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Comparing Myofascial pain syndrome treatment with DN versus ESWT for plantar fasciitis on pain and function of the heel J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-03-12 Burak Tayyip Dede MD, Ayşenur Ada MD, Muhammed Oğuz MD, Berat Bulut MD, Fatih Bagcıer MD, Ebru Aytekin MD
The aim of this study was to compare the effects of dry needling (DN) and extracorporeal shock wave therapy (ESWT) in the treatment of plantar fasciitis (PF). The study included 55 patients with PF. The patients were randomly divided into 2 groups. The DN group applied 3 sessions of DN to the myofascial trigger points in the lower limb muscles. The ESWT group applied 3 sessions of ESWT to the plantar
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Isolated subtalar repositional arthrodesis compared with Triple arthrodesis for the treatment of Progressive collapsing foot deformity J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-03-04 Sunghoo Kim MD, EunSoo Park MD, Byung-Ki Cho MD PhD, Chang Hyun Doh MD, Youngrak Choi MD PhD, Ho-seong Lee MD PhD
The optimal extent of arthrodesis for severe and rigid progressive collapsing foot deformity is controversial. Traditionally, triple arthrodesis has been recommended; however, good results have been reported using subtalar arthrodesis only. We compared the results of triple arthrodesis and isolated subtalar repositional arthrodesis. A total of 22 symptomatic feet were evaluated retrospectively. Isolated
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Effectiveness of Concurrent Ankle Arthroscopy During Open Reduction and Internal Fixation of Malleolar Fractures in Prevention of Common Short-Term Complications J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-03-02 Naohiro Shibuya DPM MS FACFAS, Daniel C. Jupiter PhD
Rotational malleolar fractures result in a high prevalence of intra-articular pathologies; therefore, routine arthroscopic assessment may be beneficial in the surgical treatment of ankle fractures. However, the clinical studies regarding the effectiveness of arthroscopy thus far have mixed results. We investigated the efficacy of concurrent arthroscopy during the treatment of malleolar fractures using
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Anterior Talofibular Ligament Repair in Combination With Anterior Tibiofibular Ligament Distal Fascicle Transfer for The Treatment of Chronic Lateral Ankle Instability: A Finite Element Analysis J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-03-02 Lei Zhang MD, Ruihan Wang MS, Siyi Yang BS, Songtao Jiang BS, Guixuan You MS, Houyin Shi MD, Guoyou Wang MD
In recent years, anterior tibiofibular ligament-distal fascicle transfers for anterior talofibular ligament augmentation repair have proposed. However, a comprehensive biomechanical study on the anterior tibiofibular ligament-distal fascicle transfer is still lacking. We are established four distinct groups, namely the normal, the anterior talofibular ligament rupture, the anterior talofibular ligament
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Predictors of Episode-of-Care Costs for Ankle Fractures J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-03-02 Gowtham Thangathurai, Simon Martel MD, Julien Montreuil MD MSc, Rudolf Reindl MD FRCSC, Gregory K. Berry MD MSEd FRCSC, Edward J. Harvey MD MSc FRCSC, Mitchell Bernstein MD FRCSC
Ankle fractures are one of the most resource-consuming traumatic orthopedic injuries. Few studies have successfully evaluated the episode-of-care costs (EOCC) of common traumatic orthopedic injuries. The objective of this study was to determine the EOCC associated with the surgical management of ankle fractures. A retrospective cohort study of 105 consecutive patients who underwent open reduction internal
