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3D Analysis of Joint-Sparing Charcot-Marie-Tooth Surgery Effect on Initial Standing Foot Alignment Foot Ankle Int. (IF 2.7) Pub Date : 2024-03-16 Jae Hwang Song, Max P. Michalski, Glenn B. Pfeffer
Background:The complex deformities in cavovarus feet of Charcot-Marie-Tooth (CMT) disease are difficult to evaluate. The aim of this study was to quantify the initial standing alignment correction achieved after joint-sparing CMT cavovarus reconstruction using pre- and postoperative weightbearing computed tomography (WBCT).Methods:Twenty-nine CMT cavovarus reconstructions were retrospectively analyzed
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Treatment of Symptomatic Os Supranaviculare in Athletes Foot Ankle Int. (IF 2.7) Pub Date : 2024-03-16 Kazuya Sugimoto, Shinji Isomoto, Kimio Miura, Sayaka Wakiyama, Azusa Yoneda, Akira Taniguchi, Yasuhito Tanaka
Background:Although the incidence of os supranaviculare (OSSN) is generally low, symptomatic OSSN affects athletes. The aim of this study was to assess the variations of OSSN and the results of osteosynthesis between the OSSN and the navicular bone.Methods:Eleven feet of 10 elite athletes with symptomatic OSSN were treated. There were 3 male and 7 female patients with an average age of 19 years. Eight
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Influence of Talar and Calcaneal Morphology on Subtalar Kinematics During Walking Foot Ankle Int. (IF 2.7) Pub Date : 2024-03-16 Tetsuya Yamamoto, Paige Paulus, Joshua C. Setliff, MaCalus V. Hogan, William J. Anderst
Background:Cadaver biomechanical testing suggests that the morphology of articulating bones contributes to the stability of the joints and determines their kinematics; however, there are no studies examining the correlation between bone morphology and kinematics of the subtalar joint. The purpose of this study was to investigate the influence of talar and calcaneal morphology on subtalar kinematics
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Discrepancies Between Intraoperative and Postoperative Ankle Motion Measured for Anterior-Approach Total Ankle Arthroplasty Foot Ankle Int. (IF 2.7) Pub Date : 2024-03-14 Jaeyoung Kim, Rogerio Bitar, Oliver Gagne, Joaquin Palma, Isabel Shaffrey, Agnes Cororaton, Jensen Henry, Jonathan Deland, Scott Ellis, Constantine Demetracopoulos
Background:Although intraoperative ankle motion serves as a foundational reference for anticipated motion after surgery and guides the addition of procedures to enhance ankle motion in total ankle arthroplasty (TAA), the relationship between intraoperative and postoperative ankle motion remains unclear. This study aimed to investigate the discrepancy between intraoperative and postoperative ankle range
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Open Reduction Internal Fixation vs Primary Arthrodesis for Displaced Lisfranc Injuries: A Multicenter Randomized Controlled Trial Foot Ankle Int. (IF 2.7) Pub Date : 2024-03-14 Ville Ponkilainen, Heikki Mäenpää, Heikki-Jussi Laine, Nikke Partio, Olli Väistö, Janne Jousmäki, Ville M. Mattila, Heidi Haapasalo
Background:There is no consensus whether the primary surgical method should be open reduction and internal fixation (ORIF) or primary arthrodesis (PA) for Lisfranc injuries. The aim of our randomized controlled trial was to compare ORIF and PA for displaced Lisfranc injuries.Methods:This study was a national multicenter randomized controlled trial. Altogether 43 displaced Lisfranc injuries were enrolled
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Comparison of Arthroscopic Microfracture for Osteochondral Lesions of the Talus With and Without Small and Shallow Subchondral Cysts Foot Ankle Int. (IF 2.7) Pub Date : 2024-03-06 Hao Guo, Haohan Yan, Han Yan, Yijun Liu, Canjun Zeng
Background:Whether arthroscopic microfracture is effective in treating cystic osteochondral lesions of the talus (OLTs) remains controversial. In this study, outcome parameters in patients with small and shallow subchondral cysts are compared to patients without cysts with the hypothesis that equivalent outcomes may be found after primary microfracture treatment.Methods:From 2018 to 2021, all 50 OLTs
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Radiographic Analysis of Valgus Ankle Deformity With or Without Medial Longitudinal Arch Collapse Foot Ankle Int. (IF 2.7) Pub Date : 2024-03-06 Jaeyoung Kim, Joaquin Palmar, Constantine Demetracopoulos, Scott Ellis, Jonathan Deland
Background:Establishing a surgical plan for ankle deformities necessitates a comprehensive understanding of the deforming forces involved, and the morphology of the ankle deformity plays an important role as well. Valgus tibiotalar tilt development has mostly been described in patients with a low medial longitudinal arch, as seen in progressive collapsing foot deformity (PCFD). However, some valgus
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Revision Total Ankle Arthroplasty Using the INBONE II System Foot Ankle Int. (IF 2.7) Pub Date : 2024-03-06 Kevin A. Wu, Albert T. Anastasio, Dongoh Lee, Billy I. Kim, Bruno Valan, Alexandra N. Krez, Samuel B. Adams, James A. Nunley, Mark E. Easley, James K. DeOrio
