keyword
https://read.qxmd.com/read/38492062/relationship-between-increased-knee-joint-line-obliquity-after-medial-open-wedge-high-tibial-osteotomy-and-patient-reported-outcome-measures
#1
JOURNAL ARTICLE
Kazushi Horita, Shinichiro Okimura, Kodai Hamaoka, Yasutoshi Ikeda, Yohei Okada, Tomoaki Kamiya, Tomoyuki Suzuki, Atsushi Teramoto
INTRODUCTION: This study evaluated the correlation between postoperative knee joint line obliquity after medial open-wedge high tibial osteotomy and patient-reported outcome measures excluding excessively overcorrected knees. This study further identified preoperative radiological factors related to the increased postoperative knee joint line obliquity. MATERIALS AND METHODS: We retrospectively evaluated patients who underwent medial open-wedge high tibial osteotomy between March 2013 and March 2021...
March 16, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38492060/peroneal-artery-injury-potential-due-to-different-syndesmosis-screw-placement-options-a-simulation-study-with-lower-extremity-computed-tomography-angiography
#2
JOURNAL ARTICLE
Kürşad Aytekin, İsmet Miraç Çakır, Merve Nur Taşdemir, Orhan Balta
INTRODUCTION: The aim of this study is to assess the risk of peroneal artery injury of hardware placement at the fixation of syndesmotic injuries. MATERIALS AND METHODS: The lower extremity computed tomography angiography was used to design the study. The syndesmosis screw placement range was simulated every 0.5 cm, from 0.5 to 5 cm proximal to the ankle joint. The screw axes were drawn as 20°, 30° or individual angle according to the femoral epicondylar axis...
March 16, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38491828/treatment-of-symptomatic-os-supranaviculare-in-athletes
#3
JOURNAL ARTICLE
Kazuya Sugimoto, Shinji Isomoto, Kimio Miura, Sayaka Wakiyama, Azusa Yoneda, Akira Taniguchi, Yasuhito Tanaka
BACKGROUND: Although the incidence of os supranaviculare (OSSN) is generally low, symptomatic OSSN affects athletes. The aim of this study was to assess the variations of OSSN and the results of osteosynthesis between the OSSN and the navicular bone. METHODS: Eleven feet of 10 elite athletes with symptomatic OSSN were treated. There were 3 male and 7 female patients with an average age of 19 years. Eight feet exhibited navicular stress fracture (NSF). Operative treatment was performed in 9 feet of 8 patients and 2 conservatively...
March 16, 2024: Foot & Ankle International
https://read.qxmd.com/read/38491768/influence-of-talar-and-calcaneal-morphology-on-subtalar-kinematics-during-walking
#4
JOURNAL ARTICLE
Tetsuya Yamamoto, Paige Paulus, Joshua C Setliff, MaCalus V Hogan, William J Anderst
BACKGROUND: Cadaver biomechanical testing suggests that the morphology of articulating bones contributes to the stability of the joints and determines their kinematics; however, there are no studies examining the correlation between bone morphology and kinematics of the subtalar joint. The purpose of this study was to investigate the influence of talar and calcaneal morphology on subtalar kinematics during walking in healthy individuals. METHODS: Forty ankles (20 healthy subjects, 10 women/10 men) were included...
March 15, 2024: Foot & Ankle International
https://read.qxmd.com/read/38491765/3d-analysis-of-joint-sparing-charcot-marie-tooth-surgery-effect-on-initial-standing-foot-alignment
#5
JOURNAL ARTICLE
Jae Hwang Song, Max P Michalski, Glenn B Pfeffer
BACKGROUND: The complex deformities in cavovarus feet of Charcot-Marie-Tooth (CMT) disease are difficult to evaluate. The aim of this study was to quantify the initial standing alignment correction achieved after joint-sparing CMT cavovarus reconstruction using pre- and postoperative weightbearing computed tomography (WBCT). METHODS: Twenty-nine CMT cavovarus reconstructions were retrospectively analyzed. Three-dimensional measurements were performed using semiautomated software (Bonelogic 2...
