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https://www.readbyqxmd.com/read/29202986/arthrodesis-of-the-first-metatarsophalangeal-joint-a-biomechanical-comparison-of-four-fixation-techniques
#1
Ella Harris, Paul Moroney, Yves Tourné
BACKGROUND: Arthrodesis of the first metatarsophalangeal joint is a commonly performed orthopaedic procedure. The optimum method of fixation and joint surface preparation has yet to be determined. METHODS: This study compared four fixation techniques: Biomechanical grade sawbones were used. The dorsal plate used was a titanium, anatomically contoured locked plate. Testing was performed using an Instron machine applying force from the plantar aspect of the fused joint...
December 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29201305/biomechanical-comparison-study-of-three-fixation-methods-for-proximal-chevron-osteotomy-of-the-first-metatarsal-in-hallux-valgus
#2
Jin Su Kim, Hun Ki Cho, Ki Won Young, Ji Soo Kim, Kyung Tai Lee
Background: Fixation of proximal chevron metatarsal osteotomy has been accomplished using K-wires traditionally and with a locking plate recently. However, both methods have many disadvantages. Hence, we developed an intramedullary fixation technique using headless cannulated screws and conducted a biomechanical study to evaluate the superiority of the technique to K-wire and locking plate fixations. Methods: Proximal chevron metatarsal osteotomy was performed on 30 synthetic metatarsal models using three fixation techniques...
December 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29122282/masquelet-technique-with-external-locking-plate-for-recalcitrant-distal-tibial-nonunion
#3
Ching-Hou Ma, Yen-Chun Chiu, Kun-Ling Tsai, Yuan-Kun Tu, Cheng-Yo Yen, Chin-Hsien Wu
OBJECTIVE: In the present retrospective study, we aimed to analyze the results of treatment for recalcitrant distal tibial nonunion using Masquelet technique with locking plate as a definitive external fixator. MATERIALS: We included 15 consecutive cases of distal tibial nonunion treated at our hospital between January 2012 and December 2015. The reconstructive procedure comprised debridement of the nonunion site, deformity correction, stabilization with an external locked plate, defect filling with cement spacer for inducing membrane formation, and bone reconstruction using a cancellous bone autograft (Masquelet technique)...
October 26, 2017: Injury
https://www.readbyqxmd.com/read/29091881/phytochemical-profile-and-mechanisms-involved-in-the-anti-nociception-caused-by-the-hydroethanolic-extract-obtained-from-tocoyena-formosa-cham-schltdl-k-schum-jenipapo-bravo-leaves-in-mice
#4
Francisco Rafael Alves Santana Cesário, Thaís Rodrigues de Albuquerque, Giovana Mendes de Lacerda, Maria Rayane Correia de Oliveira, Lindaiane Bezerra Rodrigues, Anita Oliveira Brito Pereira Bezerra Martins, Aline Augusti Boligon, Lucindo José Quintans Júnior, Adriano Antunes de Souza Araújo, Mariana Lima Vale, Henrique Douglas Melo Coutinho, Irwin Rose Alencar de Menezes
Tocoyena formosa, a small ornamental tree growing in the dry regions of central Brazil, is commonly known as 'genipapo do bravo'. This is a medicinal plant traditionally used as an analgesic for rheumatic pain, lower back pain and myalgia, however its use is carried out without scientific evidence, which thus justifies the development of studies to investigate and prove its therapeutic potential. Therefore, the objective of this study was to evaluate the phytochemical profile of Tocoyena formosa (Cham. & Schlecht...
October 26, 2017: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/28893531/a-systematic-review-of-plantar-plate-repair-in-the-management-of-lesser-metatarsophalangeal-joint-instability
#5
REVIEW
Mohammed Elmajee, Zhiyu Shen, Jamie A'Court, Anand Pillai
The plantar plate is a major structure that maintains metatarsophalangeal joint (MTPJ) stability and has only recently gained attention. Anatomic plantar plate repair can directly address the pathologic entity, rather than relying on indirect reduction of the MTPJ instability by osteotomy or tendon transfer techniques. The present report aimed to determine the effectiveness of plantar plate repair for the treatment of patients with lesser MTPJ instability. Different databases were searched using the guidelines in the Cochrane Handbook and recommendations from the Preferred Reporting Items for Systematic reviews and Meta-Analysis statement...
