Foot & Ankle Orthopaedics最新文献

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Orthogonal C-arms for Third-Generation Minimally Invasive Correction of Hallux Valgus: A Technique Tip.
Foot & Ankle Orthopaedics Pub Date : 2024-12-19 eCollection Date: 2024-10-01 DOI: 10.1177/24730114241308574
Daniel D Bohl, Derek M Klavas, Alaa Mahmoud, Eric C Bellinger
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引用次数: 0
Impact of Virtual Clinics on Streamlining NHS Outpatient Waiting Lists and Carbon Emissions.
Foot & Ankle Orthopaedics Pub Date : 2024-12-18 eCollection Date: 2024-10-01 DOI: 10.1177/24730114241305603
Bhaskar Amarnath Bhavanasi, Shrikant Kulkarni
{"title":"Impact of Virtual Clinics on Streamlining NHS Outpatient Waiting Lists and Carbon Emissions.","authors":"Bhaskar Amarnath Bhavanasi, Shrikant Kulkarni","doi":"10.1177/24730114241305603","DOIUrl":"https://doi.org/10.1177/24730114241305603","url":null,"abstract":"<p><strong>Background: </strong>The National Health Service (NHS) outpatient waiting list is growing, affecting specialties like foot and ankle. Delays are due to increasing demand, limited resources, and administrative inefficiencies. Virtual clinics are being explored to reduce physical clinic burdens and provide timely care. This study investigates the effectiveness of virtual clinics in reducing prolonged waiting times in the foot and ankle specialty. Emissions from personal vehicles are a primary driver of climate change, which is a little recognized benefit of virtual clinics.</p><p><strong>Methods: </strong>We analyzed outcomes from a virtual elective foot and ankle clinic, overseen by a specialist consultant, for new elective referrals over 4 months. Data for 175 patients were collected from Lorenzo, our electronic health records system. We also assessed the success rate of virtual consultations in terms of accurate diagnoses and effective treatment plans. Measured distance to the hospital based was on patients' residential address.</p><p><strong>Results: </strong>The virtual clinic effectively managed patients. Of the 175 patients, 48.6% completed treatment, and were discharged, and 53.7% were managed without face-to-face consultations. In addition, 66.3% did not need in-person visits; this includes patients treated and discharged and who were referred for investigations. In this clinic, avoiding 1 visit to the hospital by 116 patients saved travel of 1040 miles.</p><p><strong>Conclusion: </strong>The widespread adoption of virtual clinics can provide a convenient and cost-effective health care solution for patients and also potentially help reduce carbon emissions contributing to control global warming.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 4","pages":"24730114241305603"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853677","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}
引用次数: 0
Idiopathic Bacterial Peroneal Tenosynovitis: A Case Report and Literature Review.
Foot & Ankle Orthopaedics Pub Date : 2024-12-17 eCollection Date: 2024-10-01 DOI: 10.1177/24730114241303933
Tanios Dagher, Douglas J Weaver, Kelly Hynes
{"title":"Idiopathic Bacterial Peroneal Tenosynovitis: A Case Report and Literature Review.","authors":"Tanios Dagher, Douglas J Weaver, Kelly Hynes","doi":"10.1177/24730114241303933","DOIUrl":"https://doi.org/10.1177/24730114241303933","url":null,"abstract":"<p><p>Visual AbstractThis is a visual representation of the abstract.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 4","pages":"24730114241303933"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853676","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}
引用次数: 0
Modern Treatment of Hallux Rigidus by Cheilectomy: A Systematic Review of Patient-Reported Outcomes in Minimally Invasive Techniques.
