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https://www.readbyqxmd.com/read/29338332/venous-thromboembolism-in-podiatric-foot-and-ankle-surgery
#1
Jemma H Matthews, Alexander J Terrill, Alex L Barwick, Paul A Butterworth
BACKGROUND: The extent to which podiatric surgeons follow venous thromboembolism guidelines is unknown. The aim of this study therefore, was 2-fold: (a) to determine the rate of venous thromboembolism following podiatric surgery and (b) to investigate the factors that influence the use of thromboprophylaxis. METHODS: Data from 4238 patients who underwent foot and ankle surgery over 2 years were analyzed. Venous thromboembolism within the first 30 days following surgery was recorded using the Australasian College of Podiatric Surgeons surgical audit tool...
January 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29337175/minimally-invasive-versus-extensile-lateral-approach-for-saners-type-ii-and-iii-calcaneal-fractures-a-meta-analysis-of-randomized-controlled-trials
#2
REVIEW
Zhikui Zeng, Lingmei Yuan, Shengpeng Zheng, Youqiang Sun, Feng Huang
BACKGROUND: The use of less-invasive techniques in the treatment of displaced intra-articular calcaneal fractures (DIACFs) remains controversial. No prior meta-analysis has considered the influence of differences in the fracture type. Thus, our meta-analysis aimed to investigate the efficacy and safety of minimally invasive (MI) in Sanders type II and III fractures. MATERIALS AND METHODS: A comprehensive search was performed to identify RCTs comparing MI using sinus tarsi approach (STA) or percutaneous reduction (PR) to open reduction (OR) via extensile lateral approach (ELA) from the Cochrane Library, PubMed, Embase and CNKI...
January 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29334782/outcomes-of-bilateral-vs-unilateral-ankle-arthrodesis
#3
Yuji Maenohara, Akira Taniguchi, Kiyonori Tomiwa, Daisuke Tsuboyama, Hiroaki Kurokawa, Tsukasa Kumai, Sakae Tanaka, Yasuhito Tanaka
BACKGROUND: While ankle arthrodesis is a common treatment for severe ankle osteoarthritis, performing bilateral ankle arthrodesis is controversial because of associated problems, such as severe gait abnormality and bilateral loss of talocrural joint motion. Furthermore, few reports exist regarding the detailed outcomes of bilateral ankle arthrodesis. Therefore, we aimed to compare the outcomes of bilateral ankle arthrodesis with those of unilateral ankle arthrodesis, using both subjective and objective assessments...
January 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29334675/effects-of-running-retraining-on-biomechanical-factors-associated-with-lower-limb-injury
#4
Marcus D Dunn, David B Claxton, Graham Fletcher, Jonathan S Wheat, David M Binney
Injury risk is an important concern for runners; however, limited evidence exists regarding changes to injury risk following running style retraining. Biomechanical factors, such as absolute peak free moment, knee abduction impulse, peak foot eversion and foot eversion excursion, have been shown to predict lower limb injury. The aim of this study was to assess the effects of Pose running retraining on biomechanical factors associated with lower limb running injury. Twenty uninjured recreational runners were pair-matched based on their five km run time performance and randomly assigned to control (n = 10) and intervention (three 2-h Pose running retraining sessions) groups (n = 10)...
January 12, 2018: Human Movement Science
https://www.readbyqxmd.com/read/29334475/abandonment-of-assistive-products-assessing-abandonment-levels-and-factors-that-impact-on-it
#5
André T Sugawara, Vinícius D Ramos, Fábio M Alfieri, Linamara R Battistella
PURPOSE: To investigate the levels and factors that influence the abandonment of assistive products by users of a local reference rehabilitation center. METHODS: This observational study involved users who received services and assistive products provided by our center of rehabilitation. Users were identified using the records of the center and their responses about the abandonment were collected through face-to-face interviews. RESULTS: The abandonment level of assistive products was 19...
