Foot & Ankle Orthopaedics最新文献

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Extensor Retinaculum Syndrome of the Ankle: An Adult Case Series. 踝关节伸肌网综合征:成人病例系列。
Foot & Ankle Orthopaedics Pub Date : 2024-07-30 eCollection Date: 2024-07-01 DOI: 10.1177/24730114241265342
Bradley Carlson, DuWayne Carlson, Tadiwanashe Chirongoma, D Kevin Scheid
{"title":"Extensor Retinaculum Syndrome of the Ankle: An Adult Case Series.","authors":"Bradley Carlson, DuWayne Carlson, Tadiwanashe Chirongoma, D Kevin Scheid","doi":"10.1177/24730114241265342","DOIUrl":"10.1177/24730114241265342","url":null,"abstract":"<p><strong>Background: </strong>Extensor retinaculum syndrome (ERS) is a relatively rarely diagnosed compartment syndrome-like entity caused by elevated pressures in the tissues deep to the superior extensor retinaculum (SER). ERS is identified as out-of-proportion anterior ankle pain, pain with passive toe plantarflexion, elevated SER pressures (>40 mm Hg), and ultimately toe extension weakness and first web space numbness. Although previously described in a pediatric population, this case series is the first to our knowledge in an adult population.</p><p><strong>Methods: </strong>Seven nonconsecutive cases over 18 years from 2 surgeons are reported who underwent complete SER release for ERS either through the direct lateral approach to the fibula or the anterolateral approach to the distal tibia. All were associated with traumatic injuries including 3 bimalleolar ankle fractures, 3 tibial pilon fractures, and 1 distal tibial/fibular shaft fracture. All patients developed writhing anterior ankle pain worsened with passive toe plantarflexion. SER compartment pressures ranged from 50 to >135 mm Hg. Five cases displayed decreased first web space sensation.</p><p><strong>Results: </strong>The diminished or absent first web space sensation uniformly improved post-release. Complications included 1 patient with complex regional pain syndrome type 1, 1 patient required hardware removal, and 2 had persistent but improved first web space sensation changes.</p><p><strong>Conclusion: </strong>Clinical suspicion for possible ERS should arise after distal tibial/fibular fractures when the excruciating pain localizes to the ankle instead of the classic anterior leg muscle bellies. If pain is worsened with passive toe plantarflexion, this diagnosis should be considered. Recommended treatment involves complete release of the SER anywhere on the anterior surface between the tibia and fibula depending on the approach needed for fixation of the associated fracture.</p><p><strong>Level of evidence: </strong>Level IV, case series.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 3","pages":"24730114241265342"},"PeriodicalIF":0.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11292701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874595","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
Dysplasia Epiphysealis Hemimelica (Trevor Disease) of the Talus in a Toddler: A Case Report With a Long Follow-up. 幼儿距骨半月板发育不良(特雷弗病):长期随访的病例报告
Foot & Ankle Orthopaedics Pub Date : 2024-07-29 eCollection Date: 2024-07-01 DOI: 10.1177/24730114241264201
Maurizio De Pellegrin, Dario Fracassetti, Alessandra Bartolucci, Elena Artioli, Antonio Mazzotti
{"title":"Dysplasia Epiphysealis Hemimelica (Trevor Disease) of the Talus in a Toddler: A Case Report With a Long Follow-up.","authors":"Maurizio De Pellegrin, Dario Fracassetti, Alessandra Bartolucci, Elena Artioli, Antonio Mazzotti","doi":"10.1177/24730114241264201","DOIUrl":"10.1177/24730114241264201","url":null,"abstract":"<p><p>Visual AbstractThis is a visual representation of the abstract.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 3","pages":"24730114241264201"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859498","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
Serum Fructosamine as an Indicator of Perioperative Complications in Patients Undergoing Foot and Ankle Surgery. 血清果糖胺作为足踝手术患者围手术期并发症的指标。
Foot & Ankle Orthopaedics Pub Date : 2024-07-29 eCollection Date: 2024-07-01 DOI: 10.1177/24730114241263093
Yu Min Suh, Margaret Fisher, Di Hu, Feng-Chang Lin, Dane Wukich, Josh Tennant, Trapper Lalli
