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Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons

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https://www.readbyqxmd.com/read/27866887/quality-of-early-union-after-first-metatarsophalangeal-joint-arthrodesis
#1
Florian Wanivenhaus, Norman Espinosa, Philippe M Tscholl, Fabian Krause, Stephan H Wirth
The aim of the present retrospective cohort study was to assess the quality of union and the clinical outcomes in patients who had undergone first metatarsophalangeal joint (MTPJ) fusion using a dorsal plate and plantar lag screw. From March 2011 to December 2012, the clinical and radiographic data of 39 patients (41 feet) who had undergone first MTPJ fusion using a compressive locking plate were retrospectively reviewed. All patients had undergone postoperative computed tomography at 6 weeks postoperatively to assess union...
November 17, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27866886/concomitant-contracture-of-the-knee-and-ankle-joint-after-gastrocnemius-muscle-rupture-a-case-report
#2
Dong Jin Ryu, Joon Mee Kim, Bom Soo Kim
Injury of the medial head of the gastrocnemius, also called "tennis leg," is known to heal uneventfully in most cases with compression and immobilization therapy. Failure to heal or long-term complications, including ongoing pain and pes equinus, have been documented in only a limited number of case reports. To the best of our knowledge, a severe concomitant contracture of the knee and ankle joint as a consequence of a maltreated gastrocnemius muscle rupture has not been previously reported in English-language reports...
November 17, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27866885/surgical-planning-for-flexor-digitorum-longus-tendon-transfers-an-anatomic-study
#3
Jeffrey E McAlister, Shyler L DeMill, Eric So, Christopher F Hyer
Posterior tibial tendon dysfunction is often coupled with various degrees of hindfoot valgus and equinus. Preoperative planning is essential to appropriate procedure choice and surgical efficiency. The purpose of the present study was to assess the anatomy at the harvest site for flexor digitorum longus tendon transfer, specifically at the master knot of Henry. Thirty fresh-frozen below-the-knee cadavers were used for dissection. A standard anatomic approach was performed for posterior tibial tendon debridement and flexor digitorum longus tendon transfer...
November 17, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27839663/reconstruction-with-%C3%AE-tricalcium-phosphate-after-navicular-tumor-resection
#4
Akio Sakamoto
Postresection reconstruction of the navicular bone is challenging. A composite hemangioendothelioma is an intermediate malignancy characterized by an admixture of differing vascular components. In the present report, a 40-year-old male with a composite hemangioendothelioma presented with multiple soft tissue lesions of the leg and sole and a navicular bone lesion. The navicular bone was resected and reconstructed using β-tricalcium phosphate of strong compression resistance with plating. The current reconstruction method can be applied, not only for tumors, but also for trauma...
November 7, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27839662/need-for-bone-grafts-in-the-surgical-treatment-of-displaced-intra-articular-calcaneal-fractures
#5
Tahir Mutlu Duymus, Serhat Mutlu, Harun Mutlu, Omer Ozel, Olcay Guler, Mahir Mahirogullari
Controversy is ongoing regarding the use of bone grafts to fill cavities that occur with collapse of the posterior facet in the joint and for repair of the calcaneal height with plating. The present study included 40 patients with 43 displaced intra-articular calcaneal fractures treated with open reduction and internal fixation from March 2009 to November 2013. In the present case-control study, the patients were separated into 2 groups: group A received an allograft (20 patients, 22 calcaneal fractures) and group B did not (20 patients, 21 calcaneal fractures)...
November 7, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27839661/aplastic-posterior-tibial-artery-in-the-presence-of-trimalleolar-ankle-fracture-dislocation-resulting-in-below-the-knee-amputation
#6
Peter Andrew Bellezza, Edward Elliott, Thomas Conlee, John Randolph Clements
We present an interesting, but unfortunate, case of an 86-year-old female who sustained a trimalleolar ankle fracture dislocation that resulted in below-the-knee amputation after open reduction and internal fixation of the fracture. To the best of our knowledge, this is the first case report describing popliteal variants that ultimately resulted in critical limb ischemia and below-the-knee amputation after foot and ankle trauma. The anatomic variation altered the expected outcome from a relatively straightforward surgical case...
November 7, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27638269/the-all-inside-arthroscopic-brostr%C3%A3-m-procedure-with-additional-suture-anchor-augmentation-a-prospective-study-of-45-consecutive-patients
#7
James M Cottom, Joseph S Baker, Phillip E Richardson
Lateral ankle sprains are a common injury that typically respond well to nonoperative therapy. When nonoperative therapy fails and patients develop chronic lateral ankle instability, they become candidates for surgical repair. The present study examined 45 consecutive patients (45 ankles) with chronic lateral ankle instability who underwent arthroscopic Broström repair using a double-row suture anchor construct. The 45 patients (27 females and 18 males) were followed up for a mean of 14 (range 12 to 20) months...
