Foot and Ankle Surgery最新文献_第7页

Defining the posteromedial approach to the ankle: A systematic review of anatomical corridors, nomenclature and surgical exposure. 定义踝关节后内侧入路：对解剖通道、命名法和手术暴露的系统回顾。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-20 DOI: 10.1016/j.fas.2026.06.010

Enrique Fernández-Rojas, Waldo Osorio-Torres, Gonzalo Arias-Álvarez, Gonzalo F Bastías, Mario Herrera-Pérez, Lily Fletcher, Jesús Vilá-Rico

{"title":"Defining the posteromedial approach to the ankle: A systematic review of anatomical corridors, nomenclature and surgical exposure.","authors":"Enrique Fernández-Rojas, Waldo Osorio-Torres, Gonzalo Arias-Álvarez, Gonzalo F Bastías, Mario Herrera-Pérez, Lily Fletcher, Jesús Vilá-Rico","doi":"10.1016/j.fas.2026.06.010","DOIUrl":"https://doi.org/10.1016/j.fas.2026.06.010","url":null,"abstract":"Background: Posteromedial ankle approaches are commonly used for posterior malleolar fractures, but inconsistent terminology limits comparison across studies.Purpose: To systematically review published descriptions of posteromedial ankle approaches and summarize their anatomical corridors, patient positioning, and distal tibial exposure. Functional outcomes and complications were assessed secondarily.Methods: A PRISMA-guided systematic review of Medline, Web Science, and Scopus was performed from database inception through December 2024. Two reviewers independently screened studies, extracted data, and assessed risk of bias.Results: Twenty studies met inclusion criteria. Four reproducible anatomical corridors were identified, although terminology and patient positioning varied considerably. Cadaveric studies suggested differences in posterior distal tibial exposure between corridors. Clinical outcome and complication data were limited, heterogeneous, and strongly confounded by fracture pattern, soft-tissue condition, and treatment-related factors.Conclusions: No consensus exists on posteromedial ankle approach nomenclature. A corridor-based framework may improve standardization, but current evidence does not support robust comparative conclusions.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310080","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

Intercuneiform stabilization during a modified Lapidus procedure for hallux valgus results in decreased intercuneiform gapping and recurrence rates. 改良Lapidus手术治疗拇外翻时，楔形间关节稳定术减少了楔形间关节间隙和复发率。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-18 DOI: 10.1016/j.fas.2026.06.008

Amanda Irene Zeng, Jaeyoung Kim, Joseph Nguyen, Scott Ellis, Matthew Conti

{"title":"Intercuneiform stabilization during a modified Lapidus procedure for hallux valgus results in decreased intercuneiform gapping and recurrence rates.","authors":"Amanda Irene Zeng, Jaeyoung Kim, Joseph Nguyen, Scott Ellis, Matthew Conti","doi":"10.1016/j.fas.2026.06.008","DOIUrl":"https://doi.org/10.1016/j.fas.2026.06.008","url":null,"abstract":"Background: Over 10% of patients remain dissatisfied following hallux valgus (HV) surgery, often due to recurrence of the deformity. This study investigates whether adding an intercuneiform screw (ICS) from the first metatarsal (M1) to the middle cuneiform (C2) during first tarsometatarsal arthrodesis reduces recurrence and C1-C2 gapping.Methods: A retrospective cohort of 171 patients undergoing modified Lapidus were categorized by TMT1 fixation: dual crossed-screws (NS; n = 87) or intercuneiform screw with dorsal-plate (ICS; n = 84). Weightbearing CT images were used to assess the hallux valgus angle (HVA), intermetatarsal angle (IMA), C1-C2 distance, sesamoid position, and first metatarsal pronation.Results: Recurrence occurred in 6.9% of NS patients, but none in the ICS group (p = 0.029). ICS showed improved HVA (p = 0.036), first metatarsal pronation (p = 0.009), sesamoid station (p = 0.009), and reduced C1-C2 gapping (p < 0.001), with no difference in IMA (p = 0.728).Conclusion: Intercuneiform stabilization with an M1-C2 screw reduced HV recurrence and C1-C2 joint gapping, while improving first metatarsal pronation and sesamoid reduction.Level of evidence: Level IV, retrospective case series study.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303649","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 arthroscopic microfracture efficacy in osteochondral lesions of the talus with and without urate deposition. 关节镜下微骨折治疗距骨软骨病变伴与不伴尿酸沉积的疗效比较。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-18 DOI: 10.1016/j.fas.2026.06.005

