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https://www.readbyqxmd.com/read/29298501/minimally-invasive-distal-metatarsal-metaphyseal-osteotomy-of-the-lesser-toes-learning-curve
#1
Sabine Krenn, Sascha Albers, Peter Bock, Clemens Mansfield, Michel Chraim, Hans-Joerg Trnka
BACKGROUND: Minimally invasive surgery has a shorter surgical time, and in this study we focus on minimally invasive distal metatarsal metaphyseal osteotomy (DMMO). The operation seems to be less complex but requires a high learning curve. We report on our first patients to underline the need for extensive training and great awareness for the risks in the early learning stages. METHODS: We evaluated 27 patients (mean age = 60.9 years) with a mean follow-up time of 7...
January 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29236935/translation-and-cultural-adaptation-of-the-revised-foot-function-index-for-the-portuguese-language-ffi-r-brazil
#2
Liu Chiao Yi, Ana Carolina Camacho Cabral, Danilo Harudy Kamonseki, Elly Budiman-Mak, Milena Carlos Vidotto
BACKGROUND: The revised foot function index (FFI-R) is used to evaluate the functionality of patients with conditions that affect the feet. The objective here was to produce the Brazilian Portuguese version of this index. DESIGN AND SETTING: Translation and validation study conducted at the Federal University of São Paulo, Brazil. METHODS: The translation and cultural adaptation process involved translation by two independent translators, analysis by an expert committee, back translation into the original language, analysis by the expert committee again and a pretest...
December 7, 2017: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/29200487/morton-s-neuroma-interdigital-neuralgia-treated-with-metatarsal-sliding-osteotomy
#3
Joonho Lee, Jeongyo Kim, Myoungjin Lee, Intak Chu, Sungjae Lee, Heuichul Gwak
Background: Morton's neuroma is a common cause of metatarsalgia and many treatments had been described in literature. However, there have been only a few reports that treat the neuroma with an osteotomy on the proximal, not distal portion of the metatarsal bone using a plate. This study describes the clinical outcome of sliding osteotomy on the proximal metatarsal bone for the treatment of Morton's neuroma. Materials and Methods: Sixty five consecutive patients (85 feet) who underwent surgery for Morton's neuroma between November 2010 and February 2013 were identified from hospital records to include in this retrospective study...
November 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29167752/a-prospective-study-of-distal-metatarsal-chevron-osteotomies-with-k-wire-fixations-to-treat-hallux-valgus-deformities
#4
M N Baig, Usman Baig, Ali Tariq, Robert Din
Introduction Hallux valgus is one of the most common forefoot deformities worldwide. Females are affected more often than males. The three most common clinical symptoms are the painful bunion, transfer metatarsalgia, and hammer or claw toes. Methods This case series consisted of 20 patients who had chevron osteotomy from January 2015 to January 2016. The clinical assessment was measured by The American Orthopedic Foot and Ankle Score (AOFAS), and radiologic assessment was determined by preoperative and postoperative hallux valgus angle (HVA) and intermetatarsal angle (IMA)...
September 20, 2017: Curēus
https://www.readbyqxmd.com/read/28980032/-rupture-of-the-tendon-of-the-tibialis-anterior-muscle-etiology-clinical-symptoms-and-treatment
#5
REVIEW
H Waizy, B Bouillon, C Stukenborg-Colsman, D Yao, S Ettinger, L Claassen, C Plaass, K Danniilidis, D Arbab
Ruptures of the tendon of the tibialis anterior muscle tend to occur in the context of degenerative impairments. This mainly affects the distal avascular portion of the tendon. Owing to the good compensation through the extensor hallucis longus and extensor digitorum muscles, diagnosis is often delayed. In addition to the clinical examination, magnetic resonance inaging (MRI) diagnostics are of particular importance, although damage or rupture of the tendon can also be demonstrated sonographically. Therapeutic measures include conservative or operative measures, depending on the clinical symptoms...
October 4, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28954330/-clinical-effects-of-simple-hallux-valgus-surgery-for-transfer-metatarsalgia
#6
X J Wang, B X Bao, F Y Wei, J Z Zhang
Objective: To analyze the clinical effects of simple hallux valgus surgery for transfer metatarsalgia. Methods: From September 2011 to November, a total of 21 patients(30 feets)with transfer metatarsalgia of hallux valgus and underwent the simple hallux valgus surgery without lateral metatarsal shortening osteotomy In Department of Orthopedics, Beijing Tongren Hospital, Capital Medical University, were enrolled in the study.The hallux valgus angle (HVA), intermetatarsal angle (IMA) , AOFAS scale and analogue score (VAS) were measured pre-operation and a half year, one year, two years after operation...
