Journal of Foot & Ankle Surgery最新文献

Short-Term Load Restriction After Autologous Whole-Blood Injection Enhances Early Recovery in Plantar Fasciitis: A Prospective Randomized Single-Blinded Trial.

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-03-04 DOI: 10.1053/j.jfas.2025.03.005

Oğuzhan Gökalp, Gökhan İlyas

{"title":"Short-Term Load Restriction After Autologous Whole-Blood Injection Enhances Early Recovery in Plantar Fasciitis: A Prospective Randomized Single-Blinded Trial.","authors":"Oğuzhan Gökalp, Gökhan İlyas","doi":"10.1053/j.jfas.2025.03.005","DOIUrl":"https://doi.org/10.1053/j.jfas.2025.03.005","url":null,"abstract":"This study evaluates the effect of short-term load restriction following autologous whole-blood injection (AWBI) in plantar fasciitis patients. Given that AWBI induces an inflammatory healing response, restricting weight-bearing in the initial phase may optimize recovery. A prospective, single-blind randomized controlled trial was conducted with 149 patients unresponsive to two months of conservative treatment. Patients were randomized into two groups: a load restriction group (n=75) instructed to avoid weight-bearing for three days, and a non-load restriction group (n=74) who resumed normal walking immediately. Visual Analog Scale (VAS) pain scores and Pressure Pain Threshold (PPT) were assessed at baseline, days 3, 30, 90, and 1 year post-treatment. Analgesic use and return to daily activities were also recorded. At day 3, the load restriction group reported significantly lower VAS pain scores (8.23±0.7 vs. 8.49±0.5, p=0.010) and higher PPT values (238.9±36.9 vs. 216.4±45.4, p=0.001) than the non-restricted group. At day 30, these differences remained significant (VAS: 5.53±0.9 vs. 5.99±0.9, p=0.002; PPT: 432.6±43.5 vs. 411.4±58.8, p=0.014). The load restriction group required fewer analgesics (p<0.001) and returned to daily activities sooner (4.2±0.4 vs. 5.9±1.5 days, p<0.001). By day 90 and 1 year, no significant differences remained. A three-day weight-bearing restriction post-AWBI significantly enhances early pain relief and functional recovery, reduces analgesic dependence, and accelerates return to daily activities. Given its ease of implementation and cost-free nature, this approach can be readily integrated into routine clinical practice for plantar fasciitis patients undergoing AWBI to fasten recovery. LEVEL OF CLINICAL EVIDENCE: Level 1.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574496","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}

引用次数: 0

Corrigendum to "A Study of Tibial Cyst Formation in Modular Stemmed Total Ankle Arthroplasty: Exploring a Possible Relationship to Smooth and Porous Coating on the Stem Segments" [Journal of Foot and Ankle Surgery 62 (2023) 756-763].

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-02-26 DOI: 10.1053/j.jfas.2025.02.003

Cody J Togher, John M Thompson, Jacob M Perkins, Gregory C Berlet, Christopher F Hyer

引用次数: 0

Studies directly comparing Lisfranc injuries treated with primary arthrodesis or open reduction and internal fixation show no significant difference in return to sport and complications: A systematic review and meta-analysis.

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-02-26 DOI: 10.1053/j.jfas.2025.02.005

Matthew W Feldman, Stephen Fucaloro, Laura Krivicich, Suzanne Kent, Matthew J Salzler

