Foot & ankle specialist最新文献_第2页

Chondromyxoid Fibroma of the Metatarsals: Outcomes of En Bloc Resection and Intercalary Fibular Allograft Reconstruction in a Series of 9 Patients. 跖骨软骨粘液样纤维瘤：整块切除和骨间腓骨异体移植重建9例患者的结果。

IF 2.1

Foot & ankle specialist Pub Date : 2026-10-01 DOI: 10.1177/19386400261491409

Khodamorad Jamshidi, Seyed Mohammad Mohammadi, Shahabaldin Beheshti Fard, Alireza Mirzaei

{"title":"Chondromyxoid Fibroma of the Metatarsals: Outcomes of En Bloc Resection and Intercalary Fibular Allograft Reconstruction in a Series of 9 Patients.","authors":"Khodamorad Jamshidi, Seyed Mohammad Mohammadi, Shahabaldin Beheshti Fard, Alireza Mirzaei","doi":"10.1177/19386400261491409","DOIUrl":"https://doi.org/10.1177/19386400261491409","url":null,"abstract":"BackgroundThe optimal surgical and reconstructive strategies for chondromyxoid fibroma (CMF) of the metatarsal bones remain controversial. This study examined the outcomes of en bloc resection followed by fibular strut allograft reconstruction in 9 patients with aggressive or recurrent metatarsal CMF.MethodsNine patients were included in this retrospective case series. Indications for this approach included thin cortex, cortical breakdown, or local recurrence. Outcomes were recurrence, radiographic union, limb function, and surgical complications.ResultsAt a median follow-up of 8 years, no local recurrence was recorded in this series. Radiographic union at both host-allograft junctions was achieved in 8 of 9 patients. The median Musculoskeletal Tumor Society score was 30. The median Toronto Extremity Salvage Score was 96. Complications were infrequent and manageable.ConclusionEn bloc resection followed by fibular strut allograft reconstruction appears to provide durable local tumor control and encouraging functional outcomes in patients with aggressive or locally recurrent metatarsal CMF.Level of Evidence:IV (Therapeutic study; case series.","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400261491409"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lateral Ankle Ligament Repair With TEKBRACE Augmentation Device. 用TEKBRACE增强装置修复踝关节外侧韧带。

IF 2.1

Foot & ankle specialist Pub Date : 2026-10-01 Epub Date: 2026-08-12 DOI: 10.1177/19386400261471651

Charles C Pitts

引用次数: 0

The Sports Med Foot/Ankle: Not Always a Sprain. 运动医学脚/脚踝：不总是扭伤。

IF 2.1

Foot & ankle specialist Pub Date : 2026-10-01 Epub Date: 2026-08-12 DOI: 10.1177/19386400261475725

Dennis Rivenburgh

引用次数: 0

Custom 3-Dimensional-Printed Oncologic Endoprosthesis for Reconstruction of the Calcaneus: A Case Report. 自定义三维打印肿瘤假体用于跟骨重建1例报告。

IF 2.1

Foot & ankle specialist Pub Date : 2026-10-01 Epub Date: 2025-02-22 DOI: 10.1177/19386400251318978

Jan Lesensky, Ondrej Blecha, Ana C Belzarena, Michal Benes

{"title":"Custom 3-Dimensional-Printed Oncologic Endoprosthesis for Reconstruction of the Calcaneus: A Case Report.","authors":"Jan Lesensky, Ondrej Blecha, Ana C Belzarena, Michal Benes","doi":"10.1177/19386400251318978","DOIUrl":"10.1177/19386400251318978","url":null,"abstract":"Primary tumors of the calcaneus present a reconstructive challenge. Their relatively low incidence leads to limited evidence, clinical experience, and ongoing discussion regarding the optimal surgical strategy. In this report, we present a case of a 19-year-old male diagnosed with an aggressive osteoblastoma who underwent subtotal calcanectomy. A custom 3D-printed titanium endoprosthesis was designed for limb-salvage reconstruction. Trabecular porous structure and screws were used to achieve subtalar and calcaneo-cuboid fusion and to compensate for the deficient ligamentous apparatus following resection. An innovative system for reattachment of the calcaneal tuberosity with spared of the Achilles tendon was also utilized. At 3 months, the implant was completely incorporated, allowing full weight bearing. At the 18-month follow-up, the implant showed no signs of loosening, the patient had no signs of recurrence, had excellent function, and successfully returned to all his pretreatment activities, underscoring the effectiveness of this reconstructive approach in the management of calcaneal tumors.Level of Evidence: IV, Case report.","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"498-504"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of Patients Treated for Open Pilon Fractures at a County Hospital. 某县医院开放性皮隆骨折患者的治疗结果

