Journal of Foot & Ankle Surgery最新文献_第3页

Impact of glucagon-like peptide-1 receptor agonists on postoperative outcomes following ankle fracture open reduction and internal fixation 胰高血糖素样肽-1受体激动剂对踝关节骨折切开复位内固定术后疗效的影响。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-09-01 DOI: 10.1053/j.jfas.2025.05.002

Joshua Morningstar BS , Bradley J. Lauck BA , Nicholas Bank MD , Trapper Lalli MD

{"title":"Impact of glucagon-like peptide-1 receptor agonists on postoperative outcomes following ankle fracture open reduction and internal fixation","authors":"Joshua Morningstar BS , Bradley J. Lauck BA , Nicholas Bank MD , Trapper Lalli MD","doi":"10.1053/j.jfas.2025.05.002","DOIUrl":"10.1053/j.jfas.2025.05.002","url":null,"abstract":"<div><div><span><span><span><span>Glucagon-like peptide-1 receptor agonists (GLP-1RA) are quickly growing in popularity as effective tools in the management of diabetes and weight loss. Despite this increased usage, there is a paucity of literature investigating the use of GLP-1RA in patients with ankle fractures. This study aims to compare the outcomes of patients undergoing ankle fracture </span>open reduction<span> and internal fixation (ORIF) receiving therapy with GLP-1RA to those not receiving treatment. A retrospective analysis was performed utilizing the TriNetX research network to query patients who underwent ankle fracture ORIF between 2000–2024. Two cohorts were established according to preoperative GLP-1RA usage with 1:1 matching by propensity scores for demographics and comorbidities. Primary outcomes included the risk of postoperative complications<span> (i.e. infection, sepsis, </span></span></span>wound dehiscence<span>, cellulitis, thrombosis, </span></span>nonunion<span>, reoperation, revision, etc.) at 30-days, 90-days, 1-year, and 5-years. There were 123,546 patients not taking GLP-1RA and 1,173 patients taking GLP-1RA who underwent ORIF for an ankle fracture, with </span></span>propensity score matching resulting in two cohorts of 1,173 patients each. After matching, there were no significant differences in demographics or comorbidities, including a 75.6 % prevalence of diabetes mellitus and 68.7 % prevalence of overweight or obesity in both cohorts. At 30-days postoperatively, the no GLP-1RA cohort had a significantly higher rate of removal of hardware (Odds Ratio [OR] 1.953, 95 % Confidence Interval (CI) 1.062-3.591); no other complications demonstrated significant differences at 30-days, 90-days, 1-year, or 5-years postoperatively. These findings further underscore the low risk of preoperative GLP-1RA usage noted in other orthopaedic procedures.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 5","pages":"Pages 644-648"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023051","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

Effects of kinesio taping versus extracorporeal shock wave therapy on pain in the treatment of plantar heel pain secondary to plantar fasciitis and a calcaneal spur: A retrospective clinical trial 运动贴与体外冲击波治疗对足底筋膜炎和跟骨刺继发足底后跟疼痛的影响：一项回顾性临床试验。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-09-01 DOI: 10.1053/j.jfas.2025.03.011

