Journal of Foot & Ankle Surgery最新文献

{"title":"Clinical outcomes following platelet-rich plasma injection for plantar plate injuries at midterm follow-up.","authors":"Jared Rubin, Ryan Rutherford, Paloma Gauthier, Cian Walls, Alexander Tham, Samuel R Montgomery, Nathaniel Mercer, Bradley Lezak, James J Butler, John G Kennedy","doi":"10.1053/j.jfas.2026.08.012","DOIUrl":"10.1053/j.jfas.2026.08.012","url":null,"abstract":"<p><strong>Background: </strong>Evidence supporting platelet-rich plasma (PRP) injection for plantar plate injuries remains limited.</p><p><strong>Purpose: </strong>To evaluate patient-reported outcomes, return to activity, complications, and failures at midterm follow-up in patients with plantar plate injuries treated with PRP injection.</p><p><strong>Study design: </strong>Retrospective case series evaluating outcomes following PRP injection for plantar plate injuries.</p><p><strong>Methods: </strong>Patients with plantar plate injuries were treated with ultrasound-guided PRP injection following failure of nonoperative management. Clinical outcomes evaluated were Foot and Ankle Outcome Score (FAOS) and Visual Analog Scale (VAS). Complications and failures were also reported.</p><p><strong>Results: </strong>Twenty patients (23 feet) with a mean age of 51.0 ± 14.5 years and mean follow-up time of 58.0 ± 28.4 months were included. Mean FAOS scores improved 32.2 points (p < 0.001), with 20 of 23 (87%) feet achieving the minimal clinically important difference (MCID). Mean VAS scores improved 4.5 points (p < 0.001), with 19 of 23 (83%) feet achieving the MCID. Among 10 athletes, 7 (70%) returned to sport at a mean time of 3.1 ± 1.1 months. Complications occurred in 1 of 23 (4%) feet, and 3 of 23 (13%) feet required subsequent surgical intervention.</p><p><strong>Conclusions: </strong>At midterm follow-up, PRP injection for plantar plate injuries was associated with significant clinical improvement and a favorable safety profile, suggesting a potential role as an intermediary treatment option between conservative management and surgery. Female sex, smoking history, and higher-grade injuries were associated with inferior outcomes, underscoring the importance of individualized patient counseling and injury severity assessment.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801028","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}

{"title":"Complication rates after total ankle arthroplasty for tibiotalar arthritis compared to tibiotalar arthrodesis.","authors":"Kyle P O'Connor, Mason Poffenbarger, John T Riehl","doi":"10.1053/j.jfas.2026.08.016","DOIUrl":"10.1053/j.jfas.2026.08.016","url":null,"abstract":"<p><strong>Background: </strong>Total ankle arthroplasty (TAA) and tibiotalar arthrodesis (TTA) are primary surgical treatments for end-stage tibiotalar arthritis, but comparative short-term outcomes remain incompletely characterized.</p><p><strong>Purpose: </strong>To compare complications, readmission, discharge disposition, and hospital length of stay (LOS) after TAA versus TTA.</p><p><strong>Study design: </strong>Level III retrospective cohort study.</p><p><strong>Methods: </strong>Adults with primary or post-traumatic tibiotalar osteoarthritis who underwent TAA or TTA from 2018 through 2024 were identified in the HCA Enterprise Database. Outcomes included surgical site infection (SSI), deep vein thrombosis (DVT), amputation, 30-day and 1-year readmission, discharge destination, and LOS. Multivariable regression evaluated independent predictors.</p><p><strong>Results: </strong>A total of 1,330 patients were included: 732 underwent TAA and 598 underwent TTA. Compared with TTA, TAA had lower rates of SSI (3.1% vs 21.6%; p < 0.001), DVT (0.0% vs 0.8%; p = 0.043), amputation (0.0% vs 1.7%; p = 0.001), and 1-year readmission (4.0% vs 16.1%; p < 0.001), and higher home discharge (99.2% vs 63.0%; p < 0.001). On multivariable analysis, TAA was associated with lower odds of SSI (OR, 0.19), any complication (OR, 0.17), and 1-year readmission (OR, 0.28), greater odds of home discharge (OR, 51.4), and shorter LOS (β, -1.99 days). Higher Elixhauser Comorbidity Index increased the odds of SSI and readmission and decreased the odds of home discharge.</p><p><strong>Conclusions: </strong>TAA was associated with lower short-term morbidity, lower 1-year readmission, greater home discharge, and shorter LOS than TTA.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801030","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}

