Foot and Ankle Surgery最新文献

{"title":"Cross-cultural adaptation and validation of the Foot and Ankle Ability Measure (FAAM) into Spanish for Chile and LATAM.","authors":"Aaron A Cortes, Ronald Ramos, U Giovanni Carcuro, Mario I Escudero, Manuel J Pellegrini","doi":"10.1016/j.fas.2026.03.001","DOIUrl":"https://doi.org/10.1016/j.fas.2026.03.001","url":null,"abstract":"<p><strong>Background: </strong>The Foot and Ankle Ability Measure (FAAM) assess physical function in musculoskeletal pathologies of the foot and ankle.</p><p><strong>Method: </strong>The aim of this study was to translate, culturally adapt and validate the FAAM into Spanish for Chile and LATAM and assess its validity and reliability in patients with non-traumatic surgical orthopaedic pathologies. After translation and adaptation this retrospective cohort study included 940 participants answering FAAM and SF-36 scale.</p><p><strong>Results: </strong>A high response rate (98%) with no floor or ceiling effect is reported. Excellent internal consistency for the scale (Cronbach's α = 0.972) and subscales (ADLs = 0,974 and Sport = 0,954) were obtained. The principal component factor analysis gave two factors explaining 66% of the variance and reporting the same item structure of the original version. The FAAM-CL sub-scales had direct and significant correlations with the SF-36 components and subcomponents.</p><p><strong>Conclusions: </strong>The FAAM-CL was culturally adapted and demonstrated a high rate of reliability, validity, and ability to evaluate foot and ankle pathologies among Spanish-speaking patients.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460685","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 \"Factors associated with improvement in ankle dorsiflexion after transfibular total ankle arthroplasty\".","authors":"Shweta Sharma, Aditi Popli Jivani, Trishala Rangare","doi":"10.1016/j.fas.2026.01.014","DOIUrl":"https://doi.org/10.1016/j.fas.2026.01.014","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436740","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":"Biomechanical effects of selective tarsometatarsal arthrodesis configurations: A finite element analysis.","authors":"Fatih Barça, Ekin Barış Demir, Musa Güngörürler, Burak Menderes Akdoğan, Çağrı Havıtçıoğlu, Mutlu Akdoğan, Yalım Ateş, Halis Atıl Atilla","doi":"10.1016/j.fas.2026.02.005","DOIUrl":"https://doi.org/10.1016/j.fas.2026.02.005","url":null,"abstract":"<p><strong>Background: </strong>The biomechanical effects of different tarsometatarsal (TMT) arthrodesis configurations on adjacent joints remain unclear. This finite element study evaluated load transfer and pressure redistribution following selective TMT fusion.</p><p><strong>Methods: </strong>Six TMT arthrodesis configurations, from isolated first TMT fusion to constructs including the third TMT joint, were analyzed. Joint reaction forces, plantar pressure, and tibiotalar contact pressure were assessed relative to an intact model across stance phases.</p><p><strong>Results: </strong>Arthrodesis altered midfoot joint reaction forces, while total tibiotalar forces remained largely unchanged. The medial - intermediate intercuneiform and calcaneocuboid joints showed the greatest increases, particularly with inclusion of the third TMT joint. Plantar pressure increased mainly in the first and second metatarsal regions, and tibiotalar contact pressure redistributed along an anterolateral - posteromedial axis.</p><p><strong>Conclusion: </strong>TMT arthrodesis alters foot biomechanics in a configuration-dependent manner. Extension to the third TMT joint produced the greatest biomechanical alterations.</p><p><strong>Level of evidence: </strong>V, computational biomechanical study.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349280","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 \"Intramedullary pinning of concomitant fibular shaft fractures prevents postoperative tibial shaft malalignment without increasing soft tissue complications\".","authors":"Yongxiang Zhang, Po Yang","doi":"10.1016/j.fas.2026.01.015","DOIUrl":"https://doi.org/10.1016/j.fas.2026.01.015","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436805","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 \"MRI assessment of graft maturation after arthroscopic anatomical lateral ankle ligament reconstruction: One-year comparison between autograft and allograft\".","authors":"Minghao Liu, Aijun Zhao","doi":"10.1016/j.fas.2025.11.014","DOIUrl":"https://doi.org/10.1016/j.fas.2025.11.014","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373325","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":"Frailty is associated with increased length of stay, hospitalization costs and disposition to long-term care facilities after total ankle arthroplasty.","authors":"Jared Rubin, Benjamin Villacres Mori, Michael K Tram, James J Butler, Akshay Lakra, Michael Harrington, John G Kennedy, Andrew J Rosenbaum","doi":"10.1016/j.fas.2026.02.004","DOIUrl":"https://doi.org/10.1016/j.fas.2026.02.004","url":null,"abstract":"<p><strong>Background: </strong>The Hospital Frailty Risk Score (HFRS) is associated with adverse events after joint replacement, but outcomes following total ankle arthroplasty (TAA) remain unclear.