Foot & Ankle Orthopaedics Pub Date : 2024-12-17 eCollection Date: 2024-10-01 DOI: 10.1177/24730114241303169
Scott D Semelsberger, Michael S Lee, Cale B Dobson, Christopher P Miller, Arianna L Gianakos
{"title":"Modern Treatment of Hallux Rigidus by Cheilectomy: A Systematic Review of Patient-Reported Outcomes in Minimally Invasive Techniques.","authors":"Scott D Semelsberger, Michael S Lee, Cale B Dobson, Christopher P Miller, Arianna L Gianakos","doi":"10.1177/24730114241303169","DOIUrl":"https://doi.org/10.1177/24730114241303169","url":null,"abstract":"<p><strong>Background: </strong>Minimally invasive cheilectomy is becoming a more prominent surgical approach in the management of mild to moderate hallux rigidus. This systematic review aims to analyze and present the current literature on patient-reported outcomes following minimally invasive (MIS) cheilectomy for mild to moderate hallux rigidus.</p><p><strong>Methods: </strong>PubMed, Cochrane Central Register of Controlled Trials, and Scopus databases were searched in April 2024. Inclusion criteria consisted of articles evaluating patients undergoing cheilectomy through an MIS approach either using fluoroscopy or arthroscopy, studies that reported patient-reported outcomes, and studies written in English. The primary outcome measure was scored patient-reported outcomes. The secondary outcome measures included complications, secondary surgeries, surgical techniques, return to activity, patient satisfaction, and grades of hallux rigidus.</p><p><strong>Results: </strong>Eight studies met the inclusion criteria, and a total of 296 patients were evaluated. Overall, 36 of 296 (12.2%) underwent arthroscopy with a shaver, 130 of 296 (43.9%) underwent an MIS percutaneous approach with burr, and 130 of 296 (43.9%) had a combination of both techniques. The mean reported range of motion (dorsiflexion) improved from 32.4 degrees (range, 6.3-50.0 degrees) to 61.2 degrees (range, 47.6-89.6 degrees). All studies that reported patient outcomes scores demonstrated improved outcomes regardless of surgical technique. Overall combined reported complication rate was 18 of 296 (6.1%), with the most common complication being dorsomedial cutaneous nerve problems, affecting 6 of 296 patients (2.0%).</p><p><strong>Conclusion: </strong>Minimally invasive cheilectomy results in positive patient outcomes, patient satisfaction, preserves range of motion, and has low complication rates for the treatment of mild to moderate hallux rigidus.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 4","pages":"24730114241303169"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853679","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}
引用次数: 0
Impact of Joint Line Level in Total Ankle Arthroplasty: Standard Techniques vs Patient-Specific Instruments.
Foot & Ankle Orthopaedics Pub Date : 2024-12-16 eCollection Date: 2024-10-01 DOI: 10.1177/24730114241303474
Alberto Arceri, Antonio Mazzotti, Federico Sgubbi, Simone O Zielli, Elena Artioli, Laura Langone, Pejman Abdi, Cesare Faldini
{"title":"Impact of Joint Line Level in Total Ankle Arthroplasty: Standard Techniques vs Patient-Specific Instruments.","authors":"Alberto Arceri, Antonio Mazzotti, Federico Sgubbi, Simone O Zielli, Elena Artioli, Laura Langone, Pejman Abdi, Cesare Faldini","doi":"10.1177/24730114241303474","DOIUrl":"https://doi.org/10.1177/24730114241303474","url":null,"abstract":"<p><strong>Background: </strong>Total ankle arthroplasty (TAA) is an effective treatment for severe end-stage ankle osteoarthritis (AO). Despite satisfactory results, range of motion (ROM) is still suboptimal compared to healthy ankles. This issue may stem from different conditions, and the difficulty in accurately restoring the height of the joint line may be one of them. Recent studies in TAA have demonstrated that an elevated joint line is associated with reduced postoperative ROM and poorer functional scores. To improve the accuracy of bone resection and implant positioning, the use of patient-specific instruments (PSIs) has been proposed. The aim of this study is to compare joint line height, ROM, and functional clinical outcomes between standard TAA and TAA using PSI.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on a consecutive cohort of patients who underwent standard TAA and TAA with PSI between January 2020 and December 2022. Radiographic assessments, including measurement of joint line height ratio (JLHR) and ROM, were performed. The clinical outcome was assessed using the Forgotten Joint Score.</p><p><strong>Result: </strong>Fifty-one patients underwent standard TAA, whereas 13 received TAA with PSI. The mean JLHR preoperatively was 1.51 ± 0.24 and postoperatively was 1.56 ± 0.23 in the standard TAA group (<i>P</i> = .056). Conversely, the mean JLHR of PSI TAA group passed from 1.52 ± 0.19 to 1.41 ± 0.21 after TAA (<i>P</i> < .05). Although the postoperative joint line level in the PSI TAA group was lower compared with both the preoperative levels and the postoperative standard TAA group (<i>P</i> < .05), no significant differences were observed in ROM or clinical outcome scores at the mean 1-year follow-up.</p><p><strong>Conclusion: </strong>This study suggests that PSI may improve the accuracy of reestablishing this implant's alignment closer to the native joint line. However, contrary to the study's initial hypothesis, PSI was not associated with any difference in ROM or clinical outcomes compared with standard TAA technique. Additional factors including the prosthetic implant design, presence of heterotopic calcifications, soft tissue contracture, surgical technique, post-TAA tibial slope, and preoperative ROM may have a greater impact than joint line level.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 4","pages":"24730114241303474"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846482","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}
引用次数: 0
Biomechanical Evaluation of Different Fixation Methods for Percutaneous Extracapsular Transverse Cervical Metatarsal Osteotomy in a Hallux Valgus Sawbone Model.
