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https://www.readbyqxmd.com/read/27919259/functional-and-radiographic-outcomes-of-hallux-valgus-correction-by-mini-invasive-surgery-with-reverdin-isham-and-akin-percutaneous-osteotomies-a-longitudinal-prospective-study-with-a-48-month-follow-up
#1
Carlo Biz, Michele Fosser, Miki Dalmau-Pastor, Marco Corradin, Maria Grazia Rodà, Roberto Aldegheri, Pietro Ruggieri
BACKGROUND: Minimally invasive surgery (MIS) represents one of the most innovative surgical treatments of hallux valgus (HV). However, long-term outcomes still remain a matter of discussion within the orthopaedic community. The purpose of this longitudinal prospective study was to evaluate radiographic and functional outcomes in patients with mild-to-severe HV who underwent Reverdin-Isham and Akin percutaneous osteotomy, following exostosectomy and lateral release. METHODS: Eighty patients with mild-to-severe symptomatic HV were treated by MIS...
December 5, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27913269/the-structure-organisation-and-perioperative-management-of-ambulatory-surgery-and-anaesthesia-in-france-methodology-of-the-sfar-opera-study
#2
Pierre Albaladejo, Frédéric Aubrun, Charles-Marc Samama, Laurent Jouffroy, Marc Beaussier, Dan Benhamou, Pauline Romegoux, Kristina Skaare, Jean Luc Bosson, Claude Ecoffey
The organization of health care establishments and perioperative care are essential for ensuring the quality of care and safety of patients undergoing outpatient surgery. In order to correctly inventory these organizations and practices, in 2013-2014, the French Society of Anaesthesia and Intensive Care organized an extensive practical survey in French ambulatory surgery units entitled the "OPERA" study (Organisation PERiopératoire de l'anesthésie en chirurgie Ambulatoire). From among all of the ambulatory surgery centres listed by the Agences Régionales de Santé [Regional Health Agencies, France], 206 public and private centres were randomly selected...
November 29, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27909032/midterm-outcomes-of-polyvinyl-alcohol-hydrogel-hemiarthroplasty-of-the-first-metatarsophalangeal-joint-in-advanced-hallux-rigidus
#3
Timothy R Daniels, Alastair S E Younger, Murray J Penner, Kevin J Wing, Sara Lyn Miniaci-Coxhead, Ellie Pinsker, Mark Glazebrook
BACKGROUND: Hallux rigidus is the most common arthritic condition of the foot. A randomized clinical trial of first metatarsophalangeal (MTP) joint hemiarthroplasty with a polyvinyl alcohol (PVA) hydrogel implant (Cartiva) demonstrated pain relief and functional outcomes equivalent to first MTP arthrodesis at 2 years postoperation, with no cases of implant fragmentation, wear, or bone loss. We prospectively determined 5-year outcomes of first MTP hemiarthroplasty with the PVA hydrogel implant...
November 30, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27903927/crescentic-osteotomy-for-revision-hallux-interphalangeal-joint-arthrodesis
#4
Andrew Franklin, Patrick McKee, Joris Claessens
: Treatment for rigid mallet toe deformity of the hallux has commonly consisted of arthrodesis of this interphalangeal joint. However, such procedure is not without complications resulting in operative revision. We report on a case of considerable deformity of the distal phalanx of the hallux following hallux interphalangeal joint arthrodesis that underwent revision using a unique crescentic osteotomy technique. LEVELS OF EVIDENCE: Level V: Case report/Technique...
November 30, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27894834/a-podoscopic-and-descriptive-study-of-foot-deformities-in-patients-with-down-syndrome
#5
E Mansour, J J Yaacoub, Z Bakouny, A Assi, I Ghanem
INTRODUCTION: Subjects with Down syndrome (DS) are known to be affected by various foot deformities. Despite the fact that some of these deformities have been reported in the literature, a more comprehensive description would be of benefit. The aim of this study is to investigate the prevalence of known foot deformities in patients with DS and of other previously non-described foot anomalies in this population. HYPOTHESIS: Subjects with DS have an increased prevalence of foot deformities compared to control subjects...
November 25, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27893994/shortening-scarf-osteotomy-for-correction-of-severe-hallux-valgus-does-shortening-affect-the-outcome
#6
Prasad Karpe, Marie C Killen, Raymond D Pollock, Rajiv Limaye
BACKGROUND: Translation and shortening of Scarf osteotomy allows correction of severe hallux valgus deformity. Shortening may result in transfer metatarsalgia. AIM: To evaluate outcome of patients undergoing shortening Scarf osteotomy for severe hallux valgus deformities. MATERIALS AND METHODS: Fifteen patients (20feet, mean age 58 years) underwent shortening Scarf osteotomy for severe hallux valgus deformities. Outcomes were pre and postoperative AOFAS scores, IM and HV angles, patient satisfaction...
