Foot and Ankle Surgery最新文献_第8页

Automation improves the efficiency of weightbearing CT scan 3D volumetric assessments of the syndesmosis. 自动化提高了负重 CT 扫描三维巩膜容积评估的效率。

IF 2.5 3区医学

Foot and Ankle Surgery Pub Date : 2024-05-22 DOI: 10.1016/j.fas.2024.05.010

Soheil Ashkani-Esfahani, Olivia Lucchese, Rohan Bhimani, Atta Taseh, Gregory Waryasz, Gino M M Kerkhoffs, Mario Maas, Christopher W DiGiovanni, Daniel Guss

{"title":"Automation improves the efficiency of weightbearing CT scan 3D volumetric assessments of the syndesmosis.","authors":"Soheil Ashkani-Esfahani, Olivia Lucchese, Rohan Bhimani, Atta Taseh, Gregory Waryasz, Gino M M Kerkhoffs, Mario Maas, Christopher W DiGiovanni, Daniel Guss","doi":"10.1016/j.fas.2024.05.010","DOIUrl":"https://doi.org/10.1016/j.fas.2024.05.010","url":null,"abstract":"<p><strong>Background: </strong>Weight-bearing CT (WBCT) 3D volumetric measurement has shown promising accuracy for the diagnosis of syndesmotic instability. However, these measurements are rather complex and time-consuming, rendering them a clinically unfavorable option. We hypothesized that automatized measurements would be more accurate and time-efficient than manual ones.</p><p><strong>Methods: </strong>Thirty cases of intraoperatively confirmed syndesmotic instability along with thirty individuals with no injuries to the ankle joint were recruited as cases and controls, retrospectively. Two observers conducted the manual volumetric measurements two times, at a one-week interval. An automated algorithm for 3D WBCT measurements was developed to conduct the measurements on the axial images. The time spent on each method was recorded. Mann-Whitney U test was used to compare the values between human raters and computers. Inter- and intra-class reliability were calculated.</p><p><strong>Results: </strong>The intra-class correlation coefficient was found to be \"excellent\" for the automated measurements (0.97) and \"good\" for the observers (0.75). Similarly, the Cronbach's alpha was shown to be higher for the computer (0.88) than the observers (0.60 and 0.62). The mean time spent on the measurements was different between human raters and the computer-assisted method (p < 0.001).</p><p><strong>Conclusion: </strong>Automated volumetric assessment of syndesmosis seems to be a faster and more reliable option than the manual one. We suggest future larger-scale prospective studies conducted under actual clinical circumstances for more definitive conclusions.</p><p><strong>Level of evidence: </strong>Retrospective case-control study - Level 3.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141092266","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

Advancing treatment strategies for posterior malleolar malunion: The ankle dislocation method. 推进踝关节后错位的治疗策略：踝关节脱位法

IF 2.5 3区医学

Foot and Ankle Surgery Pub Date : 2024-05-22 DOI: 10.1016/j.fas.2024.05.009

Guo-Dong Shen, Wen-Bo Bai, Bao-Li Zou, Zhi-Bin Lai, Kang-Yong Yang, Hong-Ning Zhang, Zhi-Qiang Xu, Yong-Zhan Zhu

