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

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 : 2025-03-25 DOI: 10.1053/j.jfas.2025.03.016

Rahul Mishra, John M Giurini

{"title":"Are immediate postoperative X-rays of value in foot surgery patients?","authors":"Rahul Mishra, John M Giurini","doi":"10.1053/j.jfas.2025.03.016","DOIUrl":"10.1053/j.jfas.2025.03.016","url":null,"abstract":"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 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 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.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-25","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

Evaluating the role of fluoroscopy in calcaneal pin placement. 评价透视在跟骨钉置入中的作用。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-03-25 DOI: 10.1053/j.jfas.2025.03.017

Fatih Barça, Ekin Barış Demir, Mustafa Fatih Sarı, Mutlu Akdoğan, Yalım Ateş, Halis Atıl Atilla

{"title":"Evaluating the role of fluoroscopy in calcaneal pin placement.","authors":"Fatih Barça, Ekin Barış Demir, Mustafa Fatih Sarı, Mutlu Akdoğan, Yalım Ateş, Halis Atıl Atilla","doi":"10.1053/j.jfas.2025.03.017","DOIUrl":"10.1053/j.jfas.2025.03.017","url":null,"abstract":"Although fluoroscopy-assisted calcaneal pin placement for ankle-spanning external fixation or skeletal traction was advocated in the literature, evidence for necessity of fluoroscopy for this application is lacking. This study aimed to compare the calcaneal pin locations and complications of patients who underwent pin placement with and without fluoroscopy guidance. In this retrospective cohort study, adult patients that underwent external fixation for ankle fractures between October 2022 and May 2024 were included. The primary outcome was the rate of the pins that were inside the safe zone. Secondary outcomes were the distance of pins to the tip of medial malleolus and the posteriormost point of calcaneus and complications such as neurovascular deficit and calcaneal fracture. Eighty-two patients (mean age 47±16.4 - min. 18 - max. 89, 54.9 % male) were involved in the study. Forty-five patients (group 1) had their pins placed without fluoroscopy assistance and thirty-seven patients (group 2) with fluoroscopy assistance. Five patients (11.1 %) in group 1 and seven patients (18.9 %) in group 2 had their pins placed outside the safe zone (P = 0.320). Distance of the hole from medial malleolus was mean 38.8 ± 7.9 mm for group 1 and 51.3 ± 8.32 mm for group 2 (P < 0.001), and distance from posteriormost point of calcaneus was mean 25.2 ± 6.3 mm for group 1 and 21.4 ± 7.9 mm for group 2 (P = 0.019). No neurovascular complications or calcaneal fracture were seen during follow-up. In conclusion, fluoroscopy guidance does not provide any additional benefit for placing calcaneal pins.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732542","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 : 2025-03-22 DOI: 10.1053/j.jfas.2025.03.011

Selda Çiftci İnceoğlu, Aylin Ayyıldız, Banu Kuran

{"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, Aylin Ayyıldız, Banu Kuran","doi":"10.1053/j.jfas.2025.03.011","DOIUrl":"10.1053/j.jfas.2025.03.011","url":null,"abstract":"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 quality of life in the treatment of plantar heel pain secondary to plantar fasciitis and a calcaneal spur. 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), 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.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-22","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

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 : 2025-03-22 DOI: 10.1053/j.jfas.2025.03.009

Ashley A Mariano, Lawrence M Fallat

{"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, Lawrence M Fallat","doi":"10.1053/j.jfas.2025.03.009","DOIUrl":"10.1053/j.jfas.2025.03.009","url":null,"abstract":"This retrospective case series investigated the treatment outcomes for hallux rigidus. 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 (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 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.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-22","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

Satisfactory patient reported outcomes at five years following primary repair with suture tape augmentation for anterior talofibular ligament injury. 对距腓骨前韧带损伤进行缝合带增强术初次修复后5年的患者报告结果令人满意。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-03-22 DOI: 10.1053/j.jfas.2025.03.010