{"title":"Serum Fructosamine as an Indicator of Perioperative Complications in Patients Undergoing Foot and Ankle Surgery.","authors":"Yu Min Suh, Margaret Fisher, Di Hu, Feng-Chang Lin, Dane Wukich, Josh Tennant, Trapper Lalli","doi":"10.1177/24730114241263093","DOIUrl":"10.1177/24730114241263093","url":null,"abstract":"<p><strong>Background: </strong>Patients with poor glycemic control are at increased risk of postoperative complications. Hemoglobin A<sub>1c</sub> (HbA<sub>1c</sub>) has traditionally been used to assess preoperative glycemic control, but with limitations. More recently, fructosamine has been tested preoperatively in patients undergoing elective total joint arthroplasty. This study aims to assess whether preoperative serum fructosamine can be used to avoid adverse outcomes in patients undergoing foot and ankle surgery.</p><p><strong>Methods: </strong>This was a retrospective chart review of all patients who underwent foot and ankle surgeries at 2 level 1 trauma centers from January 2020 to December 2021. Of those, 305 patients were tested for HbA<sub>1c</sub> and fructosamine levels preoperatively. Adverse outcomes were assessed over 30 and 90 days. Outcomes of interest were surgical site infection, wound dehiscence, unplanned return to the operating room, unplanned readmission, and death. Data were analyzed using independent 2-sample <i>t</i> tests. A mixed effects model was used for multivariate analysis. <i>P</i> values less than .05 were considered statistically significant.</p><p><strong>Results: </strong>Preoperative serum fructosamine was significantly higher (<i>P</i> = .029) in those with complications within 90 days compared to those without. The mean preoperative fructosamine level was 269.2 µmol/L (SD = 58.85) in those who did have a complication vs 247.2 µmol/L (SD = 53.95) in those who did not. Clinically significant fructosamine threshold was determined using 2 different methods. Fructosamine was found to be non-inferior to HbA<sub>1c</sub> in accurately predicting postoperative complications.</p><p><strong>Conclusion: </strong>Fructosamine is a serum marker that reflects nearer term glycemic control than HbA<sub>1c</sub>. Elevation in preoperative fructosamine is associated with increased perioperative complications after foot and ankle surgery within 90 days. Preoperative fructosamine may be used in patient optimization and risk stratification when determining candidacy and timing for elective foot and ankle surgeries.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 3","pages":"24730114241263093"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859501","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
Limited Evidence to Support the Use of Intra-Articular Injection of Hyaluronic Acid for the Management of Hallux Rigidus: A Systematic Review. 支持关节腔内注射透明质酸治疗拇指外翻的证据有限:系统回顾
Foot & Ankle Orthopaedics Pub Date : 2024-07-29 eCollection Date: 2024-07-01 DOI: 10.1177/24730114241265109
James J Butler, Hayden Hartman, Amanda Mener, Nathaniel P Mercer, Grace W Randall, Stephen Petropoulos, Andrew J Rosenbaum, John G Kennedy
{"title":"Limited Evidence to Support the Use of Intra-Articular Injection of Hyaluronic Acid for the Management of Hallux Rigidus: A Systematic Review.","authors":"James J Butler, Hayden Hartman, Amanda Mener, Nathaniel P Mercer, Grace W Randall, Stephen Petropoulos, Andrew J Rosenbaum, John G Kennedy","doi":"10.1177/24730114241265109","DOIUrl":"10.1177/24730114241265109","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this systematic review was to evaluate outcomes following intra-articular injection of hyaluronic acid (HA) for the treatment of hallux rigidus.</p><p><strong>Methods: </strong>During April 2024, a systematic review of the MEDLINE, EMBASE, and Cochrane Library databases was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data collected and analyzed were number of patients, patient age, follow-up, subjective clinical outcomes, complications, and failures.