Fuss und Sprunggelenk最新文献_第3页

Post-traumatic osteonecrosis of the talus 创伤后距骨骨坏死

Fuss und Sprunggelenk Pub Date : 2025-03-01 DOI: 10.1016/j.fuspru.2025.01.003

Lubomir Kopp , Vit Baba , Christine Marx , Stefan Rammelt

{"title":"Post-traumatic osteonecrosis of the talus","authors":"Lubomir Kopp , Vit Baba , Christine Marx , Stefan Rammelt","doi":"10.1016/j.fuspru.2025.01.003","DOIUrl":"10.1016/j.fuspru.2025.01.003","url":null,"abstract":"<div><div>About three of four cases of avascular necrosis (AVN) of the talus are of posttraumatic origin. Risk factors include displacement, open fractures and dislocations, patient age, high BMI and smoking. For the management of adverse sequelae of talar fractures like malunion and nonunion, the distinction between partial and total AVN with collapse of the talar dome is of great relevance.</div><div>Treatment options for precollapse AVN include protection, medication, extracorporeal shock wave therapy, bone marrow aspirate, drilling, and (vascularized) bone grafting. In the presence of partial AVN, malunions or nonunions of the talar neck and body may be treated with joint-preserving corrections in active, compliant patients, provided a sufficient vital cartilage and bone stock is present.</div><div>Complete talar AVN with collapse may be salvaged with necrectomy, bone grafting and fusion of arthritic joints. Recently, custom 3D prostheses providing either total talar replacement or talar body replacement with preservation of the talar head, have gained more attention, but long-term results are missing. Talar replacement may also be combined with ankle replacement and / or subtalar fusion.</div><div>Septic AVN of the talar body as the worst case scenario warrants staged treatment with radical debridements until negative swabs are obtained. Besides allograft and autograft bone, customized cages, trabecular metal, or biomaterials like bioglass with antiinfective properties may be used for secondary defect filling. Reconstruction and fusion is obtained with internal or external fixation. With critical soft tissue conditions, partial or total astragalectomy and tibiocalcaneal fusion may serve as a salvage procedure.</div></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"23 1","pages":"Pages 41-59"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679877","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}

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Kursangebot Zertifikat 2025 检索日期：2015-10-25。

Fuss und Sprunggelenk Pub Date : 2025-03-01 DOI: 10.1016/S1619-9987(25)00022-4

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Müller Weiss Disease: Our 30-year-experience <s:1>勒维斯病：我们30年的经验

Fuss und Sprunggelenk Pub Date : 2025-03-01 DOI: 10.1016/j.fuspru.2025.01.006

Manuel Monteagudo , Ernesto Maceira , Ángel Orejana , Gastón Slullitel , Pilar Martínez-de-Albornoz , Anna Oller

{"title":"Müller Weiss Disease: Our 30-year-experience","authors":"Manuel Monteagudo , Ernesto Maceira , Ángel Orejana , Gastón Slullitel , Pilar Martínez-de-Albornoz , Anna Oller","doi":"10.1016/j.fuspru.2025.01.006","DOIUrl":"10.1016/j.fuspru.2025.01.006","url":null,"abstract":"<div><div>Müller-Weiss disease (MWD) is a condition that involves a dysplastic navicular bone with asymmetric talonavicular arthritis and secondary hindfoot varus deformity. Although its prevalence is supposed to be low, it is much more common than reported as many cases are asymptomatic, undiagnosed, or misdiagnosed. Understanding aetiology and epidemiology is important to know about the background of MWD. Although it has traditionally been presented as a necrosis of the navicular, we now know it is apparently the result of mechanical disturbances occurring around the bone that ultimately cause deformity and an asymmetric arthritis of the talonavicular joint. The uneven wear and progressive thinning of the lateral part of the joint gradually shifts the talus over the calcaneus thus creating subtalar/hindfoot varus. Rotational and medializing moments acting on the dysplastic navicular cause medial protrusion and plantar collapse of the bone. It is essential to understand pathogenesis as it directly relates to diagnosis and management of this condition. Conservative treatment involves correcting subtalar varus as a deforming force around the midfoot and hindfoot. Insoles with a pronatory wedge from the heel to the metatarsal region and longitudinal arch support are usually effective in providing pain relief and improving function. Patients who fail to respond to insoles may be treated surgically. Conventional talonavicular (or extended) arthrodesis does not address the underlying pathomechanics. An isolated valgus (Dwyer-type with lateral slide) osteotomy of the os calcis has shown to be effective for most patients. After 30 years studying MWD, we will try to provide a basic understanding of the pathogenesis, pathomechanics, diagnosis, and ultimately both conservative and surgical treatment of this challenging and not so uncommon condition.</div></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"23 1","pages":"Pages 25-40"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679876","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}

