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Foot and ankle orthopaedics

Min Wei, Yu Wei, Yang Liu
When subchondral bone defects are present in osteochondral lesions of the talus (OCLT), it is inconclusive whether to allow early weightbearing after microfracture treatment because of the lack of effective support of the newly-formed fibrocartilage. After performing arthroscopic debridement and microfracture treatment on OCLT patients with subchondral bone defects, we allowed patients to have an early postoperative weightbearing exercise to observe their clinical outcome. Forty-two OCLT patients with subchondral bone defects were analyzed...
February 2019: Current Medical Science
Chul Hyun Park, JeongJin Park
BACKGROUND: The study evaluated the clinical and radiographic outcomes of the modified Broström procedure (MBP) with periosteal flap augmentation after large subfibular ossicle excision for chronic lateral ankle instability (CLAI). METHODS: Twenty-two CLAI cases with a large ossicle (≥10 mm) were treated consecutively using the MBP with periosteal flap augmentation after ossicle excision. The mean follow-up duration was 20 months (12-33). For clinical assessment, the visual analog scale (VAS), American Orthopaedic Foot & Ankle Society (AOFAS) score, and Karlsson-Peterson score were evaluated preoperatively and at the last follow-up...
March 13, 2019: Foot & Ankle International
Myung Chul Yoo, Bi O Jeong, Jungtae Ahn
INTRODUCTION: Haemophilic ankle arthropathy may cause joint bleeding, pain, stiffness, erosion and progressive motion limitations, including a decreased range of motion (ROM) secondary to anterior osteophyte impingement. AIM: The purpose of this study was to investigate changes in the ROM and symptoms after synovectomy and anterior osteophyte resection for haemophilic ankle arthropathy. METHODS: We retrospectively reviewed 41 ankles in 35 patients with haemophilic arthropathy who underwent arthroscopic and/or open synovectomy...
March 13, 2019: Haemophilia: the Official Journal of the World Federation of Hemophilia
S M Feng, S C Zhang, A G Wang, Z Y Zhang
Objective: To analyze the clinical effects of all-inside arthroscopic treatment for the patients of avulsion fracture of tibial origin withⅠdegree supination and external rotation injury according to the Lauge-Hansen classification. Methods: A retrospective analysis of 34 patients (34 feet) who had underwent all-inside arthroscopic for avulsion fracture of tibial origin with Ⅰ degree supination and external rotation injury from September 2015 to September 2017 in Department of Hand and Foot Microsurgery, Xuzhou Central Hospital...
March 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Henry H P Magill, Shahab Hajibandeh, James Bennett, Nathan Campbell, Jaysheel Mehta
This study aims to compare outcomes of open reduction and internal fixation (ORIF) and primary arthrodesis in management of Lisfranc injuries. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement standards, a systematic review was carried out. MEDLINE, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials were searched to identify both randomised controlled trials (RCTs) and nonrandomised studies comparing the outcomes of ORIF and primary arthrodesis for Lisfranc injuries...
March 2019: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Gabriele Colò, Mattia Alessio-Mazzola, Giacomo Dagnino, Lamberto Felli
Few studies reporting long-term results of surgical treatment of hallux rigidus have been published. The aim of this study is to assess the clinical outcome of Valenti procedures in a series of patients with hallux limitus/rigidus with a minimum 10-year follow-up time. We retrospectively evaluated 38 patients (40 feet) who underwent a Valenti procedure with a mean follow-up of 132 ± 19.6 (range 114 to 184) months. All patients were clinically reassessed on the basis of the evaluation of pain (visual analogue scale), function (American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal Scale Assessment and Foot & Ankle Disability Index), and subjective satisfaction...
March 2019: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Shengli Xia, Beigang Fu, Bin Wang, Jiajun Wu, Yin Cui, Xiuhui Wang
Reduction of calcaneal fractures via a small incision approach at the sinus tarsi is technically difficult. This study was undertaken to determine if preoperative virtual simulation based on computed tomographic data improves reduction and reduces complications. Fifty-five patients with calcaneal fractures were treated via the sinus tarsi approach with minimally invasive plates between February 2013 and December 2015. DICOM files obtained from computed tomographic imaging preoperatively were imported into Superimage software, and virtual surgery was performed...
