Dr. Steven A. Kodros

Steven A. Kodros, M.D.

Acute Bilateral Exertional Lateral Leg Compartment Syndrome with Delayed Presentation: A Case Report.

JBJS case connector

Authors: Frank RM, Hearty T, Chiampas GT, Kodros SA

PMID: 29252377 [PubMed - as supplied by publisher]
Musculoskeletal coccidioidomycosis: unusual sites of disease in a nonendemic area.

American journal of clinical pathology 2005 Nov

Authors: Taxy JB, Kodros S

Abstract
Coccidioidomycosis is a primary pulmonary infection, endemic to the southwestern United States, caused by inhalation of spores in an immunocompetent host. When systemic spread occurs, the dissemination of infection to musculoskeletal sites might account for 20% to 50% of cases. The musculoskeletal manifestations are well recognized by physicians in endemic areas. We report 2 cases encountered in metropolitan Chicago in which morphologically typical, large, yeast-like, encapsulated, endosporulating organisms were identified in tissue samples and Coccidioides immitis was cultured. One patient had a degenerative-type radiographic picture thought to be related to a sports injury. A second patient with skin lesions and a paraspinal mass required emergency decompressive spinal surgery. A history consistent with exposure to Coccidioides organisms was apparent only for the first patient. Although the diagnosis can be established morphologically by identifying the large endospores in tissue samples, the submission of samples for culture and subsequent microbiologic confirmation requires the diagnosis to be considered clinically. This report emphasizes the rarity of the organism in nonendemic areas and the redundant value of using both morphologic and microbiologic modalities.

PMID: 16203277 [PubMed - as supplied by publisher]
Acute surgical management of Jones' fractures.

Foot & ankle international 2003 Nov

Authors: Portland G, Kelikian A, Kodros S

Abstract
The purpose of this study was to evaluate the effectiveness of surgical management for acute Jones' fractures and Torg types I and II proximal diaphyseal stress fractures presenting acutely in both athletes and nonathletes. Twenty-two patients underwent intramedullary screw fixation between 1994 and 1999. Immediate intramedullary screw fixation of acute Jones' fractures and type I stress fractures resulted in a 100% union rate with an average time to union of 6.2 weeks. Fixation of type II stress fractures had a union rate of 100% with a mean time to union of 8.3 weeks. The overall complication rate was 9%. Surgical intervention allowed an earlier return to weight-bearing with a more rapid and predictable union rate. The authors recommend intramedullary fixation as a treatment of choice for the management of fifth metatarsal fractures distal to the tuberosity in nonathletes as well as athletes.

PMID: 14655886 [PubMed - as supplied by publisher]
Arthroscopically assisted autologous osteochondral transplantation for osteochondral lesions of the talar dome: an MRI and clinical follow-up study.

Foot & ankle international 2001 Jul

Authors: Assenmacher JA, Kelikian AS, Gottlob C, Kodros S

Abstract
Osteochondral Lesions of the Talar Dome (OLT) are common problems encountered in orthopedics. Although the etiology remains uncertain, a myriad of treatment options exists. The authors describe arthroscopically assisted autologous osteochondral graft (OCG) transplantation procedures in the treatment of unstable OLTs in nine patients. The patients underwent standard preoperative MRI examination to assess fragment stability (using De Smet criteria for stability). Intraoperative arthroscopy was used to correlate the preoperative MRI assessment (using Cheng/Ferkel grading). After transplantation procedures, MRI (using De Smet criteria for stability) assessed graft incorporation for stability at an average of 9.3 months after the procedure. Preoperative MRI correlated highly with arthroscopic findings of OLT instability (sensitivity = 1.0). This has been demonstrated in the current orthopedic literature. The post transplantation MRI demonstrated stable graft osteointegration by De Smet criteria in all patients. Postoperative visual analogue pain scales showed significant improvement from preoperative assessment. Postoperative AOFAS Ankle-Hindfoot scores averaged 80.2 (S.D. +/- 18.9). Our favorable early results and those of other authors using similar techniques may validate OCG transplantation as a viable alternative for treating unstable osteochondral defects in the talus that are refractive to more commonly used surgical techniques.

PMID: 11503978 [PubMed - as supplied by publisher]
Single-stage surgical correction of congenital vertical talus.

