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Foot & Ankle Specialist

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https://www.readbyqxmd.com/read/29779399/a-feasibility-study-comparing-platelet-rich-plasma-injection-with-saline-for-the-treatment-of-plantar-fasciitis-using-a-prospective-randomized-trial-design
#1
Sarah Johnson-Lynn, Alan Cooney, Diarmaid Ferguson, Deborah Bunn, William Gray, Jonathan Coorsh, Rajesh Kakwani, David Townshend
Platelet-rich plasma (PRP) has been advocated for treatment of plantar fasciitis but there are few good-quality clinical trials to support its use. We conducted a feasibility study of PRP versus saline for treatment of plantar fasciitis. Patients with 6 months or more of magnetic resonance imaging-proven plantar fasciitis, who had failed conservative treatment were invited to participate in the study. Patients were block randomized to either PRP or an equivalent volume of saline. The techniques used for injection and rehabilitation were standardized for both groups...
May 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29707970/orthopaedic-in-training-examination-resources-and-residency-training-for-the-foot-and-ankle-domain
#2
Cory F Janney, Daniel Kunzler, Pejma Shazadeh Safavi, Vinod Panchbhavi
BACKGROUND: Residency programs use the annual Orthopaedic In-Training Examination (OITE) prepared by the American Academy of Orthopaedic Surgeons (AAOS) to monitor resident progress and prepare them for the part 1 of the American Board of Orthopaedic Surgeons (ABOS) Certifying Examination. The purpose of this study was to determine resources residents currently use to prepare for the OITE and also to learn about their perception of training they receive in the foot and ankle subspecialty in their program and their interest in foot and ankle fellowship after residency...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29682981/incidence-of-and-risk-factors-for-venous-thromboembolism-after-foot-and-ankle-surgery
#3
Samuel R Huntley, Eildar Abyar, Eva J Lehtonen, Harshadkumar A Patel, Sameer Naranje, Ashish Shah
BACKGROUND: Venous thromboembolism (VTE) is a rare but potentially lethal complication after orthopaedic foot and ankle surgery. The true incidence of VTE after orthopaedic foot and ankle surgery stratified by specific procedure has yet to be examined. The purpose of this study is to report the incidence of and identify risk factors for VTE in a large sample of patients receiving orthopaedic foot and ankle surgery. METHODS: In this study, we retrospectively analyzed data from the National Surgical Quality Improvement Program 2006 to 2015 data files...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29681160/particulated-autograft-cartilage-implantation-for-the-treatment-of-osteochondral-lesions-of-the-talus-a-novel-technique
#4
Connor Delman, John Wuellner, Chris Kreulen, Gregg Lundeen, Eric Giza
Osteochondral lesions of the talus often occur following ankle sprains and fractures. Operative intervention is typically required because of the diminished intrinsic repair capability of talar articular cartilage. Several techniques have evolved that emphasize replacing the defect with cartilage that closely mimics the biological properties of hyaline articular cartilage. The goals of operative treatment are resolution of symptoms, physiologic healing, and restoration of function while eliminating the need for further intervention...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29658301/avoiding-pitfalls-of-tibiotalocalcaneal-nail-malposition-with-internal-rotation-axial-heel-view
#5
Ryan Callahan, Paul Juliano, Umur Aydogan, Justin Clayton
BACKGROUND: Tibiotalocalcaneal (TTC) nails are often used for complex hind foot arthrodesis and deformity correction. The natural valgus alignment of the hindfoot creates a challenge to optimum placement of the guidewire and eventual nail with a straight or valgus-curved nail. METHODS: Five fresh frozen cadavers were used for placement of a TTC guidewire with standard anterior-posterior (AP), lateral, and Harris axial heel views as a reference for proper placement...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29652187/blood-transfusion-during-total-ankle-arthroplasty-is-associated-with-increased-in-hospital-complications-and-costs
#6
Michael A Ewing, Samuel R Huntley, Dustin K Baker, Kenneth S Smith, Parke W Hudson, Gerald McGwin, Brent A Ponce, Michael D Johnson
INTRODUCTION: Total ankle arthroplasty (TAA) is an increasingly used, effective treatment for end-stage ankle arthritis. Although numerous studies have associated blood transfusion with complications following hip and knee arthroplasty, its effects following TAA are largely unknown. This study uses data from a large, nationally representative database to estimate the association between blood transfusion and inpatient complications and hospital costs following TAA. METHODS: Using the Nationwide Inpatient Sample (NIS) database from 2004 to 2014, 25 412 patients who underwent TAA were identified, with 286 (1...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29652186/surgical-treatment-of-mild-to-severe-hallux-valgus-deformities-with-a-percutaneous-subcapital-osteotomy-combined-with-a-lateral-soft-tissue-procedure
#7
Mauro Maniglio, Paolo Fornaciari, Henrik Bäcker, Emanuel Gautier, Marc Lottenbach
