Journal of Foot & Ankle Surgery最新文献

{"title":"Outcomes of Total Talus Replacement Using a 3D-Printed Reinforced Pure Titanium Prosthesis.","authors":"Bomsoo Kim, Myung-Geun Song","doi":"10.1053/j.jfas.2025.10.006","DOIUrl":"https://doi.org/10.1053/j.jfas.2025.10.006","url":null,"abstract":"<p><strong>Background: </strong>Total talus replacement (TTR) using a customized implant is an effective joint-salvaging option for severe talar destruction. Although favorable results have been reported with ceramic, cobalt-chrome, and titanium alloy prostheses, outcomes of pure titanium implants have not been described.</p><p><strong>Purpose: </strong>To evaluate clinical outcomes of TTR using a pure titanium prosthesis.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>Thirty-nine patients underwent TTR for primary or post-traumatic avascular necrosis (AVN) of the talus with a mean follow-up of 23.2 ± 10.2 months (range, 12-55). Each prosthesis was fabricated from commercially pure titanium (Cp-Ti). Patient-reported outcomes, satisfaction, range of motion (ROM), and complications were assessed.</p><p><strong>Results: </strong>Pain VAS improved from 8.2 ± 1.0 preoperatively to 2.1 ± 2.4 at final follow-up (p < 0.001). FAOS, FFI, EQ-5D, and EQ-VAS showed significant improvement. ROM increased from 52.2 ± 31.3° to 95.9 ± 23.3° (p < 0.001). Asymptomatic tibial osteophytes developed in 5 cases (12.8%), and subchondral cysts in 3 (7.7%), including two with mild implant settling. Thirty-six patients (92.3%) were very satisfied and three (7.7%) satisfied; all would undergo the same procedure again. The post-traumatic group had stiffer ankles and more concomitant procedures but achieved comparable improvement.</p><p><strong>Conclusion: </strong>Short-term outcomes of TTR using pure titanium prostheses were favorable, showing significant pain relief, functional recovery, and high satisfaction. Pure titanium TTR is a feasible and effective treatment for primary or post-traumatic talar AVN.</p><p><strong>Level of clinical evidence: </strong>Level 3, Retrospective cohort study.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fusion Rates in Tibiotalocalcaneal Arthrodesis with Tantalum-Coated Metal Cone Augmentation.","authors":"Aine M Gallahue, Adel Mahjoub, Nicholas D'Antonio, Vineeth Romiyo, Pietro M Gentile, Erik Freeland","doi":"10.1053/j.jfas.2025.10.007","DOIUrl":"https://doi.org/10.1053/j.jfas.2025.10.007","url":null,"abstract":"<p><strong>Background: </strong>Tantalum-coated metal spacers (TCMS) have been increasingly utilized to fill and provide structure to large bony defects in the hindfoot. There is a paucity of literature assessing the outcomes of tantalum-coated metal spacers in foot and ankle surgery.</p><p><strong>Purpose: </strong>This study serves to assess clinical outcomes and fusion rates of patients who underwent tibiotalocalcaneal arthrodesis with tantalum augmentation.</p><p><strong>Study design: </strong>This is a retrospective cohort study (N = 65) of patients who underwent tibiotalocalcaneal arthrodesis with and without TCMS at a tertiary care center between 2015-2021.</p><p><strong>Methods: </strong>Computed tomography scans at the six-month postoperative point were reviewed to determine fusion status. Patient-reported outcomes measures were collected after at least 1 year postoperatively. A multivariate logistic regression model was used to measure the likelihood of achieving fusion with tantalum augmentation.</p><p><strong>Results: </strong>There was a statistically significant lower rate of hardware failure in the TCMS group (4.76% vs. 34.09%, p = 0.021). TCMS-augmentation was a nonsignificant predictor of increased odds of fusion at the six-month postoperative point (OR = 4.84, p = 0.124).</p><p><strong>Conclusion: </strong>This study is the largest to date to present 6-month postoperative CT scans demonstrating successful tibiotalocalcaneal arthrodesis fusion with tantalum augmentation, contributing to our understanding of its utility. Further studies are needed to evaluate the efficacy of TCMS-augmented fusions as a viable substitute to custom printed cages.</p><p><strong>Level of clinical evidence: </strong>Level 3.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of fibular fixation in the treatment of adolescent displaced distal tibial physeal fractures To Fix or Not to Fix?","authors":"Zhaoqiang Chen, Xinwei Li, Taotao Hui, Jun Wang, Zhongli Zhang, Weifeng Lin","doi":"10.1053/j.jfas.2025.10.005","DOIUrl":"https://doi.org/10.1053/j.jfas.2025.10.005","url":null,"abstract":"<p><strong>Background: </strong>In treating adolescent displaced distal tibial physeal/fibula fractures, the role of fibular fixation is not clearly defined.</p><p><strong>Purpose: </strong>This study aimed to assess the role of fibular fixation in adolescent displaced distal tibial physeal/fibula fractures and its significance with functional outcomes.