{"title":"Novel surgical management of tibialis anterior tendinosis using an anchor augment","authors":"Jaco J. Naude, N. P. Saragas, P. Ferrao","doi":"10.30795/jfootankle.2023.v17.1694","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1694","url":null,"abstract":"Objective: The objective of this paper was to describe a surgical technique for the management of TA tendinosis: Debridement, repair, and augmentation with a suture anchor without tendon transfer. Methods: This is a retrospective case series including five patients managed surgically for TA tendinosis. If ≥ 30% of healthy tendon remains after debridement, the tendon is augmented with a suture anchor, with the suture incorporating the healthy tendon as acheckrein. Patient outcomes were assessed using the AOFAS midfoot, VAS Pain, and SEFAS score. Results: The mean AOFAS improved preoperatively from 37.0 (range 18–51) to 97.6 (range 95–100), the VAS pain score from 8.0 (range7–9) to 0.8 (range 0–1), and the mean SEFAS score at final follow-up was 43.8 (range 41–48). Conclusions: Tibialis anterior tendinosis is an uncommon degenerative process. Early diagnosis and appropriate management can prevent tendon rupture. This case series of debridement, repair, and augmentation with a suture anchor showed high patient satisfactionand good clinical outcomes without needing a tendon transfer. Level of Evidence III; Therapeutic Studies - Investigating the Results of Treatment; Retrospective Comparative Study","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126658566","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":"Is there any weakness in sports performance in volleyball athletes regarding the correlation between foot posture index and lower limb functional hopping performance?","authors":"Yeliz Kahraman","doi":"10.30795/jfootankle.2023.v17.1678","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1678","url":null,"abstract":"Objective: The aim of the study was to investigate the relationship between 1RM calf raise, countermovement jump (CMJ), and functional hop performance with foot posture index (FPI). Methods: Twenty-six volleyball athletes were evaluated in this study. Foot posture index was evaluated with six-item criteria; talar head palpation, curves above and below the malleoli, calcaneus inversion/eversion, talonavicular congruence, medial longitudinal arch high, and forefoot abduction/adduction. Single hop, triple hop, crossover hop for distances, medial side triple hop, 90° medial rotation hop, single-leg vertical jump, 6m. timed hop, 1RM calf raise, and CMJ were measured in this study.Results: All measurements were tested on both right and left side. Significant differences were found in single hop (p = 0.016), triple hop (p = 0.005), medial side triple hop (p = 0.001), medial rotation hop (p = 0.020) in single leg vertical jump, and FPI for right and left sides (p < 0.001, p < 0.005). There were significant differences when comparing the limb symmetry indexes (LSI%) calculated from hop tests. When the correlations between FPI and hop tests were found significant, correlation and no significant correlations were found between left side and FPI. Conclusion: This study has shown that young female volleyball players may produce low hop performances due to the asymmetric structure relationship FPI scores. Level of Evidence IV; Therapeutics Studies; Cases Series.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114026486","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}
R. D. P. Pasache Lozano, Joel G. Morash, S. O’Neill, M. Glazebrook
{"title":"Periarticular joint arthritis after ankle replacement vs. ankle arthrodesis. A systematic review","authors":"R. D. P. Pasache Lozano, Joel G. Morash, S. O’Neill, M. Glazebrook","doi":"10.30795/jfootankle.2023.v17.1686","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1686","url":null,"abstract":"Objective: To complete a comprehensive literature review to determine the quantity and quality of literature supporting the incidence of IPJA after AA and TAR. Methods: A comprehensive review was performed to determine the quantity and quality of literature supporting the incidence of IPJA after AA and TAR. After applying inclusion and exclusion criteria, 23 TAR and 19 AA studies were included. Results: Only one high-quality level I was found, reporting 1.2% of IPJA after TAR. Majority of the studies were level IV and reported an incidence of subtalar arthritis of 0%-40%, talonavicular 2.8%-34%, and calcaneocuboid 2.8%-3.2% after TAR and an incidence of subtalar arthritis of 7.7%-100%, talonavicular 8.69%-11.6%, and calcaneocuboid of 22% after AA. Conclusion: There is currently poor quality evidence supporting a higher rate of IPJA after AA compared to TAR. Also there is poorquality evidence that supports IPJA as a complication of TAR; however, this is the current evidence on this topic. Better-quality longterm studies are required to make definitive and accurate conclusions on the incidence of IPJA.Level of Evidence III; Therapeutic Studies; Systematic Review.\u0000 ","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114974399","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}
D. Rosemberg, F. C. Fonseca, E. Pires, R. Sposeto, R. Macedo, R. Bitar, A. Godoy-Santos
