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Litao Yan, Junwei Zong, Jin Chu, Wendong Wang, Mingshu Li, Xianfeng Wang, Mingzhi Song, Shouyu Wang
The calcaneus is a rare location for the occurrence and development of primary tumour types. Clinicians are unfamiliar with calcaneal tumour types, which may result in a delay in diagnosis or a missed diagnosis, resulting in unnecessary morbidity and amputation. Heel pain and localized swelling of the ankle are the most common symptoms. X-ray is the first choice for a tentative diagnosis of a calcaneal tumour. The final diagnosis depends on a histological examination. The treatment of calcaneal tumour types varies depending on the Enneking system...
June 2018: Oncology Letters
Ignacio Sanpera, Guillem Frontera-Juan, Julia Sanpera-Iglesias, Laura Corominas-Frances
Background and purpose - Pes cavovarus (PCV) is a complex deformity, frequently related to neurological conditions and associated with foot pain, callosities, and walking instability. The deformity has the tendency to increase during growth. Orthotic treatment is ineffective and surgery may be troublesome. We present the preliminary results of a new mini-invasive surgical technique for correction of this foot deformity. Patients and methods - We operated on 13 children (24 feet), age 7-13 years. In 7 children the deformity was neurological in origin...
June 18, 2018: Acta Orthopaedica
R Larrainzar-Garijo, C Cifuentes de la Portilla, B Gutiérrez-Narvarte, E Díez-Nicolás, J Bayod
Medializing calcaneal osteotomy forms part of the treatment options for adult acquired flat foot. The structural correction that is achieved is widely known. However, the effect of this procedure on the soft tissues that support the plantar arch has been little studied, since it is not possible to quantify experimentally the tension and deformation variations generated. Therefore, the objective of this study was to evaluate the effect of medializing calcaneal osteotomy on the soft tissue that supports the plantar arch, using a computational model of the human foot designed with a clinical approach...
June 12, 2018: Revista Española de Cirugía Ortopédica y Traumatología
Antoine Josse, Bernard Fraisse, Sylvette Marleix, Catherine Tréguier, Servane Le Lez Soquet, Kamal Chouklati, Pierre Darnault, Marianne Roche, Grégory Lucas, Philippe Violas
BACKGROUND: At birth, clinical classifications are the only available tools for evaluating the severity of congenital clubfoot. Ultrasound provides an assessment of the anatomical abnormalities. The objective of this study was to assess correlations between physical and ultrasound findings at birth. HYPOTHESIS: Physical and ultrasonography provide different findings in congenital clubfoot and should therefore be used in conjunction. MATERIAL AND METHOD: 145 clubfeet in 108 patients born between 2006 and 2010 were included in a retrospective study...
June 11, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Michael Matthews, Emily A Cook, Jeremy Cook, Lindsay Johnson, Timothy Karthas, Byron Collier, Daniel Hansen, Elena Manning, Bryon McKenna, Philip Basile
Common corrective osteotomies used in flexible flatfoot deformity reconstruction include Cotton and Evans osteotomies, which require structural graft to maintain correction. Auto-, allo-, and xenografts are associated with a number of limitations, including disease transmission, rejection, donor site morbidity, technical challenges related to graft fashioning, and graft resorption. Porous titanium is a synthetic substance designed to address these flaws; however, few studies have been reported on the efficacy, safety, and long-term outcomes...
June 8, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Hiroyuki Seki, Takeo Nagura, Yasunori Suda, Naomichi Ogihara, Kohta Ito, Yasuo Niki, Morio Matsumoto, Masaya Nakamura
Axial loading of the human cadaver lower leg is known to generate eversion of the calcaneus and internal rotation of the tibia if the plantar surface of the foot does not slide on the floor. Such kinematic coupling between calcaneal eversion and internal tibial rotation has been described previously, but no studies have actually quantified the innate ability of the human foot to generate ground reaction moment around the vertical axis of the floor (vertical free moment) due to axial loading of the human cadaver lower leg...
June 2018: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
Dror Lakstein, Alexander Bermant, Evgeny Shoihetman, David Hendel, Zeev Feldbrin
Background: Conventionally, the extended lateral approach (ELA) served as the standard extensile approach for intraarticular calcaneal fracture fixation. However, this approach has a high rate of wound complications. The purpose of this study was to describe an alternative approach, the posteriorlateral approach (PLA) and compare it to the ELA regarding soft tissue complications and functional outcome. Materials and Methods: 32 patients operated through PLA and 66 patients treated through ELA were included in this retrospective study...