Foot & Ankle Orthopaedics Pub Date : 2024-12-13 eCollection Date: 2024-10-01 DOI: 10.1177/24730114241303768
Pablo Wagner, Emilio Wagner, Miguel Pinochet, David Salinas, Peter Lam
{"title":"Biomechanical Evaluation of Different Fixation Methods for Percutaneous Extracapsular Transverse Cervical Metatarsal Osteotomy in a Hallux Valgus Sawbone Model.","authors":"Pablo Wagner, Emilio Wagner, Miguel Pinochet, David Salinas, Peter Lam","doi":"10.1177/24730114241303768","DOIUrl":"https://doi.org/10.1177/24730114241303768","url":null,"abstract":"<p><strong>Background: </strong>There is limited literature available that provide information about fixation methods for minimally invasive hallux valgus osteotomies. Our objective was to evaluate the strength of different fixation methods for a percutaneous extracapsular transverse cervical metatarsal (PTCM) osteotomy in a sawbone model.</p><p><strong>Methods: </strong>Thirty solid foam sawbone foot models were used. Percutaneous extracapsular transverse cervical metatarsal osteotomies were performed and fixed in a standardized fashion in 6 different groups: (1) one 4.0-mm screw; (2) 2 (one 4.0-mm and one 3.0-mm) parallel screws; (3) 2 (one 4.0-mm and one 3.0-mm) divergent screws; (4) same as group 3, but with lateral metatarsal head cortex purchase with the 4.0-mm screw; (5) same as group 4, but with two 4.0-mm screws; (6) same as group 5, but with two 3.5-mm screws. Cyclic and load to failure testing were performed applying a plantar load to the metatarsal head. The measured variables were stiffness and force needed to create deformity using a Zwick Roell Universal Testing Machine.</p><p><strong>Results: </strong>Group 1 failed as a result of rotational instability in cyclic testing. In load to failure testing, group 3 did not achieve difference compared with group 2 (<i>P</i> = .09) (181 vs 131 N). Group 4 was stronger (<i>P</i> = .02) (250 N) than groups 1-3. Group 5 did not show differences relative to group 4 (<i>P</i> = .1) (223 N). Group 6 was stronger only than groups 1 and 2 (<i>P</i> = .01) (193 N).</p><p><strong>Conclusion: </strong>In this sawbones-based study, we found that the use of two 4.0-mm screws or use of a 3.0-mm screw and a 4.0-mm screw with lateral first metatarsal head cortical purchase was superior to other screw configurations.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 4","pages":"24730114241303768"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827853","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}
引用次数: 0
Medial Malleolar Stress Fracture Treatment and Return to Activity: A Systematic Review.
