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Letter to editor "Effect of chronic heavy tobacco smoking on ankle fracture healing” Foot Ankle Surg. (IF 2.5) Pub Date : 2024-03-14 Aamir N, Haider MZ, Waqar SA
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Haglund resection versus Haglund non-resection for calcific insertional Achilles tendinopathy with Haglund deformity: a retrospective study Foot Ankle Surg. (IF 2.5) Pub Date : 2024-03-13 Lin Ma, Le Chang, Yan Gong, Yunjiao Wang, Xuting Bian, Chao Hu, Lin Guo, Wan Chen, Kanglai Tang
Calcific insertional Achilles tendinopathy(CIAT) with Haglund deformity is a type of recalcitrant tendinopathy. The necessity of concomitant removal of Haglund deformity during CIAT treatment is controversial. The present study aimed to evaluate the functional outcomes between Haglund resection and Haglund non-resection in the treatment of CIAT with Haglund deformity. A retrospective study included
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Prevalence of midfoot arthritis and lesser toe deformities Foot Ankle Surg. (IF 2.5) Pub Date : 2024-03-05 Ki Chun Kim, Eli Schmidt, Kepler Alencar Mendes de Carvalho, Matthieu Lalevee, Nacime Mansur, Kevin Dibbern, Elijah Auch, Andrew Behrens, Cesar De Cesar Netto
The aim of this study was to investigate the epidemiology of Midfoot Arthritis (MA) and Lesser toe deformity (LTD) using Weight-Bearing Computed Tomography (WBCT). 606 cases (247 male, 359 female) among 1316 consecutive cases with WBCT data from September 2014 to April 2022 were retrospectively reviewed at a single referral institution. The Cochran-Armitage test was performed to evaluate the trend
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Bilateral first metatarsophalangeal joint arthrodesis: An investigation of functional, surgical and radiological outcomes Foot Ankle Surg. (IF 2.5) Pub Date : 2024-03-02 Michael G. Curran, Kaylem M. Feeney, Evelyn P. Murphy, Angela S.C. Faustino, Stephen R. Kearns
First metatarsophalangeal joint (MTPJ) arthrodesis is a commonly utilised procedure. In this study, the authors aim to explore functional outcomes of patients undergoing nonsynchronous bilateral first MTPJ arthrodesis under the care of a single surgeon using a compression screw/locking plate construct. This is a prospectively collected, retrospectively analysed case series of fifty five patients who
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Automatic software-based 3D-angular measurement for weight-bearing CT (WBCT) is valid Foot Ankle Surg. (IF 2.5) Pub Date : 2024-03-02 Martinus Richter, Stefan Zech, Issam Naef, Fabian Duerr, Regina Schilke
The purpose of this study was to compare automatic software-based angular measurement (AM) with validated measurement by hand (MBH) regarding angle values and time spent for Weight-Bearing CT (WBCT) generated datasets. Five-hundred WBCT scans from different pathologies were included in the study. 1st - 2nd intermetatarsal angle, talo-1st metatarsal angle dorsoplantar and lateral, hindfoot angle, calcaneal
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Minimally invasive Dorsal cheilectomy and Hallux metatarsophalangeal joint arthroscopy for the treatment of Hallux Rigidus Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-28 Chase Gauthier, Thomas Lewis, John O’Keefe, Yianni Bakaes, Vikram Vignaraja, J. Benjamin Jackson III, Samuel Franklin, Jonathan Kaplan, Robbie Ray, Tyler Gonzalez
Minimally invasive dorsal cheilectomy (MIDC) has become a popular alternative to an open approach for treating Hallux Rigidus (HR). To reduce some of the complications related to the MIDC approach, a first metatarsophalangeal (MTP) joint arthroscopy can be performed in addition to address the intra-articular pathology associated with Hallux Rigidus. This study aims to examine the effectiveness of MIDC
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A morphological review of medial malleolar fractures – A large single centre series Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-25 Junaid Aamir, Robyn Caldwell, Sarah Long, Sachith Sreenivasan, Jason Mavrotas, Ayn Panesa, Shagilan Jeevaresan, Vasileios Lampridis, Lyndon Mason
Many approaches to management of medial malleolar fractures are described in the literature however, their morphology is under investigated. The aim of this study was to analyse the morphology of medial malleolar fractures to identify any association with medial malleolar fracture non-union or malunion. Patients who had undergone surgical fixation of their MMF were identified from 2012 to 2022, using
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Combined vertical and external rotational force in plantarflexion position produces posterior pilon fracture: A preliminary cadaveric study Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-24 Genrui Zhu, Shengxuan Cao, Jun Zhu, Chengjie Yuan, Zhifeng Wang, Jiazhang Huang, Xin Ma, Xu Wang
Posterior pilon fracture is speculated to occur by a combination of rotation and axial load, which makes it different from rotational posterior malleolar fracture or pilon fracture, but is not validated in vitro. The aim of the current study is to investigate the injury mechanisms of posterior pilon fracture on cadaveric specimens. Eighteen cadaveric specimens were mounted to a loading device to undergo
