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https://www.readbyqxmd.com/read/29657025/physical-fitness-adiposity-and-diets-as-surrogate-measures-of-bone-health-in-schoolchildren-a-biochemical-and-cross-sectional-survey-analysis
#1
Ahmad H Alghadir, Sami A Gabr, Ashraf A Rizk
This study aimed to investigate the associations between adiposity, muscular fitness (MF), diet, sun exposure, and physical activity profiles as surrogate measures with bone health status in a sample of schoolchildren aged 8-18 yr old. A total of 250 Egyptian schoolchildren aged 8-18 yr were randomly invited to participate in these cross-sectional survey analyses. Calcaneal broadband ultrasound attenuation (c-BUA), bone mineral density (BMD), and bone formation markers (total calcium, serum bone alkaline phosphatase, and osteocalcin) were measured as markers of bone health...
March 21, 2018: Journal of Clinical Densitometry
https://www.readbyqxmd.com/read/29644087/clinical-observation-of-biomimetic-mineralized-collagen-artificial-bone-putty-for-bone-reconstruction-of-calcaneus-fracture
#2
Yong-Xiong Pan, Guang-Gang Yang, Zhong-Wan Li, Zhong-Min Shi, Zhan-Dong Sun
This study investigated clinical outcomes of biomimetic mineralized collagen artificial bone putty for bone reconstruction in the treatment of calcaneus fracture. Sixty cases of calcaneal fractures surgically treated with open reduction and internal fixation in our hospital from June 2014-2015 were chosen and randomly divided into two groups, including 30 cases treated with biomimetic mineralized collagen artificial bone putty as treatment group, and 30 cases treated with autogenous ilia as control group. The average follow-up time was 17...
March 2018: Regenerative Biomaterials
https://www.readbyqxmd.com/read/29643574/the-effectiveness-of-raising-the-heel-height-of-shoes-to-reduce-heel-pain-in-patients-with-calcaneal-spurs
#3
Dwi Basuki Wibowo, Rudiansyah Harahap, Achmad Widodo, Gunawan Dwi Haryadi, Mochammad Ariyanto
[Purpose] To investigate the effect of heel height on the distribution of plantar foot force and heel pain in patients with a heel spur. [Subjects and Methods] Plantar force was measured using 8 force sensors in 16 patients (3 men, 13 women), with symptomatic heel spur for 4 heel heights (0-4 cm). Sensors were located at the hallux (T1); medial to lateral metatarsals (M1 through M3), mid-foot (MF); and at the central, lateral, and medial heel (CH, LH, and MH). Pain was evaluated using the minimum compression force that caused pain and was measured using an algometer...
December 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29627135/plantar-fascia-release-through-a-single-lateral-incision-in-the-operative-management-of-a-cavovarus-foot-a-cadaver-model-analysis-of-the-operative-technique
#4
Eric M Kiskaddon, Brett D Meeks, Joseph G Roberts, Richard T Laughlin
Plantar fascia release and calcaneal slide osteotomy are often components of the surgical management for cavovarus deformities of the foot. In this setting, plantar fascia release has traditionally been performed through an incision over the medial calcaneal tuberosity, and the calcaneal osteotomy through a lateral incision. Two separate incisions can potentially increase the operative time and morbidity. The purpose of the present study was threefold: to describe the operative technique, use cadaveric dissection to analyze whether a full release of the plantar fascia was possible through the lateral incision, and examine the proximity of the medial neurovascular structures to both the plantar fascia release and calcaneal slide osteotomy when performed together...
April 4, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29625184/clinical-results-of-peroneal-tendon-repair-in-a-retrospective-series-of-30-patients
#5
C Bourgault, C Pougès, C Szymanski, C Lalanne, A Thioun, K Soudy, C Maynou
INTRODUCTION: Peroneal tendinopathy is an under-diagnosed pathology, mainly triggered by ankle sprain. Failure of medical treatment often leads to surgery, with modalities adapted to the lesion type. The present study aimed to assess clinical and functional results of tendon repair and to analyze the influence of hindfoot alignment on quality of outcome. The study hypothesis was that hindfoot varus impairs medium-term results. MATERIAL AND METHODS: A retrospective series of 30 patients undergoing peroneal tendon repair or tenodesis was analyzed at a mean 20 months' follow-up...
