keyword
https://read.qxmd.com/read/38510515/plantar-kinetics-during-wheeled-knee-walker-use-compared-to-different-assistive-walking-devices-in-persons-with-type-2-diabetes-mellitus
#1
JOURNAL ARTICLE
Holton C Gwaltney, Joseph W Harrington, Jose G Anguiano-Hernandez, David C Kingston
BACKGROUND: Diabetic patients with foot ulcers are commonly prescribed assistive walking devices to unload the affected foot and promote tissue healing. However, the effect on shear loads to the contralateral foot is unknown. This study investigated the effect of a wheeled knee walker (WKW), compared to common devices, on compressive and shear plantar forces carried by the propulsive foot during walking in patients with type 2 diabetes mellitus. A secondary objective investigated plantar forces' correlations with body weight unloaded (BWU)...
January 2024: Foot & ankle orthopaedics
https://read.qxmd.com/read/38506126/postoperative-outcomes-between-positive-and-negative-electrodiagnosis-in-patients-with-tarsal-tunnel-syndrome-a-retrospective-comparative-study
#2
JOURNAL ARTICLE
Chamnanni Rungprai, Methasit Suksintharanon, Tanarat Hempongphan, Warongporn Pongpinyopap, Pisit Boonma, Chanasak Hathaiareerug, Yantarat Sripanich
BACKGROUND: The sensitivity of diagnosing tarsal tunnel syndrome with an electrodiagnostic study is just over 50%. Given this low reliability, many surgeons prefer to make a diagnosis solely from a physical examination, despite reported electrodiagnostic findings. Thus, to understand the clinical ramifications between these 2 methods of diagnosis, this investigation compared the postoperative outcomes following a tarsal tunnel release between patients with positive and negative preoperative electrodiagnosis (EDx)...
March 20, 2024: Foot & Ankle International
https://read.qxmd.com/read/38501710/do-patients-with-insulin-dependent-and-non-insulin-dependent-diabetes-have-different-risks-for-complications-after-total-ankle-arthroplasty
#3
JOURNAL ARTICLE
Ibraheem Qureshi, Charles C Lin, Utkarsh Anil, James J Butler, Raymond J Walls
BACKGROUND: Patients with diabetes undergoing total ankle arthroplasty tend to be at greater risk for complications than those without diabetes. However, the effect of diabetes severity and how it impacts the risk for perioperative complications is less clear. The purpose of this study was to compare (1) complications, (2) length of hospital stay, and (3) readmissions within 30 days for total ankle arthroplasty (TAA) patients without diabetes, patients with non-insulin-dependent diabetes, and patients with insulin-dependent diabetes...
March 19, 2024: Foot & Ankle International
https://read.qxmd.com/read/38501276/preliminary-experience-with-commercially-available-trabecular-metal-tibial-cones-combined-with-a-retrograde-locked-intramedullary-nail-for-bony-defects-in-tibiotalocalcaneal-arthrodesis
#4
JOURNAL ARTICLE
Michael S Pinzur, Adam P Schiff, Kamran Hamid, Ryan LeDuc
Critical sized bone defects in the ankle are becoming increasingly more common in patients undergoing limb reconstruction with tibiotalocalcaneal arthrodesis. Bulk allografts have not fared well over time. There have been scattered preliminary reports using custom spinal cages or 3D-printed Titanium Implants to address the critical bony defect; however, the cost of these devices is prohibitive in many clinical practice settings. The purpose of this investigation is to report the preliminary experience using a commercially available Trabecular Metal (Zimmer-Biomet) tibial metaphyseal cone combined with a retrograde locked intramedullary nail to address this challenging problem...
March 19, 2024: Foot & Ankle Specialist
https://read.qxmd.com/read/38497521/second-metatarsal-length-and-transfer-ulcers-after-first-metatarsal-amputation-in-diabetic-foot-infections
#5
JOURNAL ARTICLE
Nicola A Cavalcanti, Katharina Martini, Tobias Götschi, Nicola Krähenbühl, Madlaina Schöni, Felix W A Waibel
BACKGROUND: Plantar transfer ulcers (TUs) underneath the second metatarsal head are frequent after first metatarsal ray amputations due to diabetic foot infections. Whether the second metatarsal length (2ML) is associated with TU occurrence in these patients is unclear. This study evaluated whether 2ML is associated with TU occurrence after first-ray amputations and whether ulcer-free survival is shorter in patients with "excess" 2ML. METHODS: Forty-two patients with a mean age of 67 (range 33-93) years, diabetes, and first metatarsal ray amputation (first amputation at the affected foot) were included...
