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Foot and ankle international

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https://www.readbyqxmd.com/read/29914729/why-fibular-nailing-can-be-an-efficient-treatment-strategy-for-ao-type-44-b-ankle-fractures-in-the-elderly
#1
Sam Peeperkorn, Stefaan Nijs, Harm Hoekstra
The reference standard treatment of unstable AO type 44-B ankle fractures is open reduction and internal fixation. However, delayed-staged surgery because of compromised soft tissues results in prolonged hospitalization and increased total healthcare costs in the elderly (age ≥65 years). The aim of the present study was to measure the efficiency of intramedullary fibular nailing (IMFN) in the elderly. A prospective series of 15 elderly patients with an AO type 44-B ankle fracture treated with IMFN were compared with a retrospective cohort of 97 elderly patients treated with plate and screw osteosynthesis (PSOS)...
June 15, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29904043/effect-of-neuro-orthopaedic-surgery-for-spastic-equinovarus-foot-after-stroke-a-prospective-longitudinal-study-based-on-a-goal-centered-approach
#2
Thierry Deltombe, Maxime Gilliaux, François Peret, Mie Leeuwerck, Delphine Wautier, Philippe Hanson, Thierry Gustin
BACKGROUND: Neuro-orthopaedic surgery is recognized as an effective treatment to improve walking capacity in case of spastic equinovarus foot. However, the effect of surgery on the 3 domains of the International Classification of Functioning, Disability and Health (ICF) has never been studied. AIM: To assess the efficacy of the neuro-orthopaedic surgery for spastic equinovarus foot after stroke based on a goal-centered approach and on the 3 domains of the International Classification of Functioning, Disability and Health (ICF)...
June 14, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29891469/acceptability-of-a-mobile-clinical-decision-tool-among-emergency-department-clinicians-development-and-evaluation-of-the-ottawa-rules-app
#3
Michelle Paradis, Ian Stiell, Katherine M Atkinson, Julien Guerinet, Yulric Sequeira, Laura Salter, Alan J Forster, Malia Sq Murphy, Kumanan Wilson
BACKGROUND: The Ottawa Ankle Rules, Ottawa Knee Rule, and Canadian C-Spine Rule-together known as The Ottawa Rules-are a set of internationally validated clinical decision rules developed to decrease unnecessary diagnostic imaging in the emergency department. In this study, we sought to develop and evaluate the use of a mobile app version of The Ottawa Rules. OBJECTIVE: The primary objective of this study was to determine acceptability of The Ottawa Rules app among emergency department clinicians...
June 11, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29890933/quantification-of-vertical-free-moment-induced-by-the-human-foot-ankle-complex-during-axial-loading
#4
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
https://www.readbyqxmd.com/read/29887628/management-of-talar-body-fractures
#5
S R Sundararajan, Abdul Azeem Badurudeen, R Ramakanth, Shanmuganathan Rajasekaran
Fractures of talar body are uncommon injuries often associated with fractures of other long bones and in polytraumatized patients. The integrity of the talus is essential for the normal function of the ankle, subtalar, and midtarsal joints. The relative infrequency of this injury limits the number of studies available to guide treatment. They occur as a result of high-velocity trauma and are therefore associated with considerable soft tissue damage. Axial compression with supination or pronation is the common mechanism of injury...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887625/the-posterolateral-approach-for-calcaneal-fractures
#6
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
https://www.readbyqxmd.com/read/29881185/electromagnetic-simulation-of-non-invasive-approach-for-the-diagnosis-of-diabetic-foot-ulcers
#7
Roshen Borkar, James Rizkalla, Youngmin Kwon, Paul Salama, Maher Rizkalla
Diabetic foot ulcers are systemic diseases that affect all blood vessels within the human body. From major blood vessels to microvasculature, hardening, thickening, and narrowing of blood vessels ultimately results to diminished blood flow to end organs. The detrimental effects of peripheral vascular disease are well recognized across medicine, particularly with regards to diabetic foot ulcers. Diabetic foot ulcers (DFU) are common across all fields of medicine, including but not limited to: orthopedics, vascular surgery, podiatry, general internal medicine, and infectious disease...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29806410/-application-of-three-dimensional-printing-technology-in-treatment-of-internal-or-external-ankle-distal-avulsed-fracture
#8
Weixiang Shi, Xiaozhong Luo, Gang Wu, Yong Ding, Xin Zhou
Objective: To explore the effectiveness and advantage of three-dimensional (3D) printing technology in treatment of internal or external ankle distal avulsed fracture. Methods: Between January 2015 and January 2017, 20 patients with distal avulsed fracture of internal or external ankle were treated with the 3D guidance of shape-blocking steel plate fixation (group A), and 18 patients were treated with traditional plaster external fixation (group B). There was no significant difference in gender, age, injury cause, disease duration, fracture side, and fracture type between 2 groups ( P >0...
