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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/30017422/routine-follow-up-radiographs-for-ankle-fractures-seldom-add-value-to-clinical-decision-making-a-retrospective-observational-study
#1
Pieter van Gerven, Nikki L Weil, Marco F Termaat, Sidney M Rubinstein, Mostafa El Moumni, Wietse P Zuidema, Jochem M Hoogendoorn, Hub G W M van der Meulen, Maurits W van Tulder, Inger B Schipper
Currently, the routine use of radiographs for uncomplicated ankle fractures represents good clinical practice. However, radiographs are associated with waiting time, radiation exposure, and costs. Studies have suggested that radiographs seldom alter the treatment strategy if no clinical indication for the imaging study was present. The objective of the present study was to evaluate the effect of routine radiographs on the treatment strategy during the follow-up period of ankle fractures. All patients aged ≥18 years, who had visited 1 of the participating clinics with an eligible ankle fracture in 2012 and with complete follow-up data were included...
July 13, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30007514/recurrent-dislocation-of-the-tibialis-posterior-tendon-treated-with-suture-tape-a-case-report-of-an-innovative-operative-procedure
#2
Tomohiro Matsui, Tsukasa Kumai, Yasuhito Tanaka
Dislocation of the tibialis posterior tendon (PTT) is a rare traumatic injury, and treatment is often delayed. Conservative treatment is ineffective for recurrent dislocation of the PTT; however, a reference standard procedure has not yet been established. In the present case report, we describe an innovative pseudo-pouch closing procedure with suture tape and a suture anchor for recurrent PTT dislocation. The patient returned to preoperative levels of activity at 21 weeks postoperatively and was asymptomatic at the 1-year follow-up examination...
July 12, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30005967/factors-associated-with-wound-and-implant-related-complications-after-surgical-treatment-of-ankle-fractures
#3
Diederik P J Smeeing, Jan P Briet, Charlotte S van Kessel, Michiel M Segers, Egbert J Verleisdonk, Luke P H Leenen, Roderick M Houwert, Falco Hietbrink
We have described the epidemiology of complications after surgical treatment of ankle fractures and assessed which factors are associated with the most frequent complications. We conducted a retrospective cohort study at 2 level 2 and 1 level 1 trauma center in a single trauma region in the Netherlands. The study variables were collected from the electronic medical patient records; all ankle fractures were classified using the Lauge-Hansen classification, and the complications were recorded. A total of 989 patients were included from 3 hospitals, with 173 complications in 156 patients (15...
July 10, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30005966/three-year-morbidity-and-mortality-rates-after-nontraumatic-transmetatarsal-amputation
#4
Barbara E Adams, Joshua P Edlinger, Miranda L Ritterman Weintraub, Jason D Pollard
Patients requiring a nontraumatic transmetatarsal amputation (TMA) typically have multiple comorbidities that place them at high risk of postoperative complications and additional surgery. The present study identified the demographic, clinical, and surgical risk factors that predict complications after a nontraumatic TMA, including the incidence of 3-year mortality, proximal limb amputation, and lack of healing. The electronic medical records of patients who had undergone TMA within a Kaiser Permanente Northern California facility from March 2007 to January 2012 (n = 375) were reviewed...
July 10, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30001940/black-bone-disease-of-the-foot-a-two-year-follow-up-case-study
#5
Adam Cornejo, Gerard J Kerbleski
"Black bone disease" is a term commonly used to describe a condition characterized by a blue/green/brown discoloration to the bone that often resembles infracted or necrotic bone. The chronic use of minocycline or tetracycline has been reported in previous data as a cause of this discoloration to the skin, bone, and teeth. However, the occurrence in bone is rare, with few studies reported regarding the discoloration. We previously presented a case of this condition encountered during cheilectomy of the first metatarsophalangeal joint in a patient who had had long-term usage of minocycline for adult acne...
July 9, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30001939/a-comparative-study-of-mini-scarf-versus-standard-scarf-osteotomy-for-hallux-valgus-correction
#6
Khalis Boksh, Sultan Qasim, Kinza Khan, Clare Tomlinson, Jitendra Mangwani
Scarf osteotomy is widely used for hallux valgus treatment. More recently, a trend has begun toward the use of minimally invasive techniques, including the mini-scarf osteotomy, in which the diaphyseal cut is shortened. We compared the mini-scarf and traditional scarf osteotomy to determine whether the mini-scarf osteotomy is as effective as the scarf osteotomy in correcting mild to moderate hallux valgus and improving clinical function. We reviewed the cases of 37 consecutive patients during a 2-year period...
July 9, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30001938/three-dimensional-reconstruction-of-foot-in-the-weightbearing-position-from-biplanar-radiographs-evaluation-of-accuracy-and-reliability
#7
Pierre-Yves Rohan, Antoine Perrier, Mira Ramanoudjame, Jérôme Hausselle, Henri Lelièvre, Raphael Seringe, Wafa Skalli, Philippe Wicart
The initial assessment and postoperative monitoring of patients with various abnormalities of the foot in clinical routine practice is primarily based on the analysis of radiographs taken in the weightbearing position. Conventional x-ray imaging, however, only provides a 2-dimensional projection of 3-dimensional (3D) bony structures, and the clinical parameters assessed from these images can be affected by projection biases. In the present work, we addressed this issue by proposing an accurate 3D reconstruction method of the foot in the weightbearing position from low-dose biplanar radiographs with clinical index measurement assessment for clinical routine practice...
