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Foot & Ankle Specialist

Danica D Vance, Hasani W Swindell, Justin K Greisberg, James T Vosseller
Ankle fractures are common orthopaedic injuries often requiring open reduction and internal fixation. A variety of positions for plate placement exist for surgical fixation of distal fibula fractures, including direct lateral, posterior, or posterolateral. Direct lateral is more common, despite evidence that posterior and posterolateral placement is mechanically superior. However, concern for peroneal tendon injury from posterior plating remains. Our study investigates clinical and functional outcomes of patients who underwent operative fixation of distal fibula fractures with posterior or posterolateral plating over a 3-year period...
July 1, 2018: Foot & Ankle Specialist
Olivier Wijers, Rosa C Looijen, Jens A Halm, Tim Schepers
BACKGROUND: Peripheral fractures of the talus are uncommon. Almost all the literature regarding talar fractures consists of central intra-articular fractures, whereas studies about peripheral talar fractures are lacking. The aim of this study is to increase awareness in diagnosing an unusual peripheral extra-articular medial impression fracture of the talus. METHODS: This study includes a retrospective case series of patients with an extra-articular medial impression fracture of the talus...
July 1, 2018: Foot & Ankle Specialist
Constantine A Demetracopoulos, Elizabeth A Cody, Samuel B Adams, James K DeOrio, James A Nunley, Mark E Easley
INTRODUCTION: Failure to correct coronal deformity at the time of total ankle arthroplasty (TAA) can lead to early implant failure. We aimed to determine clinical, radiographic, and patient-reported outcomes of patients with moderate to severe valgus deformity who underwent TAA for end-stage ankle arthritis. METHODS: Patients with a valgus deformity of at least 10° who underwent TAA were retrospectively reviewed. The coronal tibiotalar angle was assessed on radiographs preoperatively, at 1 year, and at final follow-up...
July 1, 2018: Foot & Ankle Specialist
Jacqueline M Maher, Emily M Brook, Christopher Chiodo, Jeremy Smith, Eric M Bluman, Elizabeth G Matzkin
BACKGROUND: Lower extremity chronic exertional compartment syndrome (CECS) can negatively affect exercise and activity and may require operative intervention to release the fascia. Few studies have evaluated or compared patient-reported outcomes for bilateral versus single-leg staged fasciotomy and number of compartments released. METHODS: A total of 27 eligible patients who underwent a fasciotomy procedure for CECS at a single institution were identified. A retrospective review of the medical record was performed, and individuals were contacted by phone to collect patient-reported outcomes, including ability to return to desired exercise level, postoperative expectation assessment, European Quality of Life-Five Dimensions, and the Foot and Ankle Ability Measure sports subscale...
June 1, 2018: Foot & Ankle Specialist
Paul Hoogervorst, Zachary M Working, Ashraf N El Naga, Meir Marmor
BACKGROUND: It is clear that motion at the syndesmosis occurs due to ranging of the ankle joint, but the influence of weightbearing with the foot in the plantigrade position is unclear. In vivo computed tomographic (CT) evaluation of the syndesmosis has not been previously described. The purpose of this study is to quantify physiological fibular motion at the level of the ankle syndesmosis in both weightbearing and nonweightbearing conditions with the foot in the plantigrade position...
June 1, 2018: Foot & Ankle Specialist
Aditya V Karhade, John Y Kwon
BACKGROUND: While investigations have been performed examining the quality of US-based cost-utility analyses for other orthopaedic subspecialties and have provided important insights, a similar analysis has not been performed examining the foot and ankle literature. METHODS: A systematic review of foot and ankle studies was conducted to identify cost-utility analyses published between 2000 and 2017. Of 687 studies screened by abstract, 4 cost-utility studies were identified and scored by the Quality of Health Economic Studies instrument...