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Herausgeber/Beirat 编辑/小组

Fuss und Sprunggelenk Pub Date : 2025-03-01 DOI: 10.1016/S1619-9987(25)00014-5

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Einladung zur Mitgliederversammlung der Deutschen Assoziation für Fuß und Sprunggelenk e.V. 邀请参加德国足部和踝关节协会会员大会。

Fuss und Sprunggelenk Pub Date : 2025-03-01 DOI: 10.1016/j.fuspru.2025.02.001

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Kongresskalender Kongresskalender

Fuss und Sprunggelenk Pub Date : 2025-03-01 DOI: 10.1016/S1619-9987(25)00020-0

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Knochenmarködem – Ätiologie und Behandlung 骨质疏松症：病因与治疗

Fuss und Sprunggelenk Pub Date : 2025-03-01 DOI: 10.1016/j.fuspru.2025.01.004

F.P. Gaube , C. Behzadi , W. Böcker , H. Polzer , S.F. Baumbach

{"title":"Knochenmarködem – Ätiologie und Behandlung","authors":"F.P. Gaube , C. Behzadi , W. Böcker , H. Polzer , S.F. Baumbach","doi":"10.1016/j.fuspru.2025.01.004","DOIUrl":"10.1016/j.fuspru.2025.01.004","url":null,"abstract":"<div><div>Over the last decades, there has been a significant increase in the diagnosis of „bone marrow edema“ (BME). BME is primarily a radiological-descriptive term. It can be caused by a variety of physiological and pathophysiological processes. This narrative review aims to present a standardized diagnostic algorithm and summarize the existing evidence on adjunctive therapies.</div><div>The diagnostic algorithm is based on a sequential diagnostic approach, which includes MRI, X-ray/CT, basic laboratory tests, a detailed endocrinological laboratory workup, and DXA. This sequential process addresses traumatic, inflammatory, septic, mechanical/degenerative, ischemic/neurogenic, neoplastic, and metabolic causes of BME. Only when no specific cause has been identified, the BME should be classified as a bone marrow edema syndrome (BMES).</div><div>The cornerstone of BME therapy is identifying and treating the underlying pathology. Only by addressing the cause long-term recovery can be achieved. In addition to treating the primary disease—or in cases of isolated BMES—adjunctive conservative therapies (e.g., NSAIDs ± immobilization ± partial weight-bearing, shockwave therapy, pulsed electromagnetic fields) or pharmacological treatments (e.g., bisphosphonates or iloprost) may be considered. All pharmacological treatments are off-label and therefore require an informed consent. According to the authors, surgical treatment is not part of BME Management.</div></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"23 1","pages":"Pages 2-14"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679873","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}

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Subchondral bone degeneration and pathology 3-15 years following ankle sprain injury in adolescent sport 青少年运动踝关节扭伤后3-15年的软骨下骨变性和病理

Fuss und Sprunggelenk Pub Date : 2025-03-01 DOI: 10.1016/j.fuspru.2025.01.001

M. Jordan

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Nicht-invasive Kompartmendruckmessung von Patient:innnen mit dem Risiko eines akuten Kompartmentsyndroms nach Extremitätenverletzung mit dem CPMX1 非侵入性室间隔压力测量：在使用CPMX1治疗肢体损伤后有急性室间隔综合征风险的患者内部

Fuss und Sprunggelenk Pub Date : 2024-12-01 DOI: 10.1016/j.fuspru.2024.07.057

T. Gehlen, J.W. Kim, C. Eder, J. Löchel, U. Stöckle

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Post Market Clinical Follow-Up Studie zur Erfassung der Qualität und Leistungsfähigkeit einer neuen Generation von Magnesiumschrauben in der Fuß- und Sprunggelenkchirurgie 新一代镁螺钉在足部和踝关节手术中的质量和性能的上市后临床随访研究

Fuss und Sprunggelenk Pub Date : 2024-12-01 DOI: 10.1016/j.fuspru.2024.07.063

T. Gehlen, H. Fischer, F. Graef, A. Alimrani, U. Stöckle, S. Tsitsilonis

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