• Disease
  • Knee
  • Knee Dislocations
  • Daniel Charles Wascher

    Prominent publications by Daniel Charles Wascher

    KOL Index score: 11614

    There is no published data regarding the financial impact of training orthopaedic residents in the operating room. No comparisons between orthopaedic faculty and residents in regard to operative time and costs are known. One hundred eleven cases of anterior cruciate ligament reconstruction with or without partial meniscectomy were evaluated from 1996 to 1997. Fifty-three cases met the selection criteria of times, documentation and identification of the surgeon. Twenty-one cases were ...

    Also Ranks for: Operating Room |  operative time |  orthopaedic residents |  surgical training |  cruciate ligament
    KOL Index score: 9290

    CONTEXT: Isolated chondral and osteochondral defects of the knee are a difficult clinical challenge, particularly in younger patients for whom alternatives such as partial or total knee arthroplasty are rarely advised. Numerous surgical techniques have been developed to address focal cartilage defects. Cartilage treatment strategies are characterized as palliation (eg, chondroplasty and debridement), repair (eg, drilling and microfracture [MF]), or restoration (eg, autologous chondrocyte ...

    Also Ranks for: Articular Cartilage |  2 cm2 |  osteochondral defect |  5 years |  larger lesions
    KOL Index score: 9289

    PurposeThe need for a period of non-weight bearing after medial opening wedge high tibial osteotomy remains controversial. It is hypothesized that immediate weight bearing after medial opening wedge high tibial osteotomy would have no difference in functional scores at one year compared to delayed weight bearing.MethodsFifty patients, median age 54 years (range 40–65), with medial compartment osteoarthritis, underwent a medial opening wedge high tibial osteotomy utilizing a locking plate ...

    Also Ranks for: Tibial Osteotomy |  weight bearing |  opening wedge |  bone grafting |  2 months
    KOL Index score: 9231

    OBJECTIVE: To evaluate bicruciate knee injuries and determine whether they should be treated as knee dislocations, especially with regard to vascular injuries.

    DESIGN: Retrospective.

    SETTING: University hospital, level 1 trauma center.

    PATIENTS: Fifty patients admitted between 1987 and 1994 who had sustained knee dislocations or bicruciate ligament injuries.

    MAIN OUTCOME MEASURES: Mechanism of injury, direction of dislocation, knee ligament injury pattern, presence or absence of ...

    Also Ranks for: Knee Dislocation |  initial assessment |  ligament injuries |  mechanism injury |  anterior cruciate
    KOL Index score: 9063

    We reviewed the results in 13 patients who underwent simultaneous allograft reconstruction of both the anterior and posterior cruciate ligaments after a knee dislocation (nine acute and four chronic injuries). Seven patients sustained related medial collateral ligament injuries and six patients had posterolateral complex injuries. Ligament reconstructions were performed using fresh-frozen Achilles or patellar tendon allografts. At follow-up evaluation (mean of 38 months), only one ...

    Also Ranks for: Cruciate Ligaments |  patients knee dislocations |  knee injuries |  ligament anterior |  10 degrees
    KOL Index score: 8016

    BACKGROUND: Iontophoresis ostensibly facilitates the delivery of medications through the skin to underlying tissues using a direct electrical current. Dexamethasone is the most commonly used medication with iontophoresis to treat a variety of connective tissue disorders.

    HYPOTHESIS: Iontophoresis will facilitate the absorption of dexamethasone into connective tissue compared with diffusion.

    STUDY DESIGN: Controlled laboratory study.

    METHODS: Twenty-nine adults undergoing anterior ...

    Also Ranks for: Connective Tissue |  dexamethasone iontophoresis |  sodium phosphate |  controlled laboratory study |  anti inflammatory
    KOL Index score: 6129

    A high-velocity knee dislocation is a true orthopedic emergency. A high index of suspicion is necessary to identify reduced knee dislocations in multiple trauma patients. Coexisting injuries are common in patients with high-velocity knee dislocations. After an initial assessment, the knee joint should be reduced immediately and splinted. Popliteal artery injury is common in high-velocity dislocations. Arteriograms can be helpful but should not delay operative treatment of obvious ...

    Also Ranks for: Velocity Knee |  vascular injury |  joint dislocations |  initial assessment |  surgical procedures
    KOL Index score: 5762

    Background: Many studies have evaluated the management of knee dislocations (KDs) and multiligamentous knee injuries (MLKIs). However, no study to date has analyzed the quality of the most cited articles in this literature.

    Hypothesis: There is a positive correlation between the number of article citations in the KD and MLKI literature and their methodologic quality.

    Study Design: Systematic review.

    Methods: The Web of Science online database was searched to identify the top 50 cited ...

    Also Ranks for: 50 Cited Articles |  methodological quality |  loe mcms |  minors scores |  knee dislocations
    KOL Index score: 5339

    Chronic extensor mechanism ruptures are uncommon but challenging clinical problems. Previously published procedures for treating chronic extensor mechanism ruptures assume an intact patella is available to anchor the repair. A case is presented of a patient who had a previous patellectomy, followed by rupture of the extensor mechanism. After two failed attempts at repair, an Achilles tendon allograft was used successfully to restore function of the extensor mechanism. The described ...

    Also Ranks for: Extensor Mechanism |  chronic rupture |  previous patellectomy |  achilles tendon |  case patient
    KOL Index score: 4854

    Background: Injury to the posterolateral corner (PLC) of the knee requires reconstruction to restore coronal and rotary stability. Two commonly used procedures are the Arciero reconstruction technique (ART) and the LaPrade reconstruction technique (LRT). To the authors' knowledge, these techniques have not been biomechanically compared against one another.