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>50 patients with adolescent displaced distal tibial physeal/fibula fractures were enrolled into the study and divided into two groups based on whether the fibula was fixed (group A) or not (group B). The two groups were compared for differences in demographic data, operative time, intraoperative fluoroscopy times, weight-bearing time, union time, and complications. Clinical and functional outcomes were regularly assessed using the premature epiphyseal closure (PPC) rate and the American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-hindfoot foot scoring system.</p><p><strong>Results: </strong>There were significant differences in operative time (p < 0.001), intraoperative fluoroscopy times (p < 0.001), fibula healing time (p < 0.001) and weight-bearing time (p < 0.001) between the two groups. In contrast, fibular fixation did not affect the outcome of the clinical ankle score (p = 0.484).</p><p><strong>Conclusion: </strong>For adolescent patients with distal tibial physeal fractures and concurrent fibula fractures, fibular fixation can significantly shorten fibular healing time and enable earlier weight-bearing. This fixation may also improve the ability to achieve and maintain the reduction in complex distal tibial physeal fractures. However, routine fibular fixation is not recommended and should be considered based on fracture characteristics such as syndesmotic instability, severe fibular displacement/shortening, or challenges in maintaining tibial reduction.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Role of Posterior to Anterior Calcaneal Screw Fixation in Tibiotalocalcaneal Nailing After Ankle Trauma: A Retrospective Comparative Study.","authors":"Karissa Badillo, Jeffrey Manway, Gele Moloney","doi":"10.1053/j.jfas.2025.10.001","DOIUrl":"https://doi.org/10.1053/j.jfas.2025.10.001","url":null,"abstract":"<p><p>Tibiotalocalcaneal (TTC) nailing is commonly used to treat severe ankle trauma, especially in patients with poor bone quality or compromised soft tissue. Although biomechanical studies suggest that posterior-to-anterior (P-A) screws enhance stability, the clinical impact of these screws remains uncertain. This study aims to compare complication rates between patients who underwent TTC nailing with and without P-A screws after ankle trauma. A retrospective analysis was conducted on 33 patients who underwent TTC nailing for ankle trauma between 2016 and 2022. Patients were divided into two groups: those who received P-A screws (n = 13) and those who did not (n = 20). Demographic and surgical variables, including age, comorbidities, and operative factors, were analyzed. Complication rates were compared using nonparametric Wilcoxon rank sum and Fisher's exact tests. Significance was set at p < 0.05. The mean age of patients was 70.5 years, with 63.6% female and 36.4% diabetic. The overall major complication rate was 15.1%, with no statistically significant difference between the P-A screw group and the non-P-A screw group (p = 1.00). Other factors, including age (p = 0.24), time to weightbearing (p = 1.00), and the presence of comorbidities such as diabetes or peripheral arterial disease, did not significantly impact complication rate. Our study found no significant difference in complication rates between patients who received P-A screws during TTC nailing and those who did not. Despite biomechanical studies supporting P-A screws for increased stability, this did not translate to improved clinical outcomes. Further prospective research is warranted to evaluate the clinical relevance of P-A screws in TTC nailing for ankle trauma.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Implant Removal in Isolated Weber Type B and C Ankle Fractures: A Retrospective Cohort Study.","authors":"Bekir Karagoz, Mustafa Erdem, Hunkar Cagdas Bayrak, Murat Bakır, Ismail Agir","doi":"10.1053/j.jfas.2025.10.004","DOIUrl":"https://doi.org/10.1053/j.jfas.2025.10.004","url":null,"abstract":"<p><p>This retrospective cohort study aimed to identify demographic, clinical, and functional factors influencing the decision to remove implants in patients who underwent surgical treatment for isolated Weber type B and C lateral malleolar fractures. A total of 211 patients who underwent open reduction and internal fixation between 2014 and 2024 and had at least one year of follow-up were included. Patients were divided into two groups: those who underwent implant removal (n = 67) and those who did not (n = 144). Functional status was assessed using the physical functioning and mental health subscales of the Short Form-36 (SF-36), and multivariate logistic regression was used to identify independent predictors of implant removal. Patients in the implant removal group were significantly younger, had a higher proportion of males, and longer follow-up periods. Postoperative SF-36 scores were significantly and clinically higher in the non-removal group. Multivariate analysis revealed that male sex, younger age, and lower postoperative physical and mental health scores were independently associated with implant removal. The most common reason for removal was peri-implant pain (40.3%). These findings suggest that implant removal decisions are influenced not only by physical symptoms but also by demographic and functional health factors, underscoring the importance of a patient-centered approach in orthopedic decision-making.