keyword
https://read.qxmd.com/read/38341675/tibiotalocalcaneal-arthrodesis-in-a-rare-case-of-tuberculosis-of-the-talus
#21
JOURNAL ARTICLE
Chiara Comisi, Tommaso Greco, Michele Inverso, Antonio Mascio, Chiara Polichetti, Marco Barbaliscia, Vincenzo La Vergata, Massimiliano Mosca, Silvio Caravelli, Nicola Mondanelli, Elisa Troiano, Giulio Maccauro, Carlo Perisano
Aim To assess our personal experience of a case of tuberculosis of the talus, and to provide an overview of the literature about the tuberculosis manifestations, including all its aspects: epidemiology, clinical and imaging presentation, and all the treatments available to the current state of knowledge. Methods We present our experience in a case of a 34-year-old patient, who came to our attention with difficulty in walking and pain due to a talar tuberculosis, with consequent bone disruption and reabsorption, and foot deformities...
February 1, 2024: Medicinski Glasnik
https://read.qxmd.com/read/38323932/tarsal-tunnel-syndrome-associated-with-a-bipartite-talus
#22
JOURNAL ARTICLE
Adrian Torres, Megan Paulus
BACKGROUND: Talus bipartitus is a rare skeletal anomaly that may be mistaken for an os trigonum, a relatively common accessory ossicle found posterior to the talus. Both are believed to be formed similarly with the failed fusion of the talus with a second ossification center. Os trigonum is often diagnosed incidentally or found on radiographs obtained in symptomatic patients with signs of os trigonum syndrome, which presents with posterolateral ankle pain. A bipartite talus may also present with similar symptoms but may be differentiated through its articular involvement...
February 1, 2024: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
https://read.qxmd.com/read/38309988/outcomes-following-tibiotalocalcaneal-arthrodesis-using-a-solid-posterior-offset-intramedullary-nail-in-44-patients-with-a-minimum-30-month-follow-up
#23
JOURNAL ARTICLE
Kaylem M Feeney, Evelyn P Murphy, Michael G Curran, Stephen R Kearns
BACKGROUND: Tibiotalocalcaneal arthrodesis is frequently performed by foot and ankle surgeons in the management of complex ankle and hindfoot pathology. In this study, the authors describe the clinical and radiological outcomes of tibiotalocalcaneal arthrodesis using a solid posterior offset hindfoot arthrodesis nail. METHODS: Forty-four consecutive patients underwent tibiotalocalcaneal arthrodesis by a single surgeon operating in two centers. Clinical and radiological outcomes were assessed preoperatively and at 6-month, 12-month and final follow-up (mean 47 months)...
February 1, 2024: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/38309800/outcomes-of-conversion-of-ankle-fusion-to-total-ankle-arthroplasty
#24
REVIEW
Christopher Traynor, J Chris Coetzee
With ankle replacements gaining popularity and documented good functional outcomes, there is an increasing number of patients inquiring about the possibility of converting an ankle fusion to a replacement. This could be due to pain, limited function, or increasing adjacent joint arthritis. There is an increasing body of evidence in the literature that a conversion to a replacement is possible and that the outcomes are positive. There are also absolute contradictions for a conversion. An absent fibula, pain of unknown origin, and recent infection fall in this category...
March 2024: Foot and Ankle Clinics
https://read.qxmd.com/read/38309799/complications-in-total-ankle-replacement
#25
REVIEW
Joris P S Hermus
The debate between ankle arthrodesis and total ankle replacement for patients with end-stage arthritis of the ankle joint is an ongoing topic in orthopedic surgery. Ankle arthrodesis, or fusion, has been the traditional treatment for ankle arthritis. It involves fusing the bones of the ankle joint together, eliminating the joint and creating a solid bony union. Arthrodesis is effective in reducing pain in the ankle, but it results in a loss of ankle motion. This can increase the load on adjacent joints, such as the subtalar joint, which may lead to accelerated degeneration and arthritis in those joints over time...
March 2024: Foot and Ankle Clinics
https://read.qxmd.com/read/38309798/diagnosing-and-managing-infection-in-total-ankle-replacement
#26
REVIEW
Markus Walther, Veit Krenn, Kathrin Pfahl
Infections after total ankle replacement (TAR) within the first 4 weeks after implantation can be managed successfully with 1 or several debridements, irrigation, and a change of polyethylene inlay. Late infections require implant removal. Low-grade infections might be an underestimated problem so far. Although single-surgery revisions are reported in the literature, the authors' experience with 2-stage revisions using an antibiotics-loaded bone cement spacer is better. Additional antibiotics are used to support the surgical treatment...
