Journal of Foot & Ankle Surgery最新文献_第10页

Comparison of clinical outcomes in acute ankle fracture open reduction internal fixation with and without ankle arthroscopy. 急性踝关节骨折切开复位内固定带与不带踝关节镜的临床疗效比较。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-07-05 DOI: 10.1053/j.jfas.2025.06.006

Shane M Hollawell, Paz Abergel, Sara Yancovitz, Dominick J Casciato, Meagan R Coleman

{"title":"Comparison of clinical outcomes in acute ankle fracture open reduction internal fixation with and without ankle arthroscopy.","authors":"Shane M Hollawell, Paz Abergel, Sara Yancovitz, Dominick J Casciato, Meagan R Coleman","doi":"10.1053/j.jfas.2025.06.006","DOIUrl":"10.1053/j.jfas.2025.06.006","url":null,"abstract":"This study aims to compare intra-articular findings and clinical outcomes between patients undergoing traditional open reduction and internal fixation (ORIF) and those undergoing arthroscopically assisted ORIF (AAORIF) for ankle fractures. By evaluating postoperative pain, functional recovery, and complications we seek to determine the role of Arthroscopy in optimizing outcomes. A retrospective study was conducted reviewing 83 patients who underwent ankle fracture ORIF: 34 with arthroscopy and 49 without. We documented intra-articular pathologies and evaluated variables such as tourniquet time, complications, non-weightbearing (NWB) duration, partial weightbearing (PWB), full weightbearing (FWB), time to physical therapy, return to normal shoe gear, and prescribed pain medication. The arthroscopy cohort had an average tourniquet time of 64 minutes, 9 minutes longer than the non-arthroscopy cohort (55 minutes). Arthroscopy revealed full-thickness osteochondral lesions in 44 % of patients (15/34), loose bodies in 18 % (6/34), and partial-thickness cartilage injuries in 35 % (12/34). No statistically significant differences were found between the AAORIF and ORIF groups in transitioning to PWB (42.09 vs. 40.01 days), FWB (60.11 vs. 58.69 days), starting physical therapy (50.53 vs. 49.12 days), or returning to normal shoe gear (60.11 vs. 60.84 days). Pain medication usage was slightly lower in the AAORIF group (44.47 vs. 46.16 MME/day), though not statistically significant. Ankle arthroscopy shows promise with fewer delayed unions without statistical significance and no significant increase in operative time. Though short-term benefits for pain or activity return are unclear, its non-inferiority to ORIF and potential for optimizing outcomes in specific cases justify further investigation into its clinical value.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576826","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

Rates of subtalar joint osteoarthritis after modified Chrisman-snook. 改良Chrisman-Snook后距下关节骨关节炎的发生率。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-07-05 DOI: 10.1053/j.jfas.2025.05.017

Ramez Sakkab, Zachary Flynn, Jeffrey E McAlister

{"title":"Rates of subtalar joint osteoarthritis after modified Chrisman-snook.","authors":"Ramez Sakkab, Zachary Flynn, Jeffrey E McAlister","doi":"10.1053/j.jfas.2025.05.017","DOIUrl":"10.1053/j.jfas.2025.05.017","url":null,"abstract":"Ankle sprains commonly damage the lateral compartment of the tibiotalar and subtalar joint. The presence of functional or mechanical instability leads to long term dysfunction of patients due to ankle laxity. The gold standard surgical procedure for chronic ankle instability is repair of the anterior talofibular and/or calcaneofibular ligaments with imbrication of the inferior extensor retinaculum. The senior author's indications for a modified Brostrom versus a modified Chrisman-Snook (CS) have evolved over the past decade. A potential complication with any technique that crosses the subtalar joint to reconstruct the CFL is progression of subtalar joint osteoarthritis. Consecutive cases of a near-anatomic Chrisman-Snook procedure with semitendinosus allograft were reviewed to identify any worsening of subtalar joint arthrosis. Fifty-six cases met inclusion and exclusion criteria. Patient demographics demonstrated a mean age of 47.5 years (SE ± 0.31), mean BMI 29.8 (SE ± 0.17), 21.4 % with concomitant calcaneal osteotomy, and 19.6 % revision cases after a prior failed ligament repair. Mean follow up was 16.5 months. Overall complication rate was 10.7 % (n = 6) with one patient requiring revision via successful subtalar joint fusion. Mean Kellgren-Lawrence stage increased from 0.56 to 0.81 (SE ± 0.2, p = 0.0621). The mild increase in severity of subtalar joint osteoarthritis did not reach clinical significance. However, more surveillance is needed mid-term to long-term to understand if the increase is transient, permanent, or subject to continued progression.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576829","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

