Techniques in Foot and Ankle Surgery最新文献_第4页

Conversion of Symptomatic Ankle Arthrodesis Nonunion to Total Ankle Arthroplasty Using Patient-specific Instrumentation and Computer-assisted Surgery Guides: A Case Report 使用患者专用器械和计算机辅助手术指南将症状性踝关节固定术不愈合转为全踝关节置换术：一例报告

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Techniques in Foot and Ankle Surgery Pub Date : 2022-11-04 DOI: 10.1097/BTF.0000000000000365

Jose M. Iturregui, E. Haupt

引用次数: 0

Modern Surgical Techniques for Treatment of Chronic Lateral Ankle Instability 治疗慢性外侧踝关节不稳的现代外科技术

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Techniques in Foot and Ankle Surgery Pub Date : 2022-08-15 DOI: 10.1097/btf.0000000000000362

Saanchi Kukadia, Conor I. Murphy, H. Shah, M. Drakos

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Treatment of the Deltoid and Syndesmotic Ligaments in Chronic Ankle Instability 慢性踝关节不稳的三角韧带和韧带联合的治疗

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Techniques in Foot and Ankle Surgery Pub Date : 2022-08-09 DOI: 10.1097/BTF.0000000000000360

B. Chrea, H. Johnson

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A Modified Technique for Lateral Column Lengthening as Part of Adult Acquired Flatfoot Deformity Correction: An Intact Medial Calcaneal Cortex, a Low-Profile Locking Plate With a Combination of Autologous Calcaneal Bone Graft and Demineralized Human Bone Matrix 作为成人后天性扁平足畸形矫正的一部分，侧柱延长的改良技术：完整的内侧跟骨皮质，带自体跟骨移植物和脱矿人骨基质的低剖面锁定板

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Techniques in Foot and Ankle Surgery Pub Date : 2022-08-03 DOI: 10.1097/BTF.0000000000000361

B. Siddiqui, Hatem M. I. Salem, Achal Goyal, M. Raglan, S. Dhar

{"title":"A Modified Technique for Lateral Column Lengthening as Part of Adult Acquired Flatfoot Deformity Correction: An Intact Medial Calcaneal Cortex, a Low-Profile Locking Plate With a Combination of Autologous Calcaneal Bone Graft and Demineralized Human Bone Matrix","authors":"B. Siddiqui, Hatem M. I. Salem, Achal Goyal, M. Raglan, S. Dhar","doi":"10.1097/BTF.0000000000000361","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000361","url":null,"abstract":"Adult acquired flatfoot deformity encompasses deformities of the entire foot and ankle, with most clinical presentations comprising of a flexible planovalgus deformity and forefoot abduction. Numerous operative procedures have been proposed, and a lateral column–lengthening procedure is advocated to correct the forefoot abduction. Autologous iliac crest bone graft is routinely inserted into the opening-wedge osteotomy at the anterior calcaneum. Fixation methods are also variable with increasing use of locking plates to achieve stability at this osteotomy. Harvesting the iliac crest graft exposes the patient to significant donor site morbidity. We describe a modified lateral column–lengthening technique, leaving the medial calcaneum cortex intact, packing a combination of autologous calcaneal bone graft, and demineralized bone matrix into the osteotomy site, fixed with a low-profile locking plate. In the short term, our technique offers reduced rates of wound complications, symptomatic hardware, nonunion, and deformity recurrence when compared with published rates. Level of Evidence: Level IV, Case Series (retrospective).","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"22 1","pages":"120 - 126"},"PeriodicalIF":0.3,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47874536","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

Open Ankle Reconstruction of Lateral Ligaments (O-Anti-RoLL) 开放式踝关节外侧韧带重建(O-Anti-RoLL)

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Techniques in Foot and Ankle Surgery Pub Date : 2022-05-20 DOI: 10.1097/btf.0000000000000347

M. Glazebrook, J. Stone, R. D. P. Pasache Lozano, Joel G. Morash, M. Takao

引用次数: 0

Imaging Modalities to Diagnose, Follow, and Assess Treatment of Chronic Ankle Instability 慢性踝关节不稳的影像学诊断、随访和治疗评估

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Techniques in Foot and Ankle Surgery Pub Date : 2022-05-18 DOI: 10.1097/btf.0000000000000359

C. Sofka

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Collagen Coating Improves In Vitro Tenocyte Interaction With Suture Tape for Ligament Augmentation 胶原包衣改善体外肌腱细胞与缝合带的相互作用

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Techniques in Foot and Ankle Surgery Pub Date : 2022-05-04 DOI: 10.1097/BTF.0000000000000358

Haley Brouwer, A. Matuska, A. Kadakia

{"title":"Collagen Coating Improves In Vitro Tenocyte Interaction With Suture Tape for Ligament Augmentation","authors":"Haley Brouwer, A. Matuska, A. Kadakia","doi":"10.1097/BTF.0000000000000358","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000358","url":null,"abstract":"InternalBrace ligament augmentation is a recent advancement in the treatment of ligament instability, with demonstrated safety and clinical effectiveness for lateral ligament reconstruction. There are multiple commercially available suture tapes made of a variety of materials whose biological properties have not been well evaluated. These properties may affect the quality of reparative tissue given the intimate apposition of the ligament to the augment. This study explores tenocyte viability, adhesion, and proliferation to 4 suture tapes. Four suture tapes were studied: 1 with a collagen coating, 1 with a silicone coating, and 2 uncoated. The sutures were seeded with tenocytes and viability, adhesion and proliferation were evaluated over a 14-day period (n=12). Initial viability was highest on the collagen-coated suture tape (96.7±3.6%) and lowest on the silicone coated (54.7±23.0%). The highest live cell density after 14 days was observed on the collagen-coated suture tape (64.0±24.9 cells/mm2), while the lowest was observed on silicone-coated (5.0±5.1 cells/mm2). The collagen-coated and both uncoated suture tapes similarly supported 3.6- to 4.2-fold cell proliferation over 14 days, significantly more than observed on the silicone-coated tape (2.5±0.8-fold). The composition and coatings of suture tape may have biological consequences for ligament repair. Level of Evidence: Diagnostic in vitro study. 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":"72 - 77"},"PeriodicalIF":0.3,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45613875","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

