Michael Megafu, Emmanuel Megafu, Hassan Mian, Sulabh Singhal, Katrina Nietsch, Avanish Yendluri, Paul Tornetta, Robert L Parisien
INTRODUCTION: The purpose of this study was to utilize the fragility index to assess the robustness of randomized controlled trials (RCTs) evaluating the management of calcaneus fractures. We hypothesize that the dichotomous outcomes in calcaneus fracture literature will be statistically fragile and comparable to other orthopedic specialties. METHODS: We performed a PubMed search for calcaneus fracture RCTs from 2000 to 2022 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)...
August 24, 2023: Foot
Louise Burnie, Nachiappan Chockalingam, Alex Holder, Tim Claypole, Liam Kilduff, Neil Bezodis
Pressure measurement systems have numerous applications in healthcare and sport. The purpose of this review is to: (a) describe the brief history of the development of pressure sensors for clinical and sport applications, (b) discuss the design requirements for pressure measurement systems for different applications, (c) critique the suitability, reliability, and validity of commercial pressure measurement systems, and (d) suggest future directions for the development of pressure measurements systems in this area...
August 11, 2023: Foot
Keisuke Negishi, Kota Watanabe, Atsushi Teramoto, Kenta Yamatsu, Mizuho Hayashi
BACKGROUND: The primary motion of the toes is flexion and extension. The motion results from activity of multiple muscles, and toe disorders may result from muscle dysfunction. The relationships of specific muscles related to toe function is underreported. The purpose of this study was to quantitatively evaluate three-dimensional toe motion resulting from specific muscle contraction using cadavers. METHODS: Three-dimensional joint movements of the 1st, 2nd, and 5th toe were produced by applying traction of individual muscles using six Thiel-embalmed cadaver legs...
July 24, 2023: Foot
Yan-Wu Yang, Yi-Wu Zhou, Mei-Ling Ge
AIM: This study aimed to investigate the clinical efficacy of externally applied Traditional Chinese Medicine (TCM) on diabetic foot. METHODS: We searched the China Knowledge Network (CNKI), Wanfang Database, PubMed and Web of Science from inception to July 31, 2022, to find all randomized control trials (RCTs) related to externally applied TCMs in diabetic foot treatment. Information about the total effective rate, healing rate, and healing time were extracted...
July 23, 2023: Foot
Angela Contri, Francesco Ballardin, Gianluca De Marco, Matteo Gaucci, Angela Scariato, Veronica Zanoni, Carla Vanti, Paolo Pillastrini
STUDY DESIGN: Evaluation of the psychometric properties of a translated, culturally adapted questionnaire. OBJECTIVE: Translating, culturally adapting, and validating the Italian version of the Cumberland Ankle Instability Tool (CAIT-I). SUMMARY OF BACKGROUND DATA: Ankle sprains are one of the most common musculoskeletal injuries and can lead to chronic ankle instability (CAI). The International Ankle Consortium recommends the Cumberland Ankle Instability Tool (CAIT) as a valid and reliable self-report questionnaire assessing the presence and severity of CAI...
May 27, 2023: Foot
David Chrastek, Mahmoud El-Mousili, Ahmad Al-Sukaini, Isabel S Austin, Trisha Yanduru, Steve Cutts, Chandra Pasapula
AAFD comprises ligamentous failure and tendon overload, mainly focused on the symptomatic posterior tibial tendon and the spring ligament. Increased lateral column (LC) instability arising in AAFD is not defined or quantified. This study aims to quantify the increased LC motion in unilateral symptomatic planus feet, using the contralateral unaffected asymptomatic foot as an internal control. In this case matched analysis, 15 patients with unilateral stage 2 AAFD foot and an unaffected contralateral foot were included...
May 16, 2023: Foot
Simiso Ntuli, Dimakatso Maria Letswalo
BACKGROUND: Diabetic foot amputations are a devastating outcome for any diabetic patient. They are associated with various risk factors, including failure to risk stratify the diabetic foot. Early risk stratification could lower foot complications risk at the primary healthcare level (PHC). In the Republic of South Africa (RSA), PHC clinics are the first entry point to the public healthcare system. Failure to correctly identify, risk categorise, and refer diabetic foot complications at this level may lead to poor clinical outcomes for diabetic patients...