July 9, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29937339/reconstruction-of-neglected-flexor-hallucis-longus-tendon-rupture-a-case-report
#8
Nikolaos Anastasopoulos, George Paraskevas, Nikolaos Lazaridis, Konstantinos Natsis
Isolated rupture of the flexor hallucis longus tendon is an unusual injury. We present the case of a neglected flexor hallucis longus tendon closed traumatic rupture at the plantar aspect of the first phalangeal head of the great toe in a middle-age male. The injury occurred while he was dancing. Because end-to-end tendon suture was impossible, the ensuing gap was repaired using a free plantaris tendon graft. We present the operative repair benefit of the flexor hallucis longus tendon rupture to regain the function and strength of the interphalangeal joint of the hallux, avoid extension of the distal phalanx, and maintain the longitudinal arch of the foot...
June 21, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29937338/distally-based-medial-plantar-flap-a-classification-of-the-surgical-techniques
#9
Amandine Bonte, Nicolas Bertheuil, Tiphaine Menez, Jean-Louis Grolleau, Christian Herlin, Benoit Chaput
The proximally based medial plantar flap is considered to be the reference standard for heel reconstruction. Although less well-studied, a distally based medial plantar flap is a suitable alternative when used to cover a distal foot defect, especially of the hallux, first metatarsal, or metatarsophalangeal joint. Our objective was to provide a complete description and propose a classification of the different surgical procedures used to harvest this flap. A review of the data reported in the MEDLINE database until May 2017 concerning the distally based medial plantar flap was performed...
June 21, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29937337/excess-cost-and-healthcare-resources-associated-with-delayed-diagnosis-of-charcot-foot
#10
Jonathan M Labovitz, Jarrod M Shapiro, V Kathleen Satterfield, Nathanael T Smith
The purpose of the present study was to demonstrate the effect of a delayed diagnosis of Charcot foot on acute care cost and usage. We used International Classification of Disease, Ninth Revision, Clinical Modification codes, and the California Office for Statewide Health Planning and Development 2009 to 2012 public patient discharge files to identify patients with type 2 diabetes mellitus and Charcot foot. The costs and length of stay were compared for those with a diagnosis of Charcot foot on admission compared with those who received a delayed diagnosis of Charcot foot before discharge...
June 21, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29933904/treatment-of-chronic-subluxation-of-the-peroneal-tendons-using-a-modified-posteromedial-peroneal-tendon-groove-deepening-technique
#11
Mu Hu, Xiangyang Xu
The present study investigated the clinical efficacy of a modified approach for the treatment of chronic subluxation of the peroneal tendons using posteromedial peroneal tendon groove deepening. We retrospectively analyzed the data from 21 patients who had undergone posteromedial peroneal tendon groove deepening combined with repair of the tendon sheath for the treatment of chronic subluxation of the peroneal tendons from March 2006 to October 2012. The lateral edge of the peroneal tendon groove was left untouched...
June 19, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29914730/foot-loading-and-gait-analysis-evaluation-of-nonarticular-tibial-pilon-fracture-a-comparison-of-three-surgical-techniques
#12
Gabriele Falzarano, Giuseppe Pica, Antonio Medici, Giuseppe Rollo, Michele Bisaccia, Raffaele Cioffi, Mario Pavone, Luigi Meccariello
The aim of our study was to investigate which technique among hybrid external fixation, plate and screws, and intramedullary nailing produces better outcomes in foot loading when treating type 43.A1, 43.A2, and 43.A3 fractures, according to the AO classification. From November 2011 to December 2014, 34 patients, including 25 (73.5%) males and 9 (26.5%) females with an average age of 32.3 (range 16 to 67) years, with a type A tibia fracture were treated with intramedullary nailing, plate and screws, or hybrid external fixation...
June 15, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29914729/why-fibular-nailing-can-be-an-efficient-treatment-strategy-for-ao-type-44-b-ankle-fractures-in-the-elderly
#13
Sam Peeperkorn, Stefaan Nijs, Harm Hoekstra
The reference standard treatment of unstable AO type 44-B ankle fractures is open reduction and internal fixation. However, delayed-staged surgery because of compromised soft tissues results in prolonged hospitalization and increased total healthcare costs in the elderly (age ≥65 years). The aim of the present study was to measure the efficiency of intramedullary fibular nailing (IMFN) in the elderly. A prospective series of 15 elderly patients with an AO type 44-B ankle fracture treated with IMFN were compared with a retrospective cohort of 97 elderly patients treated with plate and screw osteosynthesis (PSOS)...
