Foot and Ankle Surgery最新文献_第3页

Revision of failed total ankle arthroplasty to a transfibular trabecular metal prosthesis. 失败的全踝关节置换术到经腓骨小梁金属假体的修正。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-08-25 DOI: 10.1016/j.fas.2026.08.010

Jonathan Day, Kevin A Schafer, Daniel S Choi, Katherine Convery, Zijun Zhang, Lew C Schon

{"title":"Revision of failed total ankle arthroplasty to a transfibular trabecular metal prosthesis.","authors":"Jonathan Day, Kevin A Schafer, Daniel S Choi, Katherine Convery, Zijun Zhang, Lew C Schon","doi":"10.1016/j.fas.2026.08.010","DOIUrl":"https://doi.org/10.1016/j.fas.2026.08.010","url":null,"abstract":"Background: The aim of this study is to present early outcomes following revision of failed TAA using a low-profile, transfibular TAA prosthesis.Methods: This was a retrospective review of 11 ankles (11 patients; average 72.1 years-old) who underwent revision TAA using the transfibular trabecular metal (TM) prosthesis. Modes of failure included aseptic loosening/subsidence (n = 7) and periprosthetic joint infection (PJI, n = 4). Demographic, radiographic, and patient-reported outcomes were analyzed at minimum 2-years.Results: Average time to revision TM TAA was 9 years (range, 2-22), All 4 cases with PJI were successfully treated with two-stage revision. There was significant improvement in VAS and AOS Pain (both p < 0.05). Mean coronal (90.7°) and sagittal (86.1°) alignment were within normal limits. There was 1 (9%) revision, 4 (36%) reoperations.Conclusion: In select patients with failed TAA who wish to avoid fusion or amputation, revision arthroplasty using a transfibular approach may be a possible alternative.Level of evidence: IV, Case-Series.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882368","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

A novel matrix-preserving technique (QS-PFE) versus the winograd procedure for Heifetz stage 3 hallux onychocryptosis in adolescents: A retrospective comparative study. 一种新的基质保存技术（QS-PFE）与winograd手术治疗青少年hefetz 3期拇趾隐匿症：回顾性比较研究。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-08-19 DOI: 10.1016/j.fas.2026.08.009

Beytullah Unat, Mustafa Işık, Musa Alperen Bilgin, Çağrı Karabulut, Ramazan Erol, İlkan Kişi, Nevzat Gönder

{"title":"A novel matrix-preserving technique (QS-PFE) versus the winograd procedure for Heifetz stage 3 hallux onychocryptosis in adolescents: A retrospective comparative study.","authors":"Beytullah Unat, Mustafa Işık, Musa Alperen Bilgin, Çağrı Karabulut, Ramazan Erol, İlkan Kişi, Nevzat Gönder","doi":"10.1016/j.fas.2026.08.009","DOIUrl":"https://doi.org/10.1016/j.fas.2026.08.009","url":null,"abstract":"Background: Onychocryptosis is common in adolescents. We compared clinical outcomes, recurrence, and satisfaction of a matrix-preserving technique with the Winograd procedure.Methods: This retrospective study included 325 consecutive adolescents with Heifetz Stage 3 onychocryptosis. Group 1 (n = 127) underwent quadrangular suturing of the nail bed with partial nail-fold excision without matricectomy (QS-PFE); Group 2 (n = 198) underwent the Winograd procedure. Primary outcomes were postoperative VAS pain, recurrence, and nail-width preservation.Results: Both groups were comparable preoperatively (all p > 0.05). First-week pain was modestly higher with QS-PFE (5.9 vs. 4.0) but became significantly lower at 3 and 6 months (0.4 vs. 1.4; 0.1 vs. 0.7; both p < 0.001). QS-PFE patients resumed school and sports sooner. Recurrence was markedly reduced (0.8% vs. 15.2%; p < 0.001), with higher satisfaction (96.1% vs. 67.7%).Conclusion: QS-PFE may be a promising matrix-preserving alternative to the Winograd procedure, with lower recurrence and higher satisfaction in this series. Prospective randomised studies are warranted.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799976","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

