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Foot and ankle arthroscopy

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https://www.readbyqxmd.com/read/28214465/acute-and-chronic-lateral-ankle-instability-diagnosis-management-and-new-concepts
#1
REVIEW
Rachel Shakked, Steven Sheskier
Lateral ankle instability is a common entity that can result in degenerative arthritis if left untreated. Acute ligament injuries should primarily be treated nonoperatively with a course of physical therapy and functional bracing. Chronic ankle instability is defined as mechanical or functional and can be diagnosed using a combination of history, physical examination, stress radiographs, and magnetic resonance imaging. After failure of nonoperative treatment, surgical treatment with anatomic ligament repair and inferior extensor retinaculum augmentation has the best clinical outcomes...
January 2017: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/28159047/localized-pigmented-villonodular-synovitis-of-the-ankle-expect-the-unexpected
#2
Ozren Kubat, Ivan Bojanić, Tomislav Smoljanović
BACKGROUND: We present the technique, results and discuss arthroscopic treatment of the localized form of pigmented villonodular synovitis (LPVNS) of the ankle. METHODS: Medical records of five patients diagnosed and treated for ankle LPVNS with a minimum five-year followup were retrospectively reviewed. All patients were treated arthroscopically, altered synovial tissue was resected and a sample of tissue was sent for pathohistological examination for the definitive diagnosis...
March 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28149727/arthroscopic-taloplasty-for-an-anterolateral-snapping-ankle
#3
Tun Hing Lui
Anterior ankle snapping syndrome is rare. Snapping of the extensor digitorum longus due to attenuated inferior extensor retinaculum and snapping due to hypertrophied or low-lying peroneal tertius muscle have been reported. We reported a new mechanism of anterolateral snapping due to a hypertrophied talar head. Anterolateral snapping ankle can be revealed by active dorsiflexion and plantarflexion of the ankle with the foot inverted. Foot inversion will tension the inferior extensor retinaculum and uncover the dorsolateral prominence of the talar head...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28092978/variability-in-foot-and-ankle-case-volume-in-orthopaedic-residency-training
#4
Steven F DeFroda, Joseph A Gil, Brad D Blankenhorn, Alan H Daniels
Surgical case volume during orthopaedic surgical residency is a concern among trainees and program directors alike. With an ongoing trend toward further subspecialization and the rapid development of new techniques and devices, the breadth of procedures that residents are exposed to continues to increase. Accreditation Council for Graduate Medical Education surgical case logs from 2009 to 2013 for graduating orthopaedic surgery residents were examined to assess the national averages of orthopaedic procedures logged by graduating orthopaedic surgery residents in the leg/ankle and foot/toes categories...
January 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27989355/knee-shoulder-and-fundamentals-of-arthroscopic-surgery-training-validation-of-a-virtual-arthroscopy-simulator
#5
Josef N Tofte, Brian O Westerlind, Kevin D Martin, Brian L Guetschow, Bastián Uribe-Echevarria, Chamnanni Rungprai, Phinit Phisitkul
PURPOSE: To validate the knee, shoulder, and virtual Fundamentals of Arthroscopic Training (FAST) modules on a virtual arthroscopy simulator via correlations with arthroscopy case experience and postgraduate year. METHODS: Orthopaedic residents and faculty from one institution performed a standardized sequence of knee, shoulder, and FAST modules to evaluate baseline arthroscopy skills. Total operation time, camera path length, and composite total score (metric derived from multiple simulator measurements) were compared with case experience and postgraduate level...
March 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27621264/preemptive-local-anesthesia-in-ankle-arthroscopy
#6
Henryk Liszka, Artur Gądek
BACKGROUND: Complex anesthesia is increasingly used in order to reduce postoperative pain and accelerate rehabilitation. The aim of this study was to evaluate the efficacy and safety of preemptive local anesthesia combined with general or spinal anesthesia in ankle arthroscopy. METHODS: From January 2014 to February 2016, 80 ankle anterior arthroscopies were performed. Patients were randomly assigned to one of 4 groups, depending on the type of anesthesia: A, general and local preemptive; B, spinal and local preemptive; C, general and placebo; D, spinal and placebo...
December 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27599444/arthroscopy-of-the-foot-and-ankle
#7
EDITORIAL
Sean T Grambart
No abstract text is available yet for this article.
October 2016: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27599443/current-update-on-foot-and-ankle-arthroscopy
#8
EDITORIAL
Thomas Zgonis
No abstract text is available yet for this article.