Paul McMillan, William T Wilson, Graeme P Hopper, Gordon MacKay

{"title":"Satisfactory patient reported outcomes at five years following primary repair with suture tape augmentation for anterior talofibular ligament injury.","authors":"Paul McMillan, William T Wilson, Graeme P Hopper, Gordon MacKay","doi":"10.1053/j.jfas.2025.03.010","DOIUrl":"10.1053/j.jfas.2025.03.010","url":null,"abstract":"The Brostrom technique is widely accepted as the gold standard surgical intervention for the treatment of chronic lateral ankle instability. Concerns with persistent postoperative instability, incomplete restoration of preinjury biomechanical strength, and variable return-to-sport rates have, however, led to growing interest in novel augmentation procedures. Suture tape augmentation, which reinforces the anterior talofibular ligament and acts as a secondary stabilizer, is one such method. This study assesses 5-year patient-reported outcomes of primary repair with suture tape augmentation for anterior talofibular ligament injuries. Seventy-seven patients undergoing anterior talofibular ligament repair with suture tape augmentation were prospectively followed for at least 5-years. The visual analogue scale for pain (VAS), veteran rands 12 (VR-12) score, functional foot index (FFI), and the foot and ankle ability measure sports subscale (FAAM-S) were assessed at baseline, 2-year follow-up and 5-year follow-up. Of the seventy-seven patients initially included, sixty-eight (88.3%) completed follow-up. The median VAS, VR-12, FFI, and FAAM-S scores all demonstrated significant improvement at both 2-year and 5-year follow-up, compared to preoperative baseline. Only the FFI demonstrated improvement between the 2-year and 5-year follow-up timepoints. In conclusion, primary repair with suture tape augmentation for anterior talofibular ligament injury demonstrates satisfactory patient-reported outcomes at a minimum of 5-year follow-up. These results suggest that this technique should be considered as an alternative to conventional Brostrom repair for treatment of lateral ankle instability.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694299","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

Direct or indirect reduction internal fixation for posterior ankle fractures: A systematic review and meta-analysis. 后踝骨折的直接或间接复位内固定：一项系统回顾和荟萃分析。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-03-19 DOI: 10.1053/j.jfas.2025.03.014

GuiSong Yu, YuPeng Dong, YuBo Cui, ZhiJun Yang, Xing Fu, Dian Li, WenLong Yang, FengYun Yang

{"title":"Direct or indirect reduction internal fixation for posterior ankle fractures: A systematic review and meta-analysis.","authors":"GuiSong Yu, YuPeng Dong, YuBo Cui, ZhiJun Yang, Xing Fu, Dian Li, WenLong Yang, FengYun Yang","doi":"10.1053/j.jfas.2025.03.014","DOIUrl":"10.1053/j.jfas.2025.03.014","url":null,"abstract":"Direct or indirect internal fixation for posterior ankle fractures remains a controversial topic. While direct plate or screw internal fixation is believed to provide better reduction, it may also cause more severe soft tissue damage, while indirect screw internal fixation is thought to result in less damage but may carry the risk of poor reduction. We conducted this meta-analysis to investigate the clinical efficacy and safety of direct versus indirect reduction internal fixation for posterior ankle fractures. The Preferred Reporting Items for Systematic Evaluation and Meta-Analysis (PRISMA) guidelines were used to search the China Knowledge Network database (CNKI), PubMed, Web of Science, Embase, and other databases from the year of establishment- February 2025, and relevant journals were manually searched to collect the relevant literature, and articles that met the requirements were screened and analyzed. Meta-analysis was conducted using RevMan 5.4 software, and a systematic evaluation was carried out when the data from the included studies could not be synthesized. A total of 17 articles involving 1538 study subjects were included, and the results showed that there were no statistical differences in postoperative AOFAS scores, complications, and Dorsiflexion restriction between ankle fractures after direct plate or screw reduction and fixation and those after indirect screw reduction and fixation; however, the Radiological evaluation>2 mm and Osteoarthritis (P < 0.05) were statistically different. Direct reduction and fixation of posterior ankle fractures has better imaging performance and reduces the incidence of postoperative arthritic events.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674638","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 role of local flap reconstruction for limb salvage in patients with moderate to severe medial arterial calcification. 局部皮瓣重建在中重度内侧动脉钙化患者保肢中的作用。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-03-18 DOI: 10.1053/j.jfas.2025.03.013

Rachel N Rohrich, Karen R Li, Ryan P Lin, Sami Ferdousian, Isabel A Snee, Roumina Adab, Jayson N Atves, John S Steinberg, Richard C Youn, Karen K Evans, Cameron M Akbari, Christopher E Attinger