February 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29806409/-ilizarov-technique-combined-with-limited-surgery-for-correction-of-spastic-clubfoot-in-adolescents-with-cerebral-palsy
#9
Chunzhi Gao, Han Wu, Peng Xiao, Xuejian Wu
Objective: To evaluate the effectiveness of Ilizarov technique combined with soft tissue release and muscle strength balance in the treatment of spastic clubfoot in adolescents with cerebral palsy. Methods: A retrospective analysis of clinical data of 29 cases (33 feet) of cerebral palsy spastic clubfoot deformity conformed to the selection criteria between June 2011 and September 2016. Among them, 17 were male (20 feet) and 12 were female (13 feet) with an age range from 13 to 28 years (mean, 17...
February 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29806382/-effectiveness-of-talonavicular-arthrodesis-for-m%C3%A3-ller-weiss-disease
#10
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
https://www.readbyqxmd.com/read/29793768/a-laboratory-captured-giving-way-episode-in-an-individual-with-chronic-ankle-instability
#11
Alexandria Remus, Brian Caulfield, Cailbhe Doherty, Colum Crowe, Giacomo Severini, Eamonn Delahunt
This brief report details the first ever instrument-based motion description of an accidental "giving way" episode of the ankle joint incurred by a recreational male athlete (age = 22 years; height = 1.78 m; body mass = 97 kg) with chronic ankle instability whilst he was performing a change of direction task. Five inertial measurement units, as well as a high-speed video camera captured his lower limb kinematics during the performance of a maximum effort Agility T-Test, including his accidental "giving way" episode...
May 18, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29792104/association-of-hip-and-foot-factors-with-patellar-tendinopathy-jumper-s-knee-in-athletes
#12
Luciana D Mendonça, Juliana M Ocarino, Natália F N Bittencourt, Luciana G Macedo, Sérgio T Fonseca
Study Design Clinical measurement, cross-sectional. Background Investigations on the causes of patellar tendinopathy (PT) should consider impairments at the hip and foot/ankle since they are known to influence movement patterns and affect patellar tendon loading. Objectives To investigate, by means of CART analysis, impairments of the hip and foot/ankle that are associated with PT in volleyball and basketball athletes. Methods One-hundred and ninety athletes were assessed for impairments of the hip and foot/ankle including: shank-forefoot alignment (SFA), ankle dorsiflexion range of motion (DF ROM), iliotibial band flexibility, passive hip internal rotation (IR) ROM, and hip external rotator (ER) and hip abductor isometric strength...
May 23, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29787992/reliability-and-validity-analysis-of-the-open-source-chinese-foot-and-ankle-outcome-score-faos
#13
Samuel K K Ling, Vincent Chan, Karen Ho, Fona Ling, T H Lui
AIM: Develop the first reliable and validated open-source outcome scoring system in the Chinese language for foot and ankle problems. METHODS: Translation of the English FAOS into Chinese following regular protocols. First, two forward-translations were created separately, these were then combined into a preliminary version by an expert committee, and was subsequently back-translated into English. The process was repeated until the original and back translations were congruent...
December 21, 2017: Foot
https://www.readbyqxmd.com/read/29758506/the-association-between-menarche-intensity-of-training-and-passive-joint-rom-in-young-pre-professional-female-dancers-a-longitudinal-follow-up-study
#14
Steinberg Nili, Tenenbaum Shay, Stern Myriam, Zeev Aviva, Siev-Ner Itzhak
OBJECTIVES: To determine the association between the status of menarche (yes/no), the intensity of training and the potential to improve passive joint range of motion (ROM) over a 12-month period of dance training. DESIGN: Prospective cohort study. SETTING: Dance studio. PARTICIPANTS: Fifty-nine female dancers aged 12.8 ± 0.5. MAIN OUTCOME MEASURES: The dancers were asked about their dance intensity and screened for anthropometric parameters and passive joint ROM in Grades 7 and 8...
May 5, 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29752218/elevated-international-normalized-ratio-is-not-associated-with-increased-perioperative-morbidity-in-podiatric-limb-salvage-surgery-a-retrospective-analysis
#15
Nalini Vadivelu, Alice M Kai, Feng Dai, Hosni Mikhael, Rima Aouad, Peter Blume
The risk of hemorrhage always exists in anticoagulated patients with an elevated international normalized ratio (INR), a risk that must be measured against the necessity for surgical procedures. The objective of the present retrospective medical record study was to assess the safety with which limb salvage procedures can be conducted in patients with an INR >1.4. The medical records of 231 patients who had undergone limb salvage procedures by 1 surgeon at the Yale New Haven Health System from November 2008 through July 2014 were reviewed...