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between ATFL-CFL-PTFL angle and subtalar instability.","authors":"Jun Zhou, Wei Wang, Ying He, Jinshan Xing, Yanyuan Zhang, Lei Zhang","doi":"10.1053/j.jfas.2025.10.002","DOIUrl":"10.1053/j.jfas.2025.10.002","url":null,"abstract":"<p><strong>Background: </strong>Ankle stability depends on lateral ligaments, yet research on Anterior Talofibular Ligament (ATFL), Calcaneofibular Ligament (CFL), and Posterior Talofibular Ligament (PTFL) angle variations in patients with subtalar joint instability (STJI) remains limited.</p><p><strong>Purpose: </strong>The aim of this study was to investigate the correlation between the ATFL-CFL-PTFL angles and STJI, which could provide a new idea for effective evaluation of STJI.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Method: </strong>This retrospective study compared 220 subjects from 2010 to 2023: 110 patients with STJI and 110 control group subjects. The two groups of participants were positioned in a neutral supine orientation, and measurements using Magnetic Resonance Imaging (MRI) of the ankle region were conducted. Upon obtaining a detailed MRI scan, the ATFL-CFL-PTFL angle was utilized as a benchmark for comparison between individuals with STJI and those who are healthy.</p><p><strong>Results: </strong>In the STJI group, the ATFL-PTFL angle was 86.3° ± 3.6°, the ATFL-CFL angle was 131.4° ± 4.7°, and the PTFL-CFL angle was 96.5° ± 4.0°. In the control group (non-STJI group), the ATFL-PTFL angle was 79.5° ± 3.8°, the ATFL-CFL angle was 126.8° ± 3.5°, and the PTFL-CFL angle was 86.3° ± 2.9°. There were significant differences (p < 0.01) in the ATFL-PTFL, ATFL-CFL, and PTFL-CFL angles between the STJI group and the control group.</p><p><strong>Conclusion: </strong>Although ATFL-PTFL-CFL angle distribution overlapped between STJI and control groups, most STJI patients had significantly higher values, supporting its use as a secondary diagnostic index for STJI.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Superiority of ultra-shortterm clinical outcome after minimally invasive distal metatarsal chevron osteotomy in comparison to the open technique: a prospective study.","authors":"Viktoria Hofmann, Gerhard Kaufmann, Michael Liebensteiner, Franz Endstrasser, Moritz Wagner, Hanno Ulmer, Luke Cicchinelli","doi":"10.1053/j.jfas.2025.08.013","DOIUrl":"10.1053/j.jfas.2025.08.013","url":null,"abstract":"<p><p>Swelling and pain is a frequent finding after hallux valgus correction. Aim of our study was to detect clinical differences in the initial postoperative period after minimally invasive chevron osteotomy (MIS) and the open chevron technique (OC). From the included patients clinical outcome was assessed preoperatively, and then at two, four, six and 12 weeks postopertively in terms of the American Orthopaedic Foot and Ankle Society (AOFAS) forefoot Score, the Japanese Society for Surgery of the Foot (JSSF) metatarsophalangeal-interphalangeal Scale, the Maryland Foot Score (MFS), the SF12 Life Quality Scale, the Visual Analogue Scores (VAS) of pain, swelling of the foot, range of motion (ROM) and patient satisfaction. Radiographic parameters were taken preoperatively, as well as two, six and twelve weeks after surgery. The Charlson Comorbidity Index (CCI) was recorded preoperatively only, pain medication consumption was documented for the intial two weeks after surgery. Sixty-three feet were analyzed (33 MIS; 30 OC). Patient demographic characteristics and amount of the deformity in both groups did not differ significantly. Both techniques demonstrated good radiographic correction of the hallux deformity without superiority of one technique. We detected lower pain levels and reduced pain medication consumption as well as reduced swelling in the MIS group at the time points two, four and six weeks postoperatively. AOFAS score and the satisfaction score showed significantly better results in the MIS group as well. Minimally invasive chevron osteotomy shows better clinical ultra-shortterm outcome and lower pain levels in comparision to the open technique with comparable radiographic results.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on the treatment of chronic lateral ankle instability combined with grade 1 inferior tibiofibular syndesmosis injury.","authors":"Lijun Shi, Jun Wu, Ruihong Cao, Dong Chen, Yang Zhang, Yan Huang","doi":"10.1053/j.jfas.2025.09.005","DOIUrl":"10.1053/j.jfas.2025.09.005","url":null,"abstract":"<p><strong>Background: </strong>Chronic lateral ankle instability (CLAI) with concomitant Grade I inferior tibiofibular syndesmosis injury (ITSI) is frequently overlooked, leading to residual symptoms after isolated ligament repair.</p><p><strong>Purpose: </strong>To compare outcomes of arthroscopic modified Broström procedure (AMBP) alone versus AMBP plus syndesmotic fixation for CLAI with Grade I ITSI.</p><p><strong>Study design: </strong>Retrospective comparative cohort study.