September 21, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27640930/medial-displacement-calcaneal-osteotomy-a-comparison-of-screw-versus-locking-plate-fixation
#8
Amol Saxena, Rajan Patel
Locking plate fixation is becoming more popular for fixation of lower extremity osteotomies. The present study evaluated locking plate fixation compared with screw fixation in the medial displacement calcaneal osteotomy procedure, measuring the outcomes and rate of hardware removal. The procedure was performed on 30 patients, 31 times, with 17 undergoing single screw fixation and 14 undergoing locking plate fixation. The return to activity was 6.87 ± 1.43 months, including some patients for whom running was their main activity...
September 15, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27625201/the-peroneus-quartus-muscle-in-a-locking-phenomenon-of-the-ankle-a%C3%A2-case-report
#9
Kim T M Opdam, Pim A D van Dijk, Sjoerd A S Stufkens, C Niek van Dijk
We present the case of a 64-year-old female who was referred to us with an unexplained clicking and locking phenomenon of the right ankle. The magnetic resonance imaging findings suggested a longitudinal tear of the peroneus brevis tendon. During tendoscopy, not only was a Raikin type B intrasheath tendon subluxation visible, but also a peroneus quartus muscle. The peroneus brevis tear was tubularized and the peroneus quartus muscle resected, which resolved the patient's complaints.
September 10, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27623564/dutch-translation-of-the-manchester-oxford-foot-questionnaire-reassessment-of-reliability-and-validity
#10
Sharmila Venkatesan, Martijn G M Schotanus, Roel P M Hendrickx
The Manchester-Oxford Foot questionnaire (MOxFQ) is a 16-item patient reported outcome measure developed and validated for use in clinical trials involving foot surgery. The purpose of the present study was to evaluate the psychometric properties of the Dutch translation of the MOxFQ in patients who had undergone a hallux valgus correction. A total of 79 patients who had undergone hallux valgus correction completed the Medical Outcomes Study short-form 36-item questionnaire (SF-36) and MOxFQ before and after surgery...
September 9, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27614827/evaluating-blood-loss-and-the-effect-of-antiplatelet-treatment-in%C3%A2-foot%C3%A2-and-ankle-amputations
#11
David Schweer, Jonathon J Carmouche, Daniel Jupiter, Timothy Ball, J Randolph Clements
The interrelationship between diabetes mellitus and cardiovascular disease is well-documented, and, secondary to the latter, is the use of antiplatelet therapy. Although diabetes and the associated vascular manifestations are driving forces behind lower extremity amputations, few data are available on the risks of perioperative antiplatelet therapy with foot and ankle amputations. The goal of the present study was to address the surgical effect of continuing or discontinuing antiplatelet therapy before foot and/or ankle amputation...
September 7, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27614826/a-protocol-for-percutaneous-transarticular-fixation-of-sanders-type-ii-and-iii-calcaneal-fractures-with-or-without-an-added-mini-open-approach
#12
Osama Gamal, Ahmed Shams, Ahmad El-Sayed Semaya
Intra-articular fracture of the calcaneus is one of the most displeasing fractures if not properly managed. Open reduction and internal fixation have been associated with a high incidence of postoperative soft tissue complications. Closed reduction and percutaneous fixation have resulted in a greater incidence of postoperative subtalar osteoarthritis with improper reduction of the articular surface. In the present study, a mini-open approach was used in cases of failure of articular surface restoration with closed reduction...
September 7, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27614825/bilateral-arthrodesis-of-the-ankle-joint-self-reported-outcomes-in%C3%A2-35%C3%A2-patients-from-the-swedish-ankle-registry
#13
Anders Henricson, Ilka Kamrad, Björn Rosengren, Åke Carlsson
Bilateral ankle arthrodesis is seldom performed, and results concerning the outcome and satisfaction can only sparsely be found in published studies. We analyzed the data from 35 patients who had undergone bilateral ankle arthrodesis in the Swedish Ankle Registry using patient-reported generic and region-specific outcome measures. Of 36 talocrural arthrodeses and 34 tibio-talar-calcaneal arthrodeses, 6 ankles (9%) had undergone repeat arthrodesis because of nonunion. After a mean follow-up period of 47 ± 5 (range 12 to 194) months, the mean scores were as follows: self-reported foot and ankle score, 33 ± 10 (range 4 to 48); the EuroQol Group's EQ-5D(™) score, 0...
