Foot最新文献

{"title":"A critical literature review highlighting the methodological differences within epidemiological studies: Pedal Amputations in England","authors":"","doi":"10.1016/j.foot.2024.102081","DOIUrl":"10.1016/j.foot.2024.102081","url":null,"abstract":"<div><h3>Introduction</h3><p>There is an absence in the application of standardised epidemiological principles when calculating and reporting on lower extremity amputation (LEA) rates [1]. The rates of minor LEAs in the diabetic population range from 1.2–362.9 per 100,000 and in the population without diabetes 0.9–109.4 per 100,000. The reported rates of major lower limb amputations vary from 5.6–600 per 100,000 in the diabetic population and 3.6–58.7 per 100,000 in the total population [1]. The variation in methodology does not facilitate comparison across populations and time. All studies published using the population from England, UK, describing minor amputations were systematically reviewed and rates and methodologies compared.</p></div><div><h3>Method</h3><p>A systematic search was carried out using (PRISMA) guidelines [2] to reveal primary data of minor lower extremity amputation rates in England between 1988–2018. This was carried out using electronic databases, grey literature and reference list searching. The search yielded eleven studies that were eligible for review.</p></div><div><h3>Results</h3><p>Significant variation in the reporting of minor lower extremity amputation rates across regional and gender groups in England was found. Rates in the diabetic and non-diabetic population varied from 1.2 to 362.9 per 100,000 and 0.9 to 109.4 per 100,000 respectively. This was predominately a result of poorly describing numerator and denominator populations and defining minor amputations differently. As a result, there was an inability to confidently establish regional, gender and time trends.</p></div><div><h3>Conclusion</h3><p>The inconsistent nature of reporting minor amputations makes drawing conclusions on temporal and population change difficult. Future studies should describe and present basic numerator and denominator population characteristics e.g. number, age and sex and use the standard definition of minor amputation as one that is at or below the ankle.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"60 ","pages":"Article 102081"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic accuracy of clinical, radiological and device-driven tests for the detection of First Ray Instability: A systematic review","authors":"Georgios Solomou ,&nbsp;Andrey Bilyy ,&nbsp;Pranav Tadikonda ,&nbsp;Brian Gurdas ,&nbsp;Chandra Pasapula","doi":"10.1016/j.foot.2024.102080","DOIUrl":"10.1016/j.foot.2024.102080","url":null,"abstract":"<div><h3>Introduction</h3><p>First Ray Instability (FRI) and especially hypermobility leads to the collapse of the medial longitudinal arch's structural framework, which reduces the foot's ability to become a rigid lever for propulsion, resulting in progressive foot deformities. Early detection of FRI with prompt intervention helps prevent degenerative foot deformities. Various manual, device-based and radiographic diagnostic tests for FRI quantification have been described in the literature. We aim to conduct an up-to-date, comprehensive, systematic review of the literature reporting on diagnostic tests to evaluate FRI.</p></div><div><h3>Methodology</h3><p>Electronic databases (Medline, Embase and PubMed) and bibliography lists were searched until May 2021 for studies evaluating diagnostic tests for FRI. MeSH terms were used to conduct the literature search. The authors screened all produced abstracts. Selected articles were further assessed in full based on inclusion and exclusion criteria. The relevant studies were qualitatively assessed and grouped into tables based on tests.</p></div><div><h3>Results</h3><p>18,176 studies were identified. Thirty-two full-text articles were included for assessment. Ten articles were excluded based on evaluation criteria. 18 studies were included for qualitative assessment: two studies describing manual diagnostic tests, three evaluating device-driven tests, six image-guided studies and seven comparison studies assessing a new test versus an established one.</p></div><div><h3>Conclusion</h3><p>Gold standard tests in defining FRI need to be improved. Manual tests exhibit significant subjective variability. Radiographic tests, while accurate, are complex and cumbersome to perform and, therefore, are not widely applied. Dorsal rulers have demonstrated mixed results and shown variability when compared to instruments. The focus has been on assessing FRI in hallux valgus (HV). More studies are needed to investigate FRI in the absence of HV.