{"title":"Studies directly comparing Lisfranc injuries treated with primary arthrodesis or open reduction and internal fixation show no significant difference in return to sport and complications: A systematic review and meta-analysis.","authors":"Matthew W Feldman, Stephen Fucaloro, Laura Krivicich, Suzanne Kent, Matthew J Salzler","doi":"10.1053/j.jfas.2025.02.005","DOIUrl":"10.1053/j.jfas.2025.02.005","url":null,"abstract":"Lisfranc injuries are common and can cause sport-ending morbidity. Management through primary arthrodesis (PA) or open reduction and internal fixation (ORIF) is a subject of debate. PubMed, EMBASE, and the Web of Science databases were queried for studies assessing return to sport (RTS) outcomes following treatment of Lisfranc injuries with PA or ORIF. RTS rates, time to RTS, and complication rates were assessed. Maximum likelihood random-effects models were created based on comparative studies to evaluate differences in RTS and complication rates with odds ratios representing pooled estimates. Heterogeneity of return to sport outcomes was explored with sub-analysis of athlete level (non-elite vs. elite) and type of fixation. Across 23 studies, 603 Lisfranc injuries were identified; 498 underwent ORIF and 105 received PA. Return to sport ranged from 65 to 100 % in ORIF subjects and 67-100 % of PA subjects. Meta-analysis of comparative studies reveals no significant difference in likelihood of RTS or complications (p = 0.44 I2=26 %; p = 0.93 I2=0 %, respectively). RTS times range from 8 to 30 weeks for ORIF and 19.7-28.5 weeks for PA. Studies assessing RTS following ORIF and PA for Lisfranc injuries are heterogeneous, yet pooled data from comparative evidence suggests no significant difference in likelihood of RTS or complications. PA and ORIF have the potential for successful RTS though further prospective randomized studies are needed to better counsel athletes regarding the ideal surgical management for patient goals. Level of Evidence: IV.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531843","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}

引用次数: 0

Midfoot beam-plate constructs for Charcot neuroarthropathy: A Cohort study with midterm follow-up.

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-02-25 DOI: 10.1053/j.jfas.2025.02.006

Ryan G Rogero, Patrick C McGregor, William C Skinner, Carson M Rider, Benjamin J Grear, David R Richardson, Garnett A Murphy, Clayton C Bettin

{"title":"Midfoot beam-plate constructs for Charcot neuroarthropathy: A Cohort study with midterm follow-up.","authors":"Ryan G Rogero, Patrick C McGregor, William C Skinner, Carson M Rider, Benjamin J Grear, David R Richardson, Garnett A Murphy, Clayton C Bettin","doi":"10.1053/j.jfas.2025.02.006","DOIUrl":"10.1053/j.jfas.2025.02.006","url":null,"abstract":"The technique of intramedullary beaming of the metatarsals with a supplemental medial locking plate is an emerging technique to achieve and maintain plantigrade, ulcer-free feet in patients with Charcot neuroarthropathy. A retrospective chart review was performed to evaluate radiographic and clinical outcomes for 40 patients (41 limbs) with Charcot neuroarthropathy after operative management with medial beam-plate constructs between January 2014 and October 2023. Lateral Meary's angle was measured pre- and postoperatively to serve as a proxy for surgical correction of midfoot Charcot deformity. The mean age of the cohort was 57.6 (range, 37-73) years and 43.9 % (18/41) had an ulcer present at time of surgery. Mean clinical follow-up was 29.1 (range, 4-80) months. 94.4 % (17/18) of ulcers present at the time of surgery healed. Seven (17.1 %) patients in our cohort underwent a major amputation. The amputation rate after adopting the medial beam-plate construct approach decreased by 26 % compared with our institutional baseline data of patients treated with other techniques. Preoperative lateral Meary's angle averaged -31.0 degrees, immediate postoperative measured -5.3 degrees (p < 0.001), and final postoperative was -14.4 degrees (p < 0.001). Patients undergoing medial beam-plate constructs had a relatively low rate (17.1 % [7/41]) of major amputation, and a large portion of the remaining patients (82.4 %[28/34]) achieved a plantigrade, shoeable, ulcer-free foot at final follow-up. Active ulceration may not be a contraindication to open reconstructive surgery. Furthermore, medial beam-plate construct demonstrated radiographic maintenance of deformity at final follow-up.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524967","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}

引用次数: 0

Wide-Awake Local Anesthesia No Tourniquet (WALANT) Technique Versus General Anesthesia for the Removal of Implants after Ankle Fracture Union - A Randomized Controlled Trial.