June 15, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29903593/a-case-of-vascular-leiomyoma-causing-osseous-malformations-in-the-foot
#14
Shelly D Sedberry, Elizabeth L Bondi, Michael I Gazes, Peter Blume
A vascular leiomyoma is a vascular soft tissue tumor that is relatively rare and benign. They usually occur as solitary lesions and are well encapsulated. The present study describes a unique case of vascular leiomyoma causing erosions of a metatarsal secondary to compression from the tumor. We present a female in her fourth decade of life with osseous malformations of the third metatarsal that became painful after an acute trauma to the foot.
June 11, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29891131/anatomic-feasibility-of-distal-fibula-bicortical-screw-fixation-with-lateral-neutralization-plating-for-rotational-ankle-fractures
#15
Laura E Sansosti, Andrew J Meyr
A common technique for fixation of rotational fibular fractures is to use an interfragmentary compression screw with a laterally positioned neutralization plate. The objective of the present investigation was to examine the anatomic feasibility of distal fibula bicortical fixation within this plating technique. A specific screw insertion technique was performed through a laterally positioned one-third tubular plate on a consecutive series of 81 intact cadaveric ankle mortises. The most distal plate hole was drilled, aimed 10° posterior to the midline of the fibula...
June 8, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29891130/anatomic-basis-for-minimally-invasive-flexor-hallucis-longus-transfer-in-chronic-achilles-tendon-rupture
#16
Choon Chiet Hong, Wei Ting Lee, Diarmuid Paul Murphy, Ken Jin Tan
The present cadaveric study was designed to measure the flexor hallucis longus (FHL) tendon length and obtain anatomic data regarding the graft-to-tunnel length ratio in an interference screw fixation model for the FHL short-harvest single-incision technique to the calcaneus. Ten fresh-frozen paired cadaveric specimens were used for the FHL short-harvest technique. The length of the osseous tunnel in the calcaneus was measured. At harvesting of the FHL tendon, the length of the tendon that traverses the osseous tunnel was measured with the ankle in neutral and maximal plantarflexion from the tip of the osseous tunnel to the transected end of the tendon within the bone tunnel...
June 8, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29891129/severe-ankle-arthritis-after-multiple-hemarthrosis-secondary-to-factor-xi-deficiency-a-case-report
#17
Steven M Douthett, Lawrence Fallat
Hemophilic arthropathy of the ankle is an extremely unique condition that affects a small subset of the population in the United States. We present the case of a 66-year-old male with factor XI deficiency, which, over years of repetitive microtrauma as a professional soccer player, led to multiple hemarthrosis and severe arthropathy of his right ankle. The patient successfully underwent total ankle replacement arthroplasty and was able to return to recreational sports and competitive road cycling.
June 8, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29891128/long-term-outcomes-of-corrective-osteotomies-using-porous-titanium-wedges-for-flexible-flatfoot-deformity-correction
#18
Michael Matthews, Emily A Cook, Jeremy Cook, Lindsay Johnson, Timothy Karthas, Byron Collier, Daniel Hansen, Elena Manning, Bryon McKenna, Philip Basile
Common corrective osteotomies used in flexible flatfoot deformity reconstruction include Cotton and Evans osteotomies, which require structural graft to maintain correction. Auto-, allo-, and xenografts are associated with a number of limitations, including disease transmission, rejection, donor site morbidity, technical challenges related to graft fashioning, and graft resorption. Porous titanium is a synthetic substance designed to address these flaws; however, few studies have been reported on the efficacy, safety, and long-term outcomes...
June 8, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29880325/increasing-physical-activity-might-be-more-effective-to-improve-foot-structure-and-function-than-weight-reduction-in-obese-adults
#19
Xiaoguang Zhao, Takehiko Tsujimoto, Bokun Kim, Yasutomi Katayama, Kiyoji Tanaka
Obesity is reported to be an important factor affecting foot structure and function. For obese individuals, weight reduction or increasing weight physical activity could be an effective approach to improve foot structure and function. The present study sought to determine the effect of weight reduction and increasing physical activity on foot structure and function in obese Japanese and to investigate which intervention is more beneficial. The participants were divided into the weight reduction group (n = 30; body mass index 29...
June 4, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29880324/concordance-between-bone-pathology-and-bone-culture-for-the-diagnosis-of-osteomyelitis-in-the-presence-of-charcot-neuro-osteoarthropathy
#20
Tammer Elmarsafi, Anagha Kumar, Paul S Cooper, John S Steinberg, Karen K Evans, Christopher E Attinger, Paul J Kim
The diagnosis of osteomyelitis (OM) is a challenging but critical pathology to uncover in patients with concomitant Charcot neuro-osteoarthropathy (CN). The reference standard to diagnose OM is bone biopsy for histopathologic and microbiologic examination. The presence of CN, however, can have a negative effect on the accuracy of either method to identify OM. The aim of the present study was to examine the concordance between bone pathology and bone cultures in the presence of CN in the diagnosis of OM. A total of 286 patients with diabetes mellitus (DM) and CN were identified retrospectively, with 48 patients identified with OM...
June 4, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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