Journal of Foot & Ankle Surgery最新文献_第2页

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

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-05-01 DOI: 10.1053/S1067-2516(25)00096-1

引用次数: 0

Subtalar joint involvement with tibiotalocalcaneal intramedullary nail arthrodesis 胫骨-踝骨髓内钉关节置换术后的足下关节受累。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-05-01 DOI: 10.1053/j.jfas.2024.10.009

Jonathan Lee DPM, FACFAS , Anson K. Chu DPM, FACFAS , Stephen A. Brigido DPM, FACFAS

{"title":"Subtalar joint involvement with tibiotalocalcaneal intramedullary nail arthrodesis","authors":"Jonathan Lee DPM, FACFAS , Anson K. Chu DPM, FACFAS , Stephen A. Brigido DPM, FACFAS","doi":"10.1053/j.jfas.2024.10.009","DOIUrl":"10.1053/j.jfas.2024.10.009","url":null,"abstract":"<div><div>Tibiotalocalcaneal (TTC) fusion with an intramedullary nail (IMN) has been utilized for a myriad of indications in hindfoot and ankle reconstruction. However, some controversies remain on the optimal position of the hindfoot. Previous studies have reported on the potential medialization of the rearfoot during insertion of the IMN, but few studies have examined the potential affect on the subtalar joint. We performed the present cadaveric study in order to assess the involvement of a 12-mm IMN with the posterior facet of the calcaneus. A 3-mm guide wire (for a standard TTC IMN) was inserted in an anterograde fashion beginning within the central aspect of the tibial canal in 10 fresh-frozen below knee cadaver specimens. The subtalar joint of each specimen was exposed and images of the posterior facet were collected. Utilizing an open source Java image processing program (ImageJ/Fiji), we calculated a mean native calcaneal posterior facet of 4.6 cm<sup>2</sup> with a post ream surface area of 3.6 cm<sup>2</sup>, resulting in a mean of 21.4% of the posterior facet occupied by an IMN in an anterograde fashion. In conclusion, a TTC IMN placed in optimal position within the ankle and tibia is likely to occupy, on average, a fifth of the calcaneal posterior facet. Though this does leave some possibility of a medial shift of the rearfoot complex, care must be taken to not violate the lateral calcaneal or talar wall.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 3","pages":"Pages 224-227"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570037","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] “模块化柄全踝关节置换术中胫骨囊肿形成的研究：探索柄段光滑和多孔涂层的可能关系”[足踝外科杂志62(2023)756-763]。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-05-01 DOI: 10.1053/j.jfas.2025.02.003

Cody J. Togher DPM, AACFAS , John M. Thompson DPM , Jacob M. Perkins DPM, AACFAS , Gregory C. Berlet MD, FRCS(C), FAOA , Christopher F. Hyer 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 : 2025-05-01 DOI: 10.1053/S1067-2516(25)00098-5

引用次数: 0

Outpatient surgical fixation of complicated calcaneal fractures pose no excess risk for 30-day complications 门诊手术固定复杂钙骨骨折不会带来 30 天并发症的过高风险。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-05-01 DOI: 10.1053/j.jfas.2024.11.003

Rachel H. Albright DPM, MPH, FACFAS , Evan Schneider DPM , Abad Majeed DPM , Jeffrey R. Baker DPM, FACFAS , Waleed Mirza DPM , Zanib Cheema DPM , Adam E. Fleischer DPM, MPH, FACFAS

{"title":"Outpatient surgical fixation of complicated calcaneal fractures pose no excess risk for 30-day complications","authors":"Rachel H. Albright DPM, MPH, FACFAS , Evan Schneider DPM , Abad Majeed DPM , Jeffrey R. Baker DPM, FACFAS , Waleed Mirza DPM , Zanib Cheema DPM , Adam E. Fleischer DPM, MPH, FACFAS","doi":"10.1053/j.jfas.2024.11.003","DOIUrl":"10.1053/j.jfas.2024.11.003","url":null,"abstract":"<div><div>The purpose of this study was to identify if complicated open reduction internal fixation (ORIF) of calcaneal fractures (i.e. requiring bone graft) performed in the outpatient setting poses an excess risk for 30-day complications compared to inpatient procedures. We included patients who underwent ORIF of the calcaneus involving the use of bone graft utilizing CPT code 28420 from the American College of Surgeons National Surgical Quality Improvement Program database (ACS-NSQIP) between 2014 and 2019. Postoperative complications, demographic data, patient characteristics, and operative factors were compared between groups. T-tests were performed to assess univariate associations between outpatient status and surgical/patient demographics for continuous variables while chi-squared tests were performed to evaluate categorical variables. A total of 113 patients were included, experiencing a 2.6% short term complication rate (3/113). All 3 complications occurred in the outpatient setting. 51.3% of surgeries were performed on an inpatient basis. In the univariate analysis, there were no statistically significant differences between inpatient and outpatient 30-day postoperative complication rates. Although more complications were recognized in the outpatient population, this did not reach statistical significance and suggests that complicated calcaneal ORIF procedures involving bone graft may be performed in the outpatient setting without posing an excess risk.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 3","pages":"Pages 253-255"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689573","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 : 2025-05-01 DOI: 10.1053/j.jfas.2024.12.004

