The foot and Ankle Online Journal最新文献

Postoperative analgesic efficacy of dexamethasone sodium phosphate versus triamcinolone acetonide in bunionectomy: A prospective, single-blinded pilot randomized controlled trial 地塞米松磷酸钠与曲安奈德在拇囊炎切除术中的术后镇痛效果:一项前瞻性、单盲、随机对照试验

The foot and Ankle Online Journal Pub Date : 2016-06-30 DOI: 10.3827/FAOJ.2016.0902.0003

Chris Ongzalima, W. Lee, A. Hoang, M. Y. Wong, Reza Naraghi

{"title":"Postoperative analgesic efficacy of dexamethasone sodium phosphate versus triamcinolone acetonide in bunionectomy: A prospective, single-blinded pilot randomized controlled trial","authors":"Chris Ongzalima, W. Lee, A. Hoang, M. Y. Wong, Reza Naraghi","doi":"10.3827/FAOJ.2016.0902.0003","DOIUrl":"https://doi.org/10.3827/FAOJ.2016.0902.0003","url":null,"abstract":"Background: Corticosteroids are often administered via injection preoperatively to reduce post-operative inflammation and pain. Despite their wide anecdotal application in clinical practice, there are no current guidelines pertaining to appropriate corticosteroid selection. This study aims to investigate and compare the efficacy of dexamethasone sodium phosphate (DSP) and triamcinolone acetonide (TA) in postoperative pain management following hallux valgus surgery. Methods: A randomized, prospective, single-blind study comparing preoperative DSP versus TA injections was conducted on 20 participants who were undergoing elective hallux valgus surgery. Postoperative pain scores (pain intensity and pain interference with daily activities) were assessed with Brief Pain Inventory Short Form (BPI-sf) questionnaire at the time of first postoperative oral analgesic consumption or 14 days after surgery if no analgesics were required. Differences in clinically significant pain scores were also assessed with prospectively defined response criteria. Results: The difference in mean for pain intensity and pain interference were found to be significantly lower for TA group as compared to DSP group (p = 0.006 and p = 0.001) respectively. Significant difference was also observed in the proportion of participants who reported absence of postoperative pain scores between DSP and TA groups (p = 0.025 and p= 0.006) respectively. However, there were no significant differences between time to postoperative analgesia consumption and proportion of participants requiring oral analgesia (p>0.05). Conclusions: This study provides preliminary evidence suggesting that TA is associated with lower pain scores compared to DSP. Further research is required to establish the effects of TA and DSP in managing postoperative pain following hallux valgus surgery.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131160064","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

Posterior Tibial Tendon Dysfunction: What does the single heel raise test mean in assessment? 胫骨后腱功能障碍:单足跟抬高试验在评估中意味着什么?

The foot and Ankle Online Journal Pub Date : 2015-06-30 DOI: 10.3827/FAOJ.2015.0802.0006

B. Durrant, N. Chockalingam, P. Richards, C. Morriss-Roberts

{"title":"Posterior Tibial Tendon Dysfunction: What does the single heel raise test mean in assessment?","authors":"B. Durrant, N. Chockalingam, P. Richards, C. Morriss-Roberts","doi":"10.3827/FAOJ.2015.0802.0006","DOIUrl":"https://doi.org/10.3827/FAOJ.2015.0802.0006","url":null,"abstract":"This paper aims to review the literature pertaining to single heel raise test, which is used for the assessment of PTTD. Whilst there is little published information relating to the origins of this test, there is also a clear paucity of information pertaining to the interpretation of the test findings. Understanding why clinicians utilize this test in the assessment of this debilitating pathology and how the result is interpreted is important in helping to bridge the remaining knowledge gap surrounding this condition. This review will contribute to the body of knowledge that is helping to explain why PTTD is an under recognized and underdiagnosed condition. Databases that were searched include PubMed, MEDLINE 1990-present, SportDiscus, AMED 1990-present, CINAHL 1990-present, BMJ Clinical Evidence, Cochrane Library, ISI Web of Knowledge (science) 1990 to present, Ingentaconnect, Science Citation Index, Science Direct and Wiley Interscience. Until recently there has been very little work isolating the tibialis posterior muscle activity in dysfunction. There has been even less work surrounding the individual elements of the assessment this condition such as the single heel rise test. Areas covered within the review are the history of the test, validity and reliability of the test, kinematic changes associated with the test in the presence of PTTD and the biomechanical changes in the presence of PTTD and how this may impact of the execution and interpretation of the test findings. The results from this review are inclusive in relating the single heel raise test to the assessment and diagnosis of PTTD. There is variable use of this test in clinical practice in addition to the clinical setting and patient groups where it is utilized. Further work is indicated surrounding validity and interpretation of the test findings.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"928 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123060662","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: 5

