Foot and Ankle Surgery最新文献

{"title":"Autologous Matrix induced Chondrogenesis plus Peripheral Blood Concentrate (AMIC+PBC) in chondral defects of the first metatarsophalangeal joint - 7-year follow-up","authors":"Martinus Richter ,&nbsp;Stefan Zech,&nbsp;Issam Naef,&nbsp;Stefan Andreas Meissner","doi":"10.1016/j.fas.2025.01.013","DOIUrl":"10.1016/j.fas.2025.01.013","url":null,"abstract":"<div><h3>Background</h3><div>The aim of the study was to assess the 7-year-follow-up (7FU) after Autologous Matrix Induced Chondrogenesis plus Peripheral Blood Concentrate (AMIC+PBC) in chondral defects at the first metatarsophalangeal joint (MTP1).</div></div><div><h3>Material and methods</h3><div>In a prospective consecutive non-controlled clinical follow-up study, all patients with chondral lesion at MTP1 that were treated with AMIC+PBC from April 1, 2009 from July 17, 2016 to May 21, 2017 were included. Size and location of the chondral lesions, the Visual-Analogue-Scale Foot and Ankle (VAS FA) and the European Foot and Ankle Society Score (EFAS Score) before treatment and at 5FU were analysed and compared with previous 2- and 5-year-follow-up (2FU/5FU). Peripheral Blood Concentrate (PBC) was used to impregnate a collagen I/III matrix (Chondro-Gide, Wolhusen, Switzerland) that was fixed into the chondral lesion with fibrin glue.</div></div><div><h3>Results</h3><div>One hundred and ninety-eight patients with 228 chondral defects were included. In 21 % of patients no deformities in the forefoot were registered. The average degree of osteoarthritis was 2.2. The chondral defect size was 1.0 cm² on average. The most common location was metatarsal dorsal (22 %), and in most patients one defect was registered (74 %). Corrective osteotomy of the first metatarsal was performed in 79 %. 176 (89 %)/164 (82 %)/159 (80 %) patients completed 2FU/5FU/7FU VAS FA/EFAS Scores were preoperatively 46.8/11.9 and improved 74.1/17.1//75.0/17.2//72.8/17.5 at 2FU/5FU/7FU on average. No parameter significantly differed between 2FU/5FU/7FU (ANOVA, p &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>In conclusion, AMIC+PBC as treatment for chondral defects at MTP1 as part of joint preserving surgery led to improved and high validated outcome scores at 7FU. The lack of significant differences between 2-year (2FU), 5-year (5FU), and 7-year (7FU) outcomes suggests plateaued benefits.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 5","pages":"Pages 460-465"},"PeriodicalIF":1.9,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450588","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":"Clinical results of ultrasound-guided intra-arterial embolization targeting abnormal neovessels for plantar fasciitis: 66 cases with up to 4 years of follow-up","authors":"Takahide Sasaki ,&nbsp;Masahiko Shibuya ,&nbsp;Koichi Miyazaki ,&nbsp;Masaya Nakata ,&nbsp;Atsuhiko Kawabe ,&nbsp;Takashi Nakasone ,&nbsp;Nobuaki Sakai ,&nbsp;Yuji Okuno","doi":"10.1016/j.fas.2024.07.009","DOIUrl":"10.1016/j.fas.2024.07.009","url":null,"abstract":"<div><h3>Background</h3><div>Plantar fasciitis (PF) is the most common cause of chronic heel pain, affecting young and older patients.</div></div><div><h3>Methods</h3><div>This retrospective study included patients with PF refractory to conservative treatment who underwent intra-arterial embolization of abnormal neovessels. All patients received temporary embolic material through a needle percutaneously inserted into the posterior tibial artery. The numeric rating scale (NRS) pain score, American Orthopaedic Foot and Ankle Society (AOFAS) score, and procedure-related adverse events were evaluated.</div></div><div><h3>Results</h3><div>Between January 2020 and February 2022, 66 patients with PF were treated with intra-arterial embolization without major adverse events. The NRS pain score improved significantly, and the AOFAS score increased from 65.8 pre-treatment to 92.8 at 1 year post-treatment. The treatment effect was maintained until the final follow-up (mean duration: 30.9 months).</div></div><div><h3>Conclusions</h3><div>Ultrasound-guided intraarterial embolization using temporary embolic material may be effective for PF.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 2","pages":"Pages 105-110"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845566","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":"Validation and reliability of the Simple Achille Value (SAV) in Achilles tendon disorders","authors":"Pierre-Jean Lambrey ,&nbsp;Alexis Thiounn ,&nbsp;Ronny Lopes","doi":"10.1016/j.fas.2024.08.001","DOIUrl":"10.1016/j.fas.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div>Achilles tendon (AT) disorders significantly impact patient life, necessitating accurate assessment tools. Current methods are often complex and time-consuming. This study aims to validate the Simple Ankle Value (SAV) for AT disorders.</div></div><div><h3>Methods</h3><div>A multicenter study was conducted involving 101 participants, including a surgical, a conservative, and a control group. Participants completed the SAV, VISA-A, and EFAS scores. The study assessed correlations among scores, reliability, responsiveness to change, threshold and ceiling effect and discriminative ability of the SAV.