    Purpose: To identify if one of these reconstruction techniques better restores stability to a PLC-deficient knee and if concomitant ...

    Also Ranks for: Posterolateral Corner |  knee injuries |  reconstruction technique |  external rotation |  cruciate ligament
    KOL Index score: 4669

    BACKGROUND: Pain levels in patients with osteoarthritis (OA) of the knee are commonly assessed by using a numeric scoring system, but results may be influenced by factors other than the patient's actual physical discomfort or disease severity, including psychosocial and demographic variables. We examined the possible relation between knee-pain scores and several psychosocial, sociodemographic, disease, and treatment variables in 355 patients with knee OA.

    METHODS: The pain-evaluation ...

    Also Ranks for: Patients Knee |  pain scores |  aged osteoarthritis |  sociodemographic factors |  demographic variables
    KOL Index score: 4257

    Three cases of Staphylococcus epidermidis septic arthritis following inside-out arthroscopic meniscus repair within a 4-day period at the same facility are described. All three patients responded to surgical debridement and 4 to 6 weeks of intravenous antibiotics. In each instance, the meniscus and repair sutures were left intact; 12- to 38-month follow-up revealed no evidence of infection or meniscal symptoms. Epidemiological investigation implicated the meniscus repair cannulas as one ...

    Also Ranks for: Septic Arthritis |  meniscus repair |  surgical debridement |  staphylococcus epidermidis |  molecular typing
    KOL Index score: 4078

    BACKGROUND: Treatment of traumatic knee dislocations remains controversial and challenging. Current techniques for PCL reconstruction utilize either a transtibial approach with potential risk of vascular injury from drilling toward the popliteal artery or a tibial inlay technique with prone patient positioning, which is cumbersome and adds operative time. We therefore developed a surgical technique using a supine posteromedial approach for PCL tibial inlay reconstruction for the ...

    Also Ranks for: Pcl Reconstruction |  knee injuries |  surgical technique |  cruciate ligament |  medial collateral

    Knee Dislocations

    KOL Index score: 3288

    BACKGROUND: Traumatic knee dislocation is becoming more prevalent because of improved recognition and increased exposure to high-energy trauma, but long-term results are lacking.

    PURPOSE: To present 2 cases with minimum 20-year follow-up and a review of the literature to illustrate some of the fundamental principles in the management of the dislocated knee.

    STUDY DESIGN: Review and case reports.

    METHODS: Two patients with knee dislocations who underwent multiligamentous knee ...

    Also Ranks for: Knee Dislocations |  vascular injury |  lysholm ikdc |  year follow |  tegner activity


    Daniel Charles Wascher: Influence Statistics

    Sample of concepts for which Daniel Charles Wascher is among the top experts in the world.
    Concept World rank
    aclr handful #1
    absorption connective #1
    respective authors approach #1
    tissue phonophoresis #1
    kdiiil chapter #1
    injuries frank dislocations #1
    sham 6 minutes #1
    management posterolateral injury #1
    kdiiil chapter 3 #1
    acute setting injuries #1
    genu recurvatum varus #1
    excessive pts aclr #1
    examining absorption #1
    phonophoresis human #1
    tubercular deflexion #1
    treatment site sham #1
    absorption hydrocortisone acetate #1
    supra tubercular #1
    gastrocnemius slip #1
    phonophoresis hydrocortisone acetate #1
    true phonophoresis #1
    absorption connective tissue #1
    tibial supra #1
    absorption phonophoresis #1
    failed aclr pts #1
    handful technical descriptions #1
    anatomic injury chapter #1
    injuries kdiiil #1
    insight respective authors #1
    posterolateral injury kdiiil #1
    examining phonophoresis #1
    levels treatment site #1
    technical descriptions insight #1
    phonophoresis facilitate #1
    patellectomy rupture #2
    kdivs external fixation #2
    reduced knee dislocations #2
    treatment kdiiim #2
    kds anatomic classification #2
    collateral involvement kds #2
    fulfill virchow #2
    necrosis arthrofibrosis #2
    injured knee ligaments #2
    isolated fashion setting #2
    kdiv articular orthopedic #2
    remote orthopaedic injuries #2
    gross knee instability #2
    complications lysholm #2
    athletes extremity trauma #2
    identify popliteal #2

    Key People For Knee Dislocations

    Top KOLs in the world
    Christopher Dechant Harner
    cruciate ligament acl reconstruction situ forces
    James P Stannard
    knee dislocation osteochondral allograft tibial plateau
    Daniel Charles Wascher
    knee dislocations diagnostic arthroscopy cruciate ligament
    Gregory C Fanelli
    cruciate ligament surgical treatment knee injuries
    K Donald Shelbourne
    cruciate ligament acl reconstruction patellar tendon
    Russell F Warren
    rotator cuff cruciate ligament shoulder arthroplasty

    Daniel Charles Wascher:Expert Impact

    Concepts for whichDaniel Charles Wascherhas direct influence:Knee dislocations,  Knee dislocation,  Operating room,  Extensor mechanism,  Patients knee dislocations,  Diagnostic arthroscopy,  Posteromedial approach,  Tibial osteotomy.

    Daniel Charles Wascher:KOL impact

    Concepts related to the work of other authors for whichfor which Daniel Charles Wascher has influence:Knee dislocation,  Cruciate ligament,  Vascular injury,  Operative time,  Virtual reality,  Tibial osteotomy,  Resident involvement.



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    University of New Mexico, Department of Orthopaedics and Rehabilitation, Albuquerque, New Mexico, U.S.A | Department of Orthopaedics & Rehabilitation, The University of New Mexico Health Sciences Center Albuquerque 87131-0001 NM USA | Department of O