Journal of the Foot & Ankle最新文献

Progressive collapsing foot deformity: how to use new knowledge in developing countries 进行性塌足畸形：如何在发展中国家利用新知识

Journal of the Foot & Ankle Pub Date : 2024-05-14 DOI: 10.30795/jfootankle.2024.v18.1787

N. S. Barbachan Mansur, K. Dibbern, C. C. César Netto

引用次数: 0

Intramedullary nailing as osteosynthesis technique for the fibula in total ankle arthroplasty via lateral approach 髓内钉作为经外侧入路全踝关节置换术中腓骨的骨合成技术

Journal of the Foot & Ankle Pub Date : 2024-05-14 DOI: 10.30795/jfootankle.2024.v18.1760

Alberto de Castro Carrasco, Patricia Domínguez Dorado, Laura Anta Martínez, Carmen Alvarez-Val

{"title":"Intramedullary nailing as osteosynthesis technique for the fibula in total ankle arthroplasty via lateral approach","authors":"Alberto de Castro Carrasco, Patricia Domínguez Dorado, Laura Anta Martínez, Carmen Alvarez-Val","doi":"10.30795/jfootankle.2024.v18.1760","DOIUrl":"https://doi.org/10.30795/jfootankle.2024.v18.1760","url":null,"abstract":"Objective: To describe a variation in the final osteosynthesis technique for total ankle replacement (TAR) implantation through lateralapproach. Methods: We retrospectively reviewed a series of cases dated between January 2022 and May 2023 in which intramedullary nailing was used as the osteosynthesis technique for the fibula during TAR implantation via lateral approach. Results: In all cases, skin scarring and soft tissue recovery to baseline were achieved in one and a half month to three months. Consolidation of the fibula occurred at an average of three months. No material was removed in any of the cases to date. Finally, patients were satisfied, resuming their previous activities. Conclusion: To our knowledge, this study is the first to investigate a modification of the osteosynthesis technique in the lateral approach to TAR. We believe the intramedullary nail for the fibula may be a useful tool to prevent soft tissue complications, requiring prospective and comparative studies to evaluate its efficacy. Level of Evidence IV; Therapeutic Studies; Case Series.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"11 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140979991","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

My deepest gratitude... 我最深切的感谢

Journal of the Foot & Ankle Pub Date : 2024-05-14 DOI: 10.30795/jfootankle.2024.v18.1783

Caio Augusto de Souza Nery

{"title":"My deepest gratitude...","authors":"Caio Augusto de Souza Nery","doi":"10.30795/jfootankle.2024.v18.1783","DOIUrl":"https://doi.org/10.30795/jfootankle.2024.v18.1783","url":null,"abstract":"My first expression as Editor-in-Chief of the Journal of the Foot and Ankle is one of deep gratitude for the opportunity that is being given to me by the Editor Emeritus and now President of ABTPé, Prof. Dr. Alexandre Leme Godoy-Santos and our colleagues from the board of Associate Editors who elevated me to this position. My gratitude also extends to ABTPé, which, through successive directorships, has been providing support and encouragement to the maintenance and growth of our journal.\u0000The task we undertake is challenging and immense—it depends on everyone's participation, from the most renowned professional who allows himself to publish with us to the most novice student who aspires, one day, to have his name written on our pages so that his ideas can be known to everyone. It depends on the altruism and tenacity of authors, reviewers, translators, correctors, layout designers, and technical editors to achieve the desired indexing. We have already been much further from achieving this goal than we are now, but we still have a long way to go! Let's accomplish this together.\u0000In addition to a new system for submitting and evaluating articles, more in line with the major international scientific journals, we will include in each issue review articles whose main virtue will be to update professionals who are working daily and instruct young doctors who are still preparing to participate in this toil.\u0000I urge everyone to read, disseminate, discuss, criticize, and share the learning we bring to our pages with your colleagues, residents, and students. We will consolidate the position of the Journal of the Foot and Ankle as a viable and practical alternative for disseminating your research.\u0000Welcome...we need everyone's help!","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140982100","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

Arthroereisis with interference screw in flexible flatfoot, a comparison with the conventional surgical technique 柔性扁平足用干扰螺钉关节松动术与传统手术技术的比较