March 2019: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Hiroaki Shima, Ryuzo Okuda, Toshito Yasuda, Katsunori Mori, Momoko Kizawa, Seiya Tsujinaka, Masashi Neo
BACKGROUND: Operative treatment is indicated for patients who have symptomatic hallux valgus (HV) with moderate to severe metatarsus adductus (MA). However, there is limited information available on the operative procedures and outcomes for the treatment of HV with MA. We aimed to investigate the average 10-year follow-up clinical and radiologic outcomes. METHODS: Seventeen patients (21 feet, average age: 60.1 years) with symptomatic HV with moderate to severe MA were operatively treated...
March 7, 2019: Foot & Ankle International
Yang Yang, Xiaoxiao Zhou, Mengqin Zhang, Yichi Zhou, Bin Wang, Chiting Yuan
BACKGROUND: The extensile lateral approach (ELA) has been widely used to treat displaced intra-articular calcaneal fractures (DIACFs) and remains the gold standard procedure. Orthopedic surgeons are extremely concerned of the high rate of wound complications. This study intended to report a new surgical technique of the lateral wall osteotomy combined with an embedded biodegradable implant for treating DIACFs and assess clinical and radiological results. METHODS: From May 2013 to December 2015, a total of 17 patients with 19 calcaneal fractures underwent surgical treatment using our new technique...
March 6, 2019: Journal of Orthopaedic Surgery and Research
Abdel-Salam Abdel-Aleem Ahmed, Mahmoud Ibrahim Kandil, Eslam Abdelshafi Tabl
BACKGROUND: Müller-Weiss disease (MWD) remains a controversial painful foot condition without consensus on its pathogenesis or a gold standard treatment modality. The aim of the study was to evaluate the outcomes of calcaneal lengthening in adolescent patients with symptomatic MWD with flatfoot. METHODS: The study included 13 feet of 7 patients including 5 females and 2 males who were treated from March 2012 until June 2015 by calcaneal lengthening. The mean age was 15...
March 5, 2019: Foot & Ankle International
Xuan-Huai Huang, Chun Li, Yu Li, Zhi-Wei Chen
OBJECTIVE: To investigate short-term clinical efficacy of open reduction and percutaneous Kirschner wire fixation for Chopart joint dislocation. METHODS: From August 2014 to August 2017, 13 patients with Chopart joint dislocation were treated by open reduction and percutaneous Kirschner wire fixation, including 7 males and 6 female aged from 13 to 58 years old. American Orthopaedic Foot and Ankle Society(AOFAS)criteria system and visual analogue scale (VAS) were applied to evaluate function of foot and ankle at 12 months after operation...
January 25, 2019: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Yang-Jing Lin, Xiao-Jun Duan, Liu Yang
OBJECTIVE: To evaluate the surgical results of V-Y tendon plasty in the treatment of chronic Achilles tendon rupture during medium and long-term follow-up. METHODS: Between June 2005 and September 2017, 20 patients with chronic Achilles tendon rupture underwent V-Y tendon plasty in our hospital. The mean injury-to-surgery time was 20.4 weeks (range, 4-96 weeks). The Matles test and an improved Thompson test was used to examine Achilles tendon rupture. These patients were not able to stand on the tiptoes of the injured lower extremity...
February 27, 2019: Orthopaedic Surgery
Xian-Jun Jiang, Jian-Jian Shen, Jie-Feng Huang, Pei-Jian Tong
BACKGROUND: Reconstruction of Myerson type III (defect size more than 5 cm) chronic Achilles tendon ruptures (CATRs) is a surgical challenge due to its large Achilles tendon defect. This study aims to describe our operative technique for Myerson type III CATR and its clinical outcomes. PATIENTS AND METHODS: From May 2012 to April 2015, we treated seven patients (6 males, 1 female) with Myerson type III CATR using semitendinosus tendon and gracilis tendon autograft...