Can we recreate intraoperative weight bearing in hallux valgus surgery? A radiographic study using a reproducible technique of load bearing to simulate weight bearing 拇外翻手术中能否重建术中负重?用可重复的负重技术来模拟负重的放射学研究

The foot and Ankle Online Journal Pub Date : 2014-03-01 DOI: 10.3827/FAOJ.2014.0701.0002

R. Ahluwalia, C. Elliott, M. Hennessy, S. Platt

{"title":"Can we recreate intraoperative weight bearing in hallux valgus surgery? A radiographic study using a reproducible technique of load bearing to simulate weight bearing","authors":"R. Ahluwalia, C. Elliott, M. Hennessy, S. Platt","doi":"10.3827/FAOJ.2014.0701.0002","DOIUrl":"https://doi.org/10.3827/FAOJ.2014.0701.0002","url":null,"abstract":"Introduction: Correction of the hallux valgus angle, intermetatarsal angle and sesamoid subluxation in hallux valgus surgery is key to restoring normal joint biomechanics. This is difficult to judge accurately intraoperatively as the foot is not weight bearing. We examine the reproducibility of a simulated weightbearing test on intraoperative images. Methods: This is a prospective study of 20 patients undergoing a scarf osteotomy for hallux valgus. All patients were operated by one fellowship trained surgeon and were excluded if they had inflammatory arthropathy. At the time of surgery, two intraoperative images were taken after surgical correction. A standard positional anterior posterior (AP) image was taken followed by a reproducible simulated weight bearing view (i.e. load bearing view). A retrospective review of 6 week and 4-6 month weight bearing images was conducted to assess any measurable differences in a separate group of patients. Results: The mean preoperative HVA was 30.7, IMA was 14.5, sesamoid position was 5.6. On completion of surgical correction the HVA was 6.6, IMA was 7.2 and sesamoid position was 1.8. On simulated weight bearing with an average of 131.2N (range 98.9-163.5N), the HVA was 8.9, IMA was 10.7 and sesamoid position was 2; this was a closer approximation to the 6-week weight bearing view in all indices recorded. No observed difference was noted between 6 week and 3-6 month weight bearing images. Conclusions: We have found that our standardized simulated load bearing intraoperative view will yield reproducibility and is a good surrogate marker for the 6-week weight-bearing radiograph. We believe locking the ankle joint will avoid rotation of the foot and allow for an accurate evaluation of final correction (HVA, IMA, and sesamoid position) and aid meaningful evaluation of surgical technique. However, it does not represent a final united position therefore we could not recommend its use in isolation.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122569758","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

Subtalar Arthroereisis with Endorthesis in Adult-acquired Flatfoot: Classification of the Postoperative Rehabilitation Phases 成人获得性扁平足伴内嵌的距下关节挛缩:术后康复阶段的分类

The foot and Ankle Online Journal Pub Date : 2012-04-01 DOI: 10.3827/FAOJ.2012.0504.0001