{"title":"Advancing treatment strategies for posterior malleolar malunion: The ankle dislocation method.","authors":"Guo-Dong Shen, Wen-Bo Bai, Bao-Li Zou, Zhi-Bin Lai, Kang-Yong Yang, Hong-Ning Zhang, Zhi-Qiang Xu, Yong-Zhan Zhu","doi":"10.1016/j.fas.2024.05.009","DOIUrl":"https://doi.org/10.1016/j.fas.2024.05.009","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to assess the radiological and clinical outcomes of treatment using the ankle dislocation method for posterior malleolar malunion.</p><p><strong>Method: </strong>Thirty-one patients with posterior malleolar malunion who underwent treatment using the ankle dislocation method from May 2015 to October 2021 were retrospectively analyzed. Key outcome measures were radiographic parameters (articular step-off, tibiofibular clear space, fibular length, tibial lateral surface angle, and ankle osteoarthritis), clinical scores (American Orthopaedic Foot and Ankle Society ankle-hindfoot scale and Visual Analogue Scale), and patient satisfaction rate.</p><p><strong>Result: </strong>Preoperative computed tomography revealed that Bartoní ček types 3 and 4 accounted for 64.5 % (n = 20) of total cases. Most posterior malleolar malunions were accompanied by depressed intercalary fragments (61.2 % [n = 19]). At the final follow-up, radiographic parameters and clinical scores showed significant improvements postoperatively (P < 0.05), with a high patient satisfaction rate of 77.4 %. Subgroup analysis revealed that the posterior malleolar fracture morphology significantly affected postoperative pain, particularly in more complex fractures (P < 0.001).</p><p><strong>Conclusion: </strong>The ankle dislocation method effectively exposes the distal tibial articular surface and facilitates the anatomical restoration of joint congruity under direct vision. This approach substantially improves the clinical and imaging outcomes in patients with complex posterior malleolar malunion.</p><p><strong>Levels of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094702","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

Survival and complications of transfibular trabecular metal total ankle replacement − A systematic review 经骨小梁金属全踝关节置换术的存活率和并发症 - 系统性综述

IF 1.9 3区医学

Foot and Ankle Surgery Pub Date : 2024-05-18 DOI: 10.1016/j.fas.2024.05.007

引用次数: 0

Comparison of visibility in needle arthroscopy of the ankle according to surgical experience: A cadaveric study. 根据手术经验比较针式踝关节镜检查的可见度：尸体研究。

IF 2.5 3区医学

Foot and Ankle Surgery Pub Date : 2024-05-16 DOI: 10.1016/j.fas.2024.05.005

Jumpei Inoue, Youichi Yasui, Jun Sasahara, Tetsuya Takenaga, Myongsu Ha, Wataru Miyamoto, Hirotaka Kawano, Hideki Murakami, Masahito Yoshida

{"title":"Comparison of visibility in needle arthroscopy of the ankle according to surgical experience: A cadaveric study.","authors":"Jumpei Inoue, Youichi Yasui, Jun Sasahara, Tetsuya Takenaga, Myongsu Ha, Wataru Miyamoto, Hirotaka Kawano, Hideki Murakami, Masahito Yoshida","doi":"10.1016/j.fas.2024.05.005","DOIUrl":"https://doi.org/10.1016/j.fas.2024.05.005","url":null,"abstract":"<p><strong>Background: </strong>Literature regarding the feasibility of inexperienced surgeons using needle arthroscopy is limited. The present study aimed to clarify the feasibility of performing ankle needle arthroscopy for inexperienced surgeons.</p><p><strong>Methods: </strong>Diagnostic needle arthroscopy was performed for 10 cadaveric ankles by two surgeons with different levels of experience in ankle arthroscopy (inexperienced and expert surgeons). The visibility of arthroscopy was assessed based on a 15-point checklist and compared between surgeons. In addition, iatrogenic articular cartilage injury created by the inexperienced surgeon was investigated.</p><p><strong>Results: </strong>The number of visible points was significantly larger for the expert surgeon than for the inexperienced surgeon (14.1 ± 1.0 vs. 13.7 ± 1.0, P = 0.035). The location of cartilage injury was greatest on the medial talar dome when viewing from the anteromedial portal at a rate of 30%.</p><p><strong>Conclusion: </strong>Ankle needle arthroscopy may be an option for surgeons in the future, however, differences in surgeon experience may impact effective visualization.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960306","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 visibility in needle arthroscopy of the ankle according to surgical experience: A cadaveric study 根据手术经验比较针式踝关节镜检查的可见度：尸体研究