</p><p><strong>Methods: </strong>The National Readmissions Database (2017-2019) identified patients undergoing primary TAA, classified as frail or non-frail using HFRS. Thirty-day readmission rates, length of hospital stay (LOS), and hospitalization costs were compared between cohorts. Univariate analysis was used to compare 30-day complication rates, reoperation rates, and disposition designation.</p><p><strong>Results: </strong>From a total of 6147 patients who underwent TAA, frail patients had longer LOS (2.4 vs. 1.6 days, p < 0.01), higher costs ($27,181 versus $24,777; p < 0.01), and more discharge to higher-level care (44.0 % versus 26.0 %; p < 0.01). Frailty was associated with longer LOS (IRR 1.36; p < 0.001) and increased costs (IRR 1.07; p < 0.001), but not associated with 30-day readmissions, complications, or reoperations.</p><p><strong>Conclusion: </strong>Frailty was associated with longer LOS, higher costs, and increased discharge to higher-level care in patients undergoing TAA.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285797","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":"Effects and optimal dosage of Tai Chi for chronic ankle instability: A systematic review and meta-analysis.","authors":"Tongtong Hao, Juntong Yuan, Man Xu, Ying He","doi":"10.1016/j.fas.2026.02.002","DOIUrl":"https://doi.org/10.1016/j.fas.2026.02.002","url":null,"abstract":"<p><strong>Background: </strong>Chronic ankle instability (CAI) exhibits a remarkably high incidence among individuals following acute lateral ankle sprains, serving as a primary contributor to the impairment of postural balance and overall quality of life. As a traditional therapy emphasizing postural control and continuous movement, Tai Chi has shown potential in musculoskeletal rehabilitation. However, its specific efficacy and optimal dosage for CAI remain to be clarified.</p><p><strong>Objective: </strong>This study evaluates how Tai Chi affects functional recovery in CAI patients. We specifically examine the role of intervention dosage on clinical outcomes. Our goal is to offer a solid evidence-based reference for rehabilitation practice.</p><p><strong>Methods: </strong>This study follows a protocol registered in PROSPERO. We identified relevant RCTs from eleven major databases before the December 2025 deadline. Two authors performed the screening and data collection process independently. Methodological quality was assessed via the PEDro scale and RoB 2 tool. All statistical analyses were executed in STATA 15.</p><p><strong>Results: </strong>The meta-analysis of nine studies (n = 380) revealed a significant improvement in Cumberland Ankle Instability Tool (CAIT) scores favoring Tai Chi over control interventions (SMD = 0.773, 95 % CI [0.481, 1.066], P = 0.030). Balance: Tai Chi significantly improved postero-medial balance (SMD = 0.789, P < 0.001). Although anterior (SMD = 1.155) and postero-lateral balance showed trends of improvement, these changes did not attain statistical significance (P > 0.05). Analysis of the Unipedal Stance Test (UST) demonstrated no statistically significant difference between the intervention and control groups (P = 0.634). Subgroup analysis: Moderating effects showed that longer intervention durations (12 weeks) and longer session lengths (60 min) had lower heterogeneity and more consistent improvement effects.</p><p><strong>Conclusion: </strong>Tai Chi practice significantly enhances functional outcomes for individuals with CAI. It specifically shows a strong positive effect on postero-medial balance. Our subgroup findings indicate that a 12-week program is most effective. This protocol should involve two 60-minute sessions per week. Due to high heterogeneity in some outcomes and limited sample sizes, further high-quality studies with larger samples are needed for verification.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776805","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":"Defining normal joint space width in essential joints of the foot and ankle using an objective weight bearing CT hounsfield unit algorithm.","authors":"Hannah J Zeller, Donald D Anderson, Tutku Tazegul, Ryan Jasper, Vineel Mallavarapu, Matthew Jones, Kepler Alencar Mendes de Carvalho, Nacime Salomão Barbachan Mansur, Cesar de Cesar Netto","doi":"10.1016/j.fas.2026.02.001","DOIUrl":"https://doi.org/10.1016/j.fas.2026.02.001","url":null,"abstract":"<p><strong>Background: </strong>The tibiotalar (TT), subtalar (ST), talonavicular (TN), and first metatarsophalangeal (MTP) joints of the foot and ankle are essential for foot mobility and function. Assessing progression of osteoarthritis (OA) in these joints involves subjective radiographic grading that lacks reliability and reproducibility. The purpose of this prospective comparative study was to define normal articular features and joint space width (JSW) in four joints of the foot and ankle using objective analysis of weight-being CT (WBCT) intensity profiles in healthy, non-arthritic subjects.