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Foot & Ankle Specialist

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https://www.readbyqxmd.com/read/29134816/liquifying-pldlla-anchor-fixation-in-achilles-reconstruction-for-insertional-tendinopathy
#1
Stephanie A Boden, Allison L Boden, Danielle Mignemi, Jason T Bariteau
Insertional Achilles tendinopathy (IAT) is a frequent cause of posterior heel pain and is often associated with Haglund's deformity. Surgical correction for refractory cases of IAT has been well studied; however, the method of tendon fixation to bone in these procedures remains controversial, and to date, no standard technique has been identified for tendon fixation in these surgeries. Often, after Haglund's resection, there is large exposed cancellous surface for Achilles reattachment, which may require unique fixation to optimize outcomes...
November 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29126353/potential-for-bias-and-the-american-orthopaedic-foot-and-ankle-society-ankle-hindfoot-scoring-system
#2
Alec Macaulay, Sreeharsha V Nandyala, Christopher P Miller, Mohammad Ghorbanhoseini, Kempland C Walley, John Y Kwon
BACKGROUND: The American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scoring System (AOFAS-AH) has not been validated and has significant risk for researcher bias, given that 40 out of 100 points are assessed by study staff subjectively. The purpose of this study is to evaluate its recent use in the orthopaedic literature to determine the percentage of previously published studies for which study conclusions would be changed if the AOFAS-AH scores were artificially altered, representing the effect of a systematic researcher bias...
November 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29076759/internal-fixation-of-displaced-intra-articular-fractures-of-the-hallux-through-a-dorsomedial-approach-a-technical-tip
#3
Danilo Ryuko Cândido Nishikawa, Fernando Aires Duarte, Cesar de Cesar Netto, Augusto César Monteiro, Rômulo Ballarin Albino, Fabio Corrêa Paiva Fonseca
Phalangeal fractures of the toes represent common injuries of the forefoot. In the hallux, most fractures occur at the distal phalanx and frequently result from a direct crushing type of injury. Intra-articular fractures of the hallux are usually treated nonoperatively, except when the fragments are displaced and the joint is incongruent. Displaced fractures treated nonoperatively can result in degenerative arthritis of the interphalangeal joint, causing pain and range of motion limitation, hindering gait and weightbearing...
October 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29073794/porous-titanium-wedges-in-lateral-column-lengthening-for-adult-acquired-flatfoot-deformity
#4
Spencer H Moore, S Evan Carstensen, M Tyrrell Burrus, Truitt Cooper, Joseph S Park, Venkat Perumal
Lateral column lengthening (LCL) is a common procedure for reconstruction of stage II flexible adult-acquired flatfoot deformity (AAFD). The recent development of porous titanium wedges for this procedure provides an alternative to allograft and autograft. The purpose of this study was to report radiographic and clinical outcomes achieved with porous titanium wedges in LCL. A retrospective analysis of 34 feet in 30 patients with AAFD that received porous titanium wedges for LCL from January 2011 to October 2014...
October 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29047294/deep-transverse-metatarsal-ligament-transection-in-morton-s-neuroma-excision-a-cadaveric-study-examining-effects-on-metatarsal-alignment
#5
Nathaniel Preston, Daniel Peterson, Jamey Allen, Jill S Kawalec, Jeffrey Whitaker
BACKGROUND: In the dorsal incisional approach for Morton's neuroma, it is required to transect the deep transverse metatarsal ligament (DTML) that lies in the interspace between the third and fourth metatarsal heads. The purpose of this study was to evaluate the relationship between transection of the DTML in the third intermetatarsal space and the metatarsal alignment. METHODS: Nine human cadaveric lower extremity limbs were used for this study. Each limb was mounted to the MTS 858 Mini Bionix biomechanical test system and loaded to 120% of the donor's documented body weight at a rate of 15 lbf/s, in order to simulate peak weightbearing ground reactive forces on the forefoot...
October 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29029575/effect-of-gender-on-mechanical-properties-of-the-plantar-fascia-and-heel-fat-pad
#6
Serkan Taş
BACKGROUND: The purpose of the study was to investigate the plantar fascia and heel fat pad stiffness and thickness parameters in females and compare these values with those of males. METHODS: This study was carried out in 60 healthy sedentary participants (30 female, 30 male) between the ages of 19 and 50 years. Shear wave velocity (SWV) and thickness of the plantar fascia and heel fat pad were measured with an ultrasonography device. RESULTS: Males had a higher plantar fascia ( P = ...
