{"title":"Einlagenversorgung beim kindlichen Knick-Senk-Fuß – Sinn oder Unsinn?","authors":"Christian-Dominik Peterlein , Janine Peterlein","doi":"10.1016/j.fuspru.2023.06.001","DOIUrl":"https://doi.org/10.1016/j.fuspru.2023.06.001","url":null,"abstract":"<div><h3>Background</h3><p>The use of shoe insoles and their therapeutic benefit in children with flexible flat foot is subject of controversial discussion in the international literature. Because of increasing cost pressure in health care systems and requirements of evidence-based medicine, a critical analysis of the clinicalfunctional effect of orthopaedic insoles in children with pes planovalgus is necessary.</p></div><div><h3>Methods</h3><p>A structured literature search was carried out in Pubmed using the keywords or links “pediatric pes planus”, “flexible flat foot” AND/OR “insoles” AND/OR “orthosis”. Biomechanical and material-technical requirements for insoles for flat feet, their ideal treatment period and the clinical results are to be highlighted.</p></div><div><h3>Results</h3><p>Overall, the informative value of the available studies on insoles for children with flexible flat foot is low. In view of these studies, scientific evidence can hardly be generated due to the small number of patients, imprecisely defined target parameters and frequent lack of validated scores or PROMS.</p></div><div><h3>Conclusions</h3><p>Prospective studies on the therapeutic benefit of shoe insoles in children with flexible flat foot over a long period of observation with clearly defined target parameters are imperative. Further analyzes are also required with regard to the optimal materials and construction of such shoe insoles.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"21 3","pages":"Pages 287-300"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49897599","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}
{"title":"Zum Tod von Prof. Dr. med. Dr. hc. Jörg Jerosch","authors":"Daniel Frank","doi":"10.1016/j.fuspru.2023.07.004","DOIUrl":"https://doi.org/10.1016/j.fuspru.2023.07.004","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"21 3","pages":"Page 308"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49897606","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}
{"title":"Orthopädische Einlagenversorgung – ein Review","authors":"Hartmut Stinus, Ronny Perthel","doi":"10.1016/j.fuspru.2023.05.001","DOIUrl":"https://doi.org/10.1016/j.fuspru.2023.05.001","url":null,"abstract":"<div><p>Footorthotics are orthopedic devices used to treat foot pathologies that occur due to static or dynamic changes in the foot. In case of forefoot deformities and the metatarsalgia syndrome an improvement in biomechanics and pain relief can be achieved through a correct custom-made orthopaedic insole fitting. Especially in the case of foot deformities such as the flexible flatfoot, as well as overload problems such as plantar fasciitis/plantar heel spur, shin splints and peripatellar problems, there is increasing scientific evidence that custom made insoles are a good aid for the treatment of foot, ankle and lower leg deformities. The effects can be shown by biomechanical investigations.</p><p>Orthopaedic custom-made Insoles are individually adapted to the foot by means of supporting, bedding and cushioning materials. A combination of bedding and supporting, corrective and activating elements often results in a reduction of discomfort. Footwear and orthotics must form a functional unit, since the optimum effect can often only be achieved in combination with orthopedic fitting on the ready-made shoe. The physician is responsible for determining the indication, prescribing and monitoring the insole fitting. Furthermore, an accompanying physical therapy is appropriate and desirable for a sustainable result.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"21 3","pages":"Pages 238-248"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49897609","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}
{"title":"Einfluss einer 3D-gedruckten bionischen Fußorthese auf die Rückfußbelastung und Laufökonomie","authors":"Thomas Stief, Tino Sprekelmeyer","doi":"10.1016/j.fuspru.2023.05.003","DOIUrl":"https://doi.org/10.1016/j.fuspru.2023.05.003","url":null,"abstract":"<div><h3>Background</h3><p>During the propulsion phase (PP) of running, the greatest internal loads occur at the feet. An intact windlass mechanism (WM) is essential for physiological loading at the feet during PP and energy-efficient locomotion. In functional flat foot deformity, WM is insufficient. Overstressing can be the result. In addition, energy efficiency during running is reduced. Foot orthoses (FO) are used, among other things, to optimize positioning and loading of the lower extremities. Optimization of loading during PP and optimization of running economy have not been the focus of FO treatments. A 3D-printed bionic (BFO) is developed to improve loading in PP and to improve energy efficiency during running. The aim of the present study was to determine the influences of BFO on loading in the subtalar region and on running economy.