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Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons

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https://read.qxmd.com/read/30765257/the-long-term-structural-effect-of-orthoses-for-pediatric-flexible-flat-foot-a-systematic-review
#1
Jun Young Choi, Woi Hyun Hong, Jin Soo Suh, Jae Hwi Han, Dong Joo Lee, Yong Jae Lee
BACKGROUND: We aimed to evaluate the structural effects of the long-term use of orthoses for pediatric flexible flat foot (PFFF) using an algorithmic approach and a structured critical framework to assess the methodological quality of reported studies. METHODS: A comprehensive literature search using five databases, namely MEDLINE, the Cochrane Library, Scopus, the Web of Science, and EMBASE, was performed for pertinent articles published before March 30, 2018. Studies with quantitative data on the effects of the long-term use of orthoses for PFFF were included...
February 1, 2019: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30737141/percutaneous-surgery-of-the-forefoot-compared-with-open-technique-functional-results-complications-and-patient-satisfaction
#2
Mustafa Yassin, Abdallah Bowirat, Dror Robinson
BACKGROUND: The use of percutaneous surgery is currently very common in foot and ankle surgery. The following prospective open-label patient-preference based study compares the traditional open technique versus the percutaneous surgery technique. METHODS: The current study describes the results of 287 patients operated due to forefoot deformities either by open surgery or percutaneously. 96 of them underwent hallux valgus corrective surgery. The rest had lesser toe deformities...
January 26, 2019: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30712991/gait-changes-in-persons-with-diabetes-early-risk-marker-for-diabetic-foot-ulcer
#3
Saraswathy Gnanasundaram, Priyadharshini Ramalingam, Bhabendra Nath Das, Vijay Viswanathan
Background Increasing prevalence of diabetic foot ulcer (DFU) and subsequent foot amputation in persons with type 2 diabetic neuropathy is a well known fact. The present study was aimed to identify the initial risk marker for DFU. Methods Dynamic plantar pressure analysis was done for persons with type 2 diabetes mellitus (T2DM) without neuropathy (D), patients with diabetic neuropathy (DN) with normal foot profile and healthy persons with normal foot profile (C). Results The data showed a significant difference in dynamic peak plantar pressure between C and DN (P = 0...
January 26, 2019: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30718168/short-term-results-of-dynamic-splinting-for-hallux-valgus-a-prospective-randomized-study
#4
Christian Plaass, Annika Karch, Armin Koch, Vivien Wiederhoeft, Sarah Ettinger, Leif Claassen, Kiriakos Daniilidis, Daiwei Yao, Christina Stukenborg-Colsman
Background Hallux valgus is a common diagnosis in orthopedics. Only a few studies have analyzed the effects of conservative therapy. Therefore, the current study analyzed the effect of a dynamic hallux valgus splint. Methods Seventy patients were included in this prospective randomized trial. Patients with a hallux valgus were treated using a dynamic splint or underwent no treatment. Clinical and radiological parameters were evaluated. Results We found no significant changes in hallux valgus angle, intermetatarsal I-II angle, AOFAS score, FAOS or SF-36 score between the groups...
January 21, 2019: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30712992/ankle-fusion-in-patients-with-chronic-hepatitis-c
#5
Patrick K Strotman, Daniel R Schmitt, Adam Schiff, Michael Pinzur
BACKGROUND: It appears that both the incidence and survival of patients infected with hepatitis C have recently demonstrated a significant increase. The goal of this investigation was to determine the associated perioperative risks associated with ankle arthrodesis in this growing population. METHODS: The Healthcare Cost and Utilization Project State Inpatient Databases identified patients with chronic hepatitis C infection who underwent ankle arthrodesis between January 2009 and December 2013...
