Journal of Foot & Ankle Surgery最新文献_第9页

Risk factors for screw breakage in Lisfranc joint injuries: A multicenter retrospective study Lisfranc关节损伤螺钉断裂的危险因素：一项多中心回顾性研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-06-28 DOI: 10.1053/j.jfas.2025.06.001

Satoshi Muto MD , Yasuhiko Takegami MD, PhD , Toshihisa Kojima MD, PhD , Shiro Imagama MD, PhD

{"title":"Risk factors for screw breakage in Lisfranc joint injuries: A multicenter retrospective study","authors":"Satoshi Muto MD , Yasuhiko Takegami MD, PhD , Toshihisa Kojima MD, PhD , Shiro Imagama MD, PhD","doi":"10.1053/j.jfas.2025.06.001","DOIUrl":"10.1053/j.jfas.2025.06.001","url":null,"abstract":"<div><h3>Background</h3><div>Lisfranc joint injuries are rare but significantly impact foot biomechanics. Open reduction and internal fixation (ORIF) using screws is common, but screw breakage is a frequent issue. While previous studies have reported breakage rates, few have investigated the association between screw type and breakage risk.</div></div><div><h3>Purpose</h3><div>This study aims to identify risk factors for screw breakage, analyze the timing and patterns of failures, and evaluate their impact on clinical outcomes.</div></div><div><h3>Study design</h3><div>Multicenter retrospective cohort study.</div></div><div><h3>Methods</h3><div>This multicenter retrospective study analyzed 233 patients who underwent surgical treatment for Lisfranc injuries at 11 institutions between January 2014 and June 2024. After applying the exclusion criteria, 72 patients were eligible for inclusion in the study. These patients were divided on the basis of screw type (cannulated [<em>n</em> = 31] and solid [<em>n</em> = 41]). Following age- and sex-matching, 48 patients were selected (Group C: cannulated, <em>n</em> = 24; Group S: solid, <em>n</em> = 24).</div></div><div><h3>Results</h3><div>Screw breakage occurred more frequently in Group C (28.6 %) than in Group S (3.6 %) (<em>p</em> = 0.004). The median time to breakage was 39 weeks (range: 8–54). Logistic regression analysis revealed that usage of cannulated screws was a significant risk factor for breakage (OR 0.132, 95 % CI 0.0252–0.694; <em>p</em> = 0.0167). Despite higher breakage rates, Group C had better final AOFAS scores (median 95.00 vs. 90.00, <em>p</em> = 0.031). Among the 11 broken screws, 7 (63.6 %) were retained without adverse effects on functional outcomes.</div></div><div><h3>Conclusion</h3><div>Cannulated screws were associated with increased breakage risk in Lisfranc injuries, although this did not negatively impact functional outcomes.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 6","pages":"Pages 677-682"},"PeriodicalIF":1.3,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530780","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 of isolated eccentric exercise and eccentric exercise combined with shock wave therapy in non-insertional Achilles tendinopathy 孤立偏心运动与偏心运动联合冲击波治疗非插入性跟腱病的比较。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-06-26 DOI: 10.1053/j.jfas.2025.05.009

Gokhan Pehlivanoglu MD , Canan Gonen Aydin MD , Kadir Ilker Yildiz MD , Kutalmis Albayrak MD , Muhammed Bilal Kurk MD , Baris Ozkul MD