Selda Çiftci İnceoğlu MD , Aylin Ayyıldız MD , Banu Kuran MD

{"title":"Effects of kinesio taping versus extracorporeal shock wave therapy on pain in the treatment of plantar heel pain secondary to plantar fasciitis and a calcaneal spur: A retrospective clinical trial","authors":"Selda Çiftci İnceoğlu MD , Aylin Ayyıldız MD , Banu Kuran MD","doi":"10.1053/j.jfas.2025.03.011","DOIUrl":"10.1053/j.jfas.2025.03.011","url":null,"abstract":"<div><div><span><span><span>Plantar heel pain is a common musculoskeletal problem in adults that causes limitation and disability in daily life activities. This study aimed to compare the effects of extracorporeal shock wave therapy(ESWT) and kinesio taping(KT) treatments on pain, functionality and </span>quality of life in the treatment of plantar heel pain secondary to </span>plantar fasciitis<span> and a calcaneal spur<span>. Patients who received ESWT or KT treatment for plantar heel pain between September 2023 and February 2024 were retrospectively screened. Before treatment and at the third month after treatment, pain levels were evaluated with Visual Analog Scale (VAS), sensitivity with Heel Tenderness Index (HTI), </span></span></span>functional status with Foot Function Index (FFI) and quality of life with the 12-item short form health survey(SF-12).A total of 60 patients were included in the study,32 patients in the ESWT group and 28 patients in the KT group. There was no significant difference between the groups in terms of age, gender, VAS value, HTI level, FFI value and SF-12 physical component score (PCS) before treatment. There was a significant improvement in VAS, HTI, FFI, and SF-12 PCS evaluations after treatment in both groups compared to the baseline. Furthermore, while both treatment methods resulted in a regression in VAS levels and improvement in FFI scores, the KT group demonstrated significantly better outcomes than the ESWT group. There was no significant difference in improvement in SF-12 PCS scores between the two groups. Our study indicates KT may be more effective than ESWT for treating plantar heel pain in terms of pain and functionality, but both treatment modalities have similar effects on quality of life.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 5","pages":"Pages 541-545"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694298","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

Are immediate postoperative X-rays of value in foot surgery patients? 足部手术患者术后立即拍x光片有价值吗？

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-09-01 DOI: 10.1053/j.jfas.2025.03.016

Rahul Mishra DPM , John M. Giurini DPM, FACFAS

{"title":"Are immediate postoperative X-rays of value in foot surgery patients?","authors":"Rahul Mishra DPM , John M. Giurini DPM, FACFAS","doi":"10.1053/j.jfas.2025.03.016","DOIUrl":"10.1053/j.jfas.2025.03.016","url":null,"abstract":"<div><div><span>A prospective nonrandomized study was conducted on consecutive patients undergoing foot surgery at a single academic medical center from April 1, 2022 through June 30, 2022. All patients underwent elective bone surgery, e.g. hallux<span> abductovalgus surgery, lesser metatarsal osteotomy, midfoot procedures, hindfoot procedures. All patients obtained immediate x-rays in the post-anesthesia care unit per postoperative protocol at the medical center. A total of 56 patients were enrolled. The study was approved by the Institutional Review Board (IRB) of the medical center. The primary aim of the study was to determine if immediate postoperative x-rays altered the course of patient care in terms of unplanned return to the operating room, change in immobilization or a change in weightbearing recommendations. Eighteen (32 %) patients underwent hallux abductovalgus surgery, 10 (18 %) patients underwent lesser metatarsal surgery, 3 (5 %) underwent midfoot procedures, 10 (18 %) underwent hindfoot procedures and 15 (27 %) underwent other bone procedures. No patient required an early or unplanned return to the operating room based on the results of the immediate postop x-rays and 0 patients experienced a change in postoperative immobilization or weightbearing instructions. This relatively small prospective study suggests there is little value in obtaining immediate postoperative x-rays in the postanesthesia care unit as none resulted in immediate changes in </span></span>postoperative management of patients. While immediate postoperative radiographs can be advantageous in specific clinical scenarios, the routine adoption of this practice should be carefully evaluated, considering added costs resulting in limited clinical benefits.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 5","pages":"Pages 566-569"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732242","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

Nationwide surgical trends for bunionectomies in medicare beneficiaries: An increase in lapidus bunionectomy procedure 医疗保险受益人拇趾外翻切除术的全国手术趋势：Lapidus 拇趾外翻切除术的增加。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-09-01 DOI: 10.1053/j.jfas.2025.03.019

Ahad A. Kesaria BS , Sterling J. DeShazo BS , Oluwatofe Alimi MD , Vinod K. Panchbhavi MD, FACS, FAOA, FABOS, FAAOS

