Journal of Foot & Ankle Surgery最新文献_第4页

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 : 2025-04-22 DOI: 10.1053/j.jfas.2025.04.001

William Newton, Andrew Rowley, Cody Ashy, Caroline P Hoch, Joshua L Morningstar, Christopher E Gross, Daniel J Scott

{"title":"Assessing the costs of midfoot arthrodesis: A retrospective cohort study.","authors":"William Newton, Andrew Rowley, Cody Ashy, Caroline P Hoch, Joshua L Morningstar, Christopher E Gross, Daniel J Scott","doi":"10.1053/j.jfas.2025.04.001","DOIUrl":"10.1053/j.jfas.2025.04.001","url":null,"abstract":"This retrospective cohort study aims to determine the economic cost of midfoot arthrodesis 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 outpatient surgery as means to improve the value of midfoot arthrodesis care.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-22","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

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 : 2025-04-15 DOI: 10.1053/j.jfas.2025.04.007

Soham Ghoshal, Alexander H King, Michael Pang, C Michael Hood, Aaron D Sodickson, Michael S Gee, Michael H Lev, Mitchel B Harris, Marc D Succi

{"title":"Trends in computed tomography utilization among emergency department patients with foot and ankle trauma.","authors":"Soham Ghoshal, Alexander H King, Michael Pang, C Michael Hood, Aaron D Sodickson, Michael S Gee, Michael H Lev, Mitchel B Harris, Marc D Succi","doi":"10.1053/j.jfas.2025.04.007","DOIUrl":"https://doi.org/10.1053/j.jfas.2025.04.007","url":null,"abstract":"The aim of this study was to assess the number of foot/ankle computed tomography (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. 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 % (p < 0.001). The CT positivity rate, defined as CTs with positive findings, declined from 95.2 % in 2016 to 84.1 % in 2021 (p < 0.001). Black patients had lower odds of receiving CT scans compared to White patients, as did Medicare recipients compared to Medicaid recipients (p < 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. 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.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-15","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

Determination of pathogens in deep surgical site infections following sinus tarsi approach calcaneal fracture surgery via open reduction internal fixation or primary arthrodesis - Implications for prophylaxis and treatment. 通过切开复位内固定或原发性关节融合术进行跗骨窦入路跟骨骨折手术后深部手术部位感染的病原体测定-预防和治疗的意义

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-04-12 DOI: 10.1053/j.jfas.2025.04.004

Robin Eelsing, Jens A Halm, Noam Nieboer, Caspar J Hodiamont, Tim Schepers

{"title":"Determination of pathogens in deep surgical site infections following sinus tarsi approach calcaneal fracture surgery via open reduction internal fixation or primary arthrodesis - Implications for prophylaxis and treatment.","authors":"Robin Eelsing, Jens A Halm, Noam Nieboer, Caspar J Hodiamont, Tim Schepers","doi":"10.1053/j.jfas.2025.04.004","DOIUrl":"10.1053/j.jfas.2025.04.004","url":null,"abstract":"High rates of surgical site infections (SSI) have been reported after calcaneal fracture surgery. The aims of the current study were to re-evaluate the rate of deep SSIs after ORIF of displaced intra-articular calcaneal fractures via the sinus tarsi approach, to identify different types of bacteria in the first obtained cultures and to determine the accuracy of the initially started (empiric) antibiotics prior to the results of the cultures. A search was performed from August 2012 to December 2023 using the specific surgical code for this procedure. Besides subject and surgery characteristics, the occurrence of deep SSI, the causative pathogens, and subsequent treatment strategies were documented. A total of 391 patients were screened for wound complications, among these patients fifteen deep SSI were found after a sinus tarsi approach (STA) (3.4%). The median age of patients was 57 (IQR 22) years, the majority of these patients identified as male (n=13, 87%) and were smokers (n=10, 67%). The most prevalent microorganisms were Staphylococcus aureus (present in 73.3% of cultures) and Enterobacter cloacae complex (present in 53.3% of cultures). Eight patients had infections with multiple species of microorganisms. Given the fact that an Staphylococcus aureus and/or Enterobacter cloacae complex were present in more than half of the cultures, we recommend targeting empiric antibiotic treatment at both gram-positive and gram-negative microorganisms once a deep SSI is suspected after calcaneal fracture surgery.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038461","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

Does central-splitting or complete detachment provide better clinical results in surgical treatment of Haglund's disease? A 2 to 6 years retrospective comparative follow-up study. 在手术治疗哈格伦氏病中，中裂或完全脱离哪个临床效果更好？一项2 - 6年回顾性比较随访研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-04-11 DOI: 10.1053/j.jfas.2025.04.006