May 2018: Indian Journal of Orthopaedics
Sharad Prabhakar, Mandeep S Dhillon, Ankit Khurana, Rakesh John
Background: Minimally invasive surgery (MIS) has a significant and evolving role in the treatment of displaced intra articular calcaneal fractures (DIACFs), but there is limited literature on this subject. The objective was hence to assess the clinicoradiological outcomes of DIACFs fixed with an innovative open-envelope MIS technique. Materials and Methods: 42 closed Sanders Type 2 and 3; DIACFs were included in this study. The Open-envelope approach was developed, which is essentially a limited open, dual incision, modified posterior longitudinal approach allowing excellent visualisation and direct fragment manipulation...
May 2018: Indian Journal of Orthopaedics
Stefan Rammelt, Bruce J Sangeorzan, Michael P Swords
The best treatment for displaced, intraarticular fractures of the calcaneum remains controversial. Surgical treatment of these injuries is challenging and have a considerable learning curve. Studies comparing operative with nonoperative treatment including randomized trials and meta-analyses are fraught with a considerable number of confounders including highly variable fracture patterns, soft-tissue conditions, patient characteristics, surgeon experience, limited sensitivity of outcome measures, and rehabilitation protocols...
May 2018: Indian Journal of Orthopaedics
Chayanin Angthong
Malunion of calcaneal fractures is a common complication after improper nonoperative treatment. It may develop into posttraumatic subtalar osteoarthritis, lateral calcaneal wall prominence, and severe foot deformities. This Technical Note reports the technical aspects of lateral endoscopic calcaneoplasty with posterior arthroscopic subtalar arthrodesis for the treatment of malunited calcaneal fracture with lateral calcaneal wall prominence and posttraumatic subtalar osteoarthritis. This technique was chosen because it can reduce the risk of wound complication compared with a conventional lateral extensile approach...
March 2018: Arthroscopy Techniques
Kajetan Klos, Boyko Gueorguiev, John Bennet Carow, Ali Modabber, Sven Nebelung, Bong-Sung Kim, Klemens Horst, Christian David Weber, Matthias Knobe
BACKGROUND: Dorsal approaches to the hindfoot are frequently used. Furthermore, the vascular supply is discussed as a possible cause for ruptures and degeneration of the Achilles tendon. The aim of this study was to evaluate the microperfusion of three possible posterior approaches to the hindfoot and different areas of the Achilles tendon. METHODS: In 111 subjects, a laser Doppler/white light spectroscopy was used to measure microperfusion in terms of blood flow (Flow) and capillary venous oxygen saturation (SO2) in the hindfoot and Achilles tendon...
June 7, 2018: Journal of Orthopaedic Surgery and Research
Yongxing Cao, Yang Xu, Yuan Hong, Xiangyang Xu
BACKGROUND: Several minimally invasive anatomic reconstruction techniques of the lateral ligaments have been introduced for the treatment of chronic lateral ankle instability. However, these strategies may not always follow accurate ligament anatomic attachments, especially in the construction of the fibular bone tunnels. OBJECTIVES: This study reported a new percutaneous technique for reconstruction of the ligaments of lateral ankle anatomically with a Tightrope system...
June 6, 2018: Archives of Orthopaedic and Trauma Surgery
Quirine M J van der Vliet, Falco Hietbrink, Fabio Casari, Luke P H Leenen, Marilyn Heng
BACKGROUND: Subtalar arthrodesis is a common salvage operation for posttraumatic subtalar arthritis. This study aimed to identify factors associated with functional outcomes and quality of life after subtalar fusion for posttraumatic subtalar arthritis after calcaneal fracture. METHODS: This is a retrospective study with follow-up by questionnaire in two level 1 trauma centers. Patients who underwent subtalar arthrodesis for posttraumatic arthritis after a calcaneal fracture between 2001 and 2016 were identified and contacted for completion of a survey consisting of the Foot and Ankle Ability Measure (FAAM), Maryland Foot Score (MFS), Patient-Reported Outcomes Measurement System Physical Function (PROMIS PF, Short Form 10a) questionnaire, EuroQol 5-dimensional (EQ-5D) questionnaire, and EuroQol visual analog scale (EQ-VAS)...