{"title":"Comparison of isolated eccentric exercise and eccentric exercise combined with shock wave therapy in non-insertional Achilles tendinopathy","authors":"Gokhan Pehlivanoglu MD , Canan Gonen Aydin MD , Kadir Ilker Yildiz MD , Kutalmis Albayrak MD , Muhammed Bilal Kurk MD , Baris Ozkul MD","doi":"10.1053/j.jfas.2025.05.009","DOIUrl":"10.1053/j.jfas.2025.05.009","url":null,"abstract":"<div><div>This study aimed to compare the effectiveness of eccentric exercise (EE) alone versus combined treatment with EE and extracorporeal shock wave therapy (ESWT) for treating noninsertional Achilles tendinopathy. Seventy-eight patients who underwent treatment with EE alone or combined with ESWT were retrospectively evaluated. Results were compared between the two groups before and after treatment, at the third-month, and after an average follow-up period of 6.3 years. The VAS and Likert scale scores were significantly better after treatment and at the third-month follow-up for those who underwent combined treatment (p < 0.05). Both groups showed statistically significant improvements in VISA-A and VAS scores compared to baseline levels after treatment, in the third-month, and at the final follow-up (p < 0.05). The final follow-up results revealed no significant differences between the VISA-A, VAS, and Likert scores of both groups. Fifty-six out of 78 patients (71.8%) who rated themselves as Likert 1 (fully healed) or 2 (much better) on the 6-point Likert scale were deemed successful. While both treatment groups reached minimal clinically important difference (MCID) in VAS scores, the intergroup MCID was not clinically significant. This study underscores the efficacy of EE in noninsertional Achilles tendinopathy, and the clinical effect of ESWT remains controversial. However, ESWT+EE combination therapy may be a viable option for specific patient groups requiring rapid recovery, such as athletes.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 6","pages":"Pages 703-708"},"PeriodicalIF":1.3,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512717","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

Chronic heel pain: Can reducing gastrocnemius-achilles-plantar fascia (GAP) Workload through modified surgical technique improve outcomes? 慢性足跟疼痛：通过改良手术技术减少腓肠肌-跟腱-足底筋膜（GAP）负荷是否能改善预后？

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-06-25 DOI: 10.1053/j.jfas.2025.05.008

Aysha Rajeev Associate Specialist, Kailash Devalia Consultant

{"title":"Chronic heel pain: Can reducing gastrocnemius-achilles-plantar fascia (GAP) Workload through modified surgical technique improve outcomes?","authors":"Aysha Rajeev Associate Specialist, Kailash Devalia Consultant","doi":"10.1053/j.jfas.2025.05.008","DOIUrl":"10.1053/j.jfas.2025.05.008","url":null,"abstract":"<div><div>This study evaluates the efficacy of Achilles tendon reconstruction (ATR) and proximal medial gastrocnemius release (PMGR) for treating recalcitrant Achilles tendinopathy (AT) and plantar fasciopathy (PF). A retrospective analysis was conducted on 72 patients with chronic heel pain resistant to conservative treatment. Patients were categorized into those with Haglund’s deformity, Achilles tendinopathy, or gastrocnemius tightness with Plantar fasciopathy. Among them, 45 patients were diagnosed with AT and 27 with PF. Patients with AT underwent split detachment, debridement, excision of Haglund’s deformity, and de-tensioning reconstruction using a modified double-row knotless suture. Patients with PF underwent PMGR. Outcomes were assessed using pre- and postoperative Manchester-Oxford Foot Questionnaire (MOxFQ), EQ-5D, and EQ-VAS scores. The mean follow-up duration of 41.2 months (range: 36–66 months). Significant improvements were observed in all outcome measures for both groups. In the ATR group, the mean preoperative MOxFQ score improved from 67.77 ± 20.41 to 21.46 ± 12.38. EQ-5D improved from 19.34 ± 7.81 to 4.52 ± 2.58, and EQ-VAS improved from 48.64 ± 10.91 to 69.34 ± 18.75. In the PF group, the MOxFQ improved from 41.35 ± 10.04 to 18 ± 16.82, EQ-5D from 14.14 ± 2.71 to 8.64 ± 5.15, and EQ-VAS from 44.67 ± 17.94 to 71.87 ± 28.35 at the final follow-up.</div><div>Understanding the biomechanics of the Gastrocnemius Achilles Plantar fascia (GAP) complex and developing a structured treatment algorithm with detensioning the GAP complex through modified Achilles tendon reconstruction and proximal gastrocnemius release, yields a significant functional and symptomatic improvement.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 6","pages":"Pages 697-702"},"PeriodicalIF":1.3,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512716","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

Comparative clinical outcomes of K-wire fixation versus screw fixation in Lisfranc joint injuries: A multicenter (TRON group) retrospective study 一项多中心（TRON组）回顾性研究：k线固定与螺钉固定治疗Lisfranc关节损伤的临床效果比较。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-06-24 DOI: 10.1053/j.jfas.2025.05.005

