Foot and Ankle Surgery最新文献

{"title":"Assessing the impact of nicotine and non-tobacco nicotine use on postoperative complications following hallux valgus surgery.","authors":"Apurvakumar Patel, Joshua Wang, Teerth Y Patel, Megna Panchbhavi, Vinod K Panchbhavi","doi":"10.1016/j.fas.2025.05.008","DOIUrl":"https://doi.org/10.1016/j.fas.2025.05.008","url":null,"abstract":"<p><strong>Background: </strong>Nicotine use, including from non-tobacco sources, is associated with impaired wound healing and increased surgical complications. This study evaluated the impact of nicotine and non-tobacco nicotine use on postoperative outcomes in hallux valgus (HV) surgeries.</p><p><strong>Methods: </strong>Using the TriNetX Global Health Research Network, we analyzed adult patients aged 18 and older undergoing HV correction. Cohorts included nicotine users, non-tobacco nicotine users, and controls, matched using propensity score matching (PSM). Postoperative complications were assessed within 90 days.</p><p><strong>Results: </strong>Both nicotine and non-tobacco nicotine cohorts demonstrated increased postoperative complications compared to the control cohort, notably infections, wound disruption, stroke, pneumonia, and renal failure. Also, both nicotine and non-tobacco nicotine users showed elevated healthcare utilization, including emergency department visits and opioid-related disorders.</p><p><strong>Conclusions: </strong>Nicotine and non-tobacco nicotine use significantly increase the risk of postoperative complications following HV surgery, emphasizing the importance of mitigating these risks through further research and preoperative strategies.</p><p><strong>Level of evidence: </strong>Level III, Retrospective Comparative Study.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144178","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":"In vivo kinematic measurement of transfibular total ankle arthroplasty and natural ankles using bi-plane fluoroscopy.","authors":"Yukio Mikami, Satoshi Yamaguchi, Seiji Kimura, Yoshimasa Ono, Hideo Umekita, Manato Horii, Shotaro Watanabe, Takahisa Sasho, Seiji Ohtori, Scott A Banks","doi":"10.1016/j.fas.2025.05.004","DOIUrl":"https://doi.org/10.1016/j.fas.2025.05.004","url":null,"abstract":"<p><strong>Background: </strong>We aimed to evaluate the in vivo kinematics of transfibular fixed-bearing total ankle arthroplasty (TAA) and compared them with those of natural ankles.</p><p><strong>Methods: </strong>Eleven TAA patients and 11 participants with natural ankles performed weightbearing and nonweightbearing dorsi-plantarflexion, deep squats, and kneeling. The activities were recorded using bi-plane fluoroscopy. The joint angles for each activity were estimated utilizing the model-image registration technique.</p><p><strong>Results: </strong>TAA restored physiological kinematic patterns, with consistent inversion and internal rotation during plantarflexion. However, the range of motion in the TAA group was significantly reduced compared to those of the natural ankles group. In deep squat and kneeling postures, joint angles in the TAA group were only 30-40 % of those in natural ankles.</p><p><strong>Conclusion: </strong>Despite restoring physiological motion patterns, TAA demonstrated substantial limitations in mobility, emphasizing the need for advancements in surgical techniques and implant design.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121209","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":"Response to the letter to the editor to comment on \"Preoperative increased pronation angle of the first metatarsus associated with correction loss after hallux valgus surgery: A semi-weight-bearing computed tomography study\".","authors":"Yoon-Chung Sophie Kim","doi":"10.1016/j.fas.2025.05.007","DOIUrl":"https://doi.org/10.1016/j.fas.2025.05.007","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163155","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":"Minimally invasive ultrasound-guided percutaneous plantar fasciotomy on chronic plantar fasciitis: A retrospective analysis.","authors":"Rodrigo Encinas, Sarah Hall, Chase Gauthier, Anthony Cantrell, Yuqing Zhang, J Benjamin Jackson, Daniel Scott, Christopher Gross, Tyler Gonzalez","doi":"10.1016/j.fas.2025.05.003","DOIUrl":"https://doi.org/10.1016/j.fas.2025.05.003","url":null,"abstract":"<p><strong>Background: </strong>Plantar fasciitis is one of the most common causes of foot pain among the population. This study aimed to review outcomes in patients undergoing Minimally invasive surgery (MIS) ultrasound-guided percutaneous plantar fasciotomy for the treatment of chronic plantar fasciitis.