Journal of pediatric orthopedics

Authors: Kodros SA, Dias LS

Abstract
Forty-one patients (55 feet) with congenital vertical talus (CVT) were reviewed. Thirty of the feet were associated with neural tube defects, 10 with neuromuscular disorders, five with congenital malformation syndromes, and none with chromosomal aberrations. Ten of the feet were idiopathic. All were treated with a single-stage surgical correction as described, by using the Cincinnati incision, and performed by the same surgeon. Thirty-two patients (42 feet) were available for clinical and radiographic follow-up averaging 7 years (range, 2-12) from the time of surgery. There were no wound complications or avascular necrosis of the talus. In 10 feet, subsequent reoperation was necessary. At final follow-up, results were based on the clinical and radiographic outcomes and included 31 good and 11 fair. All patients and families were satisfied with the results and appearance of the feet. There were no bony prominences or skin problems. The presence of mild pain was noted in only three feet. Radiographically, there was a significant improvement in the anteroposterior (AP) and lateral talocalcaneal and talo-first metatarsal angles, and at follow-up, the group averages for each of these angles were within the normal range. In treating CVT, good clinical and radiographic results can be obtained with a low incidence of complications using this single-stage surgical correction of the hindfoot and midfoot deformities.

PMID: 9890285 [PubMed - as supplied by publisher]
Controversies in tarsometatarsal injuries.

The Orthopedic clinics of North America 1995 Apr

Authors: Trevino SG, Kodros S

Abstract
Lisfranc injuries still remain a problematic situation in many clinical cases. Although thought to be an uncommon problem, they are actually a common injury. This article serves to make the clinician aware of the many recent changes in diagnosis and treatment. Emphasis is placed on the precise diagnosis of this condition and subsequent follow-up.

PMID: 7724189 [PubMed - as supplied by publisher]

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February 21, 2020

Expected more questions on how injury occurred, and what activities could be affected by injury more info re bone versus ligament damage & re lesion on ankle bone. I didn't understand what "stress test" was about.

February 19, 2020

the doctor was great!! explained, talked to me, very nice and personable

February 18, 2020

Dr Kodros paid great attention to diagnosing the issue and was very thorough and easy to work with.

February 11, 2020

I had to bring my daughter to this appointment and he was incredibly rude about this. He made it clear that he thought I was faking an injury to get time off work even though I had never brought up wanting to get time off. During the exam, he kept saying 'oh you can do better than that' as if I was faking not being able to stretch my foot properly. After the exam, he kept staring at my daughter who was sitting quietly in the room and said 'Interesting' over and over again. He tried to sell me insoles that he made sure to say would not be covered by my insurance (it actually is) but he would get me the "cheapest ones" as if I couldn't afford quality inserts. Meanwhile I had custom orthopedic inserts already in my shoes during the consult that cost much more than the flimsy ones he tried to sell me. Kept cutting me off while I was talking like it didn't matter what I was saying. Incredibly condescending and rude. Even if I do need to go back to see an orthopedic surgeon, he would never be on my list. I'd rather lose the foot.

January 25, 2020

Recommended physical therapy; no improvement. Received 2nd opinion, after a quick viewing of the MRI, that was also provided to this provider, it was seen there was an avulsion fracture that needed surgery for repair. Kodros failed to see this or didn't think surgery was needed for a detached bone fragment causing pain for 5 weeks already.

I left feeling very reassured about what was needed to take of my problem. excellent visit. great communication. left with a plan.

January 14, 2020

Have been a Northshore patient for over a decade. Until now have never had an experience where doctor did not address my concerns, or explain options, or provide thorough instructions. This was a first. Left the office feeling unheard and confused. Hope his medical experience outweighs his listening and explaining skills.

January 10, 2020

I think *Dr. Kodros is fantastic. Showed genuine concern experience for my healing.

November 29, 2019

He was a very nice guy and explained what was wrong with me. Helped me out and was polite.

November 28, 2019

excellent service, very competent and very courteous; professional attitude and very thorough.

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Steven A. Kodros, M.D.

Steven A. Kodros, M.D.

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NOI NorthShore Orthopedics Chicago

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Publications

Acute Bilateral Exertional Lateral Leg Compartment Syndrome with Delayed Presentation: A Case Report.

Musculoskeletal coccidioidomycosis: unusual sites of disease in a nonendemic area.

Acute surgical management of Jones' fractures.

Arthroscopically assisted autologous osteochondral transplantation for osteochondral lesions of the talar dome: an MRI and clinical follow-up study.

Single-stage surgical correction of congenital vertical talus.

Controversies in tarsometatarsal injuries.