Publications by authors named "G D DiGiovanni"
Article Synopsis
- Precontoured cancellous allograft wedges are increasingly used in foot and ankle surgeries due to their ease of use and potential to shorten surgery time, but concerns about high resorption rates have been raised.
- A study reviewed 334 patients from 2017 to 2022, finding that 7.2% experienced graft resorption and 2.9% had nonunion, often influenced by factors like older age and BMI over 30.
- The overall complication rate was 10%, highlighting the need for clinicians to inform patients about these risks when considering these grafts for surgery.
Article Synopsis
- PCFD patients show more internal rotation of the talus in the ankle mortise, but this study is the first to examine how talar axial rotation changes after surgery for PCFD.
- The study included 27 adults who had PCFD reconstruction, measuring talar axial rotation before and after surgery using weightbearing CT scans along with various radiographic parameters.
- Results indicate that surgery leads to a significant external rotation of the talus, but this change in rotation did not correlate with other radiographic measurements or patient-reported outcomes, except for an increased postoperative pain intensity.
Background: Both an open cheilectomy with a Moberg osteotomy and percutaneous cheilectomy have been successfully used to treat hallux rigidus and preserve motion.However, there have been no studies that have compared these 2 procedures using validated patient-reported outcomes such as the Patient Reported Outcome Measurement Information System.
Methods: A retrospective review of hallux rigidus patients between January 2016 and July 2021 collected 48 percutaneous cheilectomy (PC) patients and 71 open cheilectomy with Moberg (OCM) patients.
Background: The current literature shows similar clinical outcomes between first metatarsophalangeal (MTP) joint arthrodesis and synthetic cartilage implant (SCI) hemiarthroplasty in the treatment of hallux rigidus; however, prior studies have not reported validated patient-reported outcome measures (PROMs). To our knowledge, this is the first study to compare PROMs using 6 domains of the validated Patient-Reported Outcomes Measurement Information System (PROMIS) in patients treated for hallux rigidus with MTP joint arthrodesis and with SCI hemiarthroplasty. In addition, this novel study provides comparative data on the complication and revision rates for each procedure.
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- Hallux valgus deformity, common in individuals aged 65 and older, can complicate surgical correction due to factors like poor bone quality and recovery challenges, prompting a comparison of outcomes between two surgical techniques: open Lapidus and minimally invasive chevron Akin osteotomy.
- A study reviewed 62 patients aged 65 and older and assessed their radiographic and clinical outcomes using PROMIS scores preoperatively and at 1 and 2 years post-surgery, finding no significant differences between the two surgical approaches.
- Both surgical groups showed improvement in pain and function over time, with notable advancements in the PROMIS score for physical function in the minimally invasive group after 1 year, but no clinical or statistical differences were ultimately