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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/30205938/should-the-extended-lateral-approach-remain-part-of-standard-treatment-in-displaced-intra-articular-calcaneal-fractures
#1
Sandra C P Jansen, Jeroen Bransen, Gust van Montfort, Arnold T Besselaar, Alexander H van der Veen
The aim of this study was to evaluate the results of open reduction and internal fixation through the extended lateral approach (ELA) in displaced intra-articular calcaneal fractures and to determine whether this approach should remain part of standard therapy. This retrospective cohort study included 60 patients with 64 displaced intra-articular calcaneal fractures who underwent surgical treatment through the ELA. Outcome measures were the visual analog scale foot and ankle (VAS FA), the American Orthopedic Foot and Ankle Society (AOFAS) score, surgical site infections (SSIs), and reoperations...
September 8, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30201557/early-weight-bearing-after-arthrodesis-of-the-first-metatarsal-phalangeal-joint-a-systematic-review-of-the-incidence-of-non-union
#2
Amanda Crowell, Jennifer C Van, Andrew J Meyr
Arthrodesis of the first metatarsal-phalangeal joint is a reliable procedure for correction of both hallux limitus/rigidus and severe hallux abducto valgus deformities. However, 1 potential contraindication to the procedure is the extended period of non-weight-bearing immobilization that is typically associated with the postoperative course. The objective of this investigation was to perform a systematic review of the incidence of non-union after early weight bearing in patients who underwent arthrodesis of the first metatarsal-phalangeal joint...
September 7, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30197256/evaluation-of-the-mechanical-axis-of-the-first-ray-before-and-after-first-metatarsal-phalangeal-joint-reconstructive-surgery
#3
Sara Naguib, Brian Derner, Andrew J Meyr
LaPorta et al published a description of measurement of the mechanical axis of the first ray in an attempt to introduce center-of-rotation angulation principles into forefoot reconstructive surgery. They found significant differences in the measurement of the first intermetatarsal angle between groups of feet with and without hallux abducto valgus deformity, but they found no difference in the measurement of the M1-M2 mechanical axis angle between groups. The objectives of this study were to further investigate the proposed M1-M2 mechanical axis angle and to examine the effect of hallux abducto valgus corrective surgery on its measurement...
September 6, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30197255/three-dimensional-computed-tomographic-characterization-of-normal-anatomic-morphology-and-variations-of-the-distal-tibiofibular-syndesmosis
#4
George T Liu, Easton Ryan, Eric Gustafson, Michael D Vanpelt, Katherine M Raspovic, Trapper Lalli, Dane K Wukich, Yin Xi, Avneesh Chhabra
Malreduction of distal tibiofibular syndesmosis (DTFS) leads to poor functional outcomes after ankle fracture surgery. Difficulty achieving anatomic alignment of the syndesmosis is due to variable morphology of the fibular incisura of the tibia and a paucity of literature regarding its morphologic characteristics. We surveyed 775 consecutive ankle computed tomography (CT) scans performed from June 2008 to December 2011, and 203 (26.2%) were included for evaluation. Two observers performed quantitative measurements and qualitative evaluated fibular incisura morphology...
September 6, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30197254/predictors-for-surgery-related-emergency-department-visits-within-30-days-of-foot-and-ankle-surgeries
#5
Naohiro Shibuya, Colin Graney, Himani Patel, Daniel C Jupiter
Presentation to an emergency department (ED) after foot and ankle surgeries not only causes inconvenience to patients but also increases healthcare costs. To minimize this, many major institutions have tracked these data as a part of quality improvement measures. Our previous study showed that factors associated with any (surgery-related and unrelated) postoperative ED visits were not easily modifiable by surgeons. Therefore, in the current study, we focused on factors associated specifically with surgery-related postoperative ED visits, because this may provide some insights for surgeons rather than just administrators...
September 6, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30197253/arthroscopic-grading-of-injuries-of-the-inferior-tibiofibular-syndesmosis
#6
Mohamed Turky, K Venugopal Menon, Kamran Saeed
The objective of this study was to describe the technical details of performing a newly developed arthroscopic grading of inferior tibiofibular syndesmosis injuries. Arthroscopy is emerging as the gold standard for evaluating painful, unstable ankles. The inferior tibiofibular syndesmosis contributes substantially to disorders of the ankle. However, no structured grading system exists that would help surgeons evaluate injuries of the syndesmosis. Seventy-eight patients with pain or instability symptoms in the ankle were arthroscopically evaluated for syndesmosis injury...
September 6, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30181032/level-of-agreement-with-a-multi-test-approach-to-the-diagnosis-of-diabetic-foot-osteomyelitis
#7
Andrew J Meyr, Kyung Seo, Jasvir S Khurana, Rachana Choksi, Baidarbhi Chakraborty
Although bone biopsy has historically been considered the "gold standard" or "standard reference" for the diagnosis of diabetic foot osteomyelitis, some contemporary investigations have provided evidence against this as a single diagnostic test and in support of a combination of clinical, laboratory, and radiographic findings. The objective of this investigation was to measure the level of agreement between several commonly used forms of diagnostic testing for diabetic foot osteomyelitis...
