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Foot & Ankle Specialist

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https://www.readbyqxmd.com/read/28513218/three-cycles-of-radiofrequency-ablation-are-more-efficacious-than-two-in-the-management-of-morton-s-neuroma
#1
David Brooks, Adam Parr, William Bryceson
BACKGROUND: Morton's neuroma is a common cause of forefoot pain. Outcomes of conservative therapy are mixed and many patients undergo operative intervention. Radiofrequency ablation has recently gained favor as a treatment option, although the optimal regime is unknown. This study investigates the effectiveness of 2 versus 3 cycles of radiofrequency ablation for the treatment of Morton's neuroma. METHODS: We surveyed a cohort of patients with Morton's neuroma who had progressed to radiofrequency ablation after failed conservative treatment...
May 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28513217/a-preliminary-study-on-the-effect-of-computer-aided-designed-and-manufactured-orthoses-on-chronic-plantar-heel-pain
#2
Alfred Gatt, Mark Grech, Nachiappan Chockalingam, Cynthia Formosa
INTRODUCTION: Chronic plantar heel pain (CPHP) is a significant, painful condition referring to a range of undifferentiated foot conditions that affect the heel of the foot. METHOD: Participants presenting with CPHP of more than 6 months' duration were recruited on a first through the door basis. Computer-Aided Design and Computer-Aided Manufactured (CAD-CAM) orthoses were designed and constructed for each participant, then dispensed as per normal practice. Pre- and postintervention assessment of pain was performed at baseline and after 6 weeks of use, utilizing the pain subset of the Foot Function Index (FFI)...
May 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28506083/ultrasound-guided-percutaneous-needle-fenestration-and-corticosteroid-injection-for-anterior-and-anterolateral-ankle-impingement
#3
Levon N Nazarian, Nar V Gulvartian, Erik C Freeland, Wen Chao
BACKGROUND: Ankle impingement is a common cause of chronic ankle pain. We retrospectively studied the effectiveness of ultrasound-guided percutaneous needle fenestration of the pathological soft tissues combined with corticosteroid injection to treat this condition. METHODS: We administered a telephone survey to patients who underwent the procedure. Patients were asked questions on the Foot Function Index and queried about their overall satisfaction with the procedure on a scale of 0 (completely unsatisfied) to 10 (very satisfied)...
May 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28506082/novel-use-of-active-leptospermum-honey-for-ringed-fixator-pin-site-care-in-diabetic-charcot-deformity-patients
#4
Alexander L Lazarides, Kamran S Hamid, Michael S Kerzner
INTRODUCTION: Open reduction with external fixation (OREF) utilizing fine wire ringed fixators for correction of Charcot deformity has gained popularity over the past decade. Pin site infections are a well-documented complication of external fixation as well as a driver of escalating health care costs. We aimed to demonstrate the safety and efficacy of a novel method of pin site care utilizing active Leptospermum honey-impregnated dressings (MediHoney) in diabetic patients undergoing deformity correction with OREF...
May 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28447473/a-midterm-review-of-lesser-toe-arthrodesis-with-an-intramedullary-implant
#5
James Lee Harmer, Anthony Wilkinson, Anthony John Maher
Lesser toe deformities are one of the most common conditions encountered by podiatric surgeons. When conservative treatments fail surgical correction is indicated. Many surgical options have been described to address the complex nature of these deformities but no perfect solution has been reported to date. However, with the continued advancement of internal fixation technology, interphalangeal joint (IPJ) arthrodesis with an intramedullary implant may be a good option. This retrospective study presents patient reported outcomes and complications at 6 months and 3 years following lesser toe proximal interphalangeal joint (PIPJ) arthrodesis with a polyketone intrameduallary implant (Toe Grip, Orthosolutions, UK)...
April 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28438029/posterior-tibialis-tendon-rupture-in-a-closed-bimalleolar-equivalent-ankle-fracture-case-report
#6
Richard M Wardell, Andrew E Hanselman, Scott D Daffner, Robert D Santrock
Ankle fractures with an associated posterior tibialis tendon (PTT) rupture are rare injuries and have only been described in a number of case reports. These prior reports include patients that had an open fracture and/or an associated medial malleolar fracture component. In this unique case report, we present a patient that sustained a closed bimalleolar-equivalent ankle fracture/dislocation without medial malleolar involvement which was irreducible due to a PTT rupture and subsequent distal segment interposition in the tibiotalar joint...
April 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28423941/guide-pin-placement-technique-for-total-ankle-replacement-in-patients-who-had-ipsilateral-total-knee-arthroplasty
#7
Natalie Hua, Aprajita Nakra, Jerome K Steck
We describe a simple technique for guide pin placement for total ankle replacement in patients who underwent previous ipsilateral total knee arthroplasty. LEVELS OF EVIDENCE: Level V.
April 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28423940/preoperative-risk-factors-for-complications-in-elective-ankle-and-hindfoot-reconstruction
#8
Ryan P Mulligan, Kevin J McCarthy, Benjamin J Grear, David R Richardson, Susan N Ishikawa, G Andrew Murphy
BACKGROUND: The purpose of this study was to examine medical, social, and psychological factors associated with complications and reoperation after foot and ankle reconstruction. METHODS: A retrospective chart review was conducted of 132 patients (135 feet; 139 operative cases) who had elective foot and ankle reconstruction. Medical, social, and psychological variables were documented. Primary outcomes included complications and reoperations. RESULTS: The overall complication rate was 28% (39/139), and the reoperation rate was 17% (24/139)...