March 18, 2024: Foot & Ankle International
https://read.qxmd.com/read/38466203/sensorimotor-training-improves-gait-ankle-joint-proprioception-and-quality-of-life-in-patients-with-diabetic-peripheral-neuropathy-a-single-blinded-randomized-controlled-trial
#6
JOURNAL ARTICLE
Marwa Shafiek Mustafa Saleh, Rana Hesham Mohamed Elbanna, Nadia Mohamed Abdelhakiem, Ghada Abd Elmoniem Abdalla
OBJECTIVE: To investigate the effect of Sensorimotor Training (SMT) on gait, ankle joint proprioception, and quality of life in Diabetic Peripheral Neuropathy (DPN) patients. DESIGN: A prospective, single-blind, randomized controlled experiment was performed. Forty patients with DPN aged 50 to 65 yrs were distributed randomly into two groups, the SMT group (n = 20) and the control group (n = 20). Both groups attended awareness sessions about diabetes and foot care for 30 minutes, every two weeks...
February 29, 2024: American Journal of Physical Medicine & Rehabilitation
https://read.qxmd.com/read/38439010/prevalence-and-risk-factors-for-diabetic-foot-complications-among-people-living-with-diabetes-in-harare-zimbabwe-a-cross-sectional-study
#7
JOURNAL ARTICLE
Oppah Kuguyo, Doreen Macherera Mukona, Vasco Chikwasha, Lovemore Gwanzura, Joconiah Chirenda, Alice Matimba
BACKGROUND: Diabetic foot disease (DF) is a common diabetes-related complication; however, the prevalence and associated risk factors for DF are not well characterised among people living with diabetes (PLWD) in Zimbabwe. This may suggest the unavailability of adequate strategies to diagnose and treat DF in the country. This study aimed to determine the prevalence of DF and associated risk factors for PLWD in Harare, Zimbabwe. METHODS: This was a cross-sectional study, employing a quantitative approach...
March 4, 2024: BMC Public Health
https://read.qxmd.com/read/38438099/comparison-of-two-techniques-for-proximal-margin-analysis-of-toe-amputations-a-retrospective-review
#8
JOURNAL ARTICLE
Jennifer Kipp-Jones, Bryanna D Vesely, Madeline Fram, Gregory Russell, Jung Wha Kim-Shapiro, Ashleigh W Medda, Paula Gangopadhyay
Toe amputations are a common podiatric procedure for treatment of osteomyelitis. Whether or not the surgeon obtains a surgical cure, thus resolving the infection, can be difficult to assess. Obtaining a proximal bone margin can assist the treatment team in deciding the duration of postoperative antibiotics, need for re-operation, and postoperative care. The two senior surgeons use different methods to analyze proximal bone margins. The first surgeon obtains a microbiologic culture from the remaining bone, either at the proximal phalanx or metatarsal head, following the removal of the toe to be reviewed for osteomyelitis...
March 2, 2024: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/38427353/foot-and-ankle-care-by-podiatrists-and-amputations-in-patients-with-diabetes-and-kidney-failure
#9
JOURNAL ARTICLE
Tze-Woei Tan, Bryan Caldwell, Yi Zhang, Onkar Kshirsagar, Dennis J Cotter, Thomas W Brewer
IMPORTANCE: Patients with kidney failure have an increased risk of diabetes-related foot complications. The benefit of regular foot and ankle care in this at-risk population is unknown. OBJECTIVE: To investigate foot and ankle care by podiatrists and the outcomes of diabetic foot ulcers (DFUs) in patients with kidney failure. DESIGN, SETTING, AND PARTICIPANTS: This retrospective cohort study included Medicare beneficiaries with type 2 diabetes receiving dialysis who had a new DFU diagnosis...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38422498/matrix-metalloproteinase-9-testing-of-golden-rice-cookies-with-piper-crocatum-active-extract-for-preventing-foot-ulcers-in-patients-with-diabetes-protocol-for-a-randomized-controlled-trial
#10
JOURNAL ARTICLE
Andina Setyawati, Ariyanti Saleh, Takdir Tahir, Saldy Yusuf, Syahrul Syahrul, Aminuddin Aminuddin, Muhammad Raihan, Nuurhidayat Jafar, Hasyrul Hamzah, Nur Arfian
BACKGROUND: Diabetic foot ulcers (DFUs) present a formidable challenge to both patients and health care systems. DFUs significantly reduce the quality of life for patients, prolong hospital stays, and are the cause of approximately 70,000 lower limb amputations across the globe annually. Prevention of DFUs primarily involves the optimization of blood sugar levels and the effective management of complications, particularly peripheral neuropathy. Golden Rice has been proven to lower blood sugar levels due to its beta-carotene content, and Piper crocatum (P...
