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https://www.readbyqxmd.com/read/29784532/short-term-results-of-flexor-hallucis-longus-transfer-in-delayed-and-neglected-achilles-tendon-repair
#1
Hamza Ozer, Yilmaz Ergisi, Gulcan Harput, Mehmet S Senol, Gul Baltaci
Flexor hallucis longus (FHL) tendon transfer to the calcaneus in the repair of delayed or neglected Achilles tendon (AT) injuries is a viable and dynamic option. Nineteen patients (18 males, 1 female; mean age 47.4 ± 12.4, range 24 to 74, years; body mass index 27.5 ± 4.5, range 23.2 to 38.9, kg/m2 ; interval from injury to surgery 40.8 ± 11.6, range 28 to 60, days) with delayed or neglected repair of AT rupture were included in the present study. FHL transfer to the calcaneus through a single incision and repair of the defect with native tendon lengthening or a tendinous turndown flap was performed...
May 18, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29754186/flexor-hallucis-longus-transfer-clinical-outcome-through-a-single-incision-for-chronic-achilles-tendon-rupture
#2
Hossam Abubeih, Mohamed Khaled, Waleed Riad Saleh, Galal Z Said
PURPOSE: The aim of this study is to evaluate the clinical outcome of single-incision flexor hallucis longus tendon transfer in chronic Achilles tendon rupture. METHODS: A prospective study of a series of cases of chronic Achilles tendon rupture that were treated with single-incision flexor hallucis longus tendon transfer, from April 2015 to December 2016. The study included 21 patients (15 men and 6 women), with mean age 40.3 ± 17.5 years. The average follow-up time was 15 (12-24) months...
May 12, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29748878/clinical-and-radiological-outcome-of-gustilo-type-iii-open-distal-tibial-and-tibial-shaft-fractures-after-staged-treatment-with-posterolateral-minimally-invasive-plate-osteosynthesis-mipo-technique
#3
Xiaojian He, Chuanzhen Hu, Kaihua Zhou, Qilin Zhai, Weifeng Wen, Fugen Pan
OBJECTIVES: To evaluate the methods and the outcomes of Gustilo type III open distal tibial and tibial shaft fractures with severe anterior and medial soft-tissue injuries, treated with posterolateral minimally invasive plate osteosynthesis (MIPO) technique. METHODS: From May 2015 to May 2016, 10 patients with Gustilo type III open distal tibial and tibial shaft fractures with severe anterior and medial soft-tissue injuries (Gustilo-Anderson classification IIIA, 6; IIIB, 4) were treated with staged protocol using posterolateral minimally invasive plate osteosynthesis (MIPO) technique...
May 10, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29731123/the-improved-oval-forceps-suture-guiding-method-for-minimally-invasive-achilles-tendon-repair
#4
Yang Liu, Lixiang Lin, Chuanlu Lin, Qihao Weng, Jianjun Hong
OBJECTIVE: To discuss the effect and advantage of the improved oval forceps suture-guiding method combined with anchor nail in the treatment of acute Achilles tendon rupture. METHODS: A retrospective research was performed on 35 cases of acute Achilles tendon rupture treated with the improved oval forceps suture-guiding method from January 2013 to October 2016. Instead of the Achillon device, we perform the Achillon technique with the use of simple oval forceps, combined with absorbable anchor nail, percutaneously to repair the acute Achilles tendon rupture...
May 2, 2018: Injury
https://www.readbyqxmd.com/read/29730218/arthroscopic-repair-of-lateral-ankle-ligament-for-chronic-lateral-ankle-instability-a-systematic-review
#5
REVIEW
Alexandra J Brown, Yoshiharu Shimozono, Eoghan T Hurley, John G Kennedy
PURPOSE: The purpose of this systematic review was to evaluate the current studies on arthroscopic lateral ankle ligament repair for chronic lateral ankle instability. METHODS: A systematic search of MEDLINE, EMBASE, and Cochrane Library databases was performed during August 2017. Included studies were evaluated with regard to level of evidence (LOE) and quality of evidence (QOE) using the Coleman Methodology Score. Variable reporting outcome data, clinical outcomes, and percentage of patients who returned to sport at previous level were also evaluated...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29709422/arthroscopic-subtalar-arthrodesis-does-the-type-of-fixation-modify-outcomes
#6
Jesús Vilá-Rico, Beatriz Bravo-Giménez, Verónica Jimenez-Díaz, Maria Angeles Mellado-Romero, Cristina Ojeda-Thies
The goal of the present study was to analyze a modified American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale score, time to union, and the incidence of fusion after isolated arthroscopic posterior subtalar arthrodesis using either 1 or 2 screws of different diameters. We reviewed a consecutive series of 65 patients, mean age 50.0 ± 15.6 years, including 38 males (58.5%) and 27 females (41.5%), who had undergone arthrodesis from May 2004 to February 2011. The mean follow-up duration was 57...