Journal of the Foot & Ankle Pub Date : 2024-05-14 DOI: 10.30795/jfootankle.2024.v18.1711

J. S. Martins, Lucas vaz Peixoto, Leonardo Pires Silva de Castro, Gabriella de Figueiredo Rodrigues, Leandro Oliveira Silva, Janaina Yacy Hess Ferreira, Isabela Oliveira Caldeira de Moura

{"title":"Arthroereisis with interference screw in flexible flatfoot, a comparison with the conventional surgical technique","authors":"J. S. Martins, Lucas vaz Peixoto, Leonardo Pires Silva de Castro, Gabriella de Figueiredo Rodrigues, Leandro Oliveira Silva, Janaina Yacy Hess Ferreira, Isabela Oliveira Caldeira de Moura","doi":"10.30795/jfootankle.2024.v18.1711","DOIUrl":"https://doi.org/10.30795/jfootankle.2024.v18.1711","url":null,"abstract":"Objective: To evaluate functional results of subtalar arthroereisis with non-conventional implants, as well as their clinical, radiographic, and functional results, comparing them with those of the conventional technique. Methods: Documentary research consisting of the analysis and review of medical records of six patients, with application of the Orthopaedic Foot and Ankle Score (AOFAS) and Short Form Health Survey 36 (SF-36) questionnaires and evaluation of pre-and postoperative radiographic results. Results: Patients achieved satisfactory clinical and functional results, indicated by an improvement in the pitch, kite, Giannestras, and Meary angles analyzed and by comparing the pre-and postoperative periods. There was also an improvement in the AOFAS and SF-36 questionnaire scores postoperatively, suggesting an evolution in the quality of life of patients studied. Conclusion: Subtalar arthroereisis is a non-invasive surgical procedure that contributes to the clinical improvement of patients. The use of interference screw showed good results, with the advantage of it being a low-cost implant when compared to the conventional ones, which makes the procedure more accessible. Level of Evidence III; Therapeutic Studies; Case control study.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"33 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140979340","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

Inter- and intraobserver reliability of the first metatarsal sagittal alignment measurements 第一跖骨矢状对齐测量的观察者间和观察者内可靠性

Journal of the Foot & Ankle Pub Date : 2024-05-14 DOI: 10.30795/jfootankle.2024.v18.1747

Pedro Bragato Romanholi, Daiana Kerry Picanço Gobbo, Thaís Buchaim Said, Daniel Araújo Silva, D. Rosemberg, T. Mann, Cláudia Diniz Freitas, Felipe Daniel Plata Rosa, D. R. Nishikawa

{"title":"Inter- and intraobserver reliability of the first metatarsal sagittal alignment measurements","authors":"Pedro Bragato Romanholi, Daiana Kerry Picanço Gobbo, Thaís Buchaim Said, Daniel Araújo Silva, D. Rosemberg, T. Mann, Cláudia Diniz Freitas, Felipe Daniel Plata Rosa, D. R. Nishikawa","doi":"10.30795/jfootankle.2024.v18.1747","DOIUrl":"https://doi.org/10.30795/jfootankle.2024.v18.1747","url":null,"abstract":"Introdução: as medidas radiográficas são utilizadas para indicar e programar procedimentos ortopédicos no antepé, bem como para seguimento pós-operatório. Com isso, muitas vezes é necessário avaliar se houve alteração no alinhamento sagital do primeiro metatarso (1M). O objetivo desse estudo foi analisar a confiabilidade inter e intraobservador das medidas angulares utilizadas para avaliação do alinhamento sagital do 1M. Secundariamente, avaliar se o tipo anatômico do pé interfere na confiabilidade das medições. \u0000Métodos: as medidas angulares utilizadas foram todas aquelas encontradas na literatura, tais como: ângulo de declinação do 1M (AD1M), ângulo plantar distal do 1M (APD1M), ângulo dorsal proximal do 1M (ADP1M), ângulo intermetatarsal lateral (AIML), e o ângulo descrito por Day. Para avaliação da confiabilidade interobservador foi utilizado o Coeficiente de Correlação Intraclasse (CCI) e para avaliação da confiabilidade intraobservador, o Coeficiente de Correlação de Concordância de Lin (CCCL). \u0000Resultados: dentre todas as medidas obtidas, AD1M foi o que apresentou os maiores valores de CCI e CCCL nas 40 radiografias avaliadas, independentemente do tipo anatômico do pé. \u0000Conclusão: com os resultados observados, podemos estimar que o AD1M parece representar uma ferramenta radiográfica adequada para mensuração do alinhamento sagital do 1M, quando avaliada pelo CCI e CCCL.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140981718","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

