCochrane Library databasesSimple fracture patternsEnglish-language studiesBasic science studiesComprehensive Meta-AnalysisTotal patientsConstant scoreOpen reductionOutcome scoresOutcomes 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 riskOutcomes 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 outcomesCombination Lower Extremity Nerve Blocks and Their Effect on Postoperative Pain and Opioid Consumption: A Systematic Review
Gianakos A, Romanelli F, Rao N, Badri M, Lubberts B, Guss D, DiGiovanni C. Combination Lower Extremity Nerve Blocks and Their Effect on Postoperative Pain and Opioid Consumption: A Systematic Review. The Journal Of Foot & Ankle Surgery 2020, 60: 121-131. PMID: 33168443, DOI: 10.1053/j.jfas.2020.08.026.Peer-Reviewed Original ResearchConceptsPeripheral nerve blocksPostoperative narcotic consumptionPostoperative opioid consumptionPostoperative pain controlPostoperative pain levelsNerve blockOpioid consumptionPain controlGeneral anesthesiaElective footNarcotic consumptionPain levelsSpinal anesthesiaPatient satisfactionSystematic reviewEffective postoperative pain controlPatient-reported efficacyFemoral nerve blockPopliteal nerve blockRetrospective comparison studyMultiple anatomic sitesProspective comparison studyCalf tourniquetPrimary anesthesiaThigh tourniquet