First tarsometatarsal joint medial subluxation after contemporary minimally invasive distal osteotomy for hallux valgus: A weight-bearing computed tomography assessment. 当代微创远端截骨治疗拇外翻后首次跗跖关节内侧半脱位：负重计算机断层评估。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-08-19 DOI: 10.1016/j.fas.2026.08.008

Joaquin Palma, Grace DiGiovanni, Seif El Masry, Amanda Zeng, Rachel Thompson, Agnes Jones, Matthew Conti, Scott Ellis, Holly A Johnson

{"title":"First tarsometatarsal joint medial subluxation after contemporary minimally invasive distal osteotomy for hallux valgus: A weight-bearing computed tomography assessment.","authors":"Joaquin Palma, Grace DiGiovanni, Seif El Masry, Amanda Zeng, Rachel Thompson, Agnes Jones, Matthew Conti, Scott Ellis, Holly A Johnson","doi":"10.1016/j.fas.2026.08.008","DOIUrl":"https://doi.org/10.1016/j.fas.2026.08.008","url":null,"abstract":"Background: Minimally invasive (MIS) osteotomy for Hallux Valgus (HV) may alter the congruence of the first tarsometatarsal joint (1ST-TMT). This study evaluated postoperative 1ST-TMT subluxation and associated imaging factors.Methods: This retrospective cohort included 63 patients undergoing MIS HV correction with ≥ 6 months of radiological follow-up. Imaging parameters included a novel C1 - M1 joint lateral distance to assess 1ST-TMT subluxation. Multivariable linear regression evaluated factors associated with postoperative subluxation and midshaft foot width.Results: Interobserver reliability for the C1 - M1 joint lateral distance was excellent (r = 0.93). Mean C1 - M1 lateral distance increased from 0.26 to 1.33 mm (P<0.001), with a greater dorsal displacement (2.6 mm). Postoperative subluxation correlated with preoperative C1 - M1 lateral distance (P=0.022) and plantar gap (P = 0.008) and was associated with increased midshaft foot width (P=0.004).Conclusion: MIS HV correction was associated with consistent dorsal 1ST-TMT medial subluxation and increased midshaft foot width. Future studies are needed to determine the clinical relevance of these findings.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799988","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

High frequency of secondary surgery after operatively treated talar fractures: A nationwide register study from 2000 to 2022. 手术治疗距骨骨折后二次手术的高频率：一项2000年至2022年的全国登记研究。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-08-18 DOI: 10.1016/j.fas.2026.08.006

Evgenii Brushtein, Nikke Partio, Heikki Mäenpää, Ville M Mattila

{"title":"High frequency of secondary surgery after operatively treated talar fractures: A nationwide register study from 2000 to 2022.","authors":"Evgenii Brushtein, Nikke Partio, Heikki Mäenpää, Ville M Mattila","doi":"10.1016/j.fas.2026.08.006","DOIUrl":"https://doi.org/10.1016/j.fas.2026.08.006","url":null,"abstract":"Background: Talar fractures are rare and heterogeneous injuries associated with substantial long-term morbidity. We assessed the nationwide frequency of secondary surgical procedures after operatively treated talar fractures.Methods: Using the Finnish Care Register for Health Care, we identified adults treated operatively for talar fractures between 2000 and 2022. Procedures were ordered chronologically. The first recorded surgical procedure was defined as the index procedure and classified as early (≤28 days) or delayed (>28 days) from diagnosis. Later recorded procedures were classified as secondary surgical procedures.Results: A total of 985 patients were included; 747 had an early and 238 a delayed index procedure. Nearly one-quarter underwent at least one secondary procedure. Fracture morphology could not be distinguished in the register.Conclusions: Operatively treated talar fractures carry substantial secondary surgical burden. Findings apply to the heterogeneous register-defined population of talar fractures rather than to a specific fracture pattern.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799967","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

Comparison of efficiency and cost of anterior ankle arthroscopy performed with needle versus standard arthroscope. 针前踝关节镜与标准踝关节镜的效率和成本比较。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-08-18 DOI: 10.1016/j.fas.2026.08.005

