Journal of Foot and Ankle Research最新文献

{"title":"The Sacred Connection of the Feet (Te Tuhono Tapu o ngā Waewae): The Cultural and Spiritual Impact of Diabetes-Related Lower Limb Amputation Among Māori.","authors":"Cynthia Otene, Belinda Ihaka, Matthew R Carroll","doi":"10.1002/jfa2.70167","DOIUrl":"10.1002/jfa2.70167","url":null,"abstract":"<p><p>Diabetes prevalence in Aotearoa New Zealand is rising rapidly, disproportionately affecting Māori communities and contributing to significantly higher rates of diabetes-related lower limb amputations. These inequities reflect systemic issues such as colonisation, racism, and limited access to culturally safe care rather than clinical factors alone. Embedding tikanga (Māori customs) within podiatry foot screening offers a pathway to culturally responsive practice that honours Māori spiritual, physical, and cultural well-being. Integrating Rongoā Māori (traditional healing) and whānau-centred approaches alongside biomedical care can improve engagement and outcomes, whereas marae-based and community-led models enhance accessibility and trust. Workforce development in cultural safety is essential to uphold Te Tiriti o Waitangi obligations of equity, partnership, and protection. Culturally grounded podiatry services not only reduce the risk of amputation but also restore connections to tūrangawaewae (place of belonging) and whakapapa (genealogy), ensuring that care is meaningful and effective for Māori communities.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 2","pages":"e70167"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984182","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":"Effect of Long-Term Non-Weight Bearing on the Morphology and Function of the Heel Fat Pad.","authors":"Toshihiro Maemichi, Masatomo Matsumoto, Toshiharu Tsutsui, Tsukasa Kumai","doi":"10.1002/jfa2.70157","DOIUrl":"10.1002/jfa2.70157","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the effects of long-term non-weight-bearing conditions, including prolonged bedridden states, on the morphology and function of the heel fat pad.</p><p><strong>Methods: </strong>We recruited 13 elderly individuals bedridden for over 1 year (BR group) and 89 age-matched healthy controls (CON group) living independently. Using diagnostic ultrasound imaging, we measured the thickness of the microchamber, macrochamber, and whole layers of the heel fat pad under non-compressed and compressed conditions.</p><p><strong>Results: </strong>Significant reductions in both non-compressed and compressed thicknesses were observed across all layers in the BR group. Furthermore, a significant negative correlation was observed between age and thickness change in the BR group, whereas no such correlation was observed in the CON group.</p><p><strong>Conclusion: </strong>Long-term non-weight-bearing was associated with morphological changes and functional deterioration in the heel fat pad. These findings suggest that prolonged unloading may influence heel fat pad morphology, which may be relevant when considering weight-bearing management.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 2","pages":"e70157"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787023","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":"From Pressure Patterns to Personalized Insoles: A Systematic Review of Demographic Influences on Plantar Pressure.","authors":"Seyed Mehran Ayati Najafabadi, Hanieh Niroomand-Oscuii, Alireza Hashemi Oskouei","doi":"10.1002/jfa2.70120","DOIUrl":"10.1002/jfa2.70120","url":null,"abstract":"<p><strong>Background: </strong>Plantar pressure distribution is a widely used biomechanical measure for characterizing foot-ground loading during gait in research and clinical assessment. Demographic variables, such as sex, age, and body weight, influence plantar loading patterns; however, findings across studies have been inconsistent, limiting direct clinical interpretation.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted in accordance with PRISMA guidelines. PubMed, Science Direct, and Scopus were searched for studies published between 2013 and 2025 that investigated the relationship between plantar pressure and sex, age, or body weight in healthy, asymptomatic individuals. Eligible studies were screened, data were extracted, and subgroup analyses were performed to assess pressure differences across specific foot regions. Protocol registered in PROSPERO (https://www.crd.york.ac.uk/PROSPERO/view/CRD420251083389).