Each Spring the Northern California Kaiser Residency Programs meet for the Kaiser Permanente Foot & Ankle Summit in which Kaiser Permanent attendings and residents celebrate the residents’ research accomplishments for the year.
New Resident Presentations
| Tiffany Tran, Kaiser Santa Clara | Impact of Pre-operative ADTA and LDTA on the Progression of Peritalar Arthritis Following Total Ankle Arthroplasty |
| Matt Kennedy, Kaiser SF Bay Area | Vantage Total Ankle Replacement |
| Frances Svidler, Sambo Hang, Daniel Kim, Kaiser Vallejo | Oral Presentation: Does plate vs. screw fixation affect non-union rate in 2nd and 3rd tarsometatarsal joint fusions among patients in an integrated health system? A retrospective study |
| Tamana Hoque, Kaiser Santa Clara | Impact of Vitamin K Antagonist Warfarin on Fracture Healing |
| Ashita Sehgal Denny Chung, Kaiser SF Bay Area | Loss of correction for Lisfranc ORIF |
| Airam Caldera, Kaiser SF Bay Area | Effects of 3rd point of fixation in Lapidus bunionectomy |
| Tiffany Tran, Kaiser Santa Clara | Effect of tibial sesamoid position on patient functional outcome scores after distal chevron osteotomy |
| Sue Nijjar and Elena Ion, Kaiser SF Bay Area | Pediatric Foot and Ankle Osteomyelitis |
| Jake Loitz, Kaiser Vallejo | Use of Exparel in Foot & Ankle Surgery |
| Lucy Xu, Kaiser Santa Clara | Retrospective analysis on the outcomes of patients who had native septic foot and ankles |
| Koby Abjelina, Kaiser SF Bay Area | Mortality of geriatric ankle fracture |
| Sophia Huynh, Kaiser Santa Clara | Effects of Systemic Inflammatory Diseases on the Long-Term Outcomes of Talar Microfracture Surgery |
| Vishnu Bodempudi, Yvette Arca, Tia Furness, Kaiser Vallejo | Outcomes of Early Weightbearing Versus Non-Weightbearing Treatment in Acute Jones Fractures in Adults |
| Camray Herman, Kaiser Santa Clara | Ultrasound imaging of Achilles tendon ruptures treated non-surgically to determine the impact of tendon gap size on patient outcome |
| Miriam Jones, Kaiser SF Bay Area | IM fibular nail for high-risk fibula fracture |
Kaiser Permanente Foot & Ankle Summit Student Posters
| Khushiben Patel,
Dr. William M. Scholl College of Podiatric Medicine at the Rosalind Franklin University of Medicine and Science |
Risk of Revision and Other Complications in Total Ankle Arthroplasty Does not Differ by Surgeon Type: Results of an Analysis of the PearlDiver Healthcare Claims Database from 2010 to 2023 |
| Selena Sanchez-Giancola, Dr. William M. Scholl College of Podiatric Medicine at the Rosalind Franklin University of Medicine and Science | Understanding the Impact of Addressing Food Insecurity as an Integral Part of Diabetes-Related Healthcare |
| Remi Drake,
Midwestern University Arizona School of Podiatric Medicine |
Efficacy of ultrasound in diagnosing medial facet talocalcaneal coalitions in cadavers |
| Bethany Robinson,
Midwestern University Arizona School of Podiatric Medicine |
Increased Breast and All-Cause Cancer Prevalence Among Female Podiatrists |
| A Survey of Fluoroscopy Usage, Radiation Protection Practices, and Radiation Safety Education among Female Podiatrists | |
| Lily Cohen,
Midwestern University Arizona School of Podiatric Medicine |
An Investigation of Pointe Shoe Fit Principles Among the Elite Level and Recommendations for a Standardized Protocol |
| Nidhin John, University of Texas Rio Grande Valley | The Multiple Roles of 5-LO in Tissue Regeneration – Insights From Translational Animal Models Utilizing Pharmacological and Genetic Approaches |
| Diana Kvach, California School of Podiatric Medicine at Samuel Merritt University | Micro-fragmented Adipose Tissue Injection Therapy for Treatment of Ankle Osteoarthritis: A Systematic Review & Meta-Analysis |
| Steffi Casimir, California School of Podiatric Medicine at Samuel Merritt University | The Role of Multidisciplinary Approaches in Enhancing Wound Healing in Podiatric Surgery |