March 2024: Foot and Ankle Clinics
https://read.qxmd.com/read/38308313/a-unilateral-external-fixator-combined-with-bone-transport-and-tibio-talar-fusion-for-the-treatment-of-severe-postoperative-infection-of-peri-ankle-fractures-retrospective-analysis-of-32-cases
#27
JOURNAL ARTICLE
Qinghu Li, Xin Wang, Yonghui Wang, Fanxiao Liu, Baisheng Fu
BACKGROUND: To investigate the clinical effects of a unilateral external fixator combined with bone transport and tibio-talar fusion in the treatment of severe postoperative infection of peri-ankle fractures. METHODS: The clinical data of 32 patients (22 men and 10 women) with severe postoperative infection of peri-ankle fractures were retrospectively analyzed. Patients' age ranged from 26 to 62 (mean, 42 ± 9.5) years old. The types of fractures were distal tibia fracture (25 cases), distal tibia and fibula fracture (5 cases), and talus fracture (2 cases)...
February 2, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38293567/gait-alterations-in-patients-with-adult-spinal-deformity
#28
JOURNAL ARTICLE
Stephanie M D Huysmans, Rachel Senden, Eva Jacobs, Paul J B Willems, Rik G J Marcellis, Mark van den Boogaart, Kenneth Meijer, Paul C Willems
BACKGROUND: Adult spinal deformity patients (ASD) experience altered spinal alignment affecting spatiotemporal parameters and joint kinematics. Differences in spinal deformity between patients with symptomatic idiopathic scoliosis (ID-ASD) and patients with "de novo" scoliosis (DN-ASD) may affect gait characteristics differently. This study aims to compare gait characteristics between ID-ASD, DN-ASD, and asymptomatic healthy matched controls. METHODS: In this observational case-control study, ID-ASD (n = 24) and DN-ASD (n = 26) patients visiting the out-patient spine clinic and scheduled for long-segment spinal fusion were included...
March 2024: N Am Spine Soc J
https://read.qxmd.com/read/38282285/anatomical-structures-at-risk-in-percutaneous-preparation-talonavicular-fusion
#29
JOURNAL ARTICLE
Matthew T Yeager, Shrey Nihalani, Robert W Rutz, Zuhair J Mohammed, Mathew Hargreaves, Matthew McCrosson, Mila Scheinberg, Swapnil Singh, Ashish B Shah
BACKGROUND: The stability of the hindfoot greatly relies on the integrity of the talonavicular joint. Pathologies affecting this joint often necessitate fusion. Our study explores the risks posed to neurovascular and tendon structures during simulated percutaneous talonavicular joint preparation for fusion. METHODS: In 9 fresh cadaver specimens, the talonavicular joint was accessed through two portals. A 2-mm Shannon burr was employed for joint surface preparation with distraction provided by a pin-based distractor...
January 28, 2024: Foot & Ankle International
https://read.qxmd.com/read/38274642/outcomes-of-total-ankle-replacement-current-evidence
#30
JOURNAL ARTICLE
Taegyeong Tina Ha, Nicola Jane Madeley, Chinnasamy Senthil Kumar
Total ankle replacement surgery is gaining popularity and is beginning to establish itself as a viable alternative to arthrodesis in the treatment of end-stage ankle arthritis. Only a few studies exist directly comparing these 2 techniques. Also lacking are the long-term outcome studies of ankle replacement surgery. A better understanding of clinical and patient-reported outcome measures after ankle fusion and replacement will enable the surgeon to better counsel the patient and help choose the right treatment...
January 2024: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/38266808/tension-side-fixation-for-lapidus-arthrodesis-a-retrospective-analysis
#31
JOURNAL ARTICLE
Ryan B Rigby, James R McWilliam, Braden T Jenkins
Moderate to severe hallux valgus deformity often requires a Lapidus procedure (first-tarsometatarsal arthrodesis). Traditional methods include a dorsal approach with dorsal or medial fixation. However, studies demonstrate plantar/tension-side fixation, provides superior load to failure and fixation strength. This could improve outcomes, address comorbidities, and accelerate postoperative protocols; however, a paucity exists for patient outcomes in the literature regarding tension-side-fixation. The purpose of this study is to report the outcomes for tension-side Lapidus fixation...