{"title":"The role of local flap reconstruction for limb salvage in patients with moderate to severe medial arterial calcification.","authors":"Rachel N Rohrich, Karen R Li, Ryan P Lin, Sami Ferdousian, Isabel A Snee, Roumina Adab, Jayson N Atves, John S Steinberg, Richard C Youn, Karen K Evans, Cameron M Akbari, Christopher E Attinger","doi":"10.1053/j.jfas.2025.03.013","DOIUrl":"10.1053/j.jfas.2025.03.013","url":null,"abstract":"The medial arterial calcification (MAC) scoring system (Figure 1) predicts adverse limb events. This study applies MAC scoring to patients undergoing local flap reconstruction. To do so, we reviewed patients that underwent foot and ankle local flaps from January 2010 to November 2022. Radiographs were used to assign MAC scores: absent (MAC=0-1), moderate (MAC=2-3), or severe (MAC≥4). 182 patients underwent local flap reconstruction: 104 (57.1 %) absent MAC, 32 (17.6 %) moderate MAC, and 46 (25.3 %) severe MAC. Patients with severe MAC demonstrated significantly higher rates of diabetes mellitus (p = 0.001), end-stage renal disease (p < 0.001), and peripheral neuropathy (p < 0.001), and more often required a vascular intervention before reconstruction (p = 0.001). Flap-related outcomes and major limb amputation rates were statistically comparable among MAC groups. By a median of 16.5 (IQR: 36.6) months, limb salvage was 84.1 % and not independently associated with MAC on multivariable analysis. Postoperative vascular intervention (absent: 10.7 % vs. moderate: 28.1 % vs. severe: 17.4 %; p = 0.054), podiatric reoperation (absent: 35.6 % vs. moderate: 40.6 % vs. severe: 56.5 %; p = 0.056), and mortality (absent: 19.4 % vs. moderate: 34.4 % vs. 32.6 %; p = 0.102) were not independently associated with MAC on multivariable analysis. Given these results, local flaps are a viable option in patients with MAC. If utilizing a vasculo-plastic approach, severe MAC should not prevent limb salvage efforts via local flap reconstruction.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671671","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

Distal tibial osteophytes are more accurate than medial malleolar anatomy when using patient specific instrumentation in total ankle replacement. 在全踝关节置换术中使用患者专用内固定时，胫骨远端骨赘比内踝解剖更准确。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-03-17 DOI: 10.1053/j.jfas.2025.03.012

Jason George DeVries, Andrew Regal, Tisileli S Tuifua, Brandon M Scharer

{"title":"Distal tibial osteophytes are more accurate than medial malleolar anatomy when using patient specific instrumentation in total ankle replacement.","authors":"Jason George DeVries, Andrew Regal, Tisileli S Tuifua, Brandon M Scharer","doi":"10.1053/j.jfas.2025.03.012","DOIUrl":"10.1053/j.jfas.2025.03.012","url":null,"abstract":"Total ankle replacement (TAR) is a treatment for end stage ankle arthritis. Patient specific instrumentation (PSI) has been used and shown to allow for accurate placement and alignment in TAR in the coronal and sagittal plane. PSI systems are available and use different anatomic landmarks for the cutting guides. This is a retrospective matched case control study comparing accuracy in alignment using 2 different PSI systems. The case series uses a medial malleolar landmark (MM Group), and each case patient was matched based on preoperative coronal plane alignment with 2 ankles in the control series using the distal tibial osteophytes as landmarks (DT Group), as this system has been in use and studied more. A total of 48 ankles were studied, 16 in the MM Group and 32 in the DT Group matched by coronal plane alignment. There was a difference in accuracy of postoperative coronal plane alignment, with the MM Group deviated from expected by 1.6° ± 1.3° compared to the DT Group at 1.1° ± 0.6°, p = 0.04. This corresponded to 68.8 % of MM Group ankles being within 2° of expected compared to 93.4 % of DT Group ankles. There was no statistically significant difference in sagittal plane alignment between the groups, p = 0.57. Procedure time was the only other statistically significant difference with the MM Group taking longer than the DT Group, 97.4 min and 80.6 min, respectively, p = 0.04. While both groups show good accuracy, alignment based on the distal tibial osteophytes is more accurate than using the medial malleolus.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665263","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

Defining the patient acceptable symptom state (PASS) for PROMIS after Hallux Rigidus correction surgery. 确定拇僵直矫正手术后患者可接受症状状态（PASS）。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-03-09 DOI: 10.1053/j.jfas.2025.03.008