Atsuya Adachi , Yasuhiko Takegami , Hiroaki Nakashima , Kenichi Mishima , Kazuyoshi Kobayashi , Shiro Imagama

{"title":"Comparative clinical outcomes of K-wire fixation versus screw fixation in Lisfranc joint injuries: A multicenter (TRON group) retrospective study","authors":"Atsuya Adachi , Yasuhiko Takegami , Hiroaki Nakashima , Kenichi Mishima , Kazuyoshi Kobayashi , Shiro Imagama","doi":"10.1053/j.jfas.2025.05.005","DOIUrl":"10.1053/j.jfas.2025.05.005","url":null,"abstract":"<div><div>Treatment of Lisfranc joint injuries commonly involves surgical fixation, with screw fixation and Kirschner wire (K-wire) fixation being two primary methods. However, the optimal fixation strategy remains debated, particularly regarding functional outcomes and complications. This multicenter retrospective study analyzed 50 patients (25 per group) who underwent either screw or K-wire fixation for Lisfranc injuries between 2014 and 2024. Patients were matched by age and sex. Outcomes were assessed using AOFAS midfoot scores, complication rates, and radiographic evaluation. Operative time was significantly shorter in the K-wire group (41.0 vs. 118.5 min, <em>p</em> < 0.001). AOFAS scores showed no significant difference between groups (median of 88.0 vs. 90.0, <em>p</em> = 0.84). The K-wire group showed higher rates of malunion (28.0 % vs. 4.0 %, <em>p</em> = 0.049), whereas the screw group had increased rates of implant breakage (12.0 %, <em>p</em> = 0.012), wound irritation (36.0 %, <em>p</em> = 0.095), and unplanned implant removal (28.0 %, <em>p</em> < 0.001). Both fixation methods achieved comparable functional outcomes, which were assessed in patients who were followed for at least 90 days. K-wire fixation offered advantages in shorter operative time and fewer hardware-related complications but showed higher rates of malunion. Treatment choice should be individualized based on patient factors and injury characteristics, with K-wire fixation representing a viable alternative in appropriate cases.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 6","pages":"Pages 683-687"},"PeriodicalIF":1.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509241","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

Return to sport activity after osteochondral lesion of the talus treated with arthroscopic autologous matrix-induced chondrogenesis 关节镜下自体基质诱导软骨形成治疗距骨软骨病变后恢复运动。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-06-24 DOI: 10.1053/j.jfas.2025.05.006

Riccardo Proietti MD , Antonio Muzio MD , Matteo Giribono MD , Giovanni Fusari MD , Stefano Gumina PhD , Umberto Alfieri Montrasio MD

{"title":"Return to sport activity after osteochondral lesion of the talus treated with arthroscopic autologous matrix-induced chondrogenesis","authors":"Riccardo Proietti MD , Antonio Muzio MD , Matteo Giribono MD , Giovanni Fusari MD , Stefano Gumina PhD , Umberto Alfieri Montrasio MD","doi":"10.1053/j.jfas.2025.05.006","DOIUrl":"10.1053/j.jfas.2025.05.006","url":null,"abstract":"<div><div>The talar dome is a common site for osteochondral lesions, usually due to past trauma.</div><div>Non-operative treatment leads to clinical improvement in less than half of the patients; moreover, in many cases, it does not facilitate a return to previous sporting activities.</div><div>The aim of this retrospective study is to evaluate the return to sports activities of patients with osteochondral lesions of the talus larger than 1.5 cm<sup>2)</sup>who have undergone treatment using the arthroscopic Autologous Matrix-Induced Chondrogenesis technique at least 18 months after surgery.</div><div>A total of 61 consecutive patients who were younger than 55 years old at the time of surgery and regularly engaged in sports activities were included in the study.</div><div>The clinical assessment was performed with physical examination, the American Orthopedic Foot & Ankle Society ankle score, the visual analogue scale, and the Tegner activity scale before surgery and at the time of follow-up.</div><div>Among the patients evaluated, 27 patients (44 %) returned to their main sport, while 34 patients (56 %) couldn’t resume their previous sports activities. Of these, 6 patients (9.8 %) abandoned sports activities altogether. The American Orthopedic Foot & Ankle Society ankle score and visual analogue scale showed a statistically significant increase between pre- and post-surgery, while a statistically significant decrease in the Tegner score was recorded.</div><div>The arthroscopic Autologous Matrix-Induced Chondrogenesis technique effectively treated osteochondral lesions, reducing pain and improving tibio-tarsal function, even in non-professional athletes, allowing a return to daily and non-competitive sports activities.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 6","pages":"Pages 688-691"},"PeriodicalIF":1.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509243","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 patient perspectives on total ankle arthroplasty through social media sentiment analysis 通过社交媒体情感分析评估患者对全踝关节置换术的看法。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-06-24 DOI: 10.1053/j.jfas.2025.05.010

