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Foot & Ankle International

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https://www.readbyqxmd.com/read/28731802/neurovascular-structures-at-risk-with-curved-retrograde-ttc-fusion-nails
#1
Cesar de Cesar Netto, David Johannesmeyer, Brent Cone, Ibukunoluwa Araoye, Parke William Hudson, Bahman Sahranavard, Michael Johnson, Ashish Shah
BACKGROUND: The purpose of this study was to assess the risk of iatrogenic injury to plantar neurovascular structures of the foot during insertion of a curved retrograde tibiotalocalcaneal (TTC) fusion nail. MATERIAL AND METHODS: Ten below-knee thawed fresh-frozen cadaveric specimens underwent curved retrograde nailing of the ankle. The shortest distance between the nail and the main plantar neurovascular branches and injured structures were recorded during dissection...
July 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28708955/nonweightbearing-radiographs-in-patients-with-a-subtle-lisfranc-injury
#2
Dong-Kyo Seo, Ho-Seong Lee, Ki Won Lee, Suk Kyu Lee, Sang-Bum Kim
BACKGROUND: A midfoot sprain can be easily missed because of minimal findings on initial radiographs, which are almost universally nonweightbearing. We investigated preoperative nonweightbearing plain radiographic images in patients who were found to have unstable subtle Lisfranc injuries. METHODS: We retrospectively reviewed 51 patients who were operated on between February 2004 and March 2015. Abnormal preoperative radiographic findings and intraoperative instability were compared...
July 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28708946/sports-participation-functional-outcome-and-complications-after-ankle-arthrodesis-midterm-follow-up
#3
Yvonne R A Kerkhoff, Noël L W Keijsers, Jan Willem K Louwerens
BACKGROUND: Ankle arthrodesis provides satisfactory functional outcome based on basic daily activities, but information regarding more demanding tasks is limited. Also, studies reporting longer term survival and complication rates are sparse and concern small study populations. This study reports functional outcome with more focus on demanding tasks and sports and reports the mid- to long-term union and complication rates in a large study population. METHODS: Between 2005 and 2010, an ankle arthrodesis was performed on 185 ankles...
July 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28693353/injury-characteristics-of-low-energy-lisfranc-injuries-compared-with-high-energy-injuries
#4
Christopher H Renninger, Grant Cochran, Trevor Tompane, Joseph Bellamy, Kevin Kuhn
BACKGROUND: Lisfranc injuries result from high- and low-energy mechanisms though the literature has been more focused on high-energy mechanisms. A comparison of high-energy (HE) and low-energy (LE) injury patterns is lacking. The objective of this study was to report injury patterns in LE Lisfranc joint injuries and compare them to HE injury patterns. METHODS: Operative Lisfranc injuries were identified over a 5-year period. Patient demographics, mechanism of injury, injury pattern, associated injuries, missed diagnoses, clinical course, and imaging studies were reviewed and compared...
July 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28675940/influence-of-geometry-and-depth-of-resections-on-bone-support-for-total-ankle-replacement
#5
Jeffrey E Bischoff, Lew Schon, Charles Saltzman
BACKGROUND: Aseptic component loosening is a leading cause of revision for total ankle replacement. Different operative approaches for resecting the tibia and talus impact the bony support for the prostheses due to variations in both bone density and resection area, and may therefore impact loosening performance. METHODS: Computed tomography data from 116 subjects were obtained, and solid models of the talus and tibia were generated. Bone density, resection area, and bony support were measured on a series of flat resections for each subject, at multiple resection depths...