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Early experience with a 3-D printed porous surface, fixed-bearing, total ankle arthroplasty: A minimum of 2-year follow-up Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-24 Joseph Duff, Jordan Dunson, Jesse F. Doty
This is a pilot study reviewing patients undergoing ankle replacement with the 3-D printed INFINITY™ with ADAPTIS™ total ankle arthroplasty (TAA) system. A retrospective review was conducted of patients with a minimum two-year follow-up who underwent TAA with the INFINITY™ with ADAPTIS™ implant system. Outcome measures include implant survivorship, complications with subsequent reoperations, patient
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Prevalence and risk factors of ankle osteoarthritis in a population-based study Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-24 Akinobu Nishimura, Yoshiyuki Senga, Yuki Fujikawa, Norihiko Takegami, Koji Akeda, Toru Ogura, Akihiro Sudo
This study aimed to investigate the prevalence of radiographic ankle osteoarthritis (AOA) in Japan and identify its risk factors. The analysis included data from the population-based cohort study, radiographs of the knees and ankles, ultrasonography of the ankle to examine chronic ankle instability (CAI), and questionnaires on ankle pain, job history, height, and body weight. A total of 597 individuals
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Ankle strength assessed by one repetition maximum: A new approach to detect weaknesses in chronic ankle lateral instability Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-17 Aude Aguilaniu, Cédric Schwartz, Guillaume Abran, Laura Baudoux, Prof Jean-Louis Croisier
Ankle muscle strength should be assessed after a lateral ankle sprain (LAS) because a strength deficit can lead to chronic ankle instability (CAI). No field method is available to obtain quantitative ankle dynamic strength values. This study aimed to assess the reliability of the one-repetition maximal (1-RM) method and to compare ankle muscle strength between healthy volunteers and those with CAI
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Ankle fractures with Chaput fragment: A new classification system with insights into morphology and relation to surgical treatment Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-15 Sandeep Pate, Vishnu Baburaj, Siddhartha Sharma, Mandeep Singh Dhillon
The Chaput fragment, a bony avulsion of the anterolateral margin of the distal tibia, is a less commonly discussed fracture pattern in ankle injuries. Its significance in ankle fractures and the optimal fixation technique remains unclear due to limited literature. This study aims to describe the morphology of ankle fractures with Chaput fragment and introduce a new classification system. We retrospectively
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Platelet rich plasma therapy versus other modalities for treatment of plantar fasciitis: A systematic review and meta-analysis Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-15 Agustin Herber, Oscar Covarrubias, Mohammad Daher, Wei Shao Tung, Arianna L. Gianakos
Plantar fasciitis (PF) is the most common cause of heel pain in adults. There are numerous non-operative treatments available including platelet rich plasma (PRP) injections. PPR has demonstrated effectiveness for a range of musculoskeletal conditions including plantar fasciitis. To compare the effectiveness of PRP to other conservative treatment options for the management of PF. A systematic search
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A comparative biomechanical study of the krackow suture technique with three common percutaneous suture techniques in the treatment of Achilles tendon ruptures Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-14 Hakan Zeybek, Hakan Cici, Samet Çıklaçandır
The aim of this study was to compare the biomechanical resistance under tensile forces of the Krackow suture technique with the frequently used Dresden, Carmont & Maffulli, and Ma & Griffiths percutaneous repair techniques in bovine models of Achilles tendon rupture. Transverse Achilles tendon rupture models were created from 4cm proximal of the calcaneal insertion point in a total of 20 bovine Achilles
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Effect of chronic heavy tobacco smoking on ankle fracture healing Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-13 Waseem Jerjes, Daniele Ramsay, Harvey Stevenson, Aamr Yousif
Tobacco smoking is linked to an elevated risk of osteomyelitis and delayed healing in long bone fractures. However, the impact of smoking on bone union and soft tissue recovery following ankle fractures remains unclear. This study presents a retrospective comparative analysis evaluating the effects of chronic heavy tobacco smoking on the healing process and outcomes of ankle fractures after surgical
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Long-term outcomes of first metatarsophalangeal hemiarthroplasty for hallux rigidus Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-12 Serhat Akcaalan, Abdurrahim Kavaklilar, Ceyhun Caglar, Mehmet Emin Simsek, Safa Gursoy, Mustafa Akkaya
Hallux rigidus (HR) is arthritis of the first metatarsophalangeal joint.First metatarsophalangeal joint hemiarthroplasty surgery is one of the treatment options for end stage hallux rigidus.The aim of this study is to evaluate the long-term outcomes of hemiarthroplasty of the first MTPJ with a metallic implant in patients with end-stage HR.
