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Leveraging the plate: reliably restoring volar tilt of distal radius fractures

McLawhorn, Alexander S; Cody, Elizabeth A; Kitay, Alison; Goldwyn, Elan M; Golant, Alexander; Quach, Tony
Restoration of volar tilt is critical when performing open reduction and internal fixation of distal radius fractures. A reproducible technique is required to consistently achieve this goal. A simple technique using the locking plate and an electrocautery scratch pad as reduction tools can reliably generate volar tilt. This technique can be performed with minimal aid from surgical assistants.
PMID: 24579208
ISSN: 1938-2367
CID: 5363582

Patellofemoral instability : diagnosis and management

Chapter by: Golant, Alexander; Quach, T; Rosen, J
in: Current issues in sports and exercise medicine by Hamlin, Micahel; Draper, Nick; Kathiravel, Ysao [Eds]
Rijeka, Croatia : InTech, 2013
pp. -
ISBN: 9789535110316
CID: 5363802

Return to sports after shoulder arthroplasty: a survey of surgeons' preferences

Golant, Alexander; Christoforou, Dimitrios; Zuckerman, Joseph D; Kwon, Young W
BACKGROUND: Shoulder arthroplasty has become more prevalent, and patients undergoing shoulder arthroplasty are becoming more active. Recommendations for return to athletic activity have not recently been updated and do not consider the newest arthroplasty options. METHODS: A survey was distributed to 310 members of the American Shoulder and Elbow Surgeons, inquiring about allowed participation in 28 different athletic activities after 5 types of shoulder arthroplasty options (total shoulder arthroplasty, hemiarthroplasty, humeral resurfacing, total shoulder resurfacing, and reverse shoulder arthroplasty). RESULTS: The response rate to the survey was 30.3%, with 74.1% of respondents allowing some return to athletic activity after shoulder arthroplasty. The 28 athletic activities were grouped into 4 categories based on the load and possible impact to the shoulder. Only 51% of respondents allowed any participation in contact sports, whereas 90% allowed some participation in noncontact low-load sports. Return to sports after humeral resurfacing was highest, at 92.0% of the respondents, whereas the least percentage of surgeons allowed sports after reverse total shoulder arthroplasty, at 45.2%. CONCLUSION: The majority of surveyed surgeons allowed some return to sports after shoulder arthroplasty. Surgeons were more likely to recommend return to sports if the activities did not involve significant contact, risk of fall or collision, or application of high loads to the shoulder joint. Surgeons were also more likely to recommend return to sports if the arthroplasty did not involve the glenoid. CLINICAL RELEVANCE: The results of this survey may help surgeons counsel patients regarding return to specific athletic activities after various types of shoulder arthroplasty.
PMID: 21393018
ISSN: 1058-2746
CID: 162019

Biomechanical Consequence of Posterior Medial Meniscal Root Tears with Subsequent Repair Using a Physiologic Loading Model (SS-32) [Meeting Abstract]

Alwattar, Basil; Golant, Alexander; Kreminic, Ian; McHugh, Malachy P; Orishimo, Karl; Schachter, Aaron; Lee, Steven J; Nicholas, Stephen J
ISSN: 1526-3231
CID: 5363822

Biomechanical Consequence of Posterior Medial Meniscal Root Tears with Subsequent Repair Using a Physiologic Loading Model [Meeting Abstract]

Alwattar, Basil; Golant, Alexander; Kreminic, Ian; McHugh, Malachy P; Orishimo, Karl; Schachter, Aaron; Lee, Steven J; Nicholas, Stephen J
ISSN: 1526-3231
CID: 5363692

Arthroscopically Assisted Two-stage Cementation Technique for a Periarticular Knee Lesion

