Foot and Ankle Surgery最新文献

Comparison of clinical and radiological outcomes of total ankle arthroplasty in two subtypes of varus ankle osteoarthritis. 两种亚型内翻型踝关节骨性关节炎全踝关节置换术的临床和影像学结果比较。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-10-05 DOI: 10.1016/j.fas.2026.10.002

Bi O Jeong, Jin Hyung Kim, Min Sung Kim, Jeong Hyun Lee, Min Gyu Kyung

{"title":"Comparison of clinical and radiological outcomes of total ankle arthroplasty in two subtypes of varus ankle osteoarthritis.","authors":"Bi O Jeong, Jin Hyung Kim, Min Sung Kim, Jeong Hyun Lee, Min Gyu Kyung","doi":"10.1016/j.fas.2026.10.002","DOIUrl":"https://doi.org/10.1016/j.fas.2026.10.002","url":null,"abstract":"Background: This study compared clinical and radiological outcomes of total ankle arthroplasty between rotation- and translation-type varus ankle osteoarthritis.Methods: Forty-four consecutive patients (≥1-year follow-up) were reviewed and classified by medial gutter apposition (22 per group). Outcomes were assessed preoperatively, at 1-year, and final follow-up.Results: Visual analogue scale improved from 5.7 to 1.9 in the rotation group and from 5.8 to 0.6 in the translation group; AOFAS hindfoot scores improved from 56.9 to 80.4 and from 51.4 to 92.2, respectively (all P < 0.001). The translation group achieved and maintained correction of talar center migration and hindfoot alignment angle, whereas the rotation group showed deterioration in hindfoot alignment angle between 1-year and final follow-up.Conclusion: The translation group achieved more favorable clinical outcomes and maintained stable correction of medial talar translation and hindfoot alignment, whereas the rotation group was associated with recurrent hindfoot varus alignment. Subtype-specific recognition may be clinically useful.Level of evidence: III.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of preoperative osteoporosis on short- and long-term complications following ankle ORIF: A multi-institutional propensity-matched analysis. 术前骨质疏松对踝关节ORIF术后短期和长期并发症的影响：一项多机构倾向匹配分析

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-10-05 DOI: 10.1016/j.fas.2026.10.004

Keenan Horani, Jad Lawand, Joshua Wang, Nicholas Cione, Abdullah Ghali, Verdinand C B Ruelos, John C Hagedorn

{"title":"Impact of preoperative osteoporosis on short- and long-term complications following ankle ORIF: A multi-institutional propensity-matched analysis.","authors":"Keenan Horani, Jad Lawand, Joshua Wang, Nicholas Cione, Abdullah Ghali, Verdinand C B Ruelos, John C Hagedorn","doi":"10.1016/j.fas.2026.10.004","DOIUrl":"https://doi.org/10.1016/j.fas.2026.10.004","url":null,"abstract":"Background: Osteoporosis may impair fracture healing and fixation durability after ankle ORIF. This study evaluated postoperative complications of preoperative osteoporosis.Methods: Patients undergoing ankle ORIF from 2004 to 2022 with ≥ 2 years of follow-up were identified from a multi-institutional database. Those with and without preoperative osteoporosis, defined with ICD-10 code M80 & M81, were compared using 1:1 propensity score matching; outcomes were assessed at 90 days and 2 years.Results: Matched cohorts included 4190 patients. At 90 days, the osteoporosis group had higher device infection (1.0% vs. 0.5%; RR=2.10), DVT (1.4% vs. 0.8%; RR=1.63), and transfusion (1.9% vs. 1.1%; RR=1.63). At 2 years, device infection (2.6% vs. 1.4%; RR=1.80) and hardware removal (14.2% vs. 11.6%; RR=1.23) were elevated.Conclusions: Osteoporosis is associated with increased short- and long-term complications after ankle ORIF; because these injuries are treated acutely, bone health optimization and fixation suited to osteoporotic bone are best addressed postoperatively.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Climbing is associated with tissue-specific mechanical adaptations of the plantar fascia and achilles tendon. 攀爬与足底筋膜和跟腱的组织特异性机械适应性有关。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-10-04 DOI: 10.1016/j.fas.2026.10.001

Michał Burzyński, Alicja Jurecka, Jerzy Walocha, Bartosz Rutowicz, Anna Groszyk, Konrad Kwolek, Henryk Liszka