</p><p><strong>Results: </strong>Five studies were included. In total, 218 patients (218 feet) underwent intra-articular injection of HA at a weighted mean follow-up time of 4.4 ± 1.4 months (range, 3-6). There was an improvement in postinjection visual analog scale (VAS) pain at rest scores, VAS pain during activity scores, American Orthopaedic Foot & Ankle Society (AOFAS) scores, and Foot Health Status Questionnaire (FHSQ) scores. In total, 21 complications (10.0%) were observed, the most common of which was transient postinjection pain in 20 patients (9.6%). There were 7 patients (3.2%) who underwent secondary procedures (3.2%). One randomized control trial (RCT) demonstrated no difference in outcomes between an intra-articular injection of HA compared to an intra-articular injection of saline. One RCT demonstrated superior FHSQ scores following between an intra-articular injection of HA compared to an intra-articular injection of triamcinolone acetonide.</p><p><strong>Conclusion: </strong>This systematic review suggests that intra-articular injection of HA for the treatment of hallux rigidus may lead to improved clinical outcomes with a low complication rate at short-term follow-up. However, the low level and quality of evidence underscores the need for further high-quality studies to be conducted to identify the precise role of HA in the treatment of hallux rigidus.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 3","pages":"24730114241265109"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859499","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 Comparison of Demographic Diversity Between Orthopaedic Surgery Residents and ACGME Foot and Ankle Fellows From 2007 to 2022. 2007 年至 2022 年矫形外科住院医师与 ACGME 足踝研究员之间的人口统计学多样性比较。
Foot & Ankle Orthopaedics Pub Date : 2024-07-29 eCollection Date: 2024-07-01 DOI: 10.1177/24730114241263056
Aditya Joshi, Andrew Kim, Nigel Hsu, Amiethab Aiyer, John M Thompson
{"title":"A Comparison of Demographic Diversity Between Orthopaedic Surgery Residents and ACGME Foot and Ankle Fellows From 2007 to 2022.","authors":"Aditya Joshi, Andrew Kim, Nigel Hsu, Amiethab Aiyer, John M Thompson","doi":"10.1177/24730114241263056","DOIUrl":"10.1177/24730114241263056","url":null,"abstract":"<p><strong>Background: </strong>Academic medicine emphasizes the need to recruit a diverse workforce in graduate medical education. Orthopaedic surgery residency has demonstrated efforts to model program compositions with evolving US demographics. However, it remains unclear whether orthopaedic fellowships, particularly foot and ankle, also reflect these efforts.</p><p><strong>Methods: </strong>Using the publicly available Accreditation Council for Graduate Medical Education (ACGME) Data Resource Book, a census of the gender and racial/ethnic identities of orthopaedic foot and ankle fellows, as well as active orthopaedic surgery residents, were compiled from 2007 to 2022. Linear trend analysis was conducted to evaluate the trends of orthopaedic residents and foot and ankle fellows, with a Pearson correlation for comparison.</p><p><strong>Results: </strong>Prior analysis demonstrated no significant change in sex and ethnic diversity of fellows from 2006 to 2015. The majority of foot and ankle fellows were White (31%-69%) and male (63%-88%). Linear analysis demonstrated growing diversity in female and non-White active orthopaedic surgery residents. Similarly, there was an increasing number of female foot and ankle fellows (0%-38%) reflective of the trend in orthopaedic residency (12%-20%); however, there was no significant change among racial/ethnic identities. Pearson correlation analysis between the trend of orthopaedic residency residents and foot and ankle fellows suggests moderate correlation among female, Asian, and \"Unknown\" racial/ethnic categories.</p><p><strong>Conclusion: </strong>The proportion of foot and ankle female fellows in ACGME-accredited fellowships has matched or exceeded the percentage of female orthopaedic residents. Despite increased diversity of orthopaedic surgery residents over the past 2 decades, ACGME-accredited foot and ankle fellowships do not yet reflect similar trends among racial/ethnic minorities.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 3","pages":"24730114241263056"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859497","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