</p><p><strong>Results: </strong>Sex-specific differences revealed that women exhibited higher plantar pressure in the hallux, whereas men demonstrated greater loading in the heel and lateral heel regions. In older adults, a posterior-to-anterior shift in pressure was observed, with decreased heel loading and increased pressure in the forefoot, midfoot, and fifth metatarsal. Obesity was associated with significantly elevated plantar pressure in the first, fourth, and fifth metatarsals as well as in the heel, midfoot, and forefoot, whereas hallux pressure was relatively reduced compared to individuals of normal weight. Across all subgroup analyses, six foot regions, namely, the hallux, first, fourth, and fifth metatarsals, midfoot, and total heel consistently showed moderate to strong effect sizes.</p><p><strong>Conclusions: </strong>This study summarizes population-specific plantar pressure patterns associated with sex, age, and body weight. The hallux, selected metatarsals, midfoot, and heel consistently demonstrated pooled differences across studies and are highlighted as regions of interest for future research. These findings provide descriptive biomechanical reference patterns that may support hypothesis-driven investigations into plantar load redistribution and comfort-related outcomes. These findings should therefore be interpreted as providing comparative biomechanical context rather than direct clinical decision-making criteria.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 2","pages":"e70120"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13291806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582862","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":"Reliability and Validity of Ankle Muscle Strength Testing Using the ISOTIB Device.","authors":"Sean Drew, Sean A Horan, Steven Duhig","doi":"10.1002/jfa2.70098","DOIUrl":"10.1002/jfa2.70098","url":null,"abstract":"<p><strong>Introduction: </strong>One repetition maximum (1RM) testing is recognised as a reliable and valid method for determining maximum muscle strength. However, there are limited reports in the literature for measuring maximum ankle strength using free-weight methods. The aim of this study was to determine the test-retest reliability and concurrent validity of a novel free-weight device (ISOTIB) used to measure ankle strength.</p><p><strong>Methods: </strong>Fifteen healthy, recreationally active, adults (male = 10, female = 5, age = 29.7 ± 4.4 years) volunteered for the study, attending two sessions 1 week apart. Reliability was assessed using intraclass correlation coefficients (ICC_(3,1)) and Bland-Altman method. Concurrent validity was examined by comparing 1RM ankle strength and normalised muscle activity using surface electromyography (sEMG) during dorsiflexion, inversion, and eversion movements performed with the ISOTIB device and an isokinetic dynamometer.</p><p><strong>Results: </strong>The ISOTIB exhibited excellent test-retest reliability for maximal dorsiflexion (ICC_(3,1) = 0.99, 95% CI: 0.977-0.997), inversion (ICC_(3,1) = 0.99, 95% CI: 0.970-0.997), and eversion (ICC_(3,1) = 0.97, 95% CI: 0.920-0.991) strength. Concurrent validity was confirmed, with high positive correlations for maximal dorsiflexion (r = 0.90, 95% CI: 0.72-0.97) p < 0.001), inversion (r = 0.67, 95% CI: 0.24-0.88) p < 0.007), and eversion (r = 0.87, 95% CI: 0.64-0.96) p < 0.001) strength. sEMG results supported concurrent validity with comparable activity in the tibialis anterior, peroneus longus, and peroneus brevis muscles.</p><p><strong>Conclusion: </strong>The ISOTIB demonstrated excellent reliability and validity, suggesting it is a viable tool for assessing maximal ankle strength. The ISOTIB offers a practical alternative to current methods, which are typically expensive and utilise large immovable devices.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 2","pages":"e70098"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647150","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":"The CUBED Versus ABCDE Recognition Tools in the Detection of Malignant Melanomas Arising in the Foot: An Analysis of Four Recent Case Studies in a Single NHS Community Trust.","authors":"Amy Sherratt, Emily Vaughan, Nekita Huckerby, Hannah Winn, Margaret Swithenbank","doi":"10.1002/jfa2.70159","DOIUrl":"10.1002/jfa2.70159","url":null,"abstract":"<p><strong>Background: </strong>Melanoma of the foot and nail unit carries a worse prognosis than cutaneous melanoma elsewhere because lesions are frequently hidden, misdiagnosed, and therefore diagnosed at more advanced stages. Traditional ABCDE criteria are often insufficient for foot and nail presentations; the CUBED recognition tool was developed to improve detection of atypical plantar and subungual lesions.</p><p><strong>Aim: </strong>To evaluate four consecutive cases of foot melanoma seen in a single NHS community podiatry department, compare case characteristics against ABCDE and CUBED recognition tools, and describe service responses that aimed to improve early detection.