Journal of Foot and Ankle Research最新文献

{"title":"Social Determinants of Diabetes-Related Foot Ulcer Healing and Amputation in Australia: A Systematic Review.","authors":"Tsz Long Chan, Sean Sadler, Angela Searle, Kym Hennessy, Sean Lanting, Vivienne Chuter","doi":"10.1002/jfa2.70107","DOIUrl":"10.1002/jfa2.70107","url":null,"abstract":"<p><strong>Introduction: </strong>In Australia, approximately 50,000 people suffer from diabetes-related foot ulcers (DFU) with another 300,000 people at risk each year. Evidence suggests that social determinants of health may impact DFU outcomes; however, systematic evaluation of studies is lacking. The aim of this systematic review was to evaluate studies investigating the impact of social determinants of health on DFU outcomes.</p><p><strong>Methods: </strong>MEDLINE, EMBASE, CINAHL and Scopus were searched from inception to December 2024. Original published studies conducted in Australia investigating the impact of social determinants of health on DFU outcomes, such as wound healing, hospital admission and amputation, were potentially eligible for inclusion. Social determinants of health had to meet the World Health Organisation definition. Authors independently screened studies for inclusion, extracted data and assessed risk of bias using the Quality in Prognostic Studies tool.</p><p><strong>Results: </strong>Twelve studies which investigated socioeconomic status (n = 5), geographical remoteness (n = 5) and access to healthcare services (n = 7) and their impact on DFU outcomes were included. Socioeconomic disadvantage and geographic remoteness were associated with worse DFU outcomes including longer healing times and increased rates of amputation. Access to health services, which aligned with guideline recommendations, was associated with improved DFU healing outcomes.</p><p><strong>Conclusions: </strong>Social determinants of health impact DFU outcomes and are important for clinicians, policy makers and researchers to consider in the design and delivery of health care services. Further research is needed to explore the impact of social determinants of health on a broader range of DFU outcomes and across diverse geographical settings.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 1","pages":"e70107"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12894064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Outcomes of Percutaneous Needle Tenotomy Performed by a Podiatrist Versus an Orthopaedic Surgeon in the Management of Toe Ulcers.","authors":"Adrian Heald, Sangeeth Priyadarshan Veluchamy Rathakrishnan, Jessica Blong, Andrew Sharpe, Andy Gorman, Edward Jude, Mike Stedman, Adam Robinson, Neil D Reeves, Edward Gee, Matthew Allen","doi":"10.1002/jfa2.70123","DOIUrl":"10.1002/jfa2.70123","url":null,"abstract":"<p><strong>Background: </strong>Foot ulceration is a debilitating and often disabling complication of diabetes mellitus, with negative prognostic associations in terms of morbidity and mortality. Percutaneous needle tenotomy (PNT) is increasingly recognized as a safe, minimally invasive procedure for treating tendon-related deformities, including mechanical forefoot ulceration. This study evaluated clinical outcomes of needle flexor tenotomies performed by a podiatrist versus an orthopaedic surgeon.</p><p><strong>Methods: </strong>This service evaluation reviewed consecutive adult patients with foot ulceration who received needle tenotomy by a senior podiatrist, excluding those who underwent alternative procedures/amputation. Orthopaedic surgeon conducted tenotomy was the comparison group.</p><p><strong>Results: </strong>Podiatrist: 30 patients underwent needle tenotomy (total-31 feet) (23 patients had diabetes). Orthopaedic surgeon: 10 patients underwent needle tenotomy (total-12 feet). Median age was 71.5 years (range: 39.0-92.0), with 8 males/2 females. (8 patients had diabetes). The podiatrist-led group was older and had higher HbA1c, greater proportion of smokers, larger ulcer size and longer ulcer duration pre-intervention (median 54 vs. 20 weeks and p = 0.002) than the orthopaedic surgeon-led group. Despite these differences in disease severity, time to ulcer resolution (median 4.7 vs. 2 weeks, p = 0.119) and the rate of complete healing (86.7% vs. 100% and p = 0.556) did not differ significantly between groups.</p><p><strong>Conclusion: </strong>The lowest cost of the minor surgical foot procedure as a day case = £554 (€662) with this cost at least halved by conducting the procedure in a podiatry clinic. In conclusion, podiatrist-led percutaneous needle tenotomy is a safe and effective intervention for foot ulcers, achieving healing outcomes comparable to an orthopaedic surgeon. We hope that the procedure can be adopted more widely.