Longer operative time increases the risk of a prolonged length of stay following primary total ankle arthroplasty. 较长的手术时间增加初次全踝关节置换术后住院时间延长的风险。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-07-04 DOI: 10.1053/j.jfas.2025.05.014

Apoorva H Mehta, Ralph Alberto, Doria L Weiss, Puneet Gupta, Erick M Marigi, Emily J Arciero, Ian Marigi, David P Trofa

{"title":"Longer operative time increases the risk of a prolonged length of stay following primary total ankle arthroplasty.","authors":"Apoorva H Mehta, Ralph Alberto, Doria L Weiss, Puneet Gupta, Erick M Marigi, Emily J Arciero, Ian Marigi, David P Trofa","doi":"10.1053/j.jfas.2025.05.014","DOIUrl":"10.1053/j.jfas.2025.05.014","url":null,"abstract":"Improving the safety profile of total ankle arthroplasty (TAA) is essential to expand its indications and global use. Identifying risk factors for complications can enhance preoperative patient optimization and surgical decision-making. While longer surgical times are known to increase perioperative risks in many orthopedic procedures, this has not been extensively studied in TAA. This study aims to determine whether longer operative times increase the risk of 30-day complications, readmissions, nonhome discharge, and prolonged length of stay. This retrospective study utilized 2015-2020 data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database. Primary TAA patients were divided into two cohorts based on operative time: ≥ 150 minutes or < 150 minutes. Patient characteristics and complications were compared using bivariate and multivariate analyses, including Pearson's Chi Squared test and logistic regression. Of 1,524 primary TAA patients, 676 had an operative time ≥150 minutes, and 848 had an operative time <150 minutes. After adjusting for covariates, longer operative time (≥150 minutes) was an independent risk factor for a prolonged length of stay (≥2 days) (OR 2.157 [95 % CI 1.732-2.686], p < 0.0001). However, longer operative time did not independently increase the risk of medical complications, readmissions, or nonhome discharge (p > 0.05). Surgeons should be aware of the increased risk of prolonged hospital stay with longer operative times in primary TAA and consider strategies to minimize surgical time.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576827","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

Angular position of proximal screw fixation during minimally invasive hallux valgus surgery in the sagittal plane. 微创拇外翻手术中近端螺钉固定在矢状面角度的定位。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-07-04 DOI: 10.1053/j.jfas.2025.05.012

Shane Sato, Noman A Siddiqui

{"title":"Angular position of proximal screw fixation during minimally invasive hallux valgus surgery in the sagittal plane.","authors":"Shane Sato, Noman A Siddiqui","doi":"10.1053/j.jfas.2025.05.012","DOIUrl":"10.1053/j.jfas.2025.05.012","url":null,"abstract":"Minimally invasive surgery for hallux valgus correction has evolved from early techniques, which used minimal or no hardware, to the current generation of more advanced, fixated osteotomies. These modern techniques often incorporate various forms of fixation, with recommendations on screw placement to optimize outcomes. Specifically, it is recommended that the proximal screw in the transverse plane should purchase two cortices of the first metatarsal to ensure maximum stability. While the ideal position of the screw in the anteroposterior view has been well documented in the literature, there is limited information available regarding the optimal parameters for fixation in the lateral view. The primary aim of this retrospective study is to examine the angular position of the proximal fixation screw in relation to the mechanical axis of the first metatarsal in the sagittal plane, based on radiographic analysis. In addition, the study reviews complications associated with hardware placement in this plane, providing critical insights for surgeons performing minimally invasive surgery for bunion correction. A total of 49 radiographs from 38 patients who met the inclusion criteria were analyzed. The mean angular position of the proximal screw with respect to the mechanical axis of the first metatarsal in the sagittal plane was determined to be 4.75 ± 4.17 degrees. Additionally, the secondary outcome, measuring the angle of the proximal screw in relation to the weight-bearing surface, was found to be 19.5 ± 8 degrees. These findings offer valuable guidance for preoperative planning and intraoperative fixation placement to avoid complications like metatarsal explosion.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568091","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

Prospective comparative study between extracorporeal shock wave therapy and ultrasound-guided ozone (O₂-O₃) injection in patients with plantar fasciitis. 体外冲击波治疗与超声引导臭氧（O2-O3）注射治疗足底筋膜炎的前瞻性比较研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-07-04 DOI: 10.1053/j.jfas.2025.05.015

