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

Treatment of distal third tibial fractures with anterior soft tissue compromise through the posterolateral approach: Distal Third Tibial Fractures via the Posterolateral Approach. 通过后外侧入路治疗胫骨第三远端骨折伴前软组织损伤：通过后外侧入路治疗胫骨第三远端骨折。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-09-06 DOI: 10.1053/j.jfas.2024.09.002

Xiaoliang Yang, Xu Zhang, Caixia Liu, Liming Zhang, Fan Wu, Qiang Shen, Yadong Yu

{"title":"Treatment of distal third tibial fractures with anterior soft tissue compromise through the posterolateral approach: Distal Third Tibial Fractures via the Posterolateral Approach.","authors":"Xiaoliang Yang, Xu Zhang, Caixia Liu, Liming Zhang, Fan Wu, Qiang Shen, Yadong Yu","doi":"10.1053/j.jfas.2024.09.002","DOIUrl":"10.1053/j.jfas.2024.09.002","url":null,"abstract":"<p><p>Distal third tibial fractures associated with anterior soft tissue compromise are a predictor of more complications and poor prognosis. The study aimed to introduce the treatment of such fractures through the posterolateral approach. From March 2020 and January 2022, 32 patients with distal third tibial fractures were plated through the posterolateral approach due to concurrent closed anterior soft tissue compromise. There were 30 male and 2 female patients with the mean age of 33 years (range, 20-53 years). The reduction quality of diaphyseal fractures was good (n=30) and acceptable (n=2). The reduction quality of articular fragments was anatomic (n=21), good (n=6), and fair (n=1). All anterior soft tissue injuries healed without surgical intervention. Follow-ups lasted 28 months (range, 25-34 months). The mean dorsiflexion of the injured and uninjured ankles were 17.8°±5.4° and 24.5°±6.6°, respectively (P<0.05). The mean plantar flexion of the ankles were 42°±8.8° and 46°±12.9°, respectively (P>0.05). The mean inversion of the injured and uninjured ankles were 15°±13.3° and 19°±12.4°, respectively (P<0.05). The mean eversion of the injured and uninjured ankles were 27.8°±16.9° and 32.9°±14.3°, respectively (P>0.05). The mean American Orthopaedic Foot and Ankle score was 90 (range, 68-100). Distal third tibial fractures with anterior soft tissue compromise can be plated through the posterolateral approach, resulting in good functional outcomes and minimum complications.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156524","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

Effect of patient age on fifth metatarsal fracture pattern, management, and outcomes. 患者年龄对第五跖骨骨折模式、处理和疗效的影响

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-09-06 DOI: 10.1053/j.jfas.2024.09.001

Manasa L Kadiyala, Matthew T Kingery, Raymond Walls, Abhishek Ganta, Sanjit R Konda, Kenneth A Egol

{"title":"Effect of patient age on fifth metatarsal fracture pattern, management, and outcomes.","authors":"Manasa L Kadiyala, Matthew T Kingery, Raymond Walls, Abhishek Ganta, Sanjit R Konda, Kenneth A Egol","doi":"10.1053/j.jfas.2024.09.001","DOIUrl":"10.1053/j.jfas.2024.09.001","url":null,"abstract":"<p><p>Patients with 5th metatarsal (MT) fractures encompass a broad age distribution. This study evaluated the impact of age on the differences in clinical outcomes and management of these fractures. This was a retrospective cohort study of patients presenting to a single large, urban, academic hospital system with a 5th MT fracture over a 10-year period. Patients were stratified into groups of younger than 65 years old and equal to or greater than 65 years old. Initial and successive radiographs were reviewed, and fractures were categorized as Zone 1, Zone 2, Zone 3, Shaft, Neck, or Head fractures. 2,461 patients with 5th MT fractures were evaluated. Patients who did not follow up after initial evaluation in the emergency department or urgent care were excluded. Among 2,020 patients with mean follow-up of 1.03 years who met inclusion criteria, 76.2% were younger than 65 years and 23.8% were greater than or equal to 65 years. There was a significant difference in fracture type between groups as older patients were more likely to sustain metatarsal neck fractures but less likely to sustain Zone 1 base fractures (p < 0.05). There was no difference in time to clinical healing (p = 0.108) or time to radiographic union (p = 0.367) for all fractures between age groups. In conclusion, older patients sustain different 5th metatarsal fracture patterns compared to younger patients. However, despite the differences in age, there was no evidence for any difference in clinical and radiographic outcomes between groups.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":"126-130"},"PeriodicalIF":1.3,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156523","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