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Does Preoperative Manual Reduction (Omoto Technique) Affect Surgical Outcomes for Calcaneal Fractures? A Multicenter (TRON Group) Retrospective Study J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-03-02 Hidetane Takahashi MD, Yasuhiko Takegami MD PhD, Katsuhiro Tokutake MD PhD, Yu Takahashi MD, Mihoko Kato MD, Marie Mabuchi MD, Shiro Imagama MD PhD
The Omoto technique is a well-known method that is commonly used for noninvasive manual repair of calcaneal fractures. However, there have been no detailed studies on its clinical outcomes in preoperative closed reduction for surgical cases. This multicenter retrospective study aimed to compare the clinical and radiographic outcomes of calcaneal fractures treated with and without the preoperative Omoto
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Comparison of Two Techniques for Proximal Margin Analysis of Toe Amputations: A Retrospective Review J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-03-02 Jennifer Kipp DPM, Bryanna D. Vesely DPM MPH, Madeline Fram BA, Greg Russell MS BS, Jung Wha Kim-Shapiro MD, Ashleigh W. Medda DPM FACFAS, Paula Gangopadhyay DPM FACFAS
Toe amputations are a common podiatric procedure for treatment of osteomyelitis. Whether or not the surgeon obtains a surgical cure, thus resolving the infection, can be difficult to assess. Obtaining a proximal bone margin can assist the treatment team in deciding the duration of postoperative antibiotics, need for reoperation, and postoperative care. The two senior surgeons use different methods
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Nonunion Rate Following Primary Arthrodesis for Acute Lisfranc Injuries J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-02-10 Nathaniel A. Ptak DPM, Ryan B. Rigby DPM FACFAS, Steven M. Douthett DPM FACFAS
Injury to the tarsometatarsal joint (TMT) results in instability throughout the midfoot that does not often improve with conservative management. If instability is identified, surgical intervention is frequently recommended, either open reduction and internal fixation (ORIF) or primary arthrodesis (PA). These 2 treatment options have been compared in the literature multiple times, often reporting similar
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Erratum to ‘Center-Center Surgical Technique With Dynamic Syndesmosis Fixation: A Cadaveric Pilot Study’ [The Journal of Foot & Ankle Surgery 63 (2024) 92-96] J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-02-10 Shane P. Duggan, Alexander CM. Chong, Timothy P. Uglem
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FRONTAL PLANE CORRECTION OF HALLUX VALGUS DEFORMITY WITH A MINIMALLY INVASIVE THIRD GENERATION TECNIQUE: SHORT - TERM RADIOGRAPHIC OUTCOMES OF A PROSPECTIVE CASE SERIES. J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-02-06 Raúl Torre Puente, Mauri Rotinen Diaz, Lara Fernández Gutiérrez, Javier Pascual Huerta
A number of minimally invasive osteotomies have been described for the repair of hallux abducto valgus (HAV) deformities. However, there are no known published studies that evaluate the effects of minimally invasive surgery techniques on the reduction of frontal plane rotation in patients with HAV. The purpose of this study was to assess correction in the transverse and frontal planes in patients undergoing
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Simple Talectomy is a Beneficial Surgical Procedure for Talipes Equinovarus and Other Severe Neuromuscular Foot Deformities J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-02-03 Marianne Frydendal Nielsen, Jan Duedal Rölfing, Line Kjeldgaard Pedersen, Michael Thede Davidsen, Bjarne Møller-Madsen
Non-invasive techniques are gold standard to redress Severe Neuromuscular Foot Deformity (SNFD). However, simple talectomy may be considered to obtain a stable, plantigrade, pain-free foot. We present a 10-year follow-up accessing radiological correction rates, functional outcomes, complications, and patient satisfaction.
