Foot and Ankle Surgery最新文献_第6页

Radiographic assessment of lesser metatarsophalangeal joint distraction for the diagnosis of plantar plate tears: A cadaveric study. 小跖趾关节牵张诊断足底板撕裂的影像学评估：一项尸体研究。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-07-03 DOI: 10.1016/j.fas.2026.07.003

Mohammad H Chegini-Kord, Nandini A Lal, Atta Taseh, Surbhi Srinivas, Abhinav Bhamidipati, Ronit Avadhuta, Lercan Aslan, John Y Kwon, Gregory R Waryasz, Lorena Bejarano-Pineda, Christopher W DiGiovanni, Soheil Ashkani-Esfahani

{"title":"Radiographic assessment of lesser metatarsophalangeal joint distraction for the diagnosis of plantar plate tears: A cadaveric study.","authors":"Mohammad H Chegini-Kord, Nandini A Lal, Atta Taseh, Surbhi Srinivas, Abhinav Bhamidipati, Ronit Avadhuta, Lercan Aslan, John Y Kwon, Gregory R Waryasz, Lorena Bejarano-Pineda, Christopher W DiGiovanni, Soheil Ashkani-Esfahani","doi":"10.1016/j.fas.2026.07.003","DOIUrl":"https://doi.org/10.1016/j.fas.2026.07.003","url":null,"abstract":"Background: Accurate diagnosis of plantar plate (PP) tear is crucial, so this study aimed to evaluate radiographic MTP joint widening under traction as a marker of PP insufficiency.Methods: 26 MTP joints of nine cadavers were used to evaluate stability under traction in different PP tear conditions. Radiographic joint widening was measured under traction forces (0,25,50, and 75 N) and applied at 0° and 40° of dorsiflexion. Joint widening was compared across PP conditions and loading states (P < 0.05).Results: A significant interaction was observed between PP condition and applied traction force. At 25 N traction, complete tears showed significant widening vs. intact (P < 0.01). A cutoff value of 0.53 cm yielded 92% sensitivity, 86% specificity for detecting complete tears.Conclusion: In complete PP rupture, the radiographic widening exceeding 0.53 cm under 25 N traction at 0° dorsiflexion may serve as a useful marker and a quantitative framework for stress radiographic assessment.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450070","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

Percutaneous distal metatarsal osteotomy with K-wire fixation into the medial cuneiform for hallux valgus: A case series including severe deformity. 经皮跖骨远端截骨联合k针内固定治疗拇外翻：包括严重畸形的一系列病例。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-07-03 DOI: 10.1016/j.fas.2026.07.004

Yoshiharu Shimozono, Shigeo Yoshida, Yasuyuki Mizuno, Noboru Funakoshi, Shuichi Matsuda, Masahiko Kobayashi

{"title":"Percutaneous distal metatarsal osteotomy with K-wire fixation into the medial cuneiform for hallux valgus: A case series including severe deformity.","authors":"Yoshiharu Shimozono, Shigeo Yoshida, Yasuyuki Mizuno, Noboru Funakoshi, Shuichi Matsuda, Masahiko Kobayashi","doi":"10.1016/j.fas.2026.07.004","DOIUrl":"https://doi.org/10.1016/j.fas.2026.07.004","url":null,"abstract":"Background: Minimally invasive surgery for hallux valgus is evolving, but the optimal fixation method and its applicability to severe deformity remain debated. We describe a percutaneous distal metatarsal osteotomy (PDMO) using a Shannon burr, lateral soft-tissue release, and a 2.0-mm Kirschner wire crossing the first tarsometatarsal joint into the medial cuneiform, allowing immediate flat-sole weight-bearing.Methods: Thirty-four patients (36 feet) were retrospectively reviewed. Hallux valgus angle (HVA), intermetatarsal angle (IMA), Self-Administered Foot Evaluation Questionnaire (SAFE-Q), and complications were analyzed; severe deformity (HVA ≥40°; n = 20) was examined separately.Results: HVA improved from 37.8 to 5.7° and IMA from 16.1 to 5.3° (both p < 0.001). All SAFE-Q subscales improved. In severe deformity, HVA improved to 6.3° with comparable gains. No recurrence occurred; complications were 4 of 36 (11.1%), all minor.Conclusions: This PDMO technique produced satisfactory correction and significant SAFE-Q improvement while permitting immediate flat-sole weight-bearing, including in severe deformity.Level of evidence: Level IV, case series.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148387898","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

Amputation risk after total ankle arthroplasty: A national database study with verified continued patient enrollment. 全踝关节置换术后的截肢风险：一项经过验证的持续患者登记的国家数据库研究。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-07-01 DOI: 10.1016/j.fas.2026.06.016