IF 2.1

Foot & ankle specialist Pub Date : 2026-10-01 Epub Date: 2025-02-10 DOI: 10.1177/19386400251316921

Cooper Tye, Omar Alkhabbaz, Wesley Miaw, Kyung Park, Samuel Newman, Eric Barcak

{"title":"Outcomes of Patients Treated for Open Pilon Fractures at a County Hospital.","authors":"Cooper Tye, Omar Alkhabbaz, Wesley Miaw, Kyung Park, Samuel Newman, Eric Barcak","doi":"10.1177/19386400251316921","DOIUrl":"10.1177/19386400251316921","url":null,"abstract":"IntroductionOpen pilon fractures represent a challenging injury for both patients and physicians. Patients must contend with prolonged non-weightbearing, wound complications, and the possibility of post-traumatic arthritis. Surgeons also deal with a fracture which is difficult to treat and that is prone to poor outcomes. To better understand these challenging injuries and identify details that may portend better patient outcomes, we performed a retrospective review of open pilon fractures treated at a level 1 trauma county hospital by orthopedic trauma-trained surgeons.Materials and MethodsA search was performed for patients treated for open pilon fractures at our institution. Demographics and fracture information for each patient, as well as pre and postoperative details for each patient, were collected. We also identified complications such as infection, nonunion, and the need for additional surgeries in patients. Patients were then compared to one another, and they were also stratified according to their Gustilo-Anderson classification of open fracture to identify differences.ResultsPatients in our study who sustained type 3 open injuries were older, more often required additional surgeries, sustained nonunion of their fracture, became infected or underwent amputation than patients with type 1 and 2 injuries. 20% of all patients with type 3 open injuries underwent 4 or more additional procedures, while only 13% did not require additional surgery. In contrast, over half of all patients with type 1 and 2 open injuries did not require any additional surgeries.ConclusionsDespite following currently recommended guidelines for the treatment of open pilon fractures, these injuries are still prone to complications. Elderly patients and those with type 3 injuries are especially at high risk for negative postoperative outcomes due to the increased severity of soft-tissue damage. Further research is necessary to identify optimal protocols for these devastating injuries, especially in vulnerable populations.Levels of Evidence:Level III.","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"475-482"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Preoperative Dehydration on Postoperative Complications Following Ankle Fracture Open Reduction Internal Fixation. 术前脱水对踝关节骨折切开复位内固定术后并发症的影响。

IF 2.1

Foot & ankle specialist Pub Date : 2026-10-01 Epub Date: 2025-03-17 DOI: 10.1177/19386400251323432

Alexander S Guareschi, William N Newton, Jared J Reid, Joshua L Morningstar, Christopher E Gross, Daniel J Scott

{"title":"Effect of Preoperative Dehydration on Postoperative Complications Following Ankle Fracture Open Reduction Internal Fixation.","authors":"Alexander S Guareschi, William N Newton, Jared J Reid, Joshua L Morningstar, Christopher E Gross, Daniel J Scott","doi":"10.1177/19386400251323432","DOIUrl":"10.1177/19386400251323432","url":null,"abstract":"IntroductionThis study aims to analyze the effect of preoperative fluid status on 30-day complication, readmission, reoperation, and mortality rates following ankle fracture procedures.MethodsThe American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database was queried to identify 27 175 patients undergoing open reduction and internal fixation (ORIF)of ankle fracture. Patients were stratified by hydration status (normal = 18 761, dehydrated = 8414) with preoperative dehydration, defined as a blood urea nitrogen (BUN)-to-creatinine (Cr) ratio (BUN/Cr) greater than 20.ResultsDehydrated patients had increased rates of cardiac arrest (dehydrated = 0.2%, normal = 0.1%; P = .023), myocardial infarction (dehydrated = 0.3%, normal = 0.1%; P = .007), bleeding requiring transfusion (dehydrated = 1.3%, normal = 0.9%; P = .001), pulmonary embolism (dehydrated = 0.5%, normal = 0.3%; P = .023), and urinary tract infections (dehydrated = 1.4%, normal = 0.9%; P = .001). No significant differences in 30-day readmission or reoperation were observed between groups. Multivariable regression found hydration status was not significantly predictive of any adverse outcome, length of hospital stay (β = -0.020; 95% confidence interval [CI] = -0.132 to 0.92; P = .725), nor total operative time (β = 0.318; 95% CI = -0.968 to 1.604; P = .725).ConclusionThis study found dehydrated patients undergoing ankle fracture ORIF experience a higher rate of complications, but this effect was not found with multivariate analysis. Thus, we conclude dehydration status was not predictive of increased risk of short-term postoperative complications, readmission, reoperation, or mortality.Level of Evidence:Level III, Retrospective cohort study.","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"536-543"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diffuse Serous Atrophy of Bone Marrow in the Ankle and Hindfoot with Focal Acute Lateral Malleolar Osteomyelitis: A Magnetic Resonance Imaging-Based Case Report. 踝关节和后足弥漫性骨髓浆液萎缩伴局灶性急性外踝骨髓炎：一个基于磁共振成像的病例报告。