January 21, 2019: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30709682/retrospective-cohort-study-of-operatively-treated-ankle-fractures-involving-the-posterior-malleolus
#6
Stephen McHale, Mark Williams, Thomas Ball
BACKGROUND: Direct fixation of the posterior malleolus through a posterolateral approach is increasing in popularity. However, data is limited, and no studies have stratified results by posterior malleolus size. METHODS: A retrospective cohort study of patients with posterior malleolus (PM) fractures undergoing internal fixation over an 18-month period was conducted. Radiographic and patient reported outcomes measures (PROMs) were assessed. 75 patients were included, and 31 returned Manchester-Oxford Foot and Ankle (MOXFQ), EQ-5D-3 L, 5-point Likert satisfaction questionnaires...
January 18, 2019: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30655193/the-use-of-polyvinyl-alcohol-hydrogel-implants-in-the-lesser-metatarsal-heads-is-it-safely-doable-a-cadaveric-study
#7
Cesar de Cesar Netto, Alexandre Leme Godoy-Santos, Taylor N Cabe, Lauren E Roberts, Thos Harnroongroj, Jonathan Deland, Mark Drakos
BACKGROUND: The use of synthetic polyvinyl alcohol hydrogel (PVAH) implants for treatment of lesser toe metatarsophalangeal joint (MTPJ) arthritis is promising and currently limited by the size of implants available. The primary objective of this cadaveric study was to investigate the maximum drilling size and largest PVAH implant dimension that could be safely introduced while still preserving an intact bone rim of the lesser metatarsal heads. METHODS: Height and width of all lesser metatarsals were measured on CT and during anatomic dissection...
January 9, 2019: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30611558/radiographic-changes-of-the-mid-tarsal-joint-after-calcaneal-lengthening-for-planovalgus-foot-deformity
#8
Ki Hyuk Sung, Soon-Sun Kwon, Chin Youb Chung, Kyoung Min Lee, Moon Seok Park
BACKGROUND: This study evaluate the radiographic changes in the mid-tarsal joint, including the calcaneocuboid and talonavicular (TN) joints after calcaneal lengthening for planovalgus deformity in children. METHODS: This study included 38 patients (68 feet) who underwent calcaneal lengthening for planovalgus deformity. Radiographic osteoarthritic changes at the CC or TN joint were defined as modified Kellgren-Lawrence grade of ≥1. RESULTS: Among the 68 feet, 31 feet (45...
December 31, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30630719/morphology-of-the-first-metatarsal-head-as-a-risk-factor-for-hallux-valgus-interphalangeus
#9
Stephanus Johannes van Deventer, Andrew Strydom, Nikiforos Pandelis Saragas, Paulo Norberto Faria Ferrao
BACKGROUND: The aetiology of hallux valgus interphalangeus (HVI) is not well understood. First metatarsophalangeal joint stability, influenced by first metatarsal head shape, may be linked to HVI. We hypothesised that first metatarsal head shape is a risk factor for HVI. No published article could be found in the literature investigating this hypothesis. METHODS: 127 standardised foot radiographs were analysed retrospectively. The hallux valgus angle (HVA) and interphalangeus angle (IPA) were measured...
December 24, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30600155/a-state-of-the-art-review-of-foot-pressure
#10
REVIEW
Siti Syazni Zulkifli, Wei Ping Loh
The science of foot pressure studies the forces acting on the bottom and different regions of the foot along with the pressure exerted on the plantar surface with the interacting surface in contact. The information derived gave impact to human biomechanical assessment on body balance and ergonomics posture during gait. Various experiments designed at generating foot pressure data returns only with limited knowledge generated. Obviously, the procedure for experiment design needs to be properly understood from the foot morphology aspects; healthiness, footwear, surface in contact, load and forces impacts, and the foot sensitivity as well as the specification for the foot pressure...