Background:The utilization of total ankle arthroplasty (TAA) for managing severe ankle osteoarthritis has become increasingly common, leading to a higher occurrence of revision TAA procedures because of failure of primary TAA. This study aims to examine the clinical results associated with revision TAA using the INBONE II system. Given the growing number of TAA revision procedures and a focus on motion-preserving
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Differences in Baseline Physical Function and Mental Health PROM Scores in Patients With Foot and Ankle Conditions Foot Ankle Int. (IF 2.7) Pub Date : 2024-03-04 Jeremy T. Smith, Emily B. Parker, Eric M. Bluman, Elizabeth A. Martin, Christopher P. Chiodo
Background:This study sought to establish normative values for baseline physical and mental health by foot and ankle diagnosis using validated PROMIS scores and to compare the correlation between these 2 outcomes across common diagnoses. Additionally, it investigated the effects associated with chronic vs acute conditions and specific diagnoses on mental health.Methods:We reviewed baseline PROMIS Physical
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Strength and Functional Outcomes Following Achilles Tendon Reconstruction With Hamstring Tendon Autograft Augmentation Foot Ankle Int. (IF 2.7) Pub Date : 2024-03-04 Stephanie K. Eble, Oliver B. Hansen, Saanchi K. Kukadia, David J. Cho, Prashanth Kumar, Andrea K. Papson, Mark C. Drakos
Background:The proposed advantages of hamstring autograft reconstruction when compared to alternative procedures, such as flexor hallucis longus (FHL) transfer, V-Y lengthening, and allograft reconstruction, are improved healing and reproduction of normal tendon biomechanics and reduced morbidity within the foot and ankle. In this study, we examined the effect of Achilles tendon reconstruction using
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Modified Dresden Technique With a Distal Locking Suture for Achilles Tendon Repair: Technique Tip Foot Ankle Int. (IF 2.7) Pub Date : 2024-03-01 Kevan Kostynski, Amanda Vandewint, Amir Reza Vosoughi, Eva Gusnowski, Jacob Matz
[Formula: see text]
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Platelet-Rich Plasma vs Extracorporeal Shock Wave Therapy in the Treatment of Plantar Fasciitis at 3-6 Months: A Systematic Review and Meta-analysis of Randomized Controlled Trials Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-29 Mohammad Daher, Oscar Covarrubias, Agustin Herber, Irvin Oh, Arianna L. Gianakos
Background:Plantar fasciitis (PF) is a common foot disorder with variability in treatment strategy. Two effective management techniques include platelet-rich plasma (PRP) injections and extracorporeal shock wave therapy (ESWT). The purpose of this meta-analysis is to compare the effectiveness of PRP vs ESWT in the management of PF.Methods:A systematic search was performed of PubMed, Cochrane, and Google
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Association Between Weightbearing CT and MRI Findings in Progressive Collapsing Foot Deformity Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-29 Lynn Andres, Ricardo Donners, Dorothee Harder, Arne Burssens, Corina Nüesch, Nicola Krähenbühl
Background:Weightbearing computed tomography (WBCT) scans allow for a better understanding of foot alignment in patients suffering from progressive collapsing foot deformity (PCFD). However, soft tissue integrity (eg, spring ligament complex or tibialis posterior tendon) cannot be easily assessed via WBCT. As performing both WBCT and magnetic resonance imaging (MRI) might not be cost effective, we
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Minimally Invasive Surgery vs Nonoperative Treatment for Displaced Intraarticular Calcaneal Fracture: A Prospective Propensity Score Matched Cohort Study With 2-Year Follow-up Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-28 Raju Ahluwalia, Thomas Lorchan Lewis, Omar Musbahi, Ines Reichert
Background:Optimal management of displaced intraarticular calcaneal fractures remains controversial. The aim of this prospective cohort study was to compare the clinical and radiologic outcomes of minimally invasive surgery vs nonoperative treatment in displaced intraarticular calcaneal fracture up to 2 years.Methods:All displaced intraarticular calcaneal fractures between August 2014 and January 2019
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The Influence of Talar Displacement on Articular Contact Mechanics: A 3D Finite Element Analysis Study Using Weightbearing Computed Tomography Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-26 Matthias Peiffer, Lauren Lewis, Katherine Xie, Theodore T. Guild, Soheil Ashkani-Esfahani, John Kwon
Background:Talar displacement is considered the main predictive factor for poor outcomes and the development of post-traumatic osteoarthritis after ankle fractures. Isolated lateral talar translation, as previously studied by Ramsey and Hamilton using carbon powder imprinting, does not fully replicate the multidirectional joint subluxations seen in ankle fractures. The purpose of this study was to