April 27, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29706250/incidence-and-severity-of-malreduction-of-the-tibiofibular-syndesmosis-following-surgical-treatement-of-displaced-ankle-fractures-and-impact-on-the-function-clinical-study-and-mri-evaluation
#7
D Ntalos, M Rupprecht, L G Grossterlinden, A Hamurcu, M Regier, T O Klatte, J M Rueger, A S Spiro
PURPOSE: To compare tibiofibular reduction quality in different types of operatively treated ankle fractures and the impact on clinical and functional outcome at mid-term follow-up. PATIENTS AND METHODS: One hundred patients with an acute ankle fracture who had undergone open reduction and internal fixation were included. Eighty-eight patients who suffered from ligamentous ankle injury with neither fracture nor syndesmotic lesions served as a control group. Tibiofibular alignment was measured on MR images in all 188 patients...
April 23, 2018: Injury
https://www.readbyqxmd.com/read/29701092/the-functional-and-dynamometer-tested-results-of-transtendinous-flexor-hallucis-longus-transfer-for-neglected-ruptures-of-the-achilles-tendon-at-six-years-follow-up
#8
C J Lever, H A Bosman, A H N Robinson
Aims Flexor hallucis longus (FHL) tendon transfer is a well-recognized technique in the treatment of the neglected tendo Achillis (TA) rupture. Patients and Methods We report a retrospective review of 20/32 patients who had undergone transtendinous FHL transfer between 2003 and 2011 for chronic TA rupture. Their mean age at the time of surgery was 53 years (22 to 83). The mean time from rupture to surgery was seven months (1 to 36). The mean postoperative follow-up was 73 months (29 to 120). Six patients experienced postoperative wound complications...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29701088/outcome-of-autologous-bone-grafting-with-preservation-of-articular-cartilage-to-treat-osteochondral-lesions-of-the-talus-with-large-associated-subchondral-cysts
#9
M Sawa, T Nakasa, Y Ikuta, M Yoshikawa, Y Tsuyuguchi, M Kanemitsu, Y Ota, N Adachi
Aims The aim of this study was to evaluate antegrade autologous bone grafting with the preservation of articular cartilage in the treatment of symptomatic osteochondral lesions of the talus with subchondral cysts. Patients and Methods The study involved seven men and five women; their mean age was 35.9 years (14 to 70). All lesions included full-thickness articular cartilage extending through subchondral bone and were associated with subchondral cysts. Medial lesions were exposed through an oblique medial malleolar osteotomy, and one lateral lesion was exposed by expanding an anterolateral arthroscopic portal...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29696992/relationship-of-plantar-fascia-thickness-and-preoperative-pain-function-and-quality-of-life-in-recalcitrant-plantar-fasciitis
#10
Carlo Gamba, Aleix Sala-Pujals, Daniel Perez-Prieto, Jesus Ares-Vidal, Alberto Solano-Lopez, Gemma Gonzalez-Lucena, Alberto Ginés-Caspedosa
BACKGROUND: The measurement of plantar fascia thickness has been advocated as a diagnostic and prognostic instrument in patients with plantar fasciitis, but there are no data relative to it in recalcitrant plantar fasciitis. The aim of the study is to evaluate the correlation between plantar fascia thickness and pain, functional score, and health perception in patients with this condition. METHODS: Thirty-eight feet were studied with ultrasound and magnetic resonance imaging to measure plantar fascia thickness...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29696362/fixation-of-medial-malleolar-fractures-with-magnesium-bioabsorbable-headless-compression-screws-short-term-clinical-and-radiological-outcomes-in-eleven-patients
#11
Ozkan Kose, Adil Turan, Melih Unal, Baver Acar, Ferhat Guler
OBJECTIVE: The purpose of this retrospective study was to evaluate the outcome of medial malleolar fractures treated with magnesium (MgYREZr) bioabsorbable compression screw fixation. MATERIALS AND METHODS: Eleven patients with a medial malleolar fracture (either isolated or accompanied by bimalleolar or trimalleolar ankle fractures) who were treated with magnesium bioabsorbable compression screws between 2015 and 2016 in our hospital were retrospectively evaluated...
April 25, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29696322/-minimally-invasive-cheilectomy
#12
REVIEW
M Walther, P Chomej, S Kriegelstein, S Altenberger, A Röser
OBJECTIVES: Treatment of hallux rigidus by minimally invasive resection of the dorsal osteophytes, synovectomy and resection of the dorsal part of the metatarsal head. INDICATIONS: Hallux rigidus grades II and III CONTRAINDICATIONS: End-stage osteoarthritis of the first metatarsophalangeal joint with beginning ankylosis. SURGICAL TECHNIQUE: Osteophytes around the metatarsophalangeal joint are removed using a 1 cm incision dorsomedial, approximately 3 cm proximal of the joint space...