Correlation between the region of interest in digital radiography, Hounsfield units, and histological maturation on Wistar rats submitted to tibial fracture 胫骨骨折 Wistar 大鼠的数字射线摄影感兴趣区、Hounsfield 单位和组织学成熟度之间的相关性

Journal of the Foot & Ankle Pub Date : 2024-05-14 DOI: 10.30795/jfootankle.2024.v18.1745

Eduardo de Oliveira Carrilho Padula, Lucas Pires, Marcio Babinski

{"title":"Correlation between the region of interest in digital radiography, Hounsfield units, and histological maturation on Wistar rats submitted to tibial fracture","authors":"Eduardo de Oliveira Carrilho Padula, Lucas Pires, Marcio Babinski","doi":"10.30795/jfootankle.2024.v18.1745","DOIUrl":"https://doi.org/10.30795/jfootankle.2024.v18.1745","url":null,"abstract":"Objective: Study the relationship between the region of interest (ROI) and Hounsfield units (HU) in the tibial bone callus. Methods: Twenty-one adult Wistar rats were submitted to tibial fracture. The fracture was radiographed after their euthanasia, and the bone calluses were analyzed histologically after being stained with hematoxylin and eosin. Euthanasia occurred between the 2nd and 6th weeks after fracture and fixation, thus obtaining various consolidation stages. Histologically, vessels, chondroblasts, connective tissue (collagen), maximum size of the chondrocyte, and the concentration of chondrocytes were quantified. Results: It was observed that the higher the HU, the more mature and closer to bone consolidation it is, proving that the use of ROI and bone callus measurement with HU is reliable for the histological process of maturation of the bone callus and can be safely used as proof of evolution of the bone healing process. Conclusion: The ROI was successfully used in digital radiography to observe HU in fractured bones. Level of Evidence IV; Therapeutic Studies; Case Series.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"100 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140978202","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

Non-surgical treatment of ankle sprains: a survey of orthopedic surgeons in Minas Gerais 踝关节扭伤的非手术治疗：对米纳斯吉拉斯州骨科医生的调查

Journal of the Foot & Ankle Pub Date : 2024-05-14 DOI: 10.30795/jfootankle.2024.v18.1762

T. Baumfeld, Tainne Gomes Lopes, Gustavo Henrique Dornela de Souza, Eduardo Frois Temponi, Lucas do Amaral Santos, Gustavo Araújo Nunes, C. F. Aquino, Túlio Campos

{"title":"Non-surgical treatment of ankle sprains: a survey of orthopedic surgeons in Minas Gerais","authors":"T. Baumfeld, Tainne Gomes Lopes, Gustavo Henrique Dornela de Souza, Eduardo Frois Temponi, Lucas do Amaral Santos, Gustavo Araújo Nunes, C. F. Aquino, Túlio Campos","doi":"10.30795/jfootankle.2024.v18.1762","DOIUrl":"https://doi.org/10.30795/jfootankle.2024.v18.1762","url":null,"abstract":"Introdução: A entorse de tornozelo é uma lesão comum na população geral e, principalmente, em atletas. O diagnóstico e tratamento adequados permitem o retorno precoce às atividades habituais, evitando recorrência, instabilidade crônica e artrose pós-traumática. O objetivo deste trabalho é avaliar a abordagem diagnóstica e terapêutica desta lesão por ortopedistas do estado de Minas Gerais. Métodos: Esse trabalho foi conduzido pela Comissão Científica da Sociedade Brasileira de Ortopedia e Traumatologia-SBOT/MG em 2023. Foi criado um questionário na plataforma Google Forms com perguntas sobre a abordagem não cirúrgica da entorse de tornozelo. Esse questionário foi distribuído por e-mail e WhatsApp aos membros titulares da SBOT de Minas Gerais. Resultados: 116 ortopedistas responderam ao questionário, sendo 27,6% especialistas em pé e tornozelo. A maioria trabalha em Belo Horizonte e realiza entre 10 e 30 atendimentos relacionados à entorse de tornozelo por mês. A maior parte dos profissionais solicita radiografias e prescreve anti-inflamatórios. A maior divergência de respostas ocorreu quanto ao uso de imobilização. O encaminhamento para tratamento fisioterapêutico variou com o grau da lesão. Discussão: Os dados coletados apontam que a abordagem inicial nas entorses de tornozelo é heterogênea, porém a maioria utiliza protocolos de reabilitação convencionais, apesar da abordagem funcional ser preconizada pela literatura científica. Conclusão: Em Minas Gerais, o protocolo convencional de imobilização e reabilitação é utilizado com maior frequência.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"50 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140980641","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