July 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28686846/effect-of-first-tarsometatarsal-joint-derotational-arthrodesis-on-first-ray-dynamic-stability-compared-to-distal-chevron-osteotomy
#6
Tero Klemola, Juhana Leppilahti, Vesa Laine, Ilkka Pentikäinen, Risto Ojala, Pasi Ohtonen, Olli Savola
BACKGROUND: Hallux valgus alters gait, compromising first ray stability and function of the windlass mechanism at the late stance. Hallux valgus correction should restore the stability of the first metatarsal. Comparative studies reporting the impact of different hallux valgus correction methods on gait are rare. We report the results of a case-control study between distal chevron osteotomy and first tarsometatarsal joint derotational arthrodesis (FTJDA). METHODS: Two previously studied hallux valgus cohorts were matched: distal chevron osteotomy and FTJDA...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28673102/open-reduction-assisted-with-an-external-fixator-and-internal-fixation-with-calcaneal-locking-plate-for-intra-articular-calcaneal-fractures
#7
Hui Yao, Huading Lu, Huiqing Zhao, Lulu Lv, Gang Hou
BACKGROUND: The extensile lateral approach (ELA) has been considered to be a standard approach for displaced intra-articular calcaneal fractures (DICF) because it provides excellent exposure and allows direct reduction of the depressed posterior facet fragment. But continuous retraction during surgery needs sufficient manpower and may cause ischemia. Failure of rigid fixation of DICF will not allow for early weight bearing and may lead to a loss of reduction. To avoid these disadvantages, this study presents open reduction assisted with an external fixator and internal fixation with a calcaneal locking plate...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28671032/measuring-the-operative-treatment-effect-in-end-stage-ankle-arthritis-are-we-asking-the-right-questions-a-cofas-multicenter-study
#8
Kevin J Wing, Nuria Chapinal, Marcus P Coe, Timothy R Daniels, Mark Glazebrook, Peter Dryden, Alastair Younger, Murray J Penner, Jason M Sutherland
BACKGROUND: Foot and ankle surgeons are increasingly relying on patient-reported outcome measures (PROMs) such as the Ankle Osteoarthritis Scale (AOS) to evaluate treatment options. The objectives of this retrospective cohort study were 2-fold: (1) to examine the AOS instrument using psychometric analysis and (2) to revise the questions on the AOS to improve the effect of questions on the score and remove redundancies. METHODS: Pre- and postoperative patient scores were obtained from AOS questionnaires in the COFAS Prospective Ankle Reconstruction Database, a cohort of patients operatively treated for end-stage ankle arthritis...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28670918/novel-double-osteotomy-technique-of-distal-tibia-for-correction-of-asymmetric-varus-osteoarthritic-ankle
#9
Beat Hintermann, Roxa Ruiz, Alexej Barg
BACKGROUND: A most challenging condition for balancing a varus arthritic ankle is the presence of a defect in the medial tibial plafond. After our initial results with a medial tibial plafondplasty did not fulfill our expectations of success, we hypothesized that adding a correcting supramalleolar osteotomy of the distal tibia would move the loading force to the tibiotalar joint more medially and move the center of rotation of the talus more laterally. In this study, we analyzed midterm clinical and radiographic outcomes in patients with double tibial osteotomy...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28670917/topical-review-maci-as-an-emerging-technology-for-the-treatment-of-talar-osteochondral-lesions
#10
Travis J Dekker, Brandon Erickson, Samuel B Adams, Christopher E Gross
Matrix-induced autologous chondrocyte implantation (MACI) is a viable procedure that can be used as both a primary or revision cartilage regenerative procedure in high-functioning individuals without tibiotalar arthritis. Both short-term and midterm follow-up results demonstrate clinical, radiographic, and functional improvements with high rates of return to full activities. Cost remains a chief concern with the use of this technique, but theoretical improvements in the durability of repair with type II cartilage replacement may offer long-term benefits...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28670914/high-prevalence-of-chronic-pain-with-neuropathic-characteristics-after-open-reduction-and-internal-fixation-of-ankle-fractures
#11
Nadia Rbia, Cornelis H van der Vlies, Berry I Cleffken, Ruud W Selles, Steven E R Hovius, Tim H J Nijhuis
BACKGROUND: Unstable ankle fractures require treatment with open reduction and internal fixation (ORIF). Long-term functional outcome is satisfying in most patients; however, a number of patients have persistent complaints. Superficial nerve complications following ankle surgery may be the cause of chronic pain and disability. METHODS: In this observational retrospective survey, a cohort of 527 women and men, who underwent ORIF in the period from January 2007 to January 2014, were invited to an online questionnaire...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28656782/impact-of-generalized-joint-laxity-on-plantar-loading-patterns-in-young-females
#12
Elif Aydın, Ayfer Metin Tellioğlu, I Mran Kurt Ömürlü, Yasemin Turan
BACKGROUND: Generalized joint laxity is often associated with gait deviations. The aim of this study was to investigate the static and dynamic loading pattern of the foot with increasing joint mobility and to discuss the potential impact of this condition on the plantar loading patterns. METHODS: Seventy female participants between ages of 18 and 30 were included in this cross-sectional survey. The Beighton-Horan Joint Mobility Index scores were assessed and participants divided into 3 categories: no hypermobility (NH) group, scores 0 to 2; moderate hypermobility (MH) group, scores 3 to 4; distinct hypermobility (DH) group, scores 5 to 9...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28649861/access-to-health-care
#13
Michael S Pinzur
No abstract text is available yet for this article.
