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Foot & Ankle Specialist

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https://www.readbyqxmd.com/read/28173718/correction-of-hallux-valgus-deformity-in-association-with-underlying-metatarsus-adductus-deformity
#1
Naohiro Shibuya, Daniel C Jupiter, Britton S Plemmons, Lanster Martin, Jakob C Thorud
: Presence of underlying metatarsus deformity is known to negatively affect the outcome of hallux valgus corrective surgery. Yet there are many other factors that also affect final outcomes. In order to address the potential relationships between variables, we attempted to evaluate the association of metatarsus adductus with surgical outcomes, independent of other common factors used in evaluation of hallux valgus deformity. We enrolled 154 patients who had undergone hallux valgus corrective surgery and recorded their pre- and postoperative intermetatarsal (IM12) and hallux valgus (HVA) angles, preoperative Engel's angle, and type of hallux valgus procedure...
February 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28173717/double-plating-of-distal-fibula-fractures
#2
Danica D Vance, J Turner Vosseller
INTRODUCTION: Distal fibula fractures are common orthopaedic injuries that often require open reduction internal fixation (ORIF) to anatomically reduce the fracture and minimize the risk of posttraumatic arthritis. In certain clinical situations, stouter fixation may be advantageous to decrease the risk of fixation failure. In this study, the authors report on 12 patients who underwent distal fibula ORIF with 2 one-third tubular plates. MATERIALS AND METHODS: Twelve consecutive patients who underwent distal fibula ORIF with 2 one-third tubular plates were retrospectively reviewed...
February 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28161986/intraosseous-epidermal-inclusion-cyst-of-the-proximal-phalanx-of-the-fifth-toe-and-review-of-the-literature
#3
Marcus P Richardson, James R Foster, Daniel B Logan
: Intraosseous epidermal inclusion cysts (IEpC) are benign bone tumors that often present in the phalanges of the fingers, but rarely are seen in the lower extremity. These tumors often present following surgery, and have a similar clinical and radiographic presentation to osteomyelitis. The lack of defining characteristics makes preoperative diagnosis of these tumors very difficult. It is crucial to differentiate these tumors from malignant lesions with similar presentation. This case study presents our treatment of this osseous tumor and reviews the available literature describing this condition...
February 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28103730/surgical-treatment-of-moderate-hallux-valgus
#4
Maki Grle, Goran Vrgoc, Ivan Bohacek, Vladimir Hohnjec, Marko Martinac, Iva Brkic, Lovro Stefan, Zdravko Jotanovic
PURPOSE: The purpose of the study was to determine whether lateral soft-tissue release (LSTR) has a beneficial or detrimental effect on the outcome of distal Chevron first metatarsal osteotomy (DCMO) in the treatment of moderate hallux valgus (HV). METHODS: We compared the effect of different surgical treatments in 2 groups of patients: group I (23 patients, 25 feet, average age of 55 [from 43 to 77] years) was subjected to DCMO only, whereas group II (18 patients, 23 feet, average age of 59 [from 52 to 70] years]) was subjected to DCMO with LSTR...
January 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28092978/variability-in-foot-and-ankle-case-volume-in-orthopaedic-residency-training
#5
Steven F DeFroda, Joseph A Gil, Brad D Blankenhorn, Alan H Daniels
: Surgical case volume during orthopaedic surgical residency is a concern among trainees and program directors alike. With an ongoing trend toward further subspecialization and the rapid development of new techniques and devices, the breadth of procedures that residents are exposed to continues to increase. Accreditation Council for Graduate Medical Education surgical case logs from 2009 to 2013 for graduating orthopaedic surgery residents were examined to assess the national averages of orthopaedic procedures logged by graduating orthopaedic surgery residents in the leg/ankle and foot/toes categories...
January 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28092971/literature-review-of-idiopathic-toe-walking
#6
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...
January 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28068842/tibialis-anterior-tendon-reconstruction-using-augmented-half-thickness-tendon-segment-transposition
#7
Christopher W Reb, James F Stenson, Joseph N Daniel
: Tibialis anterior tendon rupture causes substantial morbidity. The present study describes the outcomes of augmented, half-thickness tibialis anterior tendon segment transposition, a novel reconstruction technique. This was an institutional review board-approved retrospective review of 3 patients with surgically treated attritional distal rupture with 1-year follow-up. The postdebridement tendon defect prohibited primary repair and was managed by distal transposition of a half-thickness healthy segment...