Ömer Kuzu, Merve Çakır, Berke Aras, Ayşe Merve Ata, Bilge Kesikburun

{"title":"Prospective comparative study between extracorporeal shock wave therapy and ultrasound-guided ozone (O2-O3) injection in patients with plantar fasciitis.","authors":"Ömer Kuzu, Merve Çakır, Berke Aras, Ayşe Merve Ata, Bilge Kesikburun","doi":"10.1053/j.jfas.2025.05.015","DOIUrl":"10.1053/j.jfas.2025.05.015","url":null,"abstract":"The aim of this study was to compare the effectiveness of extracorporeal shock wave therapy (ESWT) and local ozone (O2O3) injection in patients with plantar fasciitis. This prospective study included 47 patients who were scheduled for ESWT or local ozone (O2O3) injection with the diagnosis of plantar fasciitis. ESWT group (n = 23) received 2000 radial shock waves (session of 2.8 Bars with a frequency of 12 Hz). Local ozone (O2O3) injection group (n = 24) underwent an ultrasound-guided injection of 5 cc ozone (O2O3) gas with a 10 μg/mL. ESWT and local ozone (O2O3) injection were applied once a week for three sessions. The outcome measures were assessed prior to treatment, after the last intervention, and 3rd month follow-up; morning and overall pain via Visual Analog Scale (VAS), foot functions via Foot Function Index (FFI), and plantar fascia thickness via ultrasound. In both ESWT and ozone groups, there were statistically significant improvements in morning VAS, overall VAS, FFI, and plantar fascia thickness scores post-treatment and at 3rd month follow-up compared to pre-treatment (p ˂ 0.017). There was no significant difference between ESWT and ozone groups on changes of morning VAS, overall VAS, FFI, and plantar fascia thickness scores at post-treatment and at 3rd month follow-up compared to pre-treatment (p > 0.05). In the present study, it was observed that both ultrasound-guided local ozone (O2O3) injections and ESWT were effective in reducing pain, improving functionality, and reducing plantar fascia thickness in patients with plantar fasciitis but they were not superior to each other.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576828","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

How does total ankle arthroplasty affect fall risk?: A nationwide database study of 130,982 older adults with ankle osteoarthritis. 全踝关节置换术如何影响跌倒风险？一项针对130,982名患有踝关节骨关节炎的老年人的全国性数据库研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-06-28 DOI: 10.1053/j.jfas.2025.05.007

Adam E Fleischer, Rachel H Albright, Ishani Jetty, Dyane Tower, Jonathan Hook, Lowell Weil

{"title":"How does total ankle arthroplasty affect fall risk?: A nationwide database study of 130,982 older adults with ankle osteoarthritis.","authors":"Adam E Fleischer, Rachel H Albright, Ishani Jetty, Dyane Tower, Jonathan Hook, Lowell Weil","doi":"10.1053/j.jfas.2025.05.007","DOIUrl":"10.1053/j.jfas.2025.05.007","url":null,"abstract":"Falls are now the leading cause of injury-related deaths in the US among older adults. While foot/ankle pain, osteoarthritis and limited ankle joint range of motion serve as independent risk factors for falls in older adults, it is uncertain whether surgical correction of ankle osteoarthritis via total ankle arthroplasty (TAA) can mitigate this risk. In this retrospective cohort study, we examined US adults aged 50 and over who underwent TAA from January 2010 to April 2022 using commercial, state, and federal claims data obtained via PearlDiver, Inc. The surgery group was compared to a similar sample of older adults who were treated nonoperatively for foot and ankle osteoarthritis over the same time frame. Cox proportional hazards regression models were utilized to examine the association of surgery and an injurious fall while controlling for important covariates. In the first year of follow-up, a greater proportion of people fell in the non-surgery group (31%, 41,049/130,318) than in the surgery group (27%, 177/664) (chi-square p<0.01). Furthermore, patients who underwent TAA were 51% less likely (adjusted HR 0.491, 95%CI 0.381 to 0.634) to fall over the 11+ year follow-up compared to those living with foot and ankle osteoarthritis without TAA. Our findings suggest TAA is safe in older adults, and that ankle osteoarthritis may be a surgically modifiable risk factor for falls.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530779","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 screw breakage in Lisfranc joint injuries: A multicenter retrospective study. Lisfranc关节损伤螺钉断裂的危险因素：一项多中心回顾性研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-06-28 DOI: 10.1053/j.jfas.2025.06.001

