Foot and Ankle Surgery最新文献

{"title":"Factors influencing the speed of correction speed of distal tibial valgus deformity in children with percutaneous epiphyseodesis using transphyseal screw.","authors":"Chakravarthy Ugandhar Dussa, Harald Böhm, Florian Meister","doi":"10.1016/j.fas.2024.10.005","DOIUrl":"https://doi.org/10.1016/j.fas.2024.10.005","url":null,"abstract":"<p><strong>Introduction: </strong>The distal tibial valgus deformity in children mimics a hindfoot valgus and is observed in several conditions of both non-neurogenic and neurogenic origin. The deformity can only be detected with radiological examination and can be safely and effectively corrected in children with medial percutaneous epiphysiodesis using transphyseal screws (PETS). The aims of the study are: 1. to determine the correction rates of the distal tibial valgus deformity due to different pathologies, 2. to examine the correction rate in relation to the age at implantation, severity of the initial deformity and the duration of implantation, 3. and types of foot deformities associated with the deformity.</p><p><strong>Materials and methods: </strong>A retrospective study was done on children who underwent a PETS for a distal tibial valgus deformity. The lateral distal tibia angle 89° ± 3° on ankle mortice x-rays was taken as normal. An analysis of variance and covariance was done to investigate differences in parameters between aetiologies and relations between parameters respectively.</p><p><strong>Results: </strong>Following exclusion of 191 limbs, 155 limbs in 104 children were included the study, 5 groups could be identified: Idiopathic, ICP (cerebral palsy), MMC (Meningomyelocele), Dysmelia, MHE (multiple hereditary exostosis). The mean age at implantation of all patients was 10.9 ± 1.4 years. The average correction of 0.45° ± 0.08°/month with no significant differences in the correction rates between groups. However, the correction rates were dependent on the age, the initial deformity and the duration of treatment. The incidence of a valgus foot deformity was 86.4 %.</p><p><strong>Conclusion: </strong>The correction rates of the distal tibial valgus deformity following PETS are variable and depend, on the age at implantation, duration of treatment and initial deformity. The spectrum of foot deformities associated with distal tibial valgus deformity, especially a high prevalence of valgus foot deformity warrants an ankle mortice x-ray.</p><p><strong>Level of evidence: </strong>Level III, retrospective study.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584584","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}

{"title":"Innovative surgical treatment of tarsal coalition in flatfoot: Resection and interposition of synthetic membrane, flexible bioresorbable polymers film, as adhesion barrier and subtalar arthroeresis. Up to nine years follow-up.","authors":"L Peretto, D Priano, M Laquidara, A Memeo","doi":"10.1016/j.fas.2024.10.003","DOIUrl":"https://doi.org/10.1016/j.fas.2024.10.003","url":null,"abstract":"<p><p>Tarsal coalition can be a long term severely disabling condition. For symptomatic cases with flatfoot surgical resection of coalition and subtalar arthroeresis represents the most common treatment. Literature reports variable outcomes and recurrence. The aim was to achieve optimal correction with no recurrence. This retrospective study presents, reporting results, an innovative technique that provides numerous advantages and improved outcomes. Nineteen patients suffering from painful flatfoot from tarsal coalition were, consecutively, surgically treated by resection of tarsal coalition with interposition of a synthetic flexible bioresorbable polymers membrane as an adhesion barrier and by subtalar arthroeresis. AOFAS scores were used to rate the clinical severity and X-ray/ CT to evaluate the extent of tarsal coalition. Patient's age at time of surgery ranged from 12 to 21. The period examined runs from November 2010 to November 2019. Results were evaluated (up to 9 years follow-up) clinically by AFOAS scores and radiologically by X-ray/CT. AOFAS scores improved in all patients with significant (p < 0.01) pain reduction or disappearance, corrected alignment and increased function, biomechanics of the foot and mobility. X-ray showed no recurrence of coalition in all but one case. There were no complications and patients reported a significant improvement in quality of life. Our study shows that surgical resection of coalition, and correction of flatfoot by subtalar arthroeresis, with the innovative use of a flexible bioresorbable polymers membrane as an adhesion barrier, obtained excellent overall results and importantly prevented recurrence. We believe this technique represents a great option. LEVEL OF CLINICAL EVIDENCE: 4.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548459","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}