January 15, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29332762/the-effect-of-foot-orthoses-on-joint-moment-asymmetry-in-male-children-with-flexible-flat-feet
#6
AmirAli Jafarnezhadgero, Morteza Madadi Shad, Reed Ferber
INTRODUCTION: It has been widely postulated that structural and functional misalignments of the foot, such as flat foot, may cause mechanical deviations of the lower limb during walking. The aim of this study was to investigate the effect of foot orthoses on lower extremity joint moment asymmetry during the stance phase of walking in children with asymptomatic flexible flat feet. METHODS: Fourteen volunteer male children, clinically diagnosed with flexible flat feet, participated in this study...
January 2018: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29331936/influence-of-custom-foot-orthoses-on-venous-status-a-quasi-experimental-study
#7
Daniel López-López, Romeu Araújo, Marta Elena Losa-Iglesias, Ricardo Becerro-de-Bengoa-Vallejo, António Santos, David Rodríguez-Sanz, César Calvo-Lobo
BACKGROUND: Customized foot orthoses (CFO) have been widely accepted to reduce the frequency of foot problems and postural disorders. The purpose of the research was to compare the influence of CFO utilization on the venous status among healthy females and males. METHODS: This was a quasi-experimental study (NCT03329430), which included 20 healthy subjects that completed all the stages of the process. The subjects showed an age mean of 20.00 ± 1.62 years and were recruited in a foot and ankle specialist center...
January 5, 2018: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/29327128/isolated-avulsion-fracture-of-the-first-metatarsal-base-at-the-peroneus-longus-tendon-attachment-a-case-report
#8
Maxwell W Weinberg, Nicola Krähenbühl, Nathan P Davidson, Christopher J Hanrahan, Alexej Barg
Avulsion fractures of the first metatarsal (MT1) base at the peroneus longus (PL) tendon attachment are rare and may be undiagnosed during an emergency visit. If the injury is not treated properly, chronic pain or persistent impairment for inversion and plantar-flexion of the first ray may occur. This case report presents a 30-year-old woman who presented 10 weeks post trauma to a foot and ankle surgeon due to a swollen right midfoot with diffuse tenderness over the medial Lisfranc joint. Further evaluation showed an isolated avulsion fracture of the first metatarsal, which was undiagnosed during the emergent visit following the accident...
January 11, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29323942/comparison-of-juvenile-allogenous-articular-cartilage-and-bone-marrow-aspirate-concentrate-versus-microfracture-with-and-without-bone-marrow-aspirate-concentrate-in-arthroscopic-treatment-of-talar-osteochondral-lesions
#9
Sydney C Karnovsky, Bridget DeSandis, Amgad M Haleem, Carolyn M Sofka, Martin O'Malley, Mark C Drakos
BACKGROUND: The purpose of this study was to compare the functional and radiographic outcomes of patients who received juvenile allogenic chondrocyte implantation with autologous bone marrow aspirate (JACI-BMAC) for treatment of talar osteochondral lesions with those of patients who underwent microfracture (MF). METHODS: A total of 30 patients who underwent MF and 20 who received DeNovo NT for JACI-BMAC treatment between 2006 and 2014 were included. Additionally, 17 MF patients received supplemental BMAC treatment...
January 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29318349/-imaging-diagnostics-of-the-foot-what-the-orthopaedic-surgeon-expects-from-the-radiologist
#10
REVIEW
C Putz, S Hagmann, T Dreher
CLINICAL/METHODICAL ISSUE: Foot pain is in the case of long-term congenital, acquired or posttraumatic foot deformities a relevant clinical problem. STANDARD RADIOLOGICAL METHODS: On the basis of the clinical findings and the orthopaedic question, radiographs of the foot while standing in two planes are supplemented by radiographs of the ankle in an anterior-posterior plane. The imaging diagnostics of the foot are based on the conventional X‑ray diagnostic workup and becomes even more precise and differentiated by the possibility of intersecting imaging procedures...
