Foot & Ankle International最新文献

{"title":"Letter Regarding: PROMIS Scores for Plantar Fasciitis Before and After Gastrocnemius Recession.","authors":"James Amis","doi":"10.1177/10711007231191504","DOIUrl":"10.1177/10711007231191504","url":null,"abstract":"","PeriodicalId":12446,"journal":{"name":"Foot & Ankle International","volume":"44 9","pages":"936"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10233847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subtalar Arthrodesis in Patients With Prior Tibiotalar Arthrodesis for Posttraumatic Osteoarthritis.","authors":"Laetitia Theunissen,&nbsp;Paul-André Deleu,&nbsp;Ivan Birch,&nbsp;Nils Reymond,&nbsp;Bernhard Devos Bevernage,&nbsp;Pierre Maldague,&nbsp;Vincent Gombault,&nbsp;Corentin Malherbe,&nbsp;Thibaut Leemrijse","doi":"10.1177/10711007231181568","DOIUrl":"10.1177/10711007231181568","url":null,"abstract":"<p><strong>Background: </strong>The tibiotalar arthrodesis for end-stage ankle osteoarthritis is a surgical procedure that leads to a modification of the kinematics of the adjacent joints and may result in the development of secondary osteoarthritic degeneration of the subtalar joint. It has previously been observed that subtalar arthrodesis in this context shows a lower fusion rate than isolated subtalar arthrodesis. This retrospective study reports the results of subtalar joint arthrodesis with previous ipsilateral tibiotalar arthrodesis and suggests some factors that may compromise the fusion of the joint.</p><p><strong>Methods: </strong>Between September 2010 and October 2021, 15 arthrodeses of the subtalar joint with screw fixation were performed in 14 patients, with a fusion of the ipsilateral tibiotalar joint. Fourteen of 15 cases used an open sinus tarsi approach, 13 were augmented with iliac crest bone graft, and 11 had supplemental demineralized bone matrix (DBM). The outcome variables were fusion rate, time to fusion, and revision rate. Fusion was assessed by radiographs and computed tomography scan.</p><p><strong>Results: </strong>Twelve of the 15 subtalar arthrodeses (80%) fused at the first attempt with an average fusion time of 4.7 months.</p><p><strong>Conclusion: </strong>In this limited retrospective case series, compared to the fusion rate of isolated subtalar arthrodesis reported in the literature, the rate of subtalar fusion in the presence of an ipsilateral tibiotalar arthrodesis was found to be lower.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":12446,"journal":{"name":"Foot & Ankle International","volume":"44 9","pages":"862-871"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10229571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical Comparison of Nonlocked Minimally Invasive and Locked Open Achilles Tendon Simulated Rupture Repairs.","authors":"Bavornrit Chuckpaiwong,&nbsp;Richard R Glisson,&nbsp;Federico G Usuelli,&nbsp;Naji S Madi,&nbsp;Mark E Easley","doi":"10.1177/10711007231178819","DOIUrl":"10.1177/10711007231178819","url":null,"abstract":"<p><strong>Background: </strong>Open repair of Achilles tendon ruptures is associated with a risk of infection and other wound complications. Although percutaneous repairs reduce these complications, they may increase the risk of nerve injury. This study was designed to determine whether a percutaneous nonlocking repair can approach the gapping resistance offered by a standard open repair under conditions approximating typical postoperative physiotherapy.</p><p><strong>Methods: </strong>Ten pairs of cadavers Achilles tendons were transected in situ 5 cm above the insertion. One tendon from each pair was repaired using an open 4-strand Krackow locking loop, and the contralateral tendon was repaired with the Achillon system using the same suture material. Displacement transducers were attached to the medial, lateral, anterior, and posterior aspects of the tendon, spanning the repair. Each tendon underwent 1000 tensile loading cycles to 86.5 N, simulating passive ankle range-of-motion physiotherapy. Gapping was documented on the 1st, 50th, 100th, 500th, and 1000th cycles. The ultimate tensile strength of each repaired tendon was then measured by distracting until gross failure occurred.