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Fixed-bearing versus mobile-bearing total ankle replacement survivorship. A meta-analysis Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-10 Marcos González-Alonso, Ana R. Trapote-Cubillas, Francisco J. Madera-González, Óscar Fernández-Hernández, Jaime A. Sánchez-Lázaro
Main objective of this research is to know if there is a different survival rate between fixed bearing (FB) and mobile bearing (MB) total ankle replacement (TAR). We hypothesized that there are no differences between the survival rates of both implants. A systematic search was performed in PubMed, Cochrane, EMBASE and ClinicalTrials.gov databases to identify published studies from August 2018 to September
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From jargon to clarity: Improving the readability of foot and ankle radiology reports with an artificial intelligence large language model Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-05 James J. Butler, Michael C. Harrington, Yixuan Tong, Andrew J. Rosenbaum, Alan P. Samsonov, Raymond J. Walls, John G. Kennedy
The purpose of this study was to evaluate the efficacy of an Artificial Intelligence Large Language Model (AI-LLM) at improving the readability foot and ankle orthopedic radiology reports. The radiology reports from 100 foot or ankle X-Rays, 100 computed tomography (CT) scans and 100 magnetic resonance imaging (MRI) scans were randomly sampled from the institution’s database. The following prompt command
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Outcomes following tibiotalocalcaneal arthrodesis using a solid posterior offset intramedullary nail in 44 patients with a minimum 30-month follow-up Foot Ankle Surg. (IF 2.5) Pub Date : 2024-02-01 Kaylem M. Feeney, Evelyn P. Murphy, Michael G. Curran, Stephen R. Kearns
Tibiotalocalcaneal arthrodesis is frequently performed by foot and ankle surgeons in the management of complex ankle and hindfoot pathology. In this study, the authors describe the clinical and radiological outcomes of tibiotalocalcaneal arthrodesis using a solid posterior offset hindfoot arthrodesis nail. Forty-four consecutive patients underwent tibiotalocalcaneal arthrodesis by a single surgeon
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Ultrasound-Guided Injection of the Achilles Paratenon: a Cadaveric Investigation Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-20 Vincenzo Ricci, Kamal Mezian, Ke-Vin Chang, Giorgio Tamborrini, Jakub Jačisko, Ondřej Naňka, Levent Özçakar
Background Injections around the Achilles tendon (AT) are commonly performed in clinical practice to manage non-insertional Achilles tendinopathy, but the presence/distribution of the injectate with relation to its sheath has not been assessed specifically. Accordingly, the aim of this cadaveric investigation was to demonstrate the feasibility of Achilles paratenon injection under ultrasound guidance
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Postoperative complications after displaced intra-articular calcaneal fracture operations Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-17 Tuula A. Lappalainen, Noora A. Noponen, Outi I. Kaarela, Tero M. Klemola, Pasi P. Ohtonen, Juhana I. Leppilahti
Background The objective was to compare postoperative complications in the management of displaced intra articular calcaneal fractures (DIACF) between two groups; the open reduction and internal fixation (ORIF) group versus the percutaneous fixation (PF) group. Methods A total of 243 DIACFs were diagnosed and 127 of them received operations either with ORIF 75 (59.1%) or PF 52 (40.9%) between 2004
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Ankle arthroscopy does not elevate complication rates in ankle fractures Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-14 Roberto Zambelli, Addller Oliveira Fagundes, Thiago Szvarça Arêas, Daniel Baumfeld, João Murilo Magalhães Brandão, Rodrigo Simões Castilho, Paulo Magno Crusoé Leal, Tiago Baumfeld
Introduction Ankle fractures rank as the second most common lower limb fractures, and surgical intervention is essential for unstable ankle fractures. The use of ankle arthroscopy in such cases offers several advantages. This study aim is to assess whether arthroscopy influenced on complication rates in 171 ankle fractures treated with arthroscopic assistance. Methods This retrospective epidemiological
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Similar Outcomes Following Scarf-Akin Osteotomy Compared to Scarf-Alone Osteotomy for the Treatment of Hallux Valgus: A Systematic Review and Meta-Analysis Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-11 James J. Butler, Hayden Hartman, Samantha Rettig, Kishore Konar, Grace Randall, Alan P. Samsonov, John G. Kennedy
Background The purpose of this systematic review and meta-analysis was to compare the clinical and radiographic outcomes between patients undergoing scarf osteotomy and scarf-Akin osteotomy for the management of hallux valgus deformity. Methods A systematic review of the MEDLINE, EMBASE and Cochrane Library databases was performed in accordance with the Preferred Reporting Items for Systematic Reviews