{"title":"Three-dimensional weightbearing CT distance and coverage mapping of the lisfranc joint complex: Agreement between contralateral and matched-control feet.","authors":"Wolfram Grün, Grayson M Talaski, Emily J Luo, Enrico Pozzessere, Pierre-Henri Vermorel, Christian Zirbes, Francois Lintz, Cesar de Cesar Netto","doi":"10.1053/j.jfas.2026.08.013","DOIUrl":"10.1053/j.jfas.2026.08.013","url":null,"abstract":"<p><strong>Background: </strong>Bilateral comparison is considered the reference standard for assessing subtle Lisfranc instability because it accounts for individual anatomic variation. However, contralateral imaging may be unavailable or unsuitable because of previous trauma, surgery, or deformity.</p><p><strong>Purpose: </strong>To evaluate whether matched controls could serve as an alternative reference for advanced weightbearing CT (WBCT) assessment of the Lisfranc joint complex.</p><p><strong>Study design: </strong>Retrospective matched case-control study METHODS: Contralateral uninjured feet from 34 patients with low-energy Lisfranc injuries were compared with contralateral feet from 34 matched controls. Matching was performed for sex, laterality, age, and body mass index. Three-dimensional WBCT distance mapping (DM) and coverage mapping (CM) were calculated for four Lisfranc articulations and subdivided regions following semi-automatic segmentation and manual surface selection. Paired two one-sided equivalence tests (TOST) used equivalence margins of ±0.5 mm for DM and ±10 percentage points for CM; Bland-Altman limits of agreement (LoA) were compared with these margins.</p><p><strong>Results: </strong>Equivalence was demonstrated for all 16 DM outcomes and 15 of 16 CM outcomes. Plantar-medial C1-M1 coverage did not meet the equivalence criterion (mean difference, -6.8 percentage points; 90% confidence interval, -11.3 to -2.3; TOST p = 0.122). Bland-Altman limits of agreement were generally wider than the defined margins, indicating variability among individual matched pairs.</p><p><strong>Conclusions: </strong>Matched controls produced group-level DM and CM measurements comparable to contralateral feet for 31 of 32 evaluated outcomes. However, individual-level LoA generally exceeded the defined margins. Matched controls may therefore provide suitable group-level reference values when contralateral imaging is unavailable but should not be considered interchangeable with contralateral imaging for patient-specific assessment.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801080","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}

{"title":"Comparative effectiveness of surgical interventions for recalcitrant plantar fasciitis: A systematic review and network meta-analysis.","authors":"Ashton Kai Shun Tan, Deborah Mei Xuan Lee, Aaron Shengting Mai, Rui Xiang Toh, Zong Xian Li, Kizher Shajahan Mohamed Buhary, Kae Sian Tay","doi":"10.1053/j.jfas.2026.08.008","DOIUrl":"10.1053/j.jfas.2026.08.008","url":null,"abstract":"<p><strong>Background: </strong>Recalcitrant plantar fasciitis (PF) unresponsive to conservative treatment remains challenging, with multiple surgical options targeting different mechanisms and no clear consensus.</p><p><strong>Purpose: </strong>To evaluate and compare the clinical effectiveness and safety of recalcitrant PF surgical options.</p><p><strong>Study design: </strong>Systematic review and network meta-analysis.</p><p><strong>Methods: </strong>A systematic search was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Interventions were grouped by mechanism of action (plantar fascia release (PFR), gastrocnemius recession (GR), angiogenesis or tissue regeneration, nerve ablation (NA)) and surgical approach (open, endoscopic, percutaneous). Network meta-analyses and narrative synthesis were performed. Risk of bias was assessed using Cochrane Risk of Bias 2 (RoB 2.0) and Methodological Index for Non-Randomized Studies (MINORS) tools.</p><p><strong>Results: </strong>We included 21 studies involving 1,064 patients. Endoscopic approaches showed greater improvement of American Orthopaedic Foot & Ankle Society (AOFAS) and visual analog scale (VAS) scores versus open and percutaneous techniques. GR demonstrated better VAS outcomes than other mechanisms, with no difference in AOFAS. Overall study quality was moderate to high risk of bias.</p><p><strong>Conclusions: </strong>Surgical management should be individualized to optimize outcomes. Higher quality standardized comparative studies with long-term follow-up are needed.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764110","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}

