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

Antibiotic Eluting Bone Void Filler Versus Systemic Antibiotics For Pedal Osteomyelitis 抗生素洗脱骨腔填充剂与全身抗生素治疗腓骨骨髓炎的对比

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-01-01 DOI: 10.1053/j.jfas.2024.08.010

Vandana Venkateswaran MRCS , Madhu Tiruveedhula FRCS , Justin Edwards FRCPath , Shiva Dindyal MD , Michael Mulcahy FRCP , Ankur Thapar PhD

{"title":"Antibiotic Eluting Bone Void Filler Versus Systemic Antibiotics For Pedal Osteomyelitis","authors":"Vandana Venkateswaran MRCS , Madhu Tiruveedhula FRCS , Justin Edwards FRCPath , Shiva Dindyal MD , Michael Mulcahy FRCP , Ankur Thapar PhD","doi":"10.1053/j.jfas.2024.08.010","DOIUrl":"10.1053/j.jfas.2024.08.010","url":null,"abstract":"<div><div>Osteomyelitis complicates 20% of patients with infected diabetic foot ulcers. In this study, 2 strategies for treating pedal osteomyelitis were compared in a pilot study. This was a retrospective, non-randomized, single center 2 arm cohort study, conducted between 2020 and 2022 involving 53 patients at a tertiary limb salvage unit. All patients were managed with debridement and proximal bone biopsy. Group A was treated with systemic antibiotics for up to 6 weeks. Group B had vancomycin or gentamycin eluting bone void filler implanted into the diseased bone medullary cavity(s) and 1 week of oral antibiotics. Patients were followed independently for the primary endpoint of osteomyelitis treatment failure and secondary endpoints of amputation free survival, wound healing, minor amputation, and treatment-limiting side-effects. Survival analysis demonstrated no significant difference in treatment failure (<em>p</em> = .35) or amputation free survival (<em>p</em> = .46). Limb salvage rates were 88% in Group A and 89% in Group B. Wounds healed in 85% in Group A and 89% in Group B. Minor amputations occurred in 21% in Group A and 11% in Group B. Treatment limiting side effects occurred in 6% in Group A and were absent in Group B. In conclusion, the use of antibiotic eluting bone void filler appeared safe without extended systemic antibiotics in this study. Group B had fewer intravenous lines, requirement for home nursing, and treatment limiting side effects. A larger randomized controlled trial examining longer term clinical and radiological efficacy, treatment costs and side effects is warranted.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 1","pages":"Pages 30-35"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antibiotic administration for open reduction internal fixation of closed ankle fractures: Is one preoperative dose enough? 闭合性踝关节骨折切开复位内固定术中的抗生素应用：术前一次剂量是否足够？

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-01-01 DOI: 10.1053/j.jfas.2024.09.004

Jack Mangan MD , James D. Michelson MD , Patrick C. Schottel MD , Michael Barnum MD , Michael Blankstein MD

{"title":"Antibiotic administration for open reduction internal fixation of closed ankle fractures: Is one preoperative dose enough?","authors":"Jack Mangan MD , James D. Michelson MD , Patrick C. Schottel MD , Michael Barnum MD , Michael Blankstein MD","doi":"10.1053/j.jfas.2024.09.004","DOIUrl":"10.1053/j.jfas.2024.09.004","url":null,"abstract":"<div><div>Although preoperative antibiotics are used routinely in ankle fracture surgery, there is considerable variability in postoperative antibiotic dosing regimens amongst surgeons. The aim of this study is to compare the rate of surgical site infection (SSI) in patients receiving one dose of preoperative antibiotics to patients who received more than one dose of antibiotics. A single-center Level I Trauma Center retrospective review of patients with isolated closed ankle fractures who underwent open reduction internal fixation over a 10-year period was performed. Demographics data and risk factors were obtained from the electronic medical record. SSI was detected using a text-mining algorithm on all postoperative clinic notes. Factors associated with the development of SSI or increased antibiotic dosing were evaluated. Eight-hundred and twenty-six patients were included in the analysis. There was no correlation between infection rate and any of the potential risk factors evaluated. Two-hundred and ninety-two patients received only one dose of antibiotics preoperatively and 534 patients received more than one antibiotic dose. The rate of SSI was not significantly different between the single-dose cohort (5.8 %) and the multi-dose cohort (3.9 %) (p=0.215). Routine use of postoperative antibiotics in open reduction internal fixation of closed ankle fractures did not decrease the rate of SSI, regardless of associated comorbidities.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 1","pages":"Pages 67-71"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299837","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