</p><p><strong>Methods: </strong>A retrospective case series of four patients diagnosed with foot melanoma between 2019 and 2022 in one community podiatry service. Clinical features, referral timelines, diagnostic pathways, treatments, and outcomes were extracted and mapped against ABCDE and CUBED criteria. Shared-learning interventions developed by the department following these cases are described.</p><p><strong>Results: </strong>All four cases were toe-based melanomas (one lentigo maligna, one nail-bed malignant melanoma, two acral melanomas). Presentations commonly included irregular colour, bleeding or ulceration, delayed healing, diagnostic uncertainty, and lesion enlargement. CUBED criteria more consistently identified concerning features across the series than ABCDE criteria, prompting urgent dermatology referral in each case. Outcomes varied: one patient remains disease-free after excision, one developed distant metastasis and died, two underwent toe amputation and received systemic treatment. Departmental responses included case-based teaching and a poster campaign promoting CUBED and ABCDE recognition across local clinical networks.</p><p><strong>Conclusion: </strong>Podiatrists are pivotal in early detection of foot melanoma. The CUBED tool demonstrated greater sensitivity for atypical foot and nail lesions in this series. Wider education and adoption of CUBED alongside ABCDE may reduce misdiagnosis, shorten diagnostic delay, and improve clinical outcomes.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 2","pages":"e70159"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786987","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":"Taking the Next Step: How Can Implementation Science Advance Diabetes Foot Care for Rural and Remote Australians?","authors":"Angela Byrnes, James Charles, Susanna Cramb, Sarah Jensen, Trent Johnston, Sarah Larkins, Steven McPhail, Jaap J van Netten, Christina N Parker, Ruth Tulleners, Zephanie Tyack, Jonathan Golledge, Peter A Lazzarini","doi":"10.1002/jfa2.70156","DOIUrl":"10.1002/jfa2.70156","url":null,"abstract":"<p><p>Diabetes-related foot disease (DFD) is a leading cause of disability worldwide. In Australia, DFD affects approximately half a million people and is the primary driver of diabetes-related hospitalisations, amputations and costs. Guideline-based multidisciplinary footcare can halve these rates and improve quality of life, yet access remains inequitable, particularly for rural and remote communities for whom DFD hospitalisation and amputation rates are persistently high. Geographic isolation, workforce shortages and fragmented service delivery are barriers to DFD care, with Aboriginal and Torres Strait Islander Peoples experiencing additional cultural and systemic challenges. Telehealth-enabled models of care offer a promising solution to reducing inequities in access without compromising effectiveness. Four 'Foot Hubs' have been established across Queensland (Australia) to deliver specialist multidisciplinary footcare via a hub-and-spoke model, combining telehealth, outreach, and local partnerships to improve access for people living with DFD in rural and remote areas. This commentary provides an introductory overview of these Foot Hub services and how implementation science (the scientific study of methods and strategies to promote the systematic and sustainable uptake of new practices) can support the uptake and sustainability of these new models of care.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 2","pages":"e70156"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844917","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":"Do Commercially Available Insoles Meaningfully Change Reported Comfort and Biomechanics During One Day of Wear?","authors":"Max Lewin, Richard Jones, Carina Price","doi":"10.1002/jfa2.70163","DOIUrl":"10.1002/jfa2.70163","url":null,"abstract":"<p><strong>Introduction: </strong>Identifying meaningful changes in comfort and any underpinning biomechanical changes is crucial to understanding differences in perceptions of footwear comfort. Research rarely considers changes in comfort, and rarely reports how meaningful these are. This study aims to utilise a portable biomechanics measurement tool to establish whether commercially available insoles make meaningful changes in comfort and identify any concurrent changes in biomechanics compared with a control whilst worn during a users' normal day.</p><p><strong>Materials and methods: </strong>Thirty participants wore five insole conditions (participants' own shoe, and four commercially available insoles) for a typical day whilst the Runscribe inertial measurement unit (IMU) captured: Ground reaction force (GRF), GRF rate, pronation excursion, pronation velocity, impact shock, braking shock, and total shock. Comfort was measured using a 100 mm visual analogue scale. A pre-defined ± 8.28 mm minimal clinical important difference (MCID) for comfort was used as the threshold of meaningful change to group individuals into comfort classifications: 'more' (47 participants) and 'less' (36 participants). MCID was also defined for biomechanics variables from the RunScribe. Insole conditions were compared between classifications to identify significant and meaningful changes in biomechanics associated with meaningful changes in comfort from the control condition. Paired sample t-tests compared biomechanical parameters from the RunScribe between comfort classifications.