Scientific Journal of the Foot & Ankle最新文献

Hallux valgus: Patología tridimensional. Nuevo enfoque terapéutico 拇外翻:三维病理。新的治疗方法

Scientific Journal of the Foot & Ankle Pub Date : 2021-12-23 DOI: 10.30795/jfootankle.2021.v15.1584

Diego Javier Yearson, Ignacio Melendez, Federico Anain, Santiago Siniscalchi, Juan Drago

{"title":"Hallux valgus: Patología tridimensional. Nuevo enfoque terapéutico","authors":"Diego Javier Yearson, Ignacio Melendez, Federico Anain, Santiago Siniscalchi, Juan Drago","doi":"10.30795/jfootankle.2021.v15.1584","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1584","url":null,"abstract":"Introducción: el hallux valgus es la deformidad musculoesquelética más frecuente. La laxitud y la hipermovilidad tarso metatarsiana favorecen su desarrollo. El objetivo de este trabajo es plantear una patología tridimensional, y elaborar un algoritmo quirúrgico para cada patrón de deformidad, incorporando el componente rotacional del metatarsiano. \u0000Materiales y métodos: evaluamos prospectivamente una serie de 89 casos entre febrero de 2020 y febrero 2021, 80 mujeres y 9 hombres. Nivel de evidencia IV. La edad promedio fue 39 años y el seguimiento 11.3 meses. Utilizamos la clasificación de Hardy-Clapham y separamos 2 grupos, los hallux sin componente rotacional (tipo 1 a 3), y aquellos con componente rotacional (tipo 4 a 7). \u0000Resultados: el 59% entraron en el primer grupo, a los cuales se realizó osteotomía distal en chevron acorde a la deformidad en el plano frontal. El 41 % restante tuvo componente rotacional, y se realizó una osteotomía distal en chevron rotacional, crecientica en la base, o artrodesis de Lapidus modificada, según la deformidad en plano frontal o inestabilidad asociada. Consolidaron todos pacientes. AOFAS 94.5%, VAS 0.71 y 100% de satisfacción. \u0000Discusión: el componente rotacional es fundamental en la interpretación del hallux valgus, pero no es el único para tener en cuenta. El mismo puede no estar presente o no ser trascendente, y se alcanzan excelentes resultados como los publicados por décadas. Es fundamental diferenciar los pacientes con componente rotacional para realizar el tratamiento adecuado. \u0000Conclusión: considerando el hallux valgus una patología tridimensional, proponemos un protocolo de tratamiento acorde para cada paciente.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80395705","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}

引用次数: 0

Access to the talar dome through the medial posterolateral approach: an anatomical study. 通过内侧后外侧入路进入距骨穹窿:一项解剖学研究。

Scientific Journal of the Foot & Ankle Pub Date : 2021-12-20 DOI: 10.30795/jfootankle.2021.v15.1596

Wellington Farias Molina, Lourenço Galizia Heitzmann, Guilherme Bottino Martins, Luiz Sérgio Martins Pimenta, Giezy Rasfasky Fiorot, Ian Almeida Fragalli

{"title":"Access to the talar dome through the medial posterolateral approach: an anatomical study.","authors":"Wellington Farias Molina, Lourenço Galizia Heitzmann, Guilherme Bottino Martins, Luiz Sérgio Martins Pimenta, Giezy Rasfasky Fiorot, Ian Almeida Fragalli","doi":"10.30795/jfootankle.2021.v15.1596","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1596","url":null,"abstract":"Background: The osteochondral grafting has become a popular procedure for treating challenging talar dome lesions. However, the vast majority are treated through medial malleolus osteotomy. The aim of this study was to determine the posteromedial area of the talus that can be reached without malleolar osteotomy through the posteromedial approach. \u0000Study Design: Descriptive laboratory study. Evidence Level 4 \u0000Methods: Fifteen human cadaveric ankles were dissected in a standard fashion to expose the posteromedial talar dome. Seven approaches were used on the cadaver's left limb (46.7%). We did not observe any significant difference between the evaluated sides (chi-square test, p = 0.715). \u0000 Results: On average, 2,09 cm2 (range, 1,72-2,69) of the posteromedial talus dome or 15,27 % (range 12-20) of total talus dome can be accessed without osteotomy. \u0000Conclusion: If the osteochondral lesion is within the area accessible through PM approach (mean 2 cm2), as seen on magnetic resonance imaging, it is possible that it can be treated without a medial malleolus osteotomy. \u0000Keywords: talus; osteochondral lesions; osteotomy; arthrotomy; surgery","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78881304","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}