Dominick Casciato DPM , Marisa Boccabella DPM , Danielle Pesavento DPM , Davis Hendricks DPM , Michael Leaman DPM , Alan MacGill DPM, FACFAS

{"title":"Evaluating patient perspectives on total ankle arthroplasty through social media sentiment analysis","authors":"Dominick Casciato DPM , Marisa Boccabella DPM , Danielle Pesavento DPM , Davis Hendricks DPM , Michael Leaman DPM , Alan MacGill DPM, FACFAS","doi":"10.1053/j.jfas.2025.05.010","DOIUrl":"10.1053/j.jfas.2025.05.010","url":null,"abstract":"<div><div>As social media and medicine increasingly intersect, patients turn to platforms for diagnostic and therapeutic testimonials. This study examines patient sentiment and characterizes topics, media types, timing, and authorship of social media posts related to total ankle replacements. A systematic search for “ankle replacement” was conducted on Facebook® and Instagram®, analyzing 300 posts equally split between platforms. Posts were categorized by topic, media type, timing, and authorship, while sentiment analysis used natural language processing and machine learning. A chi-square test assessed differences in sentiment distribution and content characteristics, with significance set at p≤0.05. The most common topic was updates (81 %), with patients sharing recovery milestones more often than complications. Posts primarily featured text (63 %), often accompanied by clinical photos (28 %) and radiographs (9 %). Most posts were from the post-operative phase (72 %) and were predominantly authored by patients (82 %). Sentiment analysis revealed an overall positive tone (72 %), emphasizing gratitude, recovery celebrations, and community support. No statistically significant differences were found between platforms in sentiment (<em>p</em> = 0.07) or media type (<em>p</em> = 0.06), though differences existed in timing, authorship, and topic (<em>p</em> < 0.001). Social media largely presents total ankle replacements in a positive light, with patient-shared recovery updates dominating. While these posts foster encouragement, surgeons should counsel patients on potential biases, as negative experiences may be underrepresented, potentially influencing patient expectations and surgical decision-making.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 6","pages":"Pages 709-713"},"PeriodicalIF":1.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509242","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

Diabetic foot infection severity as a predictor of re-ulceration following partial forefoot amputation 糖尿病足感染严重程度作为前足部分截肢后再次溃疡的预测因素

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-05-01 DOI: 10.1053/j.jfas.2024.10.012

Kanika Kochhar DPM , Sari Priesand DPM , Matheos Yosef , Brian M. Schmidt DPM

{"title":"Diabetic foot infection severity as a predictor of re-ulceration following partial forefoot amputation","authors":"Kanika Kochhar DPM , Sari Priesand DPM , Matheos Yosef , Brian M. Schmidt DPM","doi":"10.1053/j.jfas.2024.10.012","DOIUrl":"10.1053/j.jfas.2024.10.012","url":null,"abstract":"<div><div>Diabetic foot ulcer re-ulceration is a common complication following partial forefoot amputation. Re-ulceration refers to the occurrence of a skin break that penetrates through the epidermis and a portion of the dermis, occurring at any site on either the same or opposite foot where amputation took place. Treatment for diabetic foot ulcers often includes an extended course of local wound care and may entail surgical procedures. The aim of this study was to evaluate the incidence of re-ulceration in people who underwent a partial forefoot amputation. We hypothesized there is an association between amputation type and occurrence of re-ulceration. A retrospective chart review was performed for 253 individuals between December 2015 and September 2020. One hundred eleven people met eligibility criteria and were divided into two cohorts: those who re-ulcerated and those who did not. Univariable analysis was performed for available demographic, clinical, laboratory and outcome data. Seventy-nine of the 111 (71.2 %) subjects re-ulcerated status post partial forefoot amputation. Based on the Infectious Disease Society of America (IDSA) classification for assessment of infection, the average severity for the re-ulceration group was 2.62, while for the no re-ulceration group was 2.22 (<em>p <</em> 0.001). The median time to re-ulceration was 186 days. No association was demonstrated between amputation location and incidence of re-ulceration. Patients with higher diabetic foot infection severity based on IDSA classification are at greater risk for developing re-ulceration following a partial forefoot amputation.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 3","pages":"Pages 238-242"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565018","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