Post-traumatic hallux valgus with lateral metatarsal injuries: management and short-term results 外伤后拇指外翻并伴有外侧跖骨损伤：处理方法和短期效果

Journal of the Foot & Ankle Pub Date : 2024-05-14 DOI: 10.30795/jfootankle.2024.v18.1733

Marcos Hideyo Sakaki, Jordanna Maria Pereira Bergamasco, Eduardo Perusso Padovezi, Mateus Henrique Marangoni, Frederico Quagliato Tringali, Lais Nunes Salles Pinheiro

{"title":"Post-traumatic hallux valgus with lateral metatarsal injuries: management and short-term results","authors":"Marcos Hideyo Sakaki, Jordanna Maria Pereira Bergamasco, Eduardo Perusso Padovezi, Mateus Henrique Marangoni, Frederico Quagliato Tringali, Lais Nunes Salles Pinheiro","doi":"10.30795/jfootankle.2024.v18.1733","DOIUrl":"https://doi.org/10.30795/jfootankle.2024.v18.1733","url":null,"abstract":"Resumo \u0000Objetivo: O objetivo do presente estudo é descrever a epidemiologia, o tratamento e os resultados clínicos e radiográficos dos casos de hálux valgo traumático associados a lesões dos raios laterais. Métodos: avaliação clínica e radiográfica (ângulo de valgismo do hálux) de sete pacientes que sofreram acidentes de transito e apresentaram hálux valgo pós traumático associado à lesões dos raios laterais. Resultados: todos os pacientes foram submetidos à reparo ligamentar medial para tratamento do hálux valgo pós traumático, e fixação das fraturas associadas. Em um seguimento mínimo de 12 meses os pacientes evoluíram bem, sem dor com correção média do ângulo de valgismo do hálux de 13,7 graus. Conclusão: Os casos de hálux valgo pós traumático associados à lesão dos raios laterais, tratados com reparo ligamentar e fixação das fraturas associadas apresentaram bons resultados clínico funcionais e radiográficos a curto e médio prazo. \u0000Palavras chave: hálux valgo, metatarso, trauma \u0000Nível de evidência IV","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"9 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140980553","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

Inteligencia Artificial en patología de pierna y pie: ¿Pueden los los grandes modelos de lenguaje reemplazar nuestra práctica? 人工智能在腿足病理学中的应用：大型语言模型能否取代我们的实践？

Journal of the Foot & Ankle Pub Date : 2024-05-14 DOI: 10.30795/jfootankle.2024.v18.1757

Florencio Pablo Segura, Facundo Segura, J. Porta, Natalia Heredia, Ignacio Masquijo, Federico Anain, Leando Casola, Agustina Trevisson, V. Cafruni, Maria Paz Lucero Zudaire, I. Toledo, Florencio Vicente Segura