{"title":"Automatic Hardy and Clapham's classification of hallux sesamoid position on foot radiographs using deep neural network.","authors":"Ryutaro Takeda, Akihiro Uchio, Toshiko Iidaka, Kenta Makabe, Taro Kasai, Yasunori Omata, Noriko Yoshimura, Sakae Tanaka, Takumi Matsumoto","doi":"10.1016/j.fas.2024.10.002","DOIUrl":"https://doi.org/10.1016/j.fas.2024.10.002","url":null,"abstract":"<p><strong>Background: </strong>There is currently no deep neural network (DNN) capable of automatically classifying tibial sesamoid position (TSP) on foot radiographs.</p><p><strong>Methods: </strong>A DNN was developed to predict TSP according to the Hardy and Clapham's classification. A total of 1554 foot radiographs were used for model development. The validation of the model was conducted using radiographs obtained from 113 consecutive first-visit patients of our foot and ankle clinic. On these 113 radiographs, TSP was independently classified by three foot and ankle surgeons and the DNN, and their results were compared. The weighted kappa value of TSP between the DNN prediction and the median of the three surgeons (K_AI) was calculated.</p><p><strong>Results: </strong>The K_AI was 0.95 (95 %CI: 0.85- 1.00), indicating sufficient consistency between the surgeons and the DNN.</p><p><strong>Conclusions: </strong>We have developed a DNN for automated TSP classification that demonstrates sufficient consistency with foot and ankle surgeons.</p><p><strong>Levels of evidence: </strong>Level 3 - Retrospective Cohort Study.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478306","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}

{"title":"The health economics of orthopaedic foot and ankle surgery.","authors":"Jill Glasser, Gennaro DelliCarpini, Devin Walsh, Megan Chapter-Zylinski, Shyam Patel","doi":"10.1016/j.fas.2024.10.004","DOIUrl":"https://doi.org/10.1016/j.fas.2024.10.004","url":null,"abstract":"<p><p>The cost of healthcare spending in foot and ankle surgery continues to rise. Several recent studies about cost effectiveness have been published. These may be difficult to understand and analyze without a background in business and healthcare economics. The goal of this narrative review is to provide the fundamentals for understanding and interpreting healthcare economic studies by defining key terminology and providing examples in the field of foot and ankle surgery. Foot and ankle surgeons should be familiar with the elements that comprise cost-effectiveness for providers, clinicians, researchers, and economists in caring for patients and making healthcare-related decisions.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478209","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}

{"title":"Favorable change in patient-reported outcomes following peroneus longus to brevis tendon transfer and lateral ankle ligament reconstruction.","authors":"Anna E Sprinchorn, Gunilla E Frykberg, Jón Karlsson, Karl Michaëlsson","doi":"10.1016/j.fas.2024.09.008","DOIUrl":"https://doi.org/10.1016/j.fas.2024.09.008","url":null,"abstract":"<p><strong>Background: </strong>A peroneus longus to brevis tendon transfer is recommended for a severely torn peroneus tendon, but there is little research on the outcome. We conducted a prospective cohort study to examine patient-reported outcomes after this procedure.</p><p><strong>Methods: </strong>Thirty-two patients underwent a peroneus longus to brevis tendon transfer and lateral ankle ligament reconstruction, 11 had an additional calcaneal osteotomy. The Foot and Ankle Outcome Score (FAOS) and Short Form-36 (SF-36) were assessed preoperatively, six and 12 months after surgery.</p><p><strong>Results: </strong>Preoperative mean FAOS was 51.7 (SD 17.8) compared with 72.7 (SD 21.2) at 12 months, an improvement of 21 (95 % CI 12.7-28.0) (p < 0.0001). SF-36 improved significantly in the three domains involving physical function and bodily pain (p < 0.007).</p><p><strong>Conclusion: </strong>Patient-reported outcomes improved significantly through peroneus longus to brevis tendon transfer. This procedure is worth considering for patients with a severely damaged peroneus tendon.</p><p><strong>Level of evidence: </strong>Level II: Prospective cohort study.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478307","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}

{"title":"AI discernment in foot and ankle surgery research: A survey investigation.","authors":"Steven R Cooperman, Abisola Olaniyan, Roberto A Brandão","doi":"10.1016/j.fas.2024.10.001","DOIUrl":"https://doi.org/10.1016/j.fas.2024.10.001","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the ability to differentiate between AI-generated and human-authored abstracts in foot and ankle surgery.</p><p><strong>Methods: </strong>An AI system (ChatGPT 3.0) was trained on 21 published abstracts to create six novel case abstracts. Nine foot and ankle surgeons participated in a blinded survey, tasked with distinguishing AI-generated from human-written abstracts, rating their confidence in their responses. Surveys were completed twice at two different time points to evaluate intra-/inter-observer reliability.</p><p><strong>Results: </strong>The overall accuracy rate for distinguishing AI-generated from human-written abstracts was 50.5 % (n = 109/216), indicating no better performance than random chance. Reviewer experience and AI familiarity did not significantly affect accuracy. Inter-rater reliability was moderate initially but decreased over time, and intra-rater reliability was poor.</p><p><strong>Conclusions: </strong>In their current form, AI-generated abstracts are nearly indistinguishable from human-written ones, posing challenges for consistent identification in foot and ankle surgery.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478305","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}