Foot & Ankle Orthopaedics Pub Date : 2024-12-12 eCollection Date: 2024-10-01 DOI: 10.1177/24730114241303463
Daniel C Touhey, Nikko D Beady, Sina Tartibi, Andrew P Thome, Robert H Brophy, Matthew J Matava, Matthew V Smith, Derrick M Knapik
{"title":"Medial Malleolar Stress Fracture Treatment and Return to Activity: A Systematic Review.","authors":"Daniel C Touhey, Nikko D Beady, Sina Tartibi, Andrew P Thome, Robert H Brophy, Matthew J Matava, Matthew V Smith, Derrick M Knapik","doi":"10.1177/24730114241303463","DOIUrl":"10.1177/24730114241303463","url":null,"abstract":"<p><strong>Background: </strong>Medial malleolar stress fractures (MMSFs) naturally appear to occur primarily in athletes participating in sports requiring prolonged running or repetitive jumping. Nonoperative and operative modalities have been described, yielding a wide range of outcomes and return to activity (RTA) rates.</p><p><strong>Hypothesis/purpose: </strong>To systematically review the current literature to identify reports of MMSFs to better understand the current state of treatment, outcomes, and RTA rate.</p><p><strong>Methods: </strong>Studies published in PubMed, Embase, and the Cochrane Library reporting on patients sustaining MMSF from inception to October 2024 were identified. Human subjects, articles published in English, and studies reporting treatment (operative vs nonoperative), outcomes, RTA rates, and the incidence of any complications, were included.</p><p><strong>Results: </strong>Seventeen studies were identified, consisting of 68 patients, with 74% (n = 50/68) of patients being male. Weighted mean patient age was 26.1 (range, 9-73) years. Overuse injury mechanisms during sporting activities accounted for 94% (n = 64/68) of injuries, with soccer being the most commonly reported athletic activity (n = 18). Initial operative management was reported in 44% (n = 30/68) of patients at a weighted mean of 10.1 weeks from symptom onset, with an additional 14 patients undergoing operative treatment following a weighted mean 16.8-week trial of nonoperative management. Complications following treatment were reported in 4 (n = 4/30) patients treated initially with surgery and 2 (n = 2/38) patients initially treated nonoperatively. A total of 98% (n = 57/58) of patients reported successful return to preinjury activity levels at a weighted mean of 3.4 months.</p><p><strong>Conclusion: </strong>Medial malleolar stress fractures are reported to occur primarily in younger, adult patients, commonly as a result of overuse, especially in individuals participating in soccer. Operative management was performed in 65% (n = 44/68) of overall cases with a low rate of complication and a high rate of successful RTA following nonoperative and operative management.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 4","pages":"24730114241303463"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827862","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}
引用次数: 0
A New Clinical Test to Evaluate Intrinsic Foot Muscle Function.
Foot & Ankle Orthopaedics Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.1177/24730114241303172
Megna Panchbhavi, Michael C Poliner, Patrick M Finegan, Daniel C Jupiter
{"title":"A New Clinical Test to Evaluate Intrinsic Foot Muscle Function.","authors":"Megna Panchbhavi, Michael C Poliner, Patrick M Finegan, Daniel C Jupiter","doi":"10.1177/24730114241303172","DOIUrl":"10.1177/24730114241303172","url":null,"abstract":"<p><strong>Background: </strong>Intrinsic foot muscle weakness has been implicated in a wide range of forefoot conditions and is typically measured by the paper grip test. The proposed \"knuckle test\" is intended to evaluate intrinsic foot muscle function, in which active flexion of toes makes the metatarsal heads (\"knuckles\") prominent in the forefoot. This study seeks to compare prevalence of negative knuckle test results and intrinsic muscle weakness in patients, primarily by association with a positive paper grip test result and secondarily with presence of toe deformities.</p><p><strong>Methods: </strong>Ninety-eight patients, 55 with toe deformity and 43 without, were evaluated for ability to flex their toes to the extent of knuckle prominence (knuckle test) and grip paper on the ground with their toes (paper grip test). Variables were compared between those with positive and negative knuckle test results.</p><p><strong>Results: </strong>A negative knuckle test result is significantly associated with the inability to grip a paper strip (<i>P</i> < .05).</p><p><strong>Conclusion: </strong>Given that the paper grip test outcomes are a well-established sign of intrinsic muscle weakness, the significant association between knuckle and paper grip test outcomes substantiates the use of the knuckle test to detect intrinsic muscle weakness. The knuckle test is a potentially quick, simple, and cost-effective clinical maneuver to indicate intrinsic foot muscle weakness in a patient.</p><p><strong>Level of evidence: </strong>Level III, diagnostic test development.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 4","pages":"24730114241303172"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817691","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}
引用次数: 0
Nitinol Compression Staples in Foot Orthopaedic Surgery: A Systematic Review.