March 15, 2024: Foot & Ankle International
https://read.qxmd.com/read/38488258/functional-knee-phenotypes-appear-to-be-more-suitable-for-the-chinese-oa-population-compared-with-cpak-classification-a%C3%A2-study-based-on-3d-ct-reconstruction-models
#6
JOURNAL ARTICLE
LiMing Liu, Kai Lei, Dekai Du, Yong Lin, Zhaoxun Pan, Lin Guo
PURPOSE: The aim of this study was to investigate the distribution of coronal plane alignment of the knee (CPAK) classification and functional knee phenotypes in a Chinese osteoarthritis (OA) population and to compare different lower limb alignment targets according to the distribution characteristics to find suitable total knee arthroplasty (TKA) bone cut strategies for the Chinese OA patients. METHODS: The computed tomography (CT) images were retrospectively collected and the three-dimensional (3D) models were reconstructed from 434 Chinese OA patients, including 93 males and 341 females, with a mean age of 66...
March 15, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38488243/alignment-is-only-part-of-the-equation-high-variability-in-soft-tissue-distractibility-in-the-varus-knee-undergoing-primary-tka
#7
JOURNAL ARTICLE
Matthew J Grosso, Edgar A Wakelin, Christopher Plaskos, Gwo-Chin Lee
PURPOSE: The purpose of this study is to evaluate the in vivo medial and lateral joint laxities across various total knee arthroplasty (TKA) alignment categories correlated to (1) hip-knee-ankle angle, (2) proximal tibial angle and (3) distal femoral angle in a consecutive group of patients undergoing robotic-assisted TKA. METHODS: Using ligament tensions acquired during 805 robotic-assisted TKA with a dynamic ligament tensor under a load of 70-90 N, the relationship between medial and lateral collateral ligament laxity and overall limb alignment was established...
March 15, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38485459/three-dimensional-mapping-analysis-of-talus-fractures-and-demonstration-of-different-surgical-approaches-for-talus-fractures
#8
JOURNAL ARTICLE
Ruihan Wang, Guixuan You, Shiqin Yin, Songtao Jiang, Hai Wang, Houyin Shi, Lei Zhang
OBJECTIVE: The talus is an important component in the ankle, and its treatment after injury is crucial. However, complications and adverse events due to incomplete traditional classifications may still occur, and these classifications fail to analyze the patterns and distribution of fractures from a three-dimensional perspective. Therefore, in this study, we aimed to analyze the location and distribution of fracture lines in different types of talus fractures using three-dimensional (3D) and heat mapping techniques...
March 14, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38485168/anatomical-and-technical-considerations-in-fascicular-nerve-transfers-for-foot-drop
#9
JOURNAL ARTICLE
Mitchel Seruya
Foot drop is the common endpoint for a diverse set of nerve injuries, affecting over 128,000 in the United States each year. The wide and oftentimes underappreciated zone of injury, finite pace of regeneration, and exponential decay in the percentage of motor end-plates reinnervated over time may explain the limited success with natural recovery and/or peripheral nerve surgery. Previously described nerve transfer techniques also suffer from incompletely balancing the foot and ankle, poor donor-target nerve synergy, and/or not effectively bypassing the zone of injury...
March 14, 2024: Journal of Reconstructive Microsurgery
https://read.qxmd.com/read/38483102/lapidus-arthrodesis-for-correction-of-hallux-valgus-deformity-a-systematic-review-and-meta-analysis
#10
REVIEW
Maximilian Waehner, Kajetan Klos, Hans Polzer, Robbie Ray, Thomas Lorchan Lewis, Hazibullah Waizy
BACKGROUND: The aim of this study was to evaluate and compare different fixation methods to achieve Tarsometatarsal joint I (TMT-1) arthrodesis in patients with hallux valgus regarding radiographic correction, complication profile, and clinical outcomes. METHODS: A systematic review and meta-analysis included primary literature results of evidence level 1 to 3 studies in German and English. Inclusion and exclusion criteria were established and applied, along with parameters suitable for comparison of data...