| The Impact of Multidrug-Resistant Organisms (MDROs) on Healing Outcomes in Diabetic Foot Ulcers: A Retrospective Study | |
| Comparative Outcomes of Early Surgical Intervention vs. Conservative Management in Diabetic Foot Ulcers with Osteomyelitis | |
| Matthew Kamara, California School of Podiatric Medicine at Samuel Merritt University | Achilles Re-rerupture Rate: Conservative vs Surgical Approach |
| Patcharathorn Pookun, California School of Podiatric Medicine at Samuel Merritt University | Surgical Excision of Symptomatic Nonunions of Fifth Metatarsal Base Fractures: A Systematic Review of Outcomes and Complications |
| Camellia Russell, Temple University School of Podiatric Medicine | The Systematic Review Evaluates How Foot Orthoses Affect Balance and Mobility Improvement in Rheumatoid Arthritis Patients. |
| Susanna Oppong, California School of Podiatric Medicine at Samuel Merritt University | Titanium Implants and Type IV Hypersensitivity Reactions A Systematic Literature Review |
| Kwabena Nyarko, California School of Podiatric Medicine at Samuel Merritt University | Limb Salvage for Diabetic Patients with PAD |
| Resident Name | Program | Presentation Topic |
| Amber O’Connor | Kaiser South Bay Consortium | Impact of Vitamin K Antagonist Warfarin on Ankle Fracture Healing |
| Khanh Phuong Tong | Kaiser South Bay Consortium | A Case of Diffuse Large B-Cell Lymphoma in the Metatarsal Bone |
| Monte Schmalhaus | Kaiser SF Bay Area | Incidence of ankle valgus after indirect repair of the deltoid ligament with Open Reduction Internal Fixation in unstable ankle fractures |
| Varsha Ivanova | Kaiser South Bay Consortium | A retrospective analysis of synovial fluid in hematogenous septic arthritis in the native foot and ankle |
| Pats Limcaoco | Kaiser South Bay Consortium | Incidence of COVID-19 Disease, Hospitalizations, and Death in Patients Receiving Lower Extremity Corticosteroid Joint Injections for Musculoskeletal Conditions |
| Rabeea Abbas | Kaiser North Bay Consortium | Evaluating Improvements in Perioperative Pain Management in Foot and Ankle Surgery with the Use of Regional Liposomal Bupivacaine Blocks |
| Tamanna Hoque and James Diep | Kaiser South Bay Consortium and Kaiser SF Bay Area | Percutaneous Needling with Prolotherapy in Treating Chronic Achilles Tendinopathy |
| Craig Krcal Jr and Matthew Kennedy | Kaiser SF Bay Area | The Vantage Total Ankle System: Short-Term Outcomes and Early Weight-Bearing Allowing Tibial Implant Seating. |
| Aaron Medina and Nic Grimes | Kaiser SF Bay Area | Effects of timing on hardware removal following lisfrancs removal |
| Arjun Vijayakumar | Kaiser South Bay Consortium | The Effect of Tibial Sesamoid Position on Patient Outcome Scores After Bunion Surgery |
| Shawn Kashef | Kaiser SF Bay Area | Revision Total Ankle Arthroplasty |
| Sukhranjan Nijjar | Kaiser SF Bay Area | Pediatric Osteomyelitis of the Foot and Ankle |
| Paul Marinos | Kaiser SF Bay Area | Treatment for Neglected Achilles Tendon Reconstruction |
| Sonia Chuang (Student) | Kaiser SF Bay Area | Surgically offloading diabetic feet via digital flexor tenotomies: A systematic review |
| Sibella Campbell (Student) | Kaiser SF Bay Area | Pointe Readiness: An Evaluation of the Current Criteria |
| Student Name | Program | Presentation Topic |
| Whitney Branham | Midwestern | 1. The Approach to the Pigmented Foot Lesion: An Advanced Case of Malignant Melanoma and Literature Review
2. PER Ankle Fracture and Associated Syndesmotic Rupture in a Professional Athlete a Case Study |
| Sibella S Campbell | Midwestern | Pointe Readiness: An Evaluation of the Current Criteria |
| Rashika Budhathoki | Barry | Investigating the Use of Virtual Reality in the Treatment of Chronic Foot Pain |