Christoforou D; Golant A; Ort PJ
Managing skeletal metastatic disease can be a challenging task for the orthopedic surgeon. In patients who have poor survival prognoses or are poor candidates for extensive reconstructive procedures, management with intralesional curettage and stabilization with bone cement with or without internal fixation to prevent development or propagation of a pathologic fracture may be the best option. The use of bone cement is preferable over the use of bone graft, as it allows for immediate postoperative weight bearing on the affected extremity.This article describes a case where the combined use of arthroscopy and a 2-stage cementation technique may allow preservation of the articular surface and optimization of short-term functional outcome after curettage of a periarticular metastatic lesion in a patient with an end-stage malignancy. We used knee arthroscopy to identify any articular penetration or intra-articular loose bodies after curettage and initial cementation of the periarticular lesion of the distal femur. Arthroscopic evaluation was carried out again after the lesion was packed with cement to identify and remove any loose intra-articular debris. The applicability of this technique is broad, and it can be used in any procedure involving cement packing in a periarticular location. Performed with caution, this technique can be a useful adjunct to surgical management of both malignant and locally aggressive benign bone lesions in periarticular locations
PMID: 20349878
ISSN: 1938-2367
CID: 138184

Athletic participation after hip and knee arthroplasty

Golant, Alexander; Christoforou, Dimitrios C; Slover, James D; Zuckerman, Joseph D
The issue of athletic participation after hip and knee arthroplasty has become more relevant in recent years, with an increase in the number of young and active patients receiving joint replacements. This article reviews patient-, surgery-, implant-, and sports-related factors, and discusses currently available guidelines that should be considered by the physician when counseling patients regarding a return to athletic activity after total joint arthroplasty. Current evidence regarding appropriate athletic participation after total hip arthroplasty, resurfacing hip arthroplasty, total knee arthroplasty, and unicondylar knee arthroplasty is reviewed
PMID: 20632981
ISSN: 1936-9727
CID: 111377

A new surgical technique for arthroscopic repair of the meniscus root tear

Nicholas, Stephen J; Golant, Alexander; Schachter, Aaron K; Lee, Steven J
Injury of the meniscal root can lead to meniscal extrusion and loss of normal hoop stress distribution by the meniscus. This has been shown to result in an excessive tibiofemoral contact pressures and has been associated with development of arthritis in the affected compartment of the knee. Repair of meniscal root avulsion has been shown to restore the normal contact stresses, and several techniques for such repair have been described. We report an all-arthroscopic technique that allows anatomic reattachment of the avulsed meniscal root, applicable to both the medial or lateral menisci. Our technique utilizes a novel retrograde reaming device to create a small intraosseous socket at the meniscal tibial attachment, and may be particularly useful for repairing meniscal root avulsions in knees with multiligamentous injuries.
PMID: 19690835
ISSN: 1433-7347
CID: 5363602

Can the Bio-Transfx pin fail during initial ACL graft insertion?

Golant, Alexander; Strauss, Eric J; Khajavi, Kevin; Sherman, Orrin H; Rosen, Jeffrey E
BACKGROUND: The Bio-Transfix pin is a biodegradable device used for femoral tunnel anterior cruciate ligament (ACL) graft fixation. Recent clinical studies have suggested the possibility of the pin's postoperative failure. METHODS: This investigation evaluates the initial strength of several Bio-Transfix pin ACL fixations in a simulated femoral tunnel model. The forces generated by five surgeons during simulated ACL graft tensioning were also measured. RESULTS: Average strengths of the pins ranged from 1075 to 2160 N for 10 and 8 mm tunnels, respectively, whereas the maximum surgeon-generated forces were 535 N. CONCLUSIONS: These results imply that initial fracture of the pin itself is unlikely; however, failure of the supporting bone or a decrease in pin strength due to biodegradation could account for early loss of the fixation
PMID: 20001934
ISSN: 1936-9727
CID: 105971

Complications of Arthroscopic Shoulder Surgery: Miscellaneous Shoulder Conditions

Chapter by: Golant, Alexander; Kwon, Young W.
in: Complications In Knee And Soulder Surgery by Meislin, RJ; Halbrecht, J [Eds]
pp. 265-272
ISBN: 978-1-84882-202-3
CID: 5297932