</p><p><strong>Methods: </strong>From January 2021 to December 2022, 24 patients with chronic lateral ankle instability concomitant with Grade I inferior tibiofibular syndesmosis injury were assigned to either isolated AMBP (Group A, n = 13) or AMBP with elastic syndesmotic fixation (Group B, n = 11).Functional outcomes including the American Orthopedic Foot and Ankle Society score, Karlsson ankle joint function score, and pain visual analog scale score were assessed at final follow-up. Comparative analysis was conducted and the incidence of residual instability or recurrence was statistically analyzed.</p><p><strong>Results: </strong>All patients in groups A and B were followed up until the last visit, with an average follow-up time of 25.7 ± 5 months (range: 18-37 months). There was a significant difference in functional scores between pre- and post-surgery for more than 1 year (P < 0.05). Arthroscopic modified Broström procedure combined with inferior tibiofibular syndesmosis fixation achieved higher scores compared with the two different treatment methods, and the difference was statistically significant (P < 0.05).</p><p><strong>Conclusion: </strong>When lateral ankle instability and Grade I inferior tibiofibular syndesmosis injury coexist, simultaneous repair of both injuries is more effective than isolated repair of the ATFL.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of keel shape of Salto Talaris^TM total ankle prosthesis on the biomechanical performance on the bone-implant interface: A finite-element analysis.","authors":"Zhang Yingdong, Li Heng, Xu Xiangyu, Wu Yong","doi":"10.1053/j.jfas.2025.09.011","DOIUrl":"10.1053/j.jfas.2025.09.011","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the effects of changing the keel shape of the tibial component of a keel-type total ankle prosthesis on its biomechanical behavior and to identify possible directions for further prosthesis selection and improvement.</p><p><strong>Methods: </strong>Finite elements analysis was applied to analysis the influence on biomechanical effects of the shape of tibia implant keel in total ankle prostheses. CT of a male volunteer was used to develop tibia models with different prosthesis designs based on the tibia implant of Salto TalarisTM ankle prosthesis. Biomechanical properties including stress, micromotion and strain were evaluated.</p><p><strong>Results: </strong>The peak stress and micromotion of the design with short keel and vertical holes were 85.3 MPa and 62.87 μm, respectively, which were 36.7 % and 84.4 % lower than the original design. The proportion of units with satisfactory osseointegration in the periprosthetic bone tissue reached 20.09 % in this design and was 19.1 % more than the original design.</p><p><strong>Conclusion: </strong>Reducing the length of keel of the tibia prosthesis to the underlying support structure and reorienting the lateral holes to the vertical direction could improve the stability of the prosthesis by reducing possible sterile loosening through the improvement of the mechanical effects mentioned above. But this may require further experiments for verification.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Foot and Ankle Axis Parameters and Their Relationship to Functional Outcomes After Tibial Pilon Fracture Surgery.","authors":"Fatih Palit, Ahmet Demirel, Turan Bilge Kızkapan","doi":"10.1053/j.jfas.2025.09.010","DOIUrl":"https://doi.org/10.1053/j.jfas.2025.09.010","url":null,"abstract":"<p><strong>Background: </strong>Tibial pilon fractures are challenging intra-articular distal tibial fractures that compromise foot-ankle biomechanics. Restoration of anatomical radiological axis parameters has been reported as a predictor of clinical outcomes.</p><p><strong>Purpose: </strong>To investigate the relationship between postoperative foot and ankle axis parameters and functional outcomes.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>This single-center retrospective study included 60 surgically managed tibial pilon fractures between February 2021 and June 2023. Postoperative radiological parameters (ADTA, LDTA, MAD, MDA, plantigrade angle) were measured. AOFAS, FADI, VAS, and SF-36 were used to determine functional outcomes. Correlation and multiple regression analyses were performed.</p><p><strong>Results: </strong>Mean age was 40.3 ± 8.6 years, and 61.7% of patients were male. Anatomical reduction was achieved in 78.3% of patients. Those with anatomical reduction had significantly higher AOFAS, FADI, and SF-36 scores (p < 0.05). Plantigrade angle correlated positively with AOFAS and FADI and negatively with VAS. Greater MDA was associated with poorer functional outcomes.</p><p><strong>Conclusion: </strong>Postoperative radiological axis parameters, particularly the plantigrade angle and metatarsal declination angle, showed significant correlation with early functional outcomes after tibial pilon fracture surgery. Precise radiological measurements are essential for predicting recovery and guiding treatment strategies.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}