Weight changes following Achilles debridement with flexor hallucis longus transfer: A retrospective analysis. 跟腱撕脱术后跟腱长屈肌转移的体重变化：回顾性分析

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-09-06 DOI: 10.1053/j.jfas.2024.08.018

Mila Scheinberg, Ting Dan Zhang, John Galloway, Juan Campos, Swathi Kalluraya, Marc Bernstein, Ashish Shah

{"title":"Weight changes following Achilles debridement with flexor hallucis longus transfer: A retrospective analysis.","authors":"Mila Scheinberg, Ting Dan Zhang, John Galloway, Juan Campos, Swathi Kalluraya, Marc Bernstein, Ashish Shah","doi":"10.1053/j.jfas.2024.08.018","DOIUrl":"10.1053/j.jfas.2024.08.018","url":null,"abstract":"<p><p>Obesity poses a growing concern, with global predictions estimating over half the population to be overweight or obese by 2030 (1). While prior research has extensively explored the impact of obesity on hip and knee surgeries, a notable gap persists in understanding weight changes following foot and ankle procedures. This retrospective study focuses on the relationship between Body Mass Index (BMI) and Achilles debridement with flexor hallucis longus (FHL) transfer. Despite prevailing research on the adverse effects of obesity on orthopedic outcomes, few studies examine the reciprocal influence of surgeries on weight. A retrospective analysis of 136 patients undergoing primary Achilles debridement with FHL transfer was conducted. Data encompassing BMI, demographic information, and medical comorbidities were extracted from electronic medical records (EMRs). A clinically meaningful BMI change was considered as a 5 % variation. Inferential statistics in the form of analysis of variance, t-test, and linear regression were employed for data analysis. Among the 136 patients in the study, no statistically significant BMI changes were noted up to two years after surgery (p = 0.9967). While obesity remains a significant factor in foot and ankle surgery complications, our study suggests that Achilles debridement with FHL transfer does not induce significant weight changes. Further research exploring factors influencing weight changes and varying outcomes across demographics is warranted.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":"131-135"},"PeriodicalIF":1.3,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156525","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

Re: Diversity of Editorial Boards in Podiatric Foot and Ankle Surgery 关于足踝外科编辑委员会的多样性

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-08-26 DOI: 10.1053/j.jfas.2024.05.008

Naohiro Shibuya DPM, MS, FACFAS

引用次数: 0

Subscription Information 订阅信息

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-08-26 DOI: 10.1053/S1067-2516(24)00158-3

引用次数: 0

Diversity of Editorial Boards in Podiatric Medicine and Surgery 足病医学和外科学编辑委员会的多样性

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-08-26 DOI: 10.1053/j.jfas.2024.05.006

Isana Fils-Aime DPM, Andrew J. Meyr DPM, FACFAS

引用次数: 0

Cover 1 -- cover prints black and PMS 261 封面 1 -- 封面印黑色和 PMS 261

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-08-26 DOI: 10.1053/S1067-2516(24)00156-X

引用次数: 0

Safety and Efficacy of One vs Two Incision Broström Gould with Calcaneal Osteotomy and Peroneal Tendon Debridement Surgery 单切口与双切口布罗斯特罗姆古尔德钙骨截骨术和腓肠肌肌腱清创手术的安全性和有效性对比。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-08-14 DOI: 10.1053/j.jfas.2024.08.003

Mila Scheinberg MD, MS , Travis Fortin MD , Matthew McCrosson MD , Ting Dan Zhang BS , Juan Campos MS, BS , Marc Bernstein MS , Ashish Shah MD

{"title":"Safety and Efficacy of One vs Two Incision Broström Gould with Calcaneal Osteotomy and Peroneal Tendon Debridement Surgery","authors":"Mila Scheinberg MD, MS , Travis Fortin MD , Matthew McCrosson MD , Ting Dan Zhang BS , Juan Campos MS, BS , Marc Bernstein MS , Ashish Shah MD","doi":"10.1053/j.jfas.2024.08.003","DOIUrl":"10.1053/j.jfas.2024.08.003","url":null,"abstract":"<div><div>Surgical intervention, such as the Broström-Gould procedure, is typically indicated for patients with chronic lateral ankle instability. In this study, we are comparing the safety and efficacy of the Broström-Gould procedure with peroneal tendon debridement, a sliding lateralizing calcaneal osteotomy, and adjuvant procedures performed with a single- versus double-incision approach. Our retrospective analysis included patients who underwent the procedure of interest between 2011 and 2020. Patients were divided into 2 groups: undergoing either a 1-incision (n = 53) or a 2-incision approach (n = 47), both with a lateralizing calcaneal osteotomy. A significant difference in skin bridge breakdown was observed between the 2-incision (n = 6 [13%]) and 1-incision groups (n = 0 [0%]). There were no significant differences in infection, deep wound dehiscence, nerve palsy, or neuroma between patients in the 2 groups. Furthermore, no statistically significant differences in mean PROMIS scores existed between the cohorts. The described Broström-Gould procedure shows promise for treating chronic ankle instability. While patients in both single- and double-incision groups had similar rates of postoperative complications, the decreased incidence of skin bridge breakdown in the 1incision group highlights the approach's safety and potential benefits in reducing wound-related complications.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"63 6","pages":"Pages 747-751"},"PeriodicalIF":1.3,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996800","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