Jean G Louka, Eslam Alkaramany, Nacime S Mansur, Gregory P Guyton

引用次数: 0

Transitional talalgia after medial gastrocnemius lengthening using the Strayer technique in chronic plantar fasciitis. 使用Strayer技术延长内侧腓肠肌治疗慢性足底筋膜炎后的过渡性足痛。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-30 DOI: 10.1016/j.fas.2026.06.012

Francisco Javier Villanueva García, Alba Marrero-Hernández, Eduardo Morales-Pérez, Izaro Somoza-Peral, Natalia Pensado-Señoris, Diego Rendón-Díaz, Jorge Ojeda-Jiménez, Mario Herrera-Pérez

{"title":"Transitional talalgia after medial gastrocnemius lengthening using the Strayer technique in chronic plantar fasciitis.","authors":"Francisco Javier Villanueva García, Alba Marrero-Hernández, Eduardo Morales-Pérez, Izaro Somoza-Peral, Natalia Pensado-Señoris, Diego Rendón-Díaz, Jorge Ojeda-Jiménez, Mario Herrera-Pérez","doi":"10.1016/j.fas.2026.06.012","DOIUrl":"https://doi.org/10.1016/j.fas.2026.06.012","url":null,"abstract":"Background: Chronic plantar fasciitis is frequently associated with isolated gastrocnemius contracture. When conservative treatment fails, medial gastrocnemius recession is an established surgical option. We identified a postoperative pain pattern distinct from preoperative symptoms, defined as transitional talalgia. This study aimed to evaluate postoperative heel pain evolution, describe its characteristics, and assess patient-reported outcomes following Strayer medial gastrocnemius recession.Methods: A retrospective observational study included patients who underwent Strayer medial gastrocnemius recession for chronic plantar fasciitis between 2014 and 2024. Demographic variables, body mass index, postoperative heel pain patterns, complications, VAS pain scores, and satisfaction were analysed.Results: Thirty-nine patients were included. Mean age was 51.8 years and mean follow-up was 79.8 months. Transitional talalgia was observed in 30.8% of patients. Overall satisfaction was 84.7%. No significant associations were found between body mass index, complications, or pain evolution.Conclusions: Transitional talalgia appears frequent, self-limiting, and not necessarily indicative of treatment failure.Level of evidence: IV.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377569","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

Accuracy of radiology MRI reports in predicting syndesmotic injuries: An intraoperative correlation study. 放射学MRI报告预测联合损伤的准确性：术中相关性研究。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-30 DOI: 10.1016/j.fas.2026.06.020

Edina Vacariu, Alessia Tevere, David Shepherd, Tim Schneider, Adrian Talia

{"title":"Accuracy of radiology MRI reports in predicting syndesmotic injuries: An intraoperative correlation study.","authors":"Edina Vacariu, Alessia Tevere, David Shepherd, Tim Schneider, Adrian Talia","doi":"10.1016/j.fas.2026.06.020","DOIUrl":"https://doi.org/10.1016/j.fas.2026.06.020","url":null,"abstract":"This study evaluates the accuracy of MRI radiology reports in identifying syndesmosis injuries compared with arthroscopic findings, the gold standard, in patients with chronic ankle instability or pain. We hypothesised that radiology reports significantly underdiagnose syndesmotic injury relative to true instability confirmed by arthroscopy. A retrospective chart review identified 73 patients who underwent both ankle arthroscopy and MRI at our institution between August 2024 and September 2025. Only MRI reports specifically commenting on the syndesmosis were included. Arthroscopic diagnosis relied on a positive drive-through test (Guyton). The cohort comprised 28 females and 45 males (mean age 35.94 ± 14.93 years), with 36 chronic and 37 acute injuries; 9 had associated fractures. MRI reports demonstrated 100% specificity and positive predictive value, but only 48% sensitivity, 25.6% negative predictive value, and 56.2% overall accuracy. MRI is specific but insensitive for syndesmotic injury; clinicians should review imaging directly rather than rely solely on written reports.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370407","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

Weightbearing after ankle fracture fixation; A systematic review and meta-analysis of randomised controlled trials, a modern perspective. 踝关节骨折固定后负重；随机对照试验的系统回顾和荟萃分析，现代视角。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-30 DOI: 10.1016/j.fas.2026.06.017

