Foot & Ankle Orthopaedics最新文献

{"title":"Correction of Severe Hallux Valgus Deformity Using a Percutaneous Metatarsal Distal Osteotomy.","authors":"Jonas Müller, Gilles Dietrich, Igor Gossuin, Marc Prod'homme, Salah Dine Qanadli, Elyazid Mouhsine","doi":"10.1177/24730114251363448","DOIUrl":"10.1177/24730114251363448","url":null,"abstract":"<p><strong>Background: </strong>Severe hallux valgus (HV) presents a significant surgical challenge. Traditional methods are being questioned because of their invasiveness, whereas recent minimally invasive techniques raise concerns because of their associated complications. This study evaluates the percutaneous distal metatarsal osteotomy technique, generally found to be effective for mild-to-moderate cases, and tests the hypothesis that it provides effective clinical and radiologic correction for severe deformities.</p><p><strong>Methods: </strong>This retrospective study analyzed 116 feet that underwent percutaneous distal metatarsal transverse osteotomy with lateral soft tissue release and provisional Kirschner wire fixation, with a mean follow-up of 27.1 months, limited to severe cases (hallux valgus angle [HVA] > 40 degrees). Radiologic assessments included preoperative and postoperative measurements of HVA, intermetatarsal angle (IMA), distal metatarsal articular angle, sesamoid position, first metatarsophalangeal (MTPI) joint congruency, metatarsal length, and sagittal position. Clinical evaluations used the AOFAS scale, documenting the recurrence rate, the nature of complications, reoperations, and the association between them. Patient satisfaction was assessed through self-reported evaluations.</p><p><strong>Results: </strong>Significant improvements were noted for HVA (median correction from 43.1 to 14.6 degrees) and IMA (median correction from 17.2 to 8.5 degrees). The metatarsal was shortened by 5.4 mm. There was a notable reduction in the degree of sesamoid displacement and MTPI congruency. Sagittal position remained unchanged in 85.3%. The median AOFAS score improved from 44.0 to 90.5, well above the clinically significant improvement threshold, and 87.9% of patients were satisfied or very satisfied. We recorded no major complications and minor complications at a rate of 35.3%. Reoperation rate was 14.7%, primarily due to exostoses. Significant associations were found between postoperative sesamoid position and clinical outcome, and between reoperation rate, exostosis, and MTPI congruency, emphasizing the importance of correcting these parameters. Recurrence rate was 6%. Patient satisfaction was associated with reoperation and complications, but not with radiologic parameters.</p><p><strong>Conclusion: </strong>Percutaneous distal metatarsal osteotomy achieved substantial correction of severe hallux valgus with significant improvements in angular measurements, high patient satisfaction (87.9%), and no major complications. Although the technique shows promise as a less invasive alternative with comparable radiographic outcomes, the 14.7% reoperation rate (primarily for exostoses) and 6% recurrence rate must be considered. Prospective comparative studies are needed to establish its role relative to other surgical approaches for severe deformities.<b>Level of Evidence:</b> Level IV, retrospective case series.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 3","pages":"24730114251363448"},"PeriodicalIF":0.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948633","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":"Clinical Outcomes after ORIF vs Arthrodesis for Subtle Lisfranc Injuries: A Minimum 2-Year Comparative Study.","authors":"Jayson Stern, Allison Boden, David Cho, Saanchi Kukadia, Prashanth Kumar, Mark Drakos","doi":"10.1177/24730114251355490","DOIUrl":"10.1177/24730114251355490","url":null,"abstract":"<p><strong>Background: </strong>Subtle Lisfranc injuries, defined by 2-5 mm of first webspace diastasis, pose unique treatment challenges distinct from more severe injuries. This study aimed to evaluate whether a primary open reduction internal fixation (ORIF) or a primary arthrodesis (PA) optimizes clinical outcomes and minimizes complications in treating subtle Lisfranc injuries.</p><p><strong>Methods: </strong>This study included patients who had a nondislocation Lisfranc injury with a proximal first webspace (between the medial cuneiform and second metatarsal base) diastasis of 2-5 mm, and underwent either a primary ORIF or primary arthrodesis. Preoperative weightbearing radiographs were reviewed to confirm subtle Lisfranc injuries. Of the 73 patients who met the inclusion criteria, 41 received a PA and 32 received an ORIF. Treatment selection was based on surgeon preference. Patient-reported outcomes via PROMIS scores were collected preoperatively and at least 2 years postoperatively. Subsequent procedures were also recorded.</p><p><strong>Results: </strong>We received PROMIS surveys from 57 patients (78%). The average preoperative diastasis of the ORIF group significantly differed from that of the PA group (<i>P</i> < .05). Both ORIF and PA cohorts demonstrated significant improvement in all physical PROMIS criteria on minimum 2-year follow-up (<i>P</i> < .05). Our results did not demonstrate a significant difference in patient-reported outcomes between the ORIF and PA groups. There was no significant difference in the incidence of complications between groups, but the ORIF group underwent significantly more hardware removal procedures than the PA group (<i>P</i> < .01).