{"title":"Climbing is associated with tissue-specific mechanical adaptations of the plantar fascia and achilles tendon.","authors":"Michał Burzyński, Alicja Jurecka, Jerzy Walocha, Bartosz Rutowicz, Anna Groszyk, Konrad Kwolek, Henryk Liszka","doi":"10.1016/j.fas.2026.10.001","DOIUrl":"https://doi.org/10.1016/j.fas.2026.10.001","url":null,"abstract":"Background: The effects of amateur climbing on the mechanical and viscoelastic properties of foot and lower leg soft tissues remain poorly understood.Methods: This cross-sectional study compared 33 amateur climbers with 32 non-climbing controls. MyotonPRO assessment evaluated oscillation frequency, dynamic stiffness, logarithmic decrement, mechanical stress relaxation time, and creep at selected foot and lower leg soft-tissue sites. Foot Posture Index was used. Exploratory analyses were performed according to climbing experience.Results: Climbers demonstrated tissue-specific differences in selected myotonometric variables. The most consistent profile was observed in the distal plantar fascia beneath the fifth ray and the mid-portion of the Achilles tendon, where climbers showed higher oscillation frequency and dynamic stiffness with lower relaxation time and creep values. Foot Posture Index scores were comparable between groups.Conclusions: Amateur climbing may be associated with localised biomechanical adaptations of lower extremity soft tissues.Levels of evidence: Level IV.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does flexor hallucis longus groove morphology have an effect on flexor hallucis longus tendon pathologies? 幻觉长屈肌沟形态对幻觉长屈肌肌腱病变有影响吗？

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-10-04 DOI: 10.1016/j.fas.2026.10.003

Mert Erdem Yeşilli, Mehmet Ali Tokgöz, Alim Can Baymurat, Yılmaz Ergişi, Muhammet Baybars Ataoğlu, Ulunay Kanatlı

{"title":"Does flexor hallucis longus groove morphology have an effect on flexor hallucis longus tendon pathologies?","authors":"Mert Erdem Yeşilli, Mehmet Ali Tokgöz, Alim Can Baymurat, Yılmaz Ergişi, Muhammet Baybars Ataoğlu, Ulunay Kanatlı","doi":"10.1016/j.fas.2026.10.003","DOIUrl":"https://doi.org/10.1016/j.fas.2026.10.003","url":null,"abstract":"Background: Our main aim in the present study is to investigate the effect of flexor hallucis longus (FHL) tendon groove morphology on FHL tendon pathologies.Methods: Patients who underwent posterior ankle arthroscopy in our clinic between January 2002 and November 2021 were analyzed. FHL tendon degeneration levels via Arthroscopic video records and FHL groove morphologhy via T1 axial MR imagings were compared.Results: While FHL degeneration was more seen in U-type and L-type groove morphologies and groove types with increased depth. Less flexor hallucis longus degeneration was seen in bracket-type, grooves with increased opening angle and shallow grooves.Discussion: FHL tendon groove morphology may affect tendon pathologies. A correlation may exist between the morphological types and morphometric measurements of the groove and the arthroscopic grade of FHL degeneration. Greater groove depth may be associated with increased FHL degeneration, whereas a wider opening angle may have a protective effect against degeneration.Level of evidence: Level III.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of restoring the native ankle on clinical outcome and range of motion in total ankle arthroplasty. 全踝关节置换术中恢复踝关节对临床疗效和活动范围的影响。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-09-23 DOI: 10.1016/j.fas.2026.09.012

Beat Hintermann, Roman Susdorf, Sabrina Chelli, Ursina-Sarah Peterhans, Roxa Ruiz

{"title":"The effect of restoring the native ankle on clinical outcome and range of motion in total ankle arthroplasty.","authors":"Beat Hintermann, Roman Susdorf, Sabrina Chelli, Ursina-Sarah Peterhans, Roxa Ruiz","doi":"10.1016/j.fas.2026.09.012","DOIUrl":"https://doi.org/10.1016/j.fas.2026.09.012","url":null,"abstract":"Background: To date, little is known about the relationship between implant positioning and TAA outcomes. This study aimed to evaluate how implant size and positioning influence clinical outcomes after TAA.Methods: In a retrospective review, 89 best and 89 worst cases were selected from 471 ankles based on clinical outcomes after primary TAA surgery. Tibiotalar joint line level, talar height, talar radius, anteroposterior position of the talus, and lateral tibial surface angle were measured on standard X-rays and correlated with clinical outcome measures.Results: Talar height was the only parameter correlated with ROM; it increased more in the good-progressing group (p = 0.031). ROM increased in the good-progressing group (p = 0.001) but not in the bad-progressing group (p = 0.141).Conclusions: Although the joint line level and component positioning did not differ between groups, clinical outcomes and ROM were higher in the good-progressing group, suggesting the influence of other factors, such as soft-tissue condition.Level of evidence: Level III, retrospective review of prospectively collected data.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postoperative hindfoot alignment after sinus tarsi versus extensile lateral approach for Sanders type III-IV calcaneal fractures. Sanders III-IV型跟骨骨折后跗骨窦术后后足对准与可伸展外侧入路比较。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-09-17 DOI: 10.1016/j.fas.2026.09.011