February 29, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38403375/the-differentiation-between-infection-and-acute-charcot
#11
REVIEW
Ryan G Rogero, Samhita Swamy, Clayton C Bettin
The differentiation between acute Charcot neuroarthropathy and infection in the foot and ankle should be supported by multiple criteria. A detailed history and physical examination should always be completed. Plain radiographs should be performed, though advanced imaging, currently MRI, is more helpful in diagnosis. Scintigraphy and PET may become the standard imaging modalities once they are more clinically available due to their reported increased accuracy. Laboratory analysis can also act as a helpful diagnostic tool...
April 2024: Orthopedic Clinics of North America
https://read.qxmd.com/read/38401777/relevance-of-best-cli-trial-endpoints-in-a-tertiary-care-limb-preservation-program
#12
JOURNAL ARTICLE
Iris H Liu, Rym El Khoury, Jade S Hiramoto, Warren J Gasper, Peter A Schneider, Shant M Vartanian, Michael S Conte
OBJECTIVE: Major adverse limb event-free survival (MALE-FS) differed significantly by initial revascularization approach in the BEST-CLI randomized trial. The BEST-CLI trial represented a highly selected subgroup of patients seen in clinical practice; thus, we examined the endpoint of MALE-FS in an all-comers tertiary care practice setting. METHODS: This is a single-center retrospective study of consecutive, unique patients who underwent technically successful infrainguinal revascularization for chronic limb-threatening ischemia (2011-2021)...
February 23, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38400716/infection-rates-and-surgical-procedures-associated-with-isolated-open-talar-neck-and-body-fractures
#13
JOURNAL ARTICLE
Todd Jaeblon, Haley Demyanovich, Sneh Talwar, Marissa Bonyun, Caroline Benzel, Brett Harris
BACKGROUND: Open fractures of the talar body and neck are uncommon. Previous reports of associated deep infection rates and resulting surgical requirements vary widely. The primary objective of this study is to report the incidence of deep infections for isolated open talar body and neck fractures, and secondarily the incidence and number of total surgeries performed (TSP), secondary salvage procedures (SSPs), and nonsalvage procedures (NSPs). METHODS: Retrospective case-control study of 32 consecutive isolated open talus fracture patients (22 neck, 10 body) were followed for an average of 39...
February 24, 2024: Foot & Ankle International
https://read.qxmd.com/read/38361252/treatment-of-diabetic-foot-with-moxibustion-clinical-evidence-from-meta-analysis
#14
JOURNAL ARTICLE
Yue Ji, Yalan Zhang, Ruoxi Wu, Tuoran Wang, Jiayi Wang, Zhongjie Liu, Weijing Liu
To assess the efficacy of moxibustion for diabetic foot, and compile the findings of randomised clinical trials. China National Knowledge Infrastructure Database, Medicine, WanFang Database, Embase, Chinese Scientific Journal Database and Web of Science were from the establishment to January, 2024 were searched. Randomised controlled trials, which evaluated the effects of moxibustion were included. A total of 12 randomised controlled trials involving 1196 patients were included. According to the pooled results of this meta-analysis, effective rate (relative risk 1...
February 2024: International Wound Journal
https://read.qxmd.com/read/38351691/effect-of-novel-laser-shoe-photobiomodulation-on-neuropathic-pain-and-plantar-pressure-profile-in-type-2-diabetes-mellitus-with-peripheral-neuropathy
#15
JOURNAL ARTICLE
G Arun Maiya, Radhika Aditya Jadhav, Hrishikesh Yadav K, Manjunatha Hande H, Harishchandra Hebbar, Karthik Mohan
BACKGROUND: Photobiomodulation (PBM) or Low-level laser is used to treat diabetic foot complications. The existing method of laser application to the foot did not cover the foot's entire area to improve the foot's microcirculation. Therefore, we have developed a cost-effective Special LASER Shoe device, focusing exclusively on the entire foot region to manage neuropathic pain and other symptoms in individuals with type 2 diabetes mellitus. OBJECTIVE: The main objective of the present study was to evaluate the effect of this newly developed special laser shoe PBM on neuropathic pain and plantar pressure profile in individuals with type 2 diabetes mellitus with neuropathy...