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Infection Rates and Surgical Procedures Associated With Isolated Open Talar Neck and Body Fractures Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-24 Todd Jaeblon, Haley Demyanovich, Sneh Talwar, Marissa Bonyun, Caroline Benzel, Brett Harris
Background:Open fractures of the talar body and neck are uncommon. Previous reports of associated deep infection rates and resulting surgical requirements vary widely. The primary objective of this study is to report the incidence of deep infections for isolated open talar body and neck fractures, and secondarily the incidence and number of total surgeries performed (TSP), secondary salvage procedures
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Using PROMIS Scores to Provide Cost-Conscious Follow-up After Foot and Ankle Surgery Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-24 Jefferson Hunter, Gabriel Ramirez, Caroline Thirukumaran, Judith Baumhauer
Background:National campaigns in the United States, such as Choosing Wisely, emphasize that decreasing low-value office visits maximizes health care value. Although patient-reported outcomes (PROs) are frequently used to quantify postoperative outcomes, they have not been assessed as a tool to help guide clinicians consider alternatives or discontinue in-person follow-up visits. The purpose of this
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Primary Ankle Fusion Using an Antegrade Nail Into the Talus for Early Treatment of OTA Type C3 Distal Tibial Plafond Fractures: A Preliminary Report Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-24 Enis Guryel, Conrad Lee, Ahmed Barakat, Alastair Robertson, Richard Freeman
Background:Type C3 distal tibial plafond fractures consistently show poor outcomes with high complication rates and significant risk of posttraumatic arthritis. We describe a minimally invasive technique of performing a primary ankle fusion using an anterograde tibial nail and compare our early results to traditional methods of fixation.Methods:During the acute admission, the patient undergoes an arthroscopic
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A Novel Technique of Medial Displacement Calcaneal Osteotomy Using the Intramedullary Fixation of a Conventional Low-Profile Locking Wedge Plate Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-23 Jun Young Choi, Oh Jun Yu, Jin Soo Suh
Background:Postoperative heel pain arising from prominent screw heads is a common complication following medial displacement calcaneal osteotomy (MDCO). This study aims to present the clinicoradiographic outcomes of a novel MDCO technique, wherein intramedullary fixation of a conventional low-profile locking wedge plate is employed.Methods:A retrospective analysis, involving a comparison of clinical
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A Smaller Tibiotalar Sector Is a Risk Factor for Recurrent Anterolateral Ankle Instability after a Modified Broström-Gould Procedure Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-23 Flamur Zendeli, Patrick Pflüger, Arnd F. Viehöfer, Sandro Hodel, Stephan H. Wirth, Mazda Farshad, Lizzy Weigelt
Background:Several demographic and clinical risk factors for recurrent ankle instability have been described. The main objective of this study was to investigate the potential influence of morphologic characteristics of the ankle joint on the occurrence of recurrent instability and the functional outcomes following a modified Broström-Gould procedure for chronic lateral ankle instability.Methods:Fifty-eight
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Joint-Preserving Osteotomy of the Lateral Tibial Plafond for Posttraumatic Osteonecrosis: A Prospective Cohort Study Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-23 Stefan Rammelt, Eric Jörg Walther
Background:Posttraumatic osteonecrosis (ON) of the lateral distal tibia is a rare but severe complication of malleolar fractures. Treatment options include ankle fusion, arthroplasty, osteotomy, and drilling but clinical data on outcomes are limited to single case reports. The aim of this study was to prospectively evaluate the outcome following joint-preserving reconstruction.Methods:Over a 10-year
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Müller-Weiss Disease: Midfoot Arthrodesis in Reduction vs Malreduction Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-22 Wenbo Bai, Jingcheng Xu, Hongning Zhang, Xue Li, Yunxuan Zou, Guodong Shen, Yongzhan Zhu
Background:Midfoot arthrodesis is regarded as the main surgical approach for treating Müller-Weiss disease (MWD). This study aimed to investigate the incidence of postoperative pain during MWD treatment through midfoot reduction or malreduction during arthrodesis and to explore the factors influencing postoperative pain in patients with MWD.Methods:A total of 67 patients with MWD were recruited and