Ulas Yavuz, Mehmet Ozbey Buyukkuscu, Ahmet Kocabiyik, Selman Tuncer, Abdulkadir Polat, Murathan Guler

{"title":"Postoperative hindfoot alignment after sinus tarsi versus extensile lateral approach for Sanders type III-IV calcaneal fractures.","authors":"Ulas Yavuz, Mehmet Ozbey Buyukkuscu, Ahmet Kocabiyik, Selman Tuncer, Abdulkadir Polat, Murathan Guler","doi":"10.1016/j.fas.2026.09.011","DOIUrl":"https://doi.org/10.1016/j.fas.2026.09.011","url":null,"abstract":"Background: The optimal surgical approach for complex intra-articular calcaneal fractures remains controversial. This study aimed to compare the sinus tarsi (ST) and extensile lateral (EL) approaches in Sanders type 3 and 4 fractures, with postoperative hindfoot alignment as the primary outcome.Methods: This retrospective comparative study included 74 patients treated between January 2017 and June 2023 using either the EL (n = 36) or ST (n = 38) approach. Radiographic evaluation included hindfoot alignment angle, calcaneal width, and Böhler and Gissane angles. Clinical outcomes were assessed using the AOFAS score and VAS.Results: Mean follow-up was 40.8 ± 12.4 months. Postoperative hindfoot alignment did not differ significantly between groups (p = 0.25). No significant between-group differences were observed in radiographic parameters or clinical outcomes (all p > 0.05).Conclusion: The sinus tarsi approach achieved postoperative alignment, radiographic restoration, and clinical outcomes comparable to those of the extensile lateral approach.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Offloading strategies for diabetic foot ulcers: A systematic review and network meta-analysis of randomized controlled trials. 糖尿病足溃疡的减压策略：随机对照试验的系统回顾和网络荟萃分析。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-09-16 DOI: 10.1016/j.fas.2026.09.010

Poonsak Koonalinthip, Prut Koonalintip, Nantawan Koonalinthip

{"title":"Offloading strategies for diabetic foot ulcers: A systematic review and network meta-analysis of randomized controlled trials.","authors":"Poonsak Koonalinthip, Prut Koonalintip, Nantawan Koonalinthip","doi":"10.1016/j.fas.2026.09.010","DOIUrl":"https://doi.org/10.1016/j.fas.2026.09.010","url":null,"abstract":"Background: Previous network meta-analyses of diabetic foot ulcer (DFU) offloading focused mainly on non-surgical interventions, leaving the role of surgical offloading uncertain. This study compared and ranked surgical and non-surgical offloading strategies for DFU healing.Methods: Randomized controlled trials (RCTs) evaluating offloading interventions for DFUs were systematically reviewed. The primary outcome was ulcer healing rate. A random-effects network meta-analysis was performed, and interventions were ranked using P-scores.Results: Twenty-eight RCTs, involving 2016 participants, were included. Because the primary analysis demonstrated network inconsistency, conclusions were based on a sensitivity analysis that resolved inconsistency. Surgical offloading (RR 1.47), non-removable knee-high customized devices (RR 1.36), and non-removable knee-high prefabricated devices (RR 1.32) were superior to usual care.Conclusions: Surgical offloading and non-removable knee-high devices demonstrated the most robust effectiveness for DFU healing, supporting current guideline recommendations and the use of surgical offloading in selected patients.Level of evidence: Level I.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of BMI on two-year clinical outcomes following surgical treatment of insertional achilles tendinopathy. BMI对插入性跟腱病手术治疗后两年临床结果的影响。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-09-11 DOI: 10.1016/j.fas.2026.09.008

Ying Jin Tan, Adriel You Wei Tay, Kizher Shajahan Mohamed Buhary, Rui Xiang Toh, Zong Xian Li, Kae Sian Tay