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"59 ","pages":"Article 102080"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0958259224000130/pdfft?md5=a7e756e63d025545bbb665c70a32656b&pid=1-s2.0-S0958259224000130-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gait and muscle activity measures after biomechanical device therapy in subjects with ankle instability: A systematic review","authors":"Hanieh Khaliliyan ,&nbsp;Arash Sharafatvaziri ,&nbsp;Zahra Safaeepour ,&nbsp;Mahmood Bahramizadeh","doi":"10.1016/j.foot.2024.102083","DOIUrl":"https://doi.org/10.1016/j.foot.2024.102083","url":null,"abstract":"<div><h3>Introduction</h3><p>Health specialists suggest a conservative approach comprising non-pharmacological interventions as the initial course of action for individuals with repetitive ankle sprain due to ankle instability. This systematic review aimed to assess the effectiveness of biomechanical devices (Foot Orthoses, Ankle Orthoses, and Taping) on gait and muscle activity in individuals with ankle instability.</p></div><div><h3>Methods</h3><p>A systematic search was performed on electronic databases, including PubMed, EMBASE, Clinical Trials.gov, Web of Science, and Scopus. The PEDro scoring system was used to evaluate the quality of the included studies. We extracted data from population, intervention, and outcome measures.</p></div><div><h3>Results</h3><p>In the initial search, we found 247 articles. After following the steps of the PRISMA flowchart, only 22 reports met the inclusion criteria of this study. The results show that biomechanical device therapy may increase swing time, stance time, and step. Additionally, studies suggest that these devices can reduce plantar flexion, inversion, and motion variability during gait. Biomechanical devices have the potential to optimize the subtalar valgus moment, push-off, and braking forces exerted during walking, as well as enhance the activity of specific muscles including the peroneus longus, peroneus brevis, tibialis anterior, gluteus medius, lateral gastrocnemius, rectus femoris, and soleus.</p></div><div><h3>Conclusion</h3><p>Biomechanical devices affect gait (spatiotemporal, kinetic, and kinematic variables) and lower limb muscle activity (root mean square, reaction time, amplitude, reflex, and wave) in subjects with ankle instability.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"59 ","pages":"Article 102083"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of split posterior tibialis tendon transfer on foot progression angle in children with cerebral palsy","authors":"De Sayan ,&nbsp;Austin Skinner ,&nbsp;Alex Tagawa ,&nbsp;Wade Coomer ,&nbsp;Jason Koerner ,&nbsp;Lori Silveira ,&nbsp;James Carollo ,&nbsp;Jason Rhodes","doi":"10.1016/j.foot.2024.102087","DOIUrl":"10.1016/j.foot.2024.102087","url":null,"abstract":"<div><h3>Objectives</h3><p>A common orthopedic issue for patients with spastic cerebral palsy (CP) is hindfoot varus deformity. One method of treatment is the split posterior tibialis tendon transfer (SPOTT). There is limited literature on the effect of SPOTT on foot progression angle (FPA) in children with CP who have equinovarus deformities. The objective of our study was to evaluate the change in FPA after SPOTT to determine if this procedure can improve FPA.</p></div><div><h3>Research Question</h3><p>This study aims to determine what axial changes are generated from a split posterior tibial tendon transfer in children with CP.</p></div><div><h3>Methods</h3><p>We performed a retrospective analysis of all ambulatory children with a diagnosis of CP who underwent SPOTT at our institution. Patients with bony rotational procedures were excluded. Descriptive statistics including mean and standard deviation (SD) were used to characterize continuous variables. Paired t-tests were used to evaluate outcomes, in which a target outcome was defined as a post-operative FPA between 0–10° of external rotation.</p></div><div><h3>Results</h3><p>44 limbs were included. Demographics were as follows: 26/13 female/male; mean age[SD] (years): 9.8[3.5]; 30 hemiplegic, 9 diplegic, and 1 triplegic. Of the 44 limbs, 18 limbs had a target outcome, 4 had no change, and 22 had a non-target outcome. Of the 22 with an outcome outside of the target, 4 limbs trended away from a target outcome. The overall change in FPA measured was − 10.9 ± 14.7° (p &lt; 0.0001) Age at time of surgery, CP involvement, pre-operative FPA, and GMFCS level were not predictors of outcome (p &gt; 0.05).</p></div><div><h3>Conclusions</h3><p>SPOTT produced a change of 10.9° external rotation in FPA post-operatively and its effects should be considered when planning a SEMLS.