journal
https://read.qxmd.com/read/36847289/preoperative-hypoalbuminemia-not-associated-with-total-ankle-arthroplasty-outcomes
#1
JOURNAL ARTICLE
William Newton, Alexander S Guareschi, Caroline P Hoch, Daniel J Scott, Christopher E Gross
BACKGROUND: This study aims to investigate the effect of hypoalbuminemia on the rates of 30-day complication, readmission, and reoperation following total ankle arthroplasty (TAA). METHODS: The American College of Surgeons National Surgical Quality Improvement Program database was queried from 2007 to 2019 to identify 710 TAA patients. Patients were then stratified into normal (n = 673) or low (n = 37) albumin groups. Demographics, medical comorbidities, concomitant procedures, hospital length of stay, and 30-day complication, readmission, and reoperation rates were compared between groups...
February 27, 2023: Foot & Ankle Specialist
https://read.qxmd.com/read/36727310/revision-surgery-after-failed-index-synthetic-cartilage-implant-resurfacing-for-hallux-rigidus-single-surgeon-5-year-experience
#2
JOURNAL ARTICLE
Aman Chopra, Amanda N Fletcher, Naji S Madi, Selene G Parekh
BACKGROUND: While metatarsophalangeal joint (MTPJ) arthrodesis is regarded as the gold standard treatment option for end-stage hallux rigidus (HR), synthetic cartilage implant (SCI) resurfacing has gained popularity. This study aimed to identify the SCI resurfacing failure rate for a single surgeon, while also comparing clinical outcomes of patients who underwent SCI replacement or MTPJ arthrodesis after failed index SCI resurfacing. METHODS: Health records were queried from 2016 to 2021 for patients with HR who were treated with SCI resurfacing by a single surgeon...
February 2, 2023: Foot & Ankle Specialist
https://read.qxmd.com/read/36722707/low-preoperative-albumin-associated-with-increased-risk-of-superficial-surgical-site-infection-following-midfoot-hindfoot-and-ankle-fusion
#3
JOURNAL ARTICLE
Alexander S Guareschi, William Newton, Caroline Hoch, Daniel J Scott, Christopher E Gross
BACKGROUND: This study investigates the effect of malnutrition, defined by hypoalbuminemia, on rates of complication, readmission, reoperation, and mortality following midfoot, hindfoot, or ankle fusion. METHODS: The National Surgical Quality Improvement Program (NSQIP) database was queried from 2005 to 2019 to identify 500 patients who underwent midfoot (n = 233), hindfoot (n = 261), or ankle (n = 117) fusion. Patients were stratified into normal (n = 452) or low (n = 48) albumin group, which was defined by preoperative serum albumin level <3...
February 1, 2023: Foot & Ankle Specialist
https://read.qxmd.com/read/36661239/calendar-for-february-2023
#4
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
January 20, 2023: Foot & Ankle Specialist
https://read.qxmd.com/read/36631944/the-aggressive-open-anterior-ankle-cheilectomy-as-joint-salvage-for-anterior-ankle-impingement-syndrome-and-arthritis
#5
JOURNAL ARTICLE
Robert Mendicino, Alex Bischoff, Zachary Hill
Anterior ankle impingement syndrome can frequently present in athletes and post-traumatic patients who have osteophytes contributing to limited dorsiflexion and pain. Surgical treatment options include arthroscopy, open arthrotomy, arthrodesis, and total implant arthroplasty. For many, joint-sparing arthroscopy or arthrotomy yield satisfactory results if significant debridement is performed. If debridement is not aggressive, patients may not obtain the desired improvement. In cases where a larger amount of bone must be removed, or the patient does not have an anatomic appearing talar neck due to osteophytic changes, we have found that an open approach is necessary to achieve good results...
January 11, 2023: Foot & Ankle Specialist
https://read.qxmd.com/read/36625277/a-patient-reported-outcome-based-comparison-of-cheilectomy-with-and-without-proximal-phalangeal-dorsiflexion-osteotomy-for-hallux-rigidus
#6
JOURNAL ARTICLE
Jaeyoung Kim, Lavan Rajan, Robert M Fuller, Rami Mizher, Agnes D Cororaton, Prashanth Kumar, Tonya W An, Jonathan T Deland, Scott J Ellis
INTRODUCTION: This study provides the first comparison of patient-reported outcomes between isolated cheilectomy (C) and cheilectomy with Moberg (CM) osteotomy for hallux rigidus. METHODS: A single-center, retrospective registry search identified all patients with preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) scores who underwent cheilectomy, with and without concomitant proximal phalangeal dorsiflexion osteotomy, for hallux rigidus between January 2016 and December 2020...
January 10, 2023: Foot & Ankle Specialist
https://read.qxmd.com/read/36814239/what-s-new-in-the-management-of-charcot-arthropathy
#7
JOURNAL ARTICLE
Mario A Cala, Amgad Haleem, Jeffrey D Loveland
No abstract text is available yet for this article.