Yuanqiang Li, Lili Hu, Ye Yang, Xiao An, Yan Liang, Xinyu Xie, JunYan Yu, Lin Guo, Wan Chen, Chengsong Yuan

{"title":"Comparison of arthroscopic microfracture efficacy in osteochondral lesions of the talus with and without urate deposition.","authors":"Yuanqiang Li, Lili Hu, Ye Yang, Xiao An, Yan Liang, Xinyu Xie, JunYan Yu, Lin Guo, Wan Chen, Chengsong Yuan","doi":"10.1016/j.fas.2026.06.005","DOIUrl":"https://doi.org/10.1016/j.fas.2026.06.005","url":null,"abstract":"Objective: To compare arthroscopic microfracture efficacy between talar osteochondral lesion (OLT) patients with and without monosodium urate (MSU) deposition, and identify poor prognosis risk factors.Methods: Sixty-one OLT patients were stratified into MSU (n = 26) and non-MSU (n = 35) groups, followed ≥ 24 months. Outcomes were assessed using VAS, AOFAS and MOCART scores. Multivariate logistic regression was performed.Results: MSU group had higher preoperative uric acid (516.37 ± 63.36 vs 342.57 ± 60.83 μmol/L, P < 0.001), higher postoperative VAS (1.43 ± 0.77 vs 0.83 ± 0.42, P = 0.001), lower AOFAS (81.09 ± 8.26 vs 86.44 ± 9.65, P = 0.027) and inferior MOCART scores (lower complete defect filling, P = 0.042). MSU deposition (OR=1.988, P = 0.002) and large defects (OR=2.234, P = 0.001) were independent risk factors. Complication rate was higher in MSU group (30.77% vs 5.71%, P = 0.032).Conclusion: MSU crystal deposition significantly impairs clinical outcomes and cartilage repair after OLT microfracture, representing an independent adverse prognostic factor.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425416","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

No difference in residual laxity following all types of arthroscopic treatment of chronic ankle instability: A meta-analysis. 所有类型的关节镜治疗慢性踝关节不稳定后残余松弛无差异：一项荟萃分析。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-17 DOI: 10.1016/j.fas.2026.06.007

Jean-Charles Giunta

{"title":"No difference in residual laxity following all types of arthroscopic treatment of chronic ankle instability: A meta-analysis.","authors":"Jean-Charles Giunta","doi":"10.1016/j.fas.2026.06.007","DOIUrl":"https://doi.org/10.1016/j.fas.2026.06.007","url":null,"abstract":"Purpose: To synthesize literature on residual laxity following arthroscopic treatments of CAI.Methods: Literature search for articles published since 2015, reporting (i) on arthroscopic surgical treatment for CAI; (ii) pre- and post-operative talar tilt angle (TTA); and (iii) minimum follow-up of 2 years.Results: 12 eligible studies representing 688 ankles were included, comprising 14 datasets (1 modified Broström with suture tape augmentation, 2 arthroscopic Broströms, 5 arthroscopic reconstructions, and 6 arthroscopic modified Broström-Gould). Subgroup analysis for TTA and anterior talar translation (ATT) showed no significant difference between techniques. Post-operative pooled proportions of TTA and ATT were not calculated due to high heterogeneity (TTA, I2 =99.1%, p < 0.001; ATT, I2 =98.4%, p < 0.001).Conclusion: No significant differences were found across surgical groups in post-operative laxity, whether assessed by TTA or ATT. All arthroscopic techniques demonstrated comparable outcomes, suggesting that residual laxity may depend on biological and patient factors rather than the choice of procedure.Level of evidence: Level IV.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320075","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

Can artificial intelligence provide reliable patient education in minimally invasive bunion surgery? A comparative study of ChatGPT 5.2 and Gemini. 人工智能能否在微创拇外翻手术中提供可靠的患者教育？ChatGPT 5.2与Gemini的比较研究。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-16 DOI: 10.1016/j.fas.2026.06.006