</p><p><strong>Conclusion: </strong>This study compared outcomes of subtle Lisfranc injuries treated with ORIF and PA. Our results demonstrated no significant differences between ORIF and PA outcomes. This study suggests that both ORIF and PA may be viable options for subtle Lisfranc injuries; however, further research is needed to determine which may be optimal for different patient populations.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 3","pages":"24730114251355490"},"PeriodicalIF":0.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948593","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":"Cost-Effectiveness Thresholds for Venous Thromboembolism Prophylaxis in Ankle Fracture Surgery: A Break-Even Analysis.","authors":"Kush Mody, Avani A Chopra, David Ahn, Michael Aynardi, Sheldon Lin","doi":"10.1177/24730114251363497","DOIUrl":"10.1177/24730114251363497","url":null,"abstract":"<p><strong>Background: </strong>The role of venous thromboembolism (VTE) chemoprophylaxis following ankle fracture surgery remains controversial. Although pharmacologic prophylaxis is standard in major orthopaedic procedures, its utility in foot and ankle trauma surgery is unclear because of low reported VTE rates and potential bleeding risks. Furthermore, no consensus exists on the cost-effectiveness of prophylactic agents in this population.</p><p><strong>Methods: </strong>A literature review and the TriNetX Research Network were used to identify postoperative symptomatic VTE rates following ankle open reduction internal fixation (ORIF). The cost of treating a symptomatic VTE was estimated from existing literature and adjusted to 2025 US dollars. Drug pricing data were obtained from an online pharmacy database. A break-even analysis was conducted to calculate the absolute risk reduction (ARR) and number needed to treat (NNT) for each agent to be cost-effective. A subanalysis compared 30-day bleeding and transfusion rates between patients who received prophylaxis and those who did not.</p><p><strong>Results: </strong>The low and high literature-based VTE rates were 0.33% and 1.2%, whereas the TriNetX-derived VTE rate was 0.56%. Among 64 184 patients undergoing ankle ORIF without prophylaxis, 384 developed a symptomatic VTE. Aspirin (81 mg and 325 mg) and warfarin (5 mg) were cost-effective at all 3 VTE rates, with NNTs ranging from 9217 to 10 547. Enoxaparin (40 mg) was only cost-effective at the highest VTE rate (NNT = 131), whereas rivaroxaban (20 mg) was not cost-effective at any rate. Enoxaparin and rivaroxaban became cost-effective only when VTE treatment costs exceeded $50 000 and $1 500 000, respectively. Patients receiving prophylaxis had higher bleeding (0.56% vs 0.26%) and transfusion (0.82% vs 0.25%) rates (<i>P</i> < .001).</p><p><strong>Conclusion: </strong>In summary, this study found that aspirin 81 mg, aspirin 325 mg, and warfarin are cost-effective for VTE chemoprophylaxis following ankle fracture fixation. Enoxaparin and rivaroxaban are generally not cost-effective, and their use may be appropriate only in high-risk patients.</p><p><strong>Level of evidence: </strong>Level IV, economic analysis.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 3","pages":"24730114251363497"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948636","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":"Compensation Claims After Treatment of Achilles Tendon Ruptures in Norway From 2010 to 2020.","authors":"Tor Kristian Molstad Andresen, Per-Henrik Randsborg, Ståle Bergman Myhrvold, Rune Bruhn Jakobsen","doi":"10.1177/24730114251361475","DOIUrl":"10.1177/24730114251361475","url":null,"abstract":"<p><strong>Background: </strong>Compensation claims caused by medical treatment errors provide valuable insights into patients' experiences with received medical treatment and can help identify injuries and disabilities that might be preventable through optimized care. The objective of this retrospective descriptive study was to characterize accepted compensation claims filed after treatment for acute Achilles tendon rupture (ATR) in Norway, and to explore whether claim outcomes were associated with treatment modality or institutional catchment area.</p><p><strong>Methods: </strong>All claims filed to the Norwegian System of Patient Injury Compensation (NPE) after treatment of ATR between 2010 and 2020 were collected and categorized. The claims were organised based on whether they were accepted or denied, the initial treatment given, patient demographics, the reasons given by patients for filing claims, and the rationale provided by the NPE for accepting or rejecting compensation claims. Additionally, hospital patient catchment population were analyzed in relation to accepted claims.