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Midterm Donor Site Morbidity After Vascularized Free Fibula Flap Harvesting Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-16 Ömer Büyüktopçu, Özgür Baysal, Yücel Ağırdil, Yavuz Şahbat, Ziya Shammadli, Evrim Şirin, Bülent Erol
Background:Vascularized fibula grafts (VFGs) have become one of the most preferred grafts for the reconstruction of bone defects. However, despite the many advantages over other graft options, recipient and donor site morbidities are also common. Donor site morbidity has been reported at rates ranging from 5% to 67%. The aim of this study was to present a single-center series examining the clinical
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Arthroscopic Modified Lasso-Loop Stitch Technique for Chronic Lateral Ankle Instability in Skeletally Immature vs Mature Patients Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-16 Masato Takao, Yasuyuki Jujo, Kosui Iwashita, Miyu Inagawa, Erika Nicole Chua, Keong Joo Lee, Takashi Watanabe, Yoshiharu Shimozono
Background:In recent years, arthroscopic lateral ankle ligament repair has become increasingly popular. However, reports on the clinical outcomes of arthroscopic ankle stabilization for skeletally immature patients remain scarce. This study investigated the clinical outcomes of arthroscopic lateral ankle ligaments repair in skeletally immature patients compared to skeletally mature patients.Methods:Our
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Double-Row Achilles Insertional Repair With Rip-Stop Increases Construct Strength Compared to Traditional Techniques: A Biomechanical Study Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-13 Anand Vora, Sarah J. Ingwer, Maria Withrow, Nicholas Denove, Oliver Hauck, Anthony Khoury
Background:Although double-row suture-anchored (DRSA) techniques for Achilles insertional tendinosis has proven successful, a reoccurring failure mode not yet addressed is suture tearing through the tendon. This study aims to address suture tearing by incorporating a rip-stop element. Authors hypothesized that the Rip-Stop group would demonstrate increased strength compared with more traditional techniques
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Improvement of Valgus Deviation of the Lesser Toes of Moderate to Severe Hallux Valgus After Proximal Chevron Metatarsal Osteotomy and Akin Osteotomy Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-13 Hwa Jun Kang, Jung-Won Lim, Je-Min Im, Youngje Woo, Hong-Geun Jung
Background:This study examines the correction of lesser toe valgus deviation following proximal chevron metatarsal osteotomy (PCMO) and Akin osteotomy in moderate to severe hallux valgus patients, while identifying influencing factors.Method:Among 89 patients (116 feet), those with moderate to severe hallux valgus underwent PCMO and Akin osteotomy. Radiologic assessments included preoperative metatarsus
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Outcomes Following Excision of Toe Glomus Tumors Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-10 Kathir Joyson D. R., Kiran Sasi P., Anne Jennifer Prabhu, Madhurima Ponmar, Samuel C. Raj Pallapati
Background:Glomus tumors are uncommon tumors and their occurrence in the foot is even less common. Glomus tumors of the toes are often missed, causing delays in diagnosis and treatment. We report an ambispective observational study of glomus tumors of the toes that were treated at our institution.Methods:We reviewed the records of all the patients who underwent excision of toe glomus tumors in our
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Analysis of Nonweightbearing MRI Fat Pad Thickness Under Central Metatarsals in Patients With and Without Metatarsalgia Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-08 Chase Gauthier, Anne Guttman, Yianni Bakaes, J. Benjamin Jackson, Tyler Gonzalez
Background:Metatarsalgia is a common diagnosis for patients with forefoot pain. Many have proposed metatarsal fat pad atrophy is a cause of metatarsalgia and therefore have suggested fat grafting instead of distal metatarsal osteotomies to treat metatarsalgia. For fat grafting to be a viable treatment, fat pad atrophy should correlate with metatarsalgia. This study looked to determine the relationship
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Outcomes of Joint-Preserving Surgery for Forefoot Deformities in Patients With Rheumatoid Arthritis Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-08 Ayako Tominaga, Katsunori Ikari, Akifumi Yamada, Koichiro Yano, Ken Okazaki
Background:With the advent of effective disease-modifying medications, the surgical treatment of forefoot deformities in patients with rheumatoid arthritis (RA) has evolved from joint-sacrificing to joint-preserving surgery. However, it is unclear whether joint-preserving surgery is effective for the full range of metatarsophalangeal joint involvement. Hence, this study investigated the postoperative