December 24, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30598423/positive-and-negative-factors-for-the-treatment-outcomes-following-total-ankle-arthroplasty-a-systematic-review
#11
REVIEW
Dahang Zhao, Dichao Huang, Gonghao Zhang, Xu Wang, Tiansong Zhang, Xin Ma
BACKGROUND: Patient selection, surgeon's experience and implant design play an integral role and affect the treatment outcomes of total ankle arthroplasty (TAA). The aims of this study were to investigate the positive and negative attributes that correlate with different clinical and radiographic outcomes. METHODS: Eight-nine studies matched the inclusion criteria: (1) studies of primary TAA with uncemented prosthesis; (2) mean follow-up of no less than 2-year; (3) reports of clinical and radiographic outcomes, and exclusion criteria: (1) non-English study; (2) more than one type of prosthesis without separated data; (3) kin studies with shorter follow-up or smaller cohort...
December 24, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30665823/the-clinical-outcome-of-endoscopic-plantar-fascia-release-a-current-concept-review
#12
REVIEW
Michael-Alexander Malahias, Erwin Brian Cantiller, Vikram V Kadu, Sebastian Müller
PURPOSE: To clarify whether endoscopic plantar fascia release is safe and effective in the treatment of chronic plantar fasciitis. Secondary goals were a. to compare the clinical outcome between EPFR and non-operative treatment and b. to describe the various EPFR surgical approaches and their outcomes. MATERIALS AND METHODS: Two reviewers (MM and EBC) independently conducted the search using the MEDLINE/PubMed database. This database was queried with the terms 'endoscopic plantar fascia release' and 'endoscopic plantar fasciotomy'...
December 23, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30600154/preclinical-biomechanical-testing-models-for-the-tibiotalar-joint-and-its-replacements-a-systematic-review
#13
REVIEW
Nathan C Ho, Edward Ebramzadeh, Sophia N Sangiorgio
In recent years, total ankle replacements have gained increasing popularity as an alternative to fusion. Preclinical testing of TARs requires reliable in vitro models which, in turn, need thorough knowledge of the kinematics of the tibiotalar joint. Surprisingly few studies have been published to simulate the in vivo kinematics of the tibiotalar joint. Among these studies, there is a wide range of methods and magnitudes of applied loads. The purpose of the present review was to summarize the applied loads, positions that were tested during static simulations, and ranges of motion simulated that have been used in human cadaveric models of the tibiotalar joint...
December 23, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30598422/effectiveness-of-subtalar-arthroereisis-with-endorthesis-for-pediatric-flexible-flat-foot-a-retrospective-cross-sectional-study-with-final-follow-up-at-skeletal-maturity
#14
Cristian Indino, Jorge Hugo Villafañe, Riccardo D'Ambrosi, Luigi Manzi, Camilla Maccario, Pedro Berjano, Federico Giuseppe Usuelli
BACKGROUND: Pediatric flexible flatfoot is sometimes asymptomatic but it can rarely cause physical impairment, pain, and difficulty walking. We evaluated the radiographic effectiveness of intervention of subtalar arthroereisis with endorthesis for pediatric flexible flatfoot with final follow-up at skeletal maturity. METHODS: This is a retrospective cross-sectional study. 56 consecutive patients (112 feet) who underwent surgical treatment with subtalar arthroereisis for pediatric flexible flatfoot (mean age at final follow-up 15...
December 21, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30587438/agreement-between-sanders-classification-of-intraarticular-calcaneal-fractures-and-assessment-during-the-surgery
#15
Amir Reza Vosoughi, Zahra Shayan, Ehsan Salehi, Fereidoon Mojtahed Jaberi, Saeed Solooki, Bahareh Kardeh
BACKGROUND: Sanders classification, based on the number of displaced fractured fragments of posterior facet, can predict the prognosis of calcaneal intraarticular fractures. The aim of the study was assessing not only intraobserver reproducibility and interobserver reliability of Sanders classification but also the agreement between preoperative reported types based on computed tomography (CT) scan and direct observation during the surgery. METHODS: In this cross-sectional study, preoperative CT scans of 100 patients with intra-articular calcaneal fracture operated by a single surgeon were studied by two orthopedic and trauma surgeons (A & B), twice with an interval of three weeks...