Fillet of toe flap coverage for non-traumatic foot amputations: A retrospective review of 70 patients 非创伤性足截肢的趾蹼覆盖：70 例患者的回顾性研究

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-05-01 DOI: 10.1053/j.jfas.2024.10.010

Christian X. Lava MS , Karen R. Li BBA , Elonay Yehualashet BS , Rachel N. Rohrich BS , Tiffanie Liu DPM, AACFAS , Richard C. Youn MD , Karen K. Evans MD , Christopher E. Attinger MD

{"title":"Fillet of toe flap coverage for non-traumatic foot amputations: A retrospective review of 70 patients","authors":"Christian X. Lava MS , Karen R. Li BBA , Elonay Yehualashet BS , Rachel N. Rohrich BS , Tiffanie Liu DPM, AACFAS , Richard C. Youn MD , Karen K. Evans MD , Christopher E. Attinger MD","doi":"10.1053/j.jfas.2024.10.010","DOIUrl":"10.1053/j.jfas.2024.10.010","url":null,"abstract":"<div><div>Fillet of toe flap (FTF) leverages the “spare parts” algorithm in reconstructive surgery–utilizing tissue from amputated or otherwise non-salvageable body parts, thus avoiding donor-site morbidity. This study assesses the efficacy of FTF coverage in non-traumatic foot amputations. A retrospective review of patients undergoing foot amputation with FTF coverage between January 2013 to August 2023 was conducted. Patient characteristics, operative details, and outcomes were collected. Primary outcome was FTF survival (no necrosis ≤7 days postoperatively). Secondary outcome was acute complications (≤42 days postoperatively). A total of 70 patients were included. Mean age was 65.0±13.7 years. Median Charlson Comorbidity Index was 6.0 (interquartile range [IQR]: 4.0-7.0). The most common wound location was the hallux (n=34). In 45 (64.2 %) patients with preoperative angiography, the patency rates were: first dorsal metatarsal artery (n=10, 22.2 %), lateral plantar artery (n=7, 15.6 %), medial plantar artery (n=6, 13.3 %), and dorsalis pedis artery (n=4, 8.9 %). Mean follow-up duration was 9.0 (IQR: 32) months. Fifteen (21.4 %) patients experienced at least one acute complication: deep surgical site infection (SSI; i.e., abscess, gangrenous necrosis; n=13, 18.6 %) and cellulitis (n=7, 10.0 %). Eleven (15.7 %) patients required reoperation for debridement (n=4, 5.7 %), wound closure (n=4, 5.7 %), flap necrosis (n=3, 4.3 %), incision and drainage (n=1, 1.4 %), split-thickness skin grafting (n=1, 1.4 %), and foreign body exploration (n=1, 1.4 %). FTF survival was 94.2 % (n=66). FTF facilitates reconstruction in complex cases and should be integrated into each chronic LE wound algorithm to avoid additional donor-site morbidity, and to facilitate stump-length preservation or limb salvage.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 3","pages":"Pages 228-232"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570031","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 comparative study of clinical outcomes among early functional treatment, immobilization treatment and ulnar plate fixation for displaced or comminution fifth metatarsal base fractures 早期功能治疗、固定治疗和尺钢板内固定治疗第5跖底移位或粉碎性骨折的临床疗效比较研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-05-01 DOI: 10.1053/j.jfas.2024.11.004