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"59 ","pages":"Article 102087"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140271868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Midfoot width changes after first metatarsal osteotomy in hallux valgus surgery: A biomechanical effect?","authors":"Eduardo Pedrini Cruz ,&nbsp;José Antônio Veiga Sanhudo ,&nbsp;Walter Brand Iserhard ,&nbsp;Esthefani Katherina Mendes Eggers ,&nbsp;Leandro Marcantônio Camargo ,&nbsp;Leandro de Freitas Spinelli","doi":"10.1016/j.foot.2024.102070","DOIUrl":"10.1016/j.foot.2024.102070","url":null,"abstract":"<div><p>Hallux valgus is a challenging pathology characterized by a valgus deformity in the metatarsophalangeal area of the first ray. The aim of this study was to analyze the influence of first metatarsal osteotomy on the relationship between midfoot bones in patients with hallux valgus. The sample consisted of patients from the orthopedics and traumatology outpatient clinic who underwent surgical treatment for hallux valgus. Preoperative and postoperative X-rays were compared regarding the width of the midfoot and the tarsometatarsal joint. The sample consisted of 17 women, with 22 feet assessed in each group. The distance from the medial cuneiform to the cuboid, the distance from the intermediate cuneiform to the cuboid, the distance between the first and fifth metatarsals, and the distance between the second and fifth metatarsals reduced significantly between pre- and postoperative assessments. Hallux valgus correction through osteotomy of the first metatarsal leads to a structural change in the midfoot. Further studies should determine whether these changes persist over time.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"58 ","pages":"Article 102070"},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139897237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of customised 3D-printed insoles on perceived pain, comfort, and completion time among frequent Park Runners: Study protocol for a pragmatic randomised controlled trial (The ZOLES RCT)","authors":"Suleyman Ibrahim ,&nbsp;Chris Djurtoft ,&nbsp;Rik Mellor ,&nbsp;Kristian Thorborg ,&nbsp;Filip Gertz Lysdal","doi":"10.1016/j.foot.2024.102068","DOIUrl":"https://doi.org/10.1016/j.foot.2024.102068","url":null,"abstract":"<div><h3>Background</h3><p>Running, a popular recreational activity, often leads to the experience of pain and discomfort among participants impacting performance and participation longevity. The ZOLES trial evaluates customised 3D-printed insoles for reducing pain in frequent parkrunners aged 35 and over. An innovative process of foot-scanning and responses to questions relating to size, pain, discomfort, and previous medical conditions are combined leading to the production of personalised 3D-printed orthotics.</p></div><div><h3>Methods</h3><p>The ZOLES trial is a pragmatic, outcome assessor blinded, randomised, controlled, superiority trial involving 200 recreational runners, randomised to receive either customised 3D-printed insoles (ZOLES) or to a \"do-as-usual\" control group. The study follows a robust protocol, ensuring adherence to established guidelines for clinical trials, and is based at St Mary's University, Twickenham, London. The primary outcome is change in running-related pain over a 10-week period, assessed using an 11-point Numeric Rating Scale. Secondary outcomes include overall pain and discomfort, running-related comfort, 5k-completion time, time-loss due to injuries, running exposure, and adherence to the intervention. A balanced-block randomisation process is stratified by sex and parkrun location, and an intention-to-treat analyses will be employed on all outcomes in the primary trial report. The trial includes a 52-week post-market surveillance to assess long-term effects of the customised insoles.</p></div><div><h3>Discussion</h3><p>The ZOLES trial aims to provide insights into real-world applicability and effectiveness of customised 3D-printed insoles in reducing running-related pain and enhancing overall running experience. Despite the limitation of a subjective primary outcome measure without participant blinding, the methodological rigor, including external outcome assessment and data handling, we anticipate results that are academically credible and applicable in real-world settings The results of this trial may have important implications for runners, clinicians, and the sports footwear industry, as evidence for the use of individualised insoles to improve running experience and prevention of pain may become evident.</p></div><div><h3>Trial registration</h3><p>The trial was pre-registered at ClinicalTrials.gov with the trial identifier NCT06034210 on September 4, 2023, and publicly posted on September 13, 2023 (<span>https://clinicaltrials.gov/study/NCT06034210</span><svg><path></path></svg>).</p></div><div><h3>Protocol version</h3><p>Version 1, September 27, 2023.