January 22, 2024: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/38262785/arthrodesis-vs-arthroplasty-for-moderate-and-severe-hallux-rigidus-systematic-review
#32
REVIEW
Jorge Sánchez Guzmán, Rodrigo Gallo Oropeza, Marco Reyes Donado, Xavier Martin Oliva, Tania Sánchez Diaz
UNLABELLED: Hallux rigidus is the most frequent arthritis of the foot, due to multiple factors. Arthrodesis and interposition arthroplasty are treatments considered in advanced stages of the disease, when conservative treatment has failed. Although arthrodesis may be considered the technique recommended by multiple authors, for patients in whom joint mobility is to be preserved, arthroplasty could represent a reliable alternative. The purpose of this systematic review is to investigate and compare the clinical outcomes and complications of arthrodesis and interposition arthroplasty for moderate and severe stages of hallux rigidus...
January 5, 2024: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/38240174/biomechanical-effects-of-subtalar-joint-fusion-and-medial-ligament-reconstruction-in-simulated-progressive-collapsing-foot-deformity
#33
JOURNAL ARTICLE
Wonyong Lee, Nahom Tecle, Emma Knapp, Hani Awad, Irvin Oh
BACKGROUND: The purpose of this study is to investigate the biomechanical effect of medial displacement calcaneal osteotomy (MDCO), subtalar joint fusion (SF), and medial ligament reconstruction (MLR: deltoid-spring ligament) in a severe flatfoot model. We hypothesized that (1) combination of MDCO and SF improves the tibiotalar and foot alignment in severe progressive collapsing foot deformity (PCFD) cadaver model. (2) However, if a residual valgus heel alignment remains after MCDO and SF, it can lead to increased medial ligament strain, foot malalignment, and tibiotalar valgus tilt, which will be mitigated by the addition of MLR...
January 19, 2024: Foot & Ankle International
https://read.qxmd.com/read/38199925/tibiotalocalcaneal-arthrodesis-with-an-intramedullary-nail-the-functional-and-clinical-outcome-of-a-challenging-patient-group-and-its-comparison-to-a-below-knee-amputation
#34
JOURNAL ARTICLE
Alexander Manobianco, Oliver Enketan, René Grass
BACKGROUND: Tibiotalocalcaneal arthrodesis (TTCA) is a salvage procedure to fuse the ankle and subtalar joints to treat severe ankle and hindfoot disease. Patients often have multiple operations before a TTCA. A below knee amputation (BKA) has major physical and psychological impacts. Our aim is to investigate the outcomes of these treatments in salvage situations, with a focus on objective functional measurements and patient reported outcome measures (PROMs). METHODS: 52 patients underwent TTCA with a retrograde intramedullary nail and contacted for clinical and functional assessments and compared to patients who underwent traumatic BKA...
January 5, 2024: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/38193256/comparative-study-of-two-retrograde-locked-intramedullary-nail-designs-for-ankle-arthrodesis-a-finite-element-analysis
#35
JOURNAL ARTICLE
Víctor Manuel Araujo-Monsalvo, María Fernanda Toledo-Romo, Germán Aníbal Rodríguez-Castro, Jesús Vázquez-Escamilla, Víctor Manuel Domínguez-Hernández, Alfonso Meneses-Amador, Juan Ricardo Cortés-García, Elisa Martínez-Coria
Ankle arthrodesis is the gold standard for treatment of end-stage arthritis. The goal of ankle arthrodesis is to obtain bony union between the tibia and the talus. Retrograde intramedullary nailing is typically reserved for ankle and subtalar joints arthrodesis. The purpose of this study is to evaluate the effect of two different materials, two locking pin configurations and two nail designs of a retrograde locked intramedullary nail used for ankle arthrodesis. Using the finite element analysis, a numerical study of ankle arthrodesis was developed to evaluate the effect of materials: TI-6Al-4V and stainless steel AISI 316 LVM; two locking pin configurations: five and six pins, on two intramedullary nails: Ø10 × 180 mm and Ø11 × 200 mm...
