Foot & Ankle Orthopaedics最新文献

{"title":"Conflict of Interest and FAI/FAO: Updated.","authors":"Thomas O Clanton, Stefan Rammelt, Robert A Vander Griend, John T Campbell, Christopher P Chiodo, George B Holmes, Ellie Pinsker, Charles L Saltzman","doi":"10.1177/24730114241254013","DOIUrl":"10.1177/24730114241254013","url":null,"abstract":"","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 2","pages":"24730114241254013"},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11084982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140911561","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":"Open Access Publication in Total Ankle Arthroplasty Literature Is Associated With Increased Social Media Attention, but Not Increased Citations.","authors":"Trayce Gray, Andrew B Harris, Rahi Patel, Julius Oni, Amiethab Aiyer","doi":"10.1177/24730114241247817","DOIUrl":"10.1177/24730114241247817","url":null,"abstract":"<p><strong>Background: </strong>Open access (OA) publications are increasingly common in orthopaedic literature. However, whether OA publications are associated with increased readership or citations among total ankle arthroplasty (TAA) literature is unclear. We hypothesize that compared with non-OA status, OA status is associated with increased social media dissemination, and readership, but not with citation count. This study aimed to analyze social media attention, citations, readership, and cost of TAA OA and non-OA publications.</p><p><strong>Methods: </strong>Using a PubMed query search, there were 368 publications from 81 journals, with 25% (91/368) being OA articles and 75% (277/368) non-OA articles from 2016 to 2023. We analyzed the Altmetric Attention Score (AAS), Mendeley readership score, and citations between OA vs non-OA articles. Citations and cost of OA articles were determined using an altered timeline and publisher's website, respectively. Subgroup analysis was performed among articles published in the top 5 TAA journals (Tables 2 and 3). Negative binomial regression was used while adjusting for days since publication. Significance was considered at <i>P</i> <.05.</p><p><strong>Results: </strong>OA publication was associated with a larger mean AAS score (8.7 ± 37.0 vs 4.8 ± 26.3), Mendeley readership (42.4 ± 41.6 vs 34.9 ± 25.7), and Twitter mentions (4.6 ± 7.4 vs 3.3 ± 8.1), but not citations (19.7 ± 24.8 vs 20.3 ± 23.5) (Table 1).</p><p><strong>Conclusion: </strong>TAA OA publications and top 5 journals were associated with significantly increased social media attention but not Mendeley readership or citation counts.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 2","pages":"24730114241247817"},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897983","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 Outcomes of Isolated Tibiocalcaneal Arthrodesis: A Systematic Review.","authors":"Charlotte Cossins, Ben George, Adrian J Talia, Constantinos Loizou, Adrian Kendal","doi":"10.1177/24730114241247547","DOIUrl":"10.1177/24730114241247547","url":null,"abstract":"<p><strong>Background: </strong>Tibiocalcaneal arthrodesis (TCA) can be achieved by internal fixation (intramedullary nail or plate), external fixation, or a combination. Evidence for the optimal approach is limited. This systematic review examines the outcomes of these different approaches to guide surgical management.</p><p><strong>Methods: </strong>A MEDLINE and Oxford SOLO search was performed using \"tibiocalcaneal,\" \"ankle,\" \"fusion OR arthrodesis.\" The primary outcome was union. Secondary outcomes included rates of postoperative complications, weightbearing status, rates of revision surgery, and PROMs. We included any studies with follow-up greater than 6 months that contained our primary outcome and at least 1 secondary outcome.</p><p><strong>Results: </strong>The initial search yielded 164 articles, of which 9 studies totaling 53 cases met the criteria. The majority of articles were excluded because they were nonsurgical studies, or were not about isolated TCA but were for tibiotalocalcaneal arthrodesis, more complex reconstructions (eg, Charcot), case reports, and/or did not include the predetermined outcome measures.TCA union rate was 86.2% following external fixation, 82.4% for intramedullary nail fixation, and 83.3% for plate fixation. One patient underwent a hybrid of external and internal fixation, and the outcome was nonunion. The rate of complications following TCA was 69.8%.</p><p><strong>Conclusion: </strong>There is limited evidence on the best operative approach for isolated tibiocalcaneal arthrodesis. Both external and internal fixation methods had comparable union rates. External fixation had frequent complications and a more challenging postoperative protocol. Novel techniques such as 3D-printed cages and talus replacement may become a promising alternative but require further investigation.