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"58 ","pages":"Article 102068"},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0958259224000014/pdfft?md5=86b9382994da76cf12039af4f9920d14&pid=1-s2.0-S0958259224000014-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139726986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First tarsometatarsal arthrodesis for severe hallux valgus using the tension band principle – Technical tip and case series","authors":"Neil Limaye ,&nbsp;Tejas Kotwal ,&nbsp;Yousif Alkhalfan ,&nbsp;Thomas L. Lewis ,&nbsp;Ali Abbasian","doi":"10.1016/j.foot.2024.102069","DOIUrl":"https://doi.org/10.1016/j.foot.2024.102069","url":null,"abstract":"<div><h3>Background</h3><p>Hallux valgus (HV) is a common foot pathology. Severe HV in the presence of Tarsometatarsal joint (TMTJ) instability is often managed with arthrodesis of the 1st TMTJ. There are concerns regarding non-union and malunion (particularly the early loss of inter-metatarsal angle correction before complete arthrodesis). We report our medium-term results of a small series of patients that underwent an evolved surgical technique utilising orthogonal staples and a transverse suture button fixation to address biomechanical concerns with traditional Lapidus arthrodesis.</p></div><div><h3>Methods</h3><p>A retrospective study of a consecutive series of patients who underwent this surgical technique between February 2017 and May 2022. Clinical outcomes were validated through Patient-reported outcomes measures (PROMS); EuroQol-5 Dimension (EQ-5D) and Manchester-Oxford Foot Questionnaires (MOXFQ). Radiographic parameters (hallux valgus (HVA), intermetatarsal (IMA), distal metatarsal articular angle (DMAA)) were assessed. Union of the arthrodesis and complications were recorded.</p></div><div><h3>Results</h3><p>During the study period, 9 feet underwent the procedure. Radiographic data was available for all nine and PROMS data for seven (77.8%). Significant improvement occurred in all radiographic deformity parameters at mean 6-month follow-up. Mean ± standard deviation correction calculated preoperatively as HVA 40.2°, IMA 19.3° and DMAA 15.8°, corrected to HVA 15.4°, IMA 5.8° and DMAA 5.9° postoperatively. (HVA; P &lt; 0.001, IMA; P &lt; 0.001, DMAA; P &lt; 0.001) Clinical PROMs at mean follow-up of 2 years were MOXFQ 34.4 ± 25.2, EQ-5D-5 L 0.819 ± 0.150 and VAS pain 13.6 ± 13.6. There were no cases of non-union, Tibialis anterior tendon irritation or hallux varus. Complications included first MTPJ stiffness in one case and CRPS and dorsiflexion malunion of the first ray in another patient.</p></div><div><h3>Conclusion</h3><p>This preliminary study of the procedure used in this series confirm this is a safe surgical technique to address severe HV with a low rate of non-union and significant radiographic improvements. A larger patient dataset is needed to evaluate this procedure robustly.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"58 ","pages":"Article 102069"},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139694629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploration of the mechanistic link between the enhanced paper grip test and the risk of falling","authors":"Mahmoud K. Mansi,&nbsp;Nachiappan Chockalingam,&nbsp;Panagiotis E. Chatzistergos","doi":"10.1016/j.foot.2023.102059","DOIUrl":"10.1016/j.foot.2023.102059","url":null,"abstract":"<div><p>The enhanced paper grip test (EPGT) offers an easy-to-use measure of hallux plantar-flexion strength that does not need expensive specialised equipment. Literature suggests that it could be a useful screening tool to assess the risk of falling in older people. However, research on a specific mechanistic link to the risk of falling is lacking. It is hypothesised here that muscle weakening (assessed by the EPGT) is indicative of impaired ability to recover balance after a slip or a trip. To get an initial assessment of validity of the above hypothesis, the EPGT is compared against an established lab-based measure of lower-limb strength that is capable of assessing a person’s ability to recover balance after a slip or a trip: maximum isometric leg press push-off force (leg press force). A gender-balanced sample of twenty people (median age=34 y) was recruited. Two different but equaly valid techniques of administering the EPGT were included regarding whether the participants’ ankle was supported by the examiner or not. Results for the two EPGT techniques differed susbtantialy but they were both significantly associated with leg press force and therefore linked to better ability to maintain balance after a slip or a trip. The “ankle not held” EPGT technique was more strongly correlated to leg press force (r(18) = 0.652, p = 0.002) than the “ankle held” (r(18) = 0.623, p = 0.003) and appears to be the more favourable technique to administer the EPGT. These findings offer new insight on a potential mechanistic link between the EPGT and the risk of falling and support its optimal use in future research involving older people.