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 1","pages":"e70123"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12883254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Australian Podiatry Research in Paediatrics: A Bibliometric Analysis.","authors":"Helen A Banwell, Peta Tehan, Matthew Carroll, Cylie M Williams","doi":"10.1002/jfa2.70143","DOIUrl":"10.1002/jfa2.70143","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to undertake a bibliographic analysis of foot and lower leg research relating to paediatric podiatry by Australian or affiliated Australian authors.</p><p><strong>Methods: </strong>The Scopus database search was conducted to identify all foot and lower limb research articles involving an Australian cohort of participants, published by Australian authors, or those affiliated with Australian institutions, pertaining to paediatric podiatry, in English from 1970 to 2024. We used bibliometric analysis through an open-source tool based on the R language. We described citations, journals, authors and institutions; countries and publications were manually categorised according to research type, level of evidence and funding source.</p><p><strong>Results: </strong>The search strategy yielded 280 eligible articles, which received a total of 8331 citations and were published by 793 authors in 104 journals. The most frequent journal was Gait & Posture (35 articles; 12%), and the most published institution was the University of Sydney (170 affiliations). Most of the Australian paediatric articles published focused on detection, screening and diagnosis (n = 70, 25%) and only 33 articles (12%) provided Level I evidence. Seventy-three paediatric articles (25%) received Category 1 funding; 154 articles (55%) reported no research funding.</p><p><strong>Conclusion: </strong>Paediatric podiatry research represents 17% of Australian foot and lower limb research. Despite the smaller population base, paediatric research attracts a high level of engagement, moderate citation rates and low funding rates when compared to adult population studies. Paediatric podiatry research is primarily produced via Level 3 evidence. This highlights the need for an increase in the robustness of research methodologies in paediatric podiatry research to strengthen the quality and applicability of evidence informing clinical care for children and adolescent populations.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 1","pages":"e70143"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13097461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability of Minimalist Shoes Compared With Balance-Enhancing Shoes in Older Women: Protocol for a Randomised Crossover Trial.","authors":"Ameer Nor Azhar, Shan M Bergin, Shannon E Munteanu, Hylton B Menz","doi":"10.1002/jfa2.70129","DOIUrl":"10.1002/jfa2.70129","url":null,"abstract":"<p><strong>Introduction: </strong>Falls are a major concern for older women and can result in significant injury. Footwear has been shown to improve or impair balance performance in older women, contingent upon footwear design features. Balance-enhancing shoes may reduce the risk of falling but their acceptability is unknown. Acceptability is important because it influences the level of adherence to the intervention. The aim of this trial protocol is to describe the methodology of a randomised crossover trial to compare the acceptability of balance-enhancing outdoor shoes versus minimalist outdoor shoes in older women and compare the effects of these two interventions on the perceived risk of falling and balance performance.</p><p><strong>Methods: </strong>The trial will use a randomised two-period crossover trial methodology. We will recruit 44 community-dwelling women aged 65 years or older who will be randomised to receive a pair of minimalist shoes (Basic Lace Up Canvas Shoes, Kmart Australia Ltd, Mulgrave, Australia) or a pair of balance-enhancing shoes (Balla Balance Leather Lace Up Boots, Ziera Australia, Abbotsford, Australia), which encompass key features known to be beneficial for balance such as adequate fixation, a firm heel counter, high heel collar, firm midsole and textured insole. The order of the interventions will be randomised. Cross-over to the second shoe condition will occur at 6 weeks. Outcome measures will be collected at baseline, six and 12 weeks; the primary endpoint for assessing footwear acceptability for each shoe condition will be 6 weeks. The primary outcome measure will be footwear acceptability, evaluated using a modified version of the Monitor Orthopaedic Shoes Questionnaire. Secondary outcome measures include perceived risk of falling (the Falls Efficacy Scale International) and balance performance (upper body stability when walking, using the GyKo wearable sensor).