May 16, 2023: Foot
Anand Kumar Singh, Maninder Shah Singh, Meena Makhija
INTRODUCTION: Chronic ankle instability (CAI) is a disorder that occurs after one or more acute ankle sprains and is characterised by persistent symptoms which include episodes of ''giving way'' a sensation of instability, recurrent ankle sprains, and functional deficits. Despite of effective treatment strategies a comprehensive approach is needed that can break this continuum of disability and improve the postural control. A systematic review with meta-analysis assessing the effectiveness of interventions targeting plantar cutaneous receptors for improving postural control in individuals with chronic ankle instability...
May 12, 2023: Foot
Francisco Borja Sobrón, José María Hernández-Mateo, Tanya Fernández, María Berta Alonso, Guillermo Parra, Javier Vaquero
BACKGROUND: We hypothesized that, as posterior malleolar ankle fractures usually present one or two main fragments, the buttress plating principle can be successfully achieved either with conventional nonlocking or anatomic locking posterior tibia plates, and no clinical differences should be found. The aim of this study was to evaluate the outcomes of posterior malleolar ankle (PM) fractures treated with conventional nonlocking (CNP) or anatomic locking plates (ALP), and also to compare both constructs in terms of crude costs...
May 10, 2023: Foot
Ali Yalfani, Mohamadreza Ahmadi, Azadeh Asgarpoor, Aylar Haji Ahmadi
BACKGROUND: Flexible flatfoot (FFF) cause biomechanical and sensorimotor disorders of the foot and ankle complex and reduce of postural stability. Postural stability is an important movement skill that affects the performance of taekwondo (TKD) athletes and can lead to fall injuries. The purpose of this study is the effect 12-week application of foot orthosis (FOs) on dynamic balance in TKD athletes with FFF. METHOD: In this trial, 30 girls of the TKD athletes with FFF were recruited...
May 8, 2023: Foot
Sujit Kumar Tripathy, Paulson Varghese, Shahnawaz Khan, Narayan Prasad Mishra, Mantu Jain
Giant cell tumor (GCT) of the distal tibia can result in significant bone loss and soft tissue compromise, which can present a challenge for reconstruction. Various techniques have been described for the reconstruction of large defects, including the use of allografts. In this article, we describe a novel technique of reconstruction of a large defect in the distal tibia using two femoral head allografts after resection of GCT. The technique involves using two femoral head allografts, which are shaped to fit the defect and secured with a locking plate and screws...
May 8, 2023: Foot
Elif Tuğçe Çil, Tacha Serif, Uğur Şaylı, Feryal Subaşı
OBJECTIVE: The aim of the study was to evaluate and compare effective therapeutic options for hindfoot pain, develop and investigate the effectiveness of tele-rehabilitation systems, and ensure patients perform their exercises and preventive measures regularly and accurately, while monitoring results. METHODS: Hindfoot pain (HP) patients (N = 77 with 120 feet) were admitted to this study and divided into two pathologies; Plantar Fasciitis and Achilles Tendinopathy...
May 8, 2023: Foot
Mario Inacio, Patrick Esser, Junxian Li, Lei Xu, Hui Zeng, Rui He, Helen Dawes, Fang Liu
BACKGROUND: Diabetes mellitus (DM) is a clinical condition that affects gait performance and control in millions of individuals worldwide. Contrary to basic spatiotemporal parameters, gait-based spectral analysis may provide useful insights into gait neuromotor control. Hence, this study was set to investigate the spectral content of gait at the preferred speed in patients with DM. METHODS: Total 1117 individuals [658 DM and 649 healthy adults (HA)] performed a 10 m walk while wearing an inertial measurement unit over the fourth lumbar vertebra...