</div></div><div><h3>Results</h3><div>There was a significant strong correlation with the EFAS and a significant moderate to strong correlation with the VISA-A. The score showed excellent reliability (ρ = 0.95, 95 %CI: [0.913; 0.976], p &lt; 0.001). Responsiveness to change was significant between preoperative and postoperative SAV (37.99 ± 25.73 vs 70.86 ± 21.26). The SAV discriminated between patient and controls with no threshold or ceiling effect.</div></div><div><h3>Conclusion</h3><div>The SAV provides a valid, reliable, and responsive method for assessing AT disorders. It offers a simplified and effective alternative to more complex scores.</div></div><div><h3>Study Design</h3><div>Cohort study (Diagnosis); Level of evidence, 2.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 2","pages":"Pages 138-142"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037411","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":"Corrigendum to “Talocalcaneal coalition classifications: A critical analysis review and suggested new classification system with implications for treatment” [Foot Ankle Surg, 30(6) August 2024, pp 450–456]","authors":"Mark S. Myerson ,&nbsp;Enrique Fernández-Rojas ,&nbsp;Manuel Monteagudo ,&nbsp;Víctor Araya-Bonilla ,&nbsp;Emilio Barra-Dinamarca ,&nbsp;Jaime Elgueta-Grillo","doi":"10.1016/j.fas.2024.12.006","DOIUrl":"10.1016/j.fas.2024.12.006","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 2","pages":"Page 182"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916113","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":"Treatment and prevention of chronic ankle instability: An umbrella review of meta-analyses","authors":"Dahai Hu ,&nbsp;Hongyan Sun ,&nbsp;Shengli Wang ,&nbsp;Huajun Wang ,&nbsp;Xiaofei Zheng ,&nbsp;Hui Tang ,&nbsp;Huige Hou","doi":"10.1016/j.fas.2024.07.010","DOIUrl":"10.1016/j.fas.2024.07.010","url":null,"abstract":"<div><h3>Background</h3><div>Chronic ankle instability (CAI) is a common and highly disabling condition. Although several studies have evaluated and analyzed prevention and treatment strategies for CAI, an unbiased and systematic synthesis of evidence is required to provide the most powerful and comprehensive evidence-based measures for the its prevention and treatment of CAI. This study aimed to synthesize evidence from the existing literature addressing the treatment and prevention of CAI.</div></div><div><h3>Methods</h3><div>The PubMed, Embase, Cochrane, and Web of Science databases were systematically searched for relevant studies from inception to December 12, 2023. Data on effect sizes and corresponding 95 % confidence intervals for selected intervention measures were extracted. Systematic reviews were assessed for quality of included studies using a measurement tool (i.e., “AMSTAR 2”).</div></div><div><h3>Results</h3><div>In total, 37 studies were included, among which 21 (57 %) were of high or moderate quality. Strong evidence suggested that lower weight (<em>P</em> &lt; 0.001), lower body mass index (<em>P</em> = 0.002), and non-stability defects (<em>P</em> = 0.04) significantly reduced the risk of developing CAI. Strong evidence supported exercise and moderate evidence supported manual therapy, acupuncture, and surgery for improving CAI. Additionally, external support plays an active role in the treatment process of CAI.</div></div><div><h3>Conclusion</h3><div>This is the first study synthesizing evidence supporting interventions for the treatment and prevention of CAI. Low body weight and body mass index were effective preventive measures against CAI. Exercise, manual therapy, acupuncture, and surgery can improve ankle function in patients with CAI. Plantar sensory treatment and neuromuscular training may be good therapeutic options for patients with CAI.</div></div><div><h3>Level of evidence</h3><div>Level I</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 2","pages":"Pages 111-125"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898716","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":"Comparative biomechanical study of different screw fixation methods for minimally invasive hallux valgus surgery: A finite element analysis","authors":"T.L. Lewis ,&nbsp;H. Mansur ,&nbsp;G.F. Ferreira ,&nbsp;M.V.P. Filho ,&nbsp;L.R. Battaglion ,&nbsp;R. Zambelli ,&nbsp;R. Ray ,&nbsp;G.A. Nunes","doi":"10.1016/j.fas.2024.09.001","DOIUrl":"10.1016/j.fas.2024.09.001","url":null,"abstract":"<div><h3>Background</h3><div>There are different screw configurations utilised for minimally invasive hallux valgus (HV) deformity despite limited biomechanical data assessing the stability and strength of each construct. We aimed to compare the strength of various screw configurations for minimally invasive HV surgery using finite element analysis (FEA).</div></div><div><h3>Methods</h3><div>A FEA model was developed from a CT of a female with moderate HV deformity. Five screw configurations utilizing one or two bicortical or intramedullary screws were tested. Stress analysis considered osteotomy displacement, maximum and minimum principal stresses, and von Mises stress for both implants and bone for each screw configuration.