Journal of Foot & Ankle Surgery最新文献_第5页

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

IF 1.3 4区医学

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

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

引用次数: 0

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

IF 1.3 4区医学

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

引用次数: 0

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 : 2024-08-23 DOI: 10.1053/j.jfas.2024.08.010

Vandana Venkateswaran, Madhu Tiruveedhula, Justin Edwards, Shiva Dindyal, Michael Mulcahy, Ankur Thapar

{"title":"Antibiotic Eluting Bone Void Filler Versus Systemic Antibiotics For Pedal Osteomyelitis.","authors":"Vandana Venkateswaran, Madhu Tiruveedhula, Justin Edwards, Shiva Dindyal, Michael Mulcahy, Ankur Thapar","doi":"10.1053/j.jfas.2024.08.010","DOIUrl":"10.1053/j.jfas.2024.08.010","url":null,"abstract":"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 (p = .35) or amputation free survival (p = .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.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-23","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":"","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 : 2024-08-21 DOI: 10.1053/j.jfas.2024.08.008

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

{"title":"High Preoperative Pain Score is a Predictor of Cheilectomy Failure in Hallux Rigidus.","authors":"Kevin Anthony Jing Ming Chong, Shao Jin Teo, Rui Xiang Toh, Kizher Shajahan Mohamed Buhary, Zongxian Li, Kae Sian Tay","doi":"10.1053/j.jfas.2024.08.008","DOIUrl":"10.1053/j.jfas.2024.08.008","url":null,"abstract":"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 1st 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 (p = .0029). Logistic regression confirmed preoperative VAS as a predictor of nonresponse (p = .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 (p = .0055) for failure. A higher preoperative VAS score is significantly associated with cheilectomy failure in HR treatment, suggesting a cutoff score of 7.0.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-21","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 : 2024-08-20 DOI: 10.1053/j.jfas.2024.08.007

Ahmet Yigitbay, Mustafa Gökhan Bilgili

{"title":"Evaluation of Distal Tibiofibular Synostosis Formation and Risk Factors After Surgically Treated Ankle Fractures: A Single Centre Study.","authors":"Ahmet Yigitbay, Mustafa Gökhan Bilgili","doi":"10.1053/j.jfas.2024.08.007","DOIUrl":"10.1053/j.jfas.2024.08.007","url":null,"abstract":"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.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-20","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

Total Ankle Arthroplasty Templating: Preoperative Computer Templating Correlates Highly with Intraoperative Component Selection. 全踝关节成形术模板制作：术前计算机模板与术中组件选择高度相关。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-08-19 DOI: 10.1053/j.jfas.2024.08.006

Robert J Teasdall, Bryanna D Vesely, Taylor R Wood, Jennifer A Kipp, Kyle A Lynch, Samuel Rosas, Aaron T Scott

{"title":"Total Ankle Arthroplasty Templating: Preoperative Computer Templating Correlates Highly with Intraoperative Component Selection.","authors":"Robert J Teasdall, Bryanna D Vesely, Taylor R Wood, Jennifer A Kipp, Kyle A Lynch, Samuel Rosas, Aaron T Scott","doi":"10.1053/j.jfas.2024.08.006","DOIUrl":"10.1053/j.jfas.2024.08.006","url":null,"abstract":"Proper alignment and sizing are critical to the performance of a successful total ankle arthroplasty. While it is common practice in preoperative planning prior to total knee and total hip arthroplasty, preoperative computer templating has not been well established in the setting of total ankle arthroplasty. A retrospective review of all total ankle arthroplasties performed during a 10-year period by a single fellowship-trained orthopaedic surgeon was conducted. Computer templating was utilized for all preoperative Anterior to Posterior (AP) and lateral standing radiographs, and templated component sizes were compared to the operative reports and postoperative radiographs to determine the precision of the available templates. Statistical analysis was performed with Interclass Correlation Coefficients (ICC) and descriptive statistical tests. Seventy patients with a mean age of 64.8 years (range, 48-87) and mean BMI of 30.34 (range, 19.1-55.6) were included. The ICC demonstrated that both the AP (ICC 0.80 - 95% CI 0.679-0.876) and lateral (ICC 0.786 - 95% CI 0.655-0.867) radiographs provided accurate tibial total ankle arthroplasty component templating. Similarly, the AP (ICC 0.842 - 95% CI 0.745-0.902) and lateral (ICC 0.809 - 95% CI 0.692-0.881) radiographs provided accurate talar templating. No differences were observed when comparing AP to lateral radiographs in percentage of correct component templating: tibial AP 61.4% vs lateral 58.6%, p = .119 and talar component AP 57.1% vs lateral 45.7%, p = .176. These study findings demonstrate that preoperative templating for total ankle arthroplasties is accurate in determining appropriate implant sizing. Accurate templating is an absolute necessity for future templating studies.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019435","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