Andrew P Burnikel, J Brett Goodloe, Caroline Hoch, Joseph Cutrone, Christopher E Gross, Daniel J Scott

{"title":"Comparison of efficiency and cost of anterior ankle arthroscopy performed with needle versus standard arthroscope.","authors":"Andrew P Burnikel, J Brett Goodloe, Caroline Hoch, Joseph Cutrone, Christopher E Gross, Daniel J Scott","doi":"10.1016/j.fas.2026.08.005","DOIUrl":"https://doi.org/10.1016/j.fas.2026.08.005","url":null,"abstract":"Background: This study uses time-driven activity-based costing (TD-ABC) to compare the cost and efficiency of a 2.0 disposable needle arthroscope to a reusable 2.7-mm arthroscope in anterior ankle arthroscopy.Methods: This prospective, hand-timed cohort study of 60 anterior ankle arthroscopy procedures (needle=41, traditional=19) with retrospective cost review calculated procedure and OR turnover costs at a single institution from 2021 to 2023.Results: Needle arthroscopy demonstrated significantly shorter OR turnover time (28.53 vs 35.65 min, p = .021), incision to joint space time (1.06 vs 2.14 min, p = .007), and total arthroscopic time (12.58 vs 16.87 min, p = .023). Total costs were not significantly different ($1891.91 vs $1957.74, p = .546). Excluding OR turnover costs, traditional arthroscopy was less costly ($669.23 vs $850.78, p < .001).Conclusion: Needle arthroscopy was more time efficient with no significant cost difference, offering surgeons a useful option to increase the efficiency of ankle arthroscopy and OR turnover.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799999","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

Changes in foot and ankle offset between minimally invasive distal first metatarsal osteotomy and modified Lapidus procedures in hallux valgus. 微创第一跖远端截骨术和改良Lapidus手术治疗拇外翻后足和踝关节偏移量的变化。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-08-18 DOI: 10.1016/j.fas.2026.08.007

John E Lama, Riccardo Garibaldi, Isabelle Voellmicke, Ranqing Lan, Brett Steineman, Scott J Ellis, A Holly Johnson, Matthew S Conti

{"title":"Changes in foot and ankle offset between minimally invasive distal first metatarsal osteotomy and modified Lapidus procedures in hallux valgus.","authors":"John E Lama, Riccardo Garibaldi, Isabelle Voellmicke, Ranqing Lan, Brett Steineman, Scott J Ellis, A Holly Johnson, Matthew S Conti","doi":"10.1016/j.fas.2026.08.007","DOIUrl":"https://doi.org/10.1016/j.fas.2026.08.007","url":null,"abstract":"Background: Hindfoot malalignment is common in hallux valgus (HV), but its correction after HV surgery remains unknown. This study evaluated a distal first metatarsal osteotomy versus modified Lapidus on hindfoot alignment.Methods: This retrospective study identified HV patients following a Lapidus arthrodesis or distal first metatarsal bunionectomy and compared radiographic outcomes. Using preoperative and postoperative weight-bearing CT, hindfoot alignment was measured according to the Foot and Ankle Offset (FAO), calcaneus offset, and hindfoot angle. Linear regressions assessed the association between procedure type and FAO change.Results: Seventy-three patients were included. Baseline and postoperative forefoot radiographic measures were similar. Lapidus procedure demonstrated a greater magnitude change in hindfoot alignment, including FAO (2.02% vs 0.94%), calcaneus offset (3.6 mm vs 1.64 mm), and hindfoot angle (6.14° vs 3.10°) (p < 0.001). The distal osteotomy had a smaller FAO change after adjustment (p < 0.001).Conclusion: Although Lapidus statistically shifted the FAO, neither forefoot procedure demonstrated a clinically meaningful change in hindfoot alignment.Level of evidence: III, Retrospective cohort study.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799944","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

Letter to the editor to comment on "Fibular nailing is associated with fewer complications in high-risk ankle fractures: A propensity score-matched case-control study". 致编辑评论“腓骨内钉与高风险踝关节骨折并发症较少相关：一项倾向评分匹配的病例对照研究”。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-08-13 DOI: 10.1016/j.fas.2026.05.020