{"title":"Nationwide surgical trends for bunionectomies in medicare beneficiaries: An increase in lapidus bunionectomy procedure","authors":"Ahad A. Kesaria BS , Sterling J. DeShazo BS , Oluwatofe Alimi MD , Vinod K. Panchbhavi MD, FACS, FAOA, FABOS, FAAOS","doi":"10.1053/j.jfas.2025.03.019","DOIUrl":"10.1053/j.jfas.2025.03.019","url":null,"abstract":"<div><div><span>Both orthopedic surgeons and podiatric surgeons perform the Hallux Valgus<span> (HV) Bunionectomy, yet limited information exists on which procedures are being performed more often and which specialty is performing them. This study aims to analyze specialty-specific trends in treatment for HV within the Medicare population. In a retrospective analysis, data for bunionectomies from 2013 to 2022 were obtained from the Centers for Medicare & Medicaid Services. Bunionectomies were identified using </span></span><span><em>Current procedural terminology</em></span><span> [CPT] codes (28292, 28296, 28297, 28298, 28299 from 2013 to 2022 and 28295 from 2017 to 2022). The results were further categorized based on operator type (orthopedist, podiatrist) and place of service (inpatient, outpatient, other). Work Relative Value Units (wRVU) were calculated for osteotomy and Lapidus procedures. 217,750 bunionectomies were identified. From 2013 to 2022, the number of bunionectomies declined from 81.48 to 42.18 per 100,000 patients, a decrease of 48.23 %. Orthopedic surgeons had a 9.8 % increase in relative procedure share of bunionectomies performed and a 12.95 % decrease in bunionectomies performed per 100,000 patients compared to a 9.8 % decrease and 54.12 % decrease, respectively, for podiatrists. There was a 67.32 % increase in Lapidus procedures (CPT Code: 28297) performed per 100,000 patients from 2013 to 2022. Outpatient services increased by 0.1 %, inpatient increased by 0.1 %, and other places decreased by 0.2 %. There was a substantial decline in bunionectomies performed in the Medicare population between 2013 and 2022 with an increase in the number of Lapidus procedures. Trends show an increase in utilization of orthopedic surgeons for bunionectomies and minimal change in place of service.</span></div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 5","pages":"Pages 581-587"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744160","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 outcomes of cheilectomy, hemi-implant arthroplasty and decompression osteotomy for the treatment of hallux rigidus: A retrospective study of 153 patients 153例拇僵直患者的回顾性研究：颧骨切除术、半假体关节置换术和减压截骨术的疗效比较。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-09-01 DOI: 10.1053/j.jfas.2025.03.009

Ashley A. Mariano DPM, AACFAS , Lawrence M. Fallat DPM, FACFAS

{"title":"Comparison outcomes of cheilectomy, hemi-implant arthroplasty and decompression osteotomy for the treatment of hallux rigidus: A retrospective study of 153 patients","authors":"Ashley A. Mariano DPM, AACFAS , Lawrence M. Fallat DPM, FACFAS","doi":"10.1053/j.jfas.2025.03.009","DOIUrl":"10.1053/j.jfas.2025.03.009","url":null,"abstract":"<div><div><span>This retrospective case series investigated the treatment outcomes for hallux rigidus<span>. A total of 153 patients (130 females, 49 males) were included. Of the 153 patients, 26 were bilateral and 179 procedures met the inclusion criteria. The patients had undergone 1 of the following procedures: cheilectomy (Group 1), hemi-implant arthroplasty<span> (Group 2), decompression metatarsal osteotomy (DMO) (Group 3), and DMO with hemi-implant (Group 4). Mean patient age was 57 years (range 18-82), and the mean follow-up period was 26 months (range 12-72). All patients regardless of procedure had improvement in pain score with Group 4 demonstrating the greatest reduction in pain at 99 %. The majority of patients in the study had Stage II hallux limitus/rigidus (HL/HR) (67 patients), followed by 62 patients with Stage III and 49 patients with Stage IV. Preoperatively, the majority of patients lacked dorsiflexion at the first </span></span></span>metatarsophalangeal joint. Group 1 gained 16° in dorsiflexion from preoperative to postoperative, Group 2 gained 20°, Group 3 gained 30° and Group 4 gained 24° by the 12 month followup. The results revealed that adhesions were the most common complication for all 4 surgical groups. These four surgical procedures for the treatment of Stage II, III and IV hallux rigidus are viable options and lead to satisfactory long-term outcomes that restore function, relieve pain and improve joint range of motion. Each procedure has demonstrated satisfactory long-term outcomes and high patient satisfaction.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 5","pages":"Pages 526-533"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677399","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