IF 1.9 3区医学

Foot and Ankle Surgery Pub Date : 2024-05-16 DOI: 10.1016/j.fas.2024.05.005

{"title":"Comparison of visibility in needle arthroscopy of the ankle according to surgical experience: A cadaveric study","authors":"","doi":"10.1016/j.fas.2024.05.005","DOIUrl":"10.1016/j.fas.2024.05.005","url":null,"abstract":"<div><h3>Background</h3><p>Literature regarding the feasibility of inexperienced surgeons using needle arthroscopy is limited. The present study aimed to clarify the feasibility of performing ankle needle arthroscopy for inexperienced surgeons.</p></div><div><h3>Methods</h3><p><span>Diagnostic needle arthroscopy was performed for 10 cadaveric ankles by two surgeons with different levels of experience in ankle arthroscopy (inexperienced and expert surgeons). The visibility of arthroscopy was assessed based on a 15-point checklist and compared between surgeons. In addition, iatrogenic </span>articular cartilage injury created by the inexperienced surgeon was investigated.</p></div><div><h3>Results</h3><p>The number of visible points was significantly larger for the expert surgeon than for the inexperienced surgeon (14.1 ± 1.0 vs. 13.7 ± 1.0, P = 0.035). The location of cartilage injury was greatest on the medial talar dome when viewing from the anteromedial portal at a rate of 30%.</p></div><div><h3>Conclusion</h3><p>Ankle needle arthroscopy may be an option for surgeons in the future, however, differences in surgeon experience may impact effective visualization.</p></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031468","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

Retromalleolar groove morphology of the tibialis posterior tendon (TPT) in patients without TPT pathology evaluated by axial computed tomography scans 通过轴向计算机断层扫描评估无胫骨后肌腱（TPT）病变患者的胫骨后肌腱（TPT）后沟形态。

IF 1.9 3区医学

Foot and Ankle Surgery Pub Date : 2024-05-15 DOI: 10.1016/j.fas.2024.05.006

{"title":"Retromalleolar groove morphology of the tibialis posterior tendon (TPT) in patients without TPT pathology evaluated by axial computed tomography scans","authors":"","doi":"10.1016/j.fas.2024.05.006","DOIUrl":"10.1016/j.fas.2024.05.006","url":null,"abstract":"<div><h3>Background</h3><p>This study aimed to evaluate the shape of the retromalleolar groove of the tibialis posterior tendon (TPT) using computed tomography (CT).</p></div><div><h3>Methods</h3><p>CT images of patients with foot or ankle pathologies were retrospectively reviewed. The morphology of the retromalleolar groove of the TPT was assessed at two different levels: the ankle joint and 10 mm above the ankle joint. The groove shape was classified into three types; concave, flat, or irregular. In cases with concave grooves, the width and depth of the grooves were measured.</p></div><div><h3>Results</h3><p>Of the 116 ankles from 116 subjects included in this study, 80.2 % showed a shallow concave shape (mean depth, 1.6 mm) at the two scan levels. The shape and width of the groove differed significantly by gender, although there was no significant difference in the groove depth.</p></div><div><h3>Conclusion</h3><p>Approximately 80% showed a shallow concave groove of the TPT. The groove characteristics differed by gender, although there was no significant difference in the groove depth.</p></div><div><h3>Level of evidence</h3><p>Cross-sectional cohort study; Level of evidence, Ⅳ</p></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960265","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

Cartiva interpositional arthroplasty versus arthrodesis in the treatment of Hallux rigidus: A retrospective comparative study with mean 2 year follow up Cartiva关节间置换术与关节固定术在治疗Hallux僵直症中的对比：一项平均随访两年的回顾性比较研究。