September 1, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30177453/sesamoidectomy-for-hallux-sesamoid-disorders-a-systematic-review
#8
REVIEW
Yoshiharu Shimozono, Eoghan T Hurley, Alexandra J Brown, John G Kennedy
Studies have shown that sesamoidectomy provides good clinical outcomes; however, concern exists regarding complications occurring after resection of 1 or both sesamoid bones. The purpose of the present systematic review was to evaluate the current evidence on sesamoidectomy for the treatment of hallux sesamoid disorders. A systematic search of the MEDLINE, Embase, and Cochrane Library databases was performed during October 2017. The included studies were evaluated for the level of evidence and quality of evidence using the Coleman Methodology Score...
August 31, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30177452/longitudinal-epiphyseal-bracket-of-the-first-metatarsal-bone-three-case-reports-and-a-review-of-the-literature
#9
Josip Vlaić, Davor Bojić, Erich Rutz, Darko Antičević
Longitudinal epiphyseal bracket (LEB) is a rare bone dysplasia of the tubular bones. Owing to an abnormal secondary ossification center, the affected bones can develop progressive shortening and angular deformity. The aim of our study was to provide an overview of the reported data regarding epidemiology and surgical procedures available for LEB of the first metatarsal bone in a pediatric population combined with a small case series. We report a retrospective case series of 3 nonsyndromic pediatric patients with different ages and with confirmed dysplasia of the first metatarsal bone...
August 31, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30172719/patient-perceived-recovery-and-outcomes-after-silastic-implant-arthroplasty
#10
Calvin J Rushing, Viraj R Rathnayake, Adam J Oxios, Gabriel P Galan, Madelin Ramil, Steven M Spinner, Patrick Hardigan
In some chronic musculoskeletal conditions, patients with persistent pain and disability have still achieved recovery through behavioral adaptations (readjustment) or cognitive coping (redefinition). Although the pendulum shift from physician-reported clinical indicators to patient-reported outcomes measures (PROMs) has recently focused on quantifying residual pain and disability to determine recovery (resolution), whether patients are capable of coping with any ongoing deficits and achieving other forms of recovery has not been considered...
August 29, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30172718/biomechanical-comparison-of-intramedullary-beaming-and-plantar-plating-methods-for-stabilizing-the-medial-column-of-the-foot-an-in-vitro-study
#11
Melissa M Simonik, Jessica Wilczek, Guido LaPorta, Ryan Willing
Charcot neuroarthropathy often results in a rocker-bottom foot deformity, which leads to ulceration, infection, and amputation. Surgical techniques to reconstruct the medial column include intramedullary beaming and plantar plating, with disagreement regarding which approach provides a stronger construct with superior stability and fixation. The objective of the present cadaveric study was to compare the construct rigidity and strength of beaming and plantar plating of the medial column of 5 paired bilateral feet...
August 29, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30146339/a-review-of-extensor-hallucis-longus-variants-featuring-a-novel-extensor-primi-internodii-hallucis-muscle-merging-with-extensor-hallucis-brevis
#12
Matthew J Zdilla, Julia E Paulet, Jessica J Lear, Kristina M Addie, H Wayne Lambert
The extensor hallucis longus (EHL) muscle/tendon complex has been used in a variety of tendon transfer and tenodesis surgeries to correct iatrogenic hallux varus deformity, equinovarus foot deformity, clawed hallux associated with a cavus foot, and dynamic hyperextension of the hallux and, even, to prevent pedal imbalance after transmetatarsal amputation. Although it is usually considered a unipennate muscle inserting into the dorsum of the base of the distal phalanx of the hallux, a vast majority of EHL muscles possess ≥1 accessory tendinous slips that insert into other neighboring bones, muscles, or tendons, which can complicate these surgeries...
August 23, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30146338/traumatic-epidermal-inclusion-cyst-after-minimally-invasive-surgery-of-a-displaced-intra-articular-calcaneal-fracture-a-case-report
#13
Jelle J Posthuma, Kristian J de Ruiter, Vincent M de Jong, Tim Schepers
Epidermal inclusion cysts are common epithelial cysts of the skin. The latter classically originate from progressive cystic ectasia of the infundibular portion of hair follicle. Therefore, these cysts are usually found in hairy regions and rarely in glabrous skin such as the palms and soles. The etiology of glabrous epidermal inclusion cysts appear to be different from that of those located in hairy regions. It has been suggested that implantation of epithelial cells into subcutaneous tissue, such as during trauma, is most likely the pathophysiologic basis...