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"57 ","pages":"Article 102059"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0958259223001001/pdfft?md5=bf777ea0ffce88a41433655ba4496543&pid=1-s2.0-S0958259223001001-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hallux valgus; An observational study on patient characteristics, surgical treatment and pre-operative HRQoL from the Swedish foot and ankle register (Swefoot)","authors":"Ann-Charlott Söderpalm ,&nbsp;Fredrik Montgomery ,&nbsp;Katarina Nilsson Helander ,&nbsp;Maria C. Cöster","doi":"10.1016/j.foot.2023.102060","DOIUrl":"10.1016/j.foot.2023.102060","url":null,"abstract":"<div><h3>Introduction</h3><p>Hallux valgus (HV) is a common condition with impact on pain, function and HrQoL. International consensus does not exist on operative treatment of HV and population-level data regarding surgical treatment of HV is lacking. In this study we aimed to present base-line data from surgically treated HV patients reported to the Swedish register for foot and ankle surgery (Swefoot) during the period 2014–2021.</p></div><div><h3>Material and Methods</h3><p>In total, 7543 feet in 6770 patients were analyzed regarding patient characteristics, grading of HV, surgical procedures and pre-operative PROMs Euroqol-5 Dimension-3 L (EQ-5D-3 L) and Self-reported Foot and Ankle Score (SEFAS).</p></div><div><h3>Results</h3><p>Median age was 55 years (range 15–91) and 87% were women. The surgeon classified 63% of the cases as moderate HV, 15% as mild and 22% as severe. The Chevron osteotomy was the preferred surgical method and was used in 74% of all cases. Out of these, 58% were fixated with a screw. The Offset-V osteotomy was the most performed shaft osteotomy. Proximal osteotomies and lateral releases were less common. The pre-operative mean EQ-5D-3 L index and SEFAS summary score were low and HV patients with overweight and rheumatoid arthritis had significantly lower scores.</p></div><div><h3>Conclusion</h3><p>This is the first report from Swefoot describing surgeon- and patient reported pre-operative data in patients with surgical treated HV.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"57 ","pages":"Article 102060"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0958259223001013/pdfft?md5=e5238ecb1b3a49c5ecbddee53f22519b&pid=1-s2.0-S0958259223001013-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Dorsal Bridge Plate Fixation in the Operative Management of Lisfranc Injuries – A Retrospective Cohort Study at Medium Term Follow-Up","authors":"Martin S. Davey ,&nbsp;David O’Sullivan ,&nbsp;Fergus J. McCabe ,&nbsp;Paula McQuail ,&nbsp;Stephen R. Kearns","doi":"10.1016/j.foot.2023.102061","DOIUrl":"10.1016/j.foot.2023.102061","url":null,"abstract":"<div><h3>Introduction</h3><p><span><span>Traditionally, early surgical management of Lisfranc injuries with transarticular screws (TAS) was deemed to be the optimal treatment. However, concerns of potential iatrogenic </span>articular cartilage disruption has led to discrepancies in opinion amongst surgeons, with many surgeons now utilizing dorsal bridge plates (DBP) for </span>ORIF of Lisfranc injuries.</p></div><div><h3>Objectives</h3><p>This study sought to investigate the clinical outcomes at medium-term follow-up of consecutive patients in our institution who underwent ORIF with DBP for Lisfranc injuries.</p></div><div><h3>Methods</h3><p>All consecutive patients who underwent ORIF with DBPs for Lisfranc injuries were identified. Outcomes of interest included; visual analogue scale<span> (VAS), functional foot index (FFI), American Orthopaedic Foot &amp; Ankle Surgeons (AOFAS) hindfoot scores, and complications.</span></p></div><div><h3>Results</h3><p>Overall, 37 consecutive patients (24 males) with a mean age of 34.8 ± 13.0 years underwent ORIF with DBPs for lisfranc injuries. After a mean 48.3 ± 28.7 months, the mean reported AOFAS and FFI scores were 77.4 ± 23.8 and 31.9 ± 32.7 respectively, with satisfactory reported pain scores as measured by VAS post-operatively at rest and whilst walking (2.2 ± 2.5 and 3.1 ± 2.6 respectively). The reported satisfaction rate was 86.5% (32/37). Overall, 25 patients (67.6%) had subsequent removal of metal or were listed for same, 88% (22/25) of whom did so electively in the absence of broken screws or infection.</p></div><div><h3>Conclusion</h3><p>This study found that the use of Dorsal Bridge Plates for Open Reduction and Internal Fixation of Lisfranc Injuries resulted in satisfactory functional outcomes, high rates of patient-reported satisfaction and a low complication rate at medium-term follow-up.</p></div><div><h3>Level of Evidence</h3><p>Level IV; Retrospective Series of Consecutive Patients</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"58 ","pages":"Article 102061"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136129585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}