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Arthroscopic microfracture and associated techniques in the treatment of osteochondral lesions of the talus: A systematic review and metanalysis Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-11 Susanna Basciani, Umile Giuseppe Longo, Giuseppe Francesco Papalia, Rocco Papalia, Andrea Marinozzi
Osteochondral lesions of the talus are common in patients suffering even minor trauma; timely diagnosis and treatment can prevent the development of early osteoarthritis. The objectives of this systematic review and meta-analysis were to evaluate the effects of additional procedures on arthroscopic ankle microperforations for osteochondral lesions. A systematic literature search was conducted using
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Talar neck rotation angle in adults with clubfoot deformity: Observed values and intra- and inter-observer reliability using weightbearing CT Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-09 Karan Malhotra, Raul Colta, Priyanka Jani, Anil Haldar, Shelain Patel, Matthew Welck, Nicholas Cullen
Adults presenting with symptomatic clubfoot represent a challenging cohort of patients. An appreciation of the location and degree of deformities is essential for management. Talar anatomy is often abnormal with varus within the talar neck, however, there are few reproducible methods which quantify talar neck deformity in adults. We describe a technique of assessing talar neck deformity, and report
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Outcomes following total ankle total talus replacement: A systematic review Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-05 Albert T. Anastasio, Kian Bagheri, Lindsey Johnson, Zachary Hubler, Stephanie Hendren, Samuel B. Adams
Prosthetic substitution of the talus presents a significant challenge to the foot and ankle surgeon. The shear and compressive forces on the talus and its tenuous blood supply lead to high rates of avascular necrosis and eventual talar collapse. The purpose of this systematic review is to evaluate whether total ankle total talus replacement (TATTR) leads to improved clinical and radiographic outcomes
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Effect of sequential burr passes on minimally invasive akin and first metatarsal dorsiflexion osteotomies Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-05 Matthias Peiffer, Bedri Karaismailoglu, Samir Ghandour, Nour Nassour, Jessica Duggan, Lorena Bejarano-Pineda, Soheil Ashkani-Esfahani, Christopher P. Miller
Minimally invasive surgical (MIS) osteotomies are increasing as a surgical option for treating midfoot and forefoot conditions. This study aimed to evaluate the impact of each burr pass on the degree of correction, gap size, and alignment in MIS Akin and first metatarsal dorsiflexion osteotomies (DFO). MIS Akin and first metatarsal DFO were performed on ten cadaveric specimens. Fluoroscopic measurements
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Arthrodesis vs arthroplasty for moderate and severe Hallux rigidus: Systematic review Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-05 Jorge Sánchez Guzmán, Rodrigo Gallo Oropeza, Marco Reyes Donado, Xavier Martin Oliva, Tània Díaz Sánchez
Hallux rigidus is the most frequent arthritis of the foot, due to multiple factors. Arthrodesis and interposition arthroplasty are treatments considered in advanced stages of the disease, when conservative treatment has failed. Although arthrodesis may be considered the technique recommended by multiple authors, for patients in whom joint mobility is to be preserved, arthroplasty could represent a
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Tibiotalocalcaneal arthrodesis with an intramedullary nail: The functional and clinical outcome of a challenging patient group and its comparison to a below knee amputation Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-05 Alexander Manobianco, Oliver Enketan, René Grass
Tibiotalocalcaneal arthrodesis (TTCA) is a salvage procedure to fuse the ankle and subtalar joints to treat severe ankle and hindfoot disease. Patients often have multiple operations before a TTCA. A below knee amputation (BKA) has major physical and psychological impacts. Our aim is to investigate the outcomes of these treatments in salvage situations, with a focus on objective functional measurements
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An examination of negative one-star patient reviews for foot and ankle orthopedic surgery: A retrospective analysis Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-04 Albert T. Anastasio, Anthony N. Baumann, Deven P. Curtis, Hudson Rogers, Caleb Hogge, Savannah F. Ryan, Kempland C. Walley, Samuel B. Adams
Despite the questionable validity of online-based physician review websites (PRWs), negative reviews can adversely affect a provider's practice. Several investigations have explored the effect of extremely negative “one-star” reviews across subspecialties such as adult reconstruction, sports medicine, and orthopaedic traumatology; however, to date, no study has explored one-star reviews in foot and