</p><p><strong>Results: </strong>One hundred forty-six compensation claims were received, of which 61 (41.8%) were accepted. Most accepted claims were related to surgical treatment (n = 30, 49%) or insufficient treatment (n = 22, 36%). The most frequent reason for claim acceptance was delayed diagnosis and/or treatment (15/61, 25%), followed by postoperative infections (10/61, 16%). There was no statistically significant correlation between accepted claims and institutional catchment area population.</p><p><strong>Conclusion: </strong>Delayed or missed diagnosis was the most common reason for accepted compensation claims following treatment for ATR. The study found no correlation between accepted claims and the catchment area population of the institution delivering the treatment.<b>Level of Evidence:</b> Level IV, retrospective cohort study.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 3","pages":"24730114251361475"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948604","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":"A Pilot Validation Study of a Biomechanical Simulation Model for Rotational Ankle Injuries Using Robotic Cadaveric Testing.","authors":"Mohammad Amin Shayestehpour, Martin G Gregersen, Ola Saatvedt, Øystein Bjelland, Marius Molund","doi":"10.1177/24730114251356497","DOIUrl":"10.1177/24730114251356497","url":null,"abstract":"<p><strong>Background: </strong>Deltoid ligament injuries occur in specific sequences during rotational ankle trauma, yet the current understanding of these sequences may be flawed. Computer modeling offers a new method for assessing ligament behavior under rotational injury mechanisms.</p><p><strong>Methods: </strong>A biomechanical computer simulation model was developed using AnyBody Modeling Software to evaluate ligament strain in rotational ankle injuries. Experimental data from a cadaveric study involving 15 human ankle specimens subjected to various loading conditions were used to identify the model parameters. After parameter identification from uninjured cadaveric data, we simulated Supination-External Rotation (SER) stage 2-4b injury model by removing the corresponding ligaments. Validation was performed by comparing the model predictions against the biomechanical experimental data.</p><p><strong>Results: </strong>The computer model replicated experimental findings, with correlation coefficients ranging from 0.81 to 0.99 across all injury stages and loading conditions. Furthermore, tension in the deep posterior tibiotalar ligament (DPTTL) progressively increased from SER2 to SER4a but remained unchanged in the SER2 phase. The model effectively captured progressive ligament strain and changes in medial clear space during injury progression.</p><p><strong>Conclusion: </strong>This study presents and validates an early-stage biomechanical simulation model for rotational ankle injuries, providing a novel tool for examining ligament biomechanics and injury mechanisms.</p><p><strong>Clinical relevance: </strong>Our model offers insights that were previously unattainable through cadaveric or clinical studies by simulating ligament strain during injuries. This can assist in generating hypotheses, enhance injury detection, refine treatment strategies, and may challenge existing classification systems.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 3","pages":"24730114251356497"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948635","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":"Valgus Deviation of the Intersesamoid Crista in Hallux Valgus and Its Association With the Distal Metatarsal Articular Angle: A Pilot Study.","authors":"Matthieu Lalevée, Maria Khvesyuk, Andrew Behrens, Philippe Beaudet, Antoine Perrier, Albert DaCosta, François Lintz, Kevin Dibbern, Cesar de Cesar Netto","doi":"10.1177/24730114251355501","DOIUrl":"10.1177/24730114251355501","url":null,"abstract":"<p><strong>Background: </strong>In hallux valgus (HV), the sesamoid bones embedded in the distal tendon of the flexor hallucis brevis and surrounding the tendon of the flexor hallucis longus are partially guided beneath the head of the first metatarsal (M1) by the intersesamoid crista. The distal metatarsal articular angle (DMAA) assesses the valgus deviation of M1 distal articular surface but is influenced by the pronation of the M1 head relative to the ground. Currently, it is unknown whether the intersesamoid crista itself deviates in valgus in association with the articular surface, and understanding this relationship may have clinical relevance for both the pathogenesis of hallux valgus and its surgical correction.The aim of our study was to compare the angle between the longitudinal axis of the intersesamoid crista and the M1 longitudinal axis in patients with hallux valgus and control subjects and to evaluate its relationship with the DMAA.</p><p><strong>Methods: </strong>A retrospective study was conducted, including 10 HV and 10 matched controls. Weightbearing computed tomography (WBCT) images were automatically segmented with a dedicated software (Disior BoneLogic 2.0) and the angle between the longitudinal axes of the crista and M1 (Crista-M1-angle) as well as the 3d-DMAA (assessing the valgus deviation of the distal articular surface after computerized correction of M1 head pronation relative to the ground) were measured. However, after exclusions for image quality, 9 HV and 8 control feet were analyzed.