April 3, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29624081/metal-resurfacing-inlay-implant-for-osteochondral-talar-defects-after-failed-previous-surgery-a-midterm-prospective-follow-up-study
#6
Gwendolyn Vuurberg, Mikel L Reilingh, Christiaan J A van Bergen, Inge C M van Eekeren, Rogier M Gerards, C Niek van Dijk
BACKGROUND: Treatment of osteochondral talar defects (OCDs) after failed previous surgery is challenging. Promising short-term results have been reported with use of a metal resurfacing inlay implant. PURPOSE: To evaluate the midterm clinical effectiveness of the metal implant for OCDs of the medial talar dome after failed previous surgery. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: We prospectively studied all patients who met the inclusion criteria and received a metal resurfacing inlay implant between 2007 and 2014...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29619845/contribution-of-medial-cuneiform-osteotomy-to-correction-of-longitudinal-arch-collapse-in-stage-iib-adult-acquired-flatfoot-deformity
#7
Grace C Kunas, Huong T Do, Amiethab Aiyer, Jonathan T Deland, Scott J Ellis
Background Residual forefoot supination after correcting the hindfoot in stage IIb adult-acquired flatfoot deformity can be addressed with a dorsal opening wedge medial cuneiform (Cotton) osteotomy. The amount of correction is generally judged clinically, and there currently are no preoperative guides that can predict the size of graft needed. The aim of this study was to evaluate the correlation between patient and operative factors and the correction achieved with the Cotton osteotomy. METHODS: Seventy-nine feet in 74 patients undergoing Cotton osteotomy as part of flatfoot reconstruction were reviewed retrospectively...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29616845/lateralizing-calcaneal-osteotomies-and-their-effect-on-calcaneal-alignment-a-three-dimensional-digital-model-analysis
#8
Elizabeth A Cody, Andrew P Kraszewski, Matthew S Conti, Scott J Ellis
BACKGROUND: Few authors have directly compared multiple types of lateralizing calcaneal osteotomies (LCOs) in terms of their ability to achieve deformity correction. The aim of this research was to use a digital model of a varus hindfoot to compare 4 different LCOs in terms of deformity correction and amount of tuberosity lateralization required. The authors hypothesis was that osteotomies involving a wedge resection would achieve greater correction with less lateralization. METHODS: A weightbearing computed tomographic scan of a patient with a varus hindfoot deformity was used to construct a 3-dimensional digital model of the hindfoot, preserving weightbearing alignment...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29609996/surgical-management-of-stage-2-adult-and-pediatric-acquired-flatfoot-without-tendon-transfer-or-arthrodesis-a-retrospective-study
#9
Ashim Wadehra, Lawrence M Fallat, Robert Jarski
Posterior tibial tendon dysfunction (PTTD) is a common pathology of the foot and ankle. Numerous techniques are available to reconstruct the flatfoot. Fusions and tendon transfers are popular methods; however, a wide range of complications have been associated with these procedures. The objective of the present study was to demonstrate the outcomes of reconstructive surgery for flatfoot correction without tendon transfer or arthrodesis. We performed a retrospective study of 43 patients and 56 feet who had undergone flatfoot reconstructive surgery from November 2011 to June 2016, with a mean follow-up period of 60 weeks (range 12 to 60 months)...
March 30, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29606023/equinus-correction-during-multilevel-surgery-in-adults-with-cerebral-palsy
#10
Cornelia Putz, Eva Maria Mertens, Sebastian I Wolf, Andreas Geisbüsch, Mirjam Niklasch, Simone Gantz, Leonhard Döderlein, Thomas Dreher, Matthias C Klotz
BACKGROUND: Equinus foot deformity constitutes a common gait disorder in ambulatory adults with bilateral spastic cerebral palsy (BSCP). The outcome after intramuscular aponeurotic lengthening in the context of single-event multilevel surgery (SEMLS) in adulthood has not been investigated. METHODS: We followed a group of 31 ambulatory adults with BSCP and equinus who underwent SEMLS including gastrocnemius-soleus intramuscular aponeurotic recession or Achilles tendon lengthening...