April 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28413894/isolated-gastrocnemius-recession-for-the-treatment-of-achilles-tendinopathy
#9
Kenneth S Smith, Caleb Jones, Zachariah Pinter, Ashish Shah
BACKGROUND: Various treatment modalities have been described for Achilles tendinopathy with varying degrees of success. The rationale for the gastrocnemius recession procedure is to decrease the mechanical overload of the Achilles tendon arising from an equinus contracture. METHODS: We retrospectively reviewed 25 patients who underwent an isolated gastrocnemius recession procedure at our institution between May 2013 and April 2015 by a single surgeon. Clinical outcome was evaluated on the basis of pain, utilizing visual analog scale (VAS) scores and the Foot Function Index (FFI) by telephonic interview...
April 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28413884/incidence-and-risk-factors-of-venous-thromboembolism-after-orthopaedic-foot-and-ankle-surgery
#10
Jamal Ahmad, Mary-Katherine Lynch, Mitchell Maltenfort
BACKGROUND: This study examines the incidence and risk of postoperative symptomatic venous thromboembolism (VTE) after orthopaedic foot/ankle surgery. MATERIALS: Patients that received foot/ankle surgery between 2006 and 2016 were reviewed. Inclusion criteria were surgical patients that were without coagulopathy, previous VTE, and/or using anticoagulation medications including aspirin. Age, sex, body mass index, medical comorbidities, and surgical diagnosis and procedure(s) were noted...
April 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28382835/severe-hallux-valgus-with-coalition-of-the-hallux-sesamoids-treated-with-modified-lapidus-procedure-a-case-report
#11
Toshinori Kurashige, Seiichi Suzuki
Coalition of the hallux sesamoids is an extremely rare condition. To our knowledge, only 1 case report has been published. We report a case of severe hallux valgus deformities with coalitions of the hallux sesamoids. The coalitions themselves were asymptomatic; however, this severe hallux valgus deformity needed to be surgically treated. The hallux sesamoids in both feet appeared to be fused and heart shaped on anteroposterior radiographs and dumbbell shaped on axial radiographs. It is known that postoperative incomplete reduction of the medial sesamoids can be a risk factor for the recurrence of hallux valgus...
April 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28367641/vitamin-d-levels-do-not-predict-risk-of-metatarsal-fractures
#12
Benjamin R Williams, Avis J Thomas, Rachel C Collier, Troy J Boffeli, Sarah A Anderson
INTRODUCTION: In the literature, there is conflicting data regarding the relationship between vitamin D and fractures. Reports on the effects of vitamin D levels on pathologies of the foot and ankle are limited. The purpose of this study is to assess the prevalence of vitamin D insufficiency in patients who have sustained low-energy metatarsal fractures compared to foot or ankle sprains without osseous involvement. METHODS: Between May 2012 and August 2014, vitamin D levels and demographic data were collected prospectively in a total of 99 patients; 71 with metatarsal fractures and 28 with sprains, both from a low-energy mechanism of injury...
March 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28347196/distribution-of-subchondral-bone-puncture-strength-in-the-talus-and-tibial-plafond
#13
Slif D Ulrich, Brent G Parks, Michael A Tsai, Stuart D Miller
We investigated talus and tibial plafond subchondral bone puncture strength based on surface location. Puncture tests of the subchondral bone were performed in 9 equal zones on the articular surface of 12 cadaver specimens aged 49.1 years (range, 36-56 years). Compressive load was applied through a microfracture awl at 2 mm/min. Puncture strength was defined as the first load drop in load-deflection curves. In the talus, zone 1 (215 ± 91 N) and zone 2, the anterior medial and anterior middle zones, had significantly greater puncture strength than zones 7, 8, and 9, the posterior medial, middle, and lateral zones (104 ± 43 N, 115 ± 43 N, and 102 ± 35 N, respectively; P < ...
March 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28345364/anatomically-contoured-anterior-plating-for-isolated-tibiotalar-arthrodesis
#14
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...
March 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28345363/does-foot-position-and-location-of-measurement-influence-ankle-medial-clear-space
#15
Daniel Baumfeld, Tiago Baumfeld, João Cangussú, Benjamim Macedo, Thiago Alexandre Alves Silva, Fernando Raduan, Caio Nery
PURPOSE: There is still controversy regarding normal and abnormal values of the medial clear space (MCS) of the ankle. The aim of this study was to assess how much different degrees of plantar flexion, with and without stress, influenced the MCS. METHODS: We submitted 30 volunteers to 6 different anteroposterior ankle radiographs in the following positions: neutral, neutral with external rotation stress, physiologic plantar flexion (FPF), physiologic plantar flexion with external rotation stress, maximum plantar flexion (MPF), and maximum plantar flexion with external rotation stress...
March 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28511626/2017-2018-conferences
#16
(no author information available yet)
No abstract text is available yet for this article.
June 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28511625/effects-of-smoking-on-clinical-foot-and-ankle-practice
#17
Joseph S Park, Aaron T Scott, Minton Truitt Cooper, Stephen A Brigido, Minton Truitt Cooper
No abstract text is available yet for this article.
June 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28511624/ten-years-after
#18
John M Schuberth
No abstract text is available yet for this article.
June 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28333561/understanding-basic-principals-of-deformity-correction-for-the-foot-and-ankle-surgeon
#19
John E Herzenberg, Guido Laporta, Noman A Siddiqui, Stephen A Brigido, Stephen A Brigido, Minton Truitt Cooper
No abstract text is available yet for this article.
April 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28333560/2017-2018-conferences
#20
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Foot & Ankle Specialist
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