October 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29029574/early-postoperative-infection-following-open-reduction-internal-fixation-repair-of-closed-malleolar-fractures
#7
Meredith A Schade, Christopher S Hollenbeak
BACKGROUND: Early postoperative infection (EPI) following hardware placement in patients with malleolar fractures is a serious complication. Identifying factors that place patients at risk for early infection may help target interventions to prevent infections. METHODS: Data for the study included all adult patients who underwent operative management for closed malleolar fracture from 2006 to 2013 in the National Surgical Quality Improvement Program database. Characteristics of patients with and without EPI were compared using univariate tests...
October 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29025282/clinical-outcomes-following-an-open-gastrocnemius-recession-combined-with-an-endoscopic-plantar-fasciotomy
#8
Jennifer L Mulhern, Nicole M Protzman, N Jake Summers, Stephen A Brigido
At present, there is a paucity of literature describing the clinical outcomes following a combined gastrocnemius recession and endoscopic plantar fasciotomy. The purpose of the present report is to describe our preliminary findings following a combined gastrocnemius recession and endoscopic plantar fasciotomy for the treatment of plantar fasciitis and gastrocnemius equinus recalcitrant to conservative therapy. Twenty-five consecutive ankles in 23 patients (age 51.2 ± 12.5 years, 4 men) met the inclusion and exclusion criteria...
October 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28975803/the-evaluation-of-foot-rockers-on-the-kinematic-parameters-of-individuals-with-diabetes
#9
Mohammad Karimi
BACKGROUND: A variety of shoe modifications have been used to reduce the forces applied on the plantar surface of the foot in those with diabetes. Toe and heel rockers are 2 of the most common types used. The aim of this study is to evaluate the effect of these shoe modifications on the kinematics of both normal and diabetic individuals. METHOD: Two groups of healthy and diabetic individuals were recruited for this study. The Qualysis motion analysis system was used to record the motions of participants while walking with shoes with toe and a combination of toe and heel rockers (combined)...
October 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28952794/management-of-a-tibial-plafond-lung-cancer-metastasis-using-an-intramedullary-hindfoot-fusion-nail
#10
Andrew R Hsu, Adam D Lindsay
Metastatic disease to the tibial plafond is rare with few reports in the literature. No consensus exists regarding surgical reconstruction of large structural defects of the ankle due to these lesions, as each treatment must be tailored to the individual patient's goals and prognosis. Cancer metastases pose a unique challenge to limb salvage as there is often bone loss and poor soft tissue quality combined with the need for postoperative adjuvant therapy. The goal of surgery is to obtain early weightbearing, pain relief, and a durable reconstruction that will outlive the patient...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28952792/comparison-of-ankle-joint-visualization-between-the-70%C3%A2-and-30%C3%A2-arthroscopes-a-cadaveric-study
#11
Ichiro Tonogai, Fumio Hayashi, Yoshihiro Tsuruo, Koichi Sairyo
Ankle arthroscopy is an important diagnostic and therapeutic tool. Arthroscopic ankle surgery for anterior ankle impingement or osteochondral lesions (OCLs) is mostly performed with a 30° arthroscope; however, visualization of lesions is sometimes difficult. This study sought to compare ankle joint visualization between 70° and 30° arthroscopes and clarify the effectiveness of 70° arthroscopy. Standard anterolateral and anteromedial portals were placed with 4-mm 70° or 30° angled arthroscopes in a fresh 77-year-old male cadaveric ankle...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28895442/an-alternate-technique-of-applying-lag-screw-for-fixation-of-distal-fibula-fracture-posterior-to-anterior-interfragmentary-compression-screw
#12
Suganth Jayaraman Vijimohan, Syed Haque, David Ellis
Ankle fractures are one of the most common lower limb fractures, representing a significant portion of the trauma workload. Marked proportion of these is isolated intraarticular lateral malleolus fractures. Anatomical reduction and rigid internal fixation using lag screw (interfragmentary screw) to provide interfragmentary compression has remained the choice of treatment in selected lateral malleolus fractures. Applying interfragmentary compression screw from anterior to the posterior surface of the fibula has been the traditional method of performing this...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28884594/predicting-failure-of-nonoperative-treatment-for-insertional-achilles-tendinosis
#13
James F Stenson, Christopher W Reb, Joseph N Daniel, Sundeep S Saini, Mohammed F Albana