October 2016: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27599441/small-joint-arthroscopy-in-the-foot
#9
REVIEW
Christopher L Reeves, Amber M Shane, Trevor Payne, Zac Cavins
Arthroscopy has advanced in the foot and ankle realm, leading to new innovative techniques designed toward treatment of small joint abnormality. A range of abnormalities that are currently widespread for arthroscopic treatment in larger joints continues to be translated to congruent modalities in the small joints. Small joint arthroscopy offers relief from foot ailments with a noninvasive element afforded by arthroscopy. Early studies have found comparable results from arthroscopic soft tissue procedures as well as arthrodesis of the small joints when compared with the standard open approach...
October 2016: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27599434/instrumentation-in-arthroscopy
#10
REVIEW
Eric A Barp, John G Erickson, Eric R Reese
In recent years, arthroscopic procedures of the foot and ankle have seen a significant increase in both indications and popularity. Furthermore, technological advances in video quality, fluid management, and other arthroscopy-specific instruments continue to make arthroscopic procedures more effective with reproducible outcomes. As surgeons continue to use this approach, it is important that they have a complete understanding of the instrumentation available to them, including their indications and limitations...
October 2016: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27492688/when-can-i-drive-after-orthopaedic-surgery-a-systematic-review
#11
REVIEW
Kevin J DiSilvestro, Adam J Santoro, Fotios P Tjoumakaris, Eric A Levicoff, Kevin B Freedman
BACKGROUND: Patients often ask their doctors when they can safely return to driving after orthopaedic injuries and procedures, but the data regarding this topic are diverse and sometimes conflicting. Some studies provide observer-reported outcome measures, such as brake response time or simulators, to estimate when patients can safely resume driving after surgery, and patient survey data describing when patients report a return to driving, but they do not all agree. We performed a systematic review and quality appraisal for available data regarding when patients are safe to resume driving after common orthopaedic surgeries and injuries affecting the ability to drive...
December 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27343165/combined-innovative-portal-arthroscopy-and-fluoroscopy-assisted-reduction-and-fixation-in-subtle-injury-of-the-lisfranc-joint-complex-analysis-of-10-cases
#12
Shiu-Bii Lien, Hsain-Chung Shen, Leou-Chyr Lin
Subtle injuries of the Lisfranc joint complex are uncommon and difficult to diagnose clinically and thus are easily missed even by experienced orthopedic doctors. Misdiagnosed injuries can lead to chronic disability until eventual fusion surgery. We describe 10 cases diagnosed with subtle injury of the Lisfranc joint that were treated with combined innovative portal arthroscopy and fluoroscopy-assisted reduction and percutaneous screw fixation in an interfragmentary fashion. The distance between the first and second metatarsals (the Lisfranc distance) and that between the medial cuneiform and fifth metatarsal base (foot arch height) was measured before and after surgery...
January 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27340256/osteochondral-autograft-transfer-combined-with-cancellous-allografts-for-large-cystic-osteochondral-defect-of-the-talus
#13
Yuan Zhu, Xiangyang Xu
BACKGROUND: Large cystic osteochondral defects of the talus can be challenging to treat. This retrospective control study looked at the use of osteochondral autograft transfer combined with cancellous allograft in patients with advanced cartilage and subchondral bone damage of the talus. METHODS: Thirteen patients were treated with large cystic osteochondral defect of the talus between February 2010 and July 2013. All of these cystic osteochondral defects were larger than 15 mm in diameter...
October 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27206975/additional-mesenchymal-stem-cell-injection-improves-the-outcomes-of-marrow-stimulation-combined-with-supramalleolar-osteotomy-in-varus-ankle-osteoarthritis-short-term-clinical-results-with-second-look-arthroscopic-evaluation
#14
Yong Sang Kim, Moses Lee, Yong Gon Koh
BACKGROUND: Supramalleolar osteotomy (SMO) is reported to be an effective treatment for varus ankle osteoarthritis by redistributing the load line within the ankle joint. Mesenchymal stem cells (MSCs) have been proposed as a new treatment option for osteoarthritis on the basis of their cartilage regeneration ability. The purpose of this study was to compare the clinical, radiological, and second-look arthroscopic outcomes between MSC injection with marrow stimulation and marrow stimulation alone in patients with varus ankle osteoarthritis who have undergone SMO...