January 9, 2018: Der Radiologe
https://www.readbyqxmd.com/read/29317105/reduced-center-of-pressure-modulation-elicits-foot-placement-adjustments-but-no-additional-trunk-motion-during-anteroposterior-perturbed-walking
#11
M Vlutters, E H F van Asseldonk, H van der Kooij
Understanding balance during human gait is complicated by the abundance of recovery options. Among all possible recovery options, three main strategies are often considered for human balance control, being the ankle, hip, and foot placement strategies. All can be addressed when balance is threatened during walking, but their relative importance remains uncertain. We have previously shown that healthy human subjects did not significantly adjust their foot placement relative to the body's center of mass (COM) in the first recovery step following anteroposterior pelvis perturbations, as compared to unperturbed walking...
December 24, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/29315449/trends-and-epidemiology-of-tennis-related-sprains-strains-in-the-united-states-2010-to-2016
#12
Jonathan D Chevinsky, Jared M Newman, Neil V Shah, Neel Pancholi, John Holliman, Nipun Sodhi, Ahmed Eldib, Qais Naziri, Bashir A Zikria, John P Reilly, Scott E Barbash, William P Urban
BACKGROUND: While tennis is one of the most popular sports in the world, it predisposes those who play it to a number of injuries. Several studies have shown sprains/strains to be the most common tennis-related injury. However, data is limited regarding trends in tennis-related sprains/strains. Therefore, this study evaluated: 1) trends in tennis-related sprains/strains; 2) trends in tennis-related sprains/strains by age; and 3) trends in the most common tennis-related sprained/strained body parts...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29313555/correlation-of-values-for-indocyanine-green-angiography-in-the-arterographically-normal-lower-extremity
#13
Paul J Kim, Christopher E Attinger, Cameron M Akbari, Caitlin Ward
INTRODUCTION: Indocyanine green angiography (ICGA) is an assessment tool used to detect the degree of perfusion of tissue. This technology is being utilized in a variety of applications, including in the lower extremity. Principally, ICGA has been reported as a tool to determine pre-, intra-, or post-operative perfusion. The aim of this study is to determine objective values for ICGA in patients with arterographically normal lower extremities. MATERIALS AND METHODS: Prospectively, 20 patients were identified with no history of peripheral vascular disease who were scheduled to undergo distal subtraction angiography of the lower extremity...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29312468/survival-and-associated-risk-factors-in-patients-with-diabetes-and-amputations-caused-by-infectious-foot-gangrene
#14
Yu-Yao Huang, Cheng-Wei Lin, Hui-Mei Yang, Shih-Yuan Hung, I-Wen Chen
Background: Infectious gangrene of the foot is a serious complication of diabetes that usually leads to a certain level of lower-extremity amputation (LEA). Nevertheless, the long-term survival and factors associated with mortality in such patients have yet to be elucidated. Methods: A total of 157 patients with type 2 diabetes who received treatment for infectious foot gangrene at a major diabetic foot center in Taiwan from 2002 to 2009 were enrolled, of whom 90 had major LEAs (above the ankle) and 67 had minor LEAs (below the ankle)...
2018: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/29310462/do-postoperative-hallux-angles-correlate-with-outcome-in-mp1-fusion-our-experience-with-71-cases
#15
Xavier Paredes-Carnero, Antonio María Fernández-Cebrián, Silvia Villardefrancos-Gil
PURPOSE: To determine if the postoperative alignment of the hallux influences the final clinical outcome of hallux metatarsophalangeal joint (first MTPJ) arthrodesis. METHODS: A total of 71 consecutive cases (hallux rigidus) were studied in stages 3 and 4. They were operated through arthrodesis between 2008 and 2014. The follow-up mean was 7.3 years. The AOFAS (American Orthopaedic Foot and Ankle Society) test was performed preintervention and per annum. In radiology, both the hallux valgus angle and the dorsiflexion angle of the first MTPJ were studied...