Piyanuch Musikachart, Theerawoot Tharmviboonsri, Bavornrit Chuckpaiwong, Penpun Lertwattanachai, Thos Harnroongroj

{"title":"Does central-splitting or complete detachment provide better clinical results in surgical treatment of Haglund's disease? A 2 to 6 years retrospective comparative follow-up study.","authors":"Piyanuch Musikachart, Theerawoot Tharmviboonsri, Bavornrit Chuckpaiwong, Penpun Lertwattanachai, Thos Harnroongroj","doi":"10.1053/j.jfas.2025.04.006","DOIUrl":"10.1053/j.jfas.2025.04.006","url":null,"abstract":"A central-splitting and complete detachment of the Achilles tendon are common surgical approaches in Haglund's disease surgery. The objective of this study was to compare the 2- to 6-year clinical and radiographic outcomes between central-splitting and complete Achilles tendon detachment. The study involved patients with Haglund's disease who underwent surgery at our institution from 2018 to 2023. Demographic data and preoperative visual analogue scale (VAS) for pain and the Foot and Ankle Ability Measure (FAAM) for Activities of Daily Living (ADL) were collected. At the final follow-up, postoperative VAS for pain, FAAM for ADL, and plantar-flexion strength was evaluated. Postoperative imaging was analyzed using the parallel pitch line and the Chauveaux-Liet angle to evaluate the 'radiographic complete bone removal'. A total of 77 patients were recruited; 35 treated using central-splitting and 42 using the complete detachment approach. There was no statistically significant difference in demographic characteristics among the groups. The result demonstrated that FAAM for ADL was statistically significant higher in central splitting detachment as mean 87.4 (SD = 4.2) vs 82.4 (SD = 6.4), p < 0.0001. There was no statistically significant difference for the VAS for pain, plantar-flexion strength, radiographic complete bone removal and complications. Central-splitting detachment could provide a significantly better functional outcome compared to complete detachment of Achilles tendon for the Haglund's disease surgery during 2 to 6 years of follow-up.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006275","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

Subtalar arthroereisis correction of adolescents flatfoot combined with pelvic obliquity: A retrospective study. 青少年平足合并骨盆倾斜的距下关节挛缩矫治：回顾性研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-04-08 DOI: 10.1053/j.jfas.2025.04.005

Yuxin Yan, Sumeng Chen, Wen Zhou, Xintao Zhang, Lu Bai

{"title":"Subtalar arthroereisis correction of adolescents flatfoot combined with pelvic obliquity: A retrospective study.","authors":"Yuxin Yan, Sumeng Chen, Wen Zhou, Xintao Zhang, Lu Bai","doi":"10.1053/j.jfas.2025.04.005","DOIUrl":"10.1053/j.jfas.2025.04.005","url":null,"abstract":"Adolescent flexible flatfoot can result in structural deformities such as medial arch collapse, hindfoot valgus, and forefoot abduction, leading to fatigue and pain. Additionally, some patients develop pelvic obliquity, associated with lower back and hip discomfort. This study evaluates the clinical efficacy of subtalar arthroereisis in treating adolescent flexible flatfoot with pelvic obliquity. Thirty-two patients (mean age 11.0 ± 1.6 years) with flexible flatfoot and pelvic obliquity underwent subtalar arthroereisis. Radiological assessments of pelvic distance, pelvic tilt angle, Meary angle, Pitch angle, and ankle mortise distance were conducted preoperatively and at 3 months, 1 year, and 2 years postoperatively. Statistical analysis included the Wilcoxon rank-sum test and Spearman's correlation. Significant improvements were observed postoperatively in all measured angles and distances (P < 0.001). Notable continued improvements were seen up to 2 years, particularly in pelvic distance (Z = -3.413, P < 0.001) and ankle mortise distance (Z = -2.804, P = 0.003), with no recurrence. Correlations between ankle mortise distance and pelvic parameters were consistently significant across all follow-up periods. Subtalar arthroereisis is effective in treating flexible flatfoot and improves associated pelvic obliquity, with sustained benefits observed over a 2-year follow-up.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996234","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

Sedentary lifestyle and hallux valgus: Unraveling the causal pathways and the mediating role of calcium homeostasis through mendelian randomization. 久坐不动的生活方式和拇外翻：通过孟德尔随机化揭示钙稳态的因果途径和中介作用。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-04-08 DOI: 10.1053/j.jfas.2025.04.003

Maolin Liu, Yan Liu, Miao Sun, Zhongyao Zeng, Yuanzhi Song, Erlong Jia, Shengde Wu