{"title":"Inteligencia Artificial en patología de pierna y pie: ¿Pueden los los grandes modelos de lenguaje reemplazar nuestra práctica?","authors":"Florencio Pablo Segura, Facundo Segura, J. Porta, Natalia Heredia, Ignacio Masquijo, Federico Anain, Leando Casola, Agustina Trevisson, V. Cafruni, Maria Paz Lucero Zudaire, I. Toledo, Florencio Vicente Segura","doi":"10.30795/jfootankle.2024.v18.1757","DOIUrl":"https://doi.org/10.30795/jfootankle.2024.v18.1757","url":null,"abstract":"Objective: Determine if large language models (LLMs) provide better or similar information compared to an expert trained in foot and ankle pathology in various aspects of daily practice (definition and treatment of pathology, general questions). Methods: Three experts and two artificial intelligent (AI) models, ChatGPT (GPT-4) and Google Bard, answered 15 specialty-related questions, divided equally among definitions, treatments, and general queries. After coding, responses were redistributed and evaluated by five additional experts, assessing aspects like clarity, factual accuracy, and patient usefulness. The Likert scale was used to score each question, enabling experts to gauge their agreement with the provided information. Results: Using the Likert scale, each question could score between 5 and 25 points, totaling 375 or 75 points for evaluations. Expert 2 led with 69.86%, followed by Expert 1 at 68.53%, ChatGPT at 64.80%, Expert 3 at 58.40%, and Google Bard at 54.93%. Comparing experts, significant differences emerged, especially with Google Bard. The rankings varied in specific sections like definitions and treatments, highlighting GPT-4’s variability across sections. The results emphasize the differences in performance among experts and AI models. Conclusion: Our findings indicate that GPT-4 often performed comparably to or even better than experts, particularly in definition and general question sections. However, both LLMs lagged notably in the treatment section. These results underscore the potential of LLMs as valuable tools in orthopedics but highlight their limitations, emphasizing the irreplaceable role of expert expertise in intricate medical contexts. Evidence Level: III, observational, analytics.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"57 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140978708","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

Treatment of ankle fractures with fibular nail: clinical and imaging evaluation 用腓骨钉治疗踝关节骨折：临床和成像评估

Journal of the Foot & Ankle Pub Date : 2024-05-14 DOI: 10.30795/jfootankle.2024.v18.1725

Rogério de Andrade Gomes, A. H. Gomes, João Murilo Brandão Magalhães, Wagner da Fonseca Vieira, B. J. Pádua, Gustavo Heringer Cezar Fortes, Paulo Arthur Mendes Milhomem, Paulo Feliciano Sarquis Dias

{"title":"Treatment of ankle fractures with fibular nail: clinical and imaging evaluation","authors":"Rogério de Andrade Gomes, A. H. Gomes, João Murilo Brandão Magalhães, Wagner da Fonseca Vieira, B. J. Pádua, Gustavo Heringer Cezar Fortes, Paulo Arthur Mendes Milhomem, Paulo Feliciano Sarquis Dias","doi":"10.30795/jfootankle.2024.v18.1725","DOIUrl":"https://doi.org/10.30795/jfootankle.2024.v18.1725","url":null,"abstract":"Objetivo: Realizar uma avaliação clínica e imaginológica de pacientes com fraturas do tornozelo submetidos a osteossíntese com haste bloqueada, analisando o encurtamento da fíbula e redução tíbio-talar através de parâmetros de imagem bem estabelecidos na literatura. \u0000Métodos: Foram selecionados 25 pacientes operados pela técnica de haste intramedular bloqueada de fíbula, submetidos a cirurgia entre abril de 2018 e dezembro de 2022. Os pacientes tinham idade acima de 55 anos, com risco aumentado para complicações de cicatrização. Para avaliação clínica foram usados: escore AOFAS e escala visual analógica. Os parâmetros de imagem utilizados foram o ângulo talocrural, o espaço claro medial e a linha tibiofibular. \u0000Resultados: Foi avaliado escore AOFAS com média de 83,48 (± 15,34), com mínimo de 40 e máximo de 98 pontos. Na escala visual analógica de dor, a média foi 2,56 pontos (± 2,50), com mínimo de 0 e máximo de 8. Na linha anterior tibiofibular, a diferença entre a média e o valor de referência (2 mm) foi de 0,38 mm. Sobre o espaço claro medial, 100% apresentou valores dentro da referência (até 4 mm). Na análise do ângulo talocrural, a média das diferenças obtidas entre os valores de cada paciente e a referência se situaram dentro dos valores normais. \u0000Conclusão: A osteossíntese de fraturas do tornozelo com haste intramedular bloqueada é uma excelente alternativa nos pacientes idosos e com risco aumentado para complicações, conduzindo a bons resultados funcionais em seguimento de médio prazo, apesar de não mostrar uma redução satisfatória de redução da sindesmose na maioria dos casos","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"37 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140979883","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

Journal of the Foot &amp; Ankle最新文献

Journal of the Foot & Ankle最新文献