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Statistical Fragility Analysis of Open Reduction Internal Fixation vs Primary Arthrodesis to Treat Lisfranc Injuries: A Systematic Review Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-08 Benjamin J. Ahn, Matthew Quinn, Leon Zhao, Elaine W. He, Myles Dworkin, Om Naphade, Rory A. Byrne, Janine Molino, Brad Blankenhorn
Background:There is a lack of consensus in the use of open reduction internal fixation (ORIF) vs primary arthrodesis (PA) in the management of Lisfranc injuries. Statistical fragility represents the number of events needed to flip statistical significance and provides context to interpret P values of outcomes from conflicting studies. The current study evaluates the statistical fragility of existing
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Diabetes Mellitus and Total Ankle Arthroplasty Complications Foot Ankle Int. (IF 2.7) Pub Date : 2024-02-08 Jordan Helbing, Benjamin Farley, Alex Gu, Amy Y. Zhao, Gautam Siram, Benjamin Stein, Marc D. Chodos
Background:Postoperative infection, aseptic loosening, and perioperative medical complications after total ankle arthroplasty (TAA) are all devastating problems. While previous studies have shown diabetes as a risk factor predisposing patients to postoperative complications, not all literature supports this association following TAA. The goal of this study is to determine if diabetes influences midterm
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Analysis of Gender Diversity Within Foot and Ankle Surgery Fellowship Programs Foot Ankle Int. (IF 2.7) Pub Date : 2024-01-30 Elizabeth Cho, Arianna L. Gianakos, Adam P. Schiff
Background:Women continue to be underrepresented in orthopaedic surgery. This study seeks to evaluate gender diversity of faculty and trainees at foot and ankle surgery fellowship programs.Methods:In this cross-sectional analysis of 49 US foot and ankle fellowship programs, all publicly available data on program faculty (as of July 2023) were collected, as well as data on current and past fellows between
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Anatomical Structures at Risk in Percutaneous Preparation Talonavicular Fusion Foot Ankle Int. (IF 2.7) Pub Date : 2024-01-29 Matthew T. Yeager, Shrey Nihalani, Robert W. Rutz, Zuhair J. Mohammed, Mathew Hargreaves, Matthew McCrosson, Mila Scheinberg, Swapnil Singh, Ashish B. Shah
Background:The stability of the hindfoot greatly relies on the integrity of the talonavicular joint. Pathologies affecting this joint often necessitate fusion. Our study explores the risks posed to neurovascular and tendon structures during simulated percutaneous talonavicular joint preparation for fusion.Methods:In 9 fresh cadaver specimens, the talonavicular joint was accessed through two portals
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Outcomes After Total Ankle Arthroplasty in Patients Aged ≤50 Years at Midterm Follow-up Foot Ankle Int. (IF 2.7) Pub Date : 2024-01-28 Lacey Giambelluca, Benjamin Umbel, Albert Anastasio, Billy Kim, James DeOrio, Mark Easley, James A. Nunley
Background:Ankle arthritis differs from arthritis of the hip and knee in that 80% is posttraumatic and thus often occurs in a younger patient population. The literature supporting total ankle arthroplasty (TAA) in younger patients has increased over recent years and has bolstered the argument that in the short term, TAA in younger patients has successful outcomes that are comparable to older, lower-demand
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Does the Presence of Asymptomatic Flatfoot Deformity Impact the Clinical and Radiographic Outcomes of the Minimally Invasive Chevron and Akin Bunionectomy? Foot Ankle Int. (IF 2.7) Pub Date : 2024-01-28 Rami Mizher, Lavan Rajan, Jaeyoung Kim, Syian Srikumar, Agnes Cororaton, Elizabeth Cody, Scott Ellis, A. Holly Johnson
BackgroundFlatfoot deformity is believed to play a role in hallux valgus development and recurrence. While symptomatic flatfoot deformity can be treated with separate procedures at the time of hallux valgus correction, the question remains whether the patient undergoing correction of a symptomatic hallux valgus deformity should have their asymptomatic flatfoot concurrently addressed. We aimed to investigate
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Image Rotation Alters Apparent Fibula Length: An Evaluation of Talocrural Angle, Shenton Line, and Dime Sign Foot Ankle Int. (IF 2.7) Pub Date : 2024-01-19 Nicholas J. Jackson, Kevin T. Root, Jennifer A. Nichols, Christopher W. Reb
Background:Fibula shortening can compromise ankle stability and force transmission, thereby impacting clinical outcomes. Because radiographs depict 3-dimensional anatomy in 2 dimensions, accurate radiographic assessment of fibula length is a commonly encountered clinical challenge. The talocrural angle (TCA), Shenton line, and dime sign are useful parameters of fibula length. Yet, the impact of 3-dimensional
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Biomechanical Effects of Subtalar Joint Fusion and Medial Ligament Reconstruction in Simulated Progressive Collapsing Foot Deformity Foot Ankle Int. (IF 2.7) Pub Date : 2024-01-19 Wonyong Lee, Nahom Tecle, Emma Knapp, Hani Awad, Irvin Oh