{"title":"Tibiotalocalcaneal arthrodesis with femoral head allograft, external fixator provisional compression, and locking plate fixation after failed total ankle arthroplasty","authors":"D. Rosemberg, F. C. Fonseca, E. Pires, R. Sposeto, R. Macedo, R. Bitar, A. Godoy-Santos","doi":"10.30795/jfootankle.2023.v17.1676","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1676","url":null,"abstract":"The number of total ankle arthroplasties has increased in recent years with the improvement of implants and advanced attempts to maintain ankle movement. However, this technique presents complications, such as aseptic loosening and infection, requiring revision surgery. In this scenario, conversion by tibiotalar or tibiotalocalcaneal arthrodesis is highly accepted and can be performed with external fixators, intramedullary rods, screws, or locking plates. This article shows the resolution of a case of aseptic loosening tibiotalocalcaneal arthrodesis fixed with a locking plate associated with bone allograft. Level of Evidence V; Therapeutic Studies; Expert Opinion.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134341030","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}
Luis Lopez Martinez, Caio de Oliveira Candido, Vinicius da Silva Naresse, Bruno Carraro Lolo, Silvonete Lima dos Santos, A. Godoy-Santos
{"title":"How to fund clinical research in orthopedics and traumatology? Grants and opportunities","authors":"Luis Lopez Martinez, Caio de Oliveira Candido, Vinicius da Silva Naresse, Bruno Carraro Lolo, Silvonete Lima dos Santos, A. Godoy-Santos","doi":"10.30795/jfootankle.2023.v17.1682","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1682","url":null,"abstract":"Objective: The aim of the study was to identify: how to fund clinical research in orthopedics and traumatology? Methods: A survey of funding for clinical research was performed. Results: According to data from the PIVOT® platform, the funding is concentrated in the USA, UK, and Medical Societies. The main sponsor was the DOD (USA), followed by the SICOT (Belgium). According to data from the DIMENSIONS® platform, there was a reduction of projects financed. The main country was the USA, followed by Japan. Regarding the amounts, the largest funders were the USA and Belgium. FAPESP (Brazil) is in the 7th position among sponsors. According to data from the InCites® platform, the main countries were the USA, China, and Japan. Conclusion: The reduction of projects in the last two years may be related to the limitations imposed by the SARS-CoV-2 pandemic. Regarding the amounts, the largest funders were the USA and Belgium. This data confirms the importance of funding from the SICOT. The main sponsor was the DOD; this data may be related to injuries that occurred in the war. The fact that the NIDA (USA) is the third largest funder may be related to the increase in the consumption of opioids for pain management. The incidence of falls among the elderly may be associated with Japan being one of the countries most supporting this area. Brazil is in the 8th position, and CAPES, CNPq, and FAPESP are among the top 20 funders. Level of Evidence IV; Descriptive Observational Study.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"139 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133139036","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":"Acute calcific periarthritis at the metatarsophalangeal joint - a case report","authors":"Kyriakos Bekas, Konstantinos Giannikas","doi":"10.30795/jfootankle.2023.v17.1683","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1683","url":null,"abstract":"Acute calcific periarthritis (ACP) is an uncommon forefoot condition with a few cases reported in the literature. It is often misdiagnosed and may result in unnecessary diagnostic and therapeutic procedures due to its association with other systemic diseases with similar clinical presentation. A 70-year-old man presented in the emergency room with soft tissue swelling with local erythema and tenderness in the fifth metatarsophalangeal region of the right foot, which started two days prior with no history of injury. Passive and active movements of the joint were painful. Acute calcific periarthritis could be confused with other pathologies. A thorough clinical examination and the knowledge of its clinical presentation could prevent unnecessary diagnostic procedures. Level of Evidence V; Therapeutic Studies; Expert Opinion.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114558995","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}
Thiago Moreth da Silva Barbosa, A. D. Souza, João Victor de Lima Brito Alves, Micaella dos Santos Andrade Moreth, Kellem Carol Muniz Vieira, Vitor Benedito Ferreira Freire
{"title":"Condroblastoma de tálus: relato de caso","authors":"Thiago Moreth da Silva Barbosa, A. D. Souza, João Victor de Lima Brito Alves, Micaella dos Santos Andrade Moreth, Kellem Carol Muniz Vieira, Vitor Benedito Ferreira Freire","doi":"10.30795/jfootankle.2023.v17.1662","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1662","url":null,"abstract":"\u0000 \u0000 \u0000O condroblastoma é um tumor cartilaginoso benigno raro, que compreende aproximadamente 1% de todos os tumores ósseos. Costuma ocorrer em pacientes dos 10 aos 25 anos de idade, sendo mais frequente em homens (2:1). Geralmente se localiza na epífise dos ossos longos, principalmente em fêmur distal, tíbia e úmero proximal, em indivíduos com fise aberta. Esse artigo traz um caso de um condroblastoma de tálus, apresentação atípica do tumor, com poucas publicações semelhantes na literatura. Trata-se de um paciente masculino, de 33 anos, com queixa de dor em tornozelo esquerdo há cerca de três anos. Após exames de imagem e histopatológico foi confirmada a hipótese de condroblastoma, e realizada ressecção com margem intralesional. \u0000 \u0000 \u0000","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126912070","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}
