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https://www.readbyqxmd.com/read/29666111/decreasing-an-offloading-device-s-size-and-offsetting-its-imposed-limb-length-discrepancy-lead-to-improved-comfort-and-gait
#1
Ryan T Crews, Joseph Candela
OBJECTIVE: Patient adherence is a challenge in offloading diabetic foot ulcers (DFUs) with removable cast walkers (RCWs). The size and weight of an RCW, changes to gait, and imposed limb length discrepancies may all discourage adherence. This study sought to determine whether RCW size and provision of a contralateral limb lift affected users' comfort and gait. RESEARCH DESIGN AND METHODS: Twenty-five individuals at risk for DFUs completed several 20-m walking trials under five footwear conditions: bilateral standardized shoes, a knee-high RCW with shoe with or without an external shoe lift contralaterally, and an ankle-high RCW with shoe with or without an external shoe lift contralaterally...
April 17, 2018: Diabetes Care
https://www.readbyqxmd.com/read/29664858/charcot-neuroarthropathy-of-the-foot-and-ankle
#2
Andrew Dodd, Timothy R Daniels
No abstract text is available yet for this article.
April 18, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29662779/finite-element-analysis-of-biomechanical-effects-of-total-ankle-arthroplasty-on-the-foot
#3
Yan Wang, Zengyong Li, Duo Wai-Chi Wong, Cheng-Kung Cheng, Ming Zhang
Background: Total ankle arthroplasty is gaining popularity as an alternation to ankle arthrodesis for end-stage ankle arthritis. Owing to the complex anatomical characteristics of the ankle joint, total ankle arthroplasty has higher failure rates. Biomechanical exploration of the effects of total ankle arthroplasty on the foot and ankle is imperative for the precaution of postoperative complications. The objectives of this study are (1) to investigate the biomechanical differences of the foot and ankle between the foot with total ankle arthroplasty and the intact foot and (2) to investigate the performance of the three-component ankle prosthesis...
January 2018: Journal of Orthopaedic Translation
https://www.readbyqxmd.com/read/29661674/evaluation-of-transsyndesmotic-fixation-and-primary-deltoid-ligament-repair-in-ankle-fractures-with-suspected-combined-deltoid-ligament-injury
#4
Kai Wu, Jian Lin, Jianhua Huang, Qiugen Wang
The present prospective study examined the utility of the intraoperative tap test/technique for distal tibiofibular syndesmosis in the diagnosis of deltoid ligament rupture and compared the outcomes of transsyndesmotic fixation to deltoid ligament repair with suture anchor. This diagnostic technique was performed in 59 ankle fractures with suspected deltoid ligament injury. The width of the medial clear space of 59 cases was evaluated to assess the sensitivity and specificity. Those with deltoid ligament rupture were randomly assigned to 2 groups and treated with deltoid ligament repair with a suture anchor or with syndesmosis screw fixation...
April 13, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29661672/development-and-validation-of-the-foot-union-scoring-evaluation-tool-for-arthrodesis-of-foot-structures
#5
Timothy A Karthas, Jeremy J Cook, Michael R Matthews, Michael L Sganga, Daniel D Hansen, Byron Collier, Philip Basile, Emily A Cook
Reliable evaluation of osseous consolidation after pedal arthrodesis can be difficult, and the presence or absence of radiographic healing often dictates care. Plain radiographs remain the mainstay imaging tool owing to their cost, efficiency, and low radiation exposure. Applying radiographic parameters that can reliably determine osseous healing is essential. However, currently, no reliable or validated measures are available to determine osseous union of any joint in the foot or ankle. The purpose of the present study was to develop a radiographic healing scoring system that would enhance the diagnostic healing assessment after joint arthrodesis of the foot or ankle...
April 13, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29661083/measuring-visualized-joint-surface-in-hallux-metatarsophalangeal-arthroscopy
#6
Michael Hull, John T Campbell, Clifford L Jeng, R Frank Henn, Rebecca A Cerrato
BACKGROUND: Arthroscopy has been increasingly used to evaluate small joints in the foot and ankle. In the hallux metatarsophalangeal (MTP) joint, little data exist evaluating the efficacy of arthroscopy to visualize the articular surface. The goal of this cadaveric study was to determine how much articular surface of the MTP joint could be visualized during joint arthroscopy. METHODS: Ten fresh cadaveric foot specimens were evaluated using standard arthroscopy techniques...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29661082/endoscopic-resection-of-different-types-of-talocalcaneal-coalition
#7
Wael Aldahshan, Adel Hamed, Faisal Elsherief, Ashraf Mohamed Abdelaziz
BACKGROUND: The purpose of this study was to describe the technique of endoscopic resection of talocalcaneal coalition (TCC) by using 2 posterior portals and to report the outcomes of endoscopic resection of different types and sites of TCC. METHODS: An interventional prospective study was conducted on 20 feet in 18 consecutive patients who were diagnosed by computed tomography to have TCC for which nonoperative treatment had failed and endoscopic resection was performed...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29660954/usability-of-the-thera-band%C3%A2-to-improve-foot-drop-in-stroke-survivors
#8
SunHae Song, JungHee Park, GyuDong Song, SeulGi Lee, YoHan Jo, MinKyung Jin, DongGeon Lee, SunHye Jung, SoungKyun Hong, SeungHoo Lee, SeungHyeon Pyo, GyuChang Lee
BACKGROUND: Stroke survivors show "foot drop", dragging their toes on the ground in the swing phase of gait. Ineffective ankle dorsiflexion may result in an abnormal gait pattern. OBJECTIVE: The purpose of this study was to investigate the effect of ankle Thera-Band® use on gait patterns in stroke survivors. METHODS: Gait data were collected in eight subjects who had had strokes using gait analysis system, both with and without the Thera-Band®...
