Foot & Ankle Orthopaedics最新文献

{"title":"A Minimally Invasive Surgery Technique for Closing Base Wedge Osteotomy with Fixation for Correction of Bunionette.","authors":"Garrett Wireman, Garret Strand, Jason Nowak","doi":"10.1177/24730114241303467","DOIUrl":"10.1177/24730114241303467","url":null,"abstract":"","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 1","pages":"24730114241303467"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143003120","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":"Neurovascular Compromise Post Triplane Fracture: A Case Report.","authors":"Humood Boqambar, Martin Kelly, David Stephen","doi":"10.1177/24730114241310426","DOIUrl":"10.1177/24730114241310426","url":null,"abstract":"","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 1","pages":"24730114241310426"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143003184","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":"Weightbearing in Select Geriatric Ankle Fractures Following Open Reduction Internal Fixation: Short Scientific Report.","authors":"Atticus Coscia, Michal Jandzinski, Paul Talusan, Jaimo Ahn","doi":"10.1177/24730114241310413","DOIUrl":"https://doi.org/10.1177/24730114241310413","url":null,"abstract":"<p><strong>Background: </strong>Geriatric ankle fractures are increasingly common. Previous work has suggested that early weightbearing following ankle fracture fixation is safe in nongeriatric patients. However, limited data is available regarding the safety of immediate weightbearing following fixation of geriatric ankle fractures using standard open reduction internal fixation techniques.</p><p><strong>Methods: </strong>Forty-four patients aged 65 years or older treated for rotational ankle fractures were propensity matched, with 22 patients following a nonweightbearing (NWB) protocol and 22 were allowed to weightbear immediately (WBAT) in a controlled ankle motion boot at all times. Primary outcomes included hardware failure and postoperative complications. Group differences in continuous variables were analyzed via Student <i>t</i> test whereas Fisher exact tests were used to analyze the differences in categorical variables. Complication-free survival and hardware failure-free survival were compared using the log-rank (Mantel-Cox) test.</p><p><strong>Results: </strong>There were no hardware failures in the WBAT group and 1 hardware failure in the NWB group; the difference was not statistically significant. There was no difference in incidence of postoperative complications, rate of hardware failure, or PROM scores.</p><p><strong>Conclusion: </strong>In this preliminary study group, we found that immediate weightbearing following fixation of geriatric ankle fractures was not associated with increased hardware failure or postoperative complications.</p><p><strong>Level of evidence: </strong>Level IV, retrospective cohort.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 1","pages":"24730114241310413"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143003193","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":"Cadaveric Study Evaluating the Potential for Hindfoot Endoscopy and Flexor Hallucis Longus Tendoscopy Using a 1.9-mm Diameter Needle Arthroscope.","authors":"Yoshiharu Shimozono, Ryuzo Arai, Yutaka Kuroda, Hiromu Ito, Shuichi Matsuda","doi":"10.1177/24730114241310237","DOIUrl":"https://doi.org/10.1177/24730114241310237","url":null,"abstract":"<p><strong>Background: </strong>Hindfoot endoscopy is an effective treatment for posterior ankle impingement syndrome (PAIS) and flexor hallucis longus (FHL) tendon disorders. However, FHL tendoscopy, especially from the posteromedial portal, carries a risk of tibial nerve damage. A needle-arthroscopic system with a 1.9-mm-diameter arthroscope, a semirigid frame, and a 0-degree direction of view has been introduced. This study aimed to evaluate the efficacy and safety of this system in visualizing and reaching significant structures in hindfoot endoscopy and FHL tendoscopy through the posteromedial and posterolateral portals using a cadaveric model.</p><p><strong>Methods: </strong>The 1.9-mm-diameter arthroscopic system (NanoScope, Arthrex) was used to perform hindfoot endoscopy in 6 human donor ankles (3 pairs). The arthroscope tube is 9.5 cm long, semirigid, and has an outer diameter of 1.9 mm, a 0-degree direction of view, and a 120-degree field of view. Posteromedial and posterolateral portals were established. Visualization and operative reach were recorded, including the posterolateral talar process, posterior talofibular ligament, intermalleolar ligament, subtalar joint, and FHL tendon. The neurovascular bundle and FHL tendon were examined for kinks or damage.</p><p><strong>Results: </strong>All significant structures were successfully visualized in all specimens. The wide 120-degree field of view facilitated adequate visualization of all structures. In all specimens, the FHL tendon was visualized from the ankle joint to the knot of Henry (zones 1 and 2), and the flexor digitorum longus tendon was observed via both portals. There were no signs of neurovascular damage from either the posterolateral or posteromedial portals.</p><p><strong>Conclusion: </strong>In this cadaver experiment without known pathology, use of a 1.9-mm-diameter needle-arthroscopy with a 0-degree direction of view provided effective visualization of all significant structures in treating PAIS and FHL tendon disorders. It appears that FHL tendoscopy can be performed from the level of the ankle joint to the knot of Henry via both the posterolateral and posteromedial portals.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 1","pages":"24730114241310237"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143003124","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":"Orthogonal C-arms for Third-Generation Minimally Invasive Correction of Hallux Valgus: A Technique Tip.","authors":"Daniel D Bohl, Derek M Klavas, Alaa Mahmoud, Eric C Bellinger","doi":"10.1177/24730114241308574","DOIUrl":"10.1177/24730114241308574","url":null,"abstract":"<p><p>Graphical AbstractThis is a visual representation of the abstract.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 4","pages":"24730114241308574"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876277","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":"Impact of Virtual Clinics on Streamlining NHS Outpatient Waiting Lists and Carbon Emissions.","authors":"Bhaskar Amarnath Bhavanasi, Shrikant Kulkarni","doi":"10.1177/24730114241305603","DOIUrl":"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}

{"title":"Idiopathic Bacterial Peroneal Tenosynovitis: A Case Report and Literature Review.","authors":"Tanios Dagher, Douglas J Weaver, Kelly Hynes","doi":"10.1177/24730114241303933","DOIUrl":"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}

{"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":"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}

{"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":"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}

{"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":"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}