{"title":"Ideal suture tape anchor placement for anteroinferior tibiofibular ligament augmentation in isolated syndesmotic injury using hounsfield units.","authors":"Hirofumi Nakajima, Satoshi Yamaguchi, Seiji Kimura, Shotaro Watanabe, Takahisa Sasho, Seiji Ohtori","doi":"10.1053/j.jfas.2026.08.007","DOIUrl":"10.1053/j.jfas.2026.08.007","url":null,"abstract":"<p><strong>Background: </strong>Augmentation of the anterior inferior tibiofibular ligament with a sutured tape anchor is commonly performed in surgery for isolated syndesmotic injury. The anchor insertion site is presumed to have good bone quality, as indicated by Hounsfield unit values. However, the Hounsfield unit values at the anterior inferior tibiofibular ligament attachment sites have not been established.</p><p><strong>Purpose: </strong>This study aimed to measure the Hounsfield unit values at the superior, middle, and inferior fascicle attachments of the anterior inferior tibiofibular ligament and to identify the optimal anchor insertion site.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>This study included patients who underwent preoperative computed tomography at our institution between December 2019 and February 2026. After excluding patients with ankle fractures or deformities, 28 patients were enrolled. Three-dimensional computed tomography reconstructions were used to annotate the tibial and fibular attachments of the three anterior inferior tibiofibular ligament fascicles. Hounsfield unit values were measured on axial, coronal, or sagittal images corresponding to these annotations. Comparisons were performed using repeated-measures analysis of variance with Bonferroni correction.</p><p><strong>Results: </strong>The tibial Hounsfield unit values for the superior, middle, and inferior fascicles were 359.5, 430.5, and 509.1, respectively, with the inferior fascicle demonstrating significantly higher values (p < 0.001). On the fibular side, the values were 496.2, 460.7, and 527.7, with a significant difference observed between the middle and inferior fascicles (p = 0.013).</p><p><strong>Conclusion: </strong>For isolated syndesmotic injury, the optimal anchor insertion site for anterior inferior tibiofibular ligament augmentation appears to be the attachment of the inferior fascicle.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763066","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}

{"title":"Patient-specific 3D-printed porous titanium implants for complex foot and ankle reconstruction: Clinical and radiographic outcomes - A current concepts review of the literature.","authors":"Pedro Nogueira, Amit Patel, Lucky Jeyaseelan, Zakir Haider, Sérgio Soares","doi":"10.1053/j.jfas.2026.08.009","DOIUrl":"10.1053/j.jfas.2026.08.009","url":null,"abstract":"<p><strong>Background: </strong>Critical-sized bone defects of the foot and ankle have traditionally been managed with bulk structural allograft or major amputation, both carrying substantial limitations, prompting exploration of patient-specific 3D-printed porous titanium implants as a structural alternative, though supporting evidence remains fragmented. Following the PRISMA 2020 statement and a pre-registered PROSPERO protocol, this current concepts review searched PubMed/MEDLINE, Embase, and the Cochrane Library, identifying 22 clinical studies (4 Level III, 17 Level IV, 1 Level V; published 2015-2026) comprising 289 adult patients undergoing complex foot and ankle reconstruction with these implants; two independent reviewers performed screening, data extraction, and risk-of-bias assessment, with primary outcomes-osseous union, limb salvage, and major amputation-synthesized descriptively as pooled proportions, counting overlapping cohorts once. The pooled limb-salvage rate was 92% (196/214 limbs) and major amputation rate 8% (21/276 patients); among 13 studies reporting a patient-level union endpoint, pooled union was 89% (64/72 patients), with consistent functional improvement and a weighted mean follow-up of 25 months. However, the pooled reoperation rate reached 26% (74/289 patients), driven predominantly by deep infection, with prior ipsilateral infection (odds ratio 14.9) and neuropathy (odds ratio 5.76) as independent predictors; the single comparative study found significantly higher articular fusion and no implant subsidence versus femoral head allograft (p = 0.018 and p = 0.016, respectively). These implants achieve high limb-salvage and union rates with a low major amputation rate, offset by a substantial reoperation burden. Prospective comparative studies with standardized union definitions and longer follow-up are needed.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762756","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}