September 19, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28902748/pad-placement-pearl-for-metatarsalgia
#7
Valena C Martinez Sellers, Daniel C Herman
No abstract text is available yet for this article.
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28865580/mid-term-outcomes-of-first-metatarsophalangeal-arthroplasty-using-the-primus-fgt-double-stemmed-silicone-implants
#8
Stefano Fieschi, Mo Saffarini, Luigi Manzi, Arrigo Fieschi
BACKGROUND: Silicone implants for first metatarsophalangeal (MTP-1) arthroplasty are regaining popularity, though most studies have long inclusion periods, or short follow-up. The authors aimed to report mid-term outcomes of a cohort that received a third-generation MTP-1 implant at minimum follow-up of 5 years. METHODS: The authors evaluated 70 MTP-1 arthroplasties performed in 64 patients using the Primus™ Flexible Great Toe implant. The indications were hallux rigidus of grade II (10%) and grade III (87...
September 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28861633/efficacy-of-pedobarographic-analysis-to-evaluate-proximal-medial-gastrocnemius-recession-in-patients-with-gastrocnemius-tightness-and-metatarsalgia
#9
Gustavo Vinagre, Matías Alfonso, Sebastián Cruz-Morande, Miguel Hernández, Carlos Villas
PURPOSE: Proximal medial gastrocnemius recession (PMGR) is a surgical procedure performed in patients with gastrocnemius tightness (GT). The purpose of this study is to evaluate the efficacy of pedobarographic analysis on PMGR in patients with GT and metatarsalgia. METHODS: This prospective study included 52 patients diagnosed with GT treated surgically with PMGR and 49 non-operated upon patients (control group). A total of 55 PMGRs (three bilateral) were performed as an isolated or combined procedure in the treatment group...
November 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28840674/-case-report-comprehensive-treatment-of-forefoot-with-double-brachymetatarsia-in-one-surgical-stage
#10
I Caldiño-Lozada, O Gallegos-de la Torre, R Esperón-Hernández
Brachymetatarsia (shortening of the metatarsal) directly affects the transversal arch of the foot causing severe deformities, such as hallux valgus, divergent toes, overlapping toes, metatarsalgia, all of these alter the biomechanics of the foot and gait. Treatment consists of two main techniques, one-stage lengthening with bone graft or elongation through callotaxis with external fixator; there are variants of both techniques used to minimize the disadvantages of each. The objective of treatment must be to return the structural harmony to the forefoot, improving the biomechanics, resulting in a satisfactory outcome for the patients...
March 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28743301/loading-pattern-of-postoperative-hallux-valgus-feet-with-and-without-transfer-metatarsalgia-a-case-control-study
#11
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/28741328/-short-term-results-of-weils-osteotomy-in-patients-with-propulsive-metatarsalgia
#12
J C Hernández-Martínez, J Vázquez-Escamilla, M Coronado-Puente
INTRODUCTION: Metatarsalgia is the most common reason for consultation in orthopedic pathology of the foot. The key to its treatment lies in the correct determination of the symptoms, which are biological, morphological and mechanical alterations responsible for pain. Weil´s osteotomy is commonly used for multiple forefoot pathologies, including metatarsalgias. MATERIAL AND METHODS: We included patients with first-line failure syndrome and associated mechanical metatarsalgia-producing deformities...
January 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28737072/the-effect-of-metatarsal-padding-on-pain-and-functional-ability-in-metatarsalgia
#13
K Männikkö, J Sahlman
BACKGROUND AND AIMS: Many kinds of insoles and pads are commonly used as a conservative treatment of metatarsalgia. However, earlier studies of insole treatment provide contradictory results, and the natural progression of metatarsalgia is still unknown. The aims of this study were to (1) determine whether simple custom-made metatarsal pad insoles reduce pain and improve functional ability, (2) find out patients' satisfaction with padding treatment, and (3) investigate predisposing factors for metatarsalgia...
March 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28687865/-forefoot-relief-with-shoe-inserts-effects-of-different-construction-strategies
#14
H Baur, N Merz, A Muster, G Flückiger, A Hirschmüller
BACKGROUND: Shoe inserts and shoe modifications are used to reduce plantar peak pressure. The effects of different shoe inserts and shoe construction strategies for relief of the forefoot have not yet been sufficiently evaluated. PURPOSE: The aim of this study was to analyze the effects of shoe inserts and shoe construction strategies (e.g. metatarsal pad, forefoot cushioning and control) and shoe modifications (e.g. flexible or stiff) on the peak plantar pressure in the forefoot region...