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

IF 1.3 4区医学

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

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

{"title":"Safety and Efficacy of One vs Two Incision Broström Gould with Calcaneal Osteotomy and Peroneal Tendon Debridement Surgery","authors":"Mila Scheinberg MD, MS , Travis Fortin MD , Matthew McCrosson MD , Ting Dan Zhang BS , Juan Campos MS, BS , Marc Bernstein MS , Ashish Shah MD","doi":"10.1053/j.jfas.2024.08.003","DOIUrl":"10.1053/j.jfas.2024.08.003","url":null,"abstract":"<div><div>Surgical intervention, such as the Broström-Gould procedure, is typically indicated for patients with chronic lateral ankle instability. In this study, we are comparing the safety and efficacy of the Broström-Gould procedure with peroneal tendon debridement, a sliding lateralizing calcaneal osteotomy, and adjuvant procedures performed with a single- versus double-incision approach. Our retrospective analysis included patients who underwent the procedure of interest between 2011 and 2020. Patients were divided into 2 groups: undergoing either a 1-incision (n = 53) or a 2-incision approach (n = 47), both with a lateralizing calcaneal osteotomy. A significant difference in skin bridge breakdown was observed between the 2-incision (n = 6 [13%]) and 1-incision groups (n = 0 [0%]). There were no significant differences in infection, deep wound dehiscence, nerve palsy, or neuroma between patients in the 2 groups. Furthermore, no statistically significant differences in mean PROMIS scores existed between the cohorts. The described Broström-Gould procedure shows promise for treating chronic ankle instability. While patients in both single- and double-incision groups had similar rates of postoperative complications, the decreased incidence of skin bridge breakdown in the 1incision group highlights the approach's safety and potential benefits in reducing wound-related complications.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PA Screw Versus Plate Fixation for Posterior Malleolar Fracture, Systematic Review and Meta-analysis of Complications and Functional Results. PA螺钉与钢板固定治疗耳后臼骨骨折，并发症和功能结果的系统回顾和荟萃分析。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-08-14 DOI: 10.1053/j.jfas.2024.08.001

Carlos A Sánchez, Natalia Correal, Daniela Caro

{"title":"PA Screw Versus Plate Fixation for Posterior Malleolar Fracture, Systematic Review and Meta-analysis of Complications and Functional Results.","authors":"Carlos A Sánchez, Natalia Correal, Daniela Caro","doi":"10.1053/j.jfas.2024.08.001","DOIUrl":"10.1053/j.jfas.2024.08.001","url":null,"abstract":"Fixation methods for posterior malleolar fracture (PMF) are a source of great controversy. This study aims to compare complications, clinical, and radiological outcomes between PA screws and posterior plate in PMF using current literature. A systematic search strategy was conducted following the PRISMA protocol. Medline (PubMed), Embase (Elsevier), and Lilacs databases were used to identify complication rates (infection, nonunion, loss of reduction, osteoarthrosis, and sural nerve injury) and to compare reported functional outcomes. The level of evidence in the articles was assessed using the GRADE tool. The studies eligible for meta-analysis were processed using The Review Manager version 5.4.1 software. Twelve articles met the inclusion criteria; 5 articles were included for subgroup meta-analysis. Overall infection rate, loss of reduction and sural nerve injury were each 2%. Osteoarthritis rate was 10%. There was no difference in risk reduction for infection rate (RD = 0.01; 95% CI: -0.03 to 0.06; p = .50), loss of reduction (RD = -0.00; 95% CI: -0.03 to 0.03; p = .88), sural nerve injury (RD = 0.01; 95% CI: -0.03 to 0.04; p = .70), osteoarthrosis (RD = -0.00; 95% CI: -0.09 to 0.09; p = .97), functional (MD = 0.70; 95% CI: -1.06 to 2.45; p = .44) or pain scores (MD = 0.12; 95% CI: -0.31 to 0.55; p = .58), nor deficit in dorsiflexion (MD= -0.26; 95% CI: -1.64 to 1.12; p = .71). There were no clinical nor radiological significant differences when comparing fixation of PMF with plates or PA screws. With current literature it is not possible to establish the superiority of either fixation.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989405","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 Prevalence of Persistent Toe Walking in Children With and Without Autism Spectrum Disorder and the Odds of Subsequent Surgery. 自闭症谱系障碍儿童和非自闭症谱系障碍儿童持续性足趾行走的患病率及后续手术的几率。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-08-13 DOI: 10.1053/j.jfas.2024.08.005