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-02-25 DOI: 10.1053/j.jfas.2025.02.007

Ali Lari, Mohammed Lari, Abdulaziz Alkhandari, Ahmed Alibrahim, Ahmed Alaraby, Nasser AlEnezi, Hosam Almaz, Mohammed Ibrahim

{"title":"Wide-Awake Local Anesthesia No Tourniquet (WALANT) Technique Versus General Anesthesia for the Removal of Implants after Ankle Fracture Union - A Randomized Controlled Trial.","authors":"Ali Lari, Mohammed Lari, Abdulaziz Alkhandari, Ahmed Alibrahim, Ahmed Alaraby, Nasser AlEnezi, Hosam Almaz, Mohammed Ibrahim","doi":"10.1053/j.jfas.2025.02.007","DOIUrl":"https://doi.org/10.1053/j.jfas.2025.02.007","url":null,"abstract":"Ankle fractures, commonly requiring surgical intervention, often lead to subsequent implant removal, which traditionally involves general or regional anesthesia. This study evaluates the efficacy and safety of the Wide-Awake Local Anesthesia No Tourniquet (WALANT) technique as an alternative to general anesthesia (GA) for ankle implant removal. This was a single-center, prospective randomized controlled trial at a tertiary orthopedic center, conducted from June 2022 to August 2024. The study included adults over 18 years who required implant removal after a united ankle fracture. Participants were randomly assigned to either the WALANT or the GA group. Out of 78 screened participants, 56 were included in the final analysis. The WALANT group showed significantly lower pain scores at 2 and 6 hours post-operatively and reduced postoperative anxiety levels compared to the GA group. Operating room times were comparable between the groups. The WALANT technique was well-tolerated, with minimal adverse effects, and was particularly effective in reducing postoperative nausea and recovery room time compared to general anesthesia. The WALANT technique for ankle implant removal is a safe and effective alternative to general anesthesia, offering benefits such as less postoperative pain, anxiety, and nausea, along with shorter recovery times. However, its success depends on careful patient selection and the surgeon's experience with the technique. This study demonstrates WALANT's potential for broader application in lower extremity surgeries, suggesting a viable option for enhancing patient outcomes and operational efficiency in orthopedic practices.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524968","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}

引用次数: 0

Radiographic analysis of hallux valgus and first tarsometatarsal joint correction after isolated first metatarsophalangeal joint arthrodesis.

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-02-03 DOI: 10.1053/j.jfas.2025.02.001

Lauren M Christie, Steven R Cooperman, Chad A Smith, Christopher F Hyer

{"title":"Radiographic analysis of hallux valgus and first tarsometatarsal joint correction after isolated first metatarsophalangeal joint arthrodesis.","authors":"Lauren M Christie, Steven R Cooperman, Chad A Smith, Christopher F Hyer","doi":"10.1053/j.jfas.2025.02.001","DOIUrl":"10.1053/j.jfas.2025.02.001","url":null,"abstract":"Arthrodesis of the first metatarsophalangeal joint is a common surgical procedure used to treat a variety of forefoot pathologies. The purpose of this study was to evaluate radiographic outcomes for hallux valgus and first tarsometatarsal joint alignment after first metatarsophalangeal joint arthrodesis. A retrospective radiographic analysis of the first intermetatarsal angle, hallux valgus angle, first metatarsal-cuneiform angle, and medial cuneiform-first metatarsal angle was performed preoperatively and postoperatively. One hundred eighty-eight procedures met inclusion criteria. Significant radiographic improvements were noted in first intermetatarsal angle (4.38°, P < 0.0001), hallux valgus angle (16.01°, P < 0.0001), first metatarsal-cuneiform angle (5.96°, P < 0.0001), and medial cuneiform-first metatarsal angle (5.68°, P < 0.0001). Significant radiographic improvements (P < 0.0001) were also noted when subjects were subdivided into first intermetatarsal angle ≤ 15° and > 15° for all measured angles. An isolated first metatarsophalangeal joint arthrodesis corrects both hallux valgus deformity and first tarsometatarsal alignment. These findings support that additional first ray procedures may not be required when performing a first metatarsophalangeal joint arthrodesis for hallux valgus.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257117","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}

引用次数: 0

Risk factors for failed below knee amputation in patients with diabetes.