February 13, 2024: Current Diabetes Reviews
https://read.qxmd.com/read/38344975/charcot-neuroarthropathy-is-associated-with-higher-rates-of-phantom-limb-after-lower-extremity-amputation
#16
JOURNAL ARTICLE
Hannah H Nam, Brandon J Martinazzi, F Jeffrey Lorenz, Gregory J Kirchner, Vincenzo Bonaddio, Adeshina Adeyemo, Kempland C Walley, Michael C Aynardi
BACKGROUND: The incidence of phantom limb pain in patients with Charcot neuroarthropathy who undergo major amputation is not well described. The purpose of this study was to determine whether patients with Charcot neuroarthropathy and diabetes who underwent either a below-knee amputation (BKA) or above-knee amputation (AKA) had an increased rate of phantom limb pain compared with those with a diagnosis of diabetes alone. METHODS: Using international classification of disease (ICD) and common procedural terminology (CPT) codes, the TriNetX research database identified 10 239 patients who underwent BKA and 6122 who underwent AKA between 2012 and 2022...
February 12, 2024: Foot & Ankle Specialist
https://read.qxmd.com/read/38334381/comparative-analysis-of-the-efficacy-of-spinal-cord-stimulation-and-traditional-debridement-care-in-the-treatment-of-ischemic-diabetic-foot-ulcers-a-retrospective-cohort-study
#17
JOURNAL ARTICLE
Peng-Bo Zhou, Hong-Tao Sun, Min Bao
BACKGROUND AND OBJECTIVES: Spinal cord stimulation (SCS) is an effective treatment for diabetic peripheral neuropathy. The purpose of this study was to investigate the effectiveness of SCS in the treatment of ischemic diabetic foot ulcers. METHODS: In this retrospective study, the SCS group comprised 102 patients with ischemic diabetic foot who were treated with SCS for foot ulcers and nonhealing wounds due to severe lower limb ischemia. The traditional debridement care (TDC) group comprised 104 patients with ischemic diabetic foot who received only TDC...
February 9, 2024: Neurosurgery
https://read.qxmd.com/read/38327200/diabetes-mellitus-and-total-ankle-arthroplasty-complications
#18
JOURNAL ARTICLE
Jordan Helbing, Benjamin Farley, Alex Gu, Amy Y Zhao, Gautam Siram, Benjamin Stein, Marc D Chodos
BACKGROUND: Postoperative infection, aseptic loosening, and perioperative medical complications after total ankle arthroplasty (TAA) are all devastating problems. While previous studies have shown diabetes as a risk factor predisposing patients to postoperative complications, not all literature supports this association following TAA. The goal of this study is to determine if diabetes influences midterm outcomes following TAA. METHODS: An insurance database was utilized to identify patients undergoing TAA for ankle arthritis with a concurrent diagnosis of diabetes based on Current Procedural Terminology ( CPT ) and International Classification of Diseases, Ninth Revision ( ICD-9 ) and Tenth Revision ( ICD-10 ), diagnosis and procedure codes from 2010 to 2021...
February 8, 2024: Foot & Ankle International
https://read.qxmd.com/read/38323104/patient-reported-outcomes-following-open-brostr%C3%A3-m-gould-procedure-minimum-5-year-follow-up
#19
JOURNAL ARTICLE
Mila Scheinberg, Thomas Sanchez, Turner Sankey, Meghan Underwood, Matthew Young, Rishi Earla, Swapnil Singh, Ashish Shah
BACKGROUND: Ankle sprains are a common musculoskeletal injury among the general population and often involve the lateral ligament complex. Although the majority of ankle sprains are treated successfully with nonsurgical conservative measures, an estimated 5% to 20% of ankle injuries ultimately develop chronic lateral ankle instability (CAI). Multiple surgical treatment modalities for the lateral ankle complex exist, such as anatomical and nonanatomical reconstruction. The current gold standard for primary surgical repair is the Broström-Gould procedure...
January 2024: Foot & ankle orthopaedics
https://read.qxmd.com/read/38318295/modified-tibial-cortex-transverse-transport-for-diabetic-foot-ulcers-with-wagner-grade-%C3%A2-ii-a-study-of-98-patients
#20
JOURNAL ARTICLE
Junpeng Liu, Xingchen Yao, Ziyu Xu, Yue Wu, Fuchun Pei, Lin Zhang, Meng Li, Ming Shi, Xinru Du, Hui Zhao
BACKGROUND: Diabetic foot ulcers constitute a substantial healthcare burden on a global scale and present challenges in achieving healing. Our objective was to assess the efficacy of modified tibial cortex transverse transport surgery in managing refractory diabetic foot ulcers. METHODS: We retrospectively analyzed clinical data from 98 patients suffering from diabetic foot ulcers classified as Wagner grade ≥II who were admitted to our medical facility between January 2020 and June 2022...
2024: Frontiers in Endocrinology
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