</p><p><strong>Results: </strong>Gapping of the percutaneous repairs exceeded that of conventional open repairs on the first, 500th, and 1000th load cycles. All 10 conventionally repaired tendons withstood 1000 load cycles without gross failure, but 4 of 10 percutaneous minimally invasive repairs failed, one on the 9th load cycle and the others between the 100th and 500th cycles. On average, tendons repaired with the open technique withstood 66% greater tensile load in failure testing than those repaired with the percutaneous technique.</p><p><strong>Conclusion: </strong>Open Krackow Achilles tendon repairs may better withstand more aggressive postoperative physiotherapy than nonlocked percutaneous repairs.</p><p><strong>Clinical relevance: </strong>The study suggests that surgeons should consider locking suture approaches to avoid loss of repair integrity with early motion.</p>","PeriodicalId":12446,"journal":{"name":"Foot & Ankle International","volume":"44 9","pages":"913-921"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10282147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopically Assisted Percutaneous Harvesting of the Flexor Hallucis Tendon in Zone 2: An Anatomical Study.","authors":"Philipp Winter,&nbsp;Ali-Asgar Najefi,&nbsp;Laura Lambert,&nbsp;Stefan Landgraeber,&nbsp;Thomas Tschernig,&nbsp;Joe Wagener","doi":"10.1177/10711007231177250","DOIUrl":"10.1177/10711007231177250","url":null,"abstract":"<p><strong>Background: </strong>Flexor hallucis longus (FHL) transfer is a well-established method for treating chronic Achilles tendon ruptures and tendinopathy. Harvesting of the FHL tendon in zone 2 results in greater length but is also associated with an increased risk of injury to the medial plantar nerve and requires an additional plantar incision. Because of the anatomic proximity of the FHL tendon to the tibial neurovascular bundle in zone 2, the purpose of this study was to investigate the risk of vascular or nerve injury with arthroscopic assisted percutaneous tenotomy in zone 2 of the FHL tendon.</p><p><strong>Methods: </strong>Endoscopically assisted percutaneous FHL transfer was performed on 10 right lower extremities from 10 cadaveric human specimens. The FHL tendon lengths and the relationship between FHL tendon and the tibial neurovascular bundle at zone 2 was analyzed.</p><p><strong>Results: </strong>We observed a complete transection of the medial plantar nerve in 1 case (10%). The mean length of the FHL tendon was 54.7 ± 9.5 mm and the mean distance from the distal stump of the FHL tendon to local neurovascular structures was 1.3 ± 0.7 mm.</p><p><strong>Conclusion: </strong>There is a risk of neurovascular injury after endoscopic FHL tenotomy in zone 2. The tenotomy site is within 2 mm of the local neurovascular structures in the majority of cases. The additional length gained from this technique is unlikely to be required for the majority of FHL tendon transfer procedures. If additional length is needed, we would recommend the use of intraoperative ultrasonography or a mini-open approach to minimize injury risk.</p><p><strong>Level of evidence: </strong>Level V, expert opinion.</p>","PeriodicalId":12446,"journal":{"name":"Foot & Ankle International","volume":"44 9","pages":"888-894"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10575635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to \"Letter Regarding: PROMIS Scores for Plantar Fasciitis Before and After Gastrocnemius Recession\".","authors":"Turner Sankey,&nbsp;Ashish Shah","doi":"10.1177/10711007231191511","DOIUrl":"10.1177/10711007231191511","url":null,"abstract":"Dear Editor, We would like to thank Dr Amis for his interest in our article on PROMIS scores in plantar fasciitis before and after gastrocnemius recession surgery.4 The primary goal of our article was to contribute as one of the pioneering studies in the literature by examining PROMIS scores in plantar fasciitis. Furthermore, we aimed to emphasize the significance of patient-reported outcomes in clinical practice and their profound impact on surgical outcomes. As we discuss our diagnosis and treatment plan of plantar fasciitis, we mention our use of standard conservative management as initial treatment. Standard conservative management is universally employed as the first-line intervention for plantar fasciitis. Literature suggests that 90% of patients show significant improvement after 6-9 months of conservative therapy.1-3 Nevertheless, it is worth noting