January 9, 2024: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://read.qxmd.com/read/38189868/cost-utility-analysis-of-total-ankle-replacement-compared-with-ankle-arthrodesis-for-patients-aged-50-85-years-with-end-stage-ankle-osteoarthritis-the-tarva-study
#36
JOURNAL ARTICLE
Andrew J Goldberg, Ekaterina Bordea, Kashfia Chowdhury, Iva Hauptmannova, James Blackstone, Deirdre Brooking, Elizabeth L Deane, Stephen Bendall, Andrew Bing, Chris Blundell, Sunil Dhar, Andrew Molloy, Steve Milner, Mike Karski, Steve Hepple, Malik Siddique, David T Loveday, Viren Mishra, Paul Cooke, Paul Halliwell, David Townshend, Simon S Skene, Caroline J Doré
BACKGROUND: Patients with end-stage ankle osteoarthritis suffer from reduced mobility and quality of life and the main surgical treatments are total ankle replacement (TAR) and ankle fusion (AF). OBJECTIVES: Our aim was to calculate the mean incremental cost per quality-adjusted life-year (QALY) of TAR compared with AF in patients with end-stage ankle osteoarthritis, over 52 weeks and over the patients' lifetime. METHOD: We conducted a cost-utility analysis of 282 participants from 17 UK centres recruited to a randomised controlled trial (TARVA)...
January 8, 2024: PharmacoEconomics Open
https://read.qxmd.com/read/38163916/reaming-for-tibiotalocalcaneal-ttc-nailing-removes-only-10-of-the-ankle-and-subtalar-joints
#37
JOURNAL ARTICLE
James D Baker, Paul Schroeder, Tyra Kimbler, Jeannie Huh
OBJECTIVES: Tibiotalocalcaneal (TTC) nailing in the setting of acute ankle trauma has become increasingly popular. No consensus exists as to whether formal joint preparation is necessary, although there is some concern that residual motion at unprepared joints may lead to implant loosening and/or breakage. The objective of this study was to quantify the proportion of tibiotalar and subtalar articular surface destruction that occurs during reaming for TTC nail fixation. METHODS: Twelve cadaver lower extremities were procured...
January 2, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38158798/ten-year-minimum-follow-up-study-of-first-metatarsophalangeal-joint-fusion-in-young-vs-old-patients
#38
JOURNAL ARTICLE
Fabrice Scheurer, Stefan M Zimmermann, Philipp Fischer, Stephan H Wirth, Silvan Beeler, Arnd F Viehöfer
BACKGROUND: Painful degenerative joint disease (DJD) of the first metatarsophalangeal joint (MTP I), or hallux rigidus, mainly occurs in later stages of life. For end-stage hallux rigidus, MTP I arthrodesis is considered the gold standard. As young and active patients are affected considerably less frequently, it currently remains unclear, whether they benefit to the same extent. We hypothesized that MTP I arthrodesis in younger patients would lead to an inferior outcome with decreased rates of overall with lower rates of patient postoperative pain and function compared to an older cohort...
December 30, 2023: Foot & Ankle International
https://read.qxmd.com/read/38146004/male-elite-soccer-players-have-a-higher-incidence-of-accessory-ossicles-in-the-foot-and-ankle
#39
JOURNAL ARTICLE
Takuya Kinoshita, Yusuke Hashimoto, Kentaro Inui, Ryo Sugama, Takeshi Sugimoto, Yuichi Akizuki, Hiroaki Nakamura
PURPOSE: Accessory ossicles are caused by the failure of the fusion of secondary ossification centres and are more likely to occur due to heavy loading during the growth period or improper treatment after injury. This study aimed to investigate the incidence of foot and ankle accessory ossicles in male professional soccer players. METHODS: This study included male professional soccer players who underwent medical checkups at our hospital between 2017 and 2023 as the soccer group...
December 26, 2023: International Orthopaedics
https://read.qxmd.com/read/38142626/epidemiology-management-of-complex-ankle-fractures-in-the-united-kingdom-a-multicentre-cohort-study
#40
JOURNAL ARTICLE
T D Stringfellow, D Coffey, C Wek, C Bretherton, S P Tan, I Reichert, R Ahluwalia
BACKGROUND: Patient factors are known to contribute to decision making and treatment of ankle fractures. The presence of poor baseline mobility, diabetes, neuropathy, alcoholism, cognitive impairment, inflammatory arthritis or polytrauma can result in a higher risk of failure or complications. Limited evidence is available on the optimum management for this challenging cohort of patients herein described as complex ankle fractures. This UK multicentre study assessed and evaluated the epidemiology of ankle fractures complicated by significant comorbidity and patient factors and use of specialist surgical techniques such as hindfoot nails (HFN) / tibiotalarcalcaneal (TCC) nails and enhanced open reduction and internal fixation (ORIF)...
September 14, 2023: Injury
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