April 7, 2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29660080/contributions-of-ankle-knee-hip-and-trunk-muscle-function-to-gait-performance-in-people-with-multiple-sclerosis-a-cross-sectional-analysis
#9
Mark M Mañago, Jeffrey R Hebert, John Kittelson, Margaret Schenkman
Background: The relative importance of lower extremity and trunk muscle function to gait in people with multiple sclerosis (MS) is unknown. Objective: This study aimed to investigate the association of lower extremity and trunk muscle function with gait performance in people who have MS and mild to moderate disability. Design: This was a cross-sectional, observational study. Methods: Participants were people who had an Expanded Disability Status Scale score of ≤ 5...
April 6, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29658814/combined-spring-and-deltoid-ligament-repair-in-adult-acquired-flatfoot
#10
Caio Nery, André Vitor Kerber C Lemos, Fernando Raduan, Nacime Salomão B Mansur, Daniel Baumfeld
BACKGROUND: Adult-acquired flatfoot deformity (AAFD) is usually due to a combination of mechanical failure of the osteoligamentous complex that maintains the medial longitudinal arch of the foot and attenuation or complete tear of the posterior tibial tendon. Magnetic resonance imaging studies in patients with flatfoot deformities have reported the posterior tibial tendon to be pathologic in up to 100% of patients, the spring ligament in up to 87%, and the deltoid ligament in 33%. Many studies in the literature describe reconstruction of the spring ligament or the deltoid ligament associated with AAFD, but there is no study in which both (spring and deltoid) ligaments are reconstructed at the same time...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29658524/reference-values-of-spatiotemporal-parameters-joint-angles-ground-reaction-forces-and-plantar-pressure-distribution-during-normal-gait-in-young-women
#11
Anna Fryzowicz, Michał Murawa, Jarosław Kabaciński, Agata Rzepnicka, Lechosław B Dworak
PURPOSE: The aim of this study was to establish the reference values of spatiotemporal parameters, joint angles, ground reaction forces and plantar pressure distribution collected simultaneously on the same measurement path during normal gait in a homogenous group of young, healthy women. METHODS: The studied group consisted of 28 healthy women aged 21 years on average. The motion capture system BTS Smart-D, 2 AMTI force platforms and Footscan pedobarographic platform were used in this research...
2018: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29658353/early-initiation-of-zoledronic-acid-does-not-impact-bone-healing-or-clinical-outcomes-of-hallux-valgus-orthomorphia
#12
Lei Yang, Maowei Yang
Objective This prospective randomized controlled study was performed to determine whether early drug use for osteoporosis impacts bone healing after orthomorphic surgery for hallux valgus (HV) in menopausal patients with osteoporosis. Methods This study included 113 consecutive patients with osteoporosis who underwent a combination of Lapidus arthrodesis and Akin osteotomy for treatment of HV. The patients were randomly divided into a zoledronic acid (ZOL) group (5-mg intravenous injection of ZOL, n = 56) and a placebo group (n = 57); both ZOL and placebo were administered 1 week postoperatively...
January 1, 2018: Journal of International Medical Research
https://www.readbyqxmd.com/read/29656142/management-of-foot-ankle-osteoarthritis-by-australian-general-practitioners-an-analysis-of-national-patient-encounter-records
#13
Kade L Paterson, Christopher Harrison, Helena Britt, Rana S Hinman, Kim L Bennell
OBJECTIVE: To document the management of foot/ankle osteoarthritis/arthritis (OA) by general practitioners (GP) in Australia. DESIGN: We analysed data from the Bettering the Evaluation and Care of Health Program April 2010-March 2016 inclusive. Patient and GP encounter characteristics were extracted. Data were classified by the International Classification of Primary Care, Version 2, and summarised using descriptive statistics and 95% confidence intervals (95% CIs) around point estimates...
April 12, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29655809/acute-limb-ischemia-in-an-8-year-old-patient-case-report
#14
Young Erben, Samuel M Miller, Brandon J Sumpio, Brian J Dillon, Alfred I Lee, Peter Blume, Bauer E Sumpio, Carlos Mena-Hurtado
We report the case of an 8-year-old patient with a history of nephrotic syndrome (NS), who presented to the emergency department (ED) with right foot pain. The patient's mother described intermittent pain that woke her son from sleep and was accompanied by the foot turning purple and becoming cold to touch. Physical exam revealed capillary refill of over ten seconds in the right and less than two seconds in the left foot. Ankle-brachial indices (ABI) were 0.0 on the right and 0.96 on the left. The patient was admitted and started on therapeutic intravenous heparin...
