Gregory P. Guyton
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View article: An Updated Demographic Profile of Orthopaedic Surgery Using a New ABOS Data Set
An Updated Demographic Profile of Orthopaedic Surgery Using a New ABOS Data Set Open
Introduction: The orthopaedic surgery physician workforce is predominately White and male and has been identified as the least diverse medical specialty. Increasing efforts toward diversification within orthopaedic surgery are underway. Ev…
View article: The Evans Osteotomy without Fixation Does Not Increase the Nonunion Rate
The Evans Osteotomy without Fixation Does Not Increase the Nonunion Rate Open
Category: Hindfoot; Other Introduction/Purpose: The Evans osteotomy is a lateral column lengthening procedure of the calcaneus that is commonly used in the correction of flexible flatfoot deformities. Currently, there is no consensus on wh…
View article: The Rate of Subsequent Hallux Interphalangeal Joint Fusion after First Metatarsophalangeal Fusion: A Large-Scale National Database Study
The Rate of Subsequent Hallux Interphalangeal Joint Fusion after First Metatarsophalangeal Fusion: A Large-Scale National Database Study Open
Category: Midfoot/Forefoot; Other Introduction/Purpose: The development of adjacent joint arthritis following arthrodesis is a universal concern in orthopaedic surgery. Arthrodesis of the hallux metatarsophalangeal (MTP) joint is an effect…
View article: Higher Grit Scores Are Associated With Greater Scholarly Productivity Among Orthopaedic Surgery Residents
Higher Grit Scores Are Associated With Greater Scholarly Productivity Among Orthopaedic Surgery Residents Open
Introduction: Scholarly research is a core component of resident education, designed to advance the orthopaedic field while facilitating an evidence-based approach to patient care. Grit, defined as trait-level perseverance, has been shown …
View article: Nonunion Rate and Clinical Outcomes Following Percutaneous Modified Lapidus Procedure with Intramedullary Nail Fixation and Early Weightbearing
Nonunion Rate and Clinical Outcomes Following Percutaneous Modified Lapidus Procedure with Intramedullary Nail Fixation and Early Weightbearing Open
Category: Bunion; Midfoot/Forefoot Introduction/Purpose: Minimally invasive surgery (MIS) techniques have largely focused on first metatarsal osteotomies in hallux valgus correction, but have also been used for joint preparation in foot an…
View article: Differences in Postoperative Outcomes of Common Foot and Ankle Procedures Performed by Orthopedic Surgeons and Podiatrists
Differences in Postoperative Outcomes of Common Foot and Ankle Procedures Performed by Orthopedic Surgeons and Podiatrists Open
Category: Ankle; Midfoot/Forefoot Introduction/Purpose: In the United States, there has been a substantial rise in podiatrists to address the increasing prevalence of foot and ankle pathologies. Although this may improve accessibility to f…
View article: Lateral Column Pressures Following Combined Subtalar/Talonavicular Fusion with and without Calcaneocuboid Fusion
Lateral Column Pressures Following Combined Subtalar/Talonavicular Fusion with and without Calcaneocuboid Fusion Open
Category: Hindfoot; Other Introduction/Purpose: There are few comparative studies between the traditional triple arthrodesis and the commonly performed modified procedure in which the calcaneocuboid joint is spared. Earlier investigations …
View article: Open and Percutaneous Approaches Have Similar Biomechanical Results for Primary Midsubstance Achilles Tendon Repair: A Meta-analysis
Open and Percutaneous Approaches Have Similar Biomechanical Results for Primary Midsubstance Achilles Tendon Repair: A Meta-analysis Open
In clinical studies, similar rerupture rates have been observed after open or percutaneous Achilles tendon repair. It may be beneficial for surgeons to understand whether biomechanical differences exist between these repair techniques.
