Christopher W. DiGiovanni
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View article: The Effect of Image Resolution on the Performance of Deep Learning Algorithms in Detecting Calcaneus Fractures on X-Ray
The Effect of Image Resolution on the Performance of Deep Learning Algorithms in Detecting Calcaneus Fractures on X-Ray Open
Purpose To evaluate convolutional neural network (CNN) model training strategies that optimize the performance of calcaneus fracture detection on radiographs at different image resolutions. Materials and Methods This retrospective study in…
View article: Weightbearing CT Assessment of Medial Clear Space Volume Changes in Weber B Fractures: A Preliminary Analysis
Weightbearing CT Assessment of Medial Clear Space Volume Changes in Weber B Fractures: A Preliminary Analysis Open
Background: The clinical treatment of Weber B fibular fractures has primarily focused on the symmetry of the medial clear space. Numerous radiographic studies demonstrate no change in tibiotalar contact area until the deltoid ligament is d…
View article: Factors Associated with Non-Unions of Fifth Metatarsal Fractures.
Factors Associated with Non-Unions of Fifth Metatarsal Fractures. Open
In this study, we identified several non-traditional factors associated with 5MT fracture non-union that warrant further consideration and may assist clinicians during the decision-making process. The relationship between non-fracture rela…
View article: Letter to the Editor: Regional variation in low-value musculoskeletal surgery: a nationwide study from the Finnish Care Register
Letter to the Editor: Regional variation in low-value musculoskeletal surgery: a nationwide study from the Finnish Care Register Open
View article: Utilization of artificial intelligence in the diagnosis of pes planus and pes cavus with a smartphone camera
Utilization of artificial intelligence in the diagnosis of pes planus and pes cavus with a smartphone camera Open
BACKGROUND Pes planus (flatfoot) and pes cavus (high arch foot) are common foot deformities, often requiring clinical and radiographic assessment for diagnosis and potential subsequent management. Traditional diagnostic methods, while effe…
View article: Automated Syndesmotic Distance, Area, and Volume Measurements Using 3D Segmentations of Weightbearing Computed Tomography Scans
Automated Syndesmotic Distance, Area, and Volume Measurements Using 3D Segmentations of Weightbearing Computed Tomography Scans Open
Category: Ankle; Sports Introduction/Purpose: Syndesmotic injuries may be associated with subsequent instability, even following operative fixation of etiologic fractures. The development of advanced imaging techniques like weightbearing c…
View article: The Prognosis of the Posterior Malleolar Fracture in the Syndesmosis Injury
The Prognosis of the Posterior Malleolar Fracture in the Syndesmosis Injury Open
Category: Trauma; Ankle Introduction/Purpose: Syndesmosis injuries, often involving the posterior malleolus (PM), are common in rotational ankle fractures. Concomitant intra-articular involvement, along with deltoid ligament rupture and op…
View article: Research on Determining Bony Landmarks for Accurate Tibiofibular Syndesmotic Fixation: Cadaveric Validity and Safety Analysis of Angle Bisector Method
Research on Determining Bony Landmarks for Accurate Tibiofibular Syndesmotic Fixation: Cadaveric Validity and Safety Analysis of Angle Bisector Method Open
Category: Trauma; Ankle Introduction/Purpose: Syndesmosis fixation, a common procedure, is vital for restoring ankle biomechanics, but malreduction occurs in up to 52% of cases, necessitating precise anatomic reduction. While AO guidelines…
View article: Efficacy of 3D Wound Assessment in Predicting Granulation Tissue Velocity Following Negative Pressure Wound Therapy in Diabetic Foot Ulcers
Efficacy of 3D Wound Assessment in Predicting Granulation Tissue Velocity Following Negative Pressure Wound Therapy in Diabetic Foot Ulcers Open
Category: Diabetes; Midfoot/Forefoot Introduction/Purpose: Wound healing in diabetic foot ulcers (DFU) poses challenges, requiring extensive debridement and amputations. Negative pressure wound therapy (NPWT) can be utilized for DFUs with …
View article: Articular Contact Mechanics in Osteochondral Lesions of the Talus: A Weightbearing-CT study
Articular Contact Mechanics in Osteochondral Lesions of the Talus: A Weightbearing-CT study Open
Category: Sports; Ankle Introduction/Purpose: Osteochondral Lesions of the Talus (OLT) may progress into a cascade of cartilage degeneration. While edge-loading on the surrounding tibiotalar articular surfaces has been proposed as principa…