March 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29605553/negative-pressure-wound-therapy-followed-by-basic-fibroblast-growth-factor-spray-as-a-recovery-technique-in-partial-necrosis-of-distally-based-sural-flap-for-calcaneal-osteomyelitis-a-case-report
#11
Taro Mikami, Eriko Kaida, Yuichiro Yabuki, Sho Kitamura, Ken'ichi Kokubo, Jiro Maegawa
The distally based sural flap is regarded as the first choice for reconstruction in the distal part of the lower leg because the flap is easy to raise, reliable in its blood supply, and prone to only a few complications. Limited data have investigated the details of treatment in cases of failure of distally based sural flaps. We report a case of calcaneal osteomyelitis in which a successful outcome was finally obtained with a partially necrosed, distally based sural flap using negative pressure wound therapy with basic fibroblast growth factor spray...
March 28, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29602657/tendon-adhesions-a-novel-method-of-objectively-measuring-adhesions-by-assessing-tendon-glide-through-a-soft-tissue-envelope-in-a-rat-model
#12
Aimee Riley, Jonathan E Isaacs, Ilvy Cotterell, Jeffrey Stromberg, Satya Mallu, Gaurangkumar Patel
PURPOSE: To develop a rat model of extra-synovial tendon adhesions that will enable accurate testing of scar barriers and adhesion inhibiting treatments to facilitate future research. METHODS: Thirty-six 6-month-old male Sprague-Dawley rats were randomized to one of the 3 groups of 12. In Group A, the middle one-third portion of the left Achilles tendon was excised. In Group B, the tendon and soft tissue bed was abraded with steel wool. In Group C, a silk suture was sewn along the tendon...
March 28, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29601967/tarsal-coalition-in-paediatric-patients
#13
REVIEW
P-L Docquier, P Maldaque, M Bouchard
Tarsal coalition is due to failure of segmentation between two or more foot bones during embryological development at a site where the joint cleft fails to develop. Depending on the nature of the tissue connecting the bones, the abnormality is a syndesmosis, synchondrosis, or synostosis. Although the coalition exists at birth, synostosis usually develops only late during growth. Talo-calcaneal and calcaneo-navicular coalitions account for over 90% of all cases of tarsal coalition. The joint at the site of the coalition is stiff...
March 27, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29600671/-clinical-observation-of-osteotomy-and-fusion-for-the-treatment-of-severe-rigid-equinus-deformity
#14
Ling-Long Deng, Li Yu, Xing Zhao, Chi Wei, Bing Wang, Shao-Bo Zhu
OBJECTIVE: To explore clinical efficacy of osteotomy and fusion in treating severe rigid equinus deformity. METHODS: From April 2010 to October 2015, 13 patients(16 feet) with severe rigid equinus deformity were treated with osteotomy and fusion by hollow screw, including 6 males and 7 females aged from 39 to 62 years old with an average of(49.6±5.3) years old;the courses of diseases ranged from 5 to 27 years with an average of (9.0±4.8) years. Six patients (9 feet) were treated with osteotomy and fusion for three joints, 4 patients(4 feet) were treated with osteotomy and fusion for four joints, and 3 patients (3 feet) were treated with osteotomy and fusion for tibiotalar and calcaneal-talar joints...