</p><p><strong>Discussion: </strong>This trial will evaluate the acceptability, perceived risk of falling and balance performance of minimalist shoes versus balance-enhancing shoes. The findings will provide much-needed evidence as to the acceptability of these two shoe types in older women. Such information may support footwear design to increase balance performance and reduce risk of falling.</p><p><strong>Trial registration: </strong>Australian and New Zealand Clinical Trial Registry (ACTRN12624001496505).</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 1","pages":"e70129"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12893392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Use of Anti-Pronation Insoles Enhances Inter-Joint Coordination in Individuals With Flat Feet.","authors":"Negin Soltani, Mahdi Majlesi, Ali Fatahi","doi":"10.1002/jfa2.70124","DOIUrl":"10.1002/jfa2.70124","url":null,"abstract":"<p><strong>Background: </strong>Flatfoot alters lower limb biomechanics and can negatively affect interjoint coordination during gait. Antipronation insoles are commonly prescribed to correct excessive foot pronation, yet their long-term effects on interjoint coordination remain unclear. This study aimed to examine whether prolonged use of antipronation insoles improves interjoint coordination in individuals with flat feet.</p><p><strong>Methods: </strong>Twenty-four participants (12 with flat feet and 12 with normal arches) were included. Spatiotemporal and interjoint coordination parameters were evaluated under four gait conditions: normal gait (NG), posttest normal gait (PNG), walking with shoes (SH), and posttest walking with shoes (PSH). Gait kinematics and kinetics were recorded using a motion capture system and force plates. All participants completed a baseline gait assessment, after which the flat foot group (FFG) underwent a 6-week intervention with antipronation insoles. A follow-up gait assessment was conducted for both groups to determine the long-term effects of insole use. Interjoint coordination was analyzed using the vector coding technique.</p><p><strong>Results: </strong>Following 6 weeks of insole use, the flat-foot group showed phase-dependent changes in ankle-hip coordination, with lower coupling angles than controls during loading response and swing and higher angles during push-off under the normal-gait condition (p ≤ 0.01 and η²p = 0.28-0.33). Changes in ankle-knee and knee-hip coordination were smaller and generally limited to specific gait phases. Insoles produced an overall increase in coupling angles across conditions, reflecting these phase-specific effects. Spatiotemporal analysis showed longer single-support times in controls, longer double-support times in the flat-foot group with insoles, greater baseline stride length in controls, and no between-group difference in walking speed.</p><p><strong>Conclusion: </strong>Long-term use of antipronation insoles improves interjoint coordination in distal lower limb joints and may contribute to a more conservative or steadier gait pattern in individuals with flat feet as reflected by phase-specific changes in spatiotemporal parameters. However, their limited influence on proximal joints underscores the need for complementary interventions, such as targeted rehabilitation exercises.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 1","pages":"e70124"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12789046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Australian High-Risk Foot Podiatrists' Understanding of Recurrent and Contralateral Charcot Neuroarthropathy in Individuals With Diabetes Mellitus: A Qualitative Study.","authors":"Keet Yeng Cheong, Karl B Landorf, Shannon E Munteanu, Shan M Bergin","doi":"10.1002/jfa2.70109","DOIUrl":"10.1002/jfa2.70109","url":null,"abstract":"<p><strong>Introduction: </strong>Charcot neuroarthropathy (CN) can result in severe destruction of the foot and the ankle. Additional episodes of acute CN in the same or contralateral foot cause additional burden. This study aimed to explore Australian high-risk foot podiatrists' understanding of recurrent and contralateral CN in individuals with diabetes.</p><p><strong>Methods: </strong>Semi-structured online interviews were conducted. Interviews were audio-recorded and transcribed. Thematic content analysis was used.</p><p><strong>Results: </strong>Five themes were identified in relation to recurrent and contralateral CN-two were related to potential risk factors: patients and systems and addressing clinical complexity, two were related to preventive interventions: protection as prevention and knowledge and surveillance and one was related to barriers to implementing preventive interventions: financial and personal endurance. The most reported risk factors were reduced adherence to management and lack of knowledge. Many preventive interventions were reported, but there was a lack of consensus on standardised care, and due to significant barriers, these interventions were not frequently used.