Minimally Invasive Surgery For Management of Bunionette Deformity (Tailor's Bunion) Using Fifth Metatarsal Osteotomies: A Systematic Review and Meta-Analysis. 使用第五跖骨截骨术治疗拇趾外翻畸形(Tailor's Bunion)的微创手术:系统回顾与元分析》。
Foot & Ankle Orthopaedics Pub Date : 2024-07-29 eCollection Date: 2024-07-01 DOI: 10.1177/24730114241263095
Thomas L Lewis, Peter Lam, Yousif Alkhalfan, Robbie Ray
{"title":"Minimally Invasive Surgery For Management of Bunionette Deformity (Tailor's Bunion) Using Fifth Metatarsal Osteotomies: A Systematic Review and Meta-Analysis.","authors":"Thomas L Lewis, Peter Lam, Yousif Alkhalfan, Robbie Ray","doi":"10.1177/24730114241263095","DOIUrl":"10.1177/24730114241263095","url":null,"abstract":"<p><strong>Background: </strong>There has been increasing interest in the use of percutaneous or minimally invasive osteotomy techniques for bunionette correction. The aim of this systematic review was to investigate the clinical and radiographic outcomes following percutaneous or minimally invasive surgery for bunionette deformity correction.</p><p><strong>Methods: </strong>A systematic review following PRISMA guidelines was undertaken. All clinical studies published in MEDLINE, Embase, PubMed, and the Cochrane Library Database from inception until December 2023 reporting on the use of percutaneous or minimally invasive osteotomy techniques for bunionette deformity correction were included. The primary outcome was radiographic deformity correction. A meta-analysis of clinical and radiographic outcomes was performed to assess the mean difference following surgery. Risk of bias was assessed using the ROBINS-I tool.</p><p><strong>Results: </strong>A total of 942 potential studies were identified, of which 18 were included encompassing 714 feet in 580 patients. There were no comparative studies identified. The majority of studies (n = 14/18) used an unfixed distal osteotomy technique. All studies showed a statistically significant improvement in clinical outcomes (American Orthopaedic Foot & Ankle Society ankle-hindfoot score and visual analog scale for pain) and radiologic outcomes (fourth-fifth intermetatarsal angle and fifth metatarsophalangeal angle). Complication rates ranged from 0% to 21.4%. The nonunion rate was 0% to 5.6%. Overall risk of bias was low to moderate. The most common complication was development of a hypertrophic callus that tended to resorb over time without needing further surgical intervention.</p><p><strong>Conclusion: </strong>The results of this systematic review must be considered in light of the methodologic limitations of the studies analyzed-including additional procedures performed at the same time as the bunionette correction, lack of comparative studies, and heterogeneity of the case series included. Despite these limitations, our review suggests that percutaneous techniques for bunionette deformity correction are generally clinically safe and associated with improvement in radiographic alignment and patient-reported outcome measures.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 3","pages":"24730114241263095"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859500","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
Complications, Readmissions, and Reoperations in Outpatient vs Inpatient Total Ankle Arthroplasty: A Systematic Review and Meta-analysis. 门诊病人与住院病人全踝关节置换术的并发症、再住院率和再手术率:系统回顾与元分析》。
Foot & Ankle Orthopaedics Pub Date : 2024-07-27 eCollection Date: 2024-07-01 DOI: 10.1177/24730114241264569
Muzammil Akhtar, Daniel Razick, Deeksha Mamidi, Sonia Aamer, Fayez Siddiqui, Jimmy Wen, Sakthi Shekhar, Adithya Shekhar, Jason S Lin
{"title":"Complications, Readmissions, and Reoperations in Outpatient vs Inpatient Total Ankle Arthroplasty: A Systematic Review and Meta-analysis.","authors":"Muzammil Akhtar, Daniel Razick, Deeksha Mamidi, Sonia Aamer, Fayez Siddiqui, Jimmy Wen, Sakthi Shekhar, Adithya Shekhar, Jason S Lin","doi":"10.1177/24730114241264569","DOIUrl":"10.1177/24730114241264569","url":null,"abstract":"<p><strong>Background: </strong>Total ankle arthroplasty (TAA) has primarily been performed in the inpatient setting. However, with the advent of fast-tracked joint arthroplasty protocols, TAA has slowly been shifting to the outpatient setting. Therefore, this systematic review aims to evaluate outcomes of outpatient TAA and compare them to inpatient TAA.