December 2016: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/27175917/the-value-of-arthroscopy-in-the-treatment-of-complex-ankle-fractures-a-protocol-of-a-randomised-controlled-trial
#15
Mareen Braunstein, Sebastian F Baumbach, Markus Regauer, Wolfgang Böcker, Hans Polzer
BACKGROUND: An anatomical reconstruction of the ankle congruity is the important prerequisite in the operative treatment of acute ankle fractures. Despite anatomic restoration patients regularly suffer from residual symptoms after these fractures. There is growing evidence, that a poor outcome is related to the concomitant traumatic intra-articular pathology. By supplementary ankle arthroscopy anatomic reduction can be confirmed and associated intra-articular injuries can be treated. Nevertheless, the vast majority of complex ankle fractures are managed by open reduction and internal fixation (ORIF) only...
May 12, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27174350/anterior-tibial-artery-pseudoaneurysm-following-ankle-arthroscopy-in-a%C3%A2-hemophiliac-patient
#16
Khalil H Chamseddin, Melissa L Kirkwood
Arthroscopy of the foot and ankle is a common orthopedic procedure with low complication rates. Arterial injuries from these procedures are an even more rare subset of the complications. Hemophilia A is a genetic disorder of aberrant coagulation, which leads to increased risk of bleeding even after minor trauma. We present the second case of anterior tibial artery pseudoaneurysm formation secondary to ankle arthroscopy in a hemophiliac patient and suggest that these individuals are at higher risk for developing complications associated with arterial injury...
July 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27149797/-clinical-observation-of-arthroscopic-debridement-for-acute-gouty-arthritis-of-the-ankle
#17
Hong-liang Li, Shu-yuan Li, Chun-bao Li, Wei Qui, Feng Qu, Qi Guo, Xue-zhen Shen, Xi Lu, Yu-jie Liu, Min Wei
OBJECTIVE: To evaluate the effects of arthroscopic debridement for acute gouty arthritis of the ankle. METHODS: Forty-one patients with acute gouty arthritis of the ankle were treated under arthroscopy from January 2010 to June 2012. All the patients were male, age in ranging from 28 to 69 years with an average of 43 years. Eighteen patients were in the left ankles and 23 in the right ankles; 12 cases were firstly attack and 29 cases were recurrent attack. Course of disease was from 2 weeks to 30 months...
March 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/27141782/-clinical-effect-of-arthroscopy-assisted-minimally-invasive-management-of-bunion
#18
Hong-liang Li, Shu-yuan Li, Wei Qi, Chun-bao Li, Feng Qu, Guo Qi, Gang Zhao, Yu-jie Liu, Juan-li Zhu
OBJECTIVE: To evaluate the effect of arthroscopy-assisted minimally invasive management of bunion and hallux valgus deformities. METHODS: Total 50 patients (53 feet) with bunion and hallux valgus deformities were treated under arthroscopy from July 2008 to July 2011, with an average age of 42.3 years old (ranging from 30 to 65 years old) involving 19 left feet, 28 right feet and 3 both feet. The American Orthopedic Foot and Ankle Society (AOFAS) hallux metatarsophalangeal-interphalangeal(MP-IP) Scale Score was used to evaluate the therapeutic effect...
February 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/27082230/trevor-s-disease-up-to-date-review-of-the-literature-with-case-series
#19
Kemal Gökkuş, Halil Atmaca, Ergin Sagtas, Murat Saylik, Ahmet T Aydin
Trevor's disease, also known as dysplasia epiphysealis hemimelica, is a rare nonhereditary skeletal development disorder that affects epiphyses. This type of dysplastic lesion was first reported by Mouchet and Berlot in 1926 under the name 'tarsomegaly'. The main aim of this study is to raise awareness of Trevor's disease among orthopedic surgeons and underline some important aspects of treatment by a detailed presentation of four different possible manifestations of the disease. Four different treatment methods were used on four different patients (three localized in hindfoot ankle region and one classic Trevor's disease case)...
April 14, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27079305/heterotopic-ossification-and-entrapment-of-the-tibial-nerve-within%C3%A2-the%C3%A2-tarsal-tunnel-a-case-report
#20
Alexander R Willis, Adil A Samad, Gail T Prado, Glenn G Gabisan
Heterotopic ossification has been reported to occur after musculoskeletal trauma (including orthopedic procedures). This has been known to cause nerve entrapment syndromes and persistent pain, limiting joint mobility. We present a case of a 19-year old female collegiate athlete who had previously undergone ankle arthroscopy and arthrotomy to remove 2 ossicles. At approximately 1 year postoperatively, the patient developed pain when planting and pivoting her foot. Imaging revealed a radiodense lesion at the posteromedial ankle consistent with heterotopic ossification and entrapment of the tibial nerve within the tarsal tunnel...
September 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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