February 2023: Foot & Ankle Specialist
https://read.qxmd.com/read/33461323/ultrasound-guided-injection-of-dextrose-versus-corticosteroid-in-chronic-plantar-fasciitis-management-a-randomized-double-blind-clinical-trial
#8
RANDOMIZED CONTROLLED TRIAL
Gholamreza Raissi, Amin Arbabi, Maryam Rafiei, Bijan Forogh, Arash Babaei-Ghazani, Shayesteh Khalifeh Soltani, Tannaz Ahadi
DESIGN: Chronic plantar fasciitis (PF) is a common cause of chronic heel pain, with different conventional treatment options. In this randomized clinical trial, the effect of ultrasound-guided injection of dextrose versus corticosteroid in chronic PF was evaluated and compared. METHODS: A total of 44 patients suffering from chronic PF who visited the physical medicine and rehabilitation clinic were enrolled in the study. Two table-randomized groups were formed. They received an ultrasonography-guided, single injection of either 40 mg methylprednisolone or 20% dextrose...
February 2023: Foot & Ankle Specialist
https://read.qxmd.com/read/36510833/biomechanical-effects-of-surgical-reconstruction-for-flexible-progressive-collapsing-foot-deformity-a-systematic-review
#9
REVIEW
William Estes, Amit Syal, L Daniel Latt
BACKGROUND: Symptomatic progressive collapsing foot deformity (PCFD) is frequently treated with reconstructive surgery. Multiple studies have documented successful treatment based on improvements in symptoms and physical examination findings. However, it is not well-established whether there are corresponding improvements in gait function following surgical treatment for PCFD. METHODS: A systematic review of biomechanical outcomes of treatments for flexible PCFD was conducted on PubMed...
December 13, 2022: Foot & Ankle Specialist
https://read.qxmd.com/read/36482702/clinical-outcomes-of-the-lateral-trabecular-metal-total-ankle-replacement-at-a-5-year-minimum-follow-up
#10
JOURNAL ARTICLE
Jaeyoung Kim, Oliver J Gagne, Lavan Rajan, Kristin Caolo, Carolyn Sofka, Scott J Ellis, Constantine A Demetracopoulos, Jonathan T Deland
BACKGROUND: The Trabecular Metal (Zimmer Biomet, Warsaw, IN) total ankle arthroplasty (TAA) system uses a lateral approach with a fibular osteotomy to gain access to the tibiotalar joint and a sagittally curved tibial component. This is the first TAA system to laterally approach the ankle, and few studies have explored outcomes associated with this implant. This study aimed to report the 5-year clinical and radiographic outcomes as well as the survivorship of the implant. METHODS: Over a 3-year period, 2 fellowship-trained foot and ankle surgeons used this implant system to treat 38 end-stage arthritic ankles...
December 8, 2022: Foot & Ankle Specialist
https://read.qxmd.com/read/36482676/3d-printed-total-talus-replacement-after-free-vascularized-medial-femoral-condyle-osteocutaneous-flap-for-avascular-necrosis-of-the-talus-leads-to-poor-clinical-outcomes-a-case-series
#11
JOURNAL ARTICLE
Naji S Madi, Aman Chopra, Amanda N Fletcher, Suhail Mithani, Selene G Parekh
INTRODUCTION: Avascular necrosis (AVN) of the talus is 1 of the most difficult foot and ankle pathologies to diagnose and manage. The purpose of this study was to report on the functional outcomes of 3D-printed total talus replacement (TTR) in 2 patients with talar AVN who both underwent a failed revascularization. METHODS: This is a case series of 2 patients with TTR after a failed revascularization and a comparison group of 25 patients with primary TTR. Clinical and functional outcomes are used to compare both groups...
December 8, 2022: Foot & Ankle Specialist
https://read.qxmd.com/read/36341905/calendar-for-december-2022
#12
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
December 2022: Foot & Ankle Specialist
https://read.qxmd.com/read/36341904/transition-from-training-to-practice
#13
JOURNAL ARTICLE
M Truitt Cooper, J Randolph Clements, Kelsey J Millonig, Samuel E Ford, Mark Hofbauer
No abstract text is available yet for this article.
December 2022: Foot & Ankle Specialist
https://read.qxmd.com/read/36210762/medial-ankle-instability-review-of-anatomy-evaluation-and-treatment
#14
REVIEW
Rohan Gopinath, Matthew Pigott, Benjamin Lindsey, Fred T Finney, James R Holmes, David M Walton, Paul G Talusan
The medial ankle ligamentous complex, which includes the deltoid, talocalcaneal, and calcaneonavicular ligaments, functions to provide stability to the medial ankle. Injuries to the deltoid ligament can lead to medial-sided ankle pain, subsequent instability, and posttraumatic osteoarthritis given the altered biomechanics of the ankle joint. After completing a thorough physical examination, imaging modalities such as stress radiographs and magnetic resonance imaging can be used to confirm the diagnosis. Acute injuries to the deltoid ligament should be managed conservatively with a short course of immobilization...