April 12, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29655649/clinical-outcomes-of-the-modified-brostr%C3%A3-m-technique-in-the-management-of-chronic-ankle-instability-after-early-intermediate-and-delayed-presentation
#15
Sami Hassan, Daniel Thurston, Tanvir Sian, Rohi Shah, Abdul Aziz, Paresh Kothari
The modified Broström technique (MBT) is considered the reference standard for surgical management of ankle instability, with good short-term outcomes. However, limited evidence is available regarding outcomes for delayed presentations of instability. We report our outcomes for patients who underwent ligament repair using the MBT, from a single-surgeon retrospective study of consecutive patients. The minimum postoperative follow-up period was 6 months during a 5-year study period. The patients were retrospectively divided into 3 groups according to the delay in presentation: group 1, 6 months to 2 years; group 2, 2 to 4 years; and group 3, >4 years...
April 11, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29652186/surgical-treatment-of-mild-to-severe-hallux-valgus-deformities-with-a-percutaneous-subcapital-osteotomy-combined-with-a-lateral-soft-tissue-procedure
#16
Mauro Maniglio, Paolo Fornaciari, Henrik Bäcker, Emanuel Gautier, Marc Lottenbach
Distal metatarsal (MT) osteotomies have been used in mild or moderate cases of hallux valgus (HV) and proximal MT osteotomy has been considered the treatment of choice for severe deformities. A distal osteotomy could achieve a greater degree of correction by the addition of a distal soft-tissue procedure and be used to treat also severe deformity. Limited evidence about the use of the percutaneous subcapital osteotomy (SCOT); a type of MT osteotomy, in combination of a soft tissue procedure, is available. We evaluated this procedure routinely used in our clinic...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29648987/variability-of-leg-kinematics-during-overground-walking-in-persons-with-chronic-incomplete-spinal-cord-injury
#17
Won Joon Sohn, Andrew Q Tan, Heather B Hayes, Saahith Pochiraju, Joan Deffeyes, Randy D Trumbower
Incomplete spinal cord injury (iSCI) often leads to partial disruption of spinal pathways that are important for motor control of walking. Persons with iSCI present with deficits in walking ability due, in part, to inconsistent leg kinematics during stepping. While kinematic variability is important for normal walking, growing evidence indicates that excessive variability may limit walking ability and increase reliance on assistive devices (AD) after iSCI. The purpose of this study was to assess the effects of iSCI-induced impairments on kinematic variability during overground walking...
March 20, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29648889/patient-reported-allergies-do-not-predict-poorer-promis-function-pain-and-depression-scores-following-foot-and-ankle-surgery
#18
Devon C Nixon, Brian M Cusworth, Jeremy J McCormick, Jeffrey E Johnson, Sandra E Klein
BACKGROUND: Identifying preoperative risk factors that may portend poorer operative outcomes remains a topic of current interest. In hip and knee arthroplasty patients, the presence of patient-reported allergies (PRAs) has been associated with worse pain and function after joint replacement. However, these results have not been replicated across studies, including in shoulder arthroplasty cases. The impact of PRAs on foot and ankle outcomes has yet to be studied. The purpose of our study was to evaluate whether PRAs influence patient-reported outcome in foot and ankle surgery...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29648876/use-of-patient-specific-3d-printed-titanium-implants-for-complex-foot-and-ankle-limb-salvage-deformity-correction-and-arthrodesis-procedures
#19
Travis J Dekker, John R Steele, Andrew E Federer, Kamran S Hamid, Samuel B Adams
BACKGROUND: The advancement of 3D printing technology has allowed for the use of custom-designed implants for difficult-to-treat foot and ankle pathologies. This study reports on the radiographic and functional outcomes of a case series of patients treated with patient-specific 3D-printed titanium implants. METHODS: Fifteen consecutive patients treated with custom-designed 3D-printed implant cages for severe bone loss, deformity correction, and/or arthrodesis procedures were included in this study...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29644087/clinical-observation-of-biomimetic-mineralized-collagen-artificial-bone-putty-for-bone-reconstruction-of-calcaneus-fracture
#20
Yong-Xiong Pan, Guang-Gang Yang, Zhong-Wan Li, Zhong-Min Shi, Zhan-Dong Sun
This study investigated clinical outcomes of biomimetic mineralized collagen artificial bone putty for bone reconstruction in the treatment of calcaneus fracture. Sixty cases of calcaneal fractures surgically treated with open reduction and internal fixation in our hospital from June 2014-2015 were chosen and randomly divided into two groups, including 30 cases treated with biomimetic mineralized collagen artificial bone putty as treatment group, and 30 cases treated with autogenous ilia as control group. The average follow-up time was 17...
March 2018: Regenerative Biomaterials
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