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Comparison of plate versus screw internal fixation in the treatment of posterior malleolar fracture: A systematic review and meta-analysis Foot Ankle Surg. (IF 2.5) Pub Date : 2024-01-04 Ting-Yu Tu, Shan-Tso Huang, Yi-Jiun Chou
Treatment of posterior malleolar fracture with plate or screw fixation is still controversial. Plate fixation is considered to have better stability but more soft tissue damage; screw fixation is less invasive and may yields lesser blood loss and surgery time. We conducted this meta-analysis to explore intraoperative and postoperative efficacy between plate and screw fixation in posterior malleolar
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Surgical interventions for ingrown toenail Foot Ankle Surg. (IF 2.5) Pub Date : 2023-12-26 Shan Huang, Jiaojiao Wang, Zhenbing Chen, Yu Kang
Paronychia is a prevalent clinical disease affecting the soft tissue surrounding the nails. Most cases of toenail paronychia are commonly associated with ingrown toenails. While conservative treatment is effective for mild cases of ingrown toenails, surgical intervention becomes necessary for moderate to severe cases, particularly when granulomas form. To provide a systematic understanding of these
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Preoperative temporary fixation for fractures around the ankle using a simple extensible external fixator significantly improves patient comfort Foot Ankle Surg. (IF 2.5) Pub Date : 2023-12-13 Feijuan Jiang, Hao Guo, Qing Zeng, Peibo Long, Canjun Zeng, Han Yan
The authors developed a simple extensible external fixator, which has the advantages of easy application and inexpensiveness. The present study aimed to make a comparison between this external fixator and calcaneal traction in preoperative temporary fixation for malaligned ankle fractures and pilon fractures. From May 2020 to February 2022, patients with malaligned ankle fractures or Rüedi-Allgöwer
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“Screw only versus screw plus plate in isolated talonavicular arthrodesis” [Foot Ankle Surg 28/1 (2022) 1045–1049] Foot Ankle Surg. (IF 2.5) Pub Date : 2023-11-22 Tae Sik Goh, Jung Bum Han, Sang Min Lee, Suk-Woong Kang, Won Chul Shin, Seung Hun Woo
Abstract not available
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Does anxiety influence outcome measurements in ankle replacement patients? Foot Ankle Surg. (IF 2.5) Pub Date : 2023-11-18 J.P.S. Hermus, P. Stam, S.M.J. van Kuijk, M.A. Witlox, L.W. van Rhijn, J.J.C. Arts, M. Poeze
Total ankle arthroplasty (TAA) is increasingly used to treat end-stage ankle arthritis to restore ankle functional outcomes and alleviate pain. This treatment outcome may be influenced by pre-morbid patient anxiety. Twenty-five Infinity TAA implants were prospectively followed post-operatively with a mean follow-up time of 34.18 months. Demographic, clinical, and functional outcomes were assessed.
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Effect of body mass index on acute postoperative complications following Total Ankle Arthroplasty (TAA) Foot Ankle Surg. (IF 2.5) Pub Date : 2023-11-15 Yianni Bakaes, Tyler Gonzalez, James W. Hardin, J. Benjamin Jackson III
Total ankle arthroplasty (TAA) is an effective treatment for various ankle pathologies, but some concern remains for the high associated complication and failure rates relative to major joint arthroplasty of the hip and knee. Patient body mass index (BMI) is a modifiable and potentially important preoperative variable when evaluating postoperative complications. The purpose of this study is to evaluate
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The impact of pre-operative mental health on outcomes of foot and ankle surgery: A scoping review Foot Ankle Surg. (IF 2.5) Pub Date : 2023-11-08 Zaki Arshad, Ibrahim Inzarul Haq, Andre Martins, Maneesh Bhatia
Evidence suggests that certain groups of orthopaedic patients have an increased prevalence of mental health disorders than the general population. This scoping review aims to evaluate the effect of pre-operative mental health on outcomes of foot and ankle surgery. A literature search was performed in four databases. Studies investigating a relationship between preoperative mental health and postoperative
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Safety of the neurovascular bundles when performing minimally invasive calcaneal osteotomy: A cadaveric study Foot Ankle Surg. (IF 2.5) Pub Date : 2023-11-04 J. Guirguis, M. El Sayad, M. Kakwani, D. Townshend, R. Kakwani
Background Calcaneal osteotomies correct hindfoot deformities and are often performed using a minimally invasive technique. The aim was to compare the safety of three calcaneal osteotomy techniques (oblique, chevron with apex anterior and chevron with apex posterior). Methods Each osteotomy technique was performed on five cadavers (n = 15). These were then dissected to identify any injury to the neurovascular