January 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29305093/pilot-assessment-of-the-angiosome-concept-by-intra-operative-fluorescence-angiography-after-tibial-bypass-surgery
#16
Ulrich Rother, Werner Lang, Raymund E Horch, Ingo Ludolph, Alexander Meyer, Olaf Gefeller, Susanne Regus
OBJECTIVES: The "angiosome" concept as a model for decision making in revascularisation of patients with critical limb ischaemia (CLI) has been subject to lively discussion in recent years. The aim of this prospective pilot study was to use intra-operative fluorescence angiography to provide further data on the angiosome concept on the level of microcirculation after tibial bypass surgery. DESIGN, MATERIALS, AND METHODS: This was a prospective analysis of 40 patients presenting with CLI Rutherford stage IV to VI before and after tibial bypass surgery...
January 2, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29305041/arthroscopic-treatment-of-osteochondral-lesions-of-the-talus-using-juvenile-articular-cartilage-allograft-and-autologous-bone-marrow-aspirate-concentration
#17
Bridget A DeSandis, Amgad M Haleem, Carolyn M Sofka, Martin J O'Malley, Mark C Drakos
Juvenile allogenic chondrocyte implantation (JACI; DeNovo NT Natural Tissue Graft®; Zimmer, Warsaw, IN) with autologous bone marrow aspirate concentrate (BMAC) is a relatively new all-arthroscopic procedure for treating critical-size osteochondral lesions (OCLs) of the talus. Few studies have investigated the clinical and radiographic outcomes of this procedure. We collected the clinical and radiographic outcomes of patients who had undergone JACI-BMAC for talar OCLs to assess treatment efficacy and cartilage repair tissue quality using magnetic resonance imaging (MRI)...
January 2, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29304511/walking-measures-to-evaluate-assistive-technology-for-foot-drop-in-multiple-sclerosis-a-systematic-review-of-psychometric-properties
#18
REVIEW
Georgia Andreopoulou, Thomas H Mercer, Marietta L van der Linden
BACKGROUND: Foot drop in people with multiple sclerosis (pwMS) often managed with assistive technologies, such as functional electrical stimulation and ankle foot orthoses. No evidence synthesis exists for the psychometric properties of outcomes used to evaluate the efficacy of these interventions. OBJECTIVE: This systematic review aimed to identify the outcome measures reported to assess the benefits of assistive technology for pwMS and then synthesize the psychometric evidence in pwMS for a subset of these measures...
December 25, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29299095/a-pictorial-review-of-reconstructive-foot-and-ankle-surgery-evaluation-and-intervention-of-the-flatfoot-deformity
#19
REVIEW
Andrew J Meyr, Laura E Sansosti, Sayed Ali
This pictorial review focuses on basic procedures performed within the field of podiatric surgery, specifically for elective reconstruction of the midfoot and rearfoot with focus on the flatfoot deformity. Our goal is to demonstrate objective radiographic parameters that surgeons utilize to initially define the deformity, lead to procedure selection, and judge post-operative outcomes. We hope that radiologists will employ this information to improve their assessment of post-operative radiographs following reconstructive foot surgeries...
June 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/29298705/motor-modules-during-adaptation-to-walking-in-a-powered-ankle-exoskeleton
#20
Daniel A Jacobs, Jeffrey R Koller, Katherine M Steele, Daniel P Ferris
BACKGROUND: Modules of muscle recruitment can be extracted from electromyography (EMG) during motions, such as walking, running, and swimming, to identify key features of muscle coordination. These features may provide insight into gait adaptation as a result of powered assistance. The aim of this study was to investigate the changes (module size, module timing and weighting patterns) of surface EMG data during assisted and unassisted walking in an powered, myoelectric, ankle-foot orthosis (ankle exoskeleton)...
January 3, 2018: Journal of Neuroengineering and Rehabilitation
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