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https://www.readbyqxmd.com/read/27903929/a-comparison-of-outcomes-of-particulated-juvenile-articular-cartilage-and-bone-marrow-aspirate-concentrate-for-articular-cartilage-lesions-of-the-talus
#1
Nathan S Lanham, John J Carroll, Minton T Cooper, Venkat Perumal, Joseph S Park
Background Articular cartilage lesions of the talus remain a challenging clinical problem because of the lack of natural regeneration and limited treatment options. Microfracture is often the first-line therapy, however lesions larger than 1.5 cm(2) have been shown to not do as well with this treatment method. Methods The objective of this retrospective study was to evaluate the outcomes of iliac crest bone marrow aspirate concentrate/collagen scaffold (ICBMA) and particulated juvenile articular cartilage (PJAC) for larger articular cartilage lesions of the talus...
November 30, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27903468/pseudoaneurysms-after-ankle-sprain-report-of-three-cases-successfully-cured-by-non-surgical-treatment
#2
J Malghem, M Abdalkader, F Lecouvet, P Goffette, F Hammer, B Vande Berg
Pseudoaneurysm is a rare complication of ankle sprain, with 18 case reports published in the current literature. In the vast majority of the cases, they were treated surgically. We present three cases of pseudoaneurysm following ankle sprain, treated by non-surgical methods in two cases, and spontaneously healed in another. The diagnosis was made between two and four weeks after the traumatism, by ultrasonography and arteriography in two cases, and only by ultrasonography in a third case. The pseudoaneurysms originated respectively from the perforating fibular artery, the dorsal pedis artery, and a lateral malleolar artery...
November 26, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27872379/predictors-of-time-to-union-after-operative-fixation-of-closed-ankle-fractures
#3
Andrew P Matson, Kamran S Hamid, Samuel B Adams
: Background Ankle fractures are common and represent a significant burden to society. We aim to report the rate of union as determined by clinical and radiographic data, and to identify factors that predict time to union. Methods A cohort of 112 consecutive patients with isolated, closed, operative malleolar ankle fractures treated with open reduction and internal fixation was retrospectively reviewed for time to clinical union. Clinical union was defined based on radiographic and clinical parameters, and delayed union was defined by time to union >12 weeks...
November 20, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27852383/-surgery-of-ipsilateral-hawkins-%C3%A2-talus-neck-and-ankle-joint-fractures-via-internal-and-lateral-approaches-with-herbert-screws
#4
P Zhang, Q R Dong, Z Y Wang, B Chen, J H Wan, L Wang
Objective: To explore the manual operation skills of operative treatment of ipsilateral Hawkins Ⅲ talus neck and ankle joint fractures via internal and lateral approaches with Herbert screws, and to study the clinical results. Method: From Jan 2009 to Dec 2014, the clinical data of 13 patients with ipsilateral Hawkins Ⅲ talus neck and ankle joint fractres via internal and lateral approaches with Herbert screws were retrospectively analyzed in our department.There were 10 males and 3 female, ranging in age from 20 to 60 years with an average age of 31...
November 8, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27816101/role-of-ankle-arthroscopy-in-management-of-acute-ankle-fracture
#5
Kwok Bill Chan, Tun Hing Lui
PURPOSE: To report the operative findings of ankle arthroscopy during open reduction and internal fixation of acute ankle fractures. METHODS: This was a retrospective review of 254 consecutive patients with acute ankle fractures who were treated with open reduction and internal fixation of the fractures, and ankle arthroscopy was performed at the same time. The accuracy of fracture reduction, the presence of syndesmosis disruption and its reduction, and the presence of ligamentous injuries and osteochondral lesions were documented...
November 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27805993/there-s-an-app-for-that-a-handheld-smartphone-based-infrared-imaging-device-to-assess-adequacy-and-level-of-aortic-occlusion-during-reboa
#6
Kyle K Sokol, George E Black, Sandra B Willey, Kevin Kniery, Shannon T Marko, Matthew J Eckert, Matthew J Martin
BACKGROUND: Advances in thermal imaging devices have made them an appealing non-invasive point-of-care imaging adjunct in the trauma setting. We sought to assess whether a smartphone-based infrared imaging device (SBIR) could determine presence and location of aortic occlusion in a swine model. We hypothesized that various levels of aortic occlusion would transmit significantly different heat signatures a various anatomical points. METHODS: Six swine (35-50kg) underwent sequential zone I (Z1) aortic cross clamping as well as zone III (Z3) aortic balloon occlusion (REBOA)...
October 31, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27763960/does-a-staged-posterior-approach-have-a-negative-effect-on-ota-43c-fracture-outcomes
#7
Daniel S Chan, Paul M Balthrop, Brian White, David Glassman, Roy W Sanders
OBJECTIVE: To determine whether multiple approaches pose an increased risk to fracture healing when compared to a standard single approach in the treatment of pilon (OTA 43C) fractures. DESIGN: Retrospective review of a prospective database. SETTING: Level I academic trauma center and level II community trauma center. METHODS: From January 1, 2005 to December 31, 2011, all records of patients treated for OTA 43C fractures of the distal tibia were reviewed...