| Sydni Sears | Barry | Synovial Sarcoma: A Case Study |
| Vishnupriya Bodempudi | CSPM | Pain Medication Intake During Immediate Postoperative Period May Not Predict Patient Reported Outcomes Following Minimally Invasive Surgery for Lateral Ankle Instability |
| Jake Loitz | CSPM | Structures at Risk with Arthroscopic Brostrom Compared to Open Brostrom: A Cadaveric Study |
| Olivia Ly | CSPM | PROMISE: Patient Reported Outcomes in Minimally Invasive Surgery and Experiences |
| Anne Thomas | CSPM | Peripheral Arterial Disease Health Literacy and Learning Preferences in a Chinese-Speaking Population: A Preliminary Survey Study |
| Sonia Chuang | Chicago | Surgically offloading diabetic feet via digital flexor tenotomies: A systematic review. |
| Stephanie Bush | DMU | Quantifying the Rupture Rate of the Plantar Fascia Following Corticosteroid Injection: A Systematic Review and Meta-Analysis |
| Marlethia Lawrence B.S.B, M.P.H | Kent | Is compression therapy benign? Complications of compression therapy in the neuropathic patient and how to avoid them. |
| Year | Speaker | Specialty |
|---|---|---|
| 2025 | Dr. Adrianne Ross | Foot and Ankle Institute of Georgia |
| 2024 | Dr. Michael Gentile Dr. Luke Cicchinelli |
Passion and Perseverance PICA |
| 2023 | Dr. Tenaya West, DPM (ADD) Dr. Holly Spohn-Gross |
Pediatric Foot and Ankle, Global Health CPMA President Update |
| 2022 | Dr. Zachary Bailowitz, MD | Ultrasound Utilization in Foot & Ankle |
| 2019 | Scott Kaiser, MD | Pediatric Orthopedics |
| 2018 | Phil Wirganowicz, MD Peter Peng, MD |
Musculoskeletal Oncology, Kaiser Northwest Surgical Oncologist, Kaiser Oakland |
| 2017 | Joan Lo, MD | Director of Research, East Bay Endocrinology, Kaiser Oakland |
| 2016 | Michael Conte, MD Alexander Reyzelman, DPM |
Vascular Surgery, UCSF Limb Preservation Cofounder Podiatric Surgery, Wound care specialist, UCSF Limb Preservation Cofounder |
| 2015 | James O. Johnston, MD | Musculoskeletal Oncology and Orthopedic Surgery |
| 2014 | Roger Baxter, MD | Infectious Disease and Research, Kaiser Oakland |
| 2013 | Shannon Rush, DPM | Palo Alto Medical Foundation, Foot & Ankle Surgery |
| Place | Presentation Topic | Resident | Kaiser Residency Program |
|
2025 |
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| 1 | Impact of Pre-operative ADTA and LDTA on the Progression of Peritalar Arthritis Following Total Ankle Arthroplasty | Tiffany Tran | Kaiser Santa Clara |
| 2 | Vantage TAR Early WB for Tibial Tray Seating | Matthew Kennedy | Kaiser SF Bay Area |
| 3 | Effects of 3rd point of fixation in Lapidus bunionectomy | Airam Caldera | Kaiser SF Bay Area |
|
2024 |
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| 1 | Incidence of Acute and Subacute Deep Infection in Patients Undergoing Ankle Fracture Open Reduction with Internal Fixation and Associated Risk Factors | Huaitao “Tom” Zhang | Kaiser Santa Clara |
| 2 | Treatment for Neglected Achilles Tendon Reconstruction | Paul Marinos | Kaiser SF Bay Area |
| 3 | Loss of correction in Lisfranc Injury: A comparative analysis of postoperative hardware removal timing following open reduction internal fixation (ORIF) | Ashita Sehgal | Kaiser SF Bay Area |
| Honorable Mention | Vantage TAR Early WB for Tibial Tray Seating | Matthew Kennedy | Kaiser SF Bay Area |
| Honorable Mention | Outcomes of Patients with Diabetic Foot Ulcer After Implementation of a Wound Care Clinic within a Podiatry Department | Andrew To | Kaiser Santa Clara |
|
2023 |
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| 1 | A retrospective analysis of synovial fluid in hematogenous septic arthritis in the native foot and ankle | Varsha Ivanova, PGY-3 | Kaiser South Bay Consortium |
| 2 | Incidence of ankle valgus after indirect repair of the deltoid ligament with Open Reduction Internal Fixation in unstable ankle fractures | Monte Schmalhaus, PGY-3 | Kaiser SF Bay Area Foot & Ankle Residency Program |