</p><p><strong>Results: </strong>The mean Crista-M1 angle was deviated in valgus by 14.4 ± 8.7 degrees in 9 HV feet and by 5.5 ± 3.2 degrees in 8 control feet (<i>P</i> = .017). The median 3d-DMAA was deviated in valgus by 9.5 degrees (interquartile range 4.0) in the HV group and by 2.7 degrees (interquartile range 4.5) in controls (<i>P</i> < .001). A positive correlation was observed between Crista-M1 angle and 3d-DMAA (ρ = 0.57; <i>r</i> ² = 0.328; <i>P</i> = .017).</p><p><strong>Conclusion: </strong>In our pilot study, the longitudinal axis of the intersesamoid crista tended to show greater valgus deviation in HV compared to controls, and this deviation appeared to be correlated with the valgus of M1 distal articular surface. These findings suggest a potential morphologic relationship between crista alignment and distal articular surface orientation. However, clinical implications, such as improved sesamoid tracking, remain speculative.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 3","pages":"24730114251355501"},"PeriodicalIF":0.0,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144872301","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":"ChatGPT-4 Responses on Ankle Cartilage Surgery Often Diverge from Expert Consensus: A Comparative Analysis.","authors":"Takuji Yokoe, Giulia Roversi, Nuno Sevivas, Naosuke Kamei, Pedro Diniz, Hélder Pereira","doi":"10.1177/24730114251352494","DOIUrl":"10.1177/24730114251352494","url":null,"abstract":"<p><strong>Background: </strong>There are few studies that have evaluated whether large language models, such as ChatGPT, can provide accurate guidance to clinicians in the field of foot and ankle surgery. This study aimed to assess the accuracy of ChatGPT's responses regarding ankle cartilage repair by comparing them with the consensus statements from foot and ankle experts as a standard reference.</p><p><strong>Methods: </strong>The open artificial intelligence (AI) model ChatGPT-4 was asked to answer a total of 14 questions on debridement, curettage, and bone marrow stimulation for ankle cartilage lesions that were selected at the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. The ChatGPT responses were compared with the consensus statements developed in this international meeting. A Likert scale (scores, 1-5) was used to evaluate the similarity of the answers by ChatGPT to the consensus statements. The 4 scoring categories (Accuracy, Overconclusiveness, Supplementary, and Incompleteness) were also used to evaluate the quality of ChatGPT answers, according to previous studies.</p><p><strong>Results: </strong>The mean Likert scale score regarding the similarity of ChatGPT's answers to the consensus statements was 3.1 ± 0.8. Regarding the results of 4 scoring categories of the ChatGPT answers, the percentages of answers that were considered \"yes\" in the Accuracy, Overconclusiveness, Supplementary, and Incompleteness were 71.4% (10/14), 35.7% (5/14), 78.6% (11/14), and 14.3% (2/14), respectively.</p><p><strong>Conclusion: </strong>This study showed that ChatGPT-4 often provides responses that diverge from expert consensus regarding surgical treatment of ankle cartilage lesions.</p><p><strong>Level of evidence: </strong>Level V, expert opinion.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 3","pages":"24730114251352494"},"PeriodicalIF":0.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144872300","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":"Making PROMs Work for Patients-and for Us.","authors":"Charles L Saltzman, Robert B Anderson, Brad D Blankenhorn, John T Campbell, Christopher P Chiodo, Timothy R Daniels, George B Holmes, Ellie Pinsker, Stefan Rammelt, Robert A Vander Griend","doi":"10.1177/24730114251363834","DOIUrl":"10.1177/24730114251363834","url":null,"abstract":"","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 3","pages":"24730114251363834"},"PeriodicalIF":0.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144845334","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":"A Short Primer on the Reporting of Patient-Reported Outcome Measures in Clinical Studies.","authors":"Ellie Pinsker, Richard Sloane, Robert A Vander Griend, Christopher P Chiodo, Timothy R Daniels, Charles L Saltzman","doi":"10.1177/24730114251363878","DOIUrl":"10.1177/24730114251363878","url":null,"abstract":"","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 3","pages":"24730114251363878"},"PeriodicalIF":0.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144845333","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":"Outcomes in Open Reduction and Internal Fixation of Tarsometatarsal (Lisfranc) Injuries: A Contemporary Review of Fixation Constructs.","authors":"Adrian J Talia, Sasha Roshan-Zamir, David W Shepherd","doi":"10.1177/24730114251352519","DOIUrl":"10.1177/24730114251352519","url":null,"abstract":"<p><p>Visual AbstractThis is a visual representation of the abstract.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 3","pages":"24730114251352519"},"PeriodicalIF":0.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775038","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}