- Shoulder Injury and Treatment
- Osteoarthritis Treatment and Mechanisms
- Tendon Structure and Treatment
- Knee injuries and reconstruction techniques
- Sports injuries and prevention
- Orthopedic Surgery and Rehabilitation
- Total Knee Arthroplasty Outcomes
- Laser Applications in Dentistry and Medicine
- Family and Disability Support Research
- Cerebral Palsy and Movement Disorders
- Shoulder and Clavicle Injuries
- Anesthesia and Pain Management
- Elasticity and Material Modeling
- Cell Adhesion Molecules Research
- Venous Thromboembolism Diagnosis and Management
- Periodontal Regeneration and Treatments
- Nerve Injury and Rehabilitation
- Neurogenetic and Muscular Disorders Research
Institute of Orthopedic Research and Education
2020-2023
Brigham and Women's Hospital
2020
North Sydney Orthopaedic and Sports Medicine Centre
2007-2009
Shriners Hospitals for Children - Springfield
2007
University of Hartford
2007
University of North Carolina at Chapel Hill
2004
There are no controlled, prospective studies comparing the 10-year outcomes of anterior cruciate ligament (ACL) reconstruction using patellar tendon (PT) and 4-strand hamstring (HT) autografts.Comparable results possible with HT PT autografts.Cohort study; Level evidence, 2.One hundred eighty ACL-deficient knees that met inclusion criteria underwent ACL (90 autograft, 90 autograft) by one surgeon were treated an accelerated rehabilitation program. All observed in a fashion subjective,...
Knee osteoarthritis is a painful and sometimes debilitating disease that often affects patients for years. Current treatments include short-lasting repetitive nonsurgical options, followed by surgical intervention appropriate candidates. Cooled radiofrequency ablation (CRFA) minimally invasive procedure the treatment of pain related to knee osteoarthritis. This trial compared efficacy safety CRFA with those single hyaluronic acid (HA) injection.Two hundred sixty subjects was inadequately...
Operative treatment of scapula fractures is uncommon, but indicated for significantly displaced or intra-articular fractures. This modified Judet approach exposure combines several important goals: 1) all bony elements the which have adequate bone stock internal fixation; 2) minimal trauma to rotator cuff musculature; and 3) protection major neurologic structures (suprascapular nerve superiorly axillary laterally). The main advantage limiting muscular dissection, can potentially improve...
The changes associated with Achilles insertional tendinopathy (AIT) are seen in the anterior portion of tendon near its calcaneal insertion. Strain behavior this was evaluated.The highest strains tendon.Controlled laboratory study.Six cadaveric legs were tested. While moving through a functional range ankle motion, five different regions insertion First, load on increased from 30 to 170 N starting, plantar flexed position. Then, moved position into dorsiflexion.Strains posterior sites...
Safe and effective non-surgical treatments are an important part of the knee osteoarthritis (OA) treatment algorithm. Cooled radiofrequency ablation (CRFA) hyaluronic acid (HA) injections two commonly used modalities to manage symptoms associated with OA.A prospective 1:1 randomized study was conducted in 177 patients comparing CRFA HA injection follow-ups at 1, 3, 6 12 months. subjects unsatisfactory outcomes 6-months were allowed crossover receive CRFA. Knee pain (numeric rating scale =...
BACKGROUND: There are no controlled, prospective studies comparing the 10‐year outcomes of anterior cruciate ligament (ACL) reconstruction using patellar tendon (PT) and four‐strand hamstring (HT) autografts. HYPOTHESIS: Comparable results possible with HT PT STUDY DESIGN: Cohort study; Level evidence, 2. METHODS: One hundred eighty ACL‐deficient knees that met inclusion criteria underwent ACL (90 autograft, 90 autograft) by one surgeon were treated an accelerated rehabilitation program. All...
Factors associated with longer-term outcomes of multilevel orthopaedic surgery in ambulatory children cerebral palsy using a multivariate approach were evaluated retrospective pretest-posttest design. The population included 20 spastic diplegia who had undergone minimum 4-year interval between preoperative and postoperative gait assessment. Multiple regression analysis was used to identify factors velocity mean knee flexion stance. Independent variables the models velocity, stance, age at...
Background: Our goal was to set up an ex vivo culture system assess whether cartilage wounding (partial-thickness defects) can induce morphological changes in neighboring chondrocytes and these cells translocate the surface of defect. Methods: Two-millimeter partial-depth defects were created human osteochondral explants followed by for 4 weeks. Frozen sections defect-free regions labeled using immunofluorescence a plasma membrane protein, CD44, actin with TRITC-phalloidin. Viable nuclei...
To assess long-term outcomes of cooled radiofrequency ablation (CRFA) genicular nerves for chronic knee pain due to osteoarthritis (OA).A prospective, observational extension a randomized, controlled trial was conducted on adults randomized CRFA. Subjects were part 12-month clinical comparing CRFA single hyaluronic injection treatment OA pain, who then agreed visits at 18- and 24-months post had not undergone another procedure since. The subjects evaluated using the Numeric Rating Scale...
Background: Radiofrequency ablation (RFA) targeting the genicular nerves is an effective treatment for knee pain due to osteoarthritis. The aim of this study was determine effects two RFA interventions delivered preoperatively on early postoperative management and subjective outcomes after total arthroplasty (TKA). Methods: One hundred forty-three participants were enrolled in double blinded, sham-controlled prospective randomized trial. Participants assigned at random traditional (t-RFA)...