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Foot & Ankle Specialist

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https://www.readbyqxmd.com/read/28814102/minimally-invasive-plate-osteosynthesis-using-locking-plates-for-ao-43-type-fractures-lessons-learnt-from-a-prospective-study
#1
Rajeev Shukla, Nikhil Jain, Ravi Kant Jain, Shravan Patidar, Vivek Kiyawat
INTRODUCTION: Managing fractures of distal tibia is still a subject of debate for orthopaedic surgeons in terms of both, reduction and fixation. Subcutaneous location and soft tissue anatomy predisposes it to angular and rotational instability as well as other bony and soft tissue complexities. Minimally invasive plating offers many advantages over conventional open techniques. It causes minimal soft tissue dissection and surgical trauma to the bone. Minimally invasive plate osteosynthesis(MIPO) maintains biological configuration of distal tibia and fracture hematoma and also provides a construct, which is biomechanically more stable...
August 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28800719/total-ankle-arthroplasty-comparing-perioperative-outcomes-when-performed-at-an-orthopaedic-specialty-hospital-versus-an-academic-teaching-hospital
#2
David M Beck, Eric M Padegimas, David I Pedowitz, Steven M Raikin
BACKGROUND: The number of total ankle arthroplasties (TAAs) performed in the United States has risen significantly in recent years, as has utilization of orthopaedic specialty hospital (OSH) to treat healthy patients undergoing elective surgery. The purpose of this study was to compare postoperative outcomes following TAA at an OSH when compared with a matching population of patients undergoing TAA at an academic teaching hospital (ATH). METHODS: We identified all TAA from January 2014 to December 2014 at the OSH and January 2010 to January 2016 at the ATH...
August 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28800708/multiplanar-correction-of-the-lesser-digital-deviation-and-indirect-plantar-plate-rupture-repair-using-a-braided-polyethylene-nylon-suture-a-technique-guide
#3
Cody D Blazek, Roberto A Brandão, Jeffrey M Manway, Patrick R Burns
Forefoot and lesser digital pathology continues to be a challenging area of surgical correction for foot and ankle surgeons. Many techniques for the correction of digital deformities secondary to plantar plate rupture, regardless of planal dominance, have been described including direct repair and metatarsal shortening osteotomies for repair. The authors present a new technique for multiplanar correction of deformed lesser digits without direct repair of the plantar plate rupture utilizing a specialty suture...
August 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28699355/content-relevance-of-the-foot-and-ankle-ability-measure-in-patients-with-achilles-tendon-diseases
#4
Christopher W Reb, Sundeep S Saini, James F Stenson, Mohamed F Albana, David I Pedowitz, Steven M Raikin, Joseph N Daniel
BACKGROUND: The Foot and Ankle Ability Measure (FAAM) is among the most widely utilized and best psychometrically supported lower extremity-specific patient-reported outcome measures. However, its content relevance has never been directly subjected to patient assessment. METHODS: This was an institutional review board-approved, prospective, cross-sectional study of 75 patients with Achilles tendon diseases who ranked the relevance of the FAAM's items and subscales as 1 = Not relevant, 2 = Somewhat relevant, or 3 = Very relevant...
July 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28691501/factors-contributing-to-hospital-stay-and-total-inpatient-charges-in-total-ankle-arthroplasty-review-of-the-national-inpatient-sample
#5
Jason L Codding, Benjamin M Zmistowski, Daniel E Davis, Mitchell G Maltenfort, David I Pedowitz
Total ankle arthroplasty (TAA) is commonly performed for end-stage ankle osteoarthritis. Given rising costs and declining reimbursements, identifying variables increasing length of stay (LOS) and total inpatient charges (TICs) of TAA is necessary for providing cost-effective care. The National Inpatient Sample (NIS) database was reviewed between 1993 and 2010, identifying LOS and TIC for TAA. Using a multivariate analysis, patient comorbidities, demographics, payment, and hospital details were evaluated. Median LOS decreased from 5 to 2 days, whereas median TICs increased from $21 382...