</p><p><strong>Results: </strong>Similar numbers of individuals reported 'more' and 'less' comfort across conditions. There were only significant reductions in braking shock when individuals reported meaningfully 'less comfort'. The primary result from meaningful change thresholds for biomechanics was meaningful increases in impact shock when comfort was both 'more' and 'less'.</p><p><strong>Discussion: </strong>The measurement approach enabled identification of comfort changes, and underpinning biomechanical differences during one day of wear of insoles. Impact shock was the main contributor to comfort perception, consistent with previous literature. Highlighting impact shock as a potential variable for assessment of interventions in pathological study.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 2","pages":"e70163"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13175921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943294","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":"Impact of Bone Grafting and Graft Type on Fusion and Patient-Reported Outcomes Following Subtalar Arthrodesis: A Multicenter Retrospective Cohort Study.","authors":"Giovan Giuseppe Mazzella, Antonio Bove, Andrea De Fazio, Natale Maria Gangemi, Marco Peruzzi, Fabrizio Forconi, Philip Krekosch, Christian Lausmann, Mustafa Citak, Vincenzo Di Sanzo, Giulio Maccauro, Raffaele Vitiello","doi":"10.1002/jfa2.70160","DOIUrl":"10.1002/jfa2.70160","url":null,"abstract":"<p><strong>Background: </strong>The role of bone grafting in subtalar joint arthrodesis (SJA) remains controversial. This study aimed to compare clinical and radiographic outcomes of SJA performed with and without bone graft and to evaluate the influence of different graft types on fusion and functional results.</p><p><strong>Methods: </strong>A multicenter retrospective observational study was conducted including 66 patients who underwent isolated SJA between 2023 and 2025. Patients were divided into graft (n = 51) and no graft (n = 15) groups. A subgroup analysis compared autologous, fresh frozen allogeneic, and commercial allogeneic grafts. Outcomes included osseous union, time to union, complications, and functional scores (AOFAS, FAAM-ADL, and FAAM-Sports). Multivariable regression and ROC analyses were performed to identify independent predictors of nonunion and delayed union.</p><p><strong>Results: </strong>Overall, the union rate was 90.9%. Union was achieved in 92.2% of grafted patients and 86.7% of nongrafted patients (p = 0.612). Bone graft use was not independently associated with union, complications, or time to union in the adjusted exploratory analyses. Increasing age and BMI were independently associated with a prolonged time to union. ROC analysis identified age ≥ 60 years as a predictor of nonunion (AUC 0.782) and age ≥ 59 years and BMI ≥ 25.9 kg/m² as predictors of delayed union. Both groups showed significant postoperative improvements in all functional scores (all p < 0.001). Autologous graft was associated with higher postoperative functional scores, although this finding should be interpreted cautiously given potential baseline differences and selection bias.</p><p><strong>Conclusions: </strong>In isolated SJA performed in a well-aligned hindfoot, high union rates and significant functional improvement were achieved regardless of bone graft use. However, due to the retrospective, nonrandomized design and limited number of nonunion events, no definitive conclusions can be drawn regarding the routine necessity or superiority of bone grafting. Though, bone graft use appeared to be associated with improved functional outcomes in selected higher risk patients, although these findings should be interpreted cautiously given the exploratory nature of the analysis. All subgroup and threshold analyses should be interpreted as exploratory.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 2","pages":"e70160"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934892","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":"Malignant Melanoma Misdiagnosis in the Diabetic Foot. What Can We Learn From the Published Literature?","authors":"Ivan R Bristow, Michelle L Reynolds, Matthew Young","doi":"10.1002/jfa2.70162","DOIUrl":"10.1002/jfa2.70162","url":null,"abstract":"<p><strong>Background: </strong>The foot is an independent risk factor for a poorer prognostic outcome in melanoma. Delayed diagnosis may arise because melanoma mimics other benign diagnoses, such as ulceration on the foot, including those with associated with diabetes. Improving outcomes for patients includes raising awareness amongst professionals involved in diabetic foot care. Evaluation of published case studies may help identify common themes to inform practice and improve recognition and referral for lesions requiring biopsy.