Kunpeng Leng MD, Yang Liu MD, Yutong Meng MD, Junlin Zhou MD

{"title":"The comparative study of clinical outcomes among early functional treatment, immobilization treatment and ulnar plate fixation for displaced or comminution fifth metatarsal base fractures","authors":"Kunpeng Leng MD, Yang Liu MD, Yutong Meng MD, Junlin Zhou MD","doi":"10.1053/j.jfas.2024.11.004","DOIUrl":"10.1053/j.jfas.2024.11.004","url":null,"abstract":"<div><div>The optimal treatment for displaced or comminution fifth metatarsal base fractures remain debated. Ninety displaced or comminution fifth metatarsal base fractures patients were randomly selected into three groups: the ulnar hook plate fixation group (n=30), the immobilization treatment group (n=18), and the early functional group (n=30). The assessed factors included the duration until union, time to resume daily activities, American Orthopaedic Foot and Ankle Society (AOFAS) scores, Foot and Ankle Disability Index (FADI) scores, visual analog scale (VAS) ratings and occurrence of complications. The VAS scores showed no significant differences observed among the three treatments. The mean AOFAS score and mean FADI after treatment in the plate group and exhibited significant better than that of the immobilization group and the early functional group at 1 moth, 3 months and 6 months (P˂0.05). After a duration of 12 months, all three treatments exhibited comparable outcomes and facilitated restoration of daily activities. In the plate group, one patient developed a wound infection, one patient experienced sural nerve injury or irritation, and three patients exhibited implant prominence. One patient encountered nonunion in the immobilization group.The union time and the time of return to daily activities and the early functional group exhibited significant shorter durations than that of the immobilization group and the plate group(P˂0.05). Overall, the early functional treatment is recommended for managing displaced or comminution fifth metatarsal base fractures.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 3","pages":"Pages 256-261"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774333","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

Wide-margin excision of diffuse ankle's tendon sheath giant cell tumor in 24 patients: A mid-term study 广角切除弥漫性踝关节腱鞘巨细胞瘤24例中期研究。

IF 1.3 4区医学

Journal of Foot & Ankle Surgery Pub Date : 2025-05-01 DOI: 10.1053/j.jfas.2024.11.007

Hanwen Zhang (Master of Medicine) , Wei Deng (Master of Medicine) , Qingsong Zhou (Master of Medicine), Yong Yin (Master of Medicine)

{"title":"Wide-margin excision of diffuse ankle's tendon sheath giant cell tumor in 24 patients: A mid-term study","authors":"Hanwen Zhang (Master of Medicine) , Wei Deng (Master of Medicine) , Qingsong Zhou (Master of Medicine), Yong Yin (Master of Medicine)","doi":"10.1053/j.jfas.2024.11.007","DOIUrl":"10.1053/j.jfas.2024.11.007","url":null,"abstract":"<div><div>Giant cell tumour of tendon sheath (TSGCT) is an uncommon soft tissue tumor, especially in its diffuse subtype (D-TSGCT), which is rare and associated with a high recurrence rate after treatment. This condition significantly affects joint function and quality of life. This retrospective study evaluated the clinical characteristics, surgical outcomes, and long-term follow-up of 24 patients who underwent wide-margin resection for ankle D-TSGCT from 2011 to 2018. The average patient age was 36.5 years, with common symptoms including palpable masses and ankle swelling. All patients received wide-margin resection, with a mean follow-up period of 75.7 months. Tumor recurrence occurred in five patients (21 %), with complications included postoperative infections, surgical site pain, ankle instability, and stiffness. There was a significant improvement in the Musculoskeletal Tumor Society (MSTS) scores post-surgery. Additionally, the Foot and Ankle Ability Measure (FAAM) showed improvements in daily living and physical activities, though Ankle Joint Functional Assessment Tool (AJFAT) scores did not demonstrate significant change. These findings indicate that wide-margin resection is an effective treatment for D-TSGCT, preserving ankle function and demonstrating a low recurrence rate, although it may lead to ankle instability requiring careful postoperative monitoring and rehabilitation.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"64 3","pages":"Pages 272-278"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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