June 1, 2018: Foot & Ankle International
Mohamed E Al-Ashhab, Amr Salem Elgazzar
BACKGROUND: Sustentaculum tali fractures are rare foot fractures accounting for 1% of all calcaneal fractures, which accounts for about 1-2% of all bone fractures. Since the importance of sustentaculum tali in maintaining the medial foot arch, its fractures should be dealt with anatomical fixation to avoid post-traumatic arthrosis. OBJECTIVE: Is to delineate the importance of sustentacular tali fractures fixation mentioning operative technique and the post-operative outcome...
December 28, 2017: Foot
Alexandre Hardy, Romain Rousseau, Samir Issa, Antoine Gerometta, Hugues Pascal-Moussellard, Benjamin Granger, Frédéric Khiami
INTRODUCTION: Insertional Achilles tendinopathy is a generic term that encompasses several types of ailments. While conservative treatment is less effective than for conditions isolated to the tendon body, there is no consensus as to the best type of surgical care. HYPOTHESIS: Surgical treatment for insertional Achilles tendinopathy that is tailored to the severity of the tendon involvement will lead to satisfactory functional outcomes. MATERIAL AND METHODS: Forty-six patients were included with an average age of 44...
May 28, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Jiyue Bai, Yongqing Xu, Xiaoqing He, Chuan Li, Shuai Liu, Liang Li
Objective: To compare the biomechanical characteristics of self-made nickel-titanium shape memory alloy stepped plate with calcaneal plate and cannulated compression screws in fixing calcaneal osteotomy. Methods: Calcaneal osteotomy was operated on 6 fresh-frozen lower limbs collected from donors. Then three kinds of fixation materials were applied in random, including the self-made nickel-titanium shape memory alloy stepped plate (group A), calcaneal plate (group B), and cannulated compression screws (group C)...
February 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Dong Hu, Yan Zhang, Xiaojun Liang, Yi Li, Hongmou Zhao
Objective: To evaluate the short-term effectiveness of talonavicular arthrodesis for Müller-Weiss disease. Methods: Between May 2013 and February 2015, 13 patients with Müller-Weiss disease were treated with talonavicular arthrodesis. There were 11 females and 2 males with an average age of 59 years (range, 42-67 years). The disease duration was 8-20 years (mean, 13 years). According to Maceira stage, there were 7 cases of stage Ⅲ, 6 cases of stage Ⅳ. The foot longitudinal arch height measured on weight-bearing X-ray films was (43...
December 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
Zhenhui Sun, Chengli Zhao, Yifei Chen, Nan Li, Tao Zhang, Jingyi Xin, Xinlong Ma
Objective: To investigate the anatomical characters of the sustentaculum tali (ST), accurate entry point and direction for the placement of ST screw from posterior subtalar joint facet to the constant fragment (CF) in calcaneal fractures. Methods: A total of 100 patients with calcaneal fractures performed ankle CT scans were enrolled between January 2016 and April 2016. According to the inclusion criteria, the clinical data of 33 patients were analyzed, including 18 males and 15 females, with a median age of 41...
May 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Bohua Li, Fuguo Huang, Lei Liu
Objective: To review the progress of treatments for old calcaneal fractures. Methods: The related literature of treatments for old calcaneal fractures were reviewed and analyzed from the aspects such as the pathoanatomy, classifications, and surgical treatments. Results: Old calcaneal fractures are common in clinical, the anatomical changes are very complicated. In addition to classical open reduction and internal fixation, arthrodesis, and osteotomy, techniques of minimally invasive operation, external fixator, and three-dimensional printing are more and more widely applied, treatments for old calcaneal fractures nonunion have also received increasing attention...
October 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
Hai Li, Chengliang Deng, Zairong Wei, Wenhu Jin, Kaiyu Nie, Xiujun Tang, Dali Wang, Shusen Chang, Shujun Li
Objective: To evaluate the effectiveness of anterolateral thigh polyfoliate perforator flap plus pedicle with one foliate flap for repairing extremities soft tissue defect. Methods: Between January 2014 and January 2017, 24 patients with extremities soft tissue defects were treated by anterolateral thigh polyfoliate perforator flap plus pedicle with one foliate flap. There were 15 males and 9 females, with a median age of 33.5 years (range, 5-64 years). Wounds located in upper limb in 8 cases, complicated with radial styloid fracture in 1 case, extensor tendon exposure in 3 cases, and brachioradialis muscle tendon exposed in 1 case...
August 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
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