Techniques in Foot and Ankle Surgery最新文献_第6页

Arthroscopically Assisted Technique for Combined Medial and Lateral Ligament Repair in Multidirectional Ankle Instability 关节镜辅助内侧韧带和外侧韧带联合修复踝关节多向不稳定

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Techniques in Foot and Ankle Surgery Pub Date : 2021-11-19 DOI: 10.1097/BTF.0000000000000335

J. B. Gerstner, Octavio A. Méndez Lavergne, Fanny A.L. Blanco, Jochen Gerstner Saucedo, C. E. Ramirez Davila

{"title":"Arthroscopically Assisted Technique for Combined Medial and Lateral Ligament Repair in Multidirectional Ankle Instability","authors":"J. B. Gerstner, Octavio A. Méndez Lavergne, Fanny A.L. Blanco, Jochen Gerstner Saucedo, C. E. Ramirez Davila","doi":"10.1097/BTF.0000000000000335","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000335","url":null,"abstract":"An ankle sprain is one of the most common orthopedic injuries, frequently associated with sporting activities. Acute treatment has a traditional standard protocol, but even after undergoing a good rehabilitation program, up to 20% to 40% of patients develop chronic ankle instability. Arthroscopy is a rapidly evolving surgical procedure indicated for the management of this pathology as a diagnostic and therapeutic tool. The objective of this study was to describe an arthroscopically assisted technique for combined medial and lateral ligament repair in patients with multidirectional ankle instability. Clinical and functional results were described in 14 cases (8 female, 6 male) with a minimum 12-month follow-up. The average age was 35.8 years (range: 20 to 57 y), only 1 case of neuritis was reported and resolved without invasive procedures. At the final follow-up, 13 cases had good-excellent results with AOFAS (American Orthopedic Foot and Ankle Score) >80 points. We believe that the arthroscopic technique described is as a viable treatment option in patients with multidirectional ankle instability, with similar or better results than open techniques. 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":"20 1","pages":"233 - 240"},"PeriodicalIF":0.3,"publicationDate":"2021-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43666312","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: 2

Hallux Valgus Treatment: An Evolution Hallux Valgus治疗：进化

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Techniques in Foot and Ankle Surgery Pub Date : 2021-11-19 DOI: 10.1097/btf.0000000000000344

J. Doty

引用次数: 0

Percutaneous Treatment With Bridge Plate and Extra-articular Screws in Low-Energy and High-Energy Lisfranc Injuries 桥钢板和关节外螺钉经皮治疗低能量和高能量Lisfranc损伤

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Techniques in Foot and Ankle Surgery Pub Date : 2021-11-10 DOI: 10.1097/BTF.0000000000000343

J. P. Randolino, V. López

{"title":"Percutaneous Treatment With Bridge Plate and Extra-articular Screws in Low-Energy and High-Energy Lisfranc Injuries","authors":"J. P. Randolino, V. López","doi":"10.1097/BTF.0000000000000343","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000343","url":null,"abstract":"Although there is no consensus regarding surgical treatment of unstable sprains and fractures dislocations of the Lisfranc complex, both anatomic reduction, proper alignment and adequate stabilization of the tarsometatarsal columns are essential when looking for good results. With the advent of minimally invasive surgery, and bearing in mind that the percentages of complications and sequelae despite the good results in reduction quality are still important, we aim to show the clinical and radiographic results over 1-year follow-up obtained by indirect reduction and percutaneous fixation with bridge plate and extra-articular screws in a series of patients with low-energy and high-energy Lisfranc lesions. Eleven patients were operated upon diagnosed with acute tarsometatarsal joint injuries, which showed unstable sprains and/or fracture dislocation with partial articular fracture and a minimum of 1-year follow up. The average age was 30.7 years. The results of the postoperative tomographic controls were as follows: residual joint step average of 0.2 mm, 0.45, and 0 mm in first cuneiform-base of first metatarsal, second cuneiform-base of second metatarsal and third cuneiform-base of third metatarsal, respectively. Anatomical reduction was obtained in the majority of our patients with very good functional results in the evaluated period. Although this is an ongoing investigation, we believe that this method could be taken into account in properly selected patients, even in high-energy injuries. 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":"21 1","pages":"208 - 215"},"PeriodicalIF":0.3,"publicationDate":"2021-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49450970","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

Endoscopic High-speed Curettage and Bone Grafting of Unicameral Bone Cyst in Young Children: A Case Report 内镜下高速刮除和骨移植治疗儿童单腔骨囊肿1例

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Techniques in Foot and Ankle Surgery Pub Date : 2021-11-08 DOI: 10.1097/BTF.0000000000000342

P. Megremis, O. Megremis

引用次数: 1

The Open Distal Chevron Osteotomy 切开远端Chevron截骨术

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Techniques in Foot and Ankle Surgery Pub Date : 2021-11-01 DOI: 10.1097/BTF.0000000000000333