Allison L Boden, Stone R Streeter, Seif El Masry, Grace M DiGiovanni, Matthew S Conti, Scott J Ellis

{"title":"Defining the patient acceptable symptom state (PASS) for PROMIS after Hallux Rigidus correction surgery.","authors":"Allison L Boden, Stone R Streeter, Seif El Masry, Grace M DiGiovanni, Matthew S Conti, Scott J Ellis","doi":"10.1053/j.jfas.2025.03.008","DOIUrl":"10.1053/j.jfas.2025.03.008","url":null,"abstract":"It is unclear which patient reported outcome metric correlates best with clinical improvement. The patient acceptable symptom state (PASS) incorporates the patient's subjective outcome experience into the outcome measurement. This study aims to establish PASS thresholds using Patient-Reported Outcome Measurement Information System (PROMIS) scores in patients undergoing hallux rigidus (HR) correction. A retrospective review of prospectively collected data identified 144 patients who were treated surgically for HR between February 2019 and March 2021, had preoperative and 2-year postoperative PROMIS scores, and had responses to two distinct PASS anchor questions. PASS thresholds were determined using the maximum Youden Index. Differences in demographic and surgical characteristics between patients who met or did not meet the PASS thresholds were compared using independent samples T-tests and Pearson Chi-Square tests. Overall, 70 % of patients met the PASS thresholds. Patients with better baseline PROMIS scores were more likely to meet the postoperative PASS thresholds for every PROMIS domain (p < 0.05). Patients who did not undergo first metatarsophalangeal (MTP) fusion were more likely to reach the PASS threshold for the Physical Function domain (p = 0.045). For the Pain Intensity domain, younger patients were more likely to meet the thresholds (p = 0.005). Patient sex, BMI, and use of either cheilectomy or Akin/Moberg osteotomy during surgery did not impact a patient's likelihood of meeting the PASS thresholds. After surgical intervention for HR, it may not be necessary for patients to reach normal physical function or pain levels in order to reach an acceptable postoperative symptom state.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607061","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 best: Functional rehabilitation or traditional immobilization after double-row suture anchor repair for insertional Achilles tendinopathy? 对于插入性跟腱病，双排缝线锚钉修复后功能康复和传统固定哪个最好？

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-03-08 DOI: 10.1053/j.jfas.2025.03.006

Daniel Soares Baumfeld, Gabriel Moraes de Oliveira, Otávio Vitório Alvarenga Pereira, Thiago Barreto Mafra Oliveira, Tiago Soares Baumfeld, Caio Nery

{"title":"What is the best: Functional rehabilitation or traditional immobilization after double-row suture anchor repair for insertional Achilles tendinopathy?","authors":"Daniel Soares Baumfeld, Gabriel Moraes de Oliveira, Otávio Vitório Alvarenga Pereira, Thiago Barreto Mafra Oliveira, Tiago Soares Baumfeld, Caio Nery","doi":"10.1053/j.jfas.2025.03.006","DOIUrl":"10.1053/j.jfas.2025.03.006","url":null,"abstract":"This retrospective study compared two rehabilitation methods for patients who underwent a double-row surgical technique for Insertional Achilles Tendinopathy (IAT). Group 1 (G1) received traditional immobilization with casting and no weightbearing for six weeks, while Group 2 (G2) followed a modern functional rehabilitation program with early weightbearing in a walking boot. Data were analyzed from 63 patients (68 feet), with 48 patients (51 feet) in G1 and 17 patients (17 feet) in G2. The minimum follow-up was two years (mean of 32 months, ranging from two to nine years). Pre- and postoperative data, including VAS (Visual Analog Scale) pain scores and functional scores, were collected at six months and at the final follow-up. Additionally, return-to-work, driving, and sports data were evaluated. Pre- and post-VAS scores for G1 were 7.49/1.39 and for G2 were 7.8/2.2, showing no significant difference (p = 0.89). The overall mean VAS improved from 7.56 to 1.58 postoperatively. The FAAM-ADL score was 81.68 points (88.28 %), with men experiencing statistically greater improvements than women. Patients in G2 returned to work, driving, and sports faster within the first six months. Although G2 initially had slightly higher functional scores, no significant differences were observed between the two groups after six months. Early functional rehabilitation facilitated a quicker return to daily activities without increasing pain but did not provide better long-term functional outcomes compared to traditional immobilization. Thus, early weightbearing aids short-term recovery but does not enhance functional scores beyond six months.","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598237","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