High Preoperative Pain Score is a Predictor of Cheilectomy Failure in Hallux Rigidus 术前疼痛评分过高是导致脚后跟外翻髋关节切除术失败的预兆

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-01-01 DOI: 10.1053/j.jfas.2024.08.008

Kevin Anthony Jing Ming Chong MBBS, MRCS, Shao Jin Teo MBBS, MRCS, Rui Xiang Toh MBBS, MMed, FRCS, Kizher Shajahan Mohamed Buhary MBBS, MMed, FRCS, Zongxian Li MBBS, MMed, FRCS, Kae Sian Tay MBBS, MMed, FRCS

{"title":"High Preoperative Pain Score is a Predictor of Cheilectomy Failure in Hallux Rigidus","authors":"Kevin Anthony Jing Ming Chong MBBS, MRCS, Shao Jin Teo MBBS, MRCS, Rui Xiang Toh MBBS, MMed, FRCS, Kizher Shajahan Mohamed Buhary MBBS, MMed, FRCS, Zongxian Li MBBS, MMed, FRCS, Kae Sian Tay MBBS, MMed, FRCS","doi":"10.1053/j.jfas.2024.08.008","DOIUrl":"10.1053/j.jfas.2024.08.008","url":null,"abstract":"<div><div>Hallux rigidus (HR) is a prevalent arthritic condition in the foot. Cheilectomy is a common joint-preserving procedure for HR, involving the removal of prominent osteophytes to relieve impingement of the 1<sup>st</sup> MTPJ. This study aims to identify factors associated with the failure of cheilectomy in the treatment of HR. A retrospective review of a prospectively collected database from 2007 to 2021 identified all cheilectomy cases. The minimum follow-up was 2 years. Preoperative demographic data, patient-reported outcome measures (PROMs) and foot radiographs were collected. PROMs were reassessed in postoperative reviews, and cases were categorized as successes or failures. Failure was defined by meeting at least one of the following criteria at the latest review: 1) Visual analog pain score (VAS) more than or equal to 4, 2) undergoing subsequent revision procedures, or 3) reporting poor or terrible satisfaction with the surgery. The analysis involved 66 patients, with 19 failure and 47 success cases. Both groups showed similar age, BMI, and gender profiles. Preoperative radiographic parameters were comparable between groups. However, preoperative VAS was significantly higher in the failure group: 7.16 vs 5.23 (<em>p</em> = .0029). Logistic regression confirmed preoperative VAS as a predictor of nonresponse (<em>p</em> = .023). Receiver Operating Characteristic analysis established an optimal cut-off VAS score of 7.0. Patients with a preoperative VAS score of more than 7 had an odds ratio of 5.11 (<em>p</em> = .0055) for failure. A higher preoperative VAS score is significantly associated with cheilectomy failure in HR treatment, suggesting a cutoff score of 7.0.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 1","pages":"Pages 1-6"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001177","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

Evaluation of Distal Tibiofibular Synostosis Formation and Risk Factors After Surgically Treated Ankle Fractures: A Single Centre Study 评估踝关节骨折手术治疗后胫腓骨远端滑膜囊肿的形成和风险因素：单中心研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-01-01 DOI: 10.1053/j.jfas.2024.08.007

Ahmet Yigitbay MD , Mustafa Gökhan Bilgili MD

{"title":"Evaluation of Distal Tibiofibular Synostosis Formation and Risk Factors After Surgically Treated Ankle Fractures: A Single Centre Study","authors":"Ahmet Yigitbay MD , Mustafa Gökhan Bilgili MD","doi":"10.1053/j.jfas.2024.08.007","DOIUrl":"10.1053/j.jfas.2024.08.007","url":null,"abstract":"<div><div>This study aimed to evaluate the occurrence of partial bridging and synostosis in the distal tibiofibular joint after surgically treated ankle fractures and determine possible risk factors. In this retrospective study, patients admitted to our hospital with ankle trauma between January 1, 2016, and December 31, 2020, who were operated on for an ankle fracture and had a follow-up period of at least 1 year, were included. Patients underwent anteroposterior, lateral, and mortise radiographs of the ankle and low-dose computed tomography postoperatively. The presence of partial bridging and synostosis in the distal tibiofibular joint was evaluated. The study included 75 patients (50 males, 25 females). There were 40 patients with the right fracture side and 35 patients with the left fracture side. The mean age of the patients included in the study was 43.96 ± 15.07 years. The total follow-up period was 40 ± 13 months. Nineteen patients had partial bridging (13 males, 6 females), and 9 had synostosis (7 males, 2 females). The incidence of partial bridging was 25.3%, and synostosis was 12%. We determined that high-energy trauma is a risk factor for synostosis, but we found that syndesmosis injury is not a risk factor for developing distal tibiofibular synostosis. Additionally, we found that distal tibiofibular synostosis and partial bridging do not affect ankle joint movements.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 1","pages":"Pages 25-29"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019403","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