| 3 | Percutaneous Needling with Prolotherapy in Treating Chronic Achilles Tendinopathy | James Diep, PGY-1 Tammana Hoque, PGY-1 |
Kaiser SF Bay Area Foot & Ankle Residency Program Kaiser South Bay Consortium |
|
2022 |
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| 1 | Secondary Surgery Following Lapidus Bunionectomy | Logan Mitchell, PGY-3 | Kaiser SF Bay Area Foot & Ankle Residency Program |
| 2 | The Vantage Total Ankle System: Short-Term Outcomes and Early Weight-Bearing Allowing Tibial Implant Seating | Craig Krcal, PGY-2 | Kaiser SF Bay Area Foot & Ankle Residency Program |
| 3 | Outcomes of Talar Microfracture Surgery and Predictors of Failure | Amber O’Connor, PGY-2 | Kaiser South Bay Consortium |
|
2021 |
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| 1 | The Impact of Diabetes Mellitus on Postoperative Outcomes Following Open Reduction and Internal Fixation to Treat Open Ankle Fractures | Logan Mitchell, PGY-2 | Kaiser SF Bay Area Foot & Ankle Residency Program |
| 2 | Pain Management Following Foot and Ankle Surgery | Megan Ishibashi, PGY-3 | Kaiser SF Bay Area Foot & Ankle Residency Program |
| 3 | Secondary Surgery Following Lapidus Bunionectomy | Lewis Kane, PGY-3 | Kaiser SF Bay Area Foot & Ankle Residency Program |
|
2020 |
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| 1 | Success and survivorship following charcot reconstruction, a review of 151 cases | Luke McCann, PGY-3 | Kaiser SF Bay Area Foot & Ankle Residency Program |
| 2 | Plate vs Screw Fixation for 2nd and 3rd TMTJ Fusion Nonunion Rates | Megan Hom, PGY-3 | Kaiser North Bay Consortium |
| 3 | Mid-term Incidence of Tarsometatarsal Joint Arthrodesis following Open Reduction with Internal Fixation (ORIF) of Lisfranc Injuries. | Shafiq Prasla, PGY-3 | Kaiser SF Bay Area Foot & Ankle Residency Program |
|
2019 |
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| 1 | Early weightbearing of Jones fractures
|
Stephanie Mita, PGY-3 | Kaiser North Bay Consortium |
| 2 | Success and survivorship following charcot reconstruction, a review of 151 cases | Luke McCann, PGY-2 | Kaiser SF Bay Area Foot & Ankle Residency Program |
| 3 | The influence of TASC classification on amputation healing rates | Megan Ishibashi, PGY-1 | Kaiser SF Bay Area Foot & Ankle Residency Program |
|
2018 |
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| 1 | Revision total ankle arthroplasty: Success and survivorship | Francesca Castellucci-Garza, PGY-3 | Kaiser SF Bay Area Foot & Ankle Residency Program |
| 2 | Osseous and soft tissue complications associated with foot and ankle surgery in patients with rheumatoid arthritis taking a variety of anti-rheumatic medications | Colten Dougherty, PGY-3 | Kaiser SF Bay Area Foot & Ankle Residency Program |
| 3 | Melanoma of the foot is associated with advanced disease and poorer survival | Yaseer Parupia | Kaiser SF Bay Area Foot & Ankle Residency Program |
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2017 |
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| 1 | 3-Year morbidity and mortality after transmetatarsal amputation | Barbara Adams, PGY-3 | Kaiser SF Bay Area Foot & Ankle Residency Program |
| 2 | Timing of vascular intervention in relation to TMA survivability | Eric Shi, PGY-2 | Kaiser South Bay Consortium |
| 3 | Prevalence of metatarsal fracture among women with proximal diaphyseal and atypical femur fractures | Tenaya West, PGY-1 | Kaiser SF Bay Area Foot & Ankle Residency Program |
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2016 |
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| 1 | Medial malleolar fractures: ORIF vs percutaneous fixation. A retrospective comparative study | Patrick Levine, PGY-3 | Kaiser South Bay Consortium |