Berat Yüksel, Saliha B Uçar, Erdi Özdemir, Gökhan Ayık, Mehmet Kaymakoğlu, Gazi Huri

{"title":"Can artificial intelligence provide reliable patient education in minimally invasive bunion surgery? A comparative study of ChatGPT 5.2 and Gemini.","authors":"Berat Yüksel, Saliha B Uçar, Erdi Özdemir, Gökhan Ayık, Mehmet Kaymakoğlu, Gazi Huri","doi":"10.1016/j.fas.2026.06.006","DOIUrl":"https://doi.org/10.1016/j.fas.2026.06.006","url":null,"abstract":"Background: Patients use artificial intelligence-based large language models (AI-LLMs) to research minimally invasive surgery (MIS) for hallux valgus; however, their reliability remains uninvestigated.Purpose: To compare the quality and readability of ChatGPT and Gemini responses regarding MIS bunion surgery.Methods: Ten frequently asked questions reflecting diverse clinical and procedural inquiries were submitted to ChatGPT and Gemini. Quality was assessed via DISCERN and 5-point Likert scales. Readability and actionability were evaluated using the Patient Education Materials Assessment Tool (PEMAT) and Flesch-Kincaid Reading Ease (FKRE).Results: No significant differences existed between models (p > 0.05). Both exceeded sufficiency thresholds for DISCERN (49.7; 49) and Likert (5.0; 4.9). While understandability (85.9%; 83.3%) and FKRE (32.9; 33.5) met requirements, both failed actionability (38.3%; 34%).Conclusion: Both AI models offer reliable, high-quality theoretical information regarding MIS hallux valgus surgery. However, they are insufficient in providing actionable guidance and exceed ideal reading complexity for general patient populations.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284529","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

Radiographic correction of medial-column malalignment after minimally invasive versus open talonavicular arthrodesis: A single-centre comparative cohort study. 微创与开放式距棘关节融合术后正中柱错位的影像学矫正：一项单中心比较队列研究。

IF 2.4 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-16 DOI: 10.1016/j.fas.2026.06.004

Felix Werneburg, Juliane Beschauner, Maria Felsberg, Constantin Rump, Dariusch Arbab, Alexander Zeh, Karl-Stefan Delank, Natalia Gutteck

{"title":"Radiographic correction of medial-column malalignment after minimally invasive versus open talonavicular arthrodesis: A single-centre comparative cohort study.","authors":"Felix Werneburg, Juliane Beschauner, Maria Felsberg, Constantin Rump, Dariusch Arbab, Alexander Zeh, Karl-Stefan Delank, Natalia Gutteck","doi":"10.1016/j.fas.2026.06.004","DOIUrl":"https://doi.org/10.1016/j.fas.2026.06.004","url":null,"abstract":"Background: Talonavicular (TN) arthrodesis can be performed open or minimally invasively (MIS); whether MIS reproduces the radiographic medial-column re-alignment of open surgery remains unclear.Methods: Retrospective cohort of 56 feet (32 MIS, 24 open) treated 2021-2025. Co-primary endpoints: absolute talo-first metatarsal (Meary) angle in dorsoplantar (DP) and lateral (LAT) projections, and radiographic union.Results: Absolute Meary angle decreased significantly in both groups (all p < 0.001). Open feet had greater preoperative malalignment (DP 14.8° vs 10.8°, p = 0.019). Postoperative angles did not differ significantly (DP 0.92° vs 1.96°, p = 0.091; LAT 1.38° vs 2.53°, p = 0.073); 32/32 (100%) MIS and 21/24 (87.5%) open feet reached ±5° physiological range (DP, p = 0.073). Union: 32/32 (100%) MIS, 23/24 (95.8%) open.Conclusions: MIS and open TN arthrodesis achieved comparable medial-column re-alignment and union rates, despite greater baseline deformity in the open cohort, complementing previously reported comparable functional outcomes.Level of evidence: III, retrospective comparative cohort study.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148278826","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

CT-confirmed union rates following ankle and hindfoot arthrodesis with and without biological augmentation: A retrospective series. ct证实的踝关节和后足关节融合术合并和不合并生物增强术的愈合率：回顾性研究。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-12 DOI: 10.1016/j.fas.2026.06.003

G Matheron, R Pearse, S Dellis, T L Lewis, M Welck, S Patel, N Cullen, K Malhotra