{"title":"Sedentary lifestyle and hallux valgus: Unraveling the causal pathways and the mediating role of calcium homeostasis through mendelian randomization.","authors":"Maolin Liu, Yan Liu, Miao Sun, Zhongyao Zeng, Yuanzhi Song, Erlong Jia, Shengde Wu","doi":"10.1053/j.jfas.2025.04.003","DOIUrl":"https://doi.org/10.1053/j.jfas.2025.04.003","url":null,"abstract":"The causal relationships between hallux valgus (HV), sedentary behavior and calcium homeostasis remain unclear. This study aimed to explore these associations using Mendelian randomization (MR) analysis. Leisure screen time (LST) was used as an indicator of sedentary behavior, while seven traits and three diseases were selected to represent calcium homeostasis. Two-sample MR was performed to assess the causal effect of sedentary behavior and calcium homeostasis on HV. Two-step MR was conducted to quantify the mediating roles of calcium homeostasis-related traits in the association between sedentary behavior and HV. Our results showed that longer LST was strongly associated with higher risk of HV (odds ratio (OR) = 1.1902, 95 %CI = 1.0129-1.3986, p = 0.0343). By contrast, serum calcium (S-Ca) levels were negatively associated with HV risk (OR = 0.7530, 95 %CI = 0.5675-0.9992, p = 0.0494). Mediation analyses found that S-Ca played an important mediating role in the effect of LST on HV (proportion mediated = 10.4 %). Our results extend the understanding of the pathogenesis of HV, and highlight the importance of preoperative metabolic optimization and postoperative behavioral and calcium supplementation strategies to enhance surgical outcomes and mitigate recurrence.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054503","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

Postoperative rehabilitation practices and procedures following ankle arthroscopy in France. 法国关节镜下踝关节外侧韧带修复术后康复实践和程序。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-04-04 DOI: 10.1053/j.jfas.2025.04.002

Jean-Charles Giunta, Mo Saffarini, Floris van Rooij, Ankitha Kumble, Philippe Beaudet

{"title":"Postoperative rehabilitation practices and procedures following ankle arthroscopy in France.","authors":"Jean-Charles Giunta, Mo Saffarini, Floris van Rooij, Ankitha Kumble, Philippe Beaudet","doi":"10.1053/j.jfas.2025.04.002","DOIUrl":"10.1053/j.jfas.2025.04.002","url":null,"abstract":"The purpose was to compare the rehabilitation practices and procedures following arthroscopic ankle lateral ligament repair (ALLR) (reconstruction/Broström repair) among high-volume and low-volume surgeons in France. The hypothesis was that there would be no differences in practices and procedures between high-volume and low-volume surgeons. In 2023, an online questionnaire was emailed to members of the francophone arthroscopy society (SFA). Fifty-two surgeons responded, of which 10 (19.2%) were excluded as they did not perform arthroscopic ALLR. The questionnaire focused on four main topics: (i) surgeon experience and technique, (ii) immobilisation, (iii) weight-bearing, and (iv) cryotherapy. Surgeons were divided into high- (≥35 cases/year) and low-volume (<35 cases/year) surgeons, according to the number of ankle arthroscopies performed. A greater proportion of high-volume surgeons prescribe less restrictive immobilisation compared to low-volume surgeons (46% vs 22%). A smaller proportion of high-volume surgeons restrict immediate weight-bearing compared to low-volume surgeons (8% vs 33%). A greater proportion of high-volume surgeons would prescribe crutches only if patients request them, compared to low-volume surgeons (79% vs 50%). A greater proportion of high-volume surgeons prescribe cryotherapy compared to low-volume surgeons, more frequently (87% vs 78%) and immediately following surgery (46% vs 22%). This survey revealed that high-volume surgeons prescribe less restrictive immobilisation and allow earlier weight-bearing following arthroscopic ALLR, compared to low-volume surgeons. The clinical relevance is that low-volume surgeons should gain greater confidence in prescribing less restrictive immobilisation and immediate weight-bearing, based on experience of high-volume peers, which could help improve outcomes of arthroscopic ALLR and reduce healthcare and economic burdens.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prospective multicenter study assessing radiographic and patient outcomes following an instrumented mini-open triplanar tarsometatarsal arthrodesis with early weightbearing. 前瞻性多中心研究：评估早期负重的微型开放式三平面跖跗关节置换术后的影像学和患者疗效。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-03-26 DOI: 10.1053/j.jfas.2025.03.018

Jody Peter McAleer, Amber M Shane, Marque A Allen, Avneesh Chhabra, Justin Daigre, Daniel C Farber, Deidre Kile, Jeffrey E McAlister, Abdi Raissi, Paul Steinke, Robert P Taylor, Robert D Santrock