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 2","pages":"24730114241247547"},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897984","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 Soft Tissue Syndesmosis Procedure Salvaging a Failed Osteotomy Procedure for Hallux Valgus Deformity Correction: A Case Report.","authors":"Daniel Yiang Wu","doi":"10.1177/24730114241247820","DOIUrl":"10.1177/24730114241247820","url":null,"abstract":"","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 2","pages":"24730114241247820"},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897982","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":"Technique for Talectomy and Total Talus Replacement.","authors":"Bernard N Burgesson, Katherine Xie, Andrew M Hresko, John Y Kwon","doi":"10.1177/24730114241247821","DOIUrl":"10.1177/24730114241247821","url":null,"abstract":"","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 2","pages":"24730114241247821"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11072057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864398","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":"Getting the Hindfoot Alignment and Starting Point Correct: A Technique Tip for Accurate Placement of Hindfoot Fusion Nails.","authors":"Bernard Burgesson, Alireza Ebrahimi, Omer Subasi, Soheil Ashkani-Esfahani, John Y Kwon","doi":"10.1177/24730114241247818","DOIUrl":"https://doi.org/10.1177/24730114241247818","url":null,"abstract":"","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 2","pages":"24730114241247818"},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11047236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848581","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":"Auditing the Representation of Female Athletes in Sports Medicine Research: Fifth-Metatarsal Fractures.","authors":"Peter Klug, Jacob Adams, Gordon Lents, Rachel Long, Ashley Herda, Bryan Vopat, Lisa Vopat","doi":"10.1177/24730114241241318","DOIUrl":"https://doi.org/10.1177/24730114241241318","url":null,"abstract":"<p><strong>Background: </strong>Female representation within athletics has increased as a result of Title IX, rising popularity, demand for equal compensation, and greater participation in multiple sports. Despite this, gender disparities in sports medicine research are apparent. This project serves to review the literature available on fifth-metatarsal fractures and assess the representation of female athletes in current literature.</p><p><strong>Methods: </strong>We used a standardized protocol to audit the representation of female athletes in sports science and sports medicine research for fifth-metatarsal fractures. Primary factors included population, athletic caliber, menstrual status, research theme, sample of males and females, journal impact factor, and Altmetric score.</p><p><strong>Results: </strong>Thirty articles met the inclusion criteria. A total of 472 fifth-metatarsal fractures were identified, with 373 of 472 fractures (79%) occurring in males and 99 of 472 (21%) in females. The majority of studies (18/30, 60%) were mixed cohort, followed by 10 male only (33.33%), 1 female only (3.33%), and 1 male vs female (3.33%). Out of 831 total patients in the 18 mixed-cohort studies, 605 of 831 patients (72.8%) were male and 226 of 831 patients (27%) were female. All 18 mixed-sex cohorts investigated health outcomes. Male-only studies evaluated health outcomes and performance metrics. No studies investigated female performance. The one female-only study investigated health outcomes and was the only study to account for menstrual status. There was a single metatarsal fracture in this study population.</p><p><strong>Conclusion: </strong>Females are underrepresented in research regarding sports science and sports medicine research for fifth-metatarsal fractures. Research focused on female-only fifth-metatarsal fracture studies exploring the potential impact of female sex-specific factors such as menstrual status in study design are needed.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 2","pages":"24730114241241318"},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10996359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850788","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":"Defining the Patient Acceptable Symptom State Using PROMIS Following Reconstruction of the Progressive Collapsing Foot Deformity","authors":"Stone R. Streeter, Sophie Kush, Agnes D Cororaton, Jensen K. Henry, Scott Ellis, Matthew S. Conti","doi":"10.1177/2473011424S00060","DOIUrl":"https://doi.org/10.1177/2473011424S00060","url":null,"abstract":"Introduction/Purpose: Although reconstruction of the flexible progressive collapsing foot deformity (PCFD) has been shown to improve patient-reported outcomes (PROs), there is limited data describing postoperative success as defined by patient satisfaction following surgery. Distinct from the minimal clinically important difference (MCID), the patient acceptable symptom state (PASS) is a novel PRO measurement that represents the symptom threshold beyond which patients are satisfied with their postoperative outcome. The primary aim of this study was to use Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) and Pain Interference (PI) scores in combination with anchor questions to define PASS thresholds following reconstruction of the flexible PCFD. A secondary aim was to analyze how patient-specific variables and certain PCFD reconstruction procedures may impact the probability of reaching PASS thresholds. Methods: Using data collected from a foot and ankle orthopedic registry at a large academic institution, 109 patients who underwent reconstruction of a flexible PCFD between February 2019 and March 2021, had preoperative and 2-year postoperative PROMIS PF and PI scores, and 2-year postoperative responses to two PASS anchor questions (the delighted-terrible scale and the satisfied scale) were included in the study. Patients who underwent either a double or triple arthrodesis were excluded. Patient responses to the anchor questions were dichotomized and receiver operating characteristic (ROC) curve analyses were performed. Using the Youden Index to balance sensitivity and specificity and maximize the area under the curve (AUC), PASS thresholds with 95% confidence intervals were quantified using 2000 bootstrapped iterations. Lastly, multivariable logistic regressions were performed to analyze the influence of patient demographics, preoperative PROMIS scores, and certain PCFD reconstruction procedures on the probability of reaching the PASS thresholds. Results: The PASS threshold for PROMIS PF was found to be 42.6 using both the delighted-terrible and the satisfied scale and 73.4% of patients (80/109) reached the threshold (both AUCs: 0.91) (Table 1). The PASS thresholds for PROMIS PI defined using the delighted-terrible scale and the satisfied scale were 54.5 (AUC: 0.90) and 57.5 (AUC: 0.91), respectively, with 72.5% of patients (79/109) and 81.7% of patients (89/109) meeting the respective thresholds. Neither patient demographics nor specific PCFD reconstruction procedures affected the probability of meeting the PASS thresholds. However, a lower preoperative PROMIS PF score or a higher preoperative PROMIS PI score significantly decreased the probability of achieving the PASS thresholds. Conclusion: Following reconstruction of the flexible PCFD, PASS thresholds for the PROMIS PF and PI domains were found to be lower and higher, respectively, than population norms. This suggests that patients may be satisfied wit","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"41 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140769613","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":"First Tarsometatarsal Instability Corrects Itself After Triple Arthrodesis in Progressive Collapsing Foot Deformity","authors":"C. Jeng, Morgan Motsay, Kenneth Rowe, Maggie K. Manchester, Michael Cotton, John T. Campbell","doi":"10.1177/2473011424s00067","DOIUrl":"https://doi.org/10.1177/2473011424s00067","url":null,"abstract":"Introduction/Purpose: Triple arthrodesis is commonly used to correct severe or rigid progressive collapsing foot deformity (PCFD). In many cases of PCFD, patients have associated first tarsometatarsal instability demonstrated by plantar gapping or dorsal subluxation on the lateral weight-bearing radiographs. During flatfoot reconstruction this is usually addressed with a first tarsometatarsal fusion to realign the joint and to restore the medial column height. However in the setting of triple arthrodesis it has not been well established if it is necessary to add a first tarsometatarsal fusion to the procedure in order to adequately correct the overall deformity. This study retrospectively examined pre- and post-operative radiographs of patients that had first tarsometatarsal instability as a component of their PCFD and who were managed by triple arthrodesis alone. Methods: All triple arthrodesis cases were searched for a single surgeon between 2013 and 2021. Inclusion criteria were patients who had a diagnosis of PCFD and had an isolated triple arthrodesis without first tarsometatarsal joint fusion. Pre-operative radiographs were then examined for the presence of first tarsometatarsal joint instability on the lateral weight-bearing view only. This was demonstrated by either plantar gapping or first metatarsal dorsal subluxation at the tarsometatarsal joint. Those patients who were a minimum of 21 months post-op were called to obtain current radiographs. Measurement of the sagittal first metatarsal-medial cuneiform angle as well as a the first metatarsal lift as described by King and Toolan (FAI 2004) was performed. Results: Twenty patients satisfied the inclusion criteria and were included in the study. Of these patients, five had no correction of their first tarsometatarsal joint