引用次数: 0

Proposed treatment algorithm for hallux rigidus 提出拇僵硬的治疗算法

Scientific Journal of the Foot & Ankle Pub Date : 2021-12-20 DOI: 10.30795/jfootankle.2021.v15.1578

M. Herrera-Pérez, D. González-Martín, R. Viladot-Pericé

{"title":"Proposed treatment algorithm for hallux rigidus","authors":"M. Herrera-Pérez, D. González-Martín, R. Viladot-Pericé","doi":"10.30795/jfootankle.2021.v15.1578","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1578","url":null,"abstract":"This study performs a literature review on the treatment of hallux rigidus and proposes a treatment algorithm.This literature systematic review expanded a similar study conducted in 2014 by the authors and analyzed the levels of recommendation according to scientific evidence.Most articles found in the search present scarce evidence (level IV or case series), we only found 8 articles with an at least moderate level of recommendation (B); of these, only one article had a level of evidence I.Conservative treatment is effective with the implementation of footwear modifications, use of insoles, and infiltrations with hyaluronic acid. Cheilectomy, either isolated or combined with Moberg osteotomy, shows good outcomes in stage III, or moderate, although its outcomes worsen after 5 years. Metatarsophalangeal joint (MTPJ) arthrodesis is still the gold standard in stage IV, or advanced. In recent years, the technique of interposition arthroplasty has re-emerged, especially with the use of a synthetic cartilage implant (Cartiva®), with outcomes at least similar to those of MTPJ arthrodesis in comparative studies. Level of Evidence III; Therapeutic Studies; Systematic Review of Level III Studies.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86724651","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}

引用次数: 0

Metatarsophalangeal arthrodesis of the hallux using a minimally invasive technique 拇跖趾关节融合术的微创技术

Scientific Journal of the Foot & Ankle Pub Date : 2021-12-20 DOI: 10.30795/jfootankle.2021.v15.1565

L. Lara, Lúcio Torres Filho, G. Cervone, J. Grajales, Glaucia Bordignon, L. Lancia, D. Santos, Igor Marijusckin, D. Russo

引用次数: 1

Pseudotumor hemofílico de tobillo - A propósito de un caso 踝关节血友病假肿瘤-关于一个病例

Scientific Journal of the Foot & Ankle Pub Date : 2021-12-20 DOI: 10.30795/jfootankle.2021.v15.1599

Ricardo Rodríguez Ciodaro, Carlos Eduardo Pardo Laverde, Álvaro Santiago Guerrero Forero, María Helena Solano Trujillo, Claudia Caicedo Donoso, Nicolás Hernández Arango

引用次数: 0

Hallux valgus measurements using weight-bearing computed tomography: what changes? 负重计算机断层摄影测量拇外翻:有什么变化?

Scientific Journal of the Foot & Ankle Pub Date : 2021-12-20 DOI: 10.30795/jfootankle.2021.v15.1600

Samuel Braza, Nacime Salomão Barbachan Mansur, Vineel Mallavarapu, Kepler Alencar Mendes de Carvalho, K. Dibbern, Caio Augusto de Souza Nery, M. Lalevée, C. de César Netto