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Complications of Percutaneous Tendo-Achilles Lengthening for Treatment and Prevention of Diabetic Foot Ulcers: A Systematic Review J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-02-01 Alec J. Dierksheide, Michael D. Liette, Zachary J. Washburn, Peter A. Crisologo, Benjamin P. Haberer, Jordan A. Henning
Percutaneous Achilles tendon lengthening is an effective surgical procedure to treat and prevent forefoot and midfoot ulcerations in patients with diabetes. Patients with diabetes are prone to plantar ulcerations due to a combination of factors, such as peripheral neuropathy, decreased tendon elasticity, peripheral vascular disease, and hyperglycemia. Complications such as re-ulceration and transfer
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Return to Play and Functional Outcomes Following Treatment of Acute Achilles Tendon Ruptures: A Systematic Review and Meta-Analysis J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-02-01 Braydon M. Bak, Dexter Seow, Yu Ze Evan Teo, Muhammed Yaser Hasan, Christopher J. Pearce
Return to play (RTP) and functional outcomes are critical to treatment success for acute Achilles tendon rupture (AATR). This systematic review and meta-analysis explored treatment superiority essential in optimal treatment selection concerning individual patients and their expectations regarding RTP and functional outcomes. This study was in accordance with the preferred reporting items for systematic
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Radiographic comparison of open and minimally invasive distal chevron metatarsal osteotomy in patients with Hallux valgus J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-01-26 Joohak Kim, Minjoon Oh, Tae Hyun Kyeong, Mi Na Choi, Seung Yeol Lee
This study aimed to compare radiographic outcomes of open and minimally invasive surgery (MIS) in patients with hallux valgus. We reviewed data of patients with hallux valgus who underwent open or minimally invasive distal chevron osteotomy at our institution. Radiographic assessment was completed preoperatively, immediate postoperatively, and one year postoperatively using eight weight bearing parameters
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Tension Side Fixation for Lapidus Arthrodesis. A Retrospective Analysis. J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-01-22 Ryan B. Rigby, James R. McWilliam, Braden T. Jenkins
Moderate to severe hallux valgus deformity often requires a Lapidus procedure (1st-tarsometatarsal arthrodesis). Traditional methods include a dorsal approach with dorsal or medial fixation. However, studies demonstrate plantar / tension-side fixation, provides superior load to failure and fixation strength. This could improve outcomes, address comorbidities, and accelerate postoperative protocols;
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Safety and Outcome Measures of Ankle Open Reduction and Internal Fixation in an Ambulatory Surgical Center J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-01-22 Shane M. Hollawell, Sara Yancovitz, Dominick J. Casciato, Meagan R. Coleman
The transition of traditionally hospital-based orthopedic procedures to the ambulatory surgery center setting provides many benefits from a patient care and financial perspective. Specifically, closed ankle fractures can potentially be managed at such centers without needing hospitalization. Adding to the paucity of data, this study describes the safety, cost, and outcomes of patients undergoing ankle
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The Effect of Limb Salvage Efforts in Different Age Groups: Relationships Between Major and Minor Amputations J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-01-22 Wenye Song, Javier La Fontaine, Naohiro Shibuya, John Prochaska, Daniel C. Jupiter
“Limb salvage” efforts, such as performing minor amputations before infections spread proximally from the foot to decrease major lower extremity amputation, are an important part of healthcare today. It is unclear whether these efforts are preventing the number of major amputations and improving patients’ quality of life and the cost-effectiveness of the U.S. healthcare system. Rates of non-traumatic
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Morbidity Associated with Distal Tibial Autograft Harvest J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-01-20 Akshay Jain, Aaron M. Rathsam, Katie J. Springer, Krishnan Perumbala, Alissa Parker, Patrick R. Burns, Jeffrey M. Manway
Distal tibial autograft harvesting has been studied in the past, but morbidity at the level of the donor site is unclear. The purpose of this retrospective review is to assess morbidity in distal tibial autograft harvesting associated with foot and ankle arthrodesis procedures. A retrospective analysis was performed utilizing patients treated in the last 13 years at a large, multicenter, academic,