</p></div><div><h3>Material and Methods</h3><p>Thirteen subjects with functional pes valgus (39 ± 7 J, 8 m) participated in the study. The subjects ran in randomized order under 4 conditions: without FO (oFO), supportive FO (CFO), sensorimotor FO (SMFO), and BFO on a treadmill. The vebitoScience measurement system (120 Hz) was used to detect torsional moments, respectively pronation/supination load in the subtalar region and time-related parameters. The influences of FO on running economy were determined by stance phase duration, PP, and AP. Statistical analysis was performed using one-way ANOVA with repeated measures and Pearson correlation.</p></div><div><h3>Results</h3><p>During AP, pronation loading occurs in oFO, CFO, and BFO conditions, and supination loading occurs in SMFO condition. All conditions differ significantly from each other. Pronation loading occurs under conditions oFO and SMFO, and supination loading occurs under conditions CFO and BFO during PP. BFO is significantly different from all other conditions. The duration of AP during running with BFO is significantly shorter and the duration of PP is significantly longer than in the other conditions. The duration of PP and supination load while PP correlate significantly strongly for both, FO and BFO.</p></div><div><h3>Conclusions</h3><p>All FO tested have significant influences on subtalar loading during AP. In subjects with pes valgus, lower supination loading during PP is significantly related to lower running economy. BFO significantly increases supination loading in the subtalar region during PP. The duration of the PP is significantly prolonged by BFO. This represents an optimization of running economy. The other FO tested do not provide these influences. In addition, there is a significant relationship between the greater supination load and better running economy with BFO. In conclusion, BFO have positive influences on loading and running economy in runners with pes valgus.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"21 3","pages":"Pages 261-276"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49897611","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}
Thomas L. Lewis, Benjamin Lau, Yousif Alkhalfan, Samuel Trowbridge, David Gordon, Joel Vernois, Peter Lam
{"title":"Fourth-generation minimally invasive hallux valgus surgery with metaphyseal extra-articular transverse and akin osteotomy (META): 12 month clinical and radiologic results","authors":"Thomas L. Lewis, Benjamin Lau, Yousif Alkhalfan, Samuel Trowbridge, David Gordon, Joel Vernois, Peter Lam","doi":"10.1016/j.fuspru.2023.04.002","DOIUrl":"https://doi.org/10.1016/j.fuspru.2023.04.002","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"21 3","pages":"Page 302"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49897600","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}
Stella Gartung, Alexander Milstrey, Jens Wermers, Matthias Klimek, Michael J. Raschke, Sabine Ochman
{"title":"23 Die Notwendigkeit der additiven Stabilisierung der Syndesmose bei osteosynthetisch versorgtem Posterioren Malleolus – eine biomechanische in vitro Studie","authors":"Stella Gartung, Alexander Milstrey, Jens Wermers, Matthias Klimek, Michael J. Raschke, Sabine Ochman","doi":"10.1016/j.fuspru.2023.03.029","DOIUrl":"https://doi.org/10.1016/j.fuspru.2023.03.029","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"21 2","pages":"Pages 187-188"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49783288","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}
Franziska Wermeling, Alexander Milstrey, Andre Frank, Julia Evers, Michael J. Raschke, Sabine Ochman
{"title":"21 Biomechanische Evaluation der Schrauben- vs. K-Drahtrekonstruktionen bei dislozierten Lisfranc-Verletzungen","authors":"Franziska Wermeling, Alexander Milstrey, Andre Frank, Julia Evers, Michael J. Raschke, Sabine Ochman","doi":"10.1016/j.fuspru.2023.03.027","DOIUrl":"https://doi.org/10.1016/j.fuspru.2023.03.027","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"21 2","pages":"Pages 186-187"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49785179","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}
Mark Lenz , Pauline Schopp , Paul Simons , Felix C. Kohler , Philipp Schenk , Klaus Edgar Roth , Uta Biedermann , Gunther O. Hofmann , Kajetan Klos
{"title":"22 Biomechanische Studie zum Vergleich der Stabilität einer medioplantaren versus plantaren Platte bei Lapidus Arthrodese","authors":"Mark Lenz , Pauline Schopp , Paul Simons , Felix C. Kohler , Philipp Schenk , Klaus Edgar Roth , Uta Biedermann , Gunther O. Hofmann , Kajetan Klos","doi":"10.1016/j.fuspru.2023.03.028","DOIUrl":"https://doi.org/10.1016/j.fuspru.2023.03.028","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"21 2","pages":"Page 187"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49842024","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}
{"title":"Analysis of Polyethylene-Related Revisions After Total Ankle Replacements Reported in US Food and Drug Administration Medical Device Adverse Event Database","authors":"M. Jordan, M. Thomas","doi":"10.1016/j.fuspru.2023.01.004","DOIUrl":"https://doi.org/10.1016/j.fuspru.2023.01.004","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"21 2","pages":"Page 210"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49844306","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}