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28639869/economic-burden-of-inpatient-admission-of-ankle-fractures
#14
Justin D Stull, Suneel B Bhat, Justin M Kane, Steven M Raikin
BACKGROUND: Ankle fractures are among the most prevalent traumatic orthopaedic injuries. A large proportion of patients sustaining operative ankle fractures are admitted directly from the emergency department prior to operative management. In the authors' experience, however, many closed ankle injuries may be safely and effectively managed on an outpatient basis. The aim of this study was to characterize the economic impact of routine inpatient admission of ankle fractures. METHODS: A retrospective review of all outpatient ankle fracture surgery performed by a single foot and ankle fellowship-trained surgeon at a tertiary level academic center in 2012 was conducted to identify any patients requiring postoperative inpatient admission...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28627315/bioabsorbable-fixation-screw-for-proximal-interphalangeal-arthrodesis-of-lesser-toe-deformities
#15
Jascha Armin Wendelstein, Peter Goger, Peter Bock, Reinhard Schuh, Priv Doz, Hans-Jörg Trnka
BACKGROUND: Although standard fixation of proximal interphalangeal (PIP) arthrodesis by K-wire is relatively inexpensive and well established, it does have some drawbacks, making newer fixation devices interesting. The aim of this study was to clinically and radiologically assess the operative correction of the lesser toe deformation in the form of a PIP arthrodesis using a bioabsorbable 2.7-mm fixation screw. METHODS: From January 2011 until October 2013, 34 patients underwent a PIP arthrodesis using the TRIM-IT (Arthrex) 2...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28617095/association-of-ankle-arthritis-score-with-need-for-revision-surgery
#16
Stephen Croft, Kevin J Wing, Timothy R Daniels, Mark Glazebrook, Peter Dryden, Alastair Younger, Murray J Penner, Jason M Sutherland
BACKGROUND: The Ankle Arthritis Score (AAS) is a new patient-reported outcome derived from the Ankle Osteoarthritis Scale (AOS). This study analyzed longitudinally collected data from a cohort of patients in the Canadian Orthopaedic Foot and Ankle Society (COFAS) Ankle Arthritis Study in order to evaluate whether the postoperative AAS is associated with need for revision surgery. METHODS: A multicenter, prospective, ankle-reconstruction study enrolled 653 ankles undergoing total ankle replacement (TAR) or ankle arthrodesis (AA)...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28617064/corticosteroid-injection-for-the-treatment-of-morton-s-neuroma-a-prospective-double-blinded-randomized-placebo-controlled-trial
#17
Xavier Lizano-Díez, Alberto Ginés-Cespedosa, Eduard Alentorn-Geli, Daniel Pérez-Prieto, Gemma González-Lucena, Carlo Gamba, Santiago de Zabala, Alberto Solano-López, Pau Rigol-Ramón
BACKGROUND: The effectiveness of corticosteroid injection for the treatment of Morton's neuroma is unclear. In addition, most of the studies related to it are case-control or retrospective case series. The purpose of this study was to compare the effectiveness between corticosteroid injection associated with local anesthetic and local anesthetic alone (placebo control group) for the treatment of Morton's neuroma. METHODS: Forty-one patients with a diagnosis of Morton's neuroma were randomized to receive 3 injections of either a corticosteroid plus a local anesthetic or a local anesthetic alone...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28617051/radiographic-detection-of-marginal-impaction-in-supination-adduction-ankle-fractures
#18
Ram K Alluri, J Ryan Hill, Steven Donohoe, Mark Fleming, Eric Tan, Geoffrey Marecek
BACKGROUND: The purpose of this study was to describe the incidence of plafond impaction in supination-adduction type II (SAD-II) ankle fractures and assess the accuracy of plain radiographs in detecting plafond impaction and predicting planned operative management compared to computed tomography (CT). METHODS: Patients with SAD-II ankle fractures were retrospectively identified. All SAD-II plain radiographs were reviewed (120 fractures) and compared to CT images (55 fractures)...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28608725/driving-after-hallux-valgus-surgery
#19
Elizabeth McDonald, Rachel Shakked, Joseph Daniel, David I Pedowitz, Brian S Winters, Christopher Reb, Mary-Katherine Lynch, Steven M Raikin
BACKGROUND: The purpose of the study was to determine when patients can safely return to driving after first metatarsal osteotomy for hallux valgus correction. METHODS: After institutional review board approval, 60 patients undergoing right first metatarsal osteotomy for hallux valgus correction surgery were recruited prospectively. Patients' brake reaction time (BRT) was tested at 6 weeks and repeated until patients achieved a passing BRT. A control group of twenty healthy patients was used to establish as passing BRT...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28602138/validation-of-patient-reported-outcomes-measurement-information-system-computerized-adaptive-tests-against-the-foot-and-ankle-outcome-score-for-6-common-foot-and-ankle-pathologies
#20
Jayme C B Koltsov, Stephen T Greenfield, Dylan Soukup, Huong T Do, Scott J Ellis
BACKGROUND: The field of foot and ankle surgery lacks a widely accepted gold-standard patient-reported outcome instrument. With the changing infrastructure of the medical profession, more efficient patient-reported outcome tools are needed to reduce respondent burden and increase participation while providing consistent and reliable measurement across multiple pathologies and disciplines. The primary purpose of the present study was to validate 3 Patient-Reported Outcomes Measurement Information System computer adaptive tests (CATs) most relevant to the foot and ankle discipline against the Foot and Ankle Outcome Score (FAOS) and the Short Form 12 general health status survey in patients with 6 common foot and ankle pathologies...
June 1, 2017: Foot & Ankle International
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