January 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28068797/percutaneous-hallux-valgus-surgery-without-distal-metatarsal-articular-angle-correction
#8
Eusebio Crespo Romero, Alvaro Arcas Ordoño, Raquel Peñuela Candel, Silvia Gómez Gómez, Angel Arias Arias, Jaime Gálvez González, Ricardo Crespo Romero
BACKGROUND: Many factors are considered predictors of recurrence after hallux valgus (HV) surgery, including preoperative distal metatarsal articular angle (DMAA). The restoration of the bone and joint alignment would be more important than realigning the cartilaginous surface of the metatarsal head. Therefore, is DMAA correction essential for a good clinical and radiological results after HV surgery? This study aims to illustrate the results of percutaneous forefoot surgery (PFS) for correction of HV deformity without DMAA correction...
January 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28068792/arthroscopic-reduction-and-internal-fixation-arif-of-a-comminuted-posterior-talar-body-fracture
#9
Rishin Kadakia, Jeff Konopka, Tristan Rodik, Samra Ahmed, Sameh A Labib
: The talus is the second most common fractured tarsal bone. While their incidence may be low, talus fractures are severe injuries that can lead to long-term disability and pain. Displaced talar body fractures are typically treated through an open approach with the aim of obtaining anatomic reduction and stable fixation. There are several case reports in the literature demonstrating successful management of talus fractures arthroscopically. An arthroscopic approach minimizes soft tissue trauma, which can help decrease postoperative wound complications and infections...
January 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28050916/division-tenorrhaphy
#10
Jesse Doty, Yoshihiro Katsuura, Nicholas Richardson
: Here we describe a modified open technique for the repair of a ruptured Achilles tendon using multiple looped sutures with the creation of interdigitating tendon stumps maximizing surface area for suture application as well as allowing for significant tissue overlay. This technique produces a high strength repair that is useful in cases of extensive degeneration or poor-quality tissue. Degenerative tissue may be encountered with chronic ruptures or failed nonoperative treatment, as well as those ruptures that occur at the proximal myotendinous junction...
January 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27920102/modified-lambrinudi-arthrodesis-for-the-acute-treatment-of-neurogenic-clubfoot-a-case-report
#11
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.
December 4, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28030965/is-histopathological-analysis-of-interdigital-morton-s-neuroma-necessary
#12
Ravi Kanth Mallina, Khalid Al-Dadah, Kirtan Patel, Pal Ramesh
BACKGROUND: Interdigital neuroma (IN), otherwise known as Morton's neuroma, is a common cause of metatarsalgia presenting to the elective foot and ankle clinic. Surgical excision of the IN in patients who fail to respond to nonoperative measures is considered to be the gold standard of care in many centers. The Royal College of Pathologists UK recommend that all excised interdigital Morton's neuromas are sent for formal histopathological analysis. We present a study correlating clinical and radiological diagnosis with histopathologic appearances of IN following surgical excision, and question if routine histopathological analysis is warranted...
December 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28030964/charcot-collapse
#13
Lisa Grant, Robert Yoho, Chandana Halaharvi, William Grant
: Charcot fracture pattern (FP) and Charcot dislocation pattern (DP) are 2 distinct collapse patterns identified in Charcot neuroarthropathy of the foot and ankle. These patterns are believed to demonstrate relative differences in central bone mineral density (BMD), which has been theoretically extrapolated to describe local BMD. To assess variation in local bone composition of FP and DP patients, 10 patients, 5 DP and 5 FP were recruited. The patient's age, body mass index (BMI), radiographs, central BMD, local BMD, sRANKL (soluble receptor activator nuclear factor kappa-beta ligand), sRAGE (soluble receptors of advanced glycated end-products), and osteocalcin were measured to determined bone metabolic status and density...
December 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28030963/obese-patients-have-fewer-wound-complications-following-fixation-of-ankle-fractures
#14
Andrew P Matson, Michael P Morwood, Ashwin Peres Da Silva, Eugene B Cone, Shepard R Hurwitz, Robert D Zura
: Outcomes following ankle fracture surgery have been well studied; however, factors associated with surgical wound healing specifically are less clear. We aimed to study the relationship between wound healing and body mass index, as well as other variables following surgical treatment of ankle fractures. There were 127 consecutive, isolated, closed, malleolar ankle fractures treated with open reduction and internal fixation at a level-1 trauma center from 2008 to 2012. Patient, injury, and treatment variables were recorded and clinical records were reviewed to identify wound complications...