November 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28800708/multiplanar-correction-of-the-lesser-digital-deviation-and-indirect-plantar-plate-rupture-repair-using-a-braided-polyethylene-nylon-suture-a-technique-guide
#6
Cody D Blazek, Roberto A Brandão, Jeffrey M Manway, Patrick R Burns
Forefoot and lesser digital pathology continues to be a challenging area of surgical correction for foot and ankle surgeons. Many techniques for the correction of digital deformities secondary to plantar plate rupture, regardless of planal dominance, have been described including direct repair and metatarsal shortening osteotomies for repair. The authors present a new technique for multiplanar correction of deformed lesser digits without direct repair of the plantar plate rupture utilizing a specialty suture...
August 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28800707/radiographic-results-and-return-to-activity-after-sesamoidectomy-for-fracture
#7
Justin M Kane, James W Brodsky, Yahya Daoud
BACKGROUND: Limited data are available comparing the results of lateral sesamoidectomy and medial sesamoidectomy for the treatment of fractures recalcitrant to nonoperative treatment interventions. The hypothesis of this study was that sesamoidectomy for either lateral or medial sesamoid fractures would not change radiographic alignment of the first ray given the use of identical reconstruction of the plantar plate, intersesamoid ligament, and plantar ligament complex at the time of surgery...
October 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28763715/adding-an-arch-support-to-a-heel-lift-improves-stability-and-comfort-during-gait
#8
Xianyi Zhang, Bo Li, Kun Hu, Qiufeng Wan, Yuhao Ding, Benedicte Vanwanseele
Heel lifts have been widely used as a conservative treatment for some musculoskeletal problems and complaints. However, the heel rise caused by heel lifts may also affect the plantar pressure distribution and stability during walking. This study aimed to test whether adding an arch support to a heel lift would improve its stability and comfort through comparing the center of pressure (COP) during walking and subjective ratings between heel lifts with and without an arch support. Fifteen healthy male participants were asked to walk along an 8m walkway while wearing high-cut footwear with the control heel lifts and the heel lifts with an arch support...
October 2017: Gait & Posture
https://www.readbyqxmd.com/read/28761792/plantar-pressure-distribution-of-ostrich-during-locomotion-on-loose-sand-and-solid-ground
#9
Rui Zhang, Dianlei Han, Songsong Ma, Gang Luo, Qiaoli Ji, Shuliang Xue, Mingming Yang, Jianqiao Li
BACKGROUND: The ostrich is a cursorial bird with extraordinary speed and endurance, especially in the desert, and thus is an ideal large-scale animal model for mechanic study of locomotion on granular substrate. METHODS: The plantar pressure distributions of ostriches walking/running on loose sand/solid ground were recorded using a dynamic pressure plate. RESULTS: The center of pressure (COP) on loose sand mostly originated from the middle of the 3rd toe, which differed from the J-shaped COP trajectory on solid ground...
2017: PeerJ
https://www.readbyqxmd.com/read/28743301/loading-pattern-of-postoperative-hallux-valgus-feet-with-and-without-transfer-metatarsalgia-a-case-control-study
#10
Xiang Geng, Dichao Huang, Xu Wang, Chao Zhang, Jiazhang Huang, Xin Ma, Li Chen, Chen Wang, Junsheng Yang, Heng Wang
BACKGROUND: Postoperative transfer metatarsalgia is a common complication after hallux valgus surgeries. Shortening of the first metatarsal is traditionally thought to be the primary cause of it. However, we speculate the abnormal loading pattern during gait is the real reason. This study is to determine specific differences in the loading patterns between reconstructive hallux valgus (HV) feet with and without postoperative transfer metatarsalgia, so as to find risky loading characteristics of this complication...
