Aaron J. Huser

Recurrence of Ankle Deformity Following Reconstruction in Patients With Fibular Hemimelia and Dynamic Valgus

Aaron J. Huser, Hans K Nugraha, Katherine Miller, Dror Paley

BACKGROUND: Dynamic valgus of the ankle and subtalar joint occurs in patients with fibular hemimelia and a hypoplastic distal fibula. The purpose of this study is to relate clinical dynamic valgus to radiographic measurements and to radiographically evaluate the shortening osteotomy for …

An International Consensus on Evaluation and Management of Idiopathic Genu Valgum: A Modified Delphi Survey

Ashish S Ranade, Gauri A. Oka, Mohan V. Belthur, Hitesh M Shah et autres

BACKGROUND: Idiopathic genu valgum beyond physiological limits may require treatment, which is based on age, growth remaining, and the magnitude of the deformity. There is no consensus on clinical, or radiologic evaluation, indications, and management of idiopathic genu valgum, which can range …

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Diagnosis and Management of Orthopaedic Conditions Associated With Hereditary Sensory Autonomic Neuropathies

Hans Kristian Nugraha, Arun R. Hariharan, Aaron J. Huser

Hereditary sensory and autonomic neuropathies (HSANs) encompass a diverse group of inherited neuropathies characterized by notable sensory and autonomic involvement that affects musculoskeletal structures and systemic function. There are 8 recognized types of HSAN. The orthopaedic manifestations of HSAN are complex and …

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Increasing the Knee Arc of Motion in Patients With Arthrogryposis: Minimum 2-year Follow-up

Aaron J. Huser, Michael W. Brown, Hans Kristian Nugraha, David S. Feldman

BACKGROUND: Surgery for knee flexion contractures in patients with arthrogryposis multiplex congenital (AMC) have achieved extension to redirect the arc of motion and improve ambulation but has not demonstrated maintained increases in total range of motion (ROM). This study aimed to review …

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Do Not Forget the Spine MRI in Children With Arthrogryposis Multiplex Congenita: High Prevalence of Tethered Spinal Cord and Preliminary Clinical Findings Following Detethering

Hans Kristian Nugraha, Arun R. Hariharan, Aaron J. Huser, David S. Feldman et autres

BACKGROUND: Arthrogryposis multiplex congenita (AMC) encompasses congenital conditions with joint contractures in 2 or more joints. Patients with AMC may have scoliosis and neural axis malformations. The study aimed to determine the prevalence of tethered spinal cord (TSC), characterized by a low-lying …

International expert opinion on the considerations for combining vosoritide and limb surgery: a modified delphi study

Silvio Boero, Julia Vodopiutz, Mohamad Maghnie, Josep Maria De Bergua et autres

BACKGROUND: Achondroplasia is the most common form of skeletal disorder with disproportionate short stature. Vosoritide is the first disease-specific, precision pharmacotherapy to increase growth velocity in children with achondroplasia. Limb surgery is a standard approach to increase height and arm span, improve …

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Postoperative Calcaneocuboid Joint Subluxation and Midtarsal Joint Changes in Pediatric Idiopathic Flexible Flatfoot Treated With Calcaneal Lengthening Osteotomy: A Midterm Follow-up Study

Kunhyung Bae, Yoon Hae Kwak, Michael Seungcheol Kang, Aaron J. Huser et autres

BACKGROUND: Calcaneal lengthening osteotomy (CLO) is one of the main surgical options for treatment of pediatric idiopathic flexible flatfoot (FFF). Reportedly, calcaneocuboid (CC) joint subluxation occurs after CLO; however, its effect on the midfoot remains unclear. This study aimed to investigate the …

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P30. Surgery for spinal stenosis in achondroplasia: causes of reoperation and reduction of risks

Arun R. Hariharan, Hans Kristian Nugraha, Aaron J. Huser, David S. Feldman

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65. Low-lying conus medullaris and scoliosis in the pediatric patients with arthrogryposis

Hans Kristian Nugraha, Arun R. Hariharan, Aaron J. Huser, David S. Feldman et autres

60. Surgery for spinal stenosis in achondroplasia: causes of reoperation and reduction of risks

Arun R. Hariharan, Hans Kristian Nugraha, Aaron J. Huser, David S. Feldman

Peroneal Nerve Decompression in Patients with Multiple Hereditary Exostoses

Aaron J. Huser, Hans Kristian Nugraha, Arun R. Hariharan, Sarah E. Ziegler et autres

BACKGROUND: To our knowledge, there have been no studies examining peroneal nerve decompression and proximal fibular osteochondroma excision exclusively in patients with multiple hereditary exostoses (MHE). The purpose of this study was to evaluate the indications, complications, and recurrence associated with nerve …

Surgery for Spinal Stenosis in Achondroplasia: Causes of Reoperation and Reduction of Risks

Arun R. Hariharan, Hans Kristian Nugraha, Aaron J. Huser, David S. Feldman

BACKGROUND: Individuals with achondroplasia are prone to symptomatic spinal stenosis requiring surgery. Revision rates are thought to be high; however, the precise causes and rates of reoperation are unknown. The primary aim of this study is to investigate the causes of reoperation …