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-02-03 DOI: 10.1053/j.jfas.2025.02.002

Itay Ron, Shay Zvi Cherevatsky, Amir Abu Elhija, Bezalel Peskin, Nabil Ghrayeb, Doron Norman, Jacob Shapira

{"title":"Risk factors for failed below knee amputation in patients with diabetes.","authors":"Itay Ron, Shay Zvi Cherevatsky, Amir Abu Elhija, Bezalel Peskin, Nabil Ghrayeb, Doron Norman, Jacob Shapira","doi":"10.1053/j.jfas.2025.02.002","DOIUrl":"10.1053/j.jfas.2025.02.002","url":null,"abstract":"Complications from below knee amputations (BKA), such as wound dehiscence and infections, incur high healthcare costs due to multiple and extended hospitalizations. Due to the significant morbidity still associated with proximal amputations, a careful patient selection process should be considered. This retrospective cohort study aimed to identify risk factors associated with failure of below-knee amputation (BKA), defined as progression to above-knee amputation (AKA), in patients with diabetes. Eligible patients were those who underwent primary BKA due to diabetic complications. Patients were divided into two groups: BKA and failed BKA group. Demographic variables were age, gender, BMI, smoking status, presence of vascular disease, dialysis status, nutritional status, pre-surgery hemoglobin, hemoglobin A1c, culture biopsies and use of antibiotics. Outcome variables included failure (i.e., above-knee amputation) and time to failure. Variables associated with failure of BKA included higher hemoglobin levels, prior vascular procedures, smoking, and perioperative use of oral antibiotics. Notably, oral antibiotics were linked to a higher risk of BKA failure, with patients on oral antibiotics experiencing failure more quickly than those treated with intravenous antibiotics. In addition, in the BKA group, there was a lower percentage of patients treated with PO antibiotics compared to the failed BKA group, 12 % and 19 %, respectively (P = 0.0037). This study highlights that prior vascular procedures and smoking also elevate the risk of BKA failure.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257118","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}

引用次数: 0

Who's really footing the bill? Sex and ethnicity disparities in the cost of diabetic foot ulcer-related amputations in a major healthcare system.

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-02-01 DOI: 10.1053/j.jfas.2025.01.017

Maryam Hashmi, Naila Shiraliyeva, Azucena Herrera, Humera Tabassum, Clyde Schechter, Johanna P Daily, Alyson Myers

{"title":"Who's really footing the bill? Sex and ethnicity disparities in the cost of diabetic foot ulcer-related amputations in a major healthcare system.","authors":"Maryam Hashmi, Naila Shiraliyeva, Azucena Herrera, Humera Tabassum, Clyde Schechter, Johanna P Daily, Alyson Myers","doi":"10.1053/j.jfas.2025.01.017","DOIUrl":"10.1053/j.jfas.2025.01.017","url":null,"abstract":"Diabetic foot ulcers (DFU)-related amputations are associated with enormous expenditures. Understanding why amputation services are more expensive for certain patients is crucial for reforming healthcare expenditure and insurance practices. This analysis examined differences in cost of DFU-related amputations services in patients insured by HealthFirst, a Medicaid-managed insurance company. Data from HealthFirst were collected for patients admitted for DFU-related amputation between 2021 and 2023. Demographics and laboratory values were extracted from the electronic health record. Demographics, laboratory values, total costs, and paid amounts were analyzed. Clinical variables were tested as predictors of expenditure levels through bivariate analysis. In our cohort of 140 patients, 65.3 % of patients were male, with a mean age of 60.6 (S.D. 12) years, diagnosis of type 2 diabetes (96.3 %) and ethnically Hispanic-Latino (56.1 %). Common comorbidities were chronic kidney disease (57.9 %) and hypertension (86.2 %). DFU- related amputation charges were higher for Hispanic-Latino individuals, RR 1.97 (CI 1.04, 3.71), and those with chronic kidney disease, RR 1.36 (CI 1.0, 1.86) and moderately associated with female sex. Serum glucose, RR 1 (1.0 -1.0), body mass index, RR 0.98 (0.96-1.0), and Hemoglobin A1c, RR 1.01 (CI 0.93-1.09) were not found to be associated with higher cost. Overall, Hispanic-Latino individuals, persons with chronic kidney disease, and women incurred higher DFU related charges, highlighting the need for heightened DFU prevention in these populations. LEVEL OF CLINICAL EVIDENCE: Retrospective cohort study= 2 or 3.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124060","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}

引用次数: 0

Readability of foot and ankle patient-reported outcomes: Alignment with National institutes of health and american medical association standards.