Satoshi Muto, Yasuhiko Takegami, Toshihisa Kojima, Shiro Imagama

{"title":"Risk factors for screw breakage in Lisfranc joint injuries: A multicenter retrospective study.","authors":"Satoshi Muto, Yasuhiko Takegami, Toshihisa Kojima, Shiro Imagama","doi":"10.1053/j.jfas.2025.06.001","DOIUrl":"10.1053/j.jfas.2025.06.001","url":null,"abstract":"Background: Lisfranc joint injuries are rare but significantly impact foot biomechanics. Open reduction and internal fixation (ORIF) using screws is common, but screw breakage is a frequent issue. While previous studies have reported breakage rates, few have investigated the association between screw type and breakage risk.Purpose: This study aims to identify risk factors for screw breakage, analyze the timing and patterns of failures, and evaluate their impact on clinical outcomes.Study design: Multicenter retrospective cohort study.Methods: This multicenter retrospective study analyzed 233 patients who underwent surgical treatment for Lisfranc injuries at 11 institutions between January 2014 and June 2024. After applying the exclusion criteria, 72 patients were eligible for inclusion in the study. These patients were divided on the basis of screw type (cannulated [n = 31] and solid [n = 41]). Following age- and sex-matching, 48 patients were selected (Group C: cannulated, n = 24; Group S: solid, n = 24).Results: Screw breakage occurred more frequently in Group C (28.6 %) than in Group S (3.6 %) (p = 0.004). The median time to breakage was 39 weeks (range: 8-54). Logistic regression analysis revealed that usage of cannulated screws was a significant risk factor for breakage (OR 0.132, 95 % CI 0.0252-0.694; p = 0.0167). Despite higher breakage rates, Group C had better final AOFAS scores (median 95.00 vs. 90.00, p = 0.031). Among the 11 broken screws, 7 (63.6 %) were retained without adverse effects on functional outcomes.Conclusion: Cannulated screws were associated with increased breakage risk in Lisfranc injuries, although this did not negatively impact functional outcomes.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530780","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

Comparison of isolated eccentric exercise and eccentric exercise combined with shock wave therapy in non-insertional Achilles tendinopathy. 孤立偏心运动与偏心运动联合冲击波治疗非插入性跟腱病的比较。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-06-26 DOI: 10.1053/j.jfas.2025.05.009

Gokhan Pehlivanoglu, Canan Gonen Aydin, Kadir Ilker Yildiz, Kutalmis Albayrak, Muhammed Bilal Kurk, Baris Ozkul

{"title":"Comparison of isolated eccentric exercise and eccentric exercise combined with shock wave therapy in non-insertional Achilles tendinopathy.","authors":"Gokhan Pehlivanoglu, Canan Gonen Aydin, Kadir Ilker Yildiz, Kutalmis Albayrak, Muhammed Bilal Kurk, Baris Ozkul","doi":"10.1053/j.jfas.2025.05.009","DOIUrl":"10.1053/j.jfas.2025.05.009","url":null,"abstract":"This study aimed to compare the effectiveness of eccentric exercise (EE) alone versus combined treatment with EE and extracorporeal shock wave therapy (ESWT) for treating noninsertional Achilles tendinopathy. Seventy-eight patients who underwent treatment with EE alone or combined with ESWT were retrospectively evaluated. Results were compared between the two groups before and after treatment, at the third-month, and after an average follow-up period of 6.3 years. The VAS and Likert scale scores were significantly better after treatment and at the third-month follow-up for those who underwent combined treatment (p < 0.05). Both groups showed statistically significant improvements in VISA-A and VAS scores compared to baseline levels after treatment, in the third-month, and at the final follow-up (p < 0.05). The final follow-up results revealed no significant differences between the VISA-A, VAS, and Likert scores of both groups. Fifty-six out of 78 patients (71.8%) who rated themselves as Likert 1 (fully healed) or 2 (much better) on the 6-point Likert scale were deemed successful. While both treatment groups reached minimal clinically important difference (MCID) in VAS scores, the intergroup MCID was not clinically significant. This study underscores the efficacy of EE in noninsertional Achilles tendinopathy, and the clinical effect of ESWT remains controversial. However, ESWT+EE combination therapy may be a viable option for specific patient groups requiring rapid recovery, such as athletes.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512717","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

Chronic heel pain: Can reducing gastrocnemius-achilles-plantar fascia (GAP) Workload through modified surgical technique improve outcomes? 慢性足跟疼痛：通过改良手术技术减少腓肠肌-跟腱-足底筋膜（GAP）负荷是否能改善预后？

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-06-25 DOI: 10.1053/j.jfas.2025.05.008