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Factors Influencing PROMIS Scores and Patient Reported Outcomes Following Surgical Intervention of Isolated Lisfranc Injury: Minimum Two Year Follow-up J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-01-20 Turner Sankey, Thomas Sanchez, Andrew S McGee, Mila Scheinberg, Meghan Underwood, Matt Young, Ashish Shah
Lisfranc injuries are rare but significant foot injuries, as they often result from polytrauma patients, and are often misdiagnosed, which further complicate their evaluation and contribute to their propensity towards disability. It is recommended that, on diagnosis, Lisfranc injuries be treated as soon as possible to decrease the risk of future chronic pain, disability, or osteoarthritis. Our study
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Accuracy of cutaneous landmarks compared to ultrasound to locate the calcaneal footprint of the CFL J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-01-12 Philippe Beaudet, Jean-Charles Giunta, Chinyelum Agu Meng, Floris van Rooij, Mo Saffarini, Alexis Nogier
The purpose was to determine the accuracy of the techniques of Lopes et al. and Michels et al., compared to ultrasound, to locate the center of the calcaneal footprint of the CFL in healthy volunteers. The authors recruited 17 healthy adult volunteers at one center with no current ankle pathologies and no previous surgical antecedents on either ankle. The authors recorded the age, sex, height, BMI
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COMBINED DISTAL METATARSAL AND AKIN OSTEOTOMIES FOR CONCOMITANT METATARSO4 PHALANGEAL AND INTER-PHALANGEAL HALLUX VALGUS: CLINICAL AND RADIOLOGICAL OUTCOMES. J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-01-12 Antonio Mazzotti, Simone Ottavio Zielli, Casadei Giacomo, Elena Artioli, Alberto Arceri, Pejman Abdi, Langone Laura, Cesare Faldini
Combined metatarsal and Akin-type proximal phalanx osteotomies represent a surgical solution for concomitant metatarso-phalangeal and inter-phalangeal hallux valgus. This retrospective observational study aimed to evaluate clinical and radiographic outcomes following combined distal linear metatarsal and Akin osteotomies. The study included 42 feet from 37 patients, with a mean follow-up of 27.1 (24
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Two-Year Outcomes After Total Ankle Replacement with a Novel Fixed-Bearing Implant by a Single Surgeon Non-Inventor J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-01-06 Dr. James M. Cottom, Dr. Jay S. Badell, Dr. Joseph Wolf
Total ankle arthroplasty continues to gain popularity amongst surgeons and patients as an alternative to arthrodesis. Historically the designs of early implants were plagued with complications and frequently abandoned. Since that time the procedure and materials have undergone significant advancements in both surgical approach as well as design and function of the available implants. In this study
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Intraoperative Radiation Exposure During Midfoot Charcot Reconstruction J. Foot Ankle Surg. (IF 1.3) Pub Date : 2024-01-06 Dominick J Casciato, Shehryar Raja, Gregory Aubertin, Jacob Wynes
While radiation exposure in foot and ankle surgery varies by procedure, attempts to minimize this hazard remain imperative to protect patients and surgeons. Hindfoot deformity correction employs significant radiation through intraoperative fluoroscopy, however, a paucity of data exists concerning Charcot reconstruction. This investigation describes and compares radiation exposure across varying Charcot
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Validation of the Ankle Ligament Reconstruction-Return to Sports after Injury (ALR-RSI) Score as a tool to assess psychological readiness to return to sport in an active population after ankle fracture surgery: A cross-sectional study J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-26 Ibrahim Saliba, Stuart Cannell, Eugenie Valentin, Tanios Dagher, Thomas Bauer, Philippe Anract, Sylvain Feruglio, Raphael Vialle, Hugues Pascal Moussellard, Alexandre Hardy
Ankle injuries account for 15% to 25% of all sports injuries resulting in significant pain and loss of function. The purpose of this cross-sectional study was to validate a scale in order to help surgeons quantify the psychological readiness to Return To Sport (RTS) in patients undergoing ankle fracture surgery. ALR-RSI was used to assess the psychological readiness to RTS in athletic patients who
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Impact of BMI on the Surgical Management of Chronic Insertional Achilles Tendinopathy J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-25 Nathaniel A. Ptak, Ryan B. Rigby