</p><p><strong>Conclusion: </strong>This study found that participants perceived a range of potential risk factors for recurrent and contralateral CN. They also reported a variety of preventive interventions; however, due to associated barriers, these were not frequently applied. Further rigorous research is needed to develop evidence-based guidelines.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 1","pages":"e70109"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12856057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Podiatry Students' Understanding of Foot Arch Through Footprint Activity.","authors":"Angela Jacques, Fatemeh Chehrehasa","doi":"10.1002/jfa2.70151","DOIUrl":"10.1002/jfa2.70151","url":null,"abstract":"<p><strong>Background: </strong>Understanding the structural anatomy and biomechanics of the foot arches is essential for podiatry students due to its clinical relevance in diagnosing conditions such as Pes Planus and Pes Cavus. The foot arches form a flexible base that supports body weight, absorbs shock and functions as a spring lever during activities such as walking and jumping. Therefore, understanding this anatomical knowledge is fundamental for podiatry students for maintaining foot health and supporting clinical assessment and treatment planning. Traditional pedagogical methods often face limitations due to cost, accessibility and emotional or cultural barriers.</p><p><strong>Methods: </strong>To address these challenges, the footprint practical activity (FPA) was introduced as a hands-on, cost-effective and inclusive pedagogical strategy. Students collected their footprints and analysed two-dimensional footprints to interpret three-dimensional foot arch structures using Staheli's and Chippaux-Smirak indices. Educational impact was assessed by comparing overall grades between pre- (2020) and post-implementation (2023) cohorts.</p><p><strong>Results: </strong>Implementation of the FPA resulted in a 12% improvement in academic outcomes. Student feedback highlighted enhanced anatomical comprehension and appreciation of clinical relevance, supporting the effectiveness of the intervention. The diagnostic tools used in the activity, Staheli's index and the Chippaux-Smirak index, showed consistent classification outcomes.</p><p><strong>Conclusion: </strong>The finding supports the integration of footprint-based analysis into lower limb anatomy education as a clinically relevant student-centred approach. The FPA enhances student engagement, supports anatomical learning and facilitates the teaching of foot arch variation, offering a valuable alternative to traditional pedagogical methods in podiatry anatomy education.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 1","pages":"e70151"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13097605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Outcomes of First Metatarsophalangeal Joint Arthrodesis Using the BOFAS Registry: A Prospective Cohort Study.","authors":"Ferozkhan Jadhakhan, Makwana Nilesh, Mason Lyndon, Halliwell Paul, Rushton Alison","doi":"10.1002/jfa2.70084","DOIUrl":"10.1002/jfa2.70084","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the quality and clinical outcomes of the British Orthopaedic Foot and Ankle Society (BOFAS) registry first metatarsophalangeal joint (MTPJ) arthrodesis pathway.</p><p><strong>Methods: </strong>A prospective cohort study using data derived from the BOFAS registry. Adults aged ≥ 18 years with a record of undergoing first MTPJ arthrodesis in the UK from 29/08/2014 to 31/10/2019. The pre- and post-treatment pathway was evaluated by analysing Patient Reported Outcome Measures (PROMs) at baseline, 6 months and 12 months intervals. Consistency of data capture and completeness were explored using means, SD, medians and IQR for continuous variables and frequencies for categorical variables.</p><p><strong>Results: </strong>The mean age of the study population (n = 459) was 64.1 (± 12.1) years and 98.9% of the study cohort were female. Completeness of data collection was low for some items (e.g., medication 46%, surgical procedures 52%). Baseline completion of PROMs was moderate with 52.5% of participants providing MOXFQ (Manchester-Oxford Foot Questionnaire) pain and walking/standing scores at baseline. However, follow-up response rates declined substantially to 27.2% at 6 months and 15.7% at 12 months. Improvement in PROMs by 12 months following surgery was statistically and clinically significant (p < 0.001), with median scores of 10 [IQR: 0-20] for MOXFQ pain, 5.5 [0-21] for walking/standing, 0 [0-19] for social interaction, 5 [1-31] for NRS pain and 0.8 [0.7-1.0] for EQ-5D-5L.