Are we putting our best foot forward? The effect of insurance type on ankle fracture complications and delays in care: a retrospective two-year analysis 我们表现得好吗？保险类型对踝关节骨折并发症和护理延误的影响：回顾性两年分析。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-09-01 DOI: 10.1053/j.jfas.2025.04.009

Nolan M. Reinhart , Jackson P. Tate , Chauncey A. Bridges , James Clemmons , Murphy P. Martin , Olivia C. Lee , William F. Sherman

{"title":"Are we putting our best foot forward? The effect of insurance type on ankle fracture complications and delays in care: a retrospective two-year analysis","authors":"Nolan M. Reinhart , Jackson P. Tate , Chauncey A. Bridges , James Clemmons , Murphy P. Martin , Olivia C. Lee , William F. Sherman","doi":"10.1053/j.jfas.2025.04.009","DOIUrl":"10.1053/j.jfas.2025.04.009","url":null,"abstract":"<div><div><span><span>This study investigates the influence of insurance type on delays in surgical management and postoperative complications<span><span> in patients with closed operative ankle fractures. A </span>retrospective cohort study was conducted using the PearlDiver Mariner database, analyzing 37,706 ankle fracture patients who underwent </span></span>open reduction<span><span> internal fixation (ORIF). Patients were grouped by insurance type (Medicaid vs private insurance), and the time from fracture diagnosis to surgery was compared. Complications including hardware infection, revision surgery, mechanical failure, </span>nonunion, malunion, and postoperative wound issues were analyzed within two years post-surgery. A higher proportion of Medicaid patients had surgical delays beyond 10 days from initial presentation compared to privately insured patients (28.6 vs 22.2 %, </span></span><em>p</em><span> < 0.001). Medicaid patients had higher rates of any orthopedic complications (odds ratio (OR): 1.27, 95 % confidence interval (CI): 1.19 - 1.37), including revision ORIF (OR: 1.33, CI: 1.16 - 1.54), mechanical failure (OR:1.24, CI: 1.03 - 1.49), nonunion or malunion (OR: 1.35, 1.17 - 1.55), and posttraumatic arthritis (OR: 1.26, 1.08 - 1.48). Although complications like wound infection and amputation were more frequent among Medicaid patients, these differences were not statistically significant. Medicaid patients experience longer delays in surgical management and higher rates of complications after ankle fractures compared to privately insured patients.</span></div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 5","pages":"Pages 624-628"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006216","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

Trends in computed tomography utilization among emergency department patients with foot and ankle trauma 急诊科足部和踝关节创伤患者计算机断层扫描应用趋势。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-09-01 DOI: 10.1053/j.jfas.2025.04.007

Soham Ghoshal BA , Alexander H King MS , Michael Pang BS , C. Michael Hood MD , Aaron D Sodickson MD, PhD , Michael S Gee MD, PhD , Michael H Lev MD , Mitchel B Harris MD , Marc D Succi MD