Weikun Li, Guoyou Wang

引用次数: 0

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-08-12 DOI: 10.1016/j.fas.2026.08.001

Jae Hwang Song, Max P Michalski, Giselle Moriah Porter, Andy Tong, Glenn B Pfeffer

{"title":"Age-related differences in radiologic and clinical presentation of Charcot-Marie-Tooth foot deformity: Insights from WBCT and PROMIS analysis.","authors":"Jae Hwang Song, Max P Michalski, Giselle Moriah Porter, Andy Tong, Glenn B Pfeffer","doi":"10.1016/j.fas.2026.08.001","DOIUrl":"https://doi.org/10.1016/j.fas.2026.08.001","url":null,"abstract":"Background: This study compared pediatric and adult Charcot-Marie-Tooth (CMT) foot deformities using radiologic and clinical data and evaluated the relationship between age and deformity severity.Methods: Sixty-eight CMT patients were retrospectively analyzed and divided into pediatric (< 18 years, n = 19) and adult (n = 49) groups. 3D measurements from foot weightbearing CT scans were obtained. Clinical outcomes were assessed using PROMIS scores.Results: Adults showed significantly higher Meary's angle (10.9° vs. -5.9°, P = .002) and talonavicular angles (2.4° vs. -11.7°, P < .001) than pediatrics. Pediatric patients demonstrated higher Saltzman view angles (40.8° vs. 21.4°, P = .003). Adults showed higher PROMIS Pain Interference scores (58.8 vs. 52.6, P = .031). Age showed a positive correlation with sagittal Meary's angle, talonavicular angle, and Pain Interference score, and a negative correlation with the Saltzman view angle.Conclusion: The adult patients exhibited a higher arch and more pain interference, whereas the pediatric patients showed greater midfoot adduction and hindfoot varus.Level of evidence: Level IV.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763936","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

Posterior and anterior malleolus fixation is associated with lower syndesmosis malreduction rates. 后踝和前踝固定与较低的韧带联合复位不良率相关。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-08-11 DOI: 10.1016/j.fas.2026.08.003

Krzysztof Janik, Dariusz Grzelecki

引用次数: 0

Additional surgical procedures in total ankle arthroplasty: Narrative review and proposed treatment algorithm. 全踝关节置换术中的其他外科手术：叙述回顾和建议的治疗算法。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-08-11 DOI: 10.1016/j.fas.2026.08.004

Eduardo Morales-Perez, Alejandro Herrera-Rodriguez, Diego Rendon-Diaz, Jorge Ojeda-Jimenez, David Gonzalez-Martin, Victor Valderrabano, Mario Herrera-Perez

{"title":"Additional surgical procedures in total ankle arthroplasty: Narrative review and proposed treatment algorithm.","authors":"Eduardo Morales-Perez, Alejandro Herrera-Rodriguez, Diego Rendon-Diaz, Jorge Ojeda-Jimenez, David Gonzalez-Martin, Victor Valderrabano, Mario Herrera-Perez","doi":"10.1016/j.fas.2026.08.004","DOIUrl":"https://doi.org/10.1016/j.fas.2026.08.004","url":null,"abstract":"Background: Ankle osteoarthritis is a growing health problem. It can cause functional limitation comparable to that of knee or hip osteoarthritis. Its most common aetiology is post-traumatic, followed by chronic instability, and it is frequently associated with ankle varus or valgus deformity.Methods: This narrative review describes the treatment protocol followed when performing total ankle arthroplasty in the setting of coronal deformity. A structured narrative review of the literature was performed to summarise contemporary ancillary procedures associated with ankle arthroplasty and to support a practical treatment sequence proposed in this review.Results: Restoring the ankle axis is crucial to increasing the lifespan of ankle prostheses. Furthermore, they often present associated pathologies that require treatment. The proposed treatment sequence includes the main surgeries and their appropriate order.Conclusions: This paper aimed to summarise and organise the associated surgical procedures that are most frequently performed, presenting them in a way that facilitates their application in ankle arthroplasties requiring such interventions.Level of clinical evidence: Level 5.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799991","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