</p><p><strong>Methods: </strong>The authors undertook a systematic literature search of PubMed (National Library of Health) (2010-2025) to identify published case studies reporting delayed diagnosis or misdiagnosis of melanoma arising on the skin of the foot or in the toenail in patients with diabetes. Data were collated and tabulated to give basic demographics and assist in identification of common themes. A structured content analysis was undertaken to inform key aspects regarding missed diagnosis.</p><p><strong>Results: </strong>Following a systematic search of the literature, 1485 papers were identified. After removal of duplicates and irrelevant papers, a total of 86 case studies were identified. A total of 20 cases were reported in patients with diabetes (reported in 19 papers) from 10 countries, including 14 males and 7 females (average age 73 years), with a mean Breslow thickness of 3.58 mm. Melanoma lesions were located on the heels (n = 8), forefoot (n = 5), toes (n = 3), subungual regions (n = 2) and in the arch (n = 2). The most common misdiagnosis was a diabetic foot ulcer (n = 17).</p><p><strong>Conclusion: </strong>Based on the reviewed cases, distinguishing melanoma from diabetic foot ulceration (DFU) is difficult. Common themes from the content analysis suggest that clues such as ulceration despite lack of the corresponding risk factors, hypergranulation and lack of improvement to be key aspects to suggest an alternative diagnosis. The authors propose a simple acronym, 'U.L.C.E.R', as an aide-mémoire to assist healthcare professionals in the identification of potential melanoma masquerading as DFU.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 2","pages":"e70162"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984155","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":"Bibliometric Analysis of Charcot Arthropathy (1995-2025): Current Status and Emerging Trends.","authors":"Jian Lin Zhou, Hao Peng, Fei Sun","doi":"10.1002/jfa2.70161","DOIUrl":"10.1002/jfa2.70161","url":null,"abstract":"<p><strong>Background: </strong>Charcot Arthropathy (CA) is a destructive joint condition tied to neurotrophic and neuropathic processes. The clinical course is often complicated-high amputation rates and a generally poor prognosis have long made management difficult. Decades of research have brought progress in basic science and clinical care, yet a clear, data-driven picture of the global research landscape and how it has shifted over time remains, in many ways, incomplete.</p><p><strong>Objective: </strong>This study set out to map the core components, current hotspots, and emerging frontiers in the CA literature.</p><p><strong>Methods: </strong>We focused on English-language publications in the Web of Science (WoS) database from 1995 to 2025. Using tools such as CiteSpace, the R package bibliometrix, and GraphPad, we conducted a quantitative analysis of the countries or regions, institutions, authors, collaboration patterns, journals, cited references, and keywords associated with CA-related publications.</p><p><strong>Results: </strong>We screened 349 papers. Annual output has generally trended upward-perhaps a sign of growing interest in the field. The United States ranked first in both total publications (n = 180) and citations (n = 3949), and sat at the center of international collaboration networks. Key authors (e.g., Dane K. Wukich) and institutions (e.g., the University of Texas System) emerged as major contributors; their dense collaborations appear to drive much of the field's progress. The Journal of Foot and Ankle Surgery published the most CA-related papers (n = 47). Current research hotspots appear to center on the foot and ankle, pathogenesis, and surgical treatment. Looking at keyword trends, the field seems to be moving toward biomechanics, advanced reconstruction, and three-dimensional imaging.</p><p><strong>Conclusion: </strong>This study is the first comprehensive mapping of CA literature over three decades. It highlights the United States' leading role and a shift toward technology in diagnosis and surgery. These findings may guide future research, collaboration, and clinical practice.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"19 2","pages":"e70161"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844922","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}