Background:The purpose of this study is to investigate the biomechanical effect of medial displacement calcaneal osteotomy (MDCO), subtalar joint fusion (SF), and medial ligament reconstruction (MLR: deltoid-spring ligament) in a severe flatfoot model. We hypothesized that (1) combination of MDCO and SF improves the tibiotalar and foot alignment in severe progressive collapsing foot deformity (PCFD)
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Arthroscopic Lateral Ligament Reconstruction: To Infinity and Beyond. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-25 Peter G Mangone
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Results of Anatomical Arthroscopic Repair of Anterior Talofibular Ligament in Chronic Lateral Ankle Instability Patients. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-25 Ahmed Mortada-Mahmoud,Enrique Fernández-Rojas,Elvira Iglesias-Durán,Enrique Sánchez-Morata,Jesús Vilá-Rico
BACKGROUND To assess the clinical and functional outcomes of all-inside arthroscopic anatomical repair of anterior talofibular ligament (ATFL) for management of chronic lateral ankle instability (CLAI) in a considerable number of patients during medium-term follow-up. METHODS A retrospective analytic study was performed on 100 patients with CLAI who presented between August 2015 and July 2020 (average
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Early Survivorship, Clinical and Radiographic Outcomes of a Modular Augmented Revision Total Ankle Arthroplasty System. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-23 Jennifer Purnell,Isabelle Shaffrey,Scott Ellis,Jonathan Deland,Jensen Henry,Constantine Demetracopoulos
BACKGROUND As the number of total ankle arthroplasties (TAAs) performed annually increases, there is increased demand for modular revision implants. There is limited early survivorship and clinical outcome data for the INVISION Total Ankle Arthroplasty System (Wright Medical Technology/Stryker). This study aims to determine early implant survivorship, complications, and radiographic and patient-reported
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Radiographic Anatomy of the Lateral Ankle Ligament Complex: A Cadaveric Study. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-23 Jordan B Robbins,Shepheard A Stahel,Randal P Morris,Daniel C Jupiter,Jie Chen,Vinod K Panchbhavi
BACKGROUND When lateral ankle sprains progress into chronic lateral ankle instability (CLAI), restoring precise anatomic relationships of the lateral ankle ligament complex (LALC) surgically is complex. This study quantifies the radiographic relationships between the anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), and prominent osseous landmarks visible under fluoroscopy to assist
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Comparison of Radiographic Talar Loosening Rates Between Salto-Talaris and INBONE II. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-23 Albert Thomas Anastasio,Samuel B Adams,James K DeOrio,Mark E Easley,James A Nunley,Dong-Oh Lee
BACKGROUND Despite substantial increase in total ankle arthroplasty (TAA) nationwide, there are few studies comparing flat-cut vs chamfer-cut talar systems in TAA with regard to radiographic aseptic loosening rates of the implant. METHODS This retrospective study included 189 Salto-Talaris TAA and 132 INBONE II primary TAA with a minimum 1-year follow-up. Patient characteristics were obtained including
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Foot and Ankle Bone Marrow Edema Assessment in Long Distance Runners. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-23 Ryan Hatch,Paul Devito,Megan Reams,Fernando Pena
BACKGROUND The clinical significance of foot and ankle bone marrow edema (BME) is poorly understood. METHODS Magnetic resonance imaging (MRI) and the visual analog scale (VAS) pain scores were collected for 17 runners who participated in the Twin Cities Marathon, immediately postmarathon and at a 6-week follow-up. Bone marrow edema lesions were classified using lesion frequency, anatomical location
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Outcomes of Platelet-Rich Plasma Infiltration and Weightbearing Cast Immobilization in Distal Tibialis Anterior Tendinopathy: A Prospective Cohort Study. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-14 Lies Desomer,Nathalie van Beek,Anne Van Riet,Stefaan Verfaillie
BACKGROUND Distal tibialis anterior tendinopathy (DTAT) is a chronic condition that may lead to functional impairment and secondary forefoot deformities when left untreated. Current clinical practice is mainly guided by case reports and small retrospective case series; little consensus exists on which treatment protocol is most effective. This study aims to assess a conservative treatment for DTAT
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Open vs Minimally Invasive Resection of the First Metatarsocuneiform Joint: An Anatomical Study. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-14 Sebastian Schilde,Dariusch Arbab,Maria Felsberg,Heike Kielstein,Karl-Stefan Delank,Natalia Gutteck