October 1, 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27762616/surgical-treatment-of-lateral-malleolar-fractures-using-the-compression-cerclage-system
#8
Eren Cansü, Mehmet B Unal, Serkan Gurcan, Fatih Parmaksizoglu
Background Lateral malleolar fractures (Weber type B or OTA 44-B) account for 60% of all ankle fractures. To achieve anatomic restoration, surgical stabilization provides better results than conservative treatment. Various fixation methods are available to treat these fractures; however, the best method is still unknown. Our objectives were to present a new, useful, and efficient surgical technique for stabilizing lateral malleolar fractures and to analyze the outcomes of patients treated with the compression cerclage system...
September 2, 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27735787/the-ankle-injury-management-aim-trial-a-pragmatic-multicentre-equivalence-randomised-controlled-trial-and-economic-evaluation-comparing-close-contact-casting-with-open-surgical-reduction-and-internal-fixation-in-the-treatment-of-unstable-ankle-fractures-in
#9
David J Keene, Dipesh Mistry, Julian Nam, Elizabeth Tutton, Robert Handley, Lesley Morgan, Emma Roberts, Bridget Gray, Andrew Briggs, Ranjit Lall, Tim Js Chesser, Ian Pallister, Sarah E Lamb, Keith Willett
BACKGROUND: Close contact casting (CCC) may offer an alternative to open reduction and internal fixation (ORIF) surgery for unstable ankle fractures in older adults. OBJECTIVES: We aimed to (1) determine if CCC for unstable ankle fractures in adults aged over 60 years resulted in equivalent clinical outcome compared with ORIF, (2) estimate cost-effectiveness to the NHS and society and (3) explore participant experiences. DESIGN: A pragmatic, multicentre, equivalence randomised controlled trial incorporating health economic evaluation and qualitative study...
October 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/27720192/is-anterior-glenoid-bone-block-position-reliably-assessed-by-standard-radiography-a-cadaver-study
#10
P Clavert, G Koch, L Neyton, P Metais, J Barth, G Walch, L Lafosse
BACKGROUND: Standard radiography with an antero-posterior view and Bernageau's glenoid profile view is the method most widely reported in the literature to assess coracoid bone block position and fusion. OBJECTIVE: The aim of this cadaver study was to determine whether the antero-posterior and Bernageau's radiographs provide a reliable and reproducible evaluation of the position of a coracoid bone block and its fixation screws. METHOD: An isolated scapula showing no evidence of osteoarthritis or other abnormalities was used...
October 4, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27676960/effect-of-ankle-foot-orthoses-on-gait-in-children-with-cerebral-palsy-a-meta-analysis
#11
Jean-Sébastien Bourseul, Mael Lintanf, Philippe Saliou, Sylvain Brochard, Christelle Pons
OBJECTIVE: Different ankle-foot orthoses (AFO) are often prescribed in children with cerebral palsy (PC) although their efficiency on gait remains unclear. PURPOSE: (1) To determine the effect of AFOs on gait in children with CP and (2) to evaluate the effect of each types of AFO. MATERIAL AND METHODS: Studies in English with control condition (barefoot or shoes) assessing effect of AFO about children with CP gait were search on the Pubmed, CINAHL+, Web of Science, Cochrane Library databases...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676145/is-there-a-relationship-between-bone-morphology-and-injured-ligament-on-imaging-studies-and-laxity-on-ankle-stress-radiographs
#12
S Y Lee, S-S Kwon, M S Park, M K Chung, K B Kim, S Koo, K M Lee
This study aimed to investigate the relationship between bone morphology and injured ligaments on imaging studies and laxity on ankle stress radiographs in patients with lateral ankle instability. In total, 115 patients who had undergone ankle MRI, ankle radiography, and stress radiography were included. Distal tibial articular surface angle, bimalleolar tilt, medial and lateral malleolar relative length, medial malleolar slip angle, anterior inclination of the tibia, and fibular position were measured on ankle radiographs...
December 2016: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/27642700/-conventional-x-rays-of-ankle-joint-fractures-in-older-patients-are-not-always-predictive
#13
A Jubel, C Faymonville, J Andermahr, S Boxberg, G Schiffer
Background: Ankle fractures are extremely common in the elderly, with an incidence of up to 39 fractures per 100,000 persons per year. We found a discrepancy between intraoperative findings and preoperative X-ray findings. It was suggested that many relevant lesions of the ankle joint in the elderly cannot be detected with plain X-rays. Methods: Complete data sets and preoperative X-rays of 84 patients aged above 60 years with ankle fractures were analysed retrospectively. There were 59 women and 25 men, with a mean age of 69...