July 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28677405/a-retrospective-case-series-of-carbon-fiber-plate-fixation-of-ankle-fractures
#6
Zachariah W Pinter, Kenneth S Smith, Parke W Hudson, Caleb W Jones, Ryan Hadden, Osama Elattar, Ashish Shah
Distal fibula fractures represent a common problem in orthopaedics. When fibula fractures require operative fixation, implants are typically made from stainless steel or titanium alloys. Carbon fiber implants have been used elsewhere in orthopaedics for years, and their advantages include a modulus of elasticity similar to that of bone, biocompatibility, increased fatigue strength, and radiolucency. This study hypothesized that carbon fiber plates would provide similar outcomes for ankle fracture fixation as titanium and steel implants...
July 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28617050/complications-following-operatively-treated-ankle-fractures-in-insulin-and-non-insulin-dependent-diabetic-patients
#7
Kevin P Haddix, R Carter Clement, Joshua N Tennant, Robert F Ostrum
BACKGROUND: Diabetics with ankle fractures experience more complications than the general population, but it is unclear whether complications differ between type 1 and 2 diabetics and between insulin- and non-insulin-dependent diabetics. This study aims to determine if there is a difference in postoperative complication rates between these groups. METHODS: An administrative health care database from a large commercial insurer was queried to identify operatively treated ankle fractures in patients with type 1 (T1D), type 2 (T2D), type 2 insulin-dependent (T2ID), and type 2 non-insulin-dependent (T2NID) diabetes...
June 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28597687/comparison-of-calcaneal-exposure-through-the-extensile-lateral-and-sinus-tarsi-approaches
#8
Katherine M Bedigrew, James A Blair, Daniel R Possley, Kevin L Kirk, Joseph R Hsu
The purpose of this study was to compare the exposure of the posterior facet with the extensile lateral (EL) approach compared with the sinus tarsi (ST) approach. We hypothesized that the ST approach will provide a similar exposure of the posterior calcaneal facet. A total of 8 sequential ST then EL approaches were performed on cadavers. Calcaneal landmarks were identified by visualization or palpation. Calibrated digital photographs of the posterior facet and lateral calcaneal body were obtained from standardized positions and used to calculate the exposed surface area...
June 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28587484/seven-year-follow-up-of-matrix-induced-autologous-implantation-in-talus-articular-defects
#9
Christopher Kreulen, Eric Giza, Judie Walton, Martin Sullivan
BACKGROUND: Osteochondral lesions of the talus (OLT) are difficult to treat because of the poor intrinsic healing capability of articular cartilage. Matrix-induced autologous chondrocyte implantation (MACI) has been shown to be a reliable method for treating cartilage lesions that fail to respond to traditional microfracture and debridement. The purpose of this study was to assess 7-year clinical follow-up data of this technique and demonstrate midterm success of this implant. METHODS: A prospective investigation of MACI was performed on 10 patients with OLTs who had failed previous arthroscopic treatment...
June 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28587478/operative-treatment-of-the-ingrown-toenail-with-a-less-invasive-technique-flashback-to-the-original-winograd-technique
#10
Yalkin Camurcu, Hakan Sofu, Ahmet Issin, Nizamettin Kockara, Hakan Saygili
OBJECTIVE: The aim of this study was to evaluate the results of the partial nail plate excision and curettage of nail bed and matrix (the original Winograd technique) in patients with ingrown toenail. MATERIALS AND METHODS: Patients with ingrown toenail who were treated surgically from May 2014 to June 2015, with a minimum follow-up of 1 year were included in this study. Those who had previous ingrown toenail surgery were excluded. Partial nail plate excision with curettage of nail bed and nail matrix was performed for all patients...
June 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28580856/short-term-perioperative-complications-and-mortality-after-total-ankle-arthroplasty-in-the-united-states
#11
Kenneth A Heida, Brian Waterman, Eric Tatro, Julia Bader, Andrew C McCoy, Nicholas Rensing, Justin Orr
This study sought to identify patient and operative demographics associated with 30-day perioperative complications in patients undergoing total ankle arthroplasty as recorded in the National Surgical Quality Improvement Project database. Complications were divided into local and systemic and further subcategorized as major and minor. A total of 404 patients underwent total ankle arthroplasty between 2007 and 2014 as captured in the National Surgical Quality Improvement Project database. The overall complication rate was 2...
June 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28719782/sports-injuries-of-the-foot-and-ankle-how-do-treatments-differ-from-the-general-patient-population
#12
Selene G Parekh, Kirk A McCullough, Stephen A Brigido, Stephen A Brigido, Minton Truitt Cooper
No abstract text is available yet for this article.