BACKGROUND The modified Lapidus arthrodesis is a standard procedure to correct middle to severe hallux valgus (HV) deformities. Recently, minimally invasive techniques of first metatarsocuneiform joint (MCJ) resection using a Shannon burr were described. The primary goal of this study is to compare the anatomical efficacy and safety of first MCJ resection using a straight 2 × 13-mm Shannon burr and
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Midterm Clinical Outcomes, Radiographic Outcomes, and Survivorship of the Infinity Total Ankle Arthroplasty. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-14 Isabel Shaffrey,Emmett O'Malley,Jensen K Henry,Lavan Rajan,Jonathan T Deland,Martin O'Malley,Scott J Ellis,Constantine A Demetracopoulos
BACKGROUND The Infinity Total Ankle Arthroplasty (Stryker, Mahwah, NJ) is a low-profile fixed-bearing implant first introduced in 2014. Although the short-term survivorship (2-4 years follow-up) and complication rates of the Infinity TAA have been reported, there are limited midterm outcome reports. The aim of this study was to describe the survivorship and clinical outcomes of a single-center experience
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Lower Extremity Assistive Devices (LEADs): A Contemporary Literature Review. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-10 Erik M Hegeman,Jeannie Huh
Lower extremity ambulatory assistive devices (LEADs) are important augments that provide mobility and stability when weightbearing is restricted in the setting of injury, surgery, or balance disorders. In order to optimize patient safety and function when prescribing these devices, it is essential for the orthopaedic surgeon to have a firm understanding of their specific indications, proper fitting
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A 2-Stage Approach in Managing Diabetic Forefoot Ulcers. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-08 Madhu Tiruveedhula,Anna Graham,Ankur Thapar,Shiva Dindyal,Michael Mulcahy
BACKGROUND Forefoot plantar ulcers in patients with diabetic neuropathy are considered to be primarily the result of increased shear forces applied over prominent plantar bony prominences. The purpose of this article is to describe a 2-stage treatment pathway utilizing an outpatient percutaneous tendon-Achilles lengthening (TAL) as the first stage procedure and subsequent proximal metatarsal osteotomy
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Addressing Biomechanics Matters in Treating Diabetic Foot Ulcers. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-08 Dane K Wukich
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Shear Wave Tensiometry Can Detect Loading Differences Between Operated and Unaffected Achilles Tendon. Foot Ankle Int. (IF 2.7) Pub Date : 2023-11-04 Alessandro Schneebeli,Marco Barbero,Giuseppe Filardo,Enrique Testa,Martin Riegger,Alessandro Sangiorgio,Corrado Cescon,Emiliano Soldini,Deborah Falla
BACKGROUND The clinically relevant healing process of a ruptured and repaired Achilles tendon (AT) can last more than a year. The purpose of this cross-sectional study was to test if shear wave tensiometry is able to detect AT loading changes between a surgically managed AT rupture versus the unaffected contralateral tendon. Our secondary aims were to evaluate differences in mechanical properties when
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Posterior Ankle and Hindfoot Arthroscopy: A Contemporary Review. Foot Ankle Int. (IF 2.7) Pub Date : 2023-10-31 Albert Thomas Anastasio,Katherine Kutzer,Lacey Giambelluca,Nicholas Lee Strasser,Annunziato Amendola
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Shockwave Treatment vs Surgery for Proximal Fifth Metatarsal Stress Fractures in Soccer Players: A Pilot Study. Foot Ankle Int. (IF 2.7) Pub Date : 2023-10-31 Silvia Ramon,Giacomo Lucenteforte,Eduard Alentorn-Geli,Gilbert Steinbacher,Rocío Unzurrunzaga,Pedro Álvarez-Díaz,David Barastegui,Sebastián Grossi,Esther Sala,Adrián Martinez-De la Torre,Giulia Rita Agata Mangano,Xavier Cuscó,Marta Rius,Alfred Ferré-Aniorte,Ramón Cugat
BACKGROUND To compare the clinical, radiologic, and functional outcomes between shockwave and operative treatments for proximal fifth metatarsal stress fractures in soccer players in a pilot study. METHODS Between 2017 and 2019, 18 soccer players with fifth metatarsal stress fractures attended at Mutualidad de Futbolistas Españoles-Delegación Catalana were included. Patients were randomly assigned
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Normal Values for Distal Tibiofibular Syndesmotic Space With and Without Subject-Driven External Rotation Stress. Foot Ankle Int. (IF 2.7) Pub Date : 2023-10-30 Alan Shamrock,Taylor J Den Hartog,Kieran Dowley,Jonathan Day,Nacime Salomao Barbachan Mansur,Kepler Alencar Mendes de Carvalho,Cesar de Cesar Netto,Martin O'Malley
BACKGROUND The diagnosis and treatment of distal tibiofibular syndesmosis (DTFS) injury can be challenging, especially in cases of subtle instability that may be masked on 2-dimensional conventional radiographs. Weightbearing computed tomography (WBCT) has recently emerged as a useful diagnostic tool allowing direct assessment of distal tibiofibular area widening. The purpose of the current study was