July 25, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28735949/hip-flexor-muscle-dysfunction-during-walking-at-self-selected-and-fast-speed-in-patients-with-aortoiliac-peripheral-arterial-disease
#11
COMPARATIVE STUDY
Takaaki Kakihana, Osamu Ito, Yusuke Sekiguchi, Daisuke Ito, Hitoshi Goto, Daijirou Akamatsu, Yasuharu Matsumoto, Masahiro Kohzuki
OBJECTIVE: Intermittent claudication aggravates physical function and is associated with an increased risk of death in patients with peripheral arterial disease (PAD). Previous studies on kinetic parameters (joint moment and power) of lower limbs in these patients have largely focused on the decline in the ankle plantar flexor moment and power at self-selected (SS) walking speed, which may not be an optimal condition to induce claudication pain. In the present study, we investigated the abnormalities in joint kinetic parameters in patients with PAD at both SS and at fast walking speeds...
August 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28728130/superficial-plantar-cutaneous-sensation-does-not-trigger-barefoot-running-adaptations
#12
M A Thompson, K M Hoffman
It has long been proposed that the gait alterations associated with barefoot running are mediated by alterations in sensory feedback, yet there has been no data to support this claim. Thus, the purpose of this study was to examine the role of superficial plantar cutaneous feedback in barefoot and shod running. METHODS: 10 healthy active subjects (6 male, 4 female); mass: 65.2+9.7kg; age: 27+7.1years participated in this study. 10 over-ground running trials were completed in each of the following conditions: barefoot (BF), shod (SHOD), anesthetized barefoot (ANEST BF) and anesthetized shod (ANEST SHOD)...
September 2017: Gait & Posture
https://www.readbyqxmd.com/read/28720138/plantar-plate-pathology-is-associated-with-erosive-disease-in-the-painful-forefoot-of-patients-with-rheumatoid-arthritis
#13
Heidi J Siddle, Richard J Hodgson, Elizabeth M A Hensor, Andrew J Grainger, Anthony C Redmond, Richard J Wakefield, Philip S Helliwell
BACKGROUND: Disease-related foot pathology is recognised to have a significant impact on mobility and functional capacity in the majority of patients with rheumatoid arthritis (RA). The forefoot is widely affected and the metatarsophalangeal (MTP) joints are the most common site of symptoms. The plantar plates are the fibrocartilaginous distal attachments of the plantar fascia inserting into the five proximal phalanges. Together with the transverse metatarsal ligament they prevent splaying of the forefoot and subluxation of the MTP joints...
July 18, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28715803/antinociceptive-effects-of-isosakuranetin-in-a-rat-model-of-peripheral-neuropathy
#14
Shushan Jia, Yong Zhang, Jingui Yu
Chronic pain remains a challenging clinical reality, yet currently available analgesics are insufficient to meet clinical needs. Increasing attention has been paid to bioactive compounds from natural plants, which may be efficacious against pain. This study examined the antinociceptive effects of isosakuranetin, a plant-derived transient receptor potential melastatin 3 blocker, in a rat model of peripheral neuropathy. Adult male Sprague-Dawley rats were first allowed to go through the chronic constriction injury surgery to develop neuropathic pain...
2017: Pharmacology
https://www.readbyqxmd.com/read/28633792/nonoperative-treatment-of-a-lesser-toe-plantar-plate-tear-with-serial-mri-follow-up-a-case-report
#15
Martin Jordan, Manfred Thomas, Wolfgang Fischer
With the current data concentrating on different operative treatment options for plantar plate tears, few data can be found on possible nonoperative treatment strategies for this entity and the specifics of such treatment. In the present case report, the successful nonoperative treatment of a patient with a rupture of the plantar plate in a lesser toe metatarsophalangeal joint is presented. The patient was followed up using repeat clinical examinations and high-resolution magnetic resonance imaging scans for 1 year after the imitation of therapy to provide information on the different stages of the healing process...