August 23, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30146337/a-rare-incidence-of-pigmented-villonodular-synovitis-of-the-ankle-in-an-adolescent
#14
David Novikov, Meghan W Richardson, Corey Ho, Elaine S Gould, Fazel A Khan
Pigmented villonodular synovitis mostly affects the knee and other large joints such as the hip. Although the disease is most commonly found in adult patients aged 30 to 40 years, rare cases in children and the elderly have been reported. We present the case of an 11-year-old female who was found to have biopsy-proven pigmented villonodular synovitis in her subtalar joint in 2012. Five years after surgical excision, the patient has continued to be involved in competitive dancing and cheerleading without any pain in her ankle...
August 23, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30146336/short-term-outcomes-and-influencing-factors-after-ankle-fracture-surgery
#15
Ki Hyuk Sung, Soon-Sun Kwon, Yeo-Hon Yun, Moon Seok Park, Kyoung Min Lee, Muhyun Nam, Jae Hong Jung, Seung Yeol Lee
The present study investigated the factors influencing the early clinical outcomes after ankle fracture surgery. We included 88 patients, who had undergone implant removal surgery at 1 year after ankle fracture surgery, with ankle computed tomographic (CT) scans obtained before ankle fracture surgery and at implant removal available. We collected demographic information, including age, sex, the presence of diabetes mellitus, level of trauma energy, and fracture classification from the medical records. We also recorded the fracture height using the radiographs and CT images...
August 23, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30146335/rotational-instability-after-anterior-talofibular-and-calcaneofibular-ligament-section-the-experimental-basis-for-the-ankle-pivot-test
#16
Francisco Guerra-Pinto, Nuno Côrte-Real, Tiago Mota Gomes, Miguel Duarte Silva, José Guimarães Consciência, Mariano Monzo, Xavier Martin Oliva
The clinical diagnosis of the anterior talofibular ligament (ATFL) rupture is based on the findings from the medical history and the anterior drawer test, a maneuver that allegedly pushes the talus and rearfoot anteriorly, although with great variability in its sensitivity. We consider that an ATFL rupture is best evaluated by a rotational vector (i.e., a pivot test) owing to the uncompromised medial ligaments that will block any pure anterior translation of the talus underneath the tibia. We idealized a constrained ankle cadaver model that only allows talar movements in the axial plane...
August 23, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30115453/open-re-rupture-of-the-achilles-tendon-following-minimally-invasive-repair-a-case-report
#17
Cesar de Cesar Netto, Alessio Bernasconi, Lauren Roberts, Guilherme Honda Saito, William G Hamilton, Martin J O'Malley
In this report, we describe a rare complication of an open re-rupture of the Achilles tendon following a minimally invasive Achilles tendon repair on a healthy 29-year-old active male. The reinjury happened 19 weeks following the primary surgical repair of a spontaneous rupture, performed by minimally invasive technique with the help of a jig using partially absorbable sutures and four locking stitches. The wound of the open re-rupture was transverse, in a perpendicular orientation relative to the longitudinal approach used in the index procedure...
August 13, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30093219/arthrodesis-for-treatment-of-intra-articular-synovial-cysts-of-the-hallux-interphalangeal-joint
#18
Chen Wang, Xiang Geng, Xu Wang, Xin Ma, Chao Zhang, Jiazhang Huang
Synovial cysts are benign tissue masses that develop near joints and tendons as a result of fluid leakage. They can be difficult to eradicate, and adjacent tendon and joint surfaces can complicate their treatment. We retrospectively analyzed the data from 4 consecutive patients who had undergone hallux interphalangeal fusion from January 2009 to December 2010. Of the 4 patients, 3 were male and 1 was female, with a mean age of 55 ± 22 (range 26 to 79) years. These 4 patients had developed painful interphalangeal arthritis with radiographic cystic changes of 1 to 4 years' duration...
August 6, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30049601/endoscopic-approach-for-the-excision-of-giant-cell-tumor-of-tendon-sheath-involving-the-hindfoot-a-case-report
#19
Mark K Magnus, Brent A Fuerbringer, Thomas S Roukis
Giant cell tumor of tendon sheath (GCT-TS) is an often benign neoplasm that is relatively uncommon in the foot and ankle when compared to the upper extremities. Magnetic resonance imaging aids in characterizing the lesion, but diagnosis is confirmed with biopsy. Surgical excision is the preferred treatment. There is a lack of studies examining the long-term outcomes of endoscopic excision of GCT-TS, especially lesions found in the foot and ankle. The present study describes a case of a 42-year-old male with GCT-TS of the hindfoot treated with an endoscopic excision through a sinus tarsi approach...
July 23, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30030038/recent-national-trends-and-outcomes-in-total-ankle-arthroplasty-in-the-united-states
#20
Danil Rybalko, Garrett Schwarzman, Vincent Moretti
Total ankle arthroplasty (TAA) is an evolving option for treating ankle arthritis. We assessed the national trends in usage and perioperative outcomes of TAA in the United States. International Classification of Diseases, 9th revision (ICD-9), codes were used to search the National Hospital Discharge Survey database for TAA from 1997 to 2010. Patient demographics, comorbidities, hospitalization length, discharge disposition, blood transfusion, lower extremity deep vein thrombosis, pulmonary embolism, and mortality data were gathered...
July 18, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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