Posterior heel pain secondary to insertional Achilles tendinopathy is a common condition that often times requires surgical management. Typically, this involves reflecting a portion of the Achilles tendon from its insertion in order to adequately debride devitalized or thickened tendon as well as any osseous prominence and then reattached into the calcaneus via suture anchors. Oftentimes, it is suggested
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Should we fix the fibula in tibial plafond fractures? A meta-analysis reviewing the evidence base for fibula open reduction and internal fixation in tibial plafond fractures. J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-25 Arthur T Gallimore, Zaid Shihab, Simon Platt
Open reduction and internal fixation is the standard of care to stabilize tibial plafond fractures. However, it remains uncertain as to whether fixation of the fibula affects outcome. This study aimed to review the evidence base for comparable outcomes in tibial plafond fractures when undergoing open reduction and internal fixation of ipsilateral fibula fractures compared with open reduction and internal
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A comparative analysis of between percutaneous cannulated screw fixation and traditional plate internal fixation in treatment of Sanders II and III calcaneal fractures J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-25 Dewei Kong, Xinbin Fan, Chao SONG, Ming WU, Liang WU, Tieyi Yang, Yan Zhang
The objective of this study is to compare the clinical efficacy of percutaneous cannulated screw fixation and traditional plate internal fixation in the treatment of Sanders II and III calcaneal fractures. The records of 64 patients were retrospectively analyzed. Thirty-three cases were fixed by percutaneous cannulated screws. Thirty-one cases were fixed with traditional steel plate. The preoperative
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Cover 1 -- cover prints black and PMS 261 J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-18
Abstract not available
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Does Flipping from Prone to Supine for Medial Malleolar Fixation of Trimalleolar Ankle Fractures Improve Results? J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-15 Manasa L. Kadiyala, Lauren A. Merrell, Abhishek Ganta, Sanjit R. Konda, Steven M. Rivero, Philipp Leucht, Nirmal C. Tejwani, Kenneth A. Egol
There has been a paradigm shift towards fixing the posterior malleolus in trimalleolar ankle fractures. This study evaluated whether a surgeon's preference to intraoperatively flip or not flip patients from prone to supine for medial malleolar fixation following repair of fibular and posterior malleoli impacted surgical outcomes. A retrospective patient cohort treated at a large urban academic center
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The Triplanar Hallux Abducto Valgus Classification System: Is it Valid? J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-15 Alexander Padovano, Trapper Lalli, Joshua N Tennant, Kevin Martin, Robert D Santrock
Historically, two-dimensional radiographic study techniques have been used to classify deformity and guide treatment of hallux valgus deformities in the transverse plane. Recently, a triplanar hallux abducto valgus classification system was proposed. The key elements of this classification system are the pathologic alignments in three anatomic planes. The triplanar hallux abducto valgus classification
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Quantitative Volumetric Measurements of Bone Grafting Sites Within the Lower Extremity on Computed Tomography Scans J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-14 Gregorio Alejandro Villarreal-Villarreal, Mario Simental-Mendía, Diego Arturo Ramírez Mendoza, Félix Vilchez-Cavazos, Víctor Manuel Peña-Martínez, Carlos Alberto Acosta-Olivo
The anterior iliac crest is one of the most used options; however, pain and other complications have been reported. Other options for bone harvest in the lower extremity, such as the proximal tibia and calcaneus, can be useful sites for bone grafting. Computed tomography angiography images of the lower extremity were analyzed using 3-D Slicer™ medical imaging software, creating an advanced 3-dimensional
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Patient Reported Outcomes Following Triple Arthrodesis for Adult Acquired Flat Foot Deformity: Minimum Two Year Follow Up J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-12 Ramez Sakkab, Tyler M. MacRae, Ryan Diaz, Benjamin D. Cullen
The aim of this study is to analyze patient reported outcomes following this procedure as well as any demographics that may confer prognostic capability. A retrospective analysis was conducted of patients that underwent Triple Arthrodesis at our facility from 2014-2021. Patients were selected if they underwent an isolated triple arthrodesis. All cases included either a gastrocnemius recession versus