{"title":"Trends in computed tomography utilization among emergency department patients with foot and ankle trauma","authors":"Soham Ghoshal BA , Alexander H King MS , Michael Pang BS , C. Michael Hood MD , Aaron D Sodickson MD, PhD , Michael S Gee MD, PhD , Michael H Lev MD , Mitchel B Harris MD , Marc D Succi MD","doi":"10.1053/j.jfas.2025.04.007","DOIUrl":"10.1053/j.jfas.2025.04.007","url":null,"abstract":"<div><div>The aim of this study was to assess the number of foot/ankle computed tomography<span> (CT) exams ordered per encounter for patients presenting to the emergency department (ED) with foot and ankle trauma over a 5-year period. Secondary aims included evaluating the positivity rate of foot/ankle CT exams and identifying factors associated with receiving a CT foot/ankle. This retrospective study analyzed data from a large urban Level-1 trauma center between 2016 and 2021. Patients were identified by charted chief complaints related to foot and ankle trauma. The primary outcome was the number of CT foot/ankle exams ordered per patient in a given period. A univariate chi-square analysis was conducted to evaluate differences in patient presentations and imaging rates across the study period.</span></div><div>Over the 5-year span, there were 9,845 patient encounters, with a significant increase in CT foot/ankle orders from 2.4 % to 6.6 % (<em>p</em> < 0.001). The CT positivity rate, defined as CTs with positive findings, declined from 95.2 % in 2016 to 84.1 % in 2021 (<em>p</em> < 0.001). Black patients had lower odds of receiving CT scans compared to White patients, as did Medicare recipients compared to Medicaid recipients (<em>p</em> < 0.001). Factors such as age (OR: 1.02 per year), year of visit (OR: 2.66 for 2021), time of day (OR: 1.62 for evening arrivals), and arrival by EMS (OR: 5.60) were significantly associated with higher CT order rates.</div><div>This study highlights a marked increase in CT utilization for foot and ankle trauma with a corresponding decline in the rate of positive findings. Further research is necessary to explore the reasons behind this trend and to identify potential workflow or protocol adjustments to improve imaging efficacy.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 5","pages":"Pages 613-618"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046069","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

Impact of preoperative pes planus on orthopaedic implant removal following first metatarsophalangeal joint arthrodesis: A retrospective analysis 术前平足对第一跖趾关节融合术后骨科植入物取出的影响：回顾性分析。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-09-01 DOI: 10.1053/j.jfas.2024.12.005

William B. Dyke MD , Nicholas Bank MD , Bradley J. Lauck BA , Stephen Himmelberg MD , R. Justin Mistovich MD , Trapper A. Lalli MD

{"title":"Impact of preoperative pes planus on orthopaedic implant removal following first metatarsophalangeal joint arthrodesis: A retrospective analysis","authors":"William B. Dyke MD , Nicholas Bank MD , Bradley J. Lauck BA , Stephen Himmelberg MD , R. Justin Mistovich MD , Trapper A. Lalli MD","doi":"10.1053/j.jfas.2024.12.005","DOIUrl":"10.1053/j.jfas.2024.12.005","url":null,"abstract":"<div><div><span><span>First metatarsophalangeal (MTP) joint fusion is a frequently employed surgical treatment option for </span>hallux rigidus and </span>hallux valgus<span>. Implant-related complications are common, necessitating further investigation into predisposing factors. The altered mechanics of pes planus may influence surgical outcomes; however, its direct impact on implant removal rates post-fusion remains unclear.</span></div><div>We retrospectively analyzed the TriNetX US Collaborative Network database to identify patients undergoing first MTP joint arthrodesis by ICD-10 and CPT coding, the data was stratified by preoperative pes planus status. Implant removal rates were compared between pes planus (PP) and non-pes planus (noPP) cohorts. Odds ratios (OR) were calculated to assess associations.</div><div>Patients in the PP cohort exhibited significantly higher rates of subsequent hardware irritation (OR 1.30, 95 % CI 1.010-1.675), and hardware removal (OR 1.27, 95 % CI 1.007-1.604) compared to patients in the noPP cohort.</div><div>Our findings highlight patients with preoperative pes planus have significantly increased likelihood of implant irritation, removal, and reoperation following first MTP joint arthrodesis surgery. Biomechanical alterations associated with pes planus likely contribute to accelerated implant wear and compromise fusion stability leading to higher rates of future surgery.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 5","pages":"Pages 507-510"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962621","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

Assessing the costs of midfoot arthrodesis: A retrospective cohort study 评估中足关节融合术的成本：一项回顾性队列研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-09-01 DOI: 10.1053/j.jfas.2025.04.001