View article: Factors Associated with Symptom Recurrence Following Operative Treatment of Interdigital Neuroma
Factors Associated with Symptom Recurrence Following Operative Treatment of Interdigital Neuroma Open
Category: Midfoot/Forefoot; Trauma Introduction/Purpose: Interdigital Neuroma (IN) is a benign enlargement of tissue surrounding the common plantar digital nerve. Traditionally, neurectomy has been performed as the standard surgical treatm…
View article: The Influence of Patient Characteristics and Social Determinants of Health on Postoperative Complications Following Achilles Tendon Rupture
The Influence of Patient Characteristics and Social Determinants of Health on Postoperative Complications Following Achilles Tendon Rupture Open
Background: The influence of social determinants of health (SDH) on postoperative complications has been investigated in several studies, although correlation with Achilles tendon rupture (ATR) repair remains uninvestigated. SDH encompasse…
View article: The Use of AI For Hallux Valgus Assessment via Mobile Phone-Based 3D Camera Scan
The Use of AI For Hallux Valgus Assessment via Mobile Phone-Based 3D Camera Scan Open
Hallux valgus (HV) is a common foot deformity. Traditional detection methods include clinical examination and radiographic imaging, which, although reliable, often remain inaccessible to many due to existing care barriers. This study intro…
View article: Association between Socioeconomic Status and Increased Postoperative Emergency Department Utilization following Ankle Fracture Surgery
Association between Socioeconomic Status and Increased Postoperative Emergency Department Utilization following Ankle Fracture Surgery Open
Category: Trauma; Ankle Introduction/Purpose: There is a paucity of literature regarding the effect of socioeconomic disparity on patient access to health care following surgery for acute musculoskeletal injuries. We hypothesized that lowe…
View article: Clinical Outcomes of Insertional Achilles Tendinopathy Patients Treated with Reattachment and Dorsal Closing Wedge Calcaneal Osteotomy: A Meta-analysis
Clinical Outcomes of Insertional Achilles Tendinopathy Patients Treated with Reattachment and Dorsal Closing Wedge Calcaneal Osteotomy: A Meta-analysis Open
Category: Hindfoot; Sports Introduction/Purpose: Posterior heel pain at the Achilles tendon insertion is a prevalent and debilitating condition that is not yet fully understood. It results from a combination of bony and soft tissue abnorma…
View article: Normal Variation of the Lisfranc Joint: Tridimensional Analysis using Weight-Bearing Computed Tomography Imaging
Normal Variation of the Lisfranc Joint: Tridimensional Analysis using Weight-Bearing Computed Tomography Imaging Open
Category: Midfoot/Forefoot; Trauma Introduction/Purpose: Untreated Lisfranc injuries can lead to chronic pain, midfoot arthritis, and functional disability 1,2,5. Approximately 20% of Lisfranc injuries are misdiagnosed or completely missed…
View article: Congruent Weber-B Ankle Fractures do not affect Tibiotalar Contact Mechanics: No Need for the Scalpel?
Congruent Weber-B Ankle Fractures do not affect Tibiotalar Contact Mechanics: No Need for the Scalpel? Open
Category: Trauma; Ankle Introduction/Purpose: Weber-B ankle fractures represent an increasingly common injury world-wide, and the decision for operative fixation often hinges on the stability and congruency of the ankle. While tibiotalar d…
View article: 3D Weightbearing CT for the Diagnosis of Lisfranc Instability: An Update
3D Weightbearing CT for the Diagnosis of Lisfranc Instability: An Update Open
Category: Midfoot/Forefoot; Other Introduction/Purpose: Lisfranc instability is often a challenging injury to diagnose, with up to one-third being missed on initial evaluation. Lisfranc instability is assessed by widening of the space betw…
View article: Post-Operative Complications after Acute Achilles Tendon Rupture Repair: A Survival Analysis of Minimally Invasive vs Open Techniques
Post-Operative Complications after Acute Achilles Tendon Rupture Repair: A Survival Analysis of Minimally Invasive vs Open Techniques Open
Category: Sports; Ankle Introduction/Purpose: Acute Achilles tendon ruptures (ATRs) can be treated surgically through either open repair or minimally invasive surgical techniques (MIS). While the relative complication rates between these t…
View article: The Influence of Patient Characteristics and Social Determinants of Health on Post-Operative Complications Following Achilles Tendon Ruptures
The Influence of Patient Characteristics and Social Determinants of Health on Post-Operative Complications Following Achilles Tendon Ruptures Open