View article: Nonunion Rate of Evans Osteotomy Without Fixation Pediatric Flatfoot
Nonunion Rate of Evans Osteotomy Without Fixation Pediatric Flatfoot Open
Category: Hindfoot; Other Introduction/Purpose: The Evans osteotomy is a calcaneal lateral column lengthening procedure commonly used to correct flatfoot deformities. Currently, there is no consensus on whether fixation is needed when perf…
View article: Biomechanical Comparison of Open vs Percutaneous Techniques for Primary Mid-Substance Achilles Tendon Repair: A Systematic Review and Meta-Analysis
Biomechanical Comparison of Open vs Percutaneous Techniques for Primary Mid-Substance Achilles Tendon Repair: A Systematic Review and Meta-Analysis Open
Category: Hindfoot; Basic Sciences/Biologics Introduction/Purpose: Primary repair of mid-substance Achilles tendon rupture may be performed using an open or a percutaneous technique. Previous meta-analyses of clinical data comparing the tw…
View article: Safe and Effective Is Not Always Acceptable: The Case for PASS Scores in Foot and Ankle Orthopaedic Surgery
Safe and Effective Is Not Always Acceptable: The Case for PASS Scores in Foot and Ankle Orthopaedic Surgery Open
Category: Other Introduction/Purpose: Determining the success of a clinical intervention can be challenging even with modern patient-reported outcomes. Traditionally studies have used the Minimum Clinically Important Difference (MCID), the…
View article: 2023 J. Leonard Goldner Award Winner: Data Censoring Likely Biased the Largest Randomized Trial of Achilles Tendon Rupture Treatment Against Surgery: A Monte Carlo Analysis
2023 J. Leonard Goldner Award Winner: Data Censoring Likely Biased the Largest Randomized Trial of Achilles Tendon Rupture Treatment Against Surgery: A Monte Carlo Analysis Open
Category: Sports; Trauma Introduction/Purpose: Randomized controlled trials of surgery versus nonoperative management of Achilles ruptures have been numerous but relatively small. A recent large RCT, published in the New England Journal of…
View article: Lateral Column Overload in Modified Double vs Triple Arthrodesis: A Biomechanical Study
Lateral Column Overload in Modified Double vs Triple Arthrodesis: A Biomechanical Study Open
Category: Hindfoot; Basic Sciences/Biologics Introduction/Purpose: There are few comparative studies investigating differences between the modified double and triple arthrodesis of the hindfoot. Previous studies have suggested that stiffen…
View article: Clinical Outcomes and Complications of Peroneus Brevis Allograft Reconstruction
Clinical Outcomes and Complications of Peroneus Brevis Allograft Reconstruction Open
Category: Ankle; Other Introduction/Purpose: Peroneus brevis (PB) tendon tears are an important cause of lateral ankle pain. When PB tears are irreparable, allograft reconstruction maintains native anatomy and avoids the morbidity of tenod…
View article: Poster 354: Biomechanical Comparison of Open versus Percutaneous Techniques for Primary Mid- Substance Achilles Tendon Repair: A Systematic Review and Meta-Analysis
Poster 354: Biomechanical Comparison of Open versus Percutaneous Techniques for Primary Mid- Substance Achilles Tendon Repair: A Systematic Review and Meta-Analysis Open
Objectives: Primary repair of mid-substance Achilles tendon rupture may be performed using an open or a percutaneous technique. Previous meta-analyses of clinical data comparing the two techniques have demonstrated mostly equivalent functi…
View article: CORR Insights®: What Is the Efficacy of Intra-articular Injections in the Treatment of Ankle Osteoarthritis? A Systematic Review
CORR Insights®: What Is the Efficacy of Intra-articular Injections in the Treatment of Ankle Osteoarthritis? A Systematic Review Open
1Orthopaedic Surgeon, MedStar Union Memorial Hospital, Baltimore, MD, USA G. P. Guyton ✉, MedStar Union Memorial Hospital, 3333 North Calvert Street, #400, Baltimore, MD 21218, USA, Email: [email protected] This CORR Insights® is a comment…
View article: Playing Surface and Injury Risk: Artificial Turf Vs. Natural Grass
Playing Surface and Injury Risk: Artificial Turf Vs. Natural Grass Open
Artificial turf’s developmental history spans 6 generations and includes design improvements that transformed an injury-inducing 1st generation field into a modern 3rd generation natural grass substitute. Artificial turf has become a widel…
View article: Injuries and Sports Medicine
Injuries and Sports Medicine Open
Injuries and Sports Medicine deals with the diagnosis, treatment, and rehabilitation of common sport-related injuries, and will be valuable for any sports medicine physician as well as anyone interested in optimizing the performance…
View article: What Is the Interrater and Intrarater Reliability of the Lawrence and Botte Classification System of Fifth Metatarsal Base Fractures?