June 1, 2018: Foot & Ankle Specialist
Shelain Patel, Parag Garg, M Ali Fazal, Muhammad S Shahid, Derek H Park, Pinak S Ray
BACKGROUND: The reverse camber shoe is commonly used after hallux valgus corrective surgery to offload the forefoot but is associated with back pain and poor compliance. Recent designs of postoperative shoes may obviate the need for a reverse camber. The purpose of this study was to compare the effects of a reverse camber shoe and a noncambered shoe with transitional rigidity after hallux valgus correction. METHODS: A cohort of 80 feet was prospectively studied undergoing surgery at a single NHS trust...
June 1, 2018: Foot & Ankle Specialist
Murray Penner, W Hodges Davis, Kevin Wing, Thomas Bemenderfer, Feras Waly, Robert B Anderson
AIMS: This study presents the first report of clinical and radiographic outcomes of the Infinity Total Ankle System (Wright Medical, Memphis, TN) with minimum 2-year follow-up. PATIENTS AND METHODS: The first 67 consecutive patients who underwent primary total ankle arthroplasty (TAA) with the Infinity system at 2 North American sites between August 2013 and May 2015 were reviewed in a prospective, observational study. Demographic, radiographic, and functional outcome data were collected preoperatively, at 6 to 12 months postoperatively, and annually thereafter...
June 1, 2018: Foot & Ankle Specialist
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
W Bret Smith
No abstract text is available yet for this article.
August 2018: Foot & Ankle Specialist
(no author information available yet)
No abstract text is available yet for this article.
August 2018: Foot & Ankle Specialist
John M Schuberth, Graham Hamilton, Minton Truitt Cooper, Stephen A Brigido
No abstract text is available yet for this article.
August 2018: Foot & Ankle Specialist
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
Jack Schuberth
No abstract text is available yet for this article.
June 2018: Foot & Ankle Specialist
Valerie S Marmolejo, Jonathan F Arnold
Heel ulcerations are a significant burden of care in both hospital and long-term care settings. The presence of peripheral arterial disease as a contributing factor to delayed healing is often not recognized, resulting in prolonged healing and high patient morbidity and mortality. Formal vascular evaluation and intervention is often not performed as these patients can have palpable pedal pulses while having localized ischemia of the heel. As routine noninvasive vascular studies can be affected by medial calcinosis and collateralization and do not specifically assess tissue perfusion to the heel, a false sense of security of adequate perfusion for healing can result...
June 2018: Foot & Ankle Specialist
Sabine Krenn, Sascha Albers, Peter Bock, Clemens Mansfield, Michel Chraim, Hans-Joerg Trnka
BACKGROUND: Minimally invasive surgery has a shorter surgical time, and in this study we focus on minimally invasive distal metatarsal metaphyseal osteotomy (DMMO). The operation seems to be less complex but requires a high learning curve. We report on our first patients to underline the need for extensive training and great awareness for the risks in the early learning stages. METHODS: We evaluated 27 patients (mean age = 60.9 years) with a mean follow-up time of 7...
June 2018: Foot & Ankle Specialist
Yohann Couqueberg, Romain Augoyard, Marc Augoyard, Valérie Berry-Kromer, Céline Bouby, Loïc Girod
The aim of the study is to provide some characteristic parameters of the anatomy of metatarsals from computed tomography (CT) scans. These data are important for more anatomical metatarsal head resurfacing prosthesis conception. Measures were performed on 20 CT scans from 17 patients with a mean age of 44.35 ± 15.75 years old. The panel was composed of 40% male and 50% left feet. Measurements were divided in 2 distinct categories: linear measurements with length of metatarsal, head radius and head, and diaphysis and base thicknesses, and cross-sectional area measurements, including cortical and cancellous bone area at 10%, 25%, 50%, 60%, 75%, and 90% of the metatarsal's length...
June 2018: Foot & Ankle Specialist
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...
June 2018: Foot & Ankle Specialist
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...
June 2018: Foot & Ankle Specialist
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...
June 2018: Foot & Ankle Specialist
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