Scientific Journal of the Foot & Ankle最新文献_第4页

Distal fibular periosteal flap for superior peroneal retinaculum reconstruction 腓骨远端骨膜瓣重建腓上伴带

Scientific Journal of the Foot & Ankle Pub Date : 2021-01-01 DOI: 10.30795/jfootankle.2021.v15.1558

S. Ahrenholz, M. Lalevée, H. Lee, T. Tazegul, Christian VandeLune, N. Mansur, C. C. César Netto

引用次数: 0

Synovial chondromatosis as an etiology of ankle impingement: a case report 滑膜软骨瘤病作为踝关节撞击的病因:1例报告

Scientific Journal of the Foot & Ankle Pub Date : 2021-01-01 DOI: 10.30795/jfootankle.2021.v15.1533

Eli Ávila Souza Júnior

引用次数: 0

Mobilization protocol and early postoperative weight-bearing in transyndesmal ankle fractures 经皮韧带踝关节骨折的活动方案和术后早期负重

Scientific Journal of the Foot & Ankle Pub Date : 2021-01-01 DOI: 10.30795/jfootankle.2021.v15.1539

Diego Yearson, I. Melendez, Federico Anain, S. Siniscalchi, J. Drago

{"title":"Mobilization protocol and early postoperative weight-bearing in transyndesmal ankle fractures","authors":"Diego Yearson, I. Melendez, Federico Anain, S. Siniscalchi, J. Drago","doi":"10.30795/jfootankle.2021.v15.1539","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1539","url":null,"abstract":"Objective: To disseminate a rehabilitation protocol with early mobilization and ambulation, with no external supports, reducing the time until full weight-bearing and providing greater postoperative comfort. Methods: We prospectively assessed a series of 68 patients, with level of evidence IV, mean age of 33.3 years. We performed open reduction with ankle lateral approach (Kocher) and internal fixation with an interfragmentary compression screw and a one-third locked tubular plate for neutralization. All patients were subjected to a rehabilitation protocol with early mobilization and weight-bearing. Results: No fracture displacements were observed on the postoperative radiographic controls, neither loosening nor ruptures of implants. There was no need to change rehabilitation guidelines either due to pain or to other subjective limitation. Conclusion: We can state that early joint mobilization and controlled progressive support, with appropriate osteosynthesis, resulting in an early return to everyday activities, both work and sports ones. Level of Evidence IV; Therapeutic Studies; Case Series.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76952338","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

Clinical and functional outcomes of tarsal coalition resection to correct rigid flat foot 跗骨联合切除术矫正刚性扁平足的临床和功能效果

Scientific Journal of the Foot & Ankle Pub Date : 2021-01-01 DOI: 10.30795/jfootankle.2021.v15.1537

Rodrigo Guimarães Huyer, M. Cillo, Carlos Daniel Cândido de Castro Filho, H. D. Bertelli, Marcelo Morelli Girondo, Armando Bortolatto Neto

{"title":"Clinical and functional outcomes of tarsal coalition resection to correct rigid flat foot","authors":"Rodrigo Guimarães Huyer, M. Cillo, Carlos Daniel Cândido de Castro Filho, H. D. Bertelli, Marcelo Morelli Girondo, Armando Bortolatto Neto","doi":"10.30795/jfootankle.2021.v15.1537","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1537","url":null,"abstract":"Objective: This study used the AOFAS score to assess the clinical functional results of patients who underwent tarsal coalition resection. Methods: This was a retrospective case series of patients who underwent tarsal coalition resection to correct rigid flat foot. Clinical and functional assessment was performed with the AOFAS score before and 6 months after surgical treatment. Descriptive analysis was performed for 7 patients (11 operated feet) using measurements of position and dispersion (mean, standard deviation, minimum, median and maximum value) for continuous variables and frequency tables (absolute and relative) for categorical variables. Results: The mean patient age was 10 years, 7 months, and the majority (71.43%) were male. The most affected joint was the calcaneonavicular. The right side was affected in 54.55% of the cases. The most frequent type of coalition was osseous (81.82% of the cases). The mean pre- and postoperative AOFAS scores were 32.7 and 70.2 points, respectively, which was a significant increase. Conclusion: The increased scores after coalition resection was considered the main change between the two assessments. Thus, it can be concluded that in rigid flat feet without severe hind- or forefoot deformities for which conservative treatment failed, bar resection should be the surgical procedure of choice. Level of Evidence IV; Therapeutic Studies; Case Series.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"12 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78336148","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

Partial plantar fasciectomy for the treatment of plantar fibromatosis 足底部分筋膜切除术治疗足底纤维瘤病

