Techniques in Foot and Ankle Surgery最新文献_第2页

Achilles Tendon Ruptures: Limited Incision Repair 跟腱断裂:有限切口修复

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Techniques in Foot and Ankle Surgery Pub Date : 2023-07-03 DOI: 10.1097/btf.0000000000000385

Elisabeth Schauer, M. Assal

{"title":"Achilles Tendon Ruptures: Limited Incision Repair","authors":"Elisabeth Schauer, M. Assal","doi":"10.1097/btf.0000000000000385","DOIUrl":"https://doi.org/10.1097/btf.0000000000000385","url":null,"abstract":"Achilles tendon ruptures are a common injury, and a steadily rising incidence has been noted since the middle of the 20th century. Conservative management is a recognized treatment method, but it bears a higher risk of tendon rerupture compared with surgical treatment. Standard open surgery, however, can lead to complications, such as wound complications and surgical site infection. Hence, efforts have been put into the development of alternative surgical techniques to lower the risk of complications. In the 1970s, Ma and Griffith introduced percutaneous tendon repair by limiting the incision to 6 stab wounds. Subsequently, the open and percutaneous approaches have been merged into limited incision procedures, which include the advantages of both: visual control as well as smaller incisions. The primary limited incision approach consisted in using twisted Kirschner wires as suture guides. They were replaced by specific guiding instruments, such as the Achillon and Percutaneous Achilles Repair System (PARS) device, which rendered the limited incision procedure safer and more standardized. The instruments consist of 4 arms: The outer arms facilitate needle introduction by predetermined holes, the inner arms allow for suture passage exclusively underneath the tendon sheath. The minimally invasive procedures may reduce complication rates, especially regarding wound healing and infection. Limited incision techniques also may reduce sural nerve injury.\u0000 \u0000 Level of Evidence: Diagnostic Level V—expert opinion. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"16 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85959216","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

Achilles Tendon Ruptures: From Treatment to the Playing Field 跟腱断裂:从治疗到赛场

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Techniques in Foot and Ankle Surgery Pub Date : 2023-06-22 DOI: 10.1097/btf.0000000000000386

Robby Hoenshel, H. Polzer, J. T. Vosseller

引用次数: 0

Treatment of Calcaneal osteomyelitis and defect deformity with bone transfer by Ilizarov technique Ilizarov技术治疗跟骨骨髓炎及缺损畸形

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Techniques in Foot and Ankle Surgery Pub Date : 2023-06-01 DOI: 10.1016/j.fastrc.2023.100306

Jingyang Li, Aierken Rehemutula, Li Li

引用次数: 0

Third Generation Rotational Percutaneous Osteotomy to Hallux Valgus 第三代旋转经皮截骨术治疗拇外翻

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Techniques in Foot and Ankle Surgery Pub Date : 2023-05-19 DOI: 10.1097/btf.0000000000000357

G. Nunes, T. Baumfeld

引用次数: 1

Acute External Fixation and Delayed Primary Subtalar Fusion After Comminuted Joint-depression Calcaneus Fracture 跟骨粉碎性关节凹陷骨折后的急性外固定和延迟初级距下融合

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Techniques in Foot and Ankle Surgery Pub Date : 2023-05-16 DOI: 10.1097/btf.0000000000000381

A. Anastasio, Troy Q. Tabarestani, Neil K. McGroarty, Malcolm R. DeBaun, S. Parekh

引用次数: 0

The Extensile Lateral Approach to the Calcaneus 跟骨可伸展外侧入路

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Techniques in Foot and Ankle Surgery Pub Date : 2023-05-15 DOI: 10.1097/btf.0000000000000380

R. Bhimani, Kush C. Shah, Rishin J. Kadakia

引用次数: 0

Percutaneous Techniques 经皮技术

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Techniques in Foot and Ankle Surgery Pub Date : 2023-03-17 DOI: 10.1097/btf.0000000000000379

C. Akoh

引用次数: 1

The Use of Wide-Awake Local Anesthesia No Tourniquet (WALANT) Technique for Distal Fibula Hardware Removal 全清醒局麻无止血带(WALANT)技术在腓骨远端硬体取出中的应用

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Techniques in Foot and Ankle Surgery Pub Date : 2023-03-07 DOI: 10.1097/BTF.0000000000000378

A. Sabaghzadeh, F. Biglari, A. Ebrahimpour, Davood Khavari Ardestani, M. Sadighi, M. Jafari Kafiabadi

{"title":"The Use of Wide-Awake Local Anesthesia No Tourniquet (WALANT) Technique for Distal Fibula Hardware Removal","authors":"A. Sabaghzadeh, F. Biglari, A. Ebrahimpour, Davood Khavari Ardestani, M. Sadighi, M. Jafari Kafiabadi","doi":"10.1097/BTF.0000000000000378","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000378","url":null,"abstract":"Ankle fracture is one of the most common fractures that are mainly treated with open reduction and internal fixation. Wide-awake local anesthesia no tourniquet (WALANT) technique has been widely used for hand and wrist surgeries, this method has been scarcely utilized in ankle surgery. To the best of our knowledge, only one study has evaluated the safety and efficacy of the WALANT technique in distal fibula hardware removal surgeries. This study aimed to investigate the result of using the WALANT technique in distal fibula hardware removal surgery. From April 2020 until March 2021 randomized clinical trial was performed on 60 patients between the ages of 18 and 60 years in our educational orthopedic center. In group A, an anesthesiologist administered spinal anesthesia and in group B the WALANT technique was used for anesthesia. The results of the current study showed that the visual analog scale in group B a day after the surgery was significantly lower, in comparison to group A. The outcome of our study demonstrated lesser blood loss in patients operated under the WALANT. This finding could be related to the vasoconstrictive properties of epinephrine used in the WALANT solution. Our findings suggest that the WALANT technique application in the proper setting and appropriate patient selection could lead to reduced postoperative pain, minimal bleeding, and shorter admission time. Other advantages include the simplicity and safety of the technique, it is being time and cost-effective. Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"22 1","pages":"137 - 140"},"PeriodicalIF":0.3,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42036948","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

The Single-Person Lateral Decubitus Ankle Sling Fracture Reduction Technique 单人外侧卧位踝关节吊带骨折复位技术

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Techniques in Foot and Ankle Surgery Pub Date : 2023-03-06 DOI: 10.1097/btf.0000000000000377

Z. Brooks, Kyle W. Willson

引用次数: 0

Approach for Neglected Calcaneal Fracture-Dislocation and Associated Complications 被忽视的跟骨骨折脱位及其并发症的治疗方法

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Techniques in Foot and Ankle Surgery Pub Date : 2023-01-23 DOI: 10.1097/btf.0000000000000375

Kendal Carter, Hannah Sahli-Carter, H. C. Carter

引用次数: 0