December 2022: Foot & Ankle Specialist
https://read.qxmd.com/read/33435736/two-year-outcomes-of-posterior-ankle-arthroscopy-a-case-series
#15
JOURNAL ARTICLE
Toh Rui Xiang, Yeo Zhen Ning, Koo Oon Thien Kevin
The aim of this study was to investigate the outcomes and complications after posterior ankle arthroscopy for the treatment of posterior ankle impingement syndrome, in a local population with a single surgeon series. Two-portal posterior ankle or hindfoot arthroscopy is an alternative option to open surgery in cases of posterior ankle impingement, that showed similar results but with less morbidity and faster recovery. There has been increasing interest in minimally invasive surgical techniques. Indications include extra- and intra-articular conditions and range from bony, cartilaginous to soft tissue pathology...
December 2022: Foot & Ankle Specialist
https://read.qxmd.com/read/36433807/assessing-lateral-ankle-sprains-with-a-new-arthrometer
#16
JOURNAL ARTICLE
Nicholas R Taweel, Dawn T Gulick, Kerstin M Palombaro
BACKGROUND: Lateral ankle sprains are a common musculoskeletal injury across a variety of activities. Researchers have sought to identify a method to objectively assess joint laxity with a device that is simple to use and affordable. AIM: The purpose of this study was to assess the use of an ankle arthrometer on individuals with ankle sprains. METHODS: The participant was evaluated by the physician and the degree of ankle sprain was identified...
November 26, 2022: Foot & Ankle Specialist
https://read.qxmd.com/read/36418935/similar-clinical-outcome-in-locking-and-conventional-plate-osteosynthesis-for-the-treatment-of-ao-44-b2-ankle-fractures
#17
JOURNAL ARTICLE
Jan C Schagemann, Hanjo Neumann, Jana Schäfers, Andreas Paech, Robert Wendlandt, Ralf Oheim, Arndt Peter Schulz
INTRODUCTION: Biomechanical studies have proved that locking plates have better primary stability besides versatility regarding fracture pattern while reducing bone contact and bridging the gap, whereas conventional nonlocking plates (plus lag screw) depend on bone-plate compression. The clinical benefit of locking plates over nonlocking plates remains unanswered, however. Therefore, this retrospective cohort study was set up to test the hypothesis that the use of locking plates for unstable ankle fractures will result in fewer re-displacements, superior bony healing, and functional and clinical outcomes better than observed in the nonlocking cohort...
November 23, 2022: Foot & Ankle Specialist
https://read.qxmd.com/read/36416410/acrometastasis-of-the-lower-limb-carries-a-poorer-prognosis-a-retrospective-cohort-study
#18
JOURNAL ARTICLE
Rory P Thompson, Prince Raina, Samantha Downie, Arpit C Jariwala
BACKGROUND: Bony metastasis distal to the knee is rare and often reported alongside metastasis distal to the elbow. We sought to provide empirical evidence of the epidemiology, presentation, and prognosis of lower limb acrometastasis, alongside investigation of the distribution of metastases present while lower limb acrometastases form. METHODS: This retrospective cohort study identified 44 radiologically confirmed cases of lower limb acrometastasis from a single region...
November 23, 2022: Foot & Ankle Specialist
https://read.qxmd.com/read/36412191/total-ankle-replacement-outcome-in-patients-with-inflammatory-versus-noninflammatory-arthritis-a-systematic-review-and-meta-analysis
#19
REVIEW
Alireza Mousavian, Ashkan Baradaran, Lew C Schon, Joseph Daniel, David Pedowitz, Amir R Kachooei
BACKGROUND: The decision regarding total ankle replacement (TAR) is challenging in patients with inflammatory arthritis (IA) regarding more inferior bone quality, large bone cysts, and increased risk of infections. This systematic review and meta-analysis aimed to compare the functional outcome, revision rate, complication rate, and survival rate of TAR between IA (including rheumatoid arthritis [RA]) and noninflammatory arthritis (NIA) (primary and posttraumatic). METHODS: After reviewing the full texts, 30 articles fulfilled all inclusion criteria from 1985 until 2021, comparing TAR results...
November 22, 2022: Foot & Ankle Specialist
https://read.qxmd.com/read/36342049/outcomes-of-endoscopic-treatment-for-plantar-fasciitis-a-systematic-review
#20
REVIEW
Leona Ward, Nathaniel P Mercer, Mohammad T Azam, Alexander Hoberman, Eoghan T Hurley, James J Butler, Hugo Ubillus, Joseph Cronin, John G Kennedy
BACKGROUND: Endoscopic plantar fascia release (EPFR) is an established operative treatment for recalcitrant plantar fasciitis. The purpose of this systematic review is to provide a comprehensive review on the outcomes of EPFR in the treatment of plantar fasciitis at mid-term and long-term follow-up. METHODS: A systematic review was performed using, MEDLINE, EMBASE, and Cochrane library databases in May 2020 based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
November 7, 2022: Foot & Ankle Specialist
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