May 8, 2023: Foot
Antonio Mazzotti, Valentina Viglione, Simone Gerardi, Elena Artioli, Gino Rocca, Cesare Faldini
PURPOSE: Subtalar arthroereisis is a minimally-invasive technique for the treatment of flexible flatfoot. Some issues regarding the procedure are still debated, such as post-operative management. The aim of this study is to offer a review of the pertaining literature to identify current post-operative protocols and describe possible differences among them. METHODS: We searched the PubMed database for all papers related to subtalar arthroereisis in children specifying the post-operative protocols...
May 8, 2023: Foot
Stephanie Stephens, Abbis Jaffri, Susan Saliba
BACKGROUND: Foot-related complications including impaired peripheral circulation and lower limb ulceration are severe consequences for those with diabetes mellitus. This study aimed to assess differences in tissue oxygenation and oxygen utilization of the plantar surface intrinsic foot muscles between diabetic participants and healthy comparisons following short foot exercise and a standard walking protocol. METHODS: Eighteen participants, 9 with diabetes and 9 healthy age- and sex-matched comparisons, completed two interventions in a randomized order...
May 8, 2023: Foot
Mr Christopher Coll, Mr Ian Beech
BACKGROUND: Tailors bunions are common forefoot deformities affecting the fifth MPJ, with challenging symptomatology often resistant to conservative care. Currently no gold standard exists for the surgical management of tailor's bunions, although the scarf osteotomy has been described as a versatile option for reducing these deformities. METHODS: Relevant electronic databases were searched to collate all studies pertaining to tailors bunion correction using the scarf osteotomy between 2000 and 2021...
May 2023: Foot
Tourki Abdulmhsen Almutairi, Khaled Mohamed Ragab, Sarah Makram Elsayed, Ahmed Bostamy Elsnhory, Mahmoud M Elhady, Mohamed Hesham Gamal, Ahmed Hashem Fathallah
Osteoarthritis is the most common joint disease-causing pain and disability, and its management keeps creating a debate. So, we aimed to compare the safety and efficacy of total ankle arthroplasty and ankle arthrodesis for ankle osteoarthritis. We searched PubMed, Cochrane, Scopus, and Web of Science till August 2021. The outcomes were pooled as Mean difference (MD) or Risk Ratio (RR), and 95% confidence interval. We included 36 studies. The results showed a significantly lower risk of infections in total ankle arthroplasty (TAA) than ankle arthrodesis (AA) (RR= 0...
May 2023: Foot
Alireza Tahmasbi, Azadeh Shadmehr, Behrouz Attarbashi Moghadam, Sara Fereydounnia
BACKGROUND: Flexible flatfoot is common in young adults. One of its causes is the failure of dynamic stabilizers, which play an important role in the medial longitudinal arch support, and their appropriate function is necessary for the integrity of the lower extremity and the spine. OBJECTIVE: The study aimed to determine Kinesio taping on which extrinsic foot muscle provides greater benefit regarding enhancement of foot posture, dynamic balance, and biomechanical parameters in functional tasks immediately...
March 31, 2023: Foot
Jill S Kawalec, Porscha Dort, Trenton Leo, Lawrence S Osher, Rocco A Petrozzi
BACKGROUND: When evaluating hallux valgus (HV) deformity with anteroposterior (AP) foot radiographs, the distal metatarsal articular angle (DMAA) has been the subject of frequent debate. Although a straightforward indicator of structural alignment of the distal first metatarsal articular surface, inter- and intraobserver measurements can vary widely. Alterations in the radiographic appearance of bony "structure" with positional changes of the foot/foot bones in HV deformities in no small part contributes to these inaccuracies...
March 29, 2023: Foot
Alexandre Leme Godoy-Santos, Eduardo Araujo Pires, Fabio Correa Fonseca, Cesar de Cesar-Netto, Elijah Christian Auch, Stefan Rammelt
This case report illustrates the outcome of a deep infection following internal fixation of a fracture of the big toe. Hallux amputation could be avoided through staged salvage procedure. This paper can assist readers on how to effectively and safely recognize and treat this type of injury.
March 28, 2023: Foot
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