Steven R. Cooperman DPM, MBA, AACFAS , Lauren M. Christie DPM, AACFAS , Chad A. Smith DPM, AACFAS , Abisola Olaniyan MBBS, MPH, PhD , Christopher F. Hyer DPM, MS, FACFAS

{"title":"The effect of plantar calcaneal spur excision on plantar fascia surgery outcomes","authors":"Steven R. Cooperman DPM, MBA, AACFAS , Lauren M. Christie DPM, AACFAS , Chad A. Smith DPM, AACFAS , Abisola Olaniyan MBBS, MPH, PhD , Christopher F. Hyer DPM, MS, FACFAS","doi":"10.1053/j.jfas.2024.12.004","DOIUrl":"10.1053/j.jfas.2024.12.004","url":null,"abstract":"<div><div>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 (<em>p</em> = 0.006) and time to weight-bearing in shoes (<em>p</em> = 0.020). A statistically significant difference was observed regarding operative laterality, with right-sided surgeries demonstrating an increased time to symptom resolution (<em>p</em> = 0.007) and a higher retreatment rate (<em>p</em> = 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.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 3","pages":"Pages 296-301"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","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

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 : 2025-05-01 DOI: 10.1053/j.jfas.2024.11.006

Meletis Rozis MD, MSc, PhD (Orthopedic Consultant), Evangelos Sakellariou MD (Orthopedic Resident), Eleftherios Stavridis MD (Orthopedic Resident), Elias Vasiliadis MD, MSc, PhD (Assistant Professor), John Vlamis MD, MSc, PhD (Associate Professor), Spyros Pneumaticos MD, MSc, PhD (Professor)

{"title":"Ankle fractures reduction under direct visualization. Superiority of anatomical landmarks versus radiological evaluation- A randomised control trial","authors":"Meletis Rozis MD, MSc, PhD (Orthopedic Consultant), Evangelos Sakellariou MD (Orthopedic Resident), Eleftherios Stavridis MD (Orthopedic Resident), Elias Vasiliadis MD, MSc, PhD (Assistant Professor), John Vlamis MD, MSc, PhD (Associate Professor), Spyros Pneumaticos MD, MSc, PhD (Professor)","doi":"10.1053/j.jfas.2024.11.006","DOIUrl":"10.1053/j.jfas.2024.11.006","url":null,"abstract":"<div><div>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.</div><div>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.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 3","pages":"Pages 262-271"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","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

Crossed screws versus plating supplemented with an interfragmentary screw in first metatarsophalangeal joint fusion: A systematic review and meta-analysis 交叉螺钉与钢板配合碎片间螺钉在第一跖趾关节融合术中的应用：系统回顾和meta分析。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-05-01 DOI: 10.1053/j.jfas.2025.01.010

Brandon Lim , Samher Jassim , Conor Kilkenny , Frank Lyons , Mohamed Shaalan

{"title":"Crossed screws versus plating supplemented with an interfragmentary screw in first metatarsophalangeal joint fusion: A systematic review and meta-analysis","authors":"Brandon Lim , Samher Jassim , Conor Kilkenny , Frank Lyons , Mohamed Shaalan","doi":"10.1053/j.jfas.2025.01.010","DOIUrl":"10.1053/j.jfas.2025.01.010","url":null,"abstract":"<div><div>First metatarsophalangeal joint (MTPJ) fusion is an effective surgical intervention for conditions such as hallux valgus and hallux rigidus. This systematic review and meta-analysis aims to compare the safety and efficacy of crossed screws versus plating supplemented with an interfragmentary screw. A literature search of the Scopus, Embase, Web of Science, and MEDLINE databases was performed to identify all studies directly comparing the two techniques. Meta-analysis was carried out using RevMan Web. Nine studies with 976 patients (1,035 toes in total, 512 toes in the crossed screws group, and 523 toes in the plate supplemented with screws group) were included. There was no significant difference in union rates (OR=0.75, CI 0.45 – 1.27, <em>p</em> = 0.29), overall complication rates (OR = 1.13, CI = 0.71 – 1.77, <em>p</em> = 0.61), superficial complications, (OR = 0.41, CI = 0.10 – 1.68, <em>p</em> = 0.22), revision surgery (OR = 1.92, CI 0.81 – 4.57, <em>p</em> = 0.14), hardware removal (OR = 1.07, CI = 0.55 – 2.08, <em>p</em> = 0.85), and malunion (OR = 1.63, CI 0.27 – 10.00, <em>p</em> = 0.60). Plate and screws had a significantly shorter time to fusion than crossed screws (MD = 0.51, CI = 0.10 – 0.92, <em>p</em> = 0.02). No significant difference was noted in patient-reported outcome measures or in postoperative hallux valgus, intermetatarsal, and lateral metatarsophalangeal angles. Other potential factors that should influence the decision to use one technique over the other include the indication for MTPJ fusion, the patient's bone quality, and the differing costs of surgery.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 3","pages":"Pages 309-317"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048416","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