{"title":"Sinus tarsi approach for sanders type IV calcaneal fractures: Midterm radiographic, functional and complication outcomes.","authors":"Onur Suer, Recep Selcuk Eyceyurt, Meliksah Uzakgider, Mesut Tahta, Cemil Kayali","doi":"10.1053/j.jfas.2026.08.010","DOIUrl":"10.1053/j.jfas.2026.08.010","url":null,"abstract":"<p><strong>Background: </strong>Sanders type IV displaced intra-articular calcaneal fractures are associated with severe comminution and poor outcomes. Evidence on the sinus tarsi approach remains limited.</p><p><strong>Purpose: </strong>To evaluate radiographic restoration, functional outcomes, and complications after the sinus tarsi approach for Sanders type IV calcaneal fractures.</p><p><strong>Study design: </strong>Retrospective single-center case series.</p><p><strong>Methods: </strong>We retrospectively reviewed a consecutive series of patients treated operatively using the sinus tarsi approach between January 2014 and January 2024. After predefined exclusions, 51 Sanders type IV fractures with minimum 24-month follow-up were included. Böhler angle, Gissane angle, calcaneal height, and calcaneal length were measured preoperatively, early postoperatively, and at final follow-up. Final pain and function were assessed using the visual analog scale (VAS) and American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score. Complications and reoperations were recorded.</p><p><strong>Results: </strong>Mean age was 45.5 ± 16.5 years, median time to surgery was 5 days, and mean follow-up was 58.2 ± 27.9 months. All radiographic parameters improved significantly over time (all p < 0.001). Böhler angle improved from -6.4 ± 9.8 degrees preoperatively to 22.4 ± 7.3 degrees early postoperatively and was 20.4 ± 7.4 degrees at final follow-up. Median final VAS and AOFAS hindfoot scores were 2 and 81, respectively. Reoperation was required in 7 patients (14%). No deep infection, malunion, or nonunion occurred.</p><p><strong>Conclusion: </strong>The sinus tarsi approach was associated with satisfactory midterm radiographic and functional outcomes and acceptable complication and reoperation rates in Sanders type IV calcaneal fractures. Prospective comparative studies are needed to better define its role.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759926","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}