The effect of plantar calcaneal spur excision on plantar fascia surgery outcomes. 足底跟骨刺切除对足底筋膜手术效果的影响。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-12-19 DOI: 10.1053/j.jfas.2024.12.004

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

{"title":"The effect of plantar calcaneal spur excision on plantar fascia surgery outcomes.","authors":"Steven R Cooperman, Lauren M Christie, Chad A Smith, Abisola Olaniyan, Christopher F Hyer","doi":"10.1053/j.jfas.2024.12.004","DOIUrl":"10.1053/j.jfas.2024.12.004","url":null,"abstract":"<p><p>Plantar heel pain is a prevalent condition affecting 10 % of the population, with plantar fasciitis being the most common cause. Plantar calcaneal spurs are frequently associated with plantar fasciitis, yet their role in the condition and surgical outcomes remains unclear. This study investigates the impact of plantar calcaneal spur excision on the outcomes of plantar fascia surgery, utilizing a radiofrequency microtenotomy and bone marrow aspiration technique. A retrospective review of 136 plantar fascia surgeries was conducted with 83 cases including plantar calcaneal spur excision. Demographic and operative factors were analyzed. Outcomes included time to weight-bearing in a boot and shoes, symptom resolution, and complications. Plantar calcaneal spur excision was associated with a statistically significant delay in symptom resolution (p = 0.006) and time to weight-bearing in shoes (p = 0.020). A statistically significant difference was observed regarding operative laterality, with right-sided surgeries demonstrating an increased time to symptom resolution (p = 0.007) and a higher retreatment rate (p = 0.017) compared to left-sided surgeries. There was no significant difference in complication rates or the need for retreatment between excision and non-excision groups. These findings highlight the need for careful consideration of plantar calcaneal spur excision in surgical planning for plantar fasciitis, with implications for patient education and management strategies.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873417","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

Modified Lapidus procedure with a nitinol staple and two screw construct technique. 采用镍钛诺钉钉和双螺钉构造技术改良Lapidus手术。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-12-14 DOI: 10.1053/j.jfas.2024.12.001

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

{"title":"Modified Lapidus procedure with a nitinol staple and two screw construct technique.","authors":"Chad A Smith, Lauren M Christie, Steven R Cooperman, Christopher F Hyer","doi":"10.1053/j.jfas.2024.12.001","DOIUrl":"10.1053/j.jfas.2024.12.001","url":null,"abstract":"<p><p>Many fixation options exist for correction of a hallux valgus deformity with a first tarsometatarsal joint arthrodesis with pros and cons to each. Few have looked at utilizing a shape memory alloy staple made from nitinol for fixation. This study evaluates the effectiveness of a modified Lapidus technique using a nitinol (shape memory alloy) staple combined with a two-screw construct for first tarsometatarsal joint arthrodesis in correcting hallux valgus deformity. The non-union rate, time to weightbearing in both a boot and a shoe, hardware removal of the staples, and the need for revision surgeries were all evaluated. A retrospective review of 42 patients meeting the inclusion criteria was conducted, with an average follow-up time of 12.3 months (SD 4.5). Bony union was achieved in 47 of 48 (97.92 %) cases for a non-union rate of 2.08 %. The average time to weightbearing in a boot was 27.35 days (SD 3.47), while in a shoe, it was 55.58 days (SD 10.03). There was a total of 3 procedures requiring staple removal (3/48) (6.25 %), and no revision surgeries were needed due to loss of correction or non-union. These outcomes suggest that the nitinol staple and two-screw construct is a reliable option for first tarsometatarsal joint arthrodesis in hallux valgus deformity, showing similar results compared to other fixation methods.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830744","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 shock wave therapy and Low-dye tape method in patients with plantar fasciitis: A randomized controlled study. 冲击波疗法与低染带法治疗足底筋膜炎的比较：一项随机对照研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-12-11 DOI: 10.1053/j.jfas.2024.12.003