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Influence of Surgical Approach and Fixation on Complications in Talus Fractures: A Multicenter Review J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-10 Ramez Sakkab, Tyler M. MacRae, Ryan Diaz, Benjamin D. Cullen
Fractures of the talus are infrequent injuries often associated with substantial morbidity and imperfect outcomes. We undertook a retrospective review of talus fractures at several level 1 trauma centers in order to identify common treatment patterns and potential predictors of complications. All cases of talar fractures meeting inclusion criteria at our institution were reviewed. 54 of 103 talus fractures
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Post-Operative Magnetic Resonance Evaluation of Anterior Talofibular Ligament following Arthroscopic Brostrom Procedure: Analysis and Outcomes of 40 Repairs at 12 Months J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-06 Dr. Jay S. Badell, Dr. James M. Cottom
Lateral ankle sprains are one of the most common orthopedic injuries. When conservative treatment fails, surgical correction is often performed using either open or arthroscopic techniques. We hypothesize that MRI evaluation of the arthroscopic brostrom repair will show intact repair and decrease in thickness of the anterior talofibular ligament (ATFL) at 1 year, with statistically significant improvement
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Comparing Outcomes Of Acute Versus Gradual Surgical Correction In Brachymetatarsia J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-06 Noman A. Siddiqui, Sara Mateen, Michael A. Thomas, Kelsey J. Millonig
Brachymetatarsia consists of a shortened metatarsal resulting in a shorter toe. Pain with shoe wear and cosmetic concerns are the main reasons for surgical intervention. Surgical techniques to increase metatarsal length include acute lengthening with interpositional bone grafting or gradual lengthening with callus distraction. We performed a retrospective cohort study for one surgeon's patients at
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Outcomes of Selective Arthrodesis Based on Joints Affected in 33 Feet with Müller-Weiss Disease J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-06 John Wong-Chung, Andrew Blythe, Matthew Lynch-Wong, Raymond McKenna, Alistair Wilson, Michael Stephens
No consensus exists regarding operative treatment of Müller-Weiss disease (MWD). Its only classification is based solely on Méary's angle and serves neither as guide to management nor prognosis. We report on 33 feet that underwent surgery following failed conservative management. Treatment was directed towards joint(s) involved, as determined by clinical examination, plain radiography and SPECT-CT
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Radiological Analysis of the Syndesmosis Concept in Metatarsus Primus Varus and Hallux Valgus Deformities Recurrence Prevention J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-05 Daniel Yiang Wu, Eddy Kwok Fai Lam
Hallux valgus (HV) is a common deformity of the foot. Its postoperative recurrence is not uncommon and is closely related to the recurrence of its underlying metatarsus primus varus (MPV) deformity. The syndesmosis procedure uses 1-2 intermetatarsal cerclage sutures to realign the first metatarsal and then induces a biological bonding between the two metatarsals to prevent the MPV deformity from recurring
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New Classification for Pediatric Proximal Fifth Metatarsal Fractures J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-04 Hannah A. Lee, Morgan G. Batley, Arielle Krakow, Matthew J. Buczek, Sulagna Sarkar, Divya Talwar, B. David Horn, Richard S. Davidson
Proximal fifth metatarsal fractures are the most common foot fractures in children. Attempts to classify these injuries are misapplied and inadequately predict outcomes. This is the first study to identify factors associated with healing in pediatric fifth metatarsal fractures. In this retrospective cohort study (N=305), proximal fifth metatarsal fractures were classified on radiographs by location
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Intramedullary nailing versus open reduction and plate fixation for lateral malleolar fractures: a meta-analysis J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-03 Jie Wang, Hao-bo Jia, Hao-min Li, Hong-qiang Jiang, Jia-guo Zhao
The fixation for lateral malleolar fracture in ankle fractures is still controversial. The purpose of this meta-analysis is to compare clinical and radiological outcomes between intramedullary nail (IMN) and plate for lateral malleolar fracture in ankle fractures. The PubMed, EMBASE and Cochrane Library were searched for randomized controlled trials (RCTs) from databases inception to June 2023. Data