M. Polastri, A. Graziani, S. Cantagalli

{"title":"Subtalar Arthroereisis with Endorthesis in Adult-acquired Flatfoot: Classification of the Postoperative Rehabilitation Phases","authors":"M. Polastri, A. Graziani, S. Cantagalli","doi":"10.3827/FAOJ.2012.0504.0001","DOIUrl":"https://doi.org/10.3827/FAOJ.2012.0504.0001","url":null,"abstract":"Flatfoot is a biomechanical condition in which the medial longitudinal arch collapses, causing flattening of the foot towards the ground. In adult-acquired flatfoot, the subtalar joint has a greater range of motion than a normal foot, and multiple factors can cause the onset of this condition. Subtalar arthroereisis with endorthesis is a surgical procedure by which an implant is positioned in the sinus tarsi depression in order to limit the excessive pronation of the subtalar joint. Subtalar arthroereisis is often associated with adjunctive procedures. A period of three weeks of non-weight bearing is recommended after surgery and additional protection is achieved as the load is increased. In order to be able to discuss the postoperative course, it is useful to be able to classify it. Basically, the classification proposed in this paper is a practical/theoretical instrument which seeks to contribute to a better understanding and achievement of the aims and outcome desired at each stage described. Postoperative rehabilitation must be oriented to both protect the surgical site and to enhance foot mobility. We have proposed a classification of the rehabilitative pathway after subtalar arthroereisis with endorthesis based on our experience, also considering the related literature. Furthermore, we provide a synthetic description of the surgery, and the rehabilitation techniques are discussed. The ultimate goal of the rehabilitation project is centered on obtaining the physical condition closest to that required for the daily activity of the healthy population with the aim of returning to full recovery after surgery. To this end, a certain degree of multiprofessional cooperation is always recommended in order to ensure patient safety and obtain the best results.","PeriodicalId":287733,"journal":{"name":"The foot and Ankle Online Journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129625632","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: 1

Complete Agenesis of Both Metatarsophalangeal Sesamoids with Contralateral Agenesis of Fibular Sesamoid Associated with Hallux Valgus 跖趾两侧籽骨完全不全伴对侧腓骨籽骨不全伴拇外翻

The foot and Ankle Online Journal Pub Date : 2012-04-01 DOI: 10.3827/FAOJ.2012.0504.0002

L. Mason, G. Digby, Hiromichi Tanaka

引用次数: 1

Malignant Fibrous Histiocytoma of the Ankle: A Case Report 踝关节恶性纤维组织细胞瘤1例报告

The foot and Ankle Online Journal Pub Date : 2012-03-01 DOI: 10.3827/faoj.2012.0503.0001

Katherine Neiderer

引用次数: 0

Percutaneous First Metatarsocuneiform Joint Arthrodesis: Treatment of Severe Recurrent Forefoot Deformity Complicated by an Infected Wound 经皮第一跖跖关节融合术:治疗严重复发性前足畸形并感染伤口

The foot and Ankle Online Journal Pub Date : 2012-03-01 DOI: 10.3827/FAOJ.2012.0503.0002

S. Berezhnoy

引用次数: 2

Ankle arthrodesis as a salvage procedure: A case of secondary ankle arthritis using Charnley’s compression device 踝关节融合术作为抢救手术:使用Charnley压迫装置治疗继发性踝关节关节炎1例

The foot and Ankle Online Journal Pub Date : 2012-02-01 DOI: 10.3827/FAOJ.2012.0502.0001

N. Gowda, Mohan J. Kumar

引用次数: 0

A Comparison of the Effects of First Metatarsophalangeal Joint Arthrodesis and Hemiarthroplasty on Function of Foot Forces using Gait Analysis 用步态分析比较第一跖趾关节置换术与半关节置换术对足力功能的影响

The foot and Ankle Online Journal Pub Date : 2011-12-01 DOI: 10.3827/FAOJ.2011.0412.0001

M. Callaghan, S. Whitehouse, V. Baltzopoulos, R. Samarji

引用次数: 3

Simple Screening Tests for Peripheral Neuropathy as a Prediction of Diabetic Foot Ulceration 周围神经病变作为糖尿病足溃疡预测的简单筛选试验

The foot and Ankle Online Journal Pub Date : 2011-11-01 DOI: 10.3827/FAOJ.2011.0411.0002

G. Morshed, M. Mashahit, H. Shaheen

引用次数: 4