Brian Rigney, James Storme, Ross Condell, Eamonn I Coveney, Stephen R Kearns

{"title":"Weightbearing after ankle fracture fixation; A systematic review and meta-analysis of randomised controlled trials, a modern perspective.","authors":"Brian Rigney, James Storme, Ross Condell, Eamonn I Coveney, Stephen R Kearns","doi":"10.1016/j.fas.2026.06.017","DOIUrl":"https://doi.org/10.1016/j.fas.2026.06.017","url":null,"abstract":"Background: Optimal post-operative rehabilitation after ankle fracture fixation remains debated, particularly regarding early versus non weightbearing. This systematic review and meta-analysis evaluated outcomes following these weightbearing protocols.Methods: A comprehensive search of scientific databases was performed on 12 December 2025 for randomised controlled trials (RCTs) published within 20 years comparing early weightbearing (≤2 weeks) with non weightbearing (≥6 weeks) after ankle fracture fixation.Results: Six RCTs (1190 patients) were included. Early weightbearing significantly improved Olerud-Molander Ankle Scores at 6 weeks (MD 6.63, 95%CI 4.66-8.60; p < 0.0001) and 3 months (MD 3.70, 95%CI 1.57-5.82; p = 0.0007), and EuroQol-5D scores at 6 weeks (MD 6.62, 95%CI 3.71-9.54; p < 0.0001). Differences were not maintained beyond 6 months. Complication rates were similar between groups.Conclusion: Early weightbearing improves short-term functional outcomes without increasing complications. These findings support its use in appropriately selected patients with stable fixation and adequate bone quality, facilitating earlier recovery without compromising safety.Level of evidence: 1a; Systematic review of randomised controlled trial.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370455","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 "Effects of exercise combined with external support on hallux valgus angle and pain: A systematic review and network meta-analysis". 致编辑评论“运动结合外支撑对拇外翻角度和疼痛的影响：系统回顾和网络荟萃分析”。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-26 DOI: 10.1016/j.fas.2026.06.015

Patil Saurabh Shrirang, Priyanka Bansal, Vikrant Abbot, Shitharth Sharma

引用次数: 0

Response to the letter to the editor to comment on "Letter to the editor to comment on 'Effects of exercise combined with external support on hallux valgus angle and pain: A systematic review and network meta-analysis'". 回复致编辑评论“致编辑评论‘运动联合外支撑对拇外翻角度和疼痛的影响：系统综述和网络荟萃分析’”的信

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-25 DOI: 10.1016/j.fas.2026.06.014

Zhitao Zhu, Yue Liu, Ling Wang, Haitao Liu, Jinwu Wang

引用次数: 0

Foot & ankle international (FAI) versus foot and ankle surgery (FAS): A decade of publication trends (2016-2025). 足踝国际（FAI）与足踝外科（FAS）：十年出版趋势（2016-2025）。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-22 DOI: 10.1016/j.fas.2026.06.013

J Brué, L Micicoi, E R Blackwood, K Lu, S Shin, Umrethiya, E Pozzessere, Netto C de Cesar

引用次数: 0

Mechanical integrity of a flexor hallucis longus tendon transfer using an all-inside endoscopic approach. 全内窥镜入路拇长屈肌腱转移术的机械完整性。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-22 DOI: 10.1016/j.fas.2026.06.009

Yi Wei, Kevin D Martin, Adam G F Smith, Franco Piscitani, Nathaniel A Bates

{"title":"Mechanical integrity of a flexor hallucis longus tendon transfer using an all-inside endoscopic approach.","authors":"Yi Wei, Kevin D Martin, Adam G F Smith, Franco Piscitani, Nathaniel A Bates","doi":"10.1016/j.fas.2026.06.009","DOIUrl":"https://doi.org/10.1016/j.fas.2026.06.009","url":null,"abstract":"Flexor hallucis longus (FHL) tendon transfer is a common and effective procedure used to treat chronic Achilles tendon rupture. Minimally invasive techniques have risen in popularity in response to wound-healing problems associated with open techniques. In addition, surgical approaches with a percutaneous plantar incision to harvest the FHL tendon at zone 2 have reported potential for damage to neurovascular structures. Previously, we reported the development of a novel all-inside endoscopic FHL zone 1 tenotomy and transfer approach that exhibited no insult to the neurovascular structures. The aim of this study was to evaluate the biomechanical integrity of the FHL tendon construct. An all-inside endoscopic FHL tendon transfer was performed on 10 cadaveric specimens without fluoroscopic guidance. The FHL tendon construct was isolated and attached to a uniaxial hydraulic loading platform where specimens were viscoelastically conditioned and loaded until failure. Eight specimens successfully completed testing and were evaluated. Mean failure strength of the FHL tendon construct was 222.08(74.83) N. This failure strength was not influenced by whether the tendon was medial or lateral to the screw (222.08(57.63) N, 222.08(98.71) N, respectively; p > 0.99). The ultimate failure strength of our FHL tendon transfer construct met or exceeded that of other literature reported FHL transfer techniques (172(40) N), including both anchor (189(26) N) and suture (110(46) N) fixation. Our novel all-inside endoscopic FHL zone 1 tenotomy and transfer approach exhibits lower propensity for neurovascular damage and equivalent or greater construct strength versus existing FHL tendon transfer techniques, making it a viable surgical approach.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320098","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