that plantar fasciitis can also present as treatment-resistant, causing frustration among both patients and practitioners.3 Our patients, at a minimum, all failed at least 6 months of continuous therapy, with the majority continuing for 9-12 months. Standard conservative management, as referenced in the literature,2,3 is what our patients followed. Treatment consisted of a combination of stretching, orthotics, immobilization, rest, nonsteroidal antiinflammatory drugs, and scheduled physical therapy. Additionally, our patients were offered a 5-degree dorsiflexion night splint for persistent symptoms, as it prevents contracture of the plantar fascia by maintaining a neutral position of the ankle during sleep.1 Before sending patients for scheduled physical therapy, we employed stretching focused on the heel cord and tissue-specific stretching that emphasizes plantar fascia.5 The initial exercise targets the heel cord by having patients face a wall with their unaffected leg forward and their affected leg straight behind them, toes pointed inward. Our patients were instructed to engage in these stretches for a duration of at least 2-4 minutes, repeating them 3-4 times daily. Cast immobilization for 4-6 weeks is often recommended for refractory symptoms,3 which is common at our institute, where our patients are noted to have a higher than average body mass index than the national average. Our patients seem to be more compliant with the walking cast in comparison to the controlled ankle motion boot and the stretching regimen. We did not perform shockwave therapy, platelet-rich plasma injections, or botulinum toxin injections secondary to financial constraints and lack of adequate literature support. If, and only if, patients had exhausted all forms of conservative management for 6-9 months, were they offered gastrocnemius recession surgery. Using standard conservative management in treating plantar fasciitis is crucial as it ensures adherence to a nationally recognized treatment standard. This approach helps avoid the risk of unnecessary surgeries and promotes effective and cost-efficient treatment,","PeriodicalId":12446,"journal":{"name":"Foot & Ankle International","volume":"44 9","pages":"937-938"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10232325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparison of Ankle Fractures Relative to Other Fragility Fractures: A Review and Analysis of the American Orthopaedic Association's <i>Own the Bone</i> Database.","authors":"Eric So,&nbsp;Christopher Juels,&nbsp;Ryan T Scott,&nbsp;Debra L Sietsema","doi":"10.1177/10711007231178536","DOIUrl":"10.1177/10711007231178536","url":null,"abstract":"<p><strong>Background: </strong>Ankle fragility fractures (AFX) continue to increase in the elderly population. There is limited knowledge of AFX characteristics compared to nonankle fragility fractures (NAFX). The American Orthopaedic Association's <i>Own the Bone</i> (OTB) is a fragility fracture initiative. This robust data set was used to examine and compare characteristics of patients presenting with AFX to those with NAFX.</p><p><strong>Methods: </strong>The OTB database contained 72,617 fragility fractures between January 2009 and March of 2022 and were reviewed in our secondary cohort comparative analysis. After exclusions, AFX accounted for 3229 patients and 54,772 patients were in the NAFX cohort. Bivariate analysis and logistic regression compared the AFX and NAFX groups concerning demographics, bone health factors, medication use, and prior fragility fracture.</p><p><strong>Results: </strong>AFX patients were found to have a higher likelihood to be younger (67.6 years old), female (81.4%), non-Caucasian (11.7%) and have a higher BMI (30.6) compared to NAFX. Prior AFX predicted the risk of a future AFX. The probability of an AFX increased with increased age and BMI.</p><p><strong>Conclusion: </strong>A prior AFX is independently predictive of subsequent AFX. Therefore, these fractures should be considered a sentinel event. These patients are more likely to have higher BMI, to be of female gender, non-Caucasian race, and are younger compared to patients with NAFX.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort.</p>","PeriodicalId":12446,"journal":{"name":"Foot & Ankle International","volume":"44 9","pages":"879-887"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10281742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Flexible Fixation Method for Syndesmotic Injury.","authors":"Quan Yu Dong,&nbsp;Yong Wu,&nbsp;Chen Han Wang,&nbsp;Yong Wook Park","doi":"10.1177/10711007231177044","DOIUrl":"10.1177/10711007231177044","url":null,"abstract":"<p><strong>Background: </strong>This study aims to evaluate the results and the safety of a novel fixation method we developed for syndesmosis injuries that we call the \"embrace\" technique.</p><p><strong>Methods: </strong>Between March 2018 and October 2020, a total of 67 patients with ankle fractures and syndesmotic injuries underwent syndesmosis fixation with the embrace technique at our institute. Plain radiographs and computed tomographic (CT) scans were obtained preoperatively. Postoperative radiographic assessment included anteroposterior (AP) and lateral radiographs and CT scans of both ankles. Additionally, the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot Score, Olerud-Molander Ankle Score, and visual analog scale (VAS) score were used for postoperative assessment.</p><p><strong>Results: </strong>The mean age was 27.6 ± 10.9 (range, 14-56) years. The mean follow-up time was 30.3 ± 6.2 (range, 24-48) months. There were no malreductions indicated by any CT parameter except fibular rotation in a postoperative comparison between 2 sides. We found significant preoperative-postoperative changes in anterior difference, posterior difference, and fibular rotation but no significant preoperative-postoperative difference in fibular translation. There was no significant postoperative difference between the affected-side and normal-side measurements of any parameter. Complications included delayed wound healing, lateral pain because of wire knot irritation (11.9%), and medial fiber wire irritation (7.5%). The mean AOFAS, Olerud-Molander, and VAS scores at the last follow-up were 94.4 ± 6.8 (range, 84-100), 95.4 ± 6.1 (range, 80-100), and 0.68 ± 1.0 (range, 0-3) points, respectively.</p><p><strong>Conclusion: </strong>In our cohort, this novel technique proved to be an effective method for syndesmosis fixation in patients with ankle fractures associated with very good radiologic and patient-reported outcomes.</p><p><strong>Level of evidence: </strong>Level IV, case series.</p>","PeriodicalId":12446,"journal":{"name":"Foot & Ankle International","volume":"44 9","pages":"854-861"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10282144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hindfoot Alignment and Ankle Stability Following Arthroscopic Lateral Ankle Ligament Repair.","authors":"Kensei Yoshimoto,&nbsp;Masahiko Noguchi,&nbsp;Hideyuki Maruki,&nbsp;Ayako Tominaga,&nbsp;Ken Okazaki","doi":"10.1177/10711007231181123","DOIUrl":"10.1177/10711007231181123","url":null,"abstract":"<p><strong>Background: </strong>Hindfoot varus deformity is a known risk factor for chronic lateral ankle instability (CLAI). The impact of this deformity on clinical results following arthroscopic lateral ankle ligament repair (ALLR) for CLAI has not been studied.</p><p><strong>Methods: </strong>Sixty-three ankles from 62 patients who received ALLR for CLAI were retrospectively examined. Preoperative plain radiographs were used to measure tibial articular surface (TAS) angles, and long axial hindfoot alignment radiographs were used to measure tibiocalcaneal angles (TCAs) pre- and postoperatively. Results included ratings on the Self-Administered Foot Evaluation Questionnaire (SAFE-Q) and recurrent ankle instability (respraining of the operated ankle following surgery).</p><p><strong>Results: </strong>Recurrent ankle instability, defined as incidence of any new ankle sprain after surgery reported in the follow-up period, occurred in 13 ankles. The TAS angles of these patients were significantly low, and their preoperative TCA was significantly high. Multivariate analysis showed that preoperative TCA was an independent risk factor for recurrent ankle instability. The threshold values for preoperative TCA for recurrent instability were determined via the receiver operating characteristic curve analysis to be 3.4 degrees. Patients were assigned to a low- or high-TCA group based on the reported average TCA (2.7 degrees) of healthy patients. In the high-TCA group, recurrent instability was significantly more frequent, and the scores on the pain subscale of the postoperative SAFE-Q were significantly lower.