</p><p><strong>Methods: </strong>A multicenter retrospective chart review of patients undergoing MIS using the Tenex device from January 2020 to December 2022. The main data points collected were Patient-Reported Outcomes Measurement Information System (PROMIS), follow-up times, revision surgery, and complications.</p><p><strong>Results: </strong>56 patients underwent 60 surgeries. The average age and BMI were 48.6 years (19-80), and 33.2 kg/m2 (19.7-58.6). The average follow-up was 27 months (13.3-48.6). The average improvement in pain, physical function, and mobility PROMIS scores were 5.2 (P < 0.01), 3.6 (P = 0.01), and 3.1 (P = 0.01).</p><p><strong>Conclusion: </strong>MIS ultrasound-guided plantar fasciotomy appears to be a reliable surgical treatment option for chronic plantar fasciitis with high patient satisfaction and safety profile.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121125","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":"Eradication rate after debridement, antibiotics, and implant retention (DAIR), 1.5-stage revision or 2-stage revision in periprosthetic ankle joint infection: A systematic review.","authors":"Antonio Izzo, Claudia Carbone, Vincenzo De Matteo, François Lintz, Enrico Festa, Giovanni Balato, Alessio Bernasconi","doi":"10.1016/j.fas.2025.05.006","DOIUrl":"https://doi.org/10.1016/j.fas.2025.05.006","url":null,"abstract":"<p><strong>Objective: </strong>The management of periprosthetic joint infection (PJI) after total ankle replacement (TAR) may be challenging. Our aim was to define the eradication rate and limits of some of the surgical procedures commonly performed to treat acute and chronic PJI after TAR.</p><p><strong>Methods: </strong>For this PRISMA-compliant systematic review multiple databases were searched including clinical studies in which acute or chronic PJI after TAR was diagnosed and treated. Data were harvested regarding the cohort, the study design, the diagnostic criteria adopted and the surgical treatment for PJI. The methodological index for nonrandomized studies (MINORS) was used to assess the methodological quality of studies. Three groups were built based on the surgical procedure performed in the studies: Group 1 for debridement, antibiotics, and implant retention (DAIR), Group 2 for 1.5-stage revision (1.5-stage) and Group 3 for 2-stage revision procedures (2-stage).</p><p><strong>Results: </strong>Thirteen cohorts from seven studies (138 infected TARs; 40 % females, mean age 61.3 years) published between 2012 and 2023 were included. The definition of eradication of the infection was heterogenous among studies (reported as 'no more surgery' in 3 studies, normal clinical and serological markers in 2 studies and negative intraoperative cultures in 2 studies). The pooled eradication rate in DAIR, 1.5-stage and 2-stage revision groups was 89 % (95 %CI, 79-100), 95 % (95 %CI, 70-100) and 92 % (95 %CI, 80-99), respectively. The proportion of below-knee amputation was 7.2 % (10/138) at a mean 39.3-month follow-up. MINORS score (7.6/16 and 14.6/24 for noncomparative and comparative studies, respectively) revealed a poor quality of studies.</p><p><strong>Conclusions: </strong>In this review, the estimated effectiveness of DAIR, 1.5 and 2-stage exchange procedures to eradicate PJI after TAR was 89 %, 95 % and 92 %, respectively. Decision-making in this setting is based on small-sample retrospective studies of poor quality. Below-knee amputation rate after a diagnosis of PJI was 7.2 %.</p><p><strong>Level of evidence: </strong>Level IV, systematic review of Level IV studies.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163154","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":"Letter to the editor on \"Traditional postero-medial ankle approach for Bartonicek type III in Volkmann fractures: Is it useful?\"","authors":"Hineptch Daungsupawong, Viroj Wiwanitkit","doi":"10.1016/j.fas.2025.01.015","DOIUrl":"https://doi.org/10.1016/j.fas.2025.01.015","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086533","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":"Letter to the editor to comment on \"Preoperative increased pronation angle of the first metatarsus associated with correction loss after hallux valgus surgery: A semi-weight-bearing computed tomography study\".","authors":"Alessandro Civinini, Matthieu Lalevée, Philippe Beaudet","doi":"10.1016/j.fas.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.fas.2025.04.010","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095381","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":"A systematic review of biomechanical studies utilising finite element analysis in hallux valgus deformity.","authors":"R Geleit, G Nunes, P Lam, R Ray, G F Ferreira, T L Lewis","doi":"10.1016/j.fas.2025.05.005","DOIUrl":"https://doi.org/10.1016/j.fas.2025.05.005","url":null,"abstract":"<p><strong>Background: </strong>Hallux valgus (HV) is a common foot deformity affecting around 19 % of adults. Finite element analysis (FEA) is a valuable computational tool for investigating the complex biomechanics of foot deformities. This systematic review evaluates FEA studies investigating HV biomechanics, surgical correction techniques and fixation methods.