{"title":"Impact of BMI on two-year clinical outcomes following surgical treatment of insertional achilles tendinopathy.","authors":"Ying Jin Tan, Adriel You Wei Tay, Kizher Shajahan Mohamed Buhary, Rui Xiang Toh, Zong Xian Li, Kae Sian Tay","doi":"10.1016/j.fas.2026.09.008","DOIUrl":"https://doi.org/10.1016/j.fas.2026.09.008","url":null,"abstract":"Introduction: Higher body mass index (BMI) may increase complications and poor outcomes surgery for insertional Achilles tendinopathy (IAT) but its exact impact remains unclear.Methods: A retrospective review of 75 unilateral IAT surgery patients was performed, and patients were categorised into normal (< 30 kg/m2, n = 47) and obese BMI (≥ 30 kg/m2, n = 28) groups. Clinical outcomes were assessed preoperatively, at 6-months and 2-years postoperatively using AOFAS hindfoot, VAS pain, SF-36 physical and mental scores, and patient satisfaction.Results: Both groups showed significant improvement in all measures with no significant differences between the two groups. Both groups achieved similar final postoperative scores at 2 years. Wound complications were higher in the obese group (n = 2 vs 1, 7.1% vs 2.1%) but was not statistically significant (p = 0.284). Postoperative satisfaction (p = 0.394) was comparable.Conclusion: Obese patients can achieve outcomes comparable to those with normal BMI following IAT surgery.Levels of evidence: Level III, retrospective cohort study.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dynamic ultrasound (DUS) versus magnetic resonance imaging (MRI) for the diagnosis of Morton's neuroma: A prospective comparative study. 动态超声（DUS）与磁共振成像（MRI）诊断莫顿神经瘤的前瞻性比较研究。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-09-11 DOI: 10.1016/j.fas.2026.09.009

Carlo Biz, Filippo Crimì, Giovanni Sciarretta, Alberto Crimì, Antonella Dimaggio, Antonio Corso, Raimondo Angelone, Emilio Quaia, Pietro Ruggieri

{"title":"Dynamic ultrasound (DUS) versus magnetic resonance imaging (MRI) for the diagnosis of Morton's neuroma: A prospective comparative study.","authors":"Carlo Biz, Filippo Crimì, Giovanni Sciarretta, Alberto Crimì, Antonella Dimaggio, Antonio Corso, Raimondo Angelone, Emilio Quaia, Pietro Ruggieri","doi":"10.1016/j.fas.2026.09.009","DOIUrl":"https://doi.org/10.1016/j.fas.2026.09.009","url":null,"abstract":"Introduction: Morton's neuroma (MN) is primarily diagnosed clinically, with imaging commonly used for confirmation and differential diagnosis, particularly from intermetatarsal bursitis (IMB). Dynamic ultrasonography (DUS) and magnetic resonance imaging (MRI) performance in detecting MN remains debated. The aim of this study was to compare DUS and MRI using concordant imaging findings, histopathologic confirmation, and clinical follow-up.Methods: Prospective single-centre comparative study, patients with suspect MN underwent DUS and MRI examinations, interpreted independently by blinded radiologists. Surgical excision with histopathologic confirmation was the reference standard for MN, whereas symptoms resolution after conservative treatment at 12-month follow-up confirmed intermetatarsal bursitis (IMB). Diagnostic performance metrics and receiver operating characteristic (ROC) curves were calculated.Results: Seventy-six lesions were evaluated (53 MN and 23 IMB). DUS and MRI demonstrated a diagnostic accuracy of 98.68% and 89.47%. The area under the ROC curve was significantly higher for DUS (P = .0147).Conclusion: DUS demonstrated superior diagnostic performance, representing a reliable and cost-effective first-line imaging modality.Level of evidence: Level II, prospective comparative diagnostic study.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gracilis tendon harvesting using the posterior approach for anatomical ankle ligament reconstruction: A rapid and reliable technique with minimal neurological complications. 后入路取股薄肌腱用于解剖性踝关节韧带重建：一种快速可靠且神经系统并发症最少的技术。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-09-10 DOI: 10.1016/j.fas.2026.09.006

Maria Khvesyuk, Alexis Nogier, Floris van Rooij, Philippe Beaudet

{"title":"Gracilis tendon harvesting using the posterior approach for anatomical ankle ligament reconstruction: A rapid and reliable technique with minimal neurological complications.","authors":"Maria Khvesyuk, Alexis Nogier, Floris van Rooij, Philippe Beaudet","doi":"10.1016/j.fas.2026.09.006","DOIUrl":"https://doi.org/10.1016/j.fas.2026.09.006","url":null,"abstract":"Purpose: To report donor site morbidity following gracilis harvesting using a posterior approach for anatomic ankle ligament reconstruction.Methods: Between January 2023 and March 2025, 33 patients underwent anatomic ankle ligament reconstruction with a gracilis autograft for chronic ankle instability. In 2 patients, it was not possible to harvest the gracilis due to obesity, leaving 31 patients for assessment.Results: The remaining 31 patients comprised 12 males, and 19 females, were aged 36.8 ± 12.6 (range, 17-60) with a BMI of 27.1 ± 4.4 (range, 18-37). Of the 31 patients, the gracilis was harvest with the knee flexed in 30 (97%), and knee extended in 1 (3%). At a follow-up of 5.1 ± 3.8 months, 1 patient reported neuropathy of the saphenous nerve, and 5 reported discomfort around the donor-site, which resolved in 3.Conclusion: Gracilis harvesting using the posterior approach is a safe technique with minimal complications and donor-site morbidity.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0