Outcomes of naviculocuneiform arthrodesis with and without adjunct arthrodesis 舟状关节置换术（有辅助关节置换术和无辅助关节置换术）的疗效。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-05-01 DOI: 10.1053/j.jfas.2024.11.001

Pavlo O. Kolyesnykov DPM , Alexander CM. Chong MSAE, MSME , Nathan J. Fischer DPM , Jenea M. Sweeter MS, ACRP-CP , Derek A. McLister DPM, AACFAS

{"title":"Outcomes of naviculocuneiform arthrodesis with and without adjunct arthrodesis","authors":"Pavlo O. Kolyesnykov DPM , Alexander CM. Chong MSAE, MSME , Nathan J. Fischer DPM , Jenea M. Sweeter MS, ACRP-CP , Derek A. McLister DPM, AACFAS","doi":"10.1053/j.jfas.2024.11.001","DOIUrl":"10.1053/j.jfas.2024.11.001","url":null,"abstract":"<div><div>Naviculocuneiform (NC) arthrodesis is considered a challenging procedure compared to arthrodesis of other medial column joints and/or hindfoot fusions. The objectives of this study were to 1) report the incidence of nonunion and complications after NC arthrodesis with or without adjunct joint arthrodesis, and 2) report incidences in which a fixation method was used and report how many cuneiform joints were fused. A retrospective review of medical charts and radiographs were performed on patients from 1/2013 through 11/2023 at a single institution in the Midwest region. 137 cases included and 90 (66%) adjunct joint arthrodesis incidents. The overall nonunion rate was 25% (34/137 cases) and overall revision rate was 15% (21/137 cases). The nonunion rate with adjunct joint arthrodesis was 26% (23/90 cases) and without was 23% (11/47 cases). The screws-alone fixation had the lowest nonunion rate of 20% (4/20 cases). The overall complication rate was 47% (65/137 cases), and the most common cause was hardware issues (31%, 43/137 cases). Fixating all three joints regardless of fixation constructs resulted in 18% (5/28 cases) nonunion. Crossed screws with medial plate fixation when fixated medial and middle cuneiform joints had the highest nonunion rates (24%, 10/42 cases) while fixation with screws and staples had the lowest nonunion rates (11%, 1/9 cases). In conclusion, the choice of fixation technique and number of cuneiform joints fused could affect the success of NC arthrodesis. Implementing proper cuneiform joints fusion and recognizing the limitations of fixation techniques potentially reduces the risk of nonunion and complications.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 3","pages":"Pages 243-247"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606970","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

Approach to patients with metal allergies in foot and ankle surgery 足部及踝关节手术中金属过敏的处理。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-05-01 DOI: 10.1053/j.jfas.2024.12.010

Jay S. Badell DPM, MS, FACFAS , James M. Cottom DPM, FACFAS , Tyler Verdoni DPM, AACFAS

{"title":"Approach to patients with metal allergies in foot and ankle surgery","authors":"Jay S. Badell DPM, MS, FACFAS , James M. Cottom DPM, FACFAS , Tyler Verdoni DPM, AACFAS","doi":"10.1053/j.jfas.2024.12.010","DOIUrl":"10.1053/j.jfas.2024.12.010","url":null,"abstract":"<div><div>Metal allergies in surgery are often underreported and under diagnosed. Oftentimes, the symptoms of metal allergy closely resemble those of infection and the protocol is removal of the offending implant. Identification of metal allergies in the preoperative workup is imperative to provide the best patient care and outcomes. The purpose of this report is to present considerations to approach to both preoperative and postoperative identification of patients with metal allergies. Utilizing published algorithms for total knee arthroplasty (TKA) and the author's experience, considerations for both preoperative and postoperative metal allergy have been developed to help the foot and ankle surgeon with the complicated task of addressing patients with metal allergies. To date, the authors have utilized this guidelines for total ankle arthroplasty, ankle fracture open reduction internal fixation, and first metatarsophalangeal joint arthrodesis. While literature has been published with metal allergy algorithms for total knee arthroplasty, this is the first of its kind for adaptation to foot and ankle surgery in general to the author's knowledge. To date, the authors have favorable outcomes utilizing these approaches to not only guide patient care but to help prevent future complications or address them if they present. With a thorough patient history, identification of metal allergies, a multidisciplinary approach and pre-operative planning, good outcomes can be achieved.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 3","pages":"Pages 302-308"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015314","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