Category: Sports; Hindfoot Introduction/Purpose: While patient comorbidities are known to affect surgical complication rates after Achilles tendon rupture (ATR) repair, the correlation between social determinants of health (SDH) and postop…
View article: A Novel Ultrasonographic Method to Detect Intra-Operative Syndesmotic Malreduction – the “Gap Penetrance” Sign
A Novel Ultrasonographic Method to Detect Intra-Operative Syndesmotic Malreduction – the “Gap Penetrance” Sign Open
Category: Ankle; Other Introduction/Purpose: Anatomical reduction of the distal syndesmosis can be challenging. There is ongoing debate and variability in the methods used for evaluating the accuracy of reduction, including radiography, in…
View article: Effect of Dorsal Closing Wedge Calcaneal Osteotomy on Foot Alignment and Biomechanics in Patients with Insertional Achilles Tendinopathy
Effect of Dorsal Closing Wedge Calcaneal Osteotomy on Foot Alignment and Biomechanics in Patients with Insertional Achilles Tendinopathy Open
Category: Hindfoot; Sports Introduction/Purpose: The use of a dorsal closing wedge calcaneal osteotomy (DCWCO) in the treatment of insertional Achilles tendinopathy (IAT) has recently gained popularity. The anatomical changes imposed by th…
View article: Automated AI Detection Tool for Ankle Fractures Using X-Rays and Smart Devices
Automated AI Detection Tool for Ankle Fractures Using X-Rays and Smart Devices Open
Category: Ankle; Trauma Introduction/Purpose: The use of artificial intelligence (AI) is particularly salient to visually oriented medical professions, especially orthopedics. The most prominent use of AI in orthopedics comes in the form o…
View article: Talonavicular Osteochondral Lesions: Surgical Technique and Clinical Outcomes from the Boston and Amsterdam Perspectives
Talonavicular Osteochondral Lesions: Surgical Technique and Clinical Outcomes from the Boston and Amsterdam Perspectives Open
Purpose The primary purpose of the present study was to assess the patient-reported outcomes, complications, and reoperation rate of patient who underwent surgical treatment for symptomatic osteochondral lesions of the talonavicular joint …
View article: Implementing automated 3D measurements to quantify reference values and side-to-side differences in the ankle syndesmosis
Implementing automated 3D measurements to quantify reference values and side-to-side differences in the ankle syndesmosis Open
View article: Development and external validation of automated detection, classification, and localization of ankle fractures: inside the black box of a convolutional neural network (CNN)
Development and external validation of automated detection, classification, and localization of ankle fractures: inside the black box of a convolutional neural network (CNN) Open
View article: Long-Term Follow-Up of Hindfoot and Ankle Arthrodesis Procedures Supplemented with an Autologous Bone Graft Alternative (rhPDGF)
Long-Term Follow-Up of Hindfoot and Ankle Arthrodesis Procedures Supplemented with an Autologous Bone Graft Alternative (rhPDGF) Open
Category: Hindfoot; Ankle Introduction/Purpose: Recombinant human platelet-derived growth factor (rhPDGF) is commonly used in hindfoot and ankle arthrodesis as an alternative to autologous bone graft, the current gold standard grafting mat…
View article: Determining the Key Predictive Factors for Non-Union in Fifth Metatarsal Fractures: A Machine Learning-Based Study
Determining the Key Predictive Factors for Non-Union in Fifth Metatarsal Fractures: A Machine Learning-Based Study Open
Category: Midfoot/Forefoot; Trauma; Other Introduction/Purpose: Metatarsal fractures account for over 35% of all foot fractures, and of these 68% specifically involve the fifth metatarsal [1],[2]. Subgroups of fractures affecting the fifth…
View article: The Use of Amniotic Membrane for Peripheral Nerve Injury in Lower Extremity Surgical Procedures
The Use of Amniotic Membrane for Peripheral Nerve Injury in Lower Extremity Surgical Procedures Open
Category: Basic Sciences/Biologics; Other Introduction/Purpose: Patients undergoing nerve decompression surgery often report persistent symptoms. Some have suggested that wrapping the affected nerve with amniotic membrane may improve outco…
View article: Role of Syndesmotic Ligaments in Lateral Ankle Instability
Role of Syndesmotic Ligaments in Lateral Ankle Instability Open
Category: Ankle; Sports; Trauma Introduction/Purpose: Despite the success of surgical intervention, about 13-35% of patients continue to have ankle symptoms after surgery for lateral ankle instability which could be due to presence of unde…