</p><p><strong>Methods: </strong>A literature search was performed on October 23, 2023, in the PubMed, Embase, and CENTRAL databases using the PRISMA guidelines. Studies were included if they reported on outcomes of outpatient TAA or compared outcomes between outpatient and inpatient TAA. Pooled odds ratios (ORs) and mean differences were calculated using a random effects model. Quality assessment was performed using the MINORS criteria.</p><p><strong>Results: </strong>12 studies were included, with 4 outpatient-only and 8 outpatient-inpatient comparative studies. Patients in the outpatient group were relatively younger, had a lower body mass index, and had fewer comorbidities relative to the inpatient group. For outpatient vs inpatient TAA, the pooled complication rate was 2.6% vs 3.6%, readmission rate was 2.5% vs 4%, and reoperation rate was 3.6% vs 5.5%. We found significantly lower odds of complications (OR = 0.47, CI: 0.26-0.85; <i>P</i> = .01), readmissions (OR = 0.63, CI: 0.54-0.74; <i>P</i> < .00001), and reoperations (OR = 0.66, CI: 0.46-0.95; <i>P</i> = .03) in the outpatient vs inpatient group.</p><p><strong>Conclusion: </strong>Although this analysis is limited by the dominance of data included from a single study, we found that outpatient TAA was generally performed on lower-risk patients and was associated with lower rates of complications, readmissions, and reoperations compared with inpatient TAA.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 3","pages":"24730114241264569"},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787755","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
Primary Isolated Arthrodesis of the First Metatarsophalangeal Joint for Hallux Rigidus: Clinical, Radiologic, and Pedobarographic Evaluation. 第一跖趾关节原发性孤立关节置换术治疗拇指外翻:临床、放射学和足底摄影评估。
Foot & Ankle Orthopaedics Pub Date : 2024-07-27 eCollection Date: 2024-07-01 DOI: 10.1177/24730114241265344
Nicolas Fragnière, Maeva Kameni-Hekam, Amadou Cissé, Patrick Vienne
{"title":"Primary Isolated Arthrodesis of the First Metatarsophalangeal Joint for Hallux Rigidus: Clinical, Radiologic, and Pedobarographic Evaluation.","authors":"Nicolas Fragnière, Maeva Kameni-Hekam, Amadou Cissé, Patrick Vienne","doi":"10.1177/24730114241265344","DOIUrl":"10.1177/24730114241265344","url":null,"abstract":"<p><strong>Background: </strong>Arthrodesis of the first metatarsophalangeal joint is an effective treatment of advanced hallux rigidus. Numerous options have been described for performing this intervention. The aim of this study was to evaluate the outcomes following a consistent surgical technique of joint preparation with hand tools and fixation with 2 crossed screws and a dorsal compression plate.</p><p><strong>Methods: </strong>Thirteen patients (16 feet) who underwent primary isolated arthrodesis of the first metatarsophalangeal joint between March 2019 and June 2021 were available for clinical, radiologic, and pedobarographic evaluation at a minimum of 12 months after surgery. American Orthopaedic Foot & Ankle Society scores, numerical pain rating scale, the radiologic hallux valgus and intermetatarsal 1-2 angles as well as the distribution of plantar pressure during gait were compared between the pre- and postoperative conditions.</p><p><strong>Results: </strong>After an average follow-up period of 26 months, union was achieved in all cases and the mean AOFAS score raised significantly by 39 points. All the patients were satisfied with the result. Only 1 patient complained of mild residual pain at walk. Hardware removal was performed in 2 cases. The mean hallux valgus angle dropped from 12.3 to 6.3 degrees. The mean postoperative dorsiflexion angle was 21.6 degrees. After the procedure, peak pressure was significantly higher beneath the first metatarsal head and heel, whereas pressure-time integral was significantly lower beneath the hallux and medial lesser toes.</p><p><strong>Conclusion: </strong>Arthrodesis of the first metatarsophalangeal joint with 2 crossed screws and a dorsal compression plate is a safe and effective treatment of advanced hallux rigidus. This procedure provides adequate pain relief and functional improvement of gait.</p><p><strong>Level of evidence: </strong>Level IV, therapeutic, retrospective case series.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 3","pages":"24730114241265344"},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787757","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