Distal metatarsal (MT) osteotomies have been used in mild or moderate cases of hallux valgus (HV) and proximal MT osteotomy has been considered the treatment of choice for severe deformities. A distal osteotomy could achieve a greater degree of correction by the addition of a distal soft-tissue procedure and be used to treat also severe deformity. Limited evidence about the use of the percutaneous subcapital osteotomy (SCOT); a type of MT osteotomy, in combination of a soft tissue procedure, is available. We evaluated this procedure routinely used in our clinic...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29644885/short-to-mid-term-outcomes-following-the-use-of-an-arthroereisis-implant-as-an-adjunct-for-correction-of-flexible-acquired-flatfoot-deformity-in-adults
#8
Kempland C Walley, Gearin Greene, Jesse Hallam, Paul J Juliano, Michael C Aynardi
BACKGROUND: The use of an arthroereisis implant for the treatment of adolescent flatfoot deformity has been described. However, data that address the outcomes of patients treated with an arthroereisis implant in adults are limited. The purpose of this study was to investigate the radiographic and clinical outcomes and complications following the use of a subtalar arthroereisis implant as an adjunct for correction acquired flatfoot deformity secondary to posterior tibial tendon dysfunction...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29644884/prospective-analysis-of-surgical-bone-margins-after-partial-foot-amputation-in-diabetic-patients-admitted-with-moderate-to-severe-foot-infections
#9
Brian M Schmidt, Jonathan B McHugh, Rajiv M Patel, James S Wrobel
BACKGROUND: Osteomyelitis is common in diabetic foot infections and medical management can lead to poor outcomes. Surgical management involves sending histopathologic and microbiologic specimens which guides future intervention. We examined the effect of obtainment of surgical margins in patients undergoing forefoot amputations to identify patient characteristics associated with outcomes. Secondary aims included evaluating interobserver reliability of histopathologic data at both the distal-to and proximal-to surgical bone margin...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29631442/examination-of-the-origin-and-branching-direction-of-the-anterior-medial-malleolar-artery-from-the-anterior-tibial-artery-a-cadaveric-study
#10
Ichiro Tonogai, Fumio Hayashi, Yoshihiro Tsuruo, Koichi Sairyo
BACKGROUND: This study characterized the anterior medial malleolar artery (AMMA) branching from the anterior tibial artery (ATA) to identify problems in anterior ankle arthroscopy possibly contributing to injury to the AMMA. METHODS: Barium was injected into 12 adult cadaveric feet via the external iliac artery and the origin and branching direction of the AMMA were identified on computed tomography. RESULTS: The AMMA originated from the level of the ankle joint and below and above the ankle joint line (AJL) in 4 (33...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29607668/weight-bearing-radiographic-analysis-of-the-tibiofibular-syndesmosis
#11
Arsalan Amin, Cory Janney, Christopher Sheu, Daniel C Jupiter, Vinod K Panchbhavi
BACKGROUND: Diagnosis of distal tibiofibular syndesmotic injuries includes assessment of radiographs; however, there exist no agreed on standard diagnostic criteria. Previous studies lack consistency with radiographic evaluation methods. The dynamic nature of the ankle joint supports analyzing anatomical parameters using weight-bearing films to assess for tibiofibular syndesmotic integrity. METHODS: Weight-bearing tibiofibular syndesmosis radiographs of 39 male and 40 female patients were retrospectively analyzed by 3 investigators, at different levels of orthopaedic training...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29580095/minimal-invasive-fixation-can-decrease-infection-rates-in-diabetic-and-obese-patients-with-severe-ankle-fracture-and-syndesmotic-injury
#12
Nabil A Ebraheim, Matthew Dailey, Scott Huff, Yihuai Qu, Erik White, Jiayong Liu
BACKGROUND: Ankle fractures involving syndesmosis disruption cause severely unstable joint conditions. Traditional invasive operations put certain patient groups at an increased risk of infection. There is limited literature discussing the outcomes of minimally invasive fixation of severe ankle fractures including syndesmotic injury, as clinicians may be tempted to treat these difficult cases with open reduction internal fixation (ORIF). METHODS: A retrospective case-control study was conducted on patients treated at a level one trauma center...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29580094/outcomes-of-noninvasively-treated-idiopathic-toe-walkers
#13
Kerstin Radtke, Nataliia Karch, Fabian Goede, Bernhard Vaske, Gabriela von Lewinski, Yvonne Noll, Anneke Thren
Idiopathic toe walking (ITW) causes a common problem in pediatric orthopaedics. In the literature, numerous treatment options have been reported, but consensus about the management of ITW is still missing. The aim of the current study was to evaluate conservative treatment with pyramidal insoles. A total of 193 patients underwent conservative treatment between January 2010 and June 2013. Mean age at the beginning of the treatment was 7.75 ± 0.23 years (range 2.0-17.0 years). For all patients, demographic data, comorbid diseases, passive range of motion (ROM), persistent toe walking, and performed operations were retrospectively evaluated...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29577748/incarcerated-plantar-dislocation-of-the-first-metatarsophalangeal-joint-reduction-using-intra-articular-saline-injection
