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Foot & Ankle International

Manuel J Pellegrini, Jesus Sevillano, Cristian Ortiz, Eric Giza, Giovanni Carcuro
Instability is a common sequela after repeated ankle sprains. When nonoperative treatment fails, open lateral ligament complex repair and reinforcement with the inferior extensor retinaculum has been the gold standard procedure. The recent advancements in arthroscopic techniques have created comparable biomechanical and functional results to open procedures. The authors' modification to the standard arthroscopic technique permits ligament approximation to the distal fibula over a larger surface area, using knotless anchors to avoid the need of an accessory portal and limit potential suture knot-related complications...
January 11, 2019: Foot & Ankle International
Leah Guichard, Alexis Vanhaesebrouck, Dominique Fletcher, Yves Stiglitz, Alexandra Rouquette, Valeria Martinez
BACKGROUND: The pain trajectory after ankle surgeries for osteoarthritis is relevant to describe. The purpose of this prospective study was to describe pain after ankle surgery and explore the link between perioperative factors and the development of postoperative pain. METHODS: Duration, severity, type of preoperative pain, psychological distress, opioid consumption, and type of surgery were evaluated in 49 patients who were followed for 18 months. Acute postoperative pain in the first 10 days after surgery was modeled by a pain trajectory...
January 10, 2019: Foot & Ankle International
Guiping Liu, Alexander C Peterson, Kevin Wing, Trafford Crump, Alastair Younger, Murray Penner, Andrea Veljkovic, Hannah Foggin, Jason M Sutherland
BACKGROUND: Significant ankle arthritis results in functional limitations and patient morbidity. There is a need to measure symptoms and the impact of interventions on patient's quality of life using valid and reliable patient-reported measurement instruments. The objective of this research was to validate the Ankle Osteoarthritis Scale instrument in the preoperative setting using factor analysis, item response theory, and differential item function methods. METHODS: This research is based on secondary analysis of patients scheduled for ankle arthrodesis or total ankle replacement in Vancouver, Canada...
January 10, 2019: Foot & Ankle International
Jessica E Goetz, Nicole Szabo, M James Rudert, Matthew D Karam, Phinit Phisitkul
BACKGROUND: Fibular malreduction is becoming a commonly recognized complication of surgical repair of the syndesmosis when a reduction clamp is used. The goal of this work was to determine the interdependent effects of transsyndesmotic reduction clamp position and applied compression force on fibular alignment in a realistic cadaveric preparation of complete syndesmotic injury. METHODS: Six through-the-knee cadaveric specimens were CT scanned intact, with the distal syndesmosis fully destabilized, and with 53, 102, and 160 N clamping forces each applied along an anteriorly, centrally, and posteriorly directed transsyndesmotic axis...
January 9, 2019: Foot & Ankle International
Byung-Ki Cho, Seok-Hyun Hong, Jae-Hyeon Jeon
BACKGROUND: Although lateral ligament augmentation using suture-tape has been effective for restoration of mechanical ankle stability, few data are available regarding changes of peroneal strength, proprioception, and postural control. The aim of this study was to determine effects of suture-tape augmentation on functional ankle instability (FAI). METHODS: Twenty-four patients who underwent suture-tape augmentation were eligible and were followed more than 2 years postoperatively...
January 9, 2019: Foot & Ankle International
Nayla Gosselin-Papadopoulos, Jonah Hébert-Davies, G Yves Laflamme, Marie Beauséjour, Jérémie Ménard, Stéphane Leduc, Marie-Lyne Nault
BACKGROUND: In this cadaveric study, a new "torque test" (TT) stressing the fibula posterolaterally under direct visualization was compared with the classical external rotation stress test (ERT) and lateral stress test (LST). METHODS: The anteroinferior tibiofibular ligament (AiTFL), the interosseous membrane (IOM), and the posteroinferior tibiofibular ligament (PiTFL) were sectioned sequentially on 10 fresh-frozen human ankles. At each stage of dissection, instability was assessed using the LST, ERT, and TT under direct visualization...
December 31, 2018: Foot & Ankle International
Martin Sullivan, Ilian Dominiq Eusebio, Kristin Haigh, Juan Paulo Panti, Abdullah Omari, Jacqueline Hang
BACKGROUND: The evidence regarding the prevalence of deep vein thrombosis (DVT) after foot and ankle surgery in elective patients that need to be 6 weeks non-weight bearing postoperatively is incomplete and has limitations. METHODS: The prevalence of DVT in 114 procedures involving the hindfoot and midfoot was determined using ultrasonographic surveillance at 2 and 6 weeks after surgery. RESULTS: The prevalence of DVT was observed to be 25...
December 21, 2018: Foot & Ankle International
Stephen J Warner, Elizabeth B Gausden, Ashley E Levack, Dean G Lorich
BACKGROUND: Rotational ankle fractures can present with an array of possible osseous and ligamentous injury combinations in reliable anatomic locations. What accounts for these different injury patterns and whether specific patient and injury factors underlie the different injury patterns is unclear. The purpose of this study was to determine whether causative factors exist that could account for the various injury patterns seen with rotational ankle fractures. METHODS: A registry of operatively treated supination external rotation stage IV (SER IV) ankle fractures was used to identify patients...