</div></div><div><h3>Results</h3><div>Fixation with two screws (one bicortical and one intramedullary) demonstrated the lowest values for osteotomy displacement, minimum and maximum total stress, and equivalent von Mises stress on the bone and screws in both loading conditions.</div></div><div><h3>Conclusion</h3><div>The optimal configuration when performing minimally invasive surgery for moderate HV is one bicortical and one intramedullary screw.</div></div><div><h3>Level of evidence</h3><div>Level III</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 2","pages":"Pages 160-169"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191081","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":"Méary's angle decoded: 3D analysis of first ray plantarflexion deformity in Charcot-marie-tooth disease","authors":"Max P. Michalski ,&nbsp;Christian L. Blough ,&nbsp;Jae Hwang Song ,&nbsp;Glenn B. Pfeffer","doi":"10.1016/j.fas.2024.08.003","DOIUrl":"10.1016/j.fas.2024.08.003","url":null,"abstract":"<div><h3>Background</h3><div>The typical cavovarus deformity seen in patients with Charcot-Marie-Tooth (CMT) involves plantarflexion of the first ray. The exact apex of the deformity has never been proven, although it is presumed to be within the medial cuneiform. The aim of this study was to utilize weight-bearing computed tomography (WBCT) to localize and quantify first ray plantarflexion deformity in CMT patients.</div></div><div><h3>Methods</h3><div>WBCTs of 16 CMT patients with lateral Méary’s angle &gt; 20 degrees were compared to controls utilizing semi-automated analysis software. A local coordinate system based on the first metatarsal was used to avoid bias of proximal deformity. The tarsometatarsal angle was subdivided into components (cuneiform-cuneiform joint normal, tarsometatarsal joint and metatarsal-metatarsal joint normal) and compared between CMT and controls. CMT patient’s first, second and third rays were also compared. Means were compared with a 2-sample t test (p &lt; .05).</div></div><div><h3>Results</h3><div>CMT patients had significantly more plantarflexion of the first ray than controls (16.4 versus 8.8 degrees respectively(p &lt; 0.001)). The largest difference of was found at the medial cuneiform with 20.6 degrees of plantarflexion in CMT patients versus 14.8 degrees in controls (p &lt; .0001). There was also approximately 2 degrees of plantarflexion at the TMT joint (p &lt; .001).</div></div><div><h3>Conclusions</h3><div>Plantarflexion deformity in CMT patients is primarily an osseous deformity at the level of the medial cuneiform with a lesser contribution from the tarsometatarsal joint.</div></div><div><h3>Level of evidence</h3><div>III Retrospective comparative study</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 2","pages":"Pages 143-147"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019262","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":"Younger age correlates with increased gutter impingement rates after total ankle arthroplasty","authors":"Kevin A. Wu,&nbsp;Albert T. Anastasio,&nbsp;Kishen Mitra,&nbsp;Conor N. O'Neill,&nbsp;James A. Nunley,&nbsp;Mark E. Easley,&nbsp;James K. DeOrio,&nbsp;Samuel B. Adams","doi":"10.1016/j.fas.2024.08.009","DOIUrl":"10.1016/j.fas.2024.08.009","url":null,"abstract":"<div><h3>Background</h3><div>While total ankle arthroplasty (TAA) has evolved over the years with improved designs and enhanced bony fixation methods, it remains a technically demanding procedure with a risk of early postoperative complications. One of the most common complications associated with TAA is medial and lateral gutter ankle impingement, which can lead to issues such as increased pain and decreased range of motion (ROM). However, there is a paucity of information in the literature discussing the impact of certain risk factors on gutter impingement complications.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on a cohort of patients who underwent a TAA at a single institution from 2003 to 2019 with a minimum of 2-year follow-up. Patient were identified as having gutter impingement based on diagnostic imaging and/or clinical examination. Data collection included demographics, implant type, follow-up time, and co-morbidities. Multivariate odds ratios (OR) of experiencing gutter impingement were calculated for perioperative variables.</div></div><div><h3>Results</h3><div>The study included a total of 908 patients who underwent TAA with a minimum of 2 year follow up and 121 patients (13.3 %) who subsequently experienced gutter impingement. The average follow-up time was 5.84 + /- 3.07 years. There were 178 patients under 55 years old, 495 patients aged 55 to 70, and 235 patients over 70 years old. A higher rate of gutter impingement was observed in patients under 55 years of age compared to those aged 55 to 70 and over 70 (20.8 % vs. 13.5 % vs. 7.2 %; p &lt; 0.01). Multivariable logistic regression revealed that patient age was significantly correlated with gutter impingement following TAA, with an OR of 0.94 (CI: 0.91–0.98; p &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>This study demonstrated increased incidence of gutter impingement in younger patients who underwent TAA. Propensity for scar tissue formation may be higher in this population. Scar tissue deposition following TAA can cause narrowing of the medial and lateral clear spaces, potentially leading to gutter impingement. Additionally, younger patients may have increased activity demands, which subsequently may cause higher rates of symptomatic impingement. As increased impingement after TAA may require the need for additional debridement surgeries, it is important to understand the intricate relationship between age and gutter impingement for managing patient expectations following TAA.