</p><p><strong>Conclusion: </strong>The analysis highlights the clinical benefits of first metatarsophalangeal joint (first MTPJ) fusion surgery, with improvements in pain intensity, walking/standing ability, social interaction and quality of life. The BOFAS registry serves as a valuable tool for collecting patient-reported outcome measure (PROM) data, providing important insights into treatment effectiveness and participant well-being. Strengthening the data collection capabilities of the BOFAS registry could further enhance our understanding of the benefits of first MTPJ fusion and inform future treatment strategies.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 4","pages":"e70084"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and Feasibility of the Plantar Portal Technique in the Surgical Management of Plantar Fasciitis: A Cadaveric Study.","authors":"Edip Yilmaz, Tahir Koray Yozgatli, Alp Aktekin, Ozer Ozturk, Mustafa Aktekin, Baris Kocaoglu","doi":"10.1002/jfa2.70105","DOIUrl":"10.1002/jfa2.70105","url":null,"abstract":"<p><strong>Introduction: </strong>This study investigates the proximity of the portals and nearby motor and sensory nerves in endoscopic release of the plantar fascia and the safety and efficacy of the addition of a novel third (plantar) portal to improve access to the calcaneal spur.</p><p><strong>Methods: </strong>Nine fresh-frozen lower extremity cadavers were examined in this study. In addition to the conventional medial and lateral portals for endoscopic plantar fascia release, a third (plantar) portal was utilized to debride the calcaneal spur area. The fascia was released with the use of an obturator cannula. Each cadaver was carefully dissected, the distance of the nerves to the portals and the obturator cannula was measured with a digital caliper, and the adequacy of the plantar fascial cut was evaluated. The nerves were examined along their course to check for any injuries.</p><p><strong>Result: </strong>The closest distance between the lateral plantar nerve and the plantar portal was 15.3 ± 1.47 mm, and the obturator cannula was 10.53 ± 1.50 mm. The closest distance between the first branch of the lateral plantar nerve (Baxter's nerve) and the obturator cannula was 10.02 ± 0.65 mm. The closest distance between Baxter's nerve and the calcaneal spur area was 8.21 ± 1.12 mm. There was no evidence of nerve or muscle injury in the dissected cadavers.</p><p><strong>Conclusions: </strong>Using the plantar portal in conjunction with conventional portals in endoscopic plantar fasciitis surgery can be advantageous, as it provides easier access to the calcaneal spur and is safe in terms of its distance from the nearby neural structures.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 4","pages":"e70105"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12718177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Change of Footwear Limits Performance and Alters Foot Strike Patterns During Anticipated and Unanticipated 90° Change of Direction.","authors":"Stanislav Dimitri Siegel, Mareike Sproll, Konstantin Warneke, Joel Mason, Astrid Zech","doi":"10.1002/jfa2.70103","DOIUrl":"10.1002/jfa2.70103","url":null,"abstract":"<p><strong>Background: </strong>Footwear influences performance and injury risk during change-of-direction (COD) movements. However, few studies have investigated how different shoe types influence COD biomechanics, particularly under ecologically valid conditions such as at sharp angles and under unanticipated conditions. This study examined the impact of barefoot, minimalist, and standard sport shoes on biomechanical and performance parameters during 90° COD tasks.</p><p><strong>Methods: </strong>Forty-one participants (14 females and 27 males) completed a randomized crossover study, performing anticipated and unanticipated 90° COD tasks under three footwear conditions: barefoot, minimalist shoes, and habitual standard sport shoes. Kinematic, kinetic, and lower leg muscle activity data were collected using motion capture, force plates, and surface electromyography.</p><p><strong>Results: </strong>Standard sport shoes resulted in faster COD completion times, significantly higher approach velocity, and greater braking and propulsion forces than minimalist and barefoot condition (p < 0.05). Minimalist and barefoot condition led to altered foot strike patterns, reduced knee flexion, and lower GRF magnitudes. Unanticipated trials increased neuromuscular demand, reducing approach velocity and altering GRF distribution across all footwear conditions. After controlling for approach velocity, footwear effects remained significant in most kinetic and kinematic measures.</p><p><strong>Conclusion: </strong>These findings highlight the importance of footwear choice for performance and biomechanical outcomes during challenging COD tasks.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 4","pages":"e70103"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12675306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}