</p><p><strong>Methods: </strong>This was a cross-sectional IRB-approved study (ID #201904825) where bilateral WBCT scans of the foot and ankle were performed in 20 healthy subjects (40 feet, 9 females, 11 males) with no clinical or radiographic evidence of OA, bony abnormalities, or foot deformities. Five parallel linear spatial projections were generated across the joint space to measure WBCT intensities extending from subchondral bone, to cartilage, through the joint space, then to opposing cartilage and subchondral bone. The software graphically plotted WBCT intensity profiles of these projections which were then interpreted to measure the joint space width (JSW) and Michelson contrast of Hounsfield unit (HU) intensities, two relevant metrics of joint preservation, for each joint.</p><p><strong>Results: </strong>The average JSW for healthy TT, ST, TN, and first MTP joints were 3.97 (95 % CI 3.73 - 4.20), 4.20 (3.96 - 4.44), 3.33 (3.07 - 3.58), and 3.87 (3.64 - 4.12) mm, respectively. The average Michelson contrast was 71.8 (95 % CI 67.32 - 76.26), 92.5 (87.82 - 97.08), 84.1 (79.25 - 88.85), and 101.4 (96.87 - 105.81), respectively.</p><p><strong>Conclusion: </strong>We utilized a novel 3D analysis of WBCT intensity profiles to assess normal JSW and HU intensities in four joints of the foot and ankle to provide a foundation for future work developing an objective grading system for osteoarthritis.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221710","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 “Diagnosis, treatment, and prevention of ankle sprains: Comparing free chatbot recommendations with clinical guidelines”","authors":"Gongtao Jiang,&nbsp;Wei Fan,&nbsp;Qishui Xia","doi":"10.1016/j.fas.2025.09.001","DOIUrl":"10.1016/j.fas.2025.09.001","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Page 193"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076383","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":"Return to sport after osteotomy in patients with hallux rigidus","authors":"P. Ceccarini,&nbsp;M. Donantoni ,&nbsp;G. Nuzzo,&nbsp;B. Carriero,&nbsp;G. Ancillai,&nbsp;G. Rinonapoli,&nbsp;A. Caraffa","doi":"10.1016/j.fas.2025.08.001","DOIUrl":"10.1016/j.fas.2025.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Hallux rigidus (HR) is a common degenerative condition of the first metatarsophalangeal joint (MTPJ), particularly limiting in active adults and athletes. While joint-sacrificing procedures such as arthrodesis are effective, joint-preserving techniques remain preferable in patients wishing to maintain function and mobility. The modified Youngswick osteotomy offers such an option by decompressing and realigning the joint.</div></div><div><h3>Methods</h3><div>This retrospective observational study included 55 physically active patients (mean age: 42.8 ± 8.5 anni years) with grade II HR who underwent modified Youngswick osteotomy between 2015 and 2022. Inclusion criteria included active engagement in sports, age under 60 years, and a minimum follow-up of 24 months. Clinical outcomes were assessed using the Visual Analog Scale (VAS), the European Foot and Ankle Society (EFAS) score, and return to sports (RTS) rates.</div></div><div><h3>Results</h3><div>At a mean follow-up of 79.3 months, 49 of 52 patients (94.2 %) resumed sports activities. Significant improvements were observed in VAS scores (from 5.04 to 0.9, <em>p</em> &lt; .001) and EFAS general (22.7 ± 6.1–37.1 ± 5.4, <em>p</em> &lt; .001) and sport-specific scores (9.3–14.3, <em>p</em> &lt; .001). Postoperative dorsiflexion improved from a mean of 24.5° to 52.5° (<em>p</em> &lt; .001). Complications were rare and mild, including two cases of transfer metatarsalgia and one hardware intolerance.</div></div><div><h3>Conclusion</h3><div>Modified Youngswick osteotomy is an effective joint-preserving surgical option for moderate HR in active adults. It provides excellent pain relief, improves function and range of motion, and allows for a high rate of return to sports. This technique represents a valid alternative to arthrodesis in patients wishing to maintain MTPJ mobility and an active lifestyle.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Pages 145-151"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856723","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}