| 2 | Timing of vascular intervention in relation to TMA survivability | Eric Shi, PGY-1 | Kaiser South Bay Consortium |
| 3 | 3-Year morbidity and mortality after transmetatarsal amputation | Joshua Edlinger, PGY-3 | Kaiser SF Bay Area Foot & Ankle Residency Program |
|
2015 |
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| 1 | 3-Year morbidity and mortality after transmetatarsal amputation | Barbara Adams, PGY-1 | Kaiser SF Bay Area Foot & Ankle Residency Program |
| 2 | Comparative nonunion rates in triple arthrodesis | Lindsey Klassen, PGY-2 | Kaiser South Bay Consortium |
| 3 | Does timing of vascular intervention in patients undergoing transmetatarsal amputation (TMA) secondary to peripheral vascular disease have an effect on healing/survivability of TMA stump? | Marshall Jex, PGY-2 | Kaiser South Bay Consortium |
| Place | Poster Title | Students
(Presenters/Submission in Bold) |
Podiatric School |
|
2025 |
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| 1 | Risk of Revision and Other Complications in Total Ankle Arthroplasty Does not Differ by Surgeon Type: Results of an Analysis of the PearlDiver Healthcare Claims Database from 2010 to 2023 | Khushiben Patel | Dr. William M. Scholl College of Podiatric Medicine at the Rosalind Franklin University of Medicine and Science |
| 2 | Increased Breast and All-Cause Cancer Prevalence Among Female Podiatrists | Bethany Robinson | Midwestern |
| 3 | The Impact of Multidrug-Resistant Organisms (MDROs) on Healing Outcomes in Diabetic Foot Ulcers: A Retrospective Study | Steffi Casimir | CSPM |
|
2024 |
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| 1 | Incidence of Floating Toe with Weil Osteotomy: A Systematic Review with Meta-Analysis | Talem Franco | DMU |
| 2 | Is a Percutaneous Approach as Good as Open Reduction Internal Fixation for Intra-articular Calcaneal Fractures? A Systematic Review and Meta-Analysis | Tina Javanbakht | CSPM |
| 3 | Congruence Between Diabetic Wound Patients’ Nutritional Literacy and Provider Expectations: A Research Study | Maya Shaitrit | Dr. William M. Scholl College of Podiatric Medicine at the Rosalind Franklin University of Medicine and Science |
|
2023 |
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| 1 | Quantifying the Rupture Rate of the Plantar Fascia Following Corticosteroid Injection: A Systematic Review and Meta-Analysis | Stephanie Bush | DMU |
| 2 | Surgically offloading diabetic feet via digital flexor tenotomies: A systematic review. | Sonia Chuang | Chicago |
| 3 | Pain Medication Intake During Immediate Postoperative Period May Not Predict Patient Reported Outcomes Following Minimally Invasive Surgery for Lateral Ankle Instability | Vishnupriya Bodempudi | CSPM |
|
2022 |
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| 1 | Gender Disparities in Financial Relationships between Podiatric Physicians | Airam Caldera, Anish Sharma | Western |
| 2 | Risk Factors Associated with Postoperative Mortality After Minor Non-traumatic Foot Amputation: A Systematic Review | Sarah Luettgen, Hargun Oberai, BS Pavan Shrestha, BS Krishna Patel, BS Nicole Pham, BS Chia-Ding Shih, DPM, MPH, MA | CSPM |
| 3 | Postoperative Opioid Prescribing Practice in Limb Preservation Surgery | Lili Hooshivar, Brandon M. Brooks, DPM, MPH, Chia-Ding Shih, DPM, MPH, MA, Kevin P. Pham, DPM; Reed W. R. Bratches, MPH, and Kristina B. Wolff, PhD, MPH | CSPM |
| 4 | Biomechanical factors leading to common injuries in racewalking: literature review | Jannani Krishnan, Dr. Timothy Dutra, DPM | CSPM |
| 5 | Risk Factors Associated with Postoperative Mortality After Minor Non-traumatic Foot Amputation: A Systematic Review | Hargun Oberai, Hargun Oberai, BS Pavan Shrestha, BS Krishna Patel, BS Nicole Pham, BS Chia-Ding Shih, DPM, MPH, MA | CSPM |
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2021 |