Brian T. Sleasman, Muhammad Y. Mutawakkil, Milap S. Patel, A. Kadakia

引用次数: 0

Hindfoot Double Arthrodesis in Adults Using Cannulated Screws 成人后足双关节固定术用空心螺钉

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Techniques in Foot and Ankle Surgery Pub Date : 2021-10-21 DOI: 10.1097/btf.0000000000000299

Ahmed E Galhoum, Y. Alrashidi, M. Herrera-Pérez, M. Wiewiorski, Margaux Miller, A. Barg, Vineet Trivedi, V. Valderrábano

引用次数: 1

Medial-Single-Incision Double Arthrodesis “Diple” for Adult-acquired Flatfoot Deformity 内侧-单切口双关节融合术治疗成人获得性扁平足畸形

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Techniques in Foot and Ankle Surgery Pub Date : 2021-10-21 DOI: 10.1097/BTF.0000000000000341

Jason Chow, Faisal Alsayel, Mustafa Alttahir, V. Valderrábano

{"title":"Medial-Single-Incision Double Arthrodesis “Diple” for Adult-acquired Flatfoot Deformity","authors":"Jason Chow, Faisal Alsayel, Mustafa Alttahir, V. Valderrábano","doi":"10.1097/BTF.0000000000000341","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000341","url":null,"abstract":"Adult-acquired flatfoot deformity is a progressive pathologic condition that results in a rigid, painful, arthritic flatfoot that is debilitating and affects daily function. Traditionally, the condition is treated with a Triple arthrodesis of the subtalar joint, talonavicular joint, and the calcaneocuboid joint through dual incisions. This approach is effective in restoring the medial arch and correcting excessive hindfoot valgus. However, the lateral incision is associated with wound-healing problems in up to one third of patients, while the calcaneocuboid joint is often asymptomatic and not arthritic. The medial-single-incision “Diple” arthrodesis is a valuable, efficient, and safe alternative to the traditional dual incision Triple arthrodesis. The Diple arthrodesis is performed through a single medial incision and is a fusion of the subtalar joint and talonavicular joint but sparing the calcaneocuboid joint. The advantages of the Diple arthrodesis is significantly reduced wound complication, decreased operating time, comparable union rates, and extensive intraoperative visualization. Furthermore, maintenance of the calcaneocuboid joint allows for improving accommodation on uneven surfaces along with prevention of adjacent joint degeneration. In this paper, we describe our experience with the medial-single-incision Diple arthrodesis in patients with adult-acquired flatfoot deformity. Level of Evidence: Diagnostic Level V—expert opinion and surgical technique. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"21 1","pages":"168 - 177"},"PeriodicalIF":0.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61625324","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

Posterior Tibial Tendon Transfer for Drop Foot With an Accessory Navicular 胫骨后腱移植治疗附舟状骨的足下垂

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Techniques in Foot and Ankle Surgery Pub Date : 2021-10-21 DOI: 10.1097/BTF.0000000000000340

C. J. Yergensen, K. Kress, David Jaffe

引用次数: 0

No Tourniquet Technique of Surgery for Macrodactyly 大指畸形手术无止血带技术

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Techniques in Foot and Ankle Surgery Pub Date : 2021-09-01 DOI: 10.1097/BTF.0000000000000337

T. O. Prasetyono, Timothy A. Santoso

{"title":"No Tourniquet Technique of Surgery for Macrodactyly","authors":"T. O. Prasetyono, Timothy A. Santoso","doi":"10.1097/BTF.0000000000000337","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000337","url":null,"abstract":"The tourniquet technique in limb surgery has traditionally been performed to produce bloodless operative fields. Nevertheless, there are limitations derived from the tourniquet itself; either the complications that may occur because of the ischemic effects, or the constraint of time because of the ischemic time. As no surgeon expects dreadful adverse events in their practices, an alternative technique may fill up the demand. The implementation of epinephrine, which was previously believed to be dangerous, has been performed in end-artery organs such as toes and fingers. In this article, the authors apply the tumescent technique with the use of 1:1,000,000 epinephrine or shortly termed as one-per-mil solution, without using the pneumatic tourniquet. The technique presents relatively clear operative fields, yet safe. Although the risk of bleeding is higher because of the enlarged vascular caliber and all structures around the affected digits, the technique facilitates clear visualization of important structures. In addition, the long action of the one-per-mil tumescent solution notably provides a much longer surgery duration, which facilitates complex surgery for macrodactyly. Level of Evidence: Treatment level of evidence IV—case series. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"21 1","pages":"158 - 162"},"PeriodicalIF":0.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44864475","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

Nitinol Compression Screws in Foot and Ankle Surgery 镍钛诺加压螺钉在足、踝关节手术中的应用

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Techniques in Foot and Ankle Surgery Pub Date : 2021-09-01 DOI: 10.1097/BTF.0000000000000334

J. Ellington, John S. Lewis, D. Barcel, David Vier, Philipp Kaiser

引用次数: 0