Shrey Nihalani, Mila Scheinberg, Matthew McCrosson, Matthew T Yeager, Robert W Rutz, Mathew Hargreaves, Zuhair J Mohammed, Swapnil Singh, Ashish Shah
Bunionette deformity is an incredibly pervasive issue in our society with almost a quarter of individuals being affected by it. As it is so common, there are numerous techniques and approaches to correct the deformity. Currently, there is a growing trend that favors percutaneous osteotomy of the bunionette. As there are multiple osteotomy sites, there are anatomical considerations that must be made at each one. The purpose of this study was to investigate the anatomic structures at risk during distal osteotomy of bunionette deformity using a Shannon burr...
June 3, 2024: Foot & Ankle Specialist
Alissa M Mayer, Nicole K Cates, Eshetu Tefera, Kevin K Ragothaman, Kenneth L Fan, Karen K Evans, John S Steinberg, Christopher E Attinger
A transtibial amputation is the traditional primary staged amputation for source control in the setting of non-salvageable lower extremity infection, trauma, or avascularity prior to progression to proximal amputation. The primary aim of the study is to compare preoperative risk factors and postoperative outcomes between patients who underwent transtibial amputation versus ankle disarticulation in staged amputations. A retrospective review of 152 patients that underwent staged below the knee amputation were compared between those that primarily underwent transtibial amputation (N = 70) versus ankle disarticulation (N = 82)...
June 2, 2024: Foot & Ankle Specialist
Mohamed Jlidi, Walid Bouaicha, Siwar Sbaihi, Hedi Gharbi, Mouldi Lamouchi, Karim Mallek, Salma Jaziri, Selim Daas
INTRODUCTION: Several techniques to treat acute distal tibiofibular instability are described consisting in static and dynamic fixation procedures. The aim of our work is to compare the outcomes of acute syndesmotic injury fixation between the modified technique of dynamic fixation using the suture-button principle as an efficient and low-cost method and the classic static fixation. METHODS: It is a prospective study including patients presenting with acute syndesmotic injury...
May 30, 2024: Foot & Ankle Specialist
Abdulmohsen AlMeshari, Yasir AlShehri, Lindsay Anderson, Madeleine Willegger, Alastair Younger, Andrea Veljkovic
Surgical complications are inevitable in any surgical subspecialty. Throughout the years, many classification systems have been developed to better understand and report such complications. The aim of this systematic review is to investigate the variability and frequency of reporting terms used to describe adverse events and complications in hallux valgus reconstruction. We hypothesized that the terms used would be highly inconsistent, which further promotes a need for a standardized terminology reporting system...
May 24, 2024: Foot & Ankle Specialist
Richard A Zell, Ananya Mehta
This case report describes a patient who underwent an ankle fusion using a lateral approach and fibular-onlay strut 14 years ago. She presented with increasing lateral ankle pain and giving way. Despite bracing and steroid injections, she had continued symptoms and surgery for hardware removal was recommended. While under anesthesia, she was found to have subluxation of her peroneal tendons. Operative findings included impingement of the peroneal brevis on the screw head from her fibular-onlay strut and a peroneal tendon tear...
May 21, 2024: Foot & Ankle Specialist
Carl Brandon Lindberg, Rishika Lagisetti, Amol Saxena
FORMAT: Retrospective Review. LENGTH OF FOLLOW-UP: 18 months. CLASSIFICATION: Rearfoot and Ankle Reconstruction. METHODOLOGY: Level 4 Retrospective Review. PROCEDURES: A retrospective review was performed of 6 patients who had undergone limb salvage procedures between January 2016 and April 2019. Patients underwent surgery due to severe limb-threatening diagnosis including Charcot and/or osteomyelitis...
May 14, 2024: Foot & Ankle Specialist
Parimal Rana, Jane Brennan, Andrea Johnson, Caroline Donegan, Jake Gelfand, Adrienne Spirt, David Keblish, Justin Turcotte, Elizabeth Friedmann
INTRODUCTION: Foot and ankle fractures present common challenges in emergency departments, warranting careful follow-up protocols for optimal patient outcomes. This study investigates the predictors of orthopaedic follow-up for these injuries after an emergency department (ED) visit. METHODS: A retrospective observational study of 1450 patients seen in the ED with foot or ankle fractures from July 2015 to February 2023 was conducted. All included patients were discharged with instructions to follow-up with an orthopaedic provider...