Scientific Journal of the Foot & Ankle Pub Date : 2021-01-01 DOI: 10.30795/jfootankle.2021.v15.1540

Lucas Plens de Britto Costa, L. Fonseca, A. Lemos, V. Pereira, C. C. César Netto, F. Raduan, C. Nery, N. Mansur

{"title":"Partial plantar fasciectomy for the treatment of plantar fibromatosis","authors":"Lucas Plens de Britto Costa, L. Fonseca, A. Lemos, V. Pereira, C. C. César Netto, F. Raduan, C. Nery, N. Mansur","doi":"10.30795/jfootankle.2021.v15.1540","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1540","url":null,"abstract":"Objective: We describe a series of patients treated with resection of the affected band. We assessed functional outcome, recurrence rate, and surgical wound complications, comparing these data with the available literature. Methods: This retrospective study (level of evidence IV) included 14 patients (17 feet) diagnosed with plantar fibromatosis in the medial portion of the fascia that was refractory to conservative treatment. All operations were performed between December 2016 and November 2018. All patients were assessed for symptom improvement and major and minor complications, in addition to recurrence during the study period.Results: Our sample included 9 men and 5 women, whose mean age was 40.6 years (15-63). All of the patients underwent partial fasciectomy of the medial fascial band with margins of at least 2 cm. There was recurrence in 5 of the 17 feet (29%), but only two required further intervention. Wound dehiscence occurred in 3 patients (17%), and one of the cases was severe, requiring plastic surgery. Two feet showed signs of injury to the digital branch of the medial plantar nerve. Conclusion: Partial plantar fasciectomy is an alternative treatment for plantar fibromatosis (Ledderhose’s disease). Our results agree with the literature in terms of recurrence and postoperative complications. The moderate rate of complications must be taken into account when indicating this procedure. Level of Evidence IV; Therapeutic Studies; Case Series.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74491426","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

Scientific Journal of the Foot & Ankle Pub Date : 2021-01-01 DOI: 10.30795/jfootankle.2021.v15.1562

Christian VandeLune, T. Tazegul, Samuel J Ahrenholz, C. Iehl, Victoria Y. Vivtcharenko, Eli L Schmidt, Kevin N Dibbern, H. Lee, M. Lalevée, N. S. Barbachan Mansur, C. de César Netto

{"title":"Implant-related artifacts around metallic and bio-integrative screws: a CT scan 3D Hounsfield unit assessment","authors":"Christian VandeLune, T. Tazegul, Samuel J Ahrenholz, C. Iehl, Victoria Y. Vivtcharenko, Eli L Schmidt, Kevin N Dibbern, H. Lee, M. Lalevée, N. S. Barbachan Mansur, C. de César Netto","doi":"10.30795/jfootankle.2021.v15.1562","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1562","url":null,"abstract":"Objective: To assess the degree of implant-related artifacts (IRA) around metallic and bio-integrative (BI) cannulated screws using Hounsfield units (HU) on computed tomography (CT). Our hypothesis was that BI implants would demonstrate significantly decreased IRA around the inserted screws. Methods: In this cadaveric CT imaging study, we used 2 below-knee specimens. Medial displacement calcaneal osteotomy was performed, and the specimens were fixed with either metallic or BI screws. HU values were measured over 4 different lines that crossed the osteotomy position. Results: The mean HU value was decreased in the BI implants compared to the metallic ones in 3 different positions: near the screw, directly over the screw, and inside the screw cannula. At the line placed 1 cm dorsal to the screw, the HU value for the metallic screw was lower than that for the BI screw. Conclusions: We found metallic implants to demonstrate significantly increased HU values in regions close to the implant and significantly decreased values 1 cm away from the implant, when compared to the BI screw. The decreased HU values 1 cm away from the implant could be due to a shielding effect of the surrounding bone, hindering the assessment of union and healing. BI implants represent an alternative to decrease these IRA effects. Level of Evidence III; Case-Control Study.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74258500","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: 2

Epidemiological study of open fractures of the ankle and foot 踝关节和足部开放性骨折的流行病学研究

Scientific Journal of the Foot & Ankle Pub Date : 2021-01-01 DOI: 10.30795/jfootankle.2021.v15.1545