Foot & Ankle Orthopaedics Pub Date : 2024-11-30 eCollection Date: 2024-10-01 DOI: 10.1177/24730114241300158
Akshay R Reddy, Hailey Hampton, Wojciech K Dzieza, R James Toussaint
{"title":"Nitinol Compression Staples in Foot Orthopaedic Surgery: A Systematic Review.","authors":"Akshay R Reddy, Hailey Hampton, Wojciech K Dzieza, R James Toussaint","doi":"10.1177/24730114241300158","DOIUrl":"https://doi.org/10.1177/24730114241300158","url":null,"abstract":"<p><strong>Background: </strong>Nitinol compression staples have been increasingly used in foot and ankle orthopaedic surgery because of simple implantation, reproducibility, and favorable biomechanical features. Compared with traditional implants (i.e., plates and screws), nitinol staple use in foot and ankle orthopaedics has not been extensively described. This systematic review aims to describe the current clinical outcomes of nitinol staple use in forefoot and midfoot surgery.</p><p><strong>Methods: </strong>A search was conducted using PubMed, Web of Science, and Embase. All studies that included clinical outcomes of nitinol in foot surgery were evaluated for their demographics, outcome scores, or complication rates. Biomechanical studies and studies investigating nitinol nails in the hindfoot were excluded. Two reviewers screened titles, abstracts, and full texts.</p><p><strong>Results: </strong>Of the 198 total articles from the search, 9 articles met the inclusion criteria. Of the 9 articles, 4 articles investigated outcomes of nitinol in the forefoot, 3 articles in the midfoot, 1 article in the forefoot and midfoot, and 1 article in the midfoot and hindfoot. This systematic review included articles that were retrospective in nature and thus subject to selection bias. The mean follow-up ranged from 6 to 35.9 months. The included studies demonstrated significantly improved postoperative visual analog scale pain score (<i>P</i> < .001), Ankle Osteoarthritis Scale scores (<i>P</i> < .001), and Foot and Ankle Ability Measure activities of daily living scores (<i>P</i> < .001). Of the 6 studies that report union for patients receiving purely nitinol staple constructs or nitinol staples in combination with another construct, the overall fusion rate was 94.6% and the overall complication rate was 11.25%.</p><p><strong>Conclusion: </strong>This systematic review demonstrates that nitinol staples in foot surgery, whether alone or in combination with another construct, can achieve an acceptable fusion rate. However, currently we found highly limited clinical study data directly comparing nitinol staples to traditional implants. The current literature is heterogenous in its discussion of nitinol staple configurations and designs.</p><p><strong>Level of evidence: </strong>Level IV, Systematic Review.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 4","pages":"24730114241300158"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767712","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}
引用次数: 0
Achilles Tendon Ruptures in National Hockey League Players: Return to Sport and Performance Impact.
Foot & Ankle Orthopaedics Pub Date : 2024-11-29 eCollection Date: 2024-10-01 DOI: 10.1177/24730114241300153
Emmitt Hayes, Bradley Meulenkamp, Bogdan Matache, Michael Pickell
{"title":"Achilles Tendon Ruptures in National Hockey League Players: Return to Sport and Performance Impact.","authors":"Emmitt Hayes, Bradley Meulenkamp, Bogdan Matache, Michael Pickell","doi":"10.1177/24730114241300153","DOIUrl":"https://doi.org/10.1177/24730114241300153","url":null,"abstract":"<p><strong>Background: </strong>Few studies assess rates of return to play and postinjury performance in National Hockey League (NHL) players who sustain Achilles tendon ruptures. Our objective was to determine the rate of return to play and performance impact among NHL players who undergo surgical repair of Achilles tendon tears.</p><p><strong>Methods: </strong>NHL players who sustained an Achilles tendon rupture between 2001 and 2021 were identified using a publicly available injury database. Demographic and outcome data were collected for the 1-year period preceding and the 2-year period following surgery. Our primary outcome was expected wins above replacement per 60 minutes played. A position, draft year, and index season performance matched cohort was created. Pre- and postinjury outcomes were compared between cases and controls with a paired <i>t</i> test.</p><p><strong>Results: </strong>We identified 15 cases (9 forwards, 5 defencemen, 1 goaltender). Fourteen of 15 (93%) players returned to play. Preinjury, postinjury year 1, and postinjury year 2 expected wins above replacement were 0.05, 0.05, 0.05 respectively (<i>P</i> > .05). There was no significant difference in performance between cases and controls at any time point.</p><p><strong>Conclusion: </strong>Achilles tendon tears are associated with a high rate of return to play in the NHL and are not associated with a significant change in offensive, defensive, or overall performance-based metrics.</p><p><strong>Level of evidence: </strong>Level III, case-control study.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 4","pages":"24730114241300153"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767699","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}
引用次数: 0
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