July 7, 2017: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/28566782/early-results-of-an-intraosseous-device-for-arthrodesis-of-the-hallux-metatarsophalangeal-joint
#15
Efstathios Drampalos, Shen Hwa Vun, Levent Bayam, Irfan Fayyaz
BACKGROUND: Arthrodesis of the hallux metatarsophalangeal (MTP) joint is commonly done as a primary procedure either to correct severe hallux valgus deformities or for rheumatoid arthritis, hallux rigidus, in patients with neuromuscular disorders and as a salvage procedure for failed bunion surgery or infection. Prominent metalwork frequently can cause soft tissue impingement and thus require removal. In contrast, osteosynthesis with a completely intraosseous implant has the advantage of less damage to the periosteal circulation...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28476392/gastrocnemius-recession-leads-to-increased-ankle-motion-and-improved-patient-satisfaction-after-2-years-of-follow-up
#16
Julia Alessandra Holtmann, Norbert P Südkamp, Hagen Schmal, Alexander T Mehlhorn
The isolated gastrocnemius contracture present in neurologic healthy patients results in a significant limitation of ankle dorsiflexion causing pathologic gait patterns and a greater risk of further foot disorders. Gastrocnemius recession is an established procedure to increase ankle dorsiflexion. However, little evidence is available of the use of gastrocnemius recession in these patients. Complication rates, recurrence of gastrocnemius contracture, and the prevalence of additional foot disorders needs further evaluation...
May 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28447473/a-midterm-review-of-lesser-toe-arthrodesis-with-an-intramedullary-implant
#17
James Lee Harmer, Anthony Wilkinson, Anthony John Maher
Lesser toe deformities are one of the most common conditions encountered by podiatric surgeons. When conservative treatments fail surgical correction is indicated. Many surgical options have been described to address the complex nature of these deformities but no perfect solution has been reported to date. However, with the continued advancement of internal fixation technology, interphalangeal joint (IPJ) arthrodesis with an intramedullary implant may be a good option. This retrospective study presents patient reported outcomes and complications at 6 months and 3 years following lesser toe proximal interphalangeal joint (PIPJ) arthrodesis with a polyketone intrameduallary implant (Toe Grip, Orthosolutions, UK)...
April 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28416969/repeatability-and-agreement-of-ultrasonography-with-computed-tomography-for-evaluating-forefoot-structure-in-the-coronal-plane
#18
Keisuke Matsubara, Tomofumi Matsushita, Yuto Tashiro, Seishiro Tasaka, Takuya Sonoda, Yasuaki Nakayama, Yuki Yokota, Yusuke Suzuki, Mirei Kawagoe, Tomoki Aoyama
BACKGROUND: Forefoot structure is important to understand some foot problems such as hallux valgus and metatarsalgia. Ultrasonography (US) is a highly portable, noninvasive, low cost, and fast imaging method, especially when compared to magnetic resonance imaging (MRI), computed tomography (CT), and radiography. As the use of US for evaluating forefoot bony structure has not been validated, except for the presence of synovitis, erosions and bursitis within the forefoot in people with inflammatory arthritis, the purpose of this study was to determine whether US is a reliable method for evaluating forefoot structure...
2017: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/28336421/percutaneous-planter-fasciitis-release-under-local-anesthesia-a-prospective-study
#19
Ramji Lal Sahu
PURPOSE: Plantar fasciitis is the most common cause of pain on the bottom of the heel. It occurs when the strong band of the tissue supporting the arch of foot becomes irritated and inflamed. The majority of patients can be treated conservatively but some resistant cases need surgery eventually. This study aims to evaluate the outcome results of percutaneous planter fascia release under local anesthesia for chronic planter fasciitis. METHODS: This prospective study was conducted in the Department of Orthopaedic Surgery in the School of Medical Science and Research, Sharda University, India from December 2010 to December 2013...
April 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/28258948/distal-oblique-metatarsal-osteotomy-for-hallux-valgus-deformity-a-clinical-analysis
#20
Olcay Guler, Barıs Yilmaz, Serhat Mutlu, Mehmet Halis Cerci, Nurettin Heybeli
We compared the outcomes of the distal oblique metatarsal (DOM) osteotomy, which is parallel to the articulation surface of the proximal phalanx, with those of the Chevron osteotomy and evaluated whether displacement and shortening of the first metatarsal have any effect on the incidence of metatarsalgia and patient satisfaction. Patients treated with the DOM osteotomy (n = 30) or distal Chevron osteotomy (n = 31) were evaluated retrospectively. The Chevron and DOM osteotomies both provided significant improvement in the first intermetatarsal angle (p < ...
February 28, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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