L. Carneiro, Luiz Augusto Sampaio Gonzaga Filho, J. Mizusaki, S. Prata, M. Rizzo

{"title":"Epidemiological study of open fractures of the ankle and foot","authors":"L. Carneiro, Luiz Augusto Sampaio Gonzaga Filho, J. Mizusaki, S. Prata, M. Rizzo","doi":"10.30795/jfootankle.2021.v15.1545","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1545","url":null,"abstract":"Objective: To characterize the epidemiological profile of patients treated at a hospital service with diagnosis of open fracture of the ankle and foot. Methods: Retrospective, descriptive, epidemiological, observational study of open fractures of the ankle and foot selected by convenience sampling in a hospital service in São Paulo, state of São Paulo, Brazil, from March 1, 2017, to March 1, 2019, totaling 109 patients. Data collection was conducted for the analysis of variables included in patients’ medical records. Results: The medical records of 700 patients with open fractures were assessed. Of these patients, 13.2% (109 patients) had open fractures of the ankle and foot. There was a predominance of male young adults (70.8%) and of left lower limb fractures (51.85%). Most cases were classified as Gustilo and Anderson type II fractures (42.6%). Motorcycle accidents (44.45%) predominated, and students and professional motorcyclists were the most frequent occupations (37.04%). The most adopted stabilization method was osteosynthesis (internal fixation) (44.45%), and primary amputation was required in 3.7% of the cases. Conclusion: Male young adults were the most affected by fractures of the ankle and foot, and traffic accidents were the leading cause. Most patients had an educational attainment of complete elementary education. Most fractures were classified as Gustilo and Anderson type II. Greater severity was observed in patients with associated injuries in other body segments and who developed early complications during hospitalization. Level of Evidence IV; Prognostic Studies; Case Series.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85873461","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

Medium-term results of the HINTEGRA total ankle arthroplasty HINTEGRA全踝关节置换术的中期效果

Scientific Journal of the Foot & Ankle Pub Date : 2020-12-21 DOI: 10.30795/jfootankle.2020.v14.1198

M. Khademi, P. Ferrao, N. Saragas

{"title":"Medium-term results of the HINTEGRA total ankle arthroplasty","authors":"M. Khademi, P. Ferrao, N. Saragas","doi":"10.30795/jfootankle.2020.v14.1198","DOIUrl":"https://doi.org/10.30795/jfootankle.2020.v14.1198","url":null,"abstract":"Objective: The aim of this study was to determine patient satisfaction, survivorship, and revision rate of the HINTEGRA total ankle arthroplasty (TAA). Our secondary objective was to assess hindfoot function. Methods: All patients who underwent a HINTEGRA TAA between 2007 and 2014 were evaluated. We included a total of 69 patients (69 ankles), who were subjected to clinical and radiological examination and completed a visual analogue scale (VAS) for pain, the American Orthopaedic Foot and Ankle Society (AOFAS) ankle score, and the self-reported foot and ankle score (SEFAS). Hindfoot function was assessed using the AOFAS hindfoot score. Mean follow-up was 62 (57–101) months. Results: The mean VAS score was 2 (0–3) and the SEFAS was 37 (26–48) at the most recent follow-up, while the AOFAS ankle score improved from 57 (52–62) to 87 (82–93). The AOFAS hindfoot score improved from 82 to 92 postoperatively. Eight patients had periprosthetic osteolysis and 5 underwent bone grafting of cysts. We detected polyethylene and hydroxyapatite particles in specimens obtained from the cysts. Eight patients had their procedures converted to an ankle arthrodesis. Conclusion: In select patients, TAA improved quality of life. Our medium-term follow-up of the HINTEGRA TAA observed a survivorship of 89% at 5 years with an improvement in the AOFAS score and a mean SEFAS score of 37. We recommend that large periprosthetic cysts, which may be caused by the hydroxyapatite coating and polyethylene particles, be bone grafted prophylactically. We found hindfoot function to be preserved. Level of Evidence IV; Therapeutic Studies; Case Series.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79043551","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: 2

Lapicotton technique in the treatment of progressive collapsing foot deformity Lapicotton技术治疗进行性塌陷足畸形

Scientific Journal of the Foot & Ankle Pub Date : 2020-12-21 DOI: 10.30795/jfootankle.2020.v14.1215

C. de César Netto, S. Ahrenholz, C. Iehl, Victoria Y. Vivtcharenko, E. Schmidt, H. Lee, K. Dibbern, N. Mansur

引用次数: 4

Arthroscopic treatment of anteromedial ankle impingement 关节镜治疗踝关节前内侧撞击

Scientific Journal of the Foot & Ankle Pub Date : 2020-12-21 DOI: 10.30795/jfootankle.2020.v14.1200

G. Arrondo, D. Gomez, German Joannas, X. Martín-Oliva, M. Iglesias, L. Casola

引用次数: 1