instability postoperatively and were considered failures. The remaining fifteen patients demonstrated early correction of their first tarsometatarsal joint instability and were called back for longer term follow-up radiographs. Average follow-up was 4.8 years (range 1.8 - 9.4 years). The sagittal first metatarsal-medial cuneiform angle (plantar gapping) improved significantly from 3.8 degrees to 1.0 degrees (p=0.00002). The first metatarsal lift (dorsal subluxation) corrected from 4.0 mm to 1.5 mm (p=0.000001). Only one patient showed radiographic evidence of arthritis in the first tarsometatarsal joint at final follow-up. Conclusion: First tarsometatarsal joint fusion to correct medial column instability is well established in flatfoot reconstruction cases. However less is known about whether this is required when performing a triple arthrodesis for PCFD. In this study, 75% of patients had their first tarsometatarsal joint instability correct itself after isolated triple arthrodesis and maintained this correction at 4.8 year follow-up. In many cases of PCFD with medial column instability, triple arthrodesis alone may be adequate to restore overall alignment thereby avo","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"39 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140756229","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":"Clubfoot Correction with Ponseti Technique: Three-Dimensional Alignment Analysis and Residual Adult Deformity Effects on Patient-Reported Outcomes","authors":"Ryan Jasper, K. Carvalho, Aly M. Fayed, Antoine Acker, Vineel Mallavarapu, Grayson M. Talaski, N. Mansur, Bopha Chrea, C. de César Netto","doi":"10.1177/2473011424s00053","DOIUrl":"https://doi.org/10.1177/2473011424s00053","url":null,"abstract":"Introduction/Purpose: Few studies have assessed the long-term outcomes of the Ponseti technique and none have utilized 3- dimensional weightbearing analysis. The goal of this study was to understand how potential residual 3D deformities and abnormalities influence patient reported outcomes (PROs). This was accomplished by assessing anatomical foot and ankle alignment in adult clubfoot patients treated with the Ponseti method using 3D weightbearing CT (WBCT) imaging and then correlating residual foot and ankle malalignment with PROs. Methods: There were 37 consecutive patients (57 feet) included and 14 volunteers healthy controls (28 feet) included in this study. Every participant was evaluated using a WBCT (HiRise©) in a bipedal standing position. From these scans Cavus, Adductus, and Varus components were evaluated using multiple 3D measurements calculated using the semi-automatic segmentation software Bonelogic®. Specific Cavus related measurements included sagittal talus-first metatarsal angle and the calcaneal inclination angle. Varus related measurements included talocalcaneal angle in both the sagittal and axial planes as well as the hindfoot moment arm and the hindfoot alignment angle. Adductus deformity was evaluated using talonavicular coverage angle. These measurements were then correlated with patient reported outcome surveys, which included Visual Acuity Scale for pain, PROMIS general health, PROMIS physical function, PROMIS pain interference, pain catastrophic scale, and European foot and ankle society score. Results: There was no significant overall residual 3D-deformity observed in clubfoot patients when compared to controls, with similar FAO measurements observed between the groups, clubfoot=2.63% (95%CI=1.41%-3.85%) and control=3.2% (CI=1.6%- 4.8%,P=0.58). The sagittal talus-first-metatarsal in the clubfoot-patients had a mean-value of -0.12° compared to the controls, −5.2°. Clubfoot patients also had a decreased calcaneal-inclination-angle relative to the controls, 13.01° and 21.5° respectively. Talocalcaneal-angle for clubfoot patients in both the sagittal-plane,44.28°, and axial-plane, 17.74°, were reduced compared to the controls, 57.51° and 25.78°. Talonavicular-coverage-angle in the clubfoot-group (18.63°) was less than the controls (29.19°). Talus- first-metatarsal-angle in the sagittal-plane was significantly correlated with VAS-scores (RSquare=0.19,P=0.0118) and the EFAS- Score (RSquare=0.27,P=0.0025). Talocalcaneal-angle in the sagittal plane was also significantly correlated with the PROMIS-Pain- Interference-score (P=0.038) and PROMIS-Physical-Function-score (RSquare=0.32,P=0.0007). Conclusion: The Ponseti technique is an effective nonsurgical treatment for the overall three-dimensional foot and ankle alignment of Clubfoot. While mild, but statistically significant residual Varus and Adductus deformities were observed in adult clubfoot patients, the overall 3D alignment (FAO) was found to be similar between clubfoot p","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"390 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140759858","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}