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Comparison of foot function and physical performance between women with and without bilateral painful hallux valgus Foot Ankle Surg. (IF 2.5) Pub Date : 2023-11-02 Busra Sacli Eksilmez, Sevtap Gunay Ucurum, Muge Kirmizi, Gokhan Cansabuncu
Background We aimed to investigate whether foot function and physical performance differ between women with and without bilateral painful hallux valgus (HV). Methods Forty-four women with bilateral painful HV and forty-three controls were included. The Foot Function Index, American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal Joints Scale, and Manchester-Oxford Foot
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A clinical guide to the medial ligaments of the ankle: Anatomy, function, diagnosis of injuries and treatment of instability-a narrative review Foot Ankle Surg. (IF 2.5) Pub Date : 2023-11-02 Kenneth Obionu, Henrik Palm, Yvette Astrup, Naja Bjørslev Lange, Michael Rindom Krogsgaard
Background The aim was to provide an update on anatomy and function of the medial ankle ligaments, diagnosis of their injuries and treatment of medial ankle instability. Methods Literature search on PubMed. Results Injuries to the deltoid ligament are not uncommon in relation to malleolar fractures and ankle sprains. Chronic instability may lead to ankle osteoarthritis. However, there is no consensus
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CT-based five-segment classification in Freiberg's infarction: Evaluation of its intraobserver and interobserver reliability Foot Ankle Surg. (IF 2.5) Pub Date : 2023-10-30 Yi Ren, Yu Chen, Ting-Jiang Gan, Hui Zhang, Xi Liu
Background According to the location and frequency of osteonecrosis zone of metatarsal head, a map of osteonecrosis zone was drawn for Freiberg’s infarction. The objective of the current study is to develop a new computed tomography-based Five-Segment classification system for Freiberg's infarction and testify if it has good intra- and interobserver reliability or not. Methods According to the location
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Effect of sequential burr passes on osteotomy magnitude and calcaneal morphology in minimally invasive Zadek osteotomy Foot Ankle Surg. (IF 2.5) Pub Date : 2023-10-30 Bedri Karaismailoglu, Nour Nassour, Jessica Duggan, Matthias Peiffer, Samir Ghandour, Lorena Bejarano-Pineda, Soheil Ashkani-Esfahani, Christopher P. Miller
Purpose This study aimed to evaluate the impact of each burr pass on degree of correction, gap size and calcaneal morphology in MIS Zadek osteotomy. Methods MIS Zadek osteotomy was performed on ten cadaveric specimens using a 3.1 mm Shannon burr. After each burr pass, the osteotomy gap was manually closed, and the subsequent burr passes were carried out with the foot held in dorsiflexion, which was
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Numerical simulations of the effect of lateral malleolus fracture malunion on ankle biomechanics: Different offset directions and offsets Foot Ankle Surg. (IF 2.5) Pub Date : 2023-10-29 Shibo Gu, Shuanzhu Wang, Yongzhi Gong, Yueying Ren, Haiquan Feng
Introduction Ankle fractures account for approximately 10 % of all fractures. Approximately 5–68 % of patients with ankle fractures may suffer from malunion. Besides, suboptimal reduction of fracture fragments can affect the biomechanics of the ankle joint, ultimately leading to damage to the ankle joint. However, there are certain controversies over the conclusion of previous cadaveric studies. Methods
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Alteration of the calf strength by heel cord lengthening, gastrocnemius recession through tenotomy or fasciotomy. A retrospective clinical force analysis before and after surgery Foot Ankle Surg. (IF 2.5) Pub Date : 2023-10-29 Tonio Gottlieb, Kaj Klaue
Background Indications for surgical corrections about the Achilles tendon are increasing as additional measures in reconstructive interventions about the foot. These indications include shortened gastrocnemii, which cause a so-called ‘functional pes equinus’ and secondary forefoot imbalances, as well as corrections of pes planus and cavus. Surgery about the heel cord may also be indicated for achillodynia
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Tibiotalocalcaneal nail and primary closure for the management of open ankle fractures in the elderly patient; results from a major trauma centre Foot Ankle Surg. (IF 2.5) Pub Date : 2023-10-20 P. Cay, A. Saad, S. Bellringer, A. Robertson, E. Guryel
Introduction Open ankle fractures in elderly patients are challenging injuries to manage. The aim of this study was to assess the outcome of elderly patients with open ankle fractures treated with a tibiotalocalcaneal nail and primary wound closure. Methods We identified all open ankle fractures in patients over 65 referred to our major trauma centre managed with a tibiotalocalcaneal nail and primary