Aysha Rajeev, Kailash Devalia

{"title":"Chronic heel pain: Can reducing gastrocnemius-achilles-plantar fascia (GAP) Workload through modified surgical technique improve outcomes?","authors":"Aysha Rajeev, Kailash Devalia","doi":"10.1053/j.jfas.2025.05.008","DOIUrl":"10.1053/j.jfas.2025.05.008","url":null,"abstract":"This study evaluates the efficacy of Achilles tendon reconstruction (ATR) and proximal medial gastrocnemius release (PMGR) for treating recalcitrant Achilles tendinopathy (AT) and plantar fasciopathy (PF). A retrospective analysis was conducted on 72 patients with chronic heel pain resistant to conservative treatment. Patients were categorized into those with Haglund's deformity, Achilles tendinopathy, or gastrocnemius tightness with Plantar fasciopathy. Among them, 45 patients were diagnosed with AT and 27 with PF. Patients with AT underwent split detachment, debridement, excision of Haglund's deformity, and de-tensioning reconstruction using a modified double-row knotless suture. Patients with PF underwent PMGR. Outcomes were assessed using pre- and postoperative Manchester-Oxford Foot Questionnaire (MOxFQ), EQ-5D, and EQ-VAS scores. The mean follow-up duration of 41.2 months (range: 36-66 months). Significant improvements were observed in all outcome measures for both groups. In the ATR group, the mean preoperative MOxFQ score improved from 67.77 ± 20.41 to 21.46 ± 12.38. EQ-5D improved from 19.34 ± 7.81 to 4.52 ± 2.58, and EQ-VAS improved from 48.64 ± 10.91 to 69.34 ± 18.75. In the PF group, the MOxFQ improved from 41.35 ± 10.04 to 18 ± 16.82, EQ-5D from 14.14 ± 2.71 to 8.64 ± 5.15, and EQ-VAS from 44.67 ± 17.94 to 71.87 ± 28.35 at the final follow-up. Understanding the biomechanics of the Gastrocnemius Achilles Plantar fascia (GAP) complex and developing a structured treatment algorithm with detensioning the GAP complex through modified Achilles tendon reconstruction and proximal gastrocnemius release, yields a significant functional and symptomatic improvement.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512716","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

Comparative clinical outcomes of K-wire fixation versus screw fixation in Lisfranc joint injuries: A multicenter (TRON group) retrospective study. 一项多中心（TRON组）回顾性研究：k线固定与螺钉固定治疗Lisfranc关节损伤的临床效果比较。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-06-24 DOI: 10.1053/j.jfas.2025.05.005

Atsuya Adachi, Yasuhiko Takegami, Hiroaki Nakashima, Kenichi Mishima, Kazuyoshi Kobayashi, Shiro Imagama

{"title":"Comparative clinical outcomes of K-wire fixation versus screw fixation in Lisfranc joint injuries: A multicenter (TRON group) retrospective study.","authors":"Atsuya Adachi, Yasuhiko Takegami, Hiroaki Nakashima, Kenichi Mishima, Kazuyoshi Kobayashi, Shiro Imagama","doi":"10.1053/j.jfas.2025.05.005","DOIUrl":"10.1053/j.jfas.2025.05.005","url":null,"abstract":"Treatment of Lisfranc joint injuries commonly involves surgical fixation, with screw fixation and Kirschner wire (K-wire) fixation being two primary methods. However, the optimal fixation strategy remains debated, particularly regarding functional outcomes and complications. This multicenter retrospective study analyzed 50 patients (25 per group) who underwent either screw or K-wire fixation for Lisfranc injuries between 2014 and 2024. Patients were matched by age and sex. Outcomes were assessed using AOFAS midfoot scores, complication rates, and radiographic evaluation. Operative time was significantly shorter in the K-wire group (41.0 vs. 118.5 min, p < 0.001). AOFAS scores showed no significant difference between groups (median of 88.0 vs. 90.0, p = 0.84). The K-wire group showed higher rates of malunion (28.0 % vs. 4.0 %, p = 0.049), whereas the screw group had increased rates of implant breakage (12.0 %, p = 0.012), wound irritation (36.0 %, p = 0.095), and unplanned implant removal (28.0 %, p < 0.001). Both fixation methods achieved comparable functional outcomes, which were assessed in patients who were followed for at least 90 days. K-wire fixation offered advantages in shorter operative time and fewer hardware-related complications but showed higher rates of malunion. Treatment choice should be individualized based on patient factors and injury characteristics, with K-wire fixation representing a viable alternative in appropriate cases.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509241","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