Fatih Enzin, Ümit Ugurlu

{"title":"Comparison of shock wave therapy and Low-dye tape method in patients with plantar fasciitis: A randomized controlled study.","authors":"Fatih Enzin, Ümit Ugurlu","doi":"10.1053/j.jfas.2024.12.003","DOIUrl":"10.1053/j.jfas.2024.12.003","url":null,"abstract":"<p><p>Plantar fasciitis is a common musculoskeletal issue that can cause severe pain and limit functionality. This study aimed to compare the effectiveness of Extracorporeal shock-wave therapy and Low-dye taping in relieving pain and improving functionality in plantar fasciitis. The study included cases with a confirmed diagnosis of plantar fasciitis, which were randomly divided into two groups: Extracorporeal shock-wave therapy and Low-dye taping. The subjects in the Extracorporeal shock-wave therapy group were treated with Extracorporeal shock-wave therapy, while the subjects in the Low-dye taping group were treated with Low-dye taping and sham Extracorporeal shock-wave therapy. Both treatments were administered in three sessions, once a week. Pain and functionality levels were evaluated using the Visual analog scala and Foot&Ankle Outcome Score. Evaluations were conducted pre- and post-treatment, and at the six-week follow-up. Seventy-two subjects completed the study, and at the end of the treatment and follow-up periods, both groups showed a significant decrease in pain levels (p≤0.001) and an increase in functionality levels (p≤0.001) compared to the beginning. However, there was no significant difference between the groups regarding pain and functionality levels at the end of the treatment and follow-up period (p > 0.05). Therefore, both Extracorporeal shock-wave therapy and Low-dye taping treatments were found to have similar effects in treating plantar fasciitis. These findings can guide clinicians in choosing the most effective conservative treatment for plantar fasciitis patients.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822835","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

Assessment of peroneal tendon lesions using 2-dimensional and 3-dimensional isotropic magnetic resonance imaging with surgical correlation. 利用二维和三维各向同性磁共振成像与手术相关评估腓肌腱病变。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-12-11 DOI: 10.1053/j.jfas.2024.12.002

Flavio Duarte Silva, Rubeel Akram, Atul Kumar Taneja, Dhilip Andrew, Angela He, Anuj Gupta, Naveen Rajamohan, George Liu, Michael VanPelt, Yin Xi, Avneesh Chhabra

{"title":"Assessment of peroneal tendon lesions using 2-dimensional and 3-dimensional isotropic magnetic resonance imaging with surgical correlation.","authors":"Flavio Duarte Silva, Rubeel Akram, Atul Kumar Taneja, Dhilip Andrew, Angela He, Anuj Gupta, Naveen Rajamohan, George Liu, Michael VanPelt, Yin Xi, Avneesh Chhabra","doi":"10.1053/j.jfas.2024.12.002","DOIUrl":"10.1053/j.jfas.2024.12.002","url":null,"abstract":"<p><p>Accurate diagnoses of peroneal pathologies remains a challenge due to limitations of conventional 2D (dimensional) imaging, which can impact long-term patient outcomes. This study evaluates MRI accuracy and inter-reader reliability of peroneal compartment pathology for 2D and 3D MRI. A consecutive series of patients who underwent peroneal compartment surgery with preoperative 1.5- or 3.0-Tesla ankle MRIs from 2009 to 2024 included 32 scans (22 with 2D, 10 with 2D+3D) from 31 patients (ages 17-74 years, all genders). Three musculoskeletal readers blinded to surgical findings independently analyzed MRI scans for common peroneal tenosynovitis, peroneus brevis and peroneus longus tenosynovitis, tendinopathy, and tears. Inter-reader reliability and diagnostic performance measures were calculated. Using majority vote, overall accuracy, sensitivity, and specificity for peroneal tendons using 2D MRI were 80%, 81%, and 79%, respectively. Using 3D MRI sequences, whether in isolation or combination with 2D MRI, accuracy, sensitivity, and specificity increased to 85%, 88%, and 83%, respectively. The inter-reader reliability for peroneus brevis lesions was 0.45-0.75 for 2D, 0.25-0.35 for 3D, and 0.31-0.54 for combined 2D+3D, while for peroneus longus lesions, it was 0.45-0.90 for 2D, 0.20-0.71 for 3D, and 0.64-0.81 for combined 2D+3D scans. The inter-reader reliability for tenosynovitis ranged from 0.62-0.64 for 2D, 0.25-0.37 for 3D, and 0.57-0.66 for combined 2D+3D scans. The addition of 3D MRI to 2D high-resolution ankle MRI protocol or 3D MRI alone increases accuracy of peroneal compartment lesion detection with minor decrease in inter-reader reliability for peroneal brevis tendon assessment. Larger studies may help validate our findings.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822797","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-margin excision of diffuse ankle's tendon sheath giant cell tumor in 24 patients: A mid-term study. 广角切除弥漫性踝关节腱鞘巨细胞瘤24例中期研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-12-04 DOI: 10.1053/j.jfas.2024.11.007