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Quality and Readability Analysis of Online Information on First Metatarsophalangeal Joint Fusion J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-02 Hamza M. Raja, Sterling J. DeShazo, Jeffrey T. Bowcutt, Jie Chen
Patients frequently turn to the internet to learn about their orthopedic procedures. This study evaluates the readability and quality of first metatarsophalangeal (MTP) joint fusion information found online. We evaluated websites based on classification, search term, readability, HON code, DISCERN score, Journal of the American Medical Association benchmark criteria, and an author-created MTP fusion
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Calcaneal Bone Biopsy Inconsistency between Specimens obtained from Trephine and Fine Needle Biopsy Techniques J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-01 John W. Sessions, Karen Brust
Standardized methods for osteomyelitis (OM) diagnosis of the lower extremity have proven to be difficult. Pre-operative probability of foot osteomyelitis necessitates a combination of clinical, laboratory, imaging evidence (i.e., x-ray, CT, MRI), and bone biopsy to guide diagnosis and treatment. In the recent past, the relative weight that clinicians give to these collections of data to advise potential
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“No Care Pin Care” Following Charcot Reconstruction with Static External Fixation J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-01 Dominick J Casciato, Sara Mateen, Jacob Wynes
Charcot reconstruction with static external fixation provides stability in deformity correction. Concern for pin site health remains forefront to prevent premature fixator removal should infection develop. While previous investigations examined a spectrum of pin care protocol with a similar variation in outcomes, this study assesses results following a “no care pin care” routine. A retrospective analysis
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Incidence of Medial Deltoid Ligament Instability in 226 Patients with Chronic Ankle Instability J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-01 Ryan B. Rigby, Nathaniel A. Ptak
The deltoid ligament is vitally important in the stability of the ankle and preventing excessive medial ankle movement. Historically, the impact of medial ankle instability has not been well understood in the setting of chronic ankle instability. A retrospective review of 226 patients treated for ankle instability between 2017-2022 identified 40 patients who required both medial and lateral repair
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Retrospective Evaluation of Ultrasound Guided Percutaneous Plantar Fasciotomy With and Without Platelet Rich Plasma J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-01 Alexander Turner, Jijia Wang, George Liu, Dane Wukich, Michael VanPelt
Plantar fasciitis is one of the most common foot conditions presenting to a foot and ankle specialist. Surgical treatment outcomes following plantar fasciotomy vary but short-term studies have reported excellent early pain relief and significant improvements in symptoms. This study evaluates patient reported pain scores collected pre- and post-op for patients who underwent percutaneous ultrasonic micro-tenotomy
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Characteristics of Nonunion After Arthroscopic Ankle Arthrodesis: A Multi-center Retrospective Cohort Study J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-12-01 Katsunori Takahashi, Atsushi Teramoto, Satoshi Yamaguchi, Kentaro Amaha, Kenta Saiga, Koji Noguchi, Kota Watanabe
Nonunion is a major complication of arthroscopic ankle arthrodesis. However, the characteristics and risk factors of nonunion are not well understood. This retrospective multi-center observational study aimed to clarify the characteristics of nonunion after arthroscopic ankle arthrodesis. We included 154 patients who underwent arthroscopic ankle arthrodesis at any one of five institutions. Patients
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Correlation Between Traditional Anteroposterior Radiographic Measurements with Lateral Radiographic Measurements Following Triplanar Correction of Hallux Valgus and with Patient-Reported Outcomes from a Prospective Multicenter Trial J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-11-19 Holden Archer, Seth Reine, Shyam Ramachandran, Jennifer Koay, George Liu, Dane K. Wukich, Avneesh Chhabra
Hallux valgus (HV) is a common condition in which the first ray is deformed, leading to pain and altered joint mechanics. A variety of radiographic measurements are used to evaluate HV. Little is known about measurements used in assessment of HV on lateral radiographs compared to anteroposterior (AP) radiographs. The primary aim of this study was to correlate lateral measurements with AP measurements