</div></div><div><h3>Level of Evidence</h3><div>Level III</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 2","pages":"Pages 148-152"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146613","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 clinical outcome comparison between trans-syndesmotic fixation and anatomic deltoid ligament repair in unstable ankle fractures with medial clear space widening: A systematic review and meta-analysis","authors":"Oliver Sogard ,&nbsp;John McDonald ,&nbsp;Michael Elder Waters ,&nbsp;Wonyong Lee","doi":"10.1016/j.fas.2024.08.008","DOIUrl":"10.1016/j.fas.2024.08.008","url":null,"abstract":"<div><h3>Background</h3><div>Due to the variability in evidence supporting either trans-syndesmosis fixation or deltoid ligament repair in unstable ankle fractures with medical clear space (MCS) widening makes it unclear which surgical technique leads to the best patient outcomes. The goal of our systematic review and meta-analysis was to compare clinical outcomes of trans-syndesmotic fixation versus anatomic deltoid ligament repair in the management of unstable ankle fractures with MCS widening.</div></div><div><h3>Methods</h3><div>Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were utilized in this study. A comprehensive and systematic search was conducted using the PubMed, Embase, Web of Science and Cochrane Library databases. Outcomes investigated in this review included the rates of syndesmotic malreduction, removal of hardware, postoperative complications including wound issues, and functional/pain scores.</div></div><div><h3>Results</h3><div>A total of five level-3 studies were selected in this review, with 280 unstable ankle fractures with MCS widening: 165 for the trans-syndesmotic fixation group and 115 for the anatomic deltoid ligament repair group. Three out of five studies evaluated syndesmotic malreduction using CT. Compared to the trans-syndesmosis fixation group, the deltoid repair group showed significant lower rates of syndesmotic malreduction rates and removal of hardware: 6.5 % (4/61) Vs. 27 % (16/59) (RR=0.26, 95 % CI=[0.10, 0.68]), and 2.6 % (3/115) Vs.54.5 % (90/165) (RR=0.06, CI=[0.02, 0.14]), respectively. No significant differences were found between the two groups in postoperative wound complications, reoperations, and functional scores including AOFAS and VAS pain score.</div></div><div><h3>Conclusions</h3><div>Based on our findings, anatomic deltoid ligament repair was associated with a lower rate of syndesmotic malreduction and the need for hardware removal while there was no significant difference in terms of postoperative wound complications, reoperation, AOFAS score, or VAS pain score. These results should be interpreted with caution due to limitations related to heterogeneity among the studies. Further high-level RCTs with larger sample sizes are necessary to establish a robust consensus.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 2","pages":"Pages 95-104"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191082","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":"Longitudinal observation of distal tibial degeneration in varus ankle osteoarthritis using plain radiograph","authors":"Hiroyuki Seki,&nbsp;Tetsuro Kokubo","doi":"10.1016/j.fas.2024.09.005","DOIUrl":"10.1016/j.fas.2024.09.005","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to explore the natural history of distal tibial deformity in varus ankle osteoarthritis and to identify risk factors for its progression.</div></div><div><h3>Methods</h3><div>This retrospective longitudinal observational study included 97 ankles with moderate to severe varus ankle osteoarthritis, monitored for &gt; 2 years. Radiographic assessments were conducted on weightbearing plain radiographs at the initial and final visit.</div></div><div><h3>Results</h3><div>Significant tibial anterior surface angle reduction (<em>p</em> = 0.008), talus center medial migration (<em>p</em> = 0.038), and tibial lateral surface angle increase (<em>p</em> = 0.034) occurred. Multiple logistic analysis revealed an association between progression and coronal talar tilt angle at the first visit (odds ratio 1.17, <em>p</em> = 0.015)</div></div><div><h3>Conclusion</h3><div>The progression of radiographic distal tibial deformity in varus ankle osteoarthritis was clarified, identifying the coronal talar tilt angle as a risk factor.</div></div><div><h3>Level of Evidence</h3><div>Level IV, retrospective longitudinal observation study</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 2","pages":"Pages 177-181"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356530","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}