Hanwen Zhang, Wei Deng, Qingsong Zhou, Yong Yin

{"title":"Wide-margin excision of diffuse ankle's tendon sheath giant cell tumor in 24 patients: A mid-term study.","authors":"Hanwen Zhang, Wei Deng, Qingsong Zhou, Yong Yin","doi":"10.1053/j.jfas.2024.11.007","DOIUrl":"10.1053/j.jfas.2024.11.007","url":null,"abstract":"<p><p>Giant cell tumour of tendon sheath (TSGCT) is an uncommon soft tissue tumor, especially in its diffuse subtype (D-TSGCT), which is rare and associated with a high recurrence rate after treatment. This condition significantly affects joint function and quality of life. This retrospective study evaluated the clinical characteristics, surgical outcomes, and long-term follow-up of 24 patients who underwent wide-margin resection for ankle D-TSGCT from 2011 to 2018. The average patient age was 36.5 years, with common symptoms including palpable masses and ankle swelling. All patients received wide-margin resection, with a mean follow-up period of 75.7 months. Tumor recurrence occurred in five patients (21 %), with complications included postoperative infections, surgical site pain, ankle instability, and stiffness. There was a significant improvement in the Musculoskeletal Tumor Society (MSTS) scores post-surgery. Additionally, the Foot and Ankle Ability Measure (FAAM) showed improvements in daily living and physical activities, though Ankle Joint Functional Assessment Tool (AJFAT) scores did not demonstrate significant change. These findings indicate that wide-margin resection is an effective treatment for D-TSGCT, preserving ankle function and demonstrating a low recurrence rate, although it may lead to ankle instability requiring careful postoperative monitoring and rehabilitation.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":"272-278"},"PeriodicalIF":1.3,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792286","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

Ankle fractures reduction under direct visualization. Superiority of anatomical landmarks versus radiological evaluation- A randomised control trial. 直接目视下复位踝关节骨折。解剖标志与放射学评价的优越性——一项随机对照试验。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-12-04 DOI: 10.1053/j.jfas.2024.11.006

Meletis Rozis, Evangelos Sakellariou, Eleftherios Stavridis, Elias Vasiliadis, John Vlamis, Spyros Pneumaticos

{"title":"Ankle fractures reduction under direct visualization. Superiority of anatomical landmarks versus radiological evaluation- A randomised control trial.","authors":"Meletis Rozis, Evangelos Sakellariou, Eleftherios Stavridis, Elias Vasiliadis, John Vlamis, Spyros Pneumaticos","doi":"10.1053/j.jfas.2024.11.006","DOIUrl":"10.1053/j.jfas.2024.11.006","url":null,"abstract":"<p><p>Distal tibiofibular joint injury is quite common in rotational ankle fractures, with high malreduction rates reported. Although several intraoperative techniques evaluate the optimal tibiofibular reduction, they are critically debated due to high error rates and subjective interpretation of the results. We attempted to describe specific anatomical landmarks and anatomical relationships of the ankle joint through capsulotomy and inspection of the anterior incisura fibularis corner and evaluate their reliability regarding optimal tibiofibular reduction. Sixty patients with malleolar fractures and concomitant distal tibiofibular joint disruption were randomized into two groups. Patients of Group A were treated with a standard approach. In Group B, the reduction was performed following specific anatomical landmarks of the anterolateral ankle joint through capsulotomy. Reduction quality was evaluated with postoperative bilateral ankle CT. Distal tibiofibular joint reduction after direct visualization resulted in significantly better rotation and fibula length values than patients treated with the standard approach. In addition, clinical scores were better in the 3rd and 6th postoperative months. Direct visualization of the anterolateral ankle joint can provide trustworthy anatomical landmarks to achieve high-quality reduction of the distal tibiofibular joint in ankle fractures. Additional repair of the ligamentocapsular structures of the corner enhances joint stability and provides better clinical outcomes in 12 months.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792196","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