January 2019: Journal of Orthopaedic Surgery
İbrahim Alper Yavuz, Ahmet Ozgur Yildirim, Ozdamar Fuad Oken, Erman Ceyhan, Fatih İnci, Ozlem Ozkale Yavuz, Deniz Sozmen Cılız
Long-term studies have shown that 10% to 20% of patients continue to experience ankle pain years after tibial fracture, which causes poor functional results and dissatisfaction. The aim of this study was to show that there could be a talus injury in patients with a tibial shaft fracture and to reveal occult talus lesions with magnetic resonance imaging (MRI) examination. Fifty-two patients with a tibial shaft fracture, with closed epiphyses, not extending to the joint and with no problems in the application of MRI examination were included...
February 22, 2019: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Bilal Al-Obaidi, Anatole Vilhelm Wiik, Rahul Bhattacharyya, Nadeem Mushtaq, Rajarshi Bhattacharya
AIM: To evaluate the outcome of a fibular nail in the treatment of open and closed unstable ankle fractures in a non-designer centre. METHODS: In a retrospective cohort study, a total of 39 ankle fractures (14 open and 25 closed) treated with a locking fibular nail were evaluated between 2012 and 2015 in a non-designer level I major trauma centre. Post-operative radiographs were analysed to assess the quality of reduction (McLennan and Ungersma marking system), fracture union and complications...
January 2019: Journal of Orthopaedic Surgery
Brian T Velasco, Bonnie Chien, John Y Kwon, Christopher P Miller
BACKGROUND: Utilization of physician rating websites continues to expand. There is limited information on how these websites function and influence patient perception and physicians' practices. No study to our knowledge has investigated online ratings and comments of orthopaedic foot and ankle surgeons. We identified factors impacting online ratings and comments for this subset of surgeons. METHODS: 210 orthopaedic foot and ankle surgeons were selected from the American Orthopaedic Foot and Ankle Society (AOFAS) website...
February 22, 2019: Foot & Ankle Specialist
J Turner Vosseller, Elizabeth R Dennis, Shaw Bronner
The term dance encompasses a broad range of different styles; much of the orthopaedic literature has focused on ballet dancers. Injury is common in dancers at all levels, and many serious dancers sustain multiple injuries as they progress through their career. Foot and ankle injuries are among the most common injuries experienced by dancers. These injuries include those that are specific to dancers because of the unique physical maneuvers required to effectively perform, but they can also include common injuries that may require relatively different treatment because of the physical demands of the dancer...
February 15, 2019: Journal of the American Academy of Orthopaedic Surgeons
Chengjie Yuan, Chen Wang, Chao Zhang, Jiazhang Huang, Xu Wang, Xin Ma
BACKGROUND: Various operative procedures have been reported for the treatment of Müller-Weiss disease (MWD). This study reports the midterm operative treatment results for stages II to V MWD with derotation of the talus and arthrodesis. METHODS: Thirty-four patients (36 feet) with MWD were treated by talonavicular (TN) or talonavicular-cuneiform (TNC) arthrodesis in our center from 2008 to 2015. The affected feet were staged according to the Maceira staging system (stage II: 9; stage III: 10; stage IV: 9; stage V: 8)...
February 18, 2019: Foot & Ankle International
Todd P Pierce, Daniel Ermann, Anthony J Scillia, Anthony Festa, Arash Emami, Vincent K McInerney
OBJECTIVE: Our purpose was to assess United States data to determine if there were changes in the number of adult cases that graduating orthopaedic surgery resident logged. DESIGN: We assessed the Accreditation Council for Graduate Medical Education data from 2010 to 2016 to identify the number of cases that were reported by graduating orthopaedic surgery residents through the United States. Specifically, we analyzed the mean total number of adult cases per graduating resident...
February 14, 2019: Journal of Surgical Education
Fady Y Hijji, Andrew D Schneider, Michael Pyper, Richard T Laughlin
BACKGROUND: Outcome measures are frequently employed in clinical studies to determine the efficacy of orthopaedic surgical procedures. However, substantial variability exists among the outcome instruments utilized in foot and ankle (F&A) literature. The purpose of this study is to determine the number of outcome measures reported in F&A literature recently published in major orthopaedic journals and the association between study characteristics and the use of particular outcome measurement categories...
February 17, 2019: Foot & Ankle Specialist
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