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| 1 | Variation in the Lateral Compartment of the Lower Extremity | Mitchell Goldman, Michael Amedeo, Lindsey Bustos, Ashley Schneider, Matthew Wedel PhD | Western |
| 2 | Access to Podiatric Healthcare in Los Angeles County and Health Disparities | Michael Guzzardo | Western |
| 3 | Metatarsal Head Resection as a Treatment for Chronic Diabetic Foot Ulcers: A Systematic Review and Meta-analysis | Andrew To, Monica Cervantes, Patricia Woo, Jason Aguas, Christian Costales, Chia-Ding Shih DPM | CSPM |
|
2020:Postponed Student Poster Submission |
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2019 |
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| 1 | Retrospective review of radiographic outcomes after triplane correction for hallux valgus | Paul Dayton, DPM, MS, Stefany Carvalho, Rachel Egdorf, Mindi Dayton, DPM, MHA | DMU |
| 2 | Effect of hallux valgus surgery on balance and gait in middle aged and older adults
|
Adam Fleischer, DPM, MPH, Janki Patel, Alyse Acciani, Erin E. Klein, DPM, Sai Yalla, PhD, Lowell Weil, Sr., DPM, Lowell Weil, Jr., DPM | Scholl |
| 3 | Saline or Antiseptic Solution? A Systematic review of wound characteristics, clinical uses, and wound healing outcomes in negative pressure wound therapy with instillation | Varsha S. Salunkhe, Jeremie D. Oliver, David V. Ivanov, Arif Chaudhry, MD, Krishna Vyas, MD, PhD, MHS | CSPM |
|
2018 |
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| 1 | Progression of Radiographic Healing Following First Ray Arthrodesis in the Foot Using a Biplanar Plating Technique Without Compression | Paul Dayton, DPM, Robert Santrock MD, Merrell Kauwe, DPM, Gary Gansen, DPM, Sean Harper,DPM, Andrea Cifaldi, Rachel Egdorf, Jake Eisenschink | DMU |
| 2 | Peak Plantar Pressure of Walking Gait in Prefab Orthotics of Different Foot Types | Samuel Caine, Danielle Greenfield, Jessica Hethcoat, Raddison Veater, Nishit Vora | CSPM |
| 3 | Percutaneous Harvest of Calcaneal Bone Autograft: Evaluation of complications, Quantification of Volume and Defining Anatomical Safe Zones | Duane J.Ehredt Jr.DPM, Brandon Rogers, Jaspreet Takhar, Kathy Seisel,DPM | KENT |
|
2017 |
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| 1 | Titanium scaffolding: A novel replacement for iliac bone grafts in salvage of failed first metatarsal procedures. | Ryan Carter, DPM, Colin Zdenek, DPM, Nicholas Todd, DPM, Shannon Rush, DPM, Natalie Coriaty, Katherine Pettibone
|
CSPM |
| 2 | Evaluation of the mechanical axis of the first ray before and after first metatarsal-phalangeal joint reconstructive surgery. | Sara Naguib, Brian S. Derner, and Andrew J. Meyr, DPM
|
Temple |
| 3 | Correlation between patient-reported and functional outcome measures following ankle injury. | Zinnia M. Rocha, Sean R. Lyons, Gurvikram Boparai, Brian Derner, Trevor Klinkner, Christine Palma, Kevin Perra, Anthony Samaan
|
Temple |
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2016 |
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| 1 | Genetically enhanced PDGFR-B production in primary neonatal dermal fibroblasts using CRISPR/CAS9 delivered by MEMS-based Lance Array Nanoinjection | JW Sessions, CS Stousen, BT Garcia, JK Adler, DG Armstrong, DS Nickerson, S Hope, BD Jensen | Midwestern |
| 2 | The effect of variable lower extremity immobilization devices on brake response driving outcomes | Zinnia M. Rocha, Matthew W. Lawrence, Kayla Baloga, Brian Derner, Jonathan C. Dillard, Jared Littlejohn, Alexandra Spangler | Temple |
| 3 | Type IV cell mediated hypersensitivity reaction caused by titatinum implant following medial displacement calcaneal osteotomy and first metatarsal-cuneiform arthrodesis | Stephen J. Kriger, Shontal Behan, Parth Phakta, Chiolas G. Bruning, Brennan A. Menninger, Mark C. Razzante | CSPM |