April 25, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29696318/microfracture-provides-better-clinical-results-than-debridement-in-the-treatment-of-acute-talar-osteochondral-lesions-using-arthroscopic-assisted-fixation-of-acute-ankle-fractures
#13
Altuğ Duramaz, Emre Baca
PURPOSE: Ankle arthroscopy is a useful tool for detection and treatment of accompanying intraarticular pathologies in acute ankle fractures. The purpose of this study was to compare the treatment results of talus osteochondral lesions (OLT) with debridement and microfracture in arthroscopy assisted surgery of acute ankle fractures. METHODS: Eleven consecutive patients who were treated with arthroscopic acute debridement and 14 consecutive patients who were treated with arthroscopic acute microfracture in the treatment of ankle fracture were included in the study...
April 25, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29687005/medium-long-term-radiographic-and-clinical-outcomes-after-surgical-treatment-of-intra-articular-tibial-pilon-fractures-by-three-different-techniques
#14
Carlo Biz, Andrea Angelini, Marco Zamperetti, Filippo Marzotto, Silvano Pierluigi Sperotto, Diego Carniel, Claudio Iacobellis, Pietro Ruggieri
Introduction: The goal of this retrospective, observational, case series study was to evaluate the medium-long-term clinical and radiographic results of the three most common surgical osteosynthesis techniques used for the treatment of articular tibial pilon fractures: ORIF, MIPO, and EF. Materials and Methods: A consecutive series of patients with articular pilon fractures who underwent surgery at our institution were enrolled in this study. Fractures were classified according to the Müller AO classification system...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29685565/decompressive-medial-cuneiform-exostectomy-for-resistant-tibialis-anterior-insertional-tendinopathy
#15
Alan J Laing, Christopher Carr
Distal tibialis anterior tendinopathy, as a clinical entity, has only recently been documented in foot and ankle studies. We report our experience with medial cuneiform decompressive exostectomy and superficial tendon debridement in 14 cases of recalcitrant tibilalis anterior insertional pain. We reviewed 13 patients (14 feet; 12 females, 1 male; mean age 67.9 ± 7.5; range 55 to 80 years) in whom conservative treatment had failed who had undergone debridement of the insertional tibialis anterior tendon and decompressive exostectomy of the medial cuneiform...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29683337/foot-mobilization-and-exercise-program-in-combination-with-toe-separator-improves-outcomes-in-women-with-moderate-hallux-valgus-at-the-one-year-follow-up-a-randomized-clinical-trial
#16
Sahar A Abdalbary
BACKGROUND: Few studies have documented the outcome of conservative treatment of hallux valgus deformities on pain and muscle strength. Our objective in this study was to determine the effects of foot mobilization and exercise program, in combination with use of a toe separator, on symptomatic moderate hallux valgus in female patients. METHODS: As part of the randomized clinical trial, 56 adult female patients with moderate hallux valgus were randomly assigned to one of two groups: 36 sessions for 3 months or no intervention (waiting list)...
April 23, 2018: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/29682982/resection-of-medial-talocalcaneal-coalition-with-interposition-of-a-pediculated-flap-of-tibialis-posterior-tendon-sheath
#17
Jan Hubert, Thelonius Hawellek, Frank Timo Beil, Dominik Saul, Jens Henning Kling, Christoph Viebahn, Oliver Jungesblut, Ralf Stücker, Martin Rupprecht
BACKGROUND: The purpose of the study was to present a novel operative technique in the management of medial talocalcaneal coalition (TC) and to report our clinical and radiologic results after interposition of a pediculated flap (PF) of the tibialis posterior tendon sheath. METHODS: Twelve feet of 10 patients with a medial TC were treated with the interposition of PF of the tibialis posterior tendon sheath following resection. Pre- and postoperative clinical examinations were performed to evaluate the range of motion and the function of the tibialis posterior muscle of the affected foot...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29668293/minimally-invasive-surgical-approach-using-the-equal-size-plate-as-an-external-guide-to-lateral-malleoler-fractures
#18
Kürşad Aytekin, Orhan Balta, Göksel G Şahiner, Recep Kurnaz, Murat Danışman, Cem Zeki Esenyel
BACKGROUND: Minimally invasive percutaneous plate osteosynthesis (MIPPO) has begun to be used in fractures of the lateral malleolus surgeries in recent years as for fractures in other regions. However, for MIPPO techniques applied to fractures of the lateral malleolus there is no external guide for plate insertion, determining the incision and inserting the screws as used for fractures in other regions. With the MIPPO technique fluoroscopy exposure is unavoidable. The MIPPO technique is advantageous for patients; however the unavoidable problem with this treatment method for the surgical team is exposure to fluoroscopy with every case...
April 18, 2018: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/29661674/evaluation-of-transsyndesmotic-fixation-and-primary-deltoid-ligament-repair-in-ankle-fractures-with-suspected-combined-deltoid-ligament-injury
#19
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/29661082/endoscopic-resection-of-different-types-of-talocalcaneal-coalition
#20
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
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