William Newton MD , Andrew Rowley MD , Cody Ashy MD , Caroline P. Hoch MPH , Joshua L. Morningstar BS , Christopher E. Gross MD , Daniel J. Scott MD, MBA

{"title":"Assessing the costs of midfoot arthrodesis: A retrospective cohort study","authors":"William Newton MD , Andrew Rowley MD , Cody Ashy MD , Caroline P. Hoch MPH , Joshua L. Morningstar BS , Christopher E. Gross MD , Daniel J. Scott MD, MBA","doi":"10.1053/j.jfas.2025.04.001","DOIUrl":"10.1053/j.jfas.2025.04.001","url":null,"abstract":"<div><div><span>This retrospective cohort study<span> aims to determine the economic cost of midfoot arthrodesis<span> when treating midfoot arthritis, identifying the major driving forces of cost. A retrospective analysis was conducted on midfoot arthrodesis cases in South Carolina from 2012 to 2020 using the South Carolina Revenue and Fiscal Affairs (SCRFA) database. Patient cases were identified by ICD-9, ICD-10, or CPT code, yielding a total of 1,313 cases included in our analysis. Patients undergoing midfoot arthrodesis were primarily female (71.1 %), Caucasian (74.6 %), insured through commercial insurance (40.2 %) or Medicare (37.3 %), and had a mean age of 54.27 years (range 4-86). The mean total cost per midfoot arthrodesis was $54,307.08 (range $9,433.05-$120,664.29) and the mean length of stay was 1.26 (range 1-6) days. Total charges trended upward from $42,857 in 2012 to $58,643.43 in 2020. Upon analysis, the largest contributors to this cost were supplies ($27,888.28), operating room costs ($15,876.80), and anesthesia costs ($3,866.70). Notably, surgeon fees were a comparatively minor contributor ($670.49). The mean total cost per midfoot arthrodesis was $54,307.08, with supplies and operating room costs exceeded 80 % of the mean total costs. With professional service (physician) fees accounting for only 1.2 % of costs, hospital systems, hospital administrators, and surgeons should consider improving their understanding of ways to reduce surgical costs, supply negotiation, and transitioning to more </span></span></span>outpatient surgery as means to improve the value of midfoot arthrodesis care.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 5","pages":"Pages 660-664"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992902","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

Rejection rate, modifications, and turnaround time for patient specific instrumentation plans in total ankle replacement 全踝关节置换术中患者特定器械计划的拒绝率、修改和周转时间。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-09-01 DOI: 10.1053/j.jfas.2025.03.007

Jason George DeVries DPM, FACFAS, Brandon M. Scharer DPM, FACFAS

{"title":"Rejection rate, modifications, and turnaround time for patient specific instrumentation plans in total ankle replacement","authors":"Jason George DeVries DPM, FACFAS, Brandon M. Scharer DPM, FACFAS","doi":"10.1053/j.jfas.2025.03.007","DOIUrl":"10.1053/j.jfas.2025.03.007","url":null,"abstract":"<div><div>Patient specific instrumentation (PSI) in total ankle replacement (TAR) has been reported to be accurate and time saving. However, there has been criticism regarding accuracy and an overreliance on the preoperative plan. This is a retrospective review of a single surgeon's PSI plans from 2016-2024. We report rejection rates, modifications, and turnaround time. A total of 101 plans were reviewed and found an overall rejection rate of 17.8 %, with 18 reports rejected. Average turnaround time was 29:07 hours. When comparing the 1st half of the study period to the second half, a statistically significant increase in rejection rate was found, 0 % to 45 %, p < 0.0001. In addition, there was a higher rate of rejection on more complicated stemmed implants or revision implants compared to low profile implants. This report shows there is not a blind trust of the engineer's plan, and with experience with PSI rejection rate increases. Also, the engineer's understanding of complicated cases is addressed with higher rates of rejection in complicated cases. This report refutes charges that surgeons that use PSI for TAR are overly reliant on CT-derived engineer produced plans. Further studies with national data or multiple surgeons should be undertaken to explore this further.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 5","pages":"Pages 516-520"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587786","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}

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