May 10, 2024: Foot & Ankle Specialist
Michael Sarter, Felix Krane, Tim Leschinger, Michael Hackl, Lars P Müller, Andreas Harbrecht
INTRODUCTION: The Bartoníček/Rammelt classification is established for posterior malleolar fractures. It subdivides the fractures into 5 types and outlines treatment recommendations. This study aims to determine the intraobserver and interobserver reliability of the Bartoníček/Rammelt classification and investigates its applicability regarding treatment recommendations. MATERIALS AND METHODS: Computed tomography (CT) scans of 80 ankle fractures with a posterior malleolar fracture were analyzed by four observers at two different time points 30 days apart (d1 and d2)...
May 10, 2024: Foot & Ankle Specialist
Daniel T DeGenova, Zachary P Hill, Adam D Hoffman, Avery R Taylor, Boston Dues, Mallory Faherty, Benjamin C Taylor
BACKGROUND: As an alternative to traditional open reduction internal fixation of ankle fragility fractures, primary retrograde tibiotalocalcaneal (TTC) nailing has been investigated as a treatment option. These results suggest that this treatment is an acceptable alternative treatment option for these injuries. There are still questions about the need for formal joint preparation at the subtalar or tibiotalar joint when performing primary TTC nailing for fragility fractures. METHODS: In this study, we retrospectively evaluated 32 patients treated with primary retrograde TTC nail without subtalar or tibiotalar joint preparation for a mean of 2...
May 10, 2024: Foot & Ankle Specialist
Alan P Samsonov, Akram Habibi, James J Butler, Raymond J Walls, John G Kennedy
BACKGROUND: Artificial intelligence (AI) large language models (LLMs), such as Chat Generative Pre-trained Transformer (ChatGPT), have gained traction as both augmentative tools in patient care but also as powerful synthesizing machines. The use of ChatGPT in orthopaedic foot and ankle surgery, particularly as an informative resource for patients, has not been described to date. The purpose of this study was to assess the quality of information provided by ChatGPT in response to commonly asked questions about total ankle replacement (TAR)...
May 7, 2024: Foot & Ankle Specialist
Rebecca Martin, Michael Dean, Rajesh Kakwani, An Murty, Ian Sharpe, David Townshend
INTRODUCTION: Large bone defects such as those encountered after failed total ankle replacement have previously been a relative contraindication to revision ankle replacement due to inadequate bone stock. We describe our experience and patient reported outcomes with a modular ankle replacement system with tibial and talar augments. METHODS: This is a retrospective case series analysis of patients who underwent a total ankle replacement using the INVISION system across 2 centers between 2016 and 2022...
May 7, 2024: Foot & Ankle Specialist
Ian Daniel Millstein, Manisha Koneru, John Epoh Dibato, Pietro Gentile, Adel Mahjoub, Erik Freeland
INTRODUCTION: Total ankle replacement is indicated for end-stage ankle osteoarthritis. Periprosthetic radiolucency, from separation between the bone and implant, is suggested to be indicative of potential prosthesis failure risk. Anchoring implants with cement may mitigate this. This study aimed to compare rates of periprosthetic radiolucency between patients with cement-affixed and cementless implants. METHODS: A retrospective analysis was performed on 28 patients who underwent total ankle replacement with the INFINITY Total Ankle System (Wright Medical, Memphis, Tennessee) implant between January 2016 and May 2022...
April 27, 2024: Foot & Ankle Specialist
Jason Silvestre, Jared J Reid, Daniel J Scott, Amiethab A Aiyer, Christopher E Gross
INTRODUCTION: Previous studies have demonstrated a positive correlation between case volume and outcomes in foot and ankle surgery. This study elucidates surgical case volume benchmarks for Accreditation Council for Graduate Medical Education (ACGME)-accredited orthopaedic foot and ankle fellowship training in the United States. METHODS: The ACGME provided case logs for orthopaedic residents and foot and ankle fellows (2018-2021). Variabilities in reported fellowship case volumes were defined as the fold-difference between 90th and 10th percentiles...