March 14, 2024: Foot & Ankle Specialist
https://read.qxmd.com/read/38482821/discrepancies-between-intraoperative-and-postoperative-ankle-motion-measured-for-anterior-approach-total-ankle-arthroplasty
#11
JOURNAL ARTICLE
Jaeyoung Kim, Rogerio Bitar, Oliver Gagne, Joaquin Palma, Isabel Shaffrey, Agnes Cororaton, Jensen Henry, Jonathan Deland, Scott Ellis, Constantine Demetracopoulos
BACKGROUND: Although intraoperative ankle motion serves as a foundational reference for anticipated motion after surgery and guides the addition of procedures to enhance ankle motion in total ankle arthroplasty (TAA), the relationship between intraoperative and postoperative ankle motion remains unclear. This study aimed to investigate the discrepancy between intraoperative and postoperative ankle range of motion (ROM) following TAAs using the anterior-approach, fixed-bearing systems...
March 14, 2024: Foot & Ankle International
https://read.qxmd.com/read/38482816/open-reduction-internal-fixation-vs-primary-arthrodesis-for-displaced-lisfranc-injuries-a-multicenter-randomized-controlled-trial
#12
JOURNAL ARTICLE
Ville Ponkilainen, Heikki Mäenpää, Heikki-Jussi Laine, Nikke Partio, Olli Väistö, Janne Jousmäki, Ville M Mattila, Heidi Haapasalo
BACKGROUND: There is no consensus whether the primary surgical method should be open reduction and internal fixation (ORIF) or primary arthrodesis (PA) for Lisfranc injuries. The aim of our randomized controlled trial was to compare ORIF and PA for displaced Lisfranc injuries. METHODS: This study was a national multicenter randomized controlled trial. Altogether 43 displaced Lisfranc injuries were enrolled in this trial. The primary outcome measure was Visual Analogue Scale Foot and Ankle (VAS-FA) at a 24-months follow-up...
March 14, 2024: Foot & Ankle International
https://read.qxmd.com/read/38481844/prevalence-and-risk-factors-of-musculoskeletal-injuries-in-modern-and-contemporary-dancers-a-systematic-review-and-meta-analysis
#13
REVIEW
Yufei Sun, Hui Liu
BACKGROUND: A large number of studies have found that the musculoskeletal injury of modern and contemporary dancers has a high incidence. Previous publications have indicated that there are many potential factors that are related to dancing injury; however, they have not been proven, and even some data are conflicting in different research. RESULTS: The search yielded 18 prospective studies reporting on professional and pre-professional modern or contemporary dancers from companies and schools...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38481580/isolated-subtalar-dislocations-insights-from-a-case-study-and-literature-review
#14
Alzahid Abdullah, Alghamdi Mohannad, Alkhadra Faisal, Almulihi Qasem, Assiri Mohammed, Almulhim Mohammed, Alhawas Abdulaziz
BACKGROUND: Isolated subtalar joint dislocations without associated fractures are rare in the medical literature. They occur when the talus bone remains in place while the calcaneus and navicular bones shift out of place. These dislocations account for about 15% of talus bone injuries and 1 to 2% of all joint dislocations. They are more common in young men following inversion trauma. OBJECTIVE: This study aims to improve the understanding of diagnosis, treatment, and management of these rare injuries for better patient care...
2024: Medical Archives
https://read.qxmd.com/read/38478361/the-relationship-between-intra-articular-fracture-energy-and-a-patient-s-inflammatory-response
#15
JOURNAL ARTICLE
Justin M Haller, Diane Fink, Hannah Smith, Zachary Olsen, Cale Jacobs, Donald Anderson
OBJECTIVES: Prior studies have demonstrated elevated inflammatory cytokine concentrations in the synovial fluid of articular fracture patients post-injury. Similarly, CT-based fracture energy measurements have been correlated to PTOA risk after pilon fracture. The purpose of this study was to determine the associations between synovial fluid cytokine levels, fracture energy, and overall trauma to the body in articular fracture patients. METHODS: Acute tibial plateau, tibial plafond, and rotational ankle fracture patients were prospectively enrolled from December 2011 through January 1, 2019...