{"title":"CT-confirmed union rates following ankle and hindfoot arthrodesis with and without biological augmentation: A retrospective series.","authors":"G Matheron, R Pearse, S Dellis, T L Lewis, M Welck, S Patel, N Cullen, K Malhotra","doi":"10.1016/j.fas.2026.06.003","DOIUrl":"https://doi.org/10.1016/j.fas.2026.06.003","url":null,"abstract":"Background: Nonunion remains a major complication after ankle and hindfoot arthrodesis. Biologic augmentation is frequently used to mitigate this risk, but incremental benefit remains unproven. This study evaluated CT-verified union rates performed with and without bone graft and identified factors associated with nonunion.Methods: We retrospectively reviewed 227 consecutive adult ankle and hindfoot arthrodesis with postoperative weight-bearing CT at 12 weeks. Union was defined as ≥ 50% osseous bridging, assessed blinded to graft use. Univariable and multivariable logistic regression evaluated factors associated with nonunion.Results: Overall CT-verified union was 92.5% (210/227). Union did not differ between non-graft and graft procedures (92.4% vs 92.8%; p = 1.00). Previous adjacent hindfoot fusion was the only independent predictor of nonunion (adjusted OR 5.65; 95% CI 1.91-16.68; p = 0.0017). Graft use did not significantly increase union odds (adjusted OR 2.02; 95% CI 0.64-6.42; p = 0.233).Conclusion: High CT-verified union rates are achievable without routine graft use, supporting selective rather than routine biologic augmentation.Level of evidence: Level III - retrospective comparative cohort study.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260160","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 CT-scan confirmed union rates following subtalar and talonavicular arthrodesis through a single medial approach. 高ct扫描证实了距下和距舟关节融合术后通过单一内侧入路的愈合率。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2026-06-03 DOI: 10.1016/j.fas.2026.05.016

Daniel Saraiva, Markus Knupp, Jaeyoung Kim, José Tulha, Margalida Cadena, Xavier Martín Oliva

{"title":"High CT-scan confirmed union rates following subtalar and talonavicular arthrodesis through a single medial approach.","authors":"Daniel Saraiva, Markus Knupp, Jaeyoung Kim, José Tulha, Margalida Cadena, Xavier Martín Oliva","doi":"10.1016/j.fas.2026.05.016","DOIUrl":"https://doi.org/10.1016/j.fas.2026.05.016","url":null,"abstract":"Background: Subtalar (ST) and talonavicular (TN) arthrodesis through a single medial approach is an established technique when dealing with common hindfoot conditions, but evidence of arthrodesis union usually relies on plain radiographs evaluation. The aims of this study were to determine long-term clinical and radiographic outcomes, including computed tomography scan (CT-scan) confirmed union rates, of ST and TN arthrodesis through a single medial approach.Methods: A retrospective cohort study was performed on 36 patients who underwent ST and TN arthrodesis through a single medial approach. Patient satisfaction was assessed as \"very satisfied\", \"satisfied\" and \"unsatisfied\". Clinical evaluation was performed using the Visual Analog Scale (VAS-P) and the Foot and Ankle Outcome Score (FAOS). Radiographic assessment included postoperative CT-scan evaluation to confirm union rates.Results: The mean follow-up was 43 (range, 20-86) months. We registered 30 \"very satisfied\" patients (83.3%), 5 \"satisfied\" patients (13.9%) and 1 \"unsatisfied\" patient (2.8%), as well as statistically significant improvement on both clinical scores tested (p < .05). CT-scan evaluation confirmed fusion of both TN and ST joints on 32 cases (88.9%), TN joint non-union on 4 cases (11.1%) and ST arthrodesis on 36 cases (100%).Conclusion: ST and TN arthrodesis through a single medial approach provide statistically significant clinical and radiographic improvements, as well as CT-scan confirmed high union-rates.Level of clinical evidence: Level III, retrospective cohort study.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165368","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

Endoscopic versus open flexor hallucis longus tendon transfer for reconstruction of chronic achilles tendon rupture: A prospective randomized pilot trial. 内窥镜下与开放式拇长屈肌腱转移重建慢性跟腱断裂：一项前瞻性随机试验。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2026-05-29 DOI: 10.1016/j.fas.2026.05.015