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-02-01 DOI: 10.1053/j.jfas.2025.01.016

Harjot Uppal, Daniel Garcia, Isaac Soliman, Dylan Dupont, Nikhil Sahai, Andrew McGinniss, Arash Emami

{"title":"Readability of foot and ankle patient-reported outcomes: Alignment with National institutes of health and american medical association standards.","authors":"Harjot Uppal, Daniel Garcia, Isaac Soliman, Dylan Dupont, Nikhil Sahai, Andrew McGinniss, Arash Emami","doi":"10.1053/j.jfas.2025.01.016","DOIUrl":"10.1053/j.jfas.2025.01.016","url":null,"abstract":"Patient-reported outcome measures are essential tools for assessing surgical interventions, capturing patient perspectives on functionality, symptoms, and quality of life. However, ensuring that these measures are easily understandable is crucial for accurate patient responses. The National Institutes of Health and American Medical Association recommend that patient materials be written at or below a sixth-grade reading level. This study evaluated the readability of 45 commonly used patient-reported outcome measures in foot and ankle surgery to determine alignment with these guidelines. A readability analysis was conducted using the Flesch Reading Ease Score and the Simple Measure of Gobbledygook Index, with a threshold of a Flesch Reading Ease Score of at least 80 or a Simple Measure of Gobbledygook Index below 7 indicating a sixth-grade or lower reading level. The average readability scores indicated an eighth to ninth-grade reading level, with only 31% of patient-reported outcome measures meeting the readability threshold. Among the least readable measures were the American Orthopaedic Foot and Ankle Society Clinical Rating Scales for various foot and ankle regions and the Ankle Osteoarthritis Scale. These findings suggest that most foot and ankle surgery patient-reported outcome measures are above the recommended readability level, potentially hindering patient comprehension and response accuracy. Improving the readability of patient-reported outcome measures, either by developing new tools or modifying existing ones, may enhance the accessibility and reliability of patient-reported data. LEVEL OF CLINICAL EVIDENCE: 4.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124058","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}

引用次数: 0

Lateral Wall Displacement of Calcaneal Fracture Leading to Peroneal Tendon Dislocation: Effect of the Distance of Lateral Wall Displacement on the incidence of Peroneal Tendon Dislocation.

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-01-30 DOI: 10.1053/j.jfas.2025.01.011

Toshiyuki Shimizu, Tetsuro Kokubo, Yoshihisa Suzuki

{"title":"Lateral Wall Displacement of Calcaneal Fracture Leading to Peroneal Tendon Dislocation: Effect of the Distance of Lateral Wall Displacement on the incidence of Peroneal Tendon Dislocation.","authors":"Toshiyuki Shimizu, Tetsuro Kokubo, Yoshihisa Suzuki","doi":"10.1053/j.jfas.2025.01.011","DOIUrl":"10.1053/j.jfas.2025.01.011","url":null,"abstract":"Peroneal tendon dislocation accompanying an intra-articular calcaneal fracture is uncommon; however, such dislocations are often missed in the acute phase. Although risk factors have been reported, the correlation between the degree of lateral wall displacement of the fractured calcaneus and the incidence of peroneal tendon dislocation remains unclear. We retrospectively analyzed computed tomography scans of 61 patients who had calcaneal fractures to examine peroneal tendon dislocation and the association with degree of lateral wall displacement and presence of fleck signs, between peroneal tendon dislocation and non-dislocation cases. Peroneal tendon dislocation was observed in 11.5 % (7/61) of the scan of patients with acute calcaneal fractures. The mean measurement of lateral wall displacement of the calcaneus was -3.3 (-11.1 to 8.9) mm. The fleck sign on radiographic images was evident in two cases (3.3 %), whereas the fleck sign on scans was evident in three cases (4.9 %). The mean measurement was significantly greater in cases with peroneal tendon dislocation than in those without dislocation (3.0 vs -4.1 mm, P<.05). The incidence of peroneal tendon dislocation and the lateral wall distance were significantly associated with the severity of calcaneal fractures, according to the Sanders classification system. The area under the curve generated for the medial deviation of the receiver operating characteristic curve was 0.976 and the cut-off value was 0.9. This study showed that lateral wall displacement is related to peroneal tendon dislocation and that the measurement of displacement using computed tomography scans can be a useful indicator of peroneal tendon dislocation. LEVEL OF CLINICAL EVIDENCE: 3.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076261","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}

引用次数: 0