Harmon Khela

Lean and Green Hand Surgery: Evaluating the Sterility of Stored Corticosteroid Injection Preparations Using Next-Generation Sequencing

Harmon Khela, Bijan Dehghani, Ana Sofia Rive, Erin Hale et autres

BACKGROUND: Corticosteroid injections are commonly performed in hand surgery and are often prepared in advance to improve efficiency. Despite aseptic preparation, unused syringes are routinely discarded due to concerns about microbiologic contamination, resulting in substantial avoidable waste. We conducted a controlled laboratory …

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Impact of Preoperative Glucagon-Like Peptide-1 Receptor Agonists on Cervical Spine Fusion Outcomes: A 10-Year National Body Mass Index–Stratified Cohort Study

Arman Kishan, Harmon Khela, Alex Hernandez Manriquez, Manjot Singh et autres

Study Design: A retrospective, propensity score-matched cohort study using a large national claims database (2010–2023). Objective: To evaluate the association between preoperative glucagon-like peptide-1 (GLP-1) receptor agonist use and postoperative outcomes following cervical spine fusion (CSF), stratified by body mass index (BMI). …

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Cruciate-Retaining versus Medial-Congruent Bearings in Total Knee Arthroplasty: A Retrospective Comparison of Ranges of Motion, Patient-Reported Outcomes, and Complications

Ahab Alnemri, Ryan Turlip, Venkata Saai Praneeth Thota, Harmon Khela et autres

BACKGROUND: Cruciate-retaining (CR) total knee arthroplasty (TKA) demonstrates excellent long-term (≥ 10 years) outcomes. Medial-congruent (MC) bearings have gained popularity for enhancing midflexion stability and replicating native knee kinematics. In 2020, the senior author transitioned from CR to MC bearings while maintaining …

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Resection versus fenestration for Rathke’s cleft cysts: a propensity score–matched analysis of long-term outcomes

Poojan Shukla, Zain Peeran, Robert C. Osorio, Akhil Rajidi et autres

OBJECTIVE: Rathke's cleft cysts (RCCs) are benign sellar lesions that may require surgical intervention for visual field deficits, endocrinopathy, or headache. Cyst fenestration and cyst wall resection are both established surgical treatments. However, there is ongoing debate regarding the value of the …

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337 Diagnostic Performance of MRI and CSF Cytology in Detecting Leptomeningeal Metastasis and Recurrence in Medulloblastoma: Implications for Surveillance Strategies

Zain Peeran, Poojan Shukla, Ryan R.L. Phelps, Harmon Khela et autres

INTRODUCTION: Postoperative surveillance in medulloblastoma is not standardized. Current data support obtaining one CSF sample 14–21 days after surgery and more frequent MRIs during the first year; however, the value of additional CSF cytologies and optimal MRI timing is unclear. Advances in …

Cannabis use disorder is associated with increased early postoperative opioid use and pain but no long-term differences after arthroscopic rotator cuff repair: a retrospective cohort study using TriNetX

Tarun Sontam, Sri Tummala, Harmon Khela, Liane M. Miller et autres

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Revision and postoperative complication rates of conversion total hip arthroplasty after cephalomedullary nailing of intertrochanteric femur fractures: a systematic review and meta-analysis

Harmon Khela, Harsh Wadhwa, H. S. Philip Wong, L. Henry Goodnough

PURPOSE: Management of failed intertrochanteric (IT) fracture fixation often requires conversion total hip arthroplasty (cTHA), but complication and reoperation rates remain poorly characterized in the literature. This study aimed to characterize revision and postoperative complication rates for cTHA after cephalomedullary nailing of …

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National Trends in the Surgical Management of Pediatric Patellofemoral Instability: A Retrospective Analysis From 2010 to 2022

Harmon Khela, Monty Khela, Akbar N. Syed, Brendon C. Mitchell et autres

Patellofemoral instability (PFI) is a significant cause of knee dysfunction in children and adolescents, sometimes requiring surgery when conservative treatment fails. Literature suggests that surgical approaches for PFI in this population have evolved in recent decades. This study aimed to 1) evaluate …

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Ten-Year Risk of Revision and Complications Following Cervical Spine Surgery in HIV-Positive Patients: A Large Propensity-Matched US Cohort (2010–2023)

Alex Hernandez Manriquez, Arman Kishan, Harmon Khela, Manjot Singh et autres

Study Design: Retrospective cohort. Objective: To compare short-term complications and long-term revision risk after cervical spine surgery between patients with or without human immunodeficiency virus (HIV). Summary of Background Data: Prior work in thoracolumbar cohorts suggests comparable outcomes between patients with versus …

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Impact of Preoperative Glucagon-Like Peptide-1 Receptor Agonist Use on Short-Term and Long-Term Outcomes Following Thoracic and/or Lumbar Fusion for Spinal Deformity: A BMI-Stratified Cohort Study

Harmon Khela, Arman Kishan, Alex Hernandez Manriquez, Lachlan Kirby et autres

Study design: A retrospective cohort study. Objective: To evaluate the association between preoperative use of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and postoperative outcomes following thoracic and/or lumbar fusion for spinal deformity, stratified by body mass index (BMI). Summary of background data: …

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Pediatric Achilles Tendon Ruptures in the United States: an Evaluation of National Practice Patterns, Management Trends, Complications and 2-Year Failure Rates.

Harmon Khela, Monty Khela, Margaret A. Bowen, Alexandra Olson et autres

Background: Achilles tendon ruptures, though uncommon in the pediatric population, present significant clinical challenges due to the unique biomechanical and physiological characteristics of developing tissues. While adult management is well studied, the optimal pediatric approach remains unclear, with limited large-scale studies on …

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Revision and Postoperative Complication Rates of Conversion Total Hip Arthroplasty after Cephalomedullary Nailing of Intertrochanteric Femur Fractures: A Systematic Review and Meta-Analysis

Harmon Khela, Harsh Wadhwa, L. Henry Goodnough

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