{"title":"Emergency department utilization following primary versus revision ankle arthrodesis: A propensity-matched analysis.","authors":"Trenton Pritt, Akhil Bolisetti, George Yacoub, Joseph Cardina, Matthew Hager, Jude Okonkwo, Irene Laleye, Michael Aynardi","doi":"10.1053/j.jfas.2026.08.006","DOIUrl":"10.1053/j.jfas.2026.08.006","url":null,"abstract":"<p><strong>Background: </strong>Revision ankle arthrodesis (AA) is traditionally considered more technically complex and associated with increased postoperative morbidity compared with primary AA. Emergency department (ED) utilization has emerged as an important measure of postoperative healthcare utilization, yet direct comparisons between primary and revision AA are limited.</p><p><strong>Purpose: </strong>To compare 1-year postoperative ED utilization following primary vs revision AA.</p><p><strong>Study design: </strong>Retrospective comparative cohort study.</p><p><strong>Methods: </strong>Following institutional review board approval, patients who underwent AA between 2015 and 2025 at a single institution were identified and stratified into primary and revision cohorts. ED utilization within 1 year postoperatively was evaluated. Patients were matched 1:1 using propensity score matching based on age, body mass index, sex, smoking status, diabetes, and medical comorbidities. Risk differences, risk ratios, and odds ratios with 95% confidence intervals (CIs) were calculated. Timing and indications for ED presentation were assessed.</p><p><strong>Results: </strong>A total of 463 patients were included (391 primary, 72 revision). After propensity matching, 68 revision patients were matched to 68 primary patients with adequate covariate balance. One-year ED utilization occurred in 22 of 68 primary AA patients (32.4%) compared with 6 of 68 revision AA patients (8.8%). Revision AA was associated with a lower risk of ED utilization (risk difference, -23.5%; 95% CI, -36.5% to -10.5%; risk ratio, 0.27; 95% CI, 0.12-0.63; odds ratio, 0.20; 95% CI, 0.08-0.54). Infection was the most common indication for ED presentation in both cohorts.</p><p><strong>Conclusions: </strong>In this propensity-matched analysis, revision AA was not associated with increased postoperative ED utilization and demonstrated lower observed ED utilization than primary AA. Infection remained the leading cause of postoperative ED presentation.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714402","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}

{"title":"Comparison of radiographic fusion outcomes in first metatarsophalangeal joint arthrodesis using staple, plate-and-staple, and plate fixation.","authors":"Christian P Frey, Alexandra S Osorio, Katherine M Melia, Sohrab Saeidi, Isaac M Ballew, Catherine B Dietlein, Sean E Higinbotham, Matthew A Gorski, Morgan R Jerabek, Kristine M Hoffman","doi":"10.1053/j.jfas.2026.08.004","DOIUrl":"10.1053/j.jfas.2026.08.004","url":null,"abstract":"<p><strong>Background: </strong>Hallux rigidus is a painful degenerative condition characterized by limited dorsiflexion of the first metatarsophalangeal joint (MTPJ). When nonoperative treatment fails, arthrodesis is widely considered the gold standard surgical intervention. Although arthrodesis reliably restores a stable, functional joint, the optimal fixation construct remains debated.</p><p><strong>Purpose: </strong>To compare radiographic fusion outcomes among different fixation constructs used for first MTPJ arthrodesis and identify factors associated with successful fusion.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>A retrospective review of first MTPJ arthrodesis procedures from 2020 to 2024 included 45 patients meeting inclusion criteria and a minimum 90-day follow-up. Patients underwent fixation with standalone staples, hybrid plate and staple fixation, or standalone plates. Fusion was classified as complete, partial, or nonunion. Secondary outcomes included hardware failure, revision surgery, and factors associated with fusion.</p><p><strong>Results: </strong>No significant differences were observed among fixation constructs with respect to fusion outcomes, hardware failure, revision surgery, or baseline patient characteristics. Multivariable analysis demonstrated that current smoking and postoperative noncompliance were strongly associated with worse fusion outcomes. Patients who smoked had substantially lower odds of achieving higher fusion grades, and patients who were noncompliant with postoperative protocols also had significantly reduced odds of successful fusion, independent of fixation type.</p><p><strong>Conclusion: </strong>Staple, plate, and hybrid fixation constructs produced comparable radiographic fusion outcomes following first MTPJ arthrodesis. Patient factors, particularly smoking status and postoperative compliance, appear to play a more important role in determining successful fusion than fixation construct selection.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690199","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}

{"title":"Letter to the Editor regarding \"Impact of First Metatarsal Capital Fragment Translation on Complication and Osseous Healing After Minimally Invasive Bunionectomy.\"","authors":"Mehmet Akif Şahin, Metin Uzun","doi":"10.1053/j.jfas.2026.08.005","DOIUrl":"https://doi.org/10.1053/j.jfas.2026.08.005","url":null,"abstract":"","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690153","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}