IF 1.9 3区医学

Foot and Ankle Surgery Pub Date : 2024-05-10 DOI: 10.1016/j.fas.2024.05.003

{"title":"Cartiva interpositional arthroplasty versus arthrodesis in the treatment of Hallux rigidus: A retrospective comparative study with mean 2 year follow up","authors":"","doi":"10.1016/j.fas.2024.05.003","DOIUrl":"10.1016/j.fas.2024.05.003","url":null,"abstract":"<div><h3>Background</h3><p><span>Hallux rigidus is a common condition characterised by first </span>metatarsophalangeal joint<span><span> (MTPJ) degeneration, pain and limited range of motion (ROM). The gold standard surgical treatment is arthrodesis, providing good pain relief, but sacrifices ROM. The Cartiva synthetic cartilage implant (SCI) has been utilised as an interpositional </span>arthroplasty, aiming to reduce pain whilst preserving range of motion. Current evidence for Cartiva SCI is limited. The aim was to evaluate the clinical outcomes of Cartiva SCI compared to arthrodesis undertaken in our centre.</span></p></div><div><h3>Methods</h3><p><span>A retrospective cohort study was conducted, enrolling all adult patients who underwent primary first MTPJ SCI arthroplasty or arthrodesis for the treatment </span>hallux rigidus. The primary outcome was a validated patient-reported outcome measure (PROM), the Manchester-Oxford Foot Questionnaire (MOXFQ). Secondary outcomes included EQ-5D, complication rates, VAS Pain and FAAM (ADL).</p></div><div><h3>Results</h3><p>Between 2017 and 2020 there were 33 cases divided into two groups (17 Cartiva SCI, 16 arthrodesis, mean age 59.0 ± 9.9 years) with a mean follow up of 2.3 years. There was no statistically significant difference in any of the MOXFQ, EQ-5D, VAS Pain or FAAM (ADL) outcome scores between the Arthrodesis and SCI groups (p > 0.05). The mean MOXFQ Index score was 7.2 ± 6.4 for the SCI group and 3.9 ± 5.8 for the Arthrodesis group at final follow up (p = 0.15). Although complications were high in both groups, the overall hallux reoperation rate was 29.4 % in the SCI cohort and 0.0 % for arthrodesis.</p></div><div><h3>Conclusion</h3><p>This retrospective comparative study found no significant superiority of Cartiva SCI over arthrodesis in terms of PROMs. Due to the higher rate of further surgical intervention in the SCI cohort, we recommend arthrodesis as the preferred surgical option for hallux rigidus.</p></div><div><h3>Level of evidence</h3><p>III</p></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140921752","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 classification of lateral malleolus morphological characteristics based on three-dimensional computed tomography reconstruction 基于三维计算机断层扫描重建的外侧踝骨形态特征新分类。

IF 1.9 3区医学

Foot and Ankle Surgery Pub Date : 2024-05-10 DOI: 10.1016/j.fas.2024.05.002

引用次数: 0

Cannulated Screws versus Nitinol Staple for Tarsometatarsal Fusion: A Cadaveric Biomechanical Comparison Model 跖跗关节融合术中的套管螺钉与镍钛诺钉：尸体生物力学比较模型

IF 2.5 3区医学

Foot and Ankle Surgery Pub Date : 2024-05-01 DOI: 10.1016/j.fas.2024.05.011

Temitope Adebayo, Zachary A. Koroneos, Erdi Özdemir, Alexander S. Herrin, Sherif El Akkari, Gregory Lewis, Umur Aydogan

引用次数: 0

Retromalleolar groove morphology of the tibialis posterior tendon (TPT) in patients without TPT pathology evaluated by axial computed tomography scans 通过轴向计算机断层扫描评估无胫骨后肌腱（TPT）病变患者的胫骨后肌腱（TPT）后沟形态

IF 2.5 3区医学

Foot and Ankle Surgery Pub Date : 2024-05-01 DOI: 10.1016/j.fas.2024.05.006

Takuji Yokoe, Fan Yang, T. Tajima, N. Yamaguchi, Yudai Morita, E. Chosa

引用次数: 0