What Is the Interrater and Intrarater Reliability of the Lawrence and Botte Classification System of Fifth Metatarsal Base Fractures? Open
Background Fractures of the proximal fifth metatarsal are common, and often they are classified using a three-part scale first proposed by Lawrence and Botte. A clear consensus on prognosis and treatment for these fractures is lacking, par…
View article: Social Media Use Among Foot and Ankle Orthopedic Surgeons
Social Media Use Among Foot and Ankle Orthopedic Surgeons Open
Background: Digital media is an effective tool to enhance brand recognition and is currently referenced by more than 40% of orthopedic patients when selecting a physician. The purpose of this study was to evaluate the use of social media a…
View article: Cartiva: A Retrospective Multicenter Report
Cartiva: A Retrospective Multicenter Report Open
Category: Midfoot/Forefoot; Other Introduction/Purpose: Arthritis of the 1st metatarsophalangeal (MTP) joint is a common condition. Traditionally, advanced disease has been treated with arthrodesis. In 2016, Cartiva, a cylindrical polyviny…
View article: Radiographic Union of Evans Osteotomy Without Fixation
Radiographic Union of Evans Osteotomy Without Fixation Open
Category: Hindfoot; Other Introduction/Purpose: The Evans osteotomy is a lateral column lengthening procedure of the calcaneus that is commonly used to correct flexible flatfoot deformities. There is no consensus on whether fixation is nee…
View article: CORR Insights®: Heterotopic Ossification After an Achilles Tendon Rupture Cannot Be Prevented by Early Functional Rehabilitation: A Cohort Study
CORR Insights®: Heterotopic Ossification After an Achilles Tendon Rupture Cannot Be Prevented by Early Functional Rehabilitation: A Cohort Study Open
Where Are We Now? Papers about heterotopic ossification (HO) after Achilles tendon injury previously were limited to small case series and case reports. In the current study, Magnusson and colleagues [5] illuminated this condition that has…
View article: CORR Insights®: Do External Supports Improve Dynamic Balance in Patients with Chronic Ankle Instability? A Network Meta-analysis
CORR Insights®: Do External Supports Improve Dynamic Balance in Patients with Chronic Ankle Instability? A Network Meta-analysis Open
Where Are We Now? The paradox of the lateral ankle sprain is not that so many patients do poorly following this injury, but rather that so many do well. The likelihood of recovery is remarkable given that perceived stability of the ankle r…
View article: Biomechanical Comparison of Hintermann and Evans Osteotomy for Lateral Column Lengthening
Biomechanical Comparison of Hintermann and Evans Osteotomy for Lateral Column Lengthening Open
Category: Hindfoot, Midfoot/Forefoot Introduction/Purpose: Both Evans and Hintermann procedures are opening wedge calcaneal osteotomies used for lateral column lengthening in flatfoot reconstruction. Risks of lateral column lengthening inc…
View article: Supine Surgical Achilles Tendon Repair
Supine Surgical Achilles Tendon Repair Open
Category: Ankle, Hindfoot, Trauma Introduction/Purpose: Open Achilles tendon repair is typically performed in the prone position for easy visibility of the tendon, but serious complications may be associated with general anesthesia in this…