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Using machine learning in the prediction of symptomatic venous thromboembolism following ankle fracture Foot Ankle Surg. (IF 2.5) Pub Date : 2023-10-14 Nour Nassour, Bardiya Akhbari, Noopur Ranganathan, David Shin, Hamid Ghaednia, Soheil Ashkani-Esfahani, Christopher W. DiGiovanni, Daniel Guss
Background Venous thromboembolism (VTE) is a major cause of morbidity and mortality in the trauma setting, and both prediction and prevention of VTE have long been a concern for healthcare providers in orthopedic surgery. The purpose of this study was to evaluate the use of novel statistical analysis and machine-learning in predicting the risk of VTE and the usefulness of prophylaxis following ankle
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Botulinum toxin A versus platelet rich plasma ultrasound-guided injection in the treatment of plantar fasciitis: A randomised controlled trial Foot Ankle Surg. (IF 2.5) Pub Date : 2023-10-14 Isabel M. Ruiz-Hernández, Javier Gascó-Adrien, Carmen Buen-Ruiz, Laura Perelló-Moreno, Carmen Tornero-Prieto, Gonzalo Barrantes-Delgado, Mireia García-Gutiérrez, JM. Rapariz-González, S. Tejada-Gavela
Background Platelet-rich plasma (PRP) and botulinum toxin type A (BTX-A) injections have proven effective in clinical trials for plantar fasciitis treatment but have not been directly compared. We aimed to compare clinical outcomes in patients undergoing PRP or BTX-A injections. Methods We performed a randomised controlled trial (59 patients; 1-year follow-up) to assess efficacy, using pain and functional
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What’s the clinical significance of VAS, AOFAS, and SF-36 in progressive collapsing foot deformity Foot Ankle Surg. (IF 2.5) Pub Date : 2023-10-13 Cheng Chen, ZhenDong Li, Yi Zhang, HaiChao Zhou, YongQi Li, WenBao He, TianBao Ye, YunFeng Yang
Background This study aimed to ascertain the minimal clinically important difference (MCID), and substantial clinical benefit (SCB) of the American Orthopedic Foot and Ankle Society (AOFAS) scale, visual analog scale (VAS) for pain, and Short Form-36 Health Survey (SF-36) in progressive collapsing foot deformity (PCFD) surgery. Methods In this retrospective cohort study, a total of 84 patients with
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Endoscopic assisted flexor digitorum longus transfer in flexible flatfoot Foot Ankle Surg. (IF 2.5) Pub Date : 2023-10-11 Marc Elkaim, Marine Ankri, Jean-Charles Giunta
Background Posterior tibial tendon insufficiency is the commonest cause of adult flexible flatfoot. Transfer of the flexor digitorum longus (FDL) has been described a therapeutic arsenal in flexible flat feet and posterior tibial tendon disorders. It is often combined with bony procedure (open or percutaneous calcaneal osteotomy). Methods We describe a technique and the steps endoscopic approach of
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Comparison between achilles tendon reinsertion and dorsal closing wedge calcaneal osteotomy for the treatment of insertional achilles tendinopathy: A meta-analysis Foot Ankle Surg. (IF 2.5) Pub Date : 2023-10-04 Bedri Karaismailoglu, Ayse Sena Altun, Omer Subasi, Siddhartha Sharma, Matthias Peiffer, Soheil Ashkani-Esfahani, Christopher W. DiGiovanni, Lorena Bejarano-Pineda
Background The debridement and Achilles tendon reinsertion (DATR) have been the most common surgical approach for the treatment of Insertional Achilles Tendinopathy (IAT), while dorsal closing wedge calcaneal osteotomy (DCWCO) has recently gained popularity as an alternative surgical option. This study aimed to systematically review the published literature on both surgical techniques and compare their
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Topic issue "Research in foot and ankle surgery" Foot Ankle Surg. (IF 2.5) Pub Date : 2023-09-28 Fabian Krause
Abstract not available
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Medializing Calcaneal Osteotomy for progressive collapsing foot deformity alters the three-dimensional subtalar joint alignment Foot Ankle Surg. (IF 2.5) Pub Date : 2023-09-29 Loïc Raes, Matthias Peiffer, Tim Leenders, Peter Kvarda, Jiyong Ahn, Emmanuel Audenaert, Arne Burssens
Background A medializing calcaneal osteotomy (MCO) is considered as one of the key inframalleolar osteotomies to correct progressive collapsing foot deformity (PCFD). While many studies were able to determine the post-operative hind- and midfoot alignment, alternations of the subtalar joint alignment remained obscured by superposition on plain radiography. Therefore, we aimed to assess the hind-, midfoot-
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Outcomes after total ankle arthroplasty with an average follow-up of 10 years: A systematic review and meta-analysis Foot Ankle Surg. (IF 2.5) Pub Date : 2023-09-22 Kian Bagheri, Albert T. Anastasio, Emily Poehlein, Cynthia L. Green, Alexandra H. Aitchison, Nicole Cantor, Stephanie Hendren, Samuel B. Adams