Nonoperative treatment for midportion Achilles tendinosis is well defined by the literature. Multiple modalities are described for the management of insertional Achilles pathology, but no consensus exists regarding efficacy. Surgical intervention for insertional Achilles tendinosis (IAT) is successful greater than 80% of the time. Our objective was to risk stratify patients who would fail nonsurgical management of IAT and thus benefit progressing to surgery. We reviewed the records of 664 patients with IAT...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28877594/a-medial-malleolar-fleck-sign-may-predict-ankle-instability-in-ligamentous-supination-external-rotation-ankle-fractures
#14
Kenneth Nwosu, Brian Andrew Schneiderman, Stephen Joseph Shymon, Thomas Harris
BACKGROUND: Ankle joint stability dictates treatment in ligamentous supination external rotation ankle injuries (LSERAI). Investigation of the medial structures that support the ankle mortise is critical, and a small avulsion fracture, or "fleck", of the medial malleolus is occasionally encountered. This study aimed to assess the utility of this medial malleolus fleck sign (MMFS) in diagnosing instability requiring surgery in LSERAI. METHODS: This retrospective observational study examined 166 LSERAI at a single level I trauma center...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28877593/is-there-a-role-for-mri-in-plantar-heel-pain
#15
Muhammad Ali Fazal, Demetris Tsekes, Irshad Baloch
INTRODUCTION: There is an increasing trend to investigate plantar heel pain with magnetic resonance imaging (MRI) scan though plantar fasciitis is the most common cause. The purpose of our study was to evaluate the role of MRI in patients presenting with plantar heel pain. METHODS: Case notes and MRI scans of 141 patients with a clinical diagnosis of plantar fasciitis were reviewed retrospectively. There were 98 females and 43 males patients. Fourteen patients had bilateral symptoms...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28874071/factors-influencing-patient-selection-of-a-foot-and-ankle-surgeon
#16
Blaine T Manning, Daniel D Bohl, Kevin C Wang, Kamran S Hamid, George B Holmes, Simon Lee
An increasingly consumer-centric health insurance market has empowered patients to select the providers of their choice. There is a lack of studies investigating the rationale by which patients select a foot and ankle surgeon. In the present study, 824 consecutive new patients seeking treatment from 3 foot-ankle surgeons were consecutively administered an anonymous questionnaire prior to their first appointment. It included rating the importance of 15 factors regarding specialist selection on a 1 to 10 scale, with 10 designated " Very important" and 1 designated " Not important at all...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28874067/sural-flap-use-for-the-treatment-of-wounds-with-underlying-osteomyelitis-graft-size-a-predictor-in-outcome-a-systematic-review
#17
Sham Persaud, Anthony Chesser, Ryan Pereira, Adrianne Ross
The sural flap procedure is a versatile technique that can be used to cover many types of defects about the lower extremity. The management of soft tissue defects of the lower extremity with underlying osteomyelitis is difficult. The goal for any of these patients is to create a biomechanically stable foot for weight-bearing purposes with no continued infection. Data were gathered using multiple databases from the years 2000 to 2016. Data were compiled looking at the number of subjects, age, comorbidities, number of complications, number of failures, and average flap size of complications/failures...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28874066/the-role-of-the-accessory-malleolar-ossicles-and-malleolar-avulsion-fractures-in-lateral-ankle-ligament-reconstruction
#18
Matthew M Reiner, Jonathan J Sharpe
While it is well known that ankle sprains are one of the most common injuries in the United States, predictive factors regarding failure of conservative treatment are not well known. There are many biomechanical and epidemiological factors that play a role in recurrence and failure of conservative treatment, but most cases are able to be treated with immobilization and/or rest, ice, elevation, physical therapy, and bracing. We propose that one important risk factor is often overlooked simply due to the fact that a vast majority of these cases resolve without the need for surgery...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28920488/broomsticks-tennis-balls-and-locking-plates
#19
Jack Schuberth
No abstract text is available yet for this article.
October 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28920487/unilateral-dislocation-of-the-posterior-tibialis-tendon-ptt-and-flexor-digitorum-longus-tendon-with-contralateral-ptt-subluxation-in-a-patient-with-congenitally-shallow-flexor-groove
#20
Jacob E Waldron, Andrew S Bernhardson, Todd A Fellars
INTRODUCTION: Flexor tendon dislocation from the flexor tendon groove posterior of the medial malleolus has been previously described, and may be difficult to diagnose initially, but is amendable to surgical treatment with good outcomes. We present a unique case of unilateral dislocation of the posterior tibialis and flexor digitorum longus tendons with contralateral flexor digitorum longus subluxation that was treated surgically with a good outcome. CASE PRESENTATION: A 37-year-old active duty male sustained a dislocation and subluxation of the flexor tendons bilaterally after a forced dorsiflexion injury...
October 2017: Foot & Ankle Specialist
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