May 8, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29726732/the-prevalence-distribution-and-functional-importance-of-lower-limb-somatosensory-impairments-in-chronic-stroke-survivors-a-cross-sectional-observational-study
#16
Terry Gorst, Alison Rogers, Stewart C Morrison, Mary Cramp, Joanne Paton, Jenny Freeman, Jon Marsden
PURPOSE: To investigate the prevalence and distribution of lower limb somatosensory impairments in community dwelling chronic stroke survivors and examine the association between somatosensory impairments and walking, balance, and falls. METHODS: Using a cross sectional observational design, measures of somatosensation (Erasmus MC modifications to the (revised) Nottingham Sensory Assessment), walking ability (10 m walk test, Walking Impact Scale, Timed "Get up and go"), balance (Functional Reach Test and Centre of Force velocity), and falls (reported incidence and Falls Efficacy Scale-International), were obtained...
May 4, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29720142/evaluation-of-three-patient-reported-outcome-measures-following-operative-fixation-of-closed-ankle-fractures
#17
Andrew M Garratt, Markus G Naumann, Ulf Sigurdsen, Stein Erik Utvåg, Knut Stavem
BACKGROUND: Several patient reported outcome measures (PROMs) are available for assessing the outcomes of ankle fracture but few have been compared for recommended measurement properties. This study compares the measurement properties of the Lower Extremity Function Scale (LEFS), Olerud Molander Ankle Score (OMAS) and Self-Reported Foot and Ankle Score (SEFAS) following ankle surgery. METHODS: The retrospective cohort study included 959 patients aged 18 years and over who underwent surgical treatment (ORIF) for unstable and closed ankle fractures in SE Norway...
May 2, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29701088/outcome-of-autologous-bone-grafting-with-preservation-of-articular-cartilage-to-treat-osteochondral-lesions-of-the-talus-with-large-associated-subchondral-cysts
#18
M Sawa, T Nakasa, Y Ikuta, M Yoshikawa, Y Tsuyuguchi, M Kanemitsu, Y Ota, N Adachi
Aims The aim of this study was to evaluate antegrade autologous bone grafting with the preservation of articular cartilage in the treatment of symptomatic osteochondral lesions of the talus with subchondral cysts. Patients and Methods The study involved seven men and five women; their mean age was 35.9 years (14 to 70). All lesions included full-thickness articular cartilage extending through subchondral bone and were associated with subchondral cysts. Medial lesions were exposed through an oblique medial malleolar osteotomy, and one lateral lesion was exposed by expanding an anterolateral arthroscopic portal...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29690827/cross-cultural-adaptation-and-measurement-properties-of-the-brazilian-portuguese-version-of-the-victorian-institute-of-sport-assessment-achilles-visa-a-questionnaire
#19
Gabriel Nunes de Mesquita, Marcela Nicácio Medeiros de Oliveira, Amanda Ellen Rodrigues Matoso, Alberto Galvão de Moura Filho, Rodrigo Ribeiro de Oliveira
Study Design Clinical measurement study. Background Achilles tendon disorders are very common among athletes and it is important to objectively measure symptoms and functional limitations related to Achilles tendinopathy using outcome measures that have been validated in the language of the target population. Objectives To perform a cross-cultural adaptation and to evaluate the measurement properties of the Brazilian version of the Victorian Institute of Sport Assessment-Achilles (VISA-A) questionnaire. Methods We adapted the VISA-A questionnaire to Brazilian Portuguese (VISA-A-Br)...
April 24, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29685567/minimally-invasive-treatment-of-ankle-fractures-in-patients-at-high-risk-of-soft-tissue-wound-healing-complications
#20
REVIEW
Sherif Mohamed Abdelgaid, Ahmed Fawaz Moursy, Eyad Abd Allah Elgebaly, Aly Mohamed Aboelenien
The complex nature of ankle fractures is magnified when seen in patients at high risk of soft tissue wound healing complications. The major categories include associated soft tissue injury, diabetes, tobacco use, peripheral vascular disease, malnutrition, alcoholism, and corticosteroid use. Because of the potential for wound dehiscence and infection with open reduction and internal fixation of ankle fractures in these patients, minimally invasive procedures have been described. The aims of the present study were to assess the possibility for, and evaluate the results and complications of, minimally invasive techniques for different types of malleolar fractures in high-risk patients...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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