Michael Chapek, Jeffrey Kessler

{"title":"The Prevalence of Persistent Toe Walking in Children With and Without Autism Spectrum Disorder and the Odds of Subsequent Surgery.","authors":"Michael Chapek, Jeffrey Kessler","doi":"10.1053/j.jfas.2024.08.005","DOIUrl":"10.1053/j.jfas.2024.08.005","url":null,"abstract":"Persistent toe walking is associated with autism spectrum disorder. The true prevalence of persistent toe walking and odds of progression to surgery in children with and without autism remains unclear. This retrospective descriptive study identified patients ages 3 to 17 years who were enrolled in our healthcare system over a 2-year period. Using international classification of disease codes, we identified all children with autism and persistent toe walking, and excluded children with conditions that may independently cause toe walking. Data on Achilles lengthening surgeries, sex, race and body mass index was gathered. The toe walking prevalence amongst children with and without autism was calculated. Multivariable logistic regression analysis controlling for sex, race and body mass index was used to determine independent risk factors for persistent toe walking and surgery. Of the children who met inclusion criteria (N = 284,925), 4622 (1.6%) had persistent toe walking. Prevalence of persistent toe walking was higher amongst children with autism (6.3% vs 1.5%, p < .01), as were odds of persistent toe walking (OR 4.13, 95% CI 3.74 to 4.56, p < .01). Males and White patients had higher odds of persistent toe walking compared to females and patients of any other race, respectively (p < .01 for all). Although children with autism and toe walking had higher rates of surgery than their counterparts without autism (4.3% vs 2.6%, p = .04), this difference was not significant after controlling for sex, race and BMI (OR 1.59, 95% CI 0.95 to 2.69, p > .05).","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989406","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

What is the Total Ankle Arthroplasty Experience of Podiatric Foot and Ankle Surgery Fellows? A National Survey. 足踝外科研究员的全踝关节置换术经验如何？全国调查。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2024-08-10 DOI: 10.1053/j.jfas.2024.08.004

Ramez Sakkab, Jeffrey E McAlister, Joshua M Ekladios, James M Cottom

{"title":"What is the Total Ankle Arthroplasty Experience of Podiatric Foot and Ankle Surgery Fellows? A National Survey.","authors":"Ramez Sakkab, Jeffrey E McAlister, Joshua M Ekladios, James M Cottom","doi":"10.1053/j.jfas.2024.08.004","DOIUrl":"10.1053/j.jfas.2024.08.004","url":null,"abstract":"In 2011, the Council of Podiatric Medical Education, the accrediting body of the American Podiatric Medical Association, approved the conversion of all Podiatric Residencies to 3-year surgical programs. In 2012, there were 12 podiatric fellowships recognized by the American College of Foot and Ankle Surgeons. To date, there are 53 programs listed under the college's website. As podiatric fellowships expand, further research is needed to identify advantages and pitfalls of fellowship training. Our primary aim was to obtain current fellow survey data to enhance our understanding of podiatric reconstructive foot and ankle surgery fellowship training programs. In doing so, we decided to use one of the most salient topics in fellowship training- Total Ankle Replacement. Invitation was administered by email and 73.6% of active reconstructive 2023-24 American College of Foot and Ankle Surgeons postgraduate fellows responded. Fellowship total ankle replacement case volume was significantly greater than residency (p = 0.037). Completion of 0-5 total ankle replacement(s) was 30.8%, and greater than 30 in 17.9% of fellows. Fifty nine percent reported feeling \"comfortable\" or \"very comfortable\" with total ankle arthroplasty. Patient specific instrumentation was used in a majority of cases (66.7%). Over three fourths (79.8%) of fellows stated they planned on performing TAR as an attending surgeon after their fellowship. Despite its limitations, we hope our survey data can aid graduating and previous fellows and add to the body of knowledge for future TAR educational programs and industry involvement. As podiatric fellowships continue to transform, so too must our research efforts to track progress.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972230","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