October 26, 2016: Foot
https://www.readbyqxmd.com/read/27888792/case-study-an-intraoperative-finding-of-black-bone-disease-in-a-podiatric-surgery-patient
#7
Robyn L Carter-Wale, Trevor D Prior
Black bone disease has been recognised as a potential consequence of long-term treatment with tetracycline antibiotics. Largely documented affecting structures in the head and skull, there are few reported cases of black bone disease in the foot and ankle. The case of a 55 years old patient, who as a teenager, had undergone treatment with minocycline hydrochloride for chronic acne, and was found to have bone discolouration consistent with minocycline induced black bone disease (MIBBD) during the course of hallux valgus corrective surgery some 40 years later, is presented...
September 20, 2016: Foot
https://www.readbyqxmd.com/read/27888787/outcomes-in-chevron-osteotomy-for-hallux-valgus-in-a-large-cohort
#8
Bart van Groningen, M C Marieke van der Steen, Max Reijman, Janneke Bos, Johannes G E Hendriks
Clinical and radiological related outcomes have been reported for Chevron osteotomy as correction for mild to moderate hallux valgus, but only for relatively small patient series. Moreover, evaluation of the patient's point of view has mostly been conducted by means of more physician-based outcome measures. The goal of this study was to evaluate the effect of the Chevron osteotomy for hallux valgus on patients' daily lives using the Foot and Ankle Outcome Score (FAOS) as a validated and a hallux valgus specific patient reported outcome measure (PROM)...
September 19, 2016: Foot
https://www.readbyqxmd.com/read/27888785/hallux-varus-following-scarf-osteotomy
#9
Shahid Akhtar, Sabur Malek, Kartik Hariharan
Hallux varus is an uncommon condition and majority of the cases are iatrogenic. It can occur as a result of any type of hallux valgus correction surgery and in our cases scarf osteotomy is not an exception. Treatment of this complication can be challenging and it is important to understand the factors that cause this deformity before embarking on surgical correction. Four cases of hallux varus following Scarf osteotomy (1% of our total Scarf osteotomy cases) and discuss the salient features of these patients...
September 19, 2016: Foot
https://www.readbyqxmd.com/read/27887922/obesity-foot-pain-and-foot-disorders-in-older-men-and-women
#10
Alyssa B Dufour, Elena Losina, Hylton B Menz, Michael P LaValley, Marian T Hannan
OBJECTIVE: We investigated obesity, foot pain and selected foot disorders, and determined if associations differed by foot posture or dynamic foot function. METHODS: We included 2445 men and women (4888 feet) from the Framingham Foot Study (2002-2008). A foot examination assessed presence of disorders and pain on each foot. Body mass index (BMI, kg/m(2)) was categorized as normal (<25), overweight (25-29.99), moderate-obesity (30-34.99) severe-obesity (35+). Foot posture (normal, cavus, planus) and dynamic foot function (normal, supinated, pronated) were defined using plantar pressure measurement system...
November 22, 2016: Obesity Research & Clinical Practice
https://www.readbyqxmd.com/read/27871422/the-science-behind-wear-testing-for-great-toe-implants-for-hallux-rigidus
#11
REVIEW
Judith F Baumhauer, Michele Marcolongo
Various methods of repairing damaged articular cartilage surfaces have been proposed and a variety of implant materials have been tried in an attempt to decrease pain and improve function after cartilage repair. The hydrogel made of polyvinyl alcohol and saline is a unique material used as an implant in the great toe for advanced stage arthritis.
December 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27868427/influence-of-shoe-midsole-hardness-on-plantar-pressure-distribution-in-four-basketball-related-movements
#12
Wing-Kai Lam, Wei Xuan Ng, Pui Wah Kong
This study examined how shoe midsole hardness influenced plantar pressure in basketball-related movements. Twenty male university basketball players wore customized shoes with hard and soft midsoles (60 and 50 Shore C) to perform four movements: running, maximal forward sprinting, maximal 45° cutting and lay-up. Plantar loading was recorded using an in-shoe pressure measuring system, with peak pressure (PP) and pressure time integral (PTI) extracted from 10 plantar regions. Compared with hard shoes, subjects exhibited lower PP in one or more plantar regions when wearing the soft shoes across all tested movements (Ps < 0...
November 21, 2016: Research in Sports Medicine
https://www.readbyqxmd.com/read/27866887/quality-of-early-union-after-first-metatarsophalangeal-joint-arthrodesis
#13
Florian Wanivenhaus, Norman Espinosa, Philippe M Tscholl, Fabian Krause, Stephan H Wirth
The aim of the present retrospective cohort study was to assess the quality of union and the clinical outcomes in patients who had undergone first metatarsophalangeal joint (MTPJ) fusion using a dorsal plate and plantar lag screw. From March 2011 to December 2012, the clinical and radiographic data of 39 patients (41 feet) who had undergone first MTPJ fusion using a compressive locking plate were retrospectively reviewed. All patients had undergone postoperative computed tomography at 6 weeks postoperatively to assess union...