July 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28589334/are-there-differences-in-gait-mechanics-in-patients-with-a-fixed-versus-mobile-bearing-total-ankle-arthroplasty-a-randomized-trial
#16
Robin M Queen, Christopher T Franck, Daniel Schmitt, Samuel B Adams
BACKGROUND: Total ankle arthroplasty (TAA) is an alternative to arthrodesis, but no randomized trial has examined whether a fixed bearing or mobile bearing implant provides improved gait mechanics. QUESTIONS/PURPOSES: We wished to determine if fixed- or mobile-bearing TAA results in a larger improvement in pain scores and gait mechanics from before surgery to 1 year after surgery, and to quantify differences in outcomes using statistical analysis and report the standardized effect sizes for such comparisons...
October 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28570126/second-and-third-metatarsophalangeal-plantar-plate-tears-diagnostic-performance-of-direct-and-indirect-mri-features-using-surgical-findings-as-the-reference-standard
#17
André Fukunishi Yamada, Michel D Crema, Caio Nery, Daniel Baumfeld, Tania Szejnfeld Mann, Abdalla Y Skaf, Artur da Rocha Correa Fernandes
OBJECTIVE: The objective of our study was to assess the diagnostic performance and associations of the direct and indirect MRI features of the metatarsophalangeal (MTP) joint that are thought to be related to tears of the plantar plate (PP) using surgical findings as the reference standard. MATERIALS AND METHODS: We retrospectively included 23 patients with symptomatic instability of lesser MTP joints who had undergone preoperative 1.5-T MRI and surgical assessment...
August 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28551468/effects-of-different-movement-modes-on-plantar-pressure-distribution-patterns-in-obese-and-non-obese-chinese-children
#18
Yan Song-Hua, Wang Lu, Zhang Kuan
Walking, slow running (jogging) and fast running often occur in daily life, Physical Education Class and Physical Fitness Test for children. However, potential impact of jogging and running on plantar pressure of children is not clear. The purpose of this study was to compare the characteristics of plantar pressure distribution patterns in obese and non-obese children during walking, jogging and running, and evaluate biomechanical effects of three movements on obese children. A 2-m footscan plantar pressure plate (RSscan International, Belgium) was used to collect the gait data of 20 obese children (10...
May 4, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28529014/comparative-prospective-study-between-medial-and-lateral-distal-tibial-locking-compression-plates-for-distal-third-tibial-fractures
#19
Sandeep Garg, Vikram Khanna, Mahaveer Prashad Goyal, Narendra Joshi, Amrut Borade, Ishan Ghuse
PURPOSE: Tibial fracture is the most common long bone fracture. Distal third tibial fractures are challenging though open reduction and plating can result in anatomical reduction and rigid fixation. This paper aimed to evaluate and compare the results of medial and lateral locking compression plates for distal third tibial fractures. METHODS: This prospective clinical study involved 36 patients with distal tibial fractures admitted in Department of Orthopaedics, Sawai Mansingh Medical College & Affiliated Hospital, Jaipur, India, from June 2011 to May 2012, including 29 closed fractures and 7 open fractures at the mean age of 38...
June 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/28481389/comparison-of-the-effects-of-curcumin-tramadol-and-surgical-treatments-on-neuropathic-pain-induced-by-chronic-constriction-injury-in-rat
#20
Dilek Ceyhan, Atacan Emre Kocman, Engin Yildirim, Orhan Ozatik, Sule Aydin, Kose Aydan
AIM: Nerve entrapment syndromes are the most common causes of neuropathic pain. Surgical decompression is preferred method of treatment. The goal of the study was to compare the efficacy of curcumin, tramadol and chronic constriction release treatment (CCR), individually or together, in a rat model of sciatic nerve injury. MATERIAL AND METHODS: Eighty male-rats were divided into eight study groups. Group 1 was the sham group. Group 2 was the control group with established chronic constriction injury (CCI)...
April 4, 2017: Turkish Neurosurgery
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