December 19, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30581061/three-dimensional-displacement-after-a-medializing-calcaneal-osteotomy-in-relation-to-the-osteotomy-angle-and-hindfoot-alignment
#16
M Peiffer, C Belvedere, S Clockaerts, T Leenders, A Leardini, E Audenaert, J Victor, A Burssens
BACKGROUND: A medializing calcaneal osteotomy is frequently performed to correct adult-acquired flatfoot deformities, but there is lack of data on the associated three-dimensional variables defining the final correction. The aim of this study was to assess the correlation between the pre-operative hindfoot valgus deformity and calcaneal osteotomy angles and the post-operative calcaneal displacement. METHODS: Weight-bearing CT scans obtained pre- and post-operatively were retrospectively analyzed for sixteen patients...
December 7, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30578157/lateral-ankle-ligament-anatomic-reconstruction-for-chronic-ankle-instability-allograft-or-autograft-a-systematic-review
#17
L Brambilla, A Bianchi, F Malerba, M Loppini, N Martinelli
BACKGROUND: To investigate if there is any evidence in favour of autograft or allograft use for anatomic reconstruction of lateral ankle ligaments in patients with symptomatic chronic ankle instability. METHODS: A literature search was performed in PubMed MEDLINE, Cochrane Library, EMBASE and Google Scholar databases, over the years 1994-2017, to identify the studies presenting clinical results of anatomic lateral ankle ligaments reconstruction using various combinations of the keywords "lateral ankle ligaments reconstruction", "anatomic reconstruction", "chronic ankle instability", "allograft", "autograft"...
December 6, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30554933/surgical-treatment-of-lateral-and-posterior-process-fractures-of-the-talus-mid-term-results-of-15-cases-after-7-years
#18
Dominik von Winning, Roland Lippisch, Gerald Pliske, Daniela Adolf, Felix Walcher, Stefan Piatek
BACKGROUND: We retrospectively evaluated the mid-term results of surgery for talar process fractures (lateral and posterior processes) and exploratively analyzed parameters that potentially impact treatment outcomes. METHODS: Fifteen patients who underwent internal fixation (January 2000 to December 2015) were examined for radiological and clinical functional outcomes. The independent parameters evaluated were age, sex, extent of general injury, soft-tissue damage, surgical latency, and fracture type...
November 29, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30554932/is-regional-ankle-block-needed-in-conjunction-with-general-anaesthesia-for-first-ray-surgery-a-randomised-controlled-trial-of-ultrasound-guided-ankle-block-versus-blind-local-infiltration
#19
Veronica I Roberts, Randeep S Aujla, Felix N Fombon, Harvinder Singh, Maneesh Bhatia
BACKGROUND: Regional anaesthesia is commonly utilised for foot and ankle surgery. Debate remains at to the level of regional anaesthesia that is required. The objective of this study was to evaluate whether surgeon-delivered "blind" local anaesthetic infiltration around the first ray (metatarsal block without ultrasound guidance) was as effective as an ultrasound guided ankle block in providing post-operative analgesia after osseous first ray surgery performed under general anaesthetic...
November 28, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30563745/arthroscopic-treatment-of-lateral-ankle-instability-is-there-a-safe-zone-an-anatomic-studys
#20
Francisco Flores Santos, Nuno R Santos
BACKGROUND: The purpose of this study is to describe the relative location of superficial anatomic landmarks and likely location of structures at risk in order to predict the proximity of the later and avoid their injury during the arthroscopic treatment of lateral ankle instability. METHODS: Fifteen cadaver ankles were dissected. Based on superficial anatomic landmarks, the location and distances to the structures at risk (extensor tendons, peroneus tertius, peroneal tendons, main branch or intermediate branch of the superficial peroneal nerve, and the sural nerve) were measured...
November 27, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
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