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Evidence-Based Opioid Education that Reduces Prescribing: The 10 Principles of Opioid Prescribing in Foot and Ankle Surgery J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-11-18 Camille P. Ryans, Bradley M. Brooks, Dyane E. Tower, Jeffrey M. Robbins, Michelle L. Butterworth, Mickey D. Stapp, Ashley M. Nettles, Brandon M. Brooks
The United States Opioid Epidemic is a worsening public health crisis. We aim to determine if a voluntary educational intervention containing standard opioid and non-opioid analgesic prescribing ranges for common surgeries is effective in altering postoperative prescribing practice. We utilized a mixed methods approach and sent out a questionnaire to American podiatric physicians, including residents
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Short-Term Outcomes after Bipolar Osteochondral Allograft Transplantation in the Ankle: Ankle Bipolar Osteochondral Allograft Transplantation Outcomes J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-11-14 Kylee Rucinski, James L. Cook, Kyle M. Schweser, Brett D. Crist
Treatment options for symptomatic cartilage loss in the ankle are not consistently effective. This study documents initial outcomes for patients undergoing bipolar OCAT in the ankle after advances in tissue preservation, transplantation techniques, and patient management strategies were implemented. Patients were prospectively enrolled into a registry designed to follow outcomes after OCAT in the ankle
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A novel model for predicting the sagittal length of the distal tibia using CT imaging and statistics J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-11-11 Dong-il Chun, Jae-ho Cho, Young Yi, Jahyung Kim, Su Yeon Park, Jae Heon Kim, Sung Hun Won
The purpose of this study was to determine the ratio of sagittal length to coronal length of the distal tibia for predicting the sagittal length of the distal tibia. Two hundred and two ankles were measured based on CT imaging availability. We measured the coronal length (Width, W) parallel to the Chaput tubercle from CT scans. Sagittal length was divided into three points (Diameter D1, D2, D3) in
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Lower extremity polydactyly does not disturb finding one's feet J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-11-10 Tim E. Sluijter, Mike Rüttermann
Little is known about functional outcomes in children with treated lower extremity polydactyly (LEP). No classification system has been shown to be prognostically useful for functional outcomes. This study investigates whether children with treated LEP learn to walk at an age comparable to the population and whether the SAM (severity of syndactyly, axis deviation and metatarsal involvement) classification
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Comparison of Staple, Anchor and Tenodesis Screw for Posterior Tibialis Tendon Fixation: A Biomechanical Analysis J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-11-05 Lercan Aslan, Caner Gunerbuyuk, Cemil Cihad Gedik, Misagh Rezapour Sarabi, Onder Kilicoglu
Various posterior tibialis tendon fixation techniques are described in literature. Suture anchor, staple and tenodesis screws are widely used for posterior tibialis tendon transfer, but their stiffness and the maximal ultimate failure load were not tested before. We aimed to compare the initial ultimate failure load and stiffnesses of suture anchor, staple and tenodesis screws on bovine tendon fixation
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Comparative Clinical Effects and Risk Factors Associated with Vitamin D in Foot and Ankle Fracture and Arthrodesis Healing J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-11-04 Kevin Russo, Domingo Hallare, Dahlia Lee, Lindsay Russell, Daniel K. Lee
Vitamin D deficiency in relation to bone metabolism and healing has been controversial and not well studied. However, hypovitaminosis has been widely identified within the orthopaedic patient population. The current best evidence suggests a lack of data on this important topic. The ability to assess patients for optimum bone healing and metabolism is still in question due to lack of a suitable reliable
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What Do Patients Report Regarding Their Real-World Function Following Concurrent Arthrodesis of the First Tarsometatarsal and First Metatarsophalangeal Joints J. Foot Ankle Surg. (IF 1.3) Pub Date : 2023-11-04 Paul Dayton, Mindi Dayton, Daniel J Hatch, William T. DeCarbo, Jody P. McAleer
First metatarsal phalangeal joint and first Tarsometatarsal arthrodesis have both been used for deformity correction and treatment of pain and arthritis. Concomitant arthrodesis of the first metatarsophalangeal and first tarsometatarsal joints (Double First Ray Arthrodesis) has rarely been described. We surveyed 29 patients who underwent double first ray arthrodesis for primary or revision correction