{"title":"Reliability analysis of WBCT-derived 3D models for comparing preoperative and postoperative alignment in total ankle arthroplasty.","authors":"Federico G Usuelli, Agustin Barbero, Amit Benady, Yair Green Halimi, Nissim Kahimov, Cristian Indino, Camila Maccario, Ben Efrima","doi":"10.1016/j.fas.2024.09.007","DOIUrl":"https://doi.org/10.1016/j.fas.2024.09.007","url":null,"abstract":"<p><strong>Background: </strong>Traditional imaging techniques for total ankle arthroplasty (TAA) evaluation are limited by rotational bias and bone superimposition, highlighting the necessity for more precise assessment methods. The advent of weight-bearing computed tomography (WBCT) generated 3D enhance the visualization of foot and ankle alignment, offering unmatched detail. This study aims to assess the accuracy of preoperative and postoperative measurements in TAA across all three planes using WBCT-generated 3D models. We hypothesize that these models can be reliably used to compare preoperative and postoperative alignment.</p><p><strong>Methods: </strong>For 81 patients undergoing TAA, preoperative and postoperative WBCT models were created. Measurements included five coronal angles: Alpha, Tibiotalar Surface Angle (TSA), Talar Tilt Angle (TT), Salzmann's 20 degrees Angle (SA), and Talocalcaneal Angle (TCA); three sagittal angles: Beta, Gamma, and Tibiotalar Ratio (TTR); and one axial angle: The Posterior Talar Rotational Angle (PTARA). Two raters evaluated these before and after surgery in two separate sessions. The study then compared preoperative to postoperative measurements, calculating inter-rater and intra-rater reliability.</p><p><strong>Results: </strong>Significant changes were observed in three coronal angles (TSA, TT, and SA) and two sagittal angles (Beta and Gamma), with P-values of 0.2, 0.007, 0.019, <0.001, and <0.001, respectively. No significant changes were noted in Alpha, TCA, TTR, and PTARA, with P-values of 0.2, 0.9, 0.2, and 0.6, respectively. Intra-rater and inter-rater reliability scores ranged from 0.885 to 0.97, indicating good to excellent interclass correlation across all planes, both pre-and postoperatively.</p><p><strong>Conclusion: </strong>WBCT-generated 3D modeling and image analysis software have enabled a detailed comparison between preoperative alignment and postoperative TAA positioning across coronal, sagittal, and axial planes, revealing significant adjustments in coronal and sagittal alignments. The high reliability and reproducibility of these measurements affirm their value in preoperative planning in improving the accuracy of surgical interventions.</p><p><strong>Level of evidence: </strong>Level III of evidence.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478208","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}

{"title":"Comparison of visibility in needle arthroscopy of the ankle according to surgical experience: A cadaveric study.","authors":"Jumpei Inoue, Youichi Yasui, Jun Sasahara, Tetsuya Takenaga, Myongsu Ha, Wataru Miyamoto, Hirotaka Kawano, Hideki Murakami, Masahito Yoshida","doi":"10.1016/j.fas.2024.05.005","DOIUrl":"10.1016/j.fas.2024.05.005","url":null,"abstract":"<p><strong>Background: </strong>Literature regarding the feasibility of inexperienced surgeons using needle arthroscopy is limited. The present study aimed to clarify the feasibility of performing ankle needle arthroscopy for inexperienced surgeons.</p><p><strong>Methods: </strong>Diagnostic needle arthroscopy was performed for 10 cadaveric ankles by two surgeons with different levels of experience in ankle arthroscopy (inexperienced and expert surgeons). The visibility of arthroscopy was assessed based on a 15-point checklist and compared between surgeons. In addition, iatrogenic articular cartilage injury created by the inexperienced surgeon was investigated.</p><p><strong>Results: </strong>The number of visible points was significantly larger for the expert surgeon than for the inexperienced surgeon (14.1 ± 1.0 vs. 13.7 ± 1.0, P = 0.035). The location of cartilage injury was greatest on the medial talar dome when viewing from the anteromedial portal at a rate of 30%.</p><p><strong>Conclusion: </strong>Ankle needle arthroscopy may be an option for surgeons in the future, however, differences in surgeon experience may impact effective visualization.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960306","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}

{"title":"Prevalence and risk factors of ankle osteoarthritis in a population-based study: Comment.","authors":"Katherine Ning Li","doi":"10.1016/j.fas.2024.09.006","DOIUrl":"https://doi.org/10.1016/j.fas.2024.09.006","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356531","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}

{"title":"Re:Are large language models a useful resource to address common patient concerns on Hallux Valgus? A readability analysis.","authors":"William J Hlavinka, Tarun R Sontam, Anuj Gupta, Brett J Croen, Mohammed S Abdullah, Casey J Humbyrd","doi":"10.1016/j.fas.2024.09.004","DOIUrl":"https://doi.org/10.1016/j.fas.2024.09.004","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299129","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}