Abdelrahman Abdelsalam Afifi, Ayman Ibrahim Fathy Hewaidy, Ossama AbdelRaof El Shazly, Amr Farouk, Awab Ali Mousa Elaslaby, Mahmoud Ahmed Gamal, Mohamed Ahmed El Mowafi

{"title":"Endoscopic versus open flexor hallucis longus tendon transfer for reconstruction of chronic achilles tendon rupture: A prospective randomized pilot trial.","authors":"Abdelrahman Abdelsalam Afifi, Ayman Ibrahim Fathy Hewaidy, Ossama AbdelRaof El Shazly, Amr Farouk, Awab Ali Mousa Elaslaby, Mahmoud Ahmed Gamal, Mohamed Ahmed El Mowafi","doi":"10.1016/j.fas.2026.05.015","DOIUrl":"https://doi.org/10.1016/j.fas.2026.05.015","url":null,"abstract":"Background: Chronic Achilles tendon rupture often requires surgical reconstruction. Flexor hallucis longus (FHL) tendon transfer is widely used, and endoscopic techniques may reduce soft-tissue morbidity and facilitate early recovery.Methods: Thirty patients with chronic Achilles tendon rupture were randomized to undergo open or endoscopic FHL tendon transfer. Functional outcome was assessed using the Foot and Ankle Ability Measure (FAAM) over 18 months. Secondary outcomes included operative time and wound complications. Exploratory outcomes included postoperative pain assessed by visual analog scale (VAS), duration of analgesic use, and time to return to work.Results: FAAM scores improved significantly in both groups over time (P < .001), with no significant difference between techniques at final follow-up (P = .487). Operative time was significantly longer in the endoscopic group (P < .001). Wound complications occurred only in the open group, affecting 5 of 15 patients (33.3%). Endoscopic reconstruction was associated with shorter duration of analgesic use (P = .007) and earlier return to work (P = .013). VAS pain scores decreased significantly in both groups with no significant between-group differences.Conclusions: Both open and endoscopic FHL tendon transfer provided excellent functional outcomes in the management of chronic Achilles tendon rupture. The endoscopic technique was associated with fewer wound complications and improved early postoperative recovery, despite longer operative time.Level of evidence: Level II, randomized controlled trial (pilot).","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151925","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

Multimodal diagnosis of periprosthetic joint infection after total ankle arthroplasty. 全踝关节置换术后假体周围关节感染的多模式诊断。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2026-05-25 DOI: 10.1016/j.fas.2026.05.013

Kathrin Pfahl, Julia Eder, Veit Krenn, Leon Marcel Faust, Yunjie Zhang, Wolfgang Boecker, Boris M Holzapfel, Markus Walther

{"title":"Multimodal diagnosis of periprosthetic joint infection after total ankle arthroplasty.","authors":"Kathrin Pfahl, Julia Eder, Veit Krenn, Leon Marcel Faust, Yunjie Zhang, Wolfgang Boecker, Boris M Holzapfel, Markus Walther","doi":"10.1016/j.fas.2026.05.013","DOIUrl":"https://doi.org/10.1016/j.fas.2026.05.013","url":null,"abstract":"Background: Diagnosing periprosthetic joint infection (PJI) after total ankle arthroplasty (TAA) remains challenging. This study evaluated clinical, laboratory, imaging, microbiological and histopathological parameters in suspected PJI after TAA. We hypothesized that a multimodal approach improves diagnosis.Methods: This retrospective study included 57 patients with suspected PJI after TAA and applied European Bone and Joint Infection Society (EBJIS) criteria. Pre- and intraoperative parameters were analyzed using correlation, group comparison and L1-regularized logistic regression.Results: 33 patients were classified as infection unlikely, 5 as likely, and 19 as confirmed. Strong associations with PJI were observed for 99mTc-SPECT/CT (rs = 0.88), synovial neutrophil percentage, blood culture positivity, microbiology, histology, and sonication (all p < .001).Conclusions: Clinical signs, synovial fluid analysis, microbiology, histology, sonication, and 99mTc-SPECT/CT showed substantial discriminatory value and support a multimodal diagnostic strategy in suspected ankle PJI.Levels of evidence: Level IV.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057540","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