November 17, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27865751/feasibility-of-long-term-tibial-nerve-stimulation-using-a-multi-contact-and-wirelessly-powered-neurostimulation-system-implanted-in-rats
#14
Zainab Moazzam, Jason Paquette, Austin R Duke, Navid Khodaparast, Paul B Yoo
OBJECTIVES: Implant-driven tibial nerve stimulation (TNS) therapy is an effective technique for treating overactive bladder (OAB). However, the monopolar lead design in the currently available implantable devices pose long-term therapeutic challenges in terms of efficiently and selectively delivering electrical pulses to the target. Hence, the purpose of this study was to: (1) characterize the tibial nerve (TN) activation properties using a multi-contact implantable system and (2) evaluate the long-term stability of using such a neural interface in a pre-clinical model...
November 16, 2016: Urology
https://www.readbyqxmd.com/read/27863793/plantar-pressure-asymmetry-and-risk-of-stress-injuries-in-the-foot-of-young-soccer-players
#15
Renato R Azevedo, Emmanuel S da Rocha, Pedro S Franco, Felipe P Carpes
BACKGROUND: Asymmetries in the magnitude of plantar pressure are considered a risk factor for stress fracture of the fifth metatarsal in soccer athletes. OBJECTIVE: To investigate the presence of plantar pressure asymmetries among young soccer athletes. DESIGN: Observational. SETTING: Laboratory. PARTICIPANTS: Thirty young adolescents divided into a soccer player group (n = 15) or a matched control group (n = 15)...
October 24, 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27863158/hallux-valgus-by-nature-or-nurture-a-twin-study
#16
Shannon E Munteanu, Hylton B Menz, John D Wark, Jemma J Christie, Katrina J Scurrah, Minh Bui, Bircan Erbas, John L Hopper, Anita E Wluka
OBJECTIVE: To evaluate the contributions of shared but unmeasured genetic and environmental factors to hallux valgus (HV). METHODS: Between 2011-2012, 74 monozygotic (MZ) and 56 dizygotic (DZ) female twin pairs self-reported HV and putative risk factors, including footwear use across their lifespan. Estimates of casewise concordance (PC ), correlation (ρ) and odds ratios (OR) were calculated, adjusting for age and other risk factors, and compared between MZ and DZ pairs using logistic regression, generalised estimating equations and a maximum likelihood-based method, respectively...
November 18, 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27861517/geometry-of-the-proximal-phalanx-of-hallux-and-first-metatarsal-bone-to-predict-hallux-abducto-valgus-a-radiological-study
#17
Eduardo Perez Boal, Ricardo Becerro de Bengoa Vallejo, Miguel Fuentes Rodriguez, Daniel Lopez Lopez, Marta Elena Losa Iglesias
BACKGROUND: Hallux abducto valgus (HAV) is one of the most common forefoot deformities in adulthood with a variable prevalence but has been reported as high as 48%. The study proposed that HAV development involves a skeletal parameter of the first metatarsal bone and proximal phalanx hallux (PPH) to determine if the length measurements of the metatarsal and PPH can be used to infer adult HAV. METHODS: All consecutive patients over 21 years of age with HAV by roentgenographic evaluation were included in a cross-sectional study...
2016: PloS One
https://www.readbyqxmd.com/read/27861365/effects-of-balance-taping-using-kinesiology-tape-in-a-patient-with-moderate-hallux-valgus-a-case-report
#18
Sun-Min Lee, Jung-Hoon Lee
BACKGROUND: Hallux valgus, an increased angle of lateral deviation in the big toe, can cause pain and difficulties in balancing and walking. This study aimed to investigate the effects of balance taping using elastic therapeutic tape on moderate hallux valgus. METHODS: When she walked with shoes, she complained of pain over the medial eminence of the hallux metatarsophalangeal (MTP) joint. Balance taping using kinesiology tape was applied for 3 months (average, 16hours/d) to both big toes of a 26-year-old woman with moderate hallux valgus...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27856773/real-world-efficacy-of-1064-nm-nd-yag-laser-for-the-treatment-of-onychomycosis
#19
REVIEW
Jason K Rivers, Brianne J Vestvik, Jonathan Berkowitz
BACKGROUND: Onychomycosis is a cosmetic and, at times, medical concern; therefore, effective and safe alternatives to treatment are needed. OBJECTIVE: To determine the efficacy of a 1064-nm Nd:YAG laser for the treatment of onychomycosis in a real-world setting. METHODS: A single-centre retrospective chart review was conducted between 2012 and 2013. One hundred consecutive patients with a culture- and/or potassium hydroxide-confirmed diagnosis of onychomycosis were treated at least twice...
November 16, 2016: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/27846395/mid-term-functional-outcome-of-a-total-arthroplasty-of-the-first-metatarsophalangeal-joint
#20
Corina Nüesch, Annegret Mündermann, Monika Horisberger
BACKGROUND: Arthroplasty of the first metatarsophalangeal joint is an alternative treatment option for end-stage hallux rigidus to the current gold standard of arthrodesis. The aim of this study was to investigate the mid-term functional outcome of an anatomically shaped prosthesis for the first metatarsophalangeal joint using pedobarography. METHODS: Ten patients (12 affected feet; age at surgery: 62.1 (SD: 7.2) years) were investigated preoperatively and 52 (SD: 3) months postoperatively using pedobarography (EMED, novel GmbH, Munich, Germany)...
November 10, 2016: Clinical Biomechanics
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