</p><p><strong>Conclusion: </strong>Hindfoot varus alignment was associated with pooreroutcomes after ALLR.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":12446,"journal":{"name":"Foot & Ankle International","volume":"44 9","pages":"872-878"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10593856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous Partial Bone Excision in the Management of Diabetic Toe Osteomyelitis.","authors":"Sameh R Moosa,&nbsp;Ali H Allan,&nbsp;Amr N Younes,&nbsp;Faris G Bakri,&nbsp;Nidal A Younes","doi":"10.1177/10711007231178530","DOIUrl":"10.1177/10711007231178530","url":null,"abstract":"<p><strong>Background: </strong>Diabetic foot osteomyelitis affecting the toes is associated with several complications including amputation. Management is variable and include medical therapy alone or coupled with surgery. Removal of infected tissues is a common therapeutic option. However, limited source data are available. This study determines the outcome and complications of percutaneous partial bone excision (PPBE) of infected bone among diabetic patients with toe osteomyelitis.</p><p><strong>Methods: </strong>This is an uncontrolled experimental prospective study in diabetic patients who underwent PPBE of infected pieces of bone for toe osteomyelitis in the outpatient setting at a single foot clinic. All participants were followed up until the occurrence of wound healing or amputation.</p><p><strong>Results: </strong>Forty-seven patients (mean ± SD age was 62.8 ± 11.6 years) participated. Forty-four patients (93.6%) had complete healing and 3 (6.4%) required toe amputation. The mean (±SD) wound healing time was 11 (±4.6) (range, 7-22) weeks. Diabetes mellitus type 1 and younger age were significantly associated with increased risk for amputation.</p><p><strong>Conclusion: </strong>PPBE of infected toes in diabetic patients can be performed successfully and safely in the outpatient clinic. It can also improve healing and avoids inpatient stay.</p><p><strong>Level of evidence: </strong>Level II, prospective cohort study.</p>","PeriodicalId":12446,"journal":{"name":"Foot & Ankle International","volume":"44 9","pages":"836-844"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10282146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous Zadek Osteotomy for Insertional Achilles Tendinopathy and Haglund Deformity: A Technique Tip.","authors":"Jonathan R M Kaplan,&nbsp;SarahRose Hall,&nbsp;Oliver N Schipper,&nbsp;Ettore Vulcano,&nbsp;J Benjamin Jackson,&nbsp;Tyler Gonzalez","doi":"10.1177/10711007231181124","DOIUrl":"10.1177/10711007231181124","url":null,"abstract":"Insertional Achilles tendinopathy (IAT) is a common surgical pathology treated by orthopaedic surgeons.4 IAT may be associated with Haglund deformity, and several surgical approaches exist to correct IAT; the most frequently used technique is the open midline splitting approach. More recently, minimally invasive surgery (MIS) to address common foot and ankle conditions has increased in use and popularity. The Zadek dorsal closing wedge calcaneal osteotomy (DCWCO) was first published by Zadek in 1939 for treatment of Haglund syndrome and was performed through an open approach.8 The Zadek osteotomy includes the reduction of the Achilles tendon impingement by rotating the posterosuperior corner of the calcaneal tuberosity anterior and elevating the Achilles tendon insertion.4 This technique has been used to treat IAT, with or without associated Haglund deformity. More recently, this strategy has been modified through the use of minimally invasive techniques, including the percutaneous Zadek osteotomy.5 A percutaneous approach, in comparison to the standard open technique, allows for fewer postoperative complications, improved clinical function, and decreased pain.5,6 Accordingly, we present a novel technique for performing the percutaneous Zadek osteotomy in an effort to improve accuracy of resection and selection of appropriate incisions.","PeriodicalId":12446,"journal":{"name":"Foot & Ankle International","volume":"44 9","pages":"931-935"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10227210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}