Background The literature demonstrating positive outcomes after total ankle arthroplasty (TAA) is mounting. However, the long-term outcomes of TAA (≥ 10 years) remain minimally reported. The purpose of this systematic review and meta-analysis was to evaluate outcome metrics over multiple TAA studies with greater than 10 years of average follow-up. Methods TAA studies were searched in Medline, Embase
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The morphology of osseous structure in subtalar joint with chronic ankle instability Foot Ankle Surg. (IF 2.5) Pub Date : 2023-09-22 Lei Zhang, Xinghao Sun, Lu Jiang, Xin Zhou, Houyin Shi, Yuening Yang, Mingyang Cai, Guoyou Wang
Background Osseous structures have been demonstrated as risk factors for chronic ankle instability (CAI). Previously, the researchers only focused on the osseous structures of ankle, but ignored the osseous structures of subtalar joint(STJ). Accordingly, the aim of our study was to investigate the morphological characteristics of STJ osseous structures in CAI. Methods 52 patients with CAI and 52 sex-
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Revision of total ankle arthroplasty: Survival and medium-term functional results Foot Ankle Surg. (IF 2.5) Pub Date : 2023-09-19 Grégoire Rougereau, Yves Stiglitz, Charles Franqueville, Thomas Bauer, Alexandre Hardy, Fabrice Gaudot
Background The objective of this study was to analyze the results and survivorship of total ankle arthroplasty (TAA) revision surgery with standard (Salto Talaris®) or revision (Salto Talaris XT®) implants. Methods Between January 2005 and December 2017, all patients undergoing TAA revision at our hospital were included. Indications for revision, type of surgery performed, improvement in function assessed
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Tourniquet use in ankle arthroscopy: A systematic review Foot Ankle Surg. (IF 2.5) Pub Date : 2023-09-14 B. Lau, V. Kothari, S. Trowbridge, T.L. Lewis, R. Ray
Background Ankle arthroscopy is commonly performed using a thigh tourniquet and is thought to improve visibility and reduce operative time. However, the current evidence is unclear as to whether the use of a tourniquet provides these benefits. The aim of this study was to investigate whether there is any clinical benefit of using a tourniquet in ankle arthroscopy. Methods A systematic review following
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Microfracture surgery combined with platelet-rich plasma injection in treating osteochondral lesions of talus: A system review and update meta analysis Foot Ankle Surg. (IF 2.5) Pub Date : 2023-09-12 Mengquan Huang, Yubiao Li, Chunlai Liao, Qiulian Lai, Jun Peng, Naiming Guo
Background To systematically evaluate the efficacy of arthroscopic microfracture surgery combined with platelet-rich plasma (PRP) injection in treating osteochondral lesions of talus (OLT). Method A computer-based search of the PubMed, EMbase, Cochrane Library was developed. The search time was dated in December 2022. Randomized controlled trials and prospective case control studies comparing the treatment
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STAR® total ankle replacements with BONIT® coating: A prospective 2–17 year follow-up study of 474 ankles from a single center Foot Ankle Surg. (IF 2.5) Pub Date : 2023-09-07 Kristian K. Nielsen, Niels Chr. Jensen, Frank Linde
Background Different coatings of the metal implants of STAR prostheses have been used since 1999. In Europe metal implants with a double calcium-phosphate coating (BONIT) on a titanium sprayed surface have been available since 1999. Methods We present a 2–17 year follow-up of a consecutive series from a single center with 474 STAR ankle replacements where the BONIT type of coating has been used. Results
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Results of prophylactic simple fasciocutaneous advancement in the initial management of acute ankle fractures with high risk of operative wound complication Foot Ankle Surg. (IF 2.5) Pub Date : 2023-09-06 Eduardo Becerra, Magdalena Castro, Pablo Ruiz-Riquelme
Ankle fracture is the third most prevalent fracture in older adults. Wound dehiscence is the most frequent complication. Our objective is to determine the operative wound complication rate in patients with unstable ankle fracture in whom a prophylactic simple fasciocutaneous advancement was used. Methods Prospective registry of patients with unstable ankle fracture, in whom a prophylactic fasciocutaneous
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Diagnostic applications and benefits of weightbearing CT in the foot and ankle: A systematic review of clinical studies Foot Ankle Surg. (IF 2.5) Pub Date : 2023-09-06 Jing Li, Mengze Fang, Aline Van Oevelen, Matthias Peiffer, Emmanuel Audenaert, Arne Burssens
Background Foot and ankle weightbearing CT (WBCT) imaging has emerged over the past decade. However, a systematic review of diagnostic applications has not been conducted so far. Method A systematic literature search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines after Prospective Register of Systematic Reviews (PROSPERO) registration