December 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28027667/do-structural-changes-of-the-foot-influence-plantar-pressure-patterns-during-various-stages-of-pregnancy-and-postpartum
#15
Preetha Ramachandra, Pratap Kumar, Asha Kamath, Arun G Maiya
BACKGROUND: The foot of a pregnant woman undergoes morphological changes with the advancement of pregnancy. It is important to understand the structural changes of the foot during pregnancy and postpartum because any such change may alter the plantar pressure pattern and the entire foot biomechanics. METHOD: Primigravidae with a gestational age of 12 weeks or less, aged between 18 and 35 years were included in the study. They were prospectively studied across 5 time periods during pregnancy and postpartum...
December 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28027660/cross-sectional-study-to-assess-the-functional-outcome-of-neglected-bimalleolar-fracture
#16
Rajeev Shukla, Ravi Kant Jain, Shravan Patidar, Nikhil Jain, Pranav Mahajan
INTRODUCTION: Ankle fracture is the most common intra-articular fracture of a weight-bearing joint and accounts for 9% of all fractures. Ankle fractures are classified into 3 subgroups: unimalleolar, bimalleolar, and trimalleolar fractures. Accurate reduction and stable internal fixation is necessary in bimalleolar fractures; otherwise, it may lead to posttraumatic painful restriction of movements or osteoarthritis. The purpose of this study is to assess the functional outcome and results of treatment of neglected bimalleolar fracture...
December 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28027658/is-incisura-fibularis-a-reliable-landmark-for-assessing-syndesmotic-stability
#17
Akilesh Anand Prakash
: Incisura fibularis (IF) is an important landmark in assessing syndesmotic stability radiologically postinjury. The purpose of this review was to explore the anatomy and morphometrics of this widely used anatomical landmark and to further the understanding of the same. A systematic review was conducted online using PubMed and Google Scholar, per PRISMA guidelines. Predefined eligibility criteria were applied, and the data thus compiled were analyzed. Wide variability in morphometrics and, thus, anatomy of IF were observed in the present review, which was influenced by gender...
December 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28027655/removal-of-hardware-after-syndesmotic-screw-fixation
#18
Kempland C Walley, Kurt J Hofmann, Brian T Velasco, John Y Kwon
BACKGROUND: While trans-syndesmotic fixation with metal screws is considered the gold standard in treating syndesmotic injuries, controversy exists regarding the need and timing of postoperative screw removal. Formal recommendations have not been well established in the literature and clinical practice is highly variable in this regard. The purpose of this systematic review is to critically examine the most recent literature regarding syndesmotic screw removal in order to provide surgeons an evidence-based approach to management of these injuries...
December 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27909213/hammertoe-correction-with-k-wire-fixation-compared-with-percutaneous-correction
#19
Mustafa Yassin, Avraham Garti, Eyal Heller, Dror Robinson
BACKGROUND: Kirschner wire (K-wire) fixation for correction of hammertoe deformity is the gold standard for hammertoe surgery fixation, the current study compares it to percutaneous surgery with 3M Coban dressings. METHODS: All hammertoe corrections performed were retrospectively reviewed. For the K-wire fixation group: resection arthroplasty of the proximal interphalangeal joint was performed and fixed with a K-wire. The percutaneous technique used involved percutaneous diaphyseal osteotomy of the middle and proximal phalanges combined with tendon release...
November 30, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27903929/a-comparison-of-outcomes-of-particulated-juvenile-articular-cartilage-and-bone-marrow-aspirate-concentrate-for-articular-cartilage-lesions-of-the-talus
#20
Nathan S Lanham, John J Carroll, Minton T Cooper, Venkat Perumal, Joseph S Park
Background Articular cartilage lesions of the talus remain a challenging clinical problem because of the lack of natural regeneration and limited treatment options. Microfracture is often the first-line therapy, however lesions larger than 1.5 cm(2) have been shown to not do as well with this treatment method. Methods The objective of this retrospective study was to evaluate the outcomes of iliac crest bone marrow aspirate concentrate/collagen scaffold (ICBMA) and particulated juvenile articular cartilage (PJAC) for larger articular cartilage lesions of the talus...
November 30, 2016: Foot & Ankle Specialist
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