{"title":"Prospective multicenter study assessing radiographic and patient outcomes following an instrumented mini-open triplanar tarsometatarsal arthrodesis with early weightbearing.","authors":"Jody Peter McAleer, Amber M Shane, Marque A Allen, Avneesh Chhabra, Justin Daigre, Daniel C Farber, Deidre Kile, Jeffrey E McAlister, Abdi Raissi, Paul Steinke, Robert P Taylor, Robert D Santrock","doi":"10.1053/j.jfas.2025.03.018","DOIUrl":"10.1053/j.jfas.2025.03.018","url":null,"abstract":"This prospective, multicenter study assessed the radiographic, clinical, and patient-reported outcomes for hallux valgus (HV) correction performed with an instrumented 1st tarsometatarsal (TMT) system through a mini-open incision (≤4cm) with a biplanar plating construct and early return to weightbearing. One hundred and five patients were treated, with 75 and 11 patients completing their 12- and 24-month visits, respectively. The median (min, max) length of the primary dorsal incision was 3.5 cm (3.0, 4.0). Patients underwent an early weightbearing protocol with mean (95 % CI) of 7.9 (6.7, 9.1) days to weightbearing in a CAM boot. Significant improvements from baseline in mean radiographic measurements for Hallux Valgus Angle (HVA), Intermetatarsal Angle (IMA), Tibial Sesamoid Position (TSP), and osseous foot width (OFW) were maintained through 12 months. Using recurrence definitions of greater than 15° and 20° postoperative HVA, recurrence rates were 5.5 % (95 % CI: 1.5 %, 13.4 %) and 0.0 % at 12 months and 0.0 % for both thresholds at 24 months, respectively. Significant improvements in patient-reported outcomes [Visual Analog Scale (VAS), Manchester-Oxford Foot Questionnaire (MOxFQ) and Patient-Reported Outcomes Measurement Information System (PROMIS)] were maintained through 12 and 24 months. A clinically meaningful assessment of the scar appearance was observed in the POSAS scores. One (1.0 %) patient in the overall treated cohort of 105 required reoperation for removal of hardware due to pain. The results of this prospective, multicenter study on a mini-open 1st TMT system demonstrated improvements in radiographic correction, low recurrence, early return to activity with low complication rates, and improvements in patient-reported outcomes.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744162","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 association of anterior soft tissue depth (ASTD) with wound dehiscence following total ankle arthroplasty. 前软组织深度 (ASTD) 与全踝关节置换术后伤口开裂的关系。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-03-26 DOI: 10.1053/j.jfas.2025.03.015

Lauren M Christie, Avery Thomson, Charles Korba, Andreas C Kaikis, William M Wolfe, D Scot Malay

{"title":"The association of anterior soft tissue depth (ASTD) with wound dehiscence following total ankle arthroplasty.","authors":"Lauren M Christie, Avery Thomson, Charles Korba, Andreas C Kaikis, William M Wolfe, D Scot Malay","doi":"10.1053/j.jfas.2025.03.015","DOIUrl":"10.1053/j.jfas.2025.03.015","url":null,"abstract":"Total ankle arthroplasty (TAA) is a common intervention for the treatment of end-stage ankle arthritis. Unfortunately, use of a longitudinal anterior incision to gain access to the ankle is commonly associated with postoperative wound dehiscence. In this retrospective cohort study the incidence of postoperative anterior wound dehiscence following TAA in 100 consecutive patients was 21 %, and 7 (33.33 %) of the dehiscence cases were serious enough to require additional operative treatment. The anterior soft tissue depth (ASTD) at the level of the tibiotalar joint was measured from the anterior margin of the skin to the anterior margin of the ankle as viewed on the standard lateral radiograph. The overall median ASTD for the entire cohort was 21.79 (range 5.7 to 37.3) mm, whereas that in the non-dehiscence group was 22.06 (5.7, 37.3) mm and that in the dehiscence group was 18.6 (12.78, 35.9) mm, and this difference was statistically significant (p = 0.0240). Receiver operating characteristic (ROC) curve analyses showed that a preoperative ASTD ≤ 16 mm maximized diagnostic sensitivity and specificity and predicted dehiscence.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744163","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 : 2025-03-26 DOI: 10.1053/j.jfas.2025.03.019

Ahad A Kesaria, Sterling J DeShazo, Oluwatofe Alimi, Vinod K Panchbhavi

{"title":"Nationwide surgical trends for bunionectomies in medicare beneficiaries: An increase in lapidus bunionectomy procedure.","authors":"Ahad A Kesaria, Sterling J DeShazo, Oluwatofe Alimi, Vinod K Panchbhavi","doi":"10.1053/j.jfas.2025.03.019","DOIUrl":"10.1053/j.jfas.2025.03.019","url":null,"abstract":"Both orthopedic surgeons and podiatric surgeons perform the Hallux Valgus (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 Current procedural terminology [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.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-26","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