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Outcomes After Proximal Medial Gastrocnemius Recession and Stretching vs Stretching as Treatment of Chronic Plantar Fasciitis at 6-Year Follow-up. Foot Ankle Int. (IF 2.7) Pub Date : 2023-10-30 Martin Okelsrud Riiser,Elisabeth Ellingsen Husebye,Jan Hellesnes,Marius Molund
BACKGROUND Evidence from prospective short-term studies suggest that proximal medial gastrocnemius recession is a safe and efficient procedure to treat chronic plantar fasciitis resistant to nonoperative treatment. The aim of this study is to evaluate the long-term clinical outcomes of proximal medial gastrocnemius recession and stretching compared to a stretching exercise protocol for patients with
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The Role of the Transverse Arch in Progressive Collapsing Foot Deformity. Foot Ankle Int. (IF 2.7) Pub Date : 2023-10-30 Eli Schmidt,Matthieu Lalevée,Ki Chun Kim,Kepler Alencar Mendes de Carvalho,Kevin Dibbern,Francois Lintz,Nacime Salomao Barbachan Mansur,Cesar de Cesar Netto
BACKGROUND The transverse arch (TA) has recently been shown to significantly increase the intrinsic stiffness of the midfoot when coupled with the medial longitudinal arch (MLA). Progressive collapsing foot deformity (PCFD) is a complex deformity that ultimately results in a loss of stiffness and collapse of the MLA. The role of the TA has not been investigated in patients diagnosed with this disorder
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Prospective Multicenter Study of Salto Talaris Ankle Arthroplasty With Minimum 4-Year Follow-Up. Foot Ankle Int. (IF 2.7) Pub Date : 2023-10-30 Chelsea S Mathews,James Davitt,J Chris Coetzee,Jane Shofer,Daniel C Norvell,William R Ledoux,Bruce J Sangeorzan
BACKGROUND Total ankle arthroplasty (TAA) continues to be investigated as a primary treatment for end-stage ankle arthritis. The objective of this study is to report mid- to long-term results of the Salto Talaris TAA using prospectively collected patient-reported outcomes and implant survival rates with 4- to 13-year follow-up. METHODS This was a retrospective study of prospectively collected data
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Nicotine Dependence and Rates of Postoperative Complications in Achilles Tendon Repair. Foot Ankle Int. (IF 2.7) Pub Date : 2023-10-30 Sterling DeShazo,Sabrina M Pescatore,Vinod K Panchbhavi
BACKGROUND Nicotine is a modifiable risk factor that is well demonstrated to cause deleterious effects on tendon healing and overall health. Individuals that have a dependence on nicotine may be at an elevated risk for numerous postoperative complications when compared to nondependent patients. The purpose of this study is to evaluate the complications postoperatively between nicotine- and non-nicotine-dependent
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The Distal Fascicle of the Anterior Inferior Tibiofibular Ligament: A Potential Landmark for Lateral Ankle Ligament Reconstruction. Foot Ankle Int. (IF 2.7) Pub Date : 2023-10-30 Anhong Wang,Feng Zhao,Weili Shi,Chenyu Lian,Xing Xie,Lizhong Jing,Ziming Liu,Keying Zhang,Dong Jiang,Qinwei Guo
BACKGROUND A reliable landmark and precise distances from the ligament attachments are needed for lateral ankle stabilization surgery. The distal fascicle of the anterior inferior tibiofibular ligament (AITFL) has been used to locate the anterior talofibular ligament (ATFL) or calcaneofibular ligament (CFL) centers on the fibula. However, there is no anatomic study to validate the distal fascicle of
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Relationship Between Obesity and Medial Longitudinal Arch Bowing. Foot Ankle Int. (IF 2.7) Pub Date : 2023-10-30 Ki Chun Kim,Aly Fayed,Eli Schmidt,Kepler Alencar Mendes de Carvalho,Matthieu Lalevee,Nacime Mansur,Cesar de Cesar Netto
BACKGROUND There have been reports about the association between obesity and the medial longitudinal arch (MLA) of foot. The purpose of this study is to investigate the change of various parameters related to the MLA according to obesity classification severity by the World Health Organization using weightbearing computed tomography (WBCT). METHODS WBCT data of the noninvolved side of patients presenting
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Obesity and Ankle Prosthesis Revision: A Systematic Review and Meta-analysis. Foot Ankle Int. (IF 2.7) Pub Date : 2023-10-30 Csaba Varga,Szilárd Váncsa,Gergely Agócs,Péter Hegyi,Barbara Timea Gidró,György Szőke,Gyula Domos,Endre Rodler,György Kocsis,Gergely Holnapy
BACKGROUND The increasing number of total ankle arthroplasties (TAAs) has led to growing evidence on the risk factors for complications after surgery. However, the role of obesity in this patient group has been the subject of much debate. Therefore, this systematic review aimed to investigate the evidence for untoward effects of obesity following TAA. METHODS We conducted a comprehensive search on