September 19, 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27620469/all-arthroscopic-amic-%C3%A2-at-amic-%C3%A2-technique-with-autologous-bone-graft-for-talar-osteochondral-defects-clinical-and-radiological-results
#14
Federico Giuseppe Usuelli, Riccardo D'Ambrosi, Camilla Maccario, Michele Boga, Laura de Girolamo
PURPOSE: Autologous Matrix-Induced Chondrogenesis (AMIC(®)) is known to provide satisfactory clinical results for the treatment of knee, hip, and ankle cartilage lesions. The purpose of this study was to evaluate clinical and radiological outcomes of patients treated with a new all-arthroscopic AMIC(®) (AT-AMIC(®)) technique with autologous bone graft for talar osteochondral defects at a follow-up of 24 months. METHODS: Twenty patients underwent the AT-AMIC(®) procedure and autologous bone graft for type III and IV talar osteochondral lesions...
September 12, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27614720/-surgical-management-of-a-series-of-pressure-ulcers-report-of-61%C3%A2-cases
#15
M Haiun, D Feuvrier, T Bayti, I Pluvy, J Pauchot
INTRODUCTION: Retrospective study about pressure ulcers surgical treatments in a series of 61 in 43 patients. OBJECTIVE: To assess the management of pressure ulcers in spinal cord injury patients who had been operated in our institution. RESULTS: On the 61 pressure ulcers, location was ischial in 35 cases, sacral in 15 cases, trochanteric in 7 cases, lateral malleolar in 2 cases, on the heel in 1 case, and 1 was located lateral to the fibular head...
December 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27574254/preoperative-radiography-versus-computed-tomography-for-surgical-planning-for-ankle-fractures
#16
K H Leung, C Xs Fang, T W Lau, F Kl Leung
PURPOSE: To review preoperative radiography and computed tomography (CT) of the ankle in 69 patients who underwent surgery for ankle fractures to determine the value of CT in diagnosis and surgical planning. METHODS: Preoperative radiography and CT of the ankle of 46 women and 23 men aged 17 to 90 (mean, 48.8) years were reviewed. CT was deemed necessary when radiographs showed the following features: (1) comminuted fracture of the medial malleolus involving the tibial plafond, (2) comminuted fracture of the posterior malleolus, (3) presence of loose bodies, and/or (4) suspected Chaput or Volkman fracture fragment...
August 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/27524799/cutaneous-malakoplakia-masquerading-as-pyoderma-gangrenosum
#17
Mariam Smith-Pliego, Jose Contreras-Ruiz, Siobhan Ryan, R Gary Sibbald, Wedad Hanna, Rodrigo Roldan-Marin
Cutaneous malakoplakia is a rare infection-related granulomatous disease frequently associated with immunocompromised states. Foamy macrophages containing basophilic granules, called the Michaelis-Gutman bodies, are pathognomonic. We report a case of cutaneous malakoplakia in a 77-year-old male with pyoderma gangrenosum and a 2-year history of a non-healing malleolar ulcer treated successfully with cotrimoxazole.
August 15, 2016: International Wound Journal
https://www.readbyqxmd.com/read/27496169/modified-posteromedial-approach-for-treatment-of-posterior-pilon-variant-fracture
#18
Yukai Wang, Jianwei Wang, Cong Feng Luo
BACKGROUND: Posterior pilon variant fracture is a recently described posterior malleolus fracture characterized by the involvement of both posterolateral and posteromedial malleolar fragment. The associated surgical approach remains controversial. The aim of this study was to present the application of modified posteromedial approach in the treatment for posterior pilon variant fracture. METHODS: Sixteen patients were identified with posterior pilon variant fractures...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27479735/articular-gap-and-step-off-revisited-3d-quantification-of-operative-reduction-for-posterior-malleolar-fragments
#19
Robert-Jan O de Muinck Keizer, Diederik T Meijer, Bonheur A T D van der Gronde, Teun Teunis, Sjoerd A S Stufkens, Gino M Kerkhoffs, J Carel Goslings, Job N Doornberg
OBJECTIVES: Despite advanced imaging techniques, classic measurements of fracture reduction have not been revisited to date. The purpose of this study was to evaluate the reliability of innovative measurement techniques to quantify operative fragment reduction of posterior malleolar fractures by quantification of three-dimensional computed tomography (Q3DCT). METHODS: Twenty-eight ankle fractures including a posterior malleolar fragment (AO/OTA type 44) were evaluated using 2DCT and Q3DCT to postoperatively quantify fragment reduction...
December 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27469402/changes-in-the-syndesmotic-reduction-after-syndesmotic-screw-fixation-for-ankle-malleolar-fractures-one-year-longitudinal-evaluations-using-computer-tomography
#20
Jun Endo, Satoshi Yamaguchi, Masahiko Saito, Tsuguo Morikawa, Ryuichiro Akagi, Takahisa Sasho
INTRODUCTION: To evaluate time-dependent changes in the syndesmotic reduction after syndesmotic screw fixation and one year after screw removal for ankle malleolar fractures, and to assess whether the incidence of syndesmotic malreduction changes depending on the measurement method. METHODS: We assessed twenty patients who underwent syndesmotic screw fixation for ankle fractures. The syndesmotic screws were removed after six weeks of the fracture surgery. Syndesmotic reduction was assessed within two weeks of the fracture surgery and one year after the screw removal using the axial computer tomographic images...
October 2016: Injury
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