August 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28719781/2017-2018-conferences
#13
(no author information available yet)
No abstract text is available yet for this article.
August 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28719780/venous-thromboembolic-prophylaxis-in-foot-and-ankle-surgery-a-review-of-current-literature-and-practice
#14
Martin H S Weisman, James R Holmes, Todd A Irwin, Paul G Talusan
Venous thromboembolism (VTE) is a well-known and feared complication following foot and ankle surgery, as it is a source of morbidity and mortality in the perioperative phase. The most recent CHEST guidelines recommended against the use of chemoprophylaxis and the majority of the literature has found a low incidence of VTE following foot and ankle surgery. Some authors prefer screening patients for risk factors and recommend the use of chemoprophylaxis on a case-by-case basis. Interestingly, studies that found high incidence of VTE were unable to determine a statistically significant difference between the prophylaxis and placebo groups...
August 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28719779/cement-casting-to-optimize-reconstruction-of-chronic-osteochondral-lesions-of-the-talus
#15
Jorge Pulgar, Mario Escudero, Giovanni Carcuro, Adam Schiff, Manuel Pellegrini
Few surgical techniques have been described for reconstruction in massive osteochondral lesions of the talus, and there is limited evidence of techniques for accurately reproducing native talar anatomy with bone auto/allograft techniques. In this article, we present a novel technique, which is highly reproducible, using bone cement to restore the congruence and anatomy of the ankle joint. LEVELS OF EVIDENCE: Level V: Technical tip.
August 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28719778/medial-malleoli-fractures-clinical-comparison-between-newly-designed-sled-device-and-conventional-screws
#16
Hemil Maniar, Harish Kempegowda, Akhil A Tawari, Michael R Rutter, Amrut Borade, Gerard Cush, Daniel S Horwitz
BACKGROUND: The Trimed Medial Malleolar Sled is a newer device designed to treat medial malleolus fracture. The purpose of this study was to compare the outcome of medial malleolar fractures treated with the sled and conventional malleolar screws. METHODS: After obtaining an institutional review board approval, we conducted a retrospective study to identify all skeletally mature patients who sustained an ankle fracture with medial malleolar involvement treated with the sled and we identified a matched cohort treated with conventional malleolar screws...
August 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28645228/so-this-is-it%C3%A2
#17
W Bret Smith
No abstract text is available yet for this article.
August 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28345364/anatomically-contoured-anterior-plating-for-isolated-tibiotalar-arthrodesis-a-systematic-review
#18
Nicholas Kusnezov, John C Dunn, Logan R Koehler, Justin D Orr
INTRODUCTION: We performed a systematic review of the published literature to characterize patient demographic, surgical techniques, and functional outcomes to elucidate the complication and revision rates following isolated tibiotalar arthrodesis with anatomically contoured anterior plating. METHODS: A comprehensive literature search was performed. Inclusion criteria were peer-reviewed studies in English, after 1990, at least 10 patients, and reporting clinical outcomes following contoured anterior plating and with follow-up of at least 80% and 1 year...
August 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28092971/literature-review-of-idiopathic-toe-walking-etiology-prevalence-classification-and-treatment
#19
David Pomarino, Juliana Ramírez Llamas, Stephan Martin, Andrea Pomarino
PURPOSE: The main objective of this review is to gather the information available about idiopathic toe walking (ITW), its prevalence and classification, and possible therapeutic approaches. In addition, this review aims to clarify the differences between idiopathic toe walkers and tiptoe walkers with underlying neurological or muscle deficiency as primary conditions. Understanding its causes and learning to make a differential diagnosis will help determine the adequate therapeutic approach...
August 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27920102/modified-lambrinudi-arthrodesis-for-the-acute-treatment-of-neurogenic-clubfoot-a-case-report
#20
Eric So, Lee M Hlad
Neurogenic contracture often results in spastic, nonreducible equinovarus deformity. Rigid contracture leads to pain, instability, and bracing difficulties. This case report details the utilization of the modified Lambrinudi triple arthrodesis intended to create a plantigrade, functional limb that is amenable to an extremity brace in a case of an acquired neurologic clubfoot. LEVELS OF EVIDENCE: Therapeutic, Level IV: Case Report.
August 2017: Foot & Ankle Specialist
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