March 12, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38478081/imaging-of-soccer-injuries-in-adolescent-female-athletes
#16
REVIEW
Fernanda Babler, Kara Gaetke-Udager, Eileen A Crawford, Corrie M Yablon
Soccer participation is increasing among female adolescents with a concomitant rise of injuries in this group. Age- and sex-related factors, such as the transition from skeletal immaturity to skeletal maturity as well as anatomic, physiologic, neuromuscular, and behavioral differences between females and males, all play a role in injury patterns for these athletes. Anterior cruciate ligament (ACL) tears in this group have received a great deal of attention in the medical literature and the media in recent years with increasing knowledge about causative factors, surgical management, and injury prevention...
March 13, 2024: Skeletal Radiology
https://read.qxmd.com/read/38477123/immediate-mobilization-after-repair-of-achilles-tendon-rupture-may-increase-the-incidence-of-re-rupture-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#17
JOURNAL ARTICLE
Ruihan Wang, Lei Huang, Songtao Jiang, Guixuan You, Xin Zhou, Guoyou Wang, Lei Zhang
BACKGROUND: Achilles tendon rupture (ATR) is a significant injury that can require surgery and can have the risk of re-rupture even after successful treatment. Consequently, to minimize this risk, it is important to have a thorough understanding of the rehabilitation protocol and the impact of different rehabilitation approaches on preventing re-rupture. MATERIALS AND METHODS: Two independent team members searched several databases (PubMed, EMBASE, Web of Science, Cochrane Library, and CINAHL) to identify randomized controlled trials (RCTs) on operative treatment of ATR...
March 11, 2024: International Journal of Surgery
https://read.qxmd.com/read/38477122/ankle-scientific-knowledge-is-not-translated-into-physiotherapy-practice-a-thematic-analysis-of-french-speaking-physiotherapists-clinical-behaviors
#18
JOURNAL ARTICLE
Romain Tourillon, Eamonn Delahunt, François Fourchet, Brice Picot, Massamba M'Baye
CONTEXT: Chronic ankle instability (CAI) is prevalent amongst individuals who sustain a lateral ankle sprain (LAS) injury. The persistent of the characteristic long-standing clinical symptoms of CAI maybe attributable to the lack of adoption of evidence-informed clinical guidelines. OBJECTIVE: To investigate to what extent French-speaking physiotherapists implement the International Ankle Consortium Rehabilitation-Oriented-ASsessmenT (ROAST) framework when providing clinical care for individuals with an acute LAS injury...
March 13, 2024: Journal of Athletic Training
https://read.qxmd.com/read/38477107/calipered-kinematic-alignment-restored-the-arithmetic-hip-knee-ankle-angle-achieved-high-satisfaction-and-improved-clinical-outcomes
#19
JOURNAL ARTICLE
Leina Suzuki, Selin Munir, Jorgen Hellman
PURPOSE: The purpose of this study was to determine whether unrestricted calipered kinematic alignment (KA), coupled with a medial-stabilised (MS) implant system, can reproduce the patient's constitutional alignment as per the arithmetic hip-knee-ankle (aHKA) and improve clinical outcomes. METHODS: One-hundred and ninety-three patients received total knee arthroplasty by the senior author. To determine whether the constitutional alignment was achieved, the postoperative hip-knee-ankle (HKA) alignment was compared against the aHKA...
March 13, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38476677/a-systematic-review-of-posterior-pilon-variant-fractures
#20
REVIEW
Eric M Lassiter, Kevin J Brown, Devon Patel, Addison Sparks, Jiayong Liu, Osama Elattar
Posterior pilon variant ankle fractures (PPVF) are a unique subtype of posterior malleolar fractures which have been a source of controversy and confusion in recent years. There has not been a thorough literature review previously written on the topic. Database searches of PubMed and Embase were conducted from inception until June 2023. The key words included "pilon variant," "posterior pilon variant," and "posterior pilon" fractures. Outcomes were evaluated by union time, rates of delayed union, nonunion, malunion, and complication...
July 2024: Journal of Orthopaedics
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