Does FHL Tendon Transfer Alter the Outcome of Haglund Deformity Treatment by Using Debridement and Ostectomy in Patients Older Than 50 Years? A Single-Blinded Randomized Controlled Trial. 50 岁以上患者采用清创和切除术治疗哈格隆德畸形时,FHL 肌腱转移是否会改变治疗结果?单盲随机对照试验。
Foot & Ankle Orthopaedics Pub Date : 2024-07-24 eCollection Date: 2024-07-01 DOI: 10.1177/24730114241262783
Amir Sabaghzadeh, Naser Ghanbari, Hediye Gholamshahi, Amir Mohammad Zakeri, Saman Shakeri Jousheghan, Mohammadamin Aslani, Maryam Khoshkholghsima, Mohmmad Movahedinia
{"title":"Does FHL Tendon Transfer Alter the Outcome of Haglund Deformity Treatment by Using Debridement and Ostectomy in Patients Older Than 50 Years? A Single-Blinded Randomized Controlled Trial.","authors":"Amir Sabaghzadeh, Naser Ghanbari, Hediye Gholamshahi, Amir Mohammad Zakeri, Saman Shakeri Jousheghan, Mohammadamin Aslani, Maryam Khoshkholghsima, Mohmmad Movahedinia","doi":"10.1177/24730114241262783","DOIUrl":"10.1177/24730114241262783","url":null,"abstract":"<p><strong>Background: </strong>Chronic Achilles tendinopathy following Haglund disease is a common ankle condition that is difficult to manage. In this study, we will compare the clinical outcomes of debridement and ostectomy with and without FHL tendon transfer in treating Haglund deformity.</p><p><strong>Methods: </strong>Forty eligible patients aged >50 years who did not respond to conservative treatment were randomly divided into 2 groups for surgical approach: using flexor hallucis longus (FHL) tendon transfer (FHL group) or \"standard procedure\" (control group). The main surgical treatment included debridement and ostectomy. AOFAS and VISA-A scores were obtained from all patients pre- and postoperatively.</p><p><strong>Results: </strong>Twenty patients were assigned to each of the 2 groups and were observed for at least 1 year. The American Orthopaedic Foot & Ankle Society (AOFAS) ankle hindfoot scores and the Victorian Institute of Sports Assessment self-administered Achilles (VISA-A) questionnaires scores improved more in the FHL group; however, the average difference in the change in scores did not reach the levels previously reported for minimal clinically important differences. Surgical complications and hallux function were not significantly different between the 2 groups.</p><p><strong>Conclusion: </strong>We found that FHL tendon transfer may improve the clinical outcome scores of Achilles tendon treatment in patients aged >50 years using debridement and ostectomy. However, tendon transfer increases the time of surgery and creates additional skin incisions, which may cause more short-term wound complications, and the significance of the differences in outcome improvement may not be clinically meaningful.</p><p><strong>Level of evidence: </strong>Level II, grade A recommendation.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 3","pages":"24730114241262783"},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11273563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787756","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
Corrigendum to Midterm Clinical and Radiographic Outcomes of the Calcaneal Z-Osteotomy for the Correction of Cavovarus Foot. 钙楔Z型截骨术矫正空洞脚的中期临床和影像学结果》更正。
Foot & Ankle Orthopaedics Pub Date : 2024-06-17 eCollection Date: 2024-04-01 DOI: 10.1177/24730114241263423
{"title":"Corrigendum to Midterm Clinical and Radiographic Outcomes of the Calcaneal Z-Osteotomy for the Correction of Cavovarus Foot.","authors":"","doi":"10.1177/24730114241263423","DOIUrl":"https://doi.org/10.1177/24730114241263423","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/24730114221146986.].</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 2","pages":"24730114241263423"},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11184990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418526","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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