September 7, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27614824/translation-cross-cultural-adaptation-reliability-and-validity-of-turkish-version-of-the-american-orthopaedic-foot-and-ankle-society-ankle-hindfoot-scale
#14
Yildiz Analay Akbaba, Derya Celik, R Tahir Ogut
We sought to translate and culturally adapt the American Orthopaedic Foot and Ankle Society ankle-hindfoot scale (AOFAS-AHFS) into Turkish and determine the selected psychometric properties of the translated version. The AOFAS-AHFS is widely used to evaluate disability associated with foot and ankle injuries but has not yet been translated or culturally adapted for Turkish-speaking individuals. The AOFAS-AHFS was translated into Turkish using the Beaton guidelines. The measurement properties of the Turkish AOFAS-AHFS (internal consistency, construct validity, and floor and ceiling effects) were tested in 72 patients (94 feet, 50 females; average ± SD age 44...
September 7, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27614823/a-biomechanical-comparison-of-3-different-arthroscopic-lateral-ankle-stabilization-techniques-in-36-cadaveric-ankles
#15
James M Cottom, Joseph S Baker, Phillip E Richardson, Jared M Maker
Arthroscopic lateral ankle stabilization has become an increasingly popular option among foot and ankle surgeons to address lateral ankle instability, because it combines a modified Broström-Gould procedure with the ability to address any intra-articular pathologic findings at the same session. The present study evaluated 3 different constructs in a cadaveric model. Thirty-six fresh frozen cadaver limbs were used, and the anterior talofibular ligament was identified and sectioned. The specimens were then placed into 1 of 3 groups...
September 7, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27612414/an-innovative-approach-to-the-repair-of-distal-tibia-nonunion-using-a%C3%A2-retrograde-buried-tibio-talar-calcaneal-nail-a-case-report
#16
Peter Van Steyn, Michael Romash
We report a case using retrograde tibial nailing as treatment of nonunion of a distal tibial osteotomy, which was performed as part of a complex reconstruction of distal tibial malunion with ankle arthritis. Although retrograde nailing has classically been used for tibial-talar-calcaneal arthrodesis, this method spares the subtalar joint. Preservation of some hindfoot motion by subtalar mobility allows for a decrease in the loss of function typically seen with tibial-talar-calcaneal arthrodesis.
September 6, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27769595/random-effects-variance-is-the-spice-of-life
#17
Daniel C Jupiter
Covariates in regression analyses allow us to understand how independent variables of interest impact our dependent outcome variable. Often, we consider fixed effects covariates (e.g., gender or diabetes status) for which we examine subjects at each value of the covariate. We examine both men and women and, within each gender, examine both diabetic and nondiabetic patients. Occasionally, however, we consider random effects covariates for which we do not examine subjects at every value. For example, we examine patients from only a sample of hospitals and, within each hospital, examine both diabetic and nondiabetic patients...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27769594/financial-and-nonfinancial-allegiance-conflicts-of-interest-in-clinical-research
#18
D Scot Malay
No abstract text is available yet for this article.
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27618711/radial-soundwave-for-sesamoidopathy-in-athletes-a-pilot-study
#19
Amol Saxena, Andrew Yun, Rajan Patel, Ludger Gerdesmeyer, Nicola Maffulli
The purpose of the present study was to evaluate the efficacy of radial soundwave therapy (RSW) for the management of sesamoiditis, symptomatic bipartite sesamoids, and avascular necrosis in athletic patients. The data from 10 patients undergoing RSW for sesamoiditis were retrospectively studied. Three treatments at 2.4 Bar and 13 Hz, for a total of 2500 pulses in each session, were administered to the affected sesamoid approximately 1 week apart. The Roles and Maudsley score and the visual analog scale (VAS) were used to assess disability and pain...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27614822/increased-failure-rate-of-modified-double-arthrodesis-compared-with%C3%A2-triple-arthrodesis-for-rigid-pes-planovalgus
#20
M Tyrrell Burrus, Brian C Werner, James B Carr, Venkat Perumal, Joseph S Park
For rigid pes planovalgus deformities, modified double and triple arthrodeses have had high union rates and subjective outcomes reported. Increased rates of talonavicular nonunions after modified double arthrodesis have led to concern regarding this procedure. A retrospective medical record review was performed of patients who had undergone either a modified double (n = 9) or triple (n = 7) arthrodesis for stage 3 pes planovalgus deformity. Radiographs were reviewed for hindfoot alignment, bony union, and hardware failure...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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