Publication Rates for Oral Manuscript and Poster Presentations From the American College of Foot and Ankle Surgeons: 2015 to 2019 美国足踝外科医生学会口述手稿和海报发表率：2015-2019 年。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-08-06 DOI: 10.1053/j.jfas.2024.07.007

Calvin J. Rushing DPM, FACFAS , Kristen L. Paege

{"title":"Publication Rates for Oral Manuscript and Poster Presentations From the American College of Foot and Ankle Surgeons: 2015 to 2019","authors":"Calvin J. Rushing DPM, FACFAS , Kristen L. Paege","doi":"10.1053/j.jfas.2024.07.007","DOIUrl":"10.1053/j.jfas.2024.07.007","url":null,"abstract":"<div><div>The quality of national society conferences is often assessed indirectly by analyzing the journal publication rate of the abstracts presented. The conversion rate of abstracts presented at the annual American College of Foot and Ankle Surgeons conference is currently the highest reported (76.9%) for any foot and ankle society to date. The purpose of the present retrospective study was to re-assess the journal publication rate for abstracts (oral manuscript, poster) accepted for presentation at the annual meeting, this time from 2015 to 2019. All accepted abstracts from this period were compiled in a database. PubMed, Google Scholar, and Scopus searches were performed using abstract titles, and author names. The journal publication rate was 80.7% (92/114) for oral manuscripts, and 23.1% (287/1240) for poster abstracts. The mean time to publication was 18.7 months (0 to 75), and 19.1 months (0 to 88) for oral manuscript and posters, respectively. The most common journal for abstract publication was The Journal of Foot and Ankle Surgery. The American College of Foot and Ankle Surgeons oral manuscript publication rate from 2015 to 2019 (80.7%) exceeded the previous reported rate from 2010 to 2014 (76.9%), and is now the highest reported for any national foot and ankle society to date. Attendees of the oral presentations, and readers of the Journal of Foot and Ankle Surgery may remain confident in the quality, and clinical significance of the research presented.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"63 6","pages":"Pages 713-716"},"PeriodicalIF":1.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908194","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

Age Influence on Total Ankle Arthroplasty Outcomes: A Systematic Review 年龄对全踝关节置换术结果的影响：系统回顾

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-08-03 DOI: 10.1053/j.jfas.2024.07.013

Jennifer A. Kipp DPM , Bryanna D. Vesely DPM, MPH , Thea A. Lance BS , Brian N. White MA , Ashleigh W. Medda DPM, FACFAS , Aaron T. Scott MD

{"title":"Age Influence on Total Ankle Arthroplasty Outcomes: A Systematic Review","authors":"Jennifer A. Kipp DPM , Bryanna D. Vesely DPM, MPH , Thea A. Lance BS , Brian N. White MA , Ashleigh W. Medda DPM, FACFAS , Aaron T. Scott MD","doi":"10.1053/j.jfas.2024.07.013","DOIUrl":"10.1053/j.jfas.2024.07.013","url":null,"abstract":"<div><div>Total ankle arthroplasty has gained popularity as advancing technology has resulted in higher survivorship and lower complication rates. In the past, total ankle replacement candidates have been reserved for patients greater than 50 years old with low physical demands and minimal deformity. However, with newer designs, surgeons have begun to expand their patient inclusion criteria. The purpose of this study was to analyze current literature comparing patient outcomes among total ankle replacement patients over and under age 50. A systematic review of the literature was performed comparing the impact of age to total ankle replacement outcomes. 159 articles were reviewed. Seven studies met our inclusion criteria and therefore were included in the synthesis. No statistically significant difference in outcomes was determined for the younger and older age groups in regard to reoperation, complications, and implant survivorship (<em>p</em> = .412, .955, .155, respectively). However, the statistical model is underpowered given the limited number of studies. While the findings of this study infer that total ankle replacement outcomes are not significantly different among older and younger age groups, further research in this area is needed.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"63 6","pages":"Pages 765-768"},"PeriodicalIF":1.3,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894796","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