April 27, 2024: Foot & Ankle Specialist
Daniel Soares Baumfeld, Addller Oliveira Fagundes, Marcela de Melo Gajo, Marco Antonio Percope de Andrade, Tiago Soares Baumfeld
Talus Osteochondral defects (OCDs) are challenging and there is no consensus in literature regarding which is the best method of treatment. New techniques coming from regenerative medicine are being considered good alternatives of treatment and are being used exponentially in orthopaedic surgery. Platelet-rich fibrin (PRF) is the second generation of platelet concentrates. It has a convenient method of acquisition and can be used to create a biological scaffold which is able to seal up cavitary lesions. In this article, the authors describe a talus OCD treated with a biological scaffold, reporting the technique details and its results clinical and radiological results...
April 25, 2024: Foot & Ankle Specialist
Yianni Bakaes, Tyler Gonzalez, James W Hardin, J Benjamin Jackson
BACKGROUND: The utilization of total ankle arthroplasty (TAA) continues to increase. Discharge to a post-acute care (PAC) facility can increase patient morbidity and postoperative costs. The purpose of this study is to investigate the effects of age and body mass index (BMI) on discharge to a PAC facility and hospital length of stay (LOS) following TAA. METHODS: A retrospective review of patients who underwent TAA from the National Surgical Quality Improvement Program (NSQIP) database was performed...
April 25, 2024: Foot & Ankle Specialist
Jody P McAleer, William T DeCarbo, Robert D Santrock, Daniel J Hatch, Paul Dayton, W Bret Smith
Radiographic measurements for the assessment of metatarsus adductus (MTA) have a broad range of interpretation without a consensus regarding surgical indications. The "Plumbline" (PL) radiographic assessment method helps identify MTA and determines if physical space is available to align the first metatarsal to the longitudinal foot axis without the need to realign the lesser metatarsals. Forty-five neutral weight-bearing anterior-posterior (AP) radiographs of patients scheduled for surgical intervention for isolated hallux valgus (HV) or combined MTA/HV deformities were reviewed...
April 23, 2024: Foot & Ankle Specialist
Sudheer Reddy, Alessio Bernasconi, Cesar de Cesar Netto, Scott Ellis, Francois Lintz, Med Martinus Richter
No abstract text is available yet for this article.
April 5, 2024: Foot & Ankle Specialist
Tanner Campbell, Anthony Mok, Megan R Wolf, Luke Frager, Rachel Long, Dylan Wentzel, Armin Tarakemeh, Tucker Morey, Brian Everist, Bryan G Vopat
BACKGROUND: Lisfranc injuries refer to a disruption or displacement of the tarsometatarsal joint of the foot. Subtle Lisfranc injuries can go undiagnosed on conventional imaging leading to devastating consequences and poor functional outcomes for elite athletes. Objective. The objective of this case study is to present a novel imaging technique using weight-bearing computed tomography (CT) with enhanced stress to identify subtle, dynamically unstable Lisfranc injuries. We illustrate this with a case presentation of an elite athlete who ultimately required surgical fixation for a subtle Lisfranc injury...
April 3, 2024: Foot & Ankle Specialist
Simone Ottavio Zielli, Antonio Mazzotti, Elena Artioli, Daniele Marcolli, Alberto Arceri, Simone Bonelli, Cesare Faldini
BACKGROUNDS: Plafond-plasty is a joint-preserving procedure to treat varus ankle osteoarthritis (OA) with asymmetrical joint involvement. The aim of this systematic review and meta-analysis was to evaluate indications, different surgical techniques, associated procedures, and results of plafond-plasty in varus ankle OA and to analyze the level of evidence (LOE) and quality of evidence (QOE) of the included studies. METHODS: A systematic review of the literature was performed using MEDLINE, Embase, and Cochrane...
March 19, 2024: Foot & Ankle Specialist
Aarav S Parekh, Joseph A S McCahon, Amy Nghe, David I Pedowitz, Joseph N Daniel, Selene G Parekh
BACKGROUND: The purpose of this study was to perform a comparative analysis of foot and ankle patient education material generated by the AI chatbots, as they compare to the American Orthopaedic Foot and Ankle Society (AOFAS)-recommended patient education website, METHODS: ChatGPT, Google Bard, and Bing AI were used to generate patient educational materials on 10 of the most common foot and ankle conditions. The content from these AI language model platforms was analyzed and compared with that in FootCareMD...
March 19, 2024: Foot & Ankle Specialist
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