Vinícius Alvarenga Pereira, Otaviano de Oliveira Junior, Fabrício Melo Bertolini, Gustavo Heringer Cezar Fortes Silveira, Bruno Janotti Pádua, Mateus Martins Marcatti
{"title":"Descrição de técnica percutânea para o tratamento cirúrgico das rupturas agudas do tendão de Aquiles","authors":"Vinícius Alvarenga Pereira, Otaviano de Oliveira Junior, Fabrício Melo Bertolini, Gustavo Heringer Cezar Fortes Silveira, Bruno Janotti Pádua, Mateus Martins Marcatti","doi":"10.30795/jfootankle.2023.v17.1663","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1663","url":null,"abstract":"A ruptura aguda do tendão de Aquiles é uma lesão frequente dos membros inferiores e existe controvérsia em relação ao tratamento ideal. Diversos métodos estão descritos na literatura, dentre eles, tratamento conservador, reparo aberto e cirurgia minimamente invasiva. O reparo aberto está associado a maior índice de complicações no sítio cirúrgico enquanto as técnicas minimamente invasivas apresentam risco aumentado de lesão iatrogênica do nervo sural. Alguns dispositivos foram desenvolvidos para reduzir as complicações das primeiras técnicas percutâneas descritas. Apresentamos uma técnica para reparo das lesões agudas do tendão de Aquiles de maneira percutânea utilizando materiais simples disponíveis na maioria dos centros cirúrgicos, sem necessidade de instrumental especial. Associado a essa técnica, adotamos protocolo de reabilitação funcional precoce, que já provou ser vantajoso na recuperação das funções do paciente. ","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131997607","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}
M. D. L. Gomes, André Taumaturgo Cavalcanti Arruda, Pignatário de Andrade Filho, Romeu Krause Gonçalves, José Theódulo Fernandes Neto, André Cipriano Saraiva Gomes
{"title":"Hálux varo pós-traumático: tratamento por intermédio da técnica Mini TightRope","authors":"M. D. L. Gomes, André Taumaturgo Cavalcanti Arruda, Pignatário de Andrade Filho, Romeu Krause Gonçalves, José Theódulo Fernandes Neto, André Cipriano Saraiva Gomes","doi":"10.30795/jfootankle.2023.v17.1685","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1685","url":null,"abstract":"O hálux varo é um acometimento infrequente na rotina ortopédica e consiste no desvio medial do hálux em relação ao primeiro metatarso. No presente artigo, relatamos o caso de uma paciente, do sexo feminino, com 45 anos, que chegou ao serviço de saúde após sofrer um trauma na região do pé direito. A paciente evoluiu com uma deformidade, ao apresentar um hálux varo pós-traumático, que necessitará de posterior intervenção cirúrgica. Para tanto, foi aplicada a técnica Mini TightRope, a qual apresentou vantagens em relação a outras estratégias cirúrgicas, já que pode promover a reabilitação funcional e estética do paciente.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"29 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123578328","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}
Renato Guilherme Trede Filho, Thamires Cristina Perdigão Rodrigues, Alícia Correa Brant, Nara Lourdes Moreno Rodrigues, Bruno Fles Mazuquim, Jim Richard
{"title":"Classification of foot type from podography: correlation of results between six quantitative assessment methods","authors":"Renato Guilherme Trede Filho, Thamires Cristina Perdigão Rodrigues, Alícia Correa Brant, Nara Lourdes Moreno Rodrigues, Bruno Fles Mazuquim, Jim Richard","doi":"10.30795/jfootankle.2023.v17.1690","DOIUrl":"https://doi.org/10.30795/jfootankle.2023.v17.1690","url":null,"abstract":"Objective: Apply the different methods available in the literature to classify a sample of podography and evaluate the level of agreement between the results. Methods: Six quantitative and one qualitative method to classify foot type from podography were recorded on 30 feet. The podography indexes were calculated, and the level of agreement between methods was explored. Results: Correlation values were above r = 0.84 except for the test arch footprint angle. The highest correlation values were found between the truncated arch index and footprint index (0.99), arch index and footprint index (-0.94), and arch index and truncated arch index (-0.94), and the lowest was the arch footprint angle with the other parameters. However, there was a difference in the classification between the foot types, indicating a lack of agreement of thresholds between foot types. Qualitative visual inspection was the faster method to classify foot type.Conclusion: The visual inspection was the fastest test to apply, followed by the quantitative arch footprint angle test. High correlation values were found between tests, especially the arch index and the footprint index, arch-length index, truncated arch index, and Chippaux-Smirak index tests. Level of Evidence IV; Therapeutic Studies; Case Series.","PeriodicalId":436014,"journal":{"name":"Journal of the Foot & Ankle","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129388639","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}