</p><p><strong>Methods: </strong>Medline, EMBASE, PubMed, and Cochrane Library databases were searched from inception to 2025. Included studies employed FEA to investigate HV biomechanics, with or without surgical intervention. An adaption of the ROBFEAD tool was used to assess bias.</p><p><strong>Results: </strong>19 studies met inclusion criteria (12 surgical, 7 biomechanical). All studies demonstrated moderate to high risk of bias. Biomechanical analyses revealed increased lateral metatarsal loading (40-55 % higher stress) and medial shift of peak pressures at the MTPJ. Surgical technique analyses demonstrated metatarsal shortening up to 6 mm could be accommodated before significantly altering foot loading patterns. Fixation studies showed superiority of dual fixation methods in minimally invasive surgery.</p><p><strong>Conclusions: </strong>FEA provides valuable insights into HV biomechanics and surgical optimization. The data supports dual fixation approaches, precise osteotomy parameters, and caution regarding post-operative protocols.</p><p><strong>Level of evidence: 1: </strong></p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112476","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":"Evaluation of ChatGPT responses to common patient questions on ankle fusion.","authors":"Mahmut Kalem, Kamil Balaban, Hakan Kocaoğlu, Peri Kından, Ercan Şahin","doi":"10.1016/j.fas.2025.05.001","DOIUrl":"https://doi.org/10.1016/j.fas.2025.05.001","url":null,"abstract":"<p><strong>Background: </strong>The study assessed the quality and readability of responses given by ChatGPT to common patient questions about ankle fusion.</p><p><strong>Methods: </strong>Twenty-five frequently asked questions about ankle fusion were queried to ChatGPT 4.0 individually, and responses were assessed using the accuracy score developed by Mika et al. and the DISCERN tool. Readability was evaluated using the Flesch-Kincaid grade level, Gunning Fog, Coleman-Liau, and Simple Measure of Gobbledygook indexes.</p><p><strong>Results: </strong>ChatGPT's responses were generally of acceptable quality, with a mean accuracy score of 2, indicating that the overall responses were satisfactory and required minimal clarification, along with a DISCERN score of 49.78, which is considered fair. However, the readability level was high, with a mean of 11.6 grade level.</p><p><strong>Conclusions: </strong>ChatGPT showed promise as a resource for answering common patient questions about ankle fusion, providing mostly valid information. However, a high reading level was necessary to understand the response given.</p><p><strong>Levels of evidence: </strong>N/A.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054917","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":"Postural stability in patients with bilateral hallux valgus-Does the comorbid hammer toe affect stability?","authors":"Ken Tanaka, Hiroaki Shima, Kosho Togei, Yoshihiro Hirai, Toshito Yasuda, Shuhei Otsuki","doi":"10.1016/j.fas.2025.05.002","DOIUrl":"https://doi.org/10.1016/j.fas.2025.05.002","url":null,"abstract":"<p><strong>Background: </strong>Hallux valgus (HV) has been reported to impair postural stability. However, whether comorbid hammer toe affects postural stability in patients with HV remains unclear.</p><p><strong>Methods: </strong>This study assessed static and dynamic postural stability in 45 patients with HV, divided into two groups: those with (H(+)) and without (H(-)) comorbid hammer toe. Static stability was evaluated using stabilometer, whereas dynamic stability was assessed with the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and Falls Efficacy Scale-International (FES-I).</p><p><strong>Results: </strong>Static stability parameters showed no significant differences between groups H(-) and H(+). The BBS score was lower in group H(+) than in group H(-) (P = .002), whereas the TUG and FES-I scores were higher in group H(+) than in group H(-) (P = .033 and.017, respectively).</p><p><strong>Conclusions: </strong>Comorbid hammer toe affects dynamic postural stability and increases the risk of falls in patients with moderate-to-severe bilateral HV.</p><p><strong>Level of evidence: </strong>Level 3.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022925","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}