March 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29595648/clinical-application-of-the-sinus-tarsi-approach-in-the-treatment-of-intra-articular-calcaneal-fracture
#15
Qingting Meng, Qingxian Wang, Xirui Wu, Aqin Peng, Jincheng Yan
To observe the clinical outcome of the sinus tarsi approach in the operative treatment of intra-articular calcaneal fractures.Forty-nine intra-articular calcaneal fractures in 45 patients were managed surgically with sinus tarsi approach. The anatomical plate and compression bolts were applied in 14 feet. The anatomical plate and screws were applied in 35 feet. Maryland foot score system was used to evaluate the function of the hindfoot at the followup.The reduction of the posterior facet was graded as nearly anatomical (less than 2 mm articular displacement) in 46 feet (93...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29595535/-jelly-vac-for-negative-pressure-therapy-for-complex-wound-closure-a-report-of-two-cases
#16
Patrick F Bergin, Jason R Wild, Timothy G Weber
CASE: A 35-year-old man sustained an open calcaneal fracture with bone loss, and a 57-year-old woman sustained an avulsion of the entirety of the plantar skin. Both patients were treated with multiple debridements and soft-tissue coverage. "Jelly-VAC" (vacuum-assisted closure) therapy was used after each debridement and during the soft-tissue coverage. CONCLUSION: Jelly-VAC therapy is a promising alternative that allows negative-pressure therapy with the use of ultrasound jelly to prevent air leakage into the wound...
January 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29593140/-milk-daily-products-and-bone-health-effects-of-school-lunch-programs-on-bone-mass
#17
Naho Kobayashi, Noriko Tsukahara, Ikuko Ezawa
In Japan, school lunches are provided to elementary and secondary student, not only for ensuring the intake of well-balanced and nutritious meal, but also hoping to improve their dietary habits. In this article, the authors review the effects of a school lunch program on the bone mass and dietary habits. The school lunch program was divided into 3 groups:a group provided with a complete school lunch, a group provided with only milk supplements, and a group provided with no supplement. The calcaneal bone mass was significantly higher in both primary and the junior high-school students given complete lunches compared with that in the other groups...
2018: Clinical Calcium
https://www.readbyqxmd.com/read/29589785/correlation-of-clinical-evaluation-and-radiographic-hindfoot-alignment-in-stage-ii-adult-acquired-flatfoot-deformity
#18
Cesar de Cesar Netto, Grace C Kunas, Dylan Soukup, Anca Marinescu, Scott J Ellis
BACKGROUND: Previous work has demonstrated that the amount of radiographic hindfoot correction required at the time of adult-acquired flatfoot deformity (AAFD) operative treatment can be predicted by the amount of radiographic deformity present before surgery. Successful outcomes after reconstruction are closely correlated with hindfoot valgus correction. However, it is not clear if differences exist between clinical and radiographic assessment of hindfoot valgus. The purpose of this study was to evaluate the correlation between radiographic and clinical evaluation of hindfoot alignment in patients with stage II AAFD...
March 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29582433/calcaneal-adduction-and-eversion-are-coupled-to-talus-and-tibial-rotation
#19
Katina Mira Fischer, Steffen Willwacher, Anton Arndt, Gert-Peter Brüggemann
The purpose of this study was to quantify isolated coupling mechanisms of calcaneal adduction/abduction and calcaneal eversion/inversion to proximal bones in vitro. The in vitro approach is necessary because in vivo both movements appear together, making it impossible to determine the extent of their individual contribution to overall ankle joint coupling. Eight fresh frozen foot-leg specimens were tested. Data describing bone orientation and coupling mechanisms between segments were obtained using bone pin marker triads...
March 26, 2018: Journal of Anatomy
https://www.readbyqxmd.com/read/29582117/double-calcaneal-osteotomy-with-minimally-invasive-surgery-for-the-treatment-of-severe-flexible-flatfeet
#20
Hany Mourkus, Hari Prem
BACKGROUND: Severe flexible flatfoot deformity in children and adolescents is a complex problem. Calcaneal lengthening remains the gold standard for surgical correction at this institution. However, in a minority of patients, inadequate correction of valgus is noted at surgery and a further calcaneal shift osteotomy is done. METHODS: We have conducted a retrospective review of ten patients who received 15 combined minimally invasive calcaneal shift and calcaneal lengthening osteotomies, which were all performed by the senior author...
March 26, 2018: International Orthopaedics
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