#14
Daniel D Bohl, Kamran S Hamid, David M Walton
Plantar dislocation of the first metatarsophalangeal (MTP) joint is exceedingly rare, and in prior reported cases, simple closed manipulation easily enabled reduction. We present here the first reported plantar dislocation that failed closed manipulation. We also report a technique involving injection of saline into the joint to facilitate reduction. The saline insufflation likely relieves buttonholing of the metatarsal head through the dorsal joint capsule. For first MTP joint plantar dislocations that fail reduction with manipulation, we recommend attempting injection of the joint with saline prior to subjecting the patient to open reduction...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29577747/fractures-of-the-lateral-process-of-the-talus-with-associated-ankle-instability-a-report-of-2-cases
#15
Maire-Clare Killen, Prasad Karpe, Rajiv Limaye
Fractures of the lateral process of the talus are uncommon, but often overlooked. They can result in significant functional deficit with residual nonunion and arthritis if not recognized and treated appropriately. We describe 2 cases of such injuries, one with acute recognition and management, and one with delayed diagnosis and nonunion. In both cases, pain from the fracture was accompanied by symptoms of instability requiring simultaneous lateral ligament reconstruction along with fracture fixation. Evaluation of patients with lateral process fractures should include assessment of the lateral ligaments; ankle instability may need to be surgically addressed along with intervention for fracture fixation...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29575922/evaluation-of-the-area-of-the-lisfranc-ligament-damaged-by-screw-fixation
#16
Isaac Fernandez, William M Weiss, Vinod K Panchbhavi
BACKGROUND: A cannulated screw is currently the standard fixation method to reduce and stabilize diastasis at the lisfranc joint following injury. Currently, there is no literature examining the area of the lisfranc ligament damaged by screw placement. The objective of this investigation is to define the area of the ligament damaged by fixation with a 3.5-mm cannulated screw. MATERIALS AND METHODS: Twelve cadaveric feet were dissected to identify the Lisfranc ligament metatarsal insertion site and origin on the medial cuneiform...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29537314/custom-3d-printed-total-talar-prostheses-restore-normal-joint-anatomy-throughout-the-hindfoot
#17
Joseph Tracey, Danny Arora, Christopher E Gross, Selene G Parekh
BACKGROUND: Third generation total talar prostheses (TTPs) are viable options for talar avascular necrosis (AVN) in the absence of neighboring joint pathology. The use of modern three-dimensional (3D) printing allows the production of custom implants that exactly mimic the patient's anatomy. The aim of this study is to determine the accuracy of 3D printing in reproducing a synthetic talus and, in doing so, restoring more normal anatomical relationships. We hypothesize that this mode of replication will restore and maintain normal radiographic alignment of the ankle, subtalar, and forefoot joints in the setting of talar AVN...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29532743/calcaneal-osteotomy-safe-zone-to-prevent-neurological-damage-fact-or-fiction
#18
Bradley Wills, Sung Ro Lee, Parke William Hudson, Bahman SahraNavard, Cesar de Cesar Netto, Sameer Naranje, Ashish Shah
BACKGROUND: Calcaneal osteotomy is a commonly used surgical option for the correction of hindfoot malalignment. A previous cadaveric study described a neurological "safe zone" for calcaneal osteotomy. We performed a retrospective chart review to evaluate the presence of neurological injuries following calcaneal osteotomies and the location of the osteotomy in relation to the reported safe zone. METHODS: In this retrospective study, we reviewed charts of patients who underwent calcaneal osteotomy at our institution from 2011 to 2015...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29532741/short-term-radiographic-outcome-after-distal-chevron-osteotomy-for-hallux-valgus-using-intramedullary-plates-with-an-amended-algorithm-for-the-surgical-management-of-hallux-valgus
#19
Takumi Matsumoto, Christopher E Gross, Selene G Parekh
Distal Chevron osteotomy is a well-established surgical procedure for mild to moderate hallux valgus deformity. Many methods have been described for fixation of osteotomy site; secure fixation, enabling large displacement of the metatarsal head, is one of the essentials of this procedure. The purpose of the present study was to evaluate the short-term radiographic outcome of a distal Chevron osteotomy using an intramedullary plate for the correction of hallux valgus deformity. The present study evaluated 37 patients (40 feet) who underwent distal Chevron osteotomy using an intramedullary plate by periodic radiographs obtained preoperatively and at 4 weeks, 8 weeks, 3 months, and 6 months postoperatively...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29770743/s822-899-icd-10-ankle-fracture-sequelae-how-to-manage-it-and-how-to-avoid-it-in-difficult-situations
#20
Joseph S Park, Seth R Yarboro, Minton Truitt Cooper, Stephen A Brigido, Minton Truitt Cooper
No abstract text is available yet for this article.
June 2018: Foot & Ankle Specialist
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