December 21, 2018: Foot & Ankle International
Henrik C Bäcker, Matthew Konigsberg, Christina E Freibott, Melvin P Rosenwasser, Justin K Greisberg, J Turner Vosseller
BACKGROUND: Medial malleolar fractures commonly occur as part of rotational ankle fractures, which often require surgery. Different fixation techniques exist, including unicortical or bicortical lag-screw fixation. Bicortical screws that engage the lateral distal tibia have been noted to be biomechanically superior to unicortical ones with a lower failure rate. The authors of this study have used unicortical screws routinely. This study was initiated to investigate the clinical results of a large series of patients with unicortical medial malleolar fixation...
December 20, 2018: Foot & Ankle International
Elise B Burger, Shaktie A Lalé, Steven E R Hovius, Christianne A van Nieuwenhoven, Sicco A Bus
BACKGROUND: Treatment of preaxial foot polydactyly, a duplication of the first ray, consists of excision of an extra ray, aiming to improve shoe fitting and aesthetic appearance, while maintaining foot function. Currently, the effect of excision on foot function and foot-related patient experiences is unclear. METHODS: A cross-sectional comparison between 37 children treated for preaxial foot polydactyly and 37 age- and sex-matched healthy controls was performed...
December 20, 2018: Foot & Ankle International
Antonio Palazón-Bru, María Isabel Tomás-Rodríguez, Emma Mares-García, Vicente Francisco Gil-Guillén
BACKGROUND: A reliability generalization study of a questionnaire is necessary to provide higher-level evidence for its reliability. This has not been performed for the Victorian Institute of Sport Assessment-Achilles tendinopathy (VISA-A) questionnaire. The VISA-A has been a commonly used questionnaire to evaluate the symptoms of Achilles tendon disorders and their impact on physical activity, one of the most common disorders among athletes and sports persons (9%-40%). Furthermore, this questionnaire has been translated to several languages and due to its simplicity is one of the most widely used questionnaires for patients with this type of disorder...
December 20, 2018: Foot & Ankle International
Fred T Finney, Aaron McPheters, Natalie V Singer, Jaron C Scott, Karl J Jepsen, James R Holmes, Paul G Talusan
BACKGROUND: Lesser toe plantar plate attenuation or disruption is being increasingly implicated in a variety of common clinical conditions. A multitude of surgical techniques and devices have been recently developed to facilitate surgical repair of the plantar plate. However, the microvascular anatomy, and therefore the healing potential in large part, has not been defined. We investigated the microvasculature of the plantar plate by employing a novel technique involving microvascular perfusion and nano-computed tomography (nano-CT) imaging...
December 19, 2018: Foot & Ankle International
Michael S Pinzur
No abstract text is available yet for this article.
December 19, 2018: Foot & Ankle International
Justin Tsai, Elizabeth McDonald, Ryan Sutton, Steven M Raikin
BACKGROUND: Lateral column lengthening and plantarflexion dorsal opening wedge osteotomy of the medial cuneiform are 2 commonly used procedures to address the deformity seen in severe flexible pes planovalgus deformity. Traditionally, iliac crest allograft or autograft has been used to fill the osteotomy sites. Porous metallic wedges can be used as an alternative to avoid the concerns associated with both autograft and allograft. METHODS: We performed a retrospective review of patients who had corrective osteotomies utilizing metallic wedges to address flexible pes planovalgus with at least 2 years of follow-up data...
December 19, 2018: Foot & Ankle International
Henryk Liszka, Artur Gądek
BACKGROUND: The objective of the study was to assess the influence of the type of fixation of the Akin osteotomy when used during hallux valgus surgery. METHODS: Between 2013 and 2016, we performed 138 Akin osteotomy procedures employing a staple (group A, 43 patients), screw (group B, 47 patients), and single or double transosseous suture stabilization (group C, 48 patients). We assessed the pre- and postoperative interphalangeal angle (IPA), hallux valgus angle (HVA), and intermetatarsal angle (IMA) on dorsoplantar and lateral foot weightbearing x-rays and used the American Orthopaedic Foot & Ankle Society (AOFAS) hallux-metatarsophalangeal-interphalangeal scale for preoperative and 12-month postoperative follow-up clinical assessment...
December 19, 2018: Foot & Ankle International
Jason M Sutherland, Janice Mok, Guiping Liu, Trafford Crump, Kevin Wing, Alastair Younger, Murray Penner, Andrea Veljkovic
BACKGROUND: Bunion correction surgery is a very common procedure to improve patients' pain and physical function attributable to a misaligned first metatarsophalangeal joint. The objective of this study was to apply a health utility framework to estimate the cost utility of bunion correction surgery. METHODS: Patients were prospectively recruited from the population of patients seen in a lower-extremity orthopedic clinic and scheduled for isolated bunion surgery...
December 17, 2018: Foot & Ankle International
John Y Kwon, Jorge Briceno
No abstract text is available yet for this article.
December 17, 2018: Foot & Ankle International
Steven L Haddad
No abstract text is available yet for this article.
December 12, 2018: Foot & Ankle International
Elizabeth A Harkin, Andrew M Schneider, Michael Murphy, Adam P Schiff, Michael S Pinzur
BACKGROUND: Deformity associated with Charcot foot arthropathy leads to a poor quality of life in affected individuals. Deformity in the midfoot appears to be predictive of clinical outcomes following operative correction. The goal of this retrospective study was to determine if that same methodology could be applied to patients treated for Charcot foot arthropathy involving the ankle joint. METHODS: Fifty-six consecutive patients underwent operative reconstruction of Charcot foot deformity involving the ankle joint by a single surgeon over a 14-year period...
December 10, 2018: Foot & Ankle International
James A Nunley, Selene G Parekh, James K DeOrio
No abstract text is available yet for this article.
December 7, 2018: Foot & Ankle International
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