Retrograde Intramedullary Antibiotic Impregnated Cement Nailing for Treatment of Infected Primary Tibiotalocalcaneal Arthrodesis 逆行髓内抗生素浸渍水泥内钉治疗原发性胫跖关节融合术感染

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Techniques in Foot and Ankle Surgery Pub Date : 2022-04-05 DOI: 10.1097/BTF.0000000000000349

A. Agarwal, N. Singh, Nicholas A. Andrews, S. Young, C. S. Scott, Roshan Jacob, Zachary L. Littlefield, Ashish Shah

{"title":"Retrograde Intramedullary Antibiotic Impregnated Cement Nailing for Treatment of Infected Primary Tibiotalocalcaneal Arthrodesis","authors":"A. Agarwal, N. Singh, Nicholas A. Andrews, S. Young, C. S. Scott, Roshan Jacob, Zachary L. Littlefield, Ashish Shah","doi":"10.1097/BTF.0000000000000349","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000349","url":null,"abstract":"The management of infected primary tibiotalocalcaneal arthrodesis (TTCA) is a daunting task for foot and ankle surgeons. For the last 2 decades, antibiotic bone cement nails have become a method to treat intramedullary infections, such as those seen in infected TTCA, as they provide the dual benefits of eluting high amounts of antibiotics into medullary canal while providing some stability to the bone. Studies have demonstrated the effectiveness of this salvage technique in treating infected primary TTCA. Because of the lack of commercially available antibiotic impregnated nails for this procedure, there is significant variation in techniques utilized. In addition, the rarity of these cases can make execution of this technique difficult and time consuming. To date there is no comprehensive technique guide for this procedure. We present a detailed photographic record and technical details of a modified technique for employing an antibiotic spacer nail for a 64-year-old female patient undergoing revision TTCA. The patient had an uncomplicated postoperative clinical course with no evidence of wound infection. Her osteomyelitis subsequently resolved, and she was able to ambulate with minimal pain with a Charcot Restraint Orthotic Walker. Surgeons can utilize the technical pearls presented herein to help reduce the amount of time spent in the operating room performing these clinically challenging revisions. Level of Evidence: Diagnostic Level V. 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":"20 - 26"},"PeriodicalIF":0.3,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47481767","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

“Sonanis Tuning Fork Lines”: A New Radiologic Method to Determine Talar Shift, Diastasis, and Displacement of Lateral Malleolus in Ankle Fractures “Sonanis音叉线”：一种新的放射学方法来测定踝关节骨折中外侧踝的移位、舒张和移位

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Techniques in Foot and Ankle Surgery Pub Date : 2022-04-04 DOI: 10.1097/BTF.0000000000000355

S. Sonanis, Taha H. Mir, S. Kumar, A. Chikate, H. Saleeb, K. Bodo, Nitin V. Deshmukh, Mostafa H. Elabbadi

{"title":"“Sonanis Tuning Fork Lines”: A New Radiologic Method to Determine Talar Shift, Diastasis, and Displacement of Lateral Malleolus in Ankle Fractures","authors":"S. Sonanis, Taha H. Mir, S. Kumar, A. Chikate, H. Saleeb, K. Bodo, Nitin V. Deshmukh, Mostafa H. Elabbadi","doi":"10.1097/BTF.0000000000000355","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000355","url":null,"abstract":"We introduce new “Sonanis” Tuning fork lines (TFL) to be drawn on ankle anterior-posterior (AP) radiographs to diagnose and assess the percentage of the talar shift, diastasis, and displacement of the lateral malleolus fractures. A 3-dimensional (Auto-CAD) of the ankle joint was reconstructed, and TFL were drawn on ankle AP radiographs. In a normal radiograph, the medial surface of the fibula touched the handle of the TFL, and the superior-lateral dome of the talus lies medial to the handle of TFL. In displaced ankle fractures with diastasis and talar shift, this relation is lost. The Talar shift was graded as per the handle of the TFL cutting talar dome. A cohort radiologic study was done by drawing TFL on 100 radiographs, and the results were observed by a senior clinician. Fourteen patients had normal radiographs, and further 33 patients had an ankle fracture with no talar shift. Ankle diastasis with talar shift was seen in 27 cases and they were further graded as: grade 0 (no shift): 0 patients, grade 1 (<25% shift): 15 patients (4%), grade 2 (25-50% shift): 7 patients (1.89%), grade 3 (50% to 75% shift): 1 patient (0.27%), grade 4 (75% to 100% shift): 0 patients (0%), and grade 5 (100% shift): 4 patients (0.6%). We conclude that in a normal ankle AP radiograph it is possible to diagnose and comment on the ankle fractures even if proper ankle mortise views or computed tomography scans were not available.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"22 1","pages":"44 - 49"},"PeriodicalIF":0.3,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49637566","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

Technique Tip: Maintaining Anatomy While Achieving Compression During Primary Subtalar Fusion in Setting of Comminuted Calcaneal Tuberosity Fracture 技术提示:粉碎性跟骨结节骨折的初级距下融合术中，在保持解剖的同时实现压迫

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Techniques in Foot and Ankle Surgery Pub Date : 2022-03-31 DOI: 10.1097/btf.0000000000000356

Atousa Nourmahnad, Christopher P. Miller

引用次数: 0