{"title":"Hallux valgus measurements using weight-bearing computed tomography: what changes?","authors":"Samuel Braza, Nacime Salomão Barbachan Mansur, Vineel Mallavarapu, Kepler Alencar Mendes de Carvalho, K. Dibbern, Caio Augusto de Souza Nery, M. Lalevée, C. de César Netto","doi":"10.30795/jfootankle.2021.v15.1600","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1600","url":null,"abstract":"Objective: To assess whether traditional hallux valgus (HV) measurements obtained with conventional radiography (CR) correspond to those obtained with weight-bearing computed tomography (WBCT). Methods: In this retrospective case-control study, 26 HV feet and 20 control feet were analyzed with CR and WBCT. Hallux valgus angle (HVA), intermetatarsal angle (IMA), interphalangeal angle (IPA), distal metatarsal articular angle (DMAA), sesamoid station (SS), and first metatarsal head shape were measured. Chi-square tests were used to compare hallux valgus and control patients. T-tests were used to compare CR and WBCT. P-values less than 0.05 were considered significant. Results: WBCT was capable of discriminating patients with HV from controls, showing higher mean values for HV patients than controls in HVA (35.29 and 9.02, p < 0.001), IMA (16.01 and 10.01, p < 0.001), and DMAA (18.90 and 4.10, p < 0.001). When comparing the two methods, differences were not significant between CR and WBCT measurements in HVA (-0.84, p = 0.79), IMA (-0.93, p = 0.39), IPA (1.53, p = 0.09), or SS (p = 0.40), but were significant for DMAA (13.43, p < .0001). CR analysis yielded varied metatarsal head shapes, while all WBCT shape classifications were round. Conclusion: Unidimensional HV measurements were similar between WBCT and CR, while more three-dimensional findings were not. CR may be used to assess the axial aspects of HV, but multidimensional aspects of the deformity may not be accurately assessed with plain radiographs. Level of Evidence III; Therapeutic Studies; Retrospective Case-Control Study.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80455113","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}

引用次数: 4

Conservative treatment of hallux rigidus: narrative review of scientific evidence 拇僵硬的保守治疗:科学证据的叙述性回顾

Scientific Journal of the Foot & Ankle Pub Date : 2021-12-20 DOI: 10.30795/jfootankle.2021.v15.1579

M. Herrera-Pérez, D. González-Martín, J. Ruiz-Escobar, R. Viladot-Pericé

引用次数: 0

One versus two adjacent interdigital neuroma excision: a patient outcome study 一个与两个相邻指间神经瘤切除术:一项患者结果研究

Scientific Journal of the Foot & Ankle Pub Date : 2021-12-20 DOI: 10.30795/jfootankle.2021.v15.1582

Kefilwe Boineelo Benjamin, N. Saragas, P. Ferrao

{"title":"One versus two adjacent interdigital neuroma excision: a patient outcome study","authors":"Kefilwe Boineelo Benjamin, N. Saragas, P. Ferrao","doi":"10.30795/jfootankle.2021.v15.1582","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1582","url":null,"abstract":"Objective: We aimed to evaluate patient satisfaction after surgery for both single and two adjacent neuromas. Methods: We reviewed the data of patients treated operatively for interdigital neuromas between 2003 and 2016. We interviewed them and administered the Self-Reported Foot and Ankle Score questionnaire. Patient scores were then analyzed categorically, and variation between groups was assessed. Results: Sixty-two patients were available for review. Thirty-one patients had a single interdigital neuroma excised and 31 had two adjacente interdigital neuromas excised. Twenty-eight of the 31 (90%) patients with a single neuroma had good or excellent results while 23 (74.2%) of those with adjacent neuromas had similar outcomes. One patient with a single neuroma had a poor result while four patients with adjacent neuromas had poor results. The mean score was 41 (excellent) for patients with a single interdigital neuroma and 37 (good) for those with adjacent neuromas (p=0.473). The majority of patients in both groups would undergo surgery again. Conclusion: We found no statistically significant difference in outcomes of patients who undergo surgery for either single or two adjacent interdigital neuromas. General patient satisfaction is good and/or excellent post excision. Level of Evidence II; Prognostic Studies; Retrospective Study.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86428037","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}

引用次数: 0

Hallux rigidus: clinical examination, radiology, and classification 拇僵硬:临床检查、放射学和分类

Scientific Journal of the Foot & Ankle Pub Date : 2021-12-20 DOI: 10.30795/jfootankle.2021.v15.1580

G. Arrondo, L. Casola

引用次数: 0

Tendoscopic treatment of acute posterior tibial tendon dysfunction: case report 肌腱镜治疗急性胫后肌腱功能障碍1例

Scientific Journal of the Foot & Ankle Pub Date : 2021-12-20 DOI: 10.30795/jfootankle.2021.v15.1570

D. Saraiva, M. Knupp, A. Rodrigues, T. Gomes, X. Oliva

引用次数: 0