IF 2.1

Foot & ankle specialist Pub Date : 2026-10-01 DOI: 10.1177/19386400261491427

Moamen Elhaddad, Elizabeth Frame, Tanya L Tivorsak

{"title":"Diffuse Serous Atrophy of Bone Marrow in the Ankle and Hindfoot with Focal Acute Lateral Malleolar Osteomyelitis: A Magnetic Resonance Imaging-Based Case Report.","authors":"Moamen Elhaddad, Elizabeth Frame, Tanya L Tivorsak","doi":"10.1177/19386400261491427","DOIUrl":"https://doi.org/10.1177/19386400261491427","url":null,"abstract":"Serous atrophy of bone marrow (SABM) is a rare marrow disorder associated with severe chronic illness and malnutrition. It results in characteristic magnetic resonance imaging (MRI) signal due to atrophy of fat cells and loss of hematopoietic cells with deposition of gelatinous material. This may be misinterpreted as a technical error from the MRI scanner or mimic infiltrative or infectious processes. We report a case of a 71-year-old severely malnourished and immunosuppressed man with a full-thickness ulcer over the right lateral malleolus who underwent an MRI of the right ankle without and with intravenous gadolinium contrast for evaluation of suspected osteomyelitis. Pre-contrast MRI images demonstrated diffuse abnormal marrow signal throughout the ankle and hindfoot consistent with SABM, given his profound cachexia and malnutrition. Post-contrast images demonstrated a small focus of enhancement at the lateral malleolus beneath the patient's ulcer, suggesting an additional diagnosis of acute osteomyelitis without cortical destruction. The marrow signal in SABM and osteomyelitis can be indistinguishable on non-contrast MRI sequences; post-contrast imaging and correlation with clinical examination are essential, as SABM does not demonstrate contrast enhancement and acute osteomyelitis demonstrates enhancement. Given the patient's frailty and poor healing capacity, conservative management was pursued. Recognizing SABM and osteomyelitis in the ankle and foot requires integration of the clinical context with MRI findings, in which invasive procedures and misdiagnosis can be avoided.","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400261491427"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Asymptomatic Preaxial Polydactyly of Bifid Hallux Without a Supernumerary Digit Presenting With Earlobe Malformations: A Rare Case Report. 无症状的双趾前趾多指畸形伴耳垂畸形1例。

IF 2.1

Foot & ankle specialist Pub Date : 2026-10-01 Epub Date: 2025-02-27 DOI: 10.1177/19386400251315886

Chanel Houston Perkins

引用次数: 0

Syndesmotic Screw Fixation Versus Suture Button Versus Tibiotalocalcaneal Nail Treatment in Syndesmotic Ankle Fractures: A Meta-Analysis. 关节联合螺钉固定、缝合按钮与胫距跟骨钉治疗踝关节联合骨折：荟萃分析。

IF 2.1

Foot & ankle specialist Pub Date : 2026-10-01 Epub Date: 2025-02-28 DOI: 10.1177/19386400251318965

Thomas Cho, Helen R Yan, Michael Uematsu, Christian Harter, Jiayong Liu

{"title":"Syndesmotic Screw Fixation Versus Suture Button Versus Tibiotalocalcaneal Nail Treatment in Syndesmotic Ankle Fractures: A Meta-Analysis.","authors":"Thomas Cho, Helen R Yan, Michael Uematsu, Christian Harter, Jiayong Liu","doi":"10.1177/19386400251318965","DOIUrl":"10.1177/19386400251318965","url":null,"abstract":"BackgroundSyndesmotic ankle fractures occur when damage to the syndesmosis complex is combined with a malleolar fracture. This can result in severe pain, weakness, and instability. Surgical interventions include syndesmotic screw fixation (SS), suture button fixation (SB), and tibiotalocalcaneal nail (TTC). This meta-analysis aims to compare the outcomes of these treatment methods for syndesmotic ankle fractures.MethodsA literature search was conducted on PubMed and Embase for comparison studies that included at least 2 surgical interventions and at least one of the relevant functional outcomes and/or complication metrics until June 2024. The Olerud-Molander Ankle Score (OMAS) was used to compare functional outcomes, and it is a self-reported outcome measure that evaluates the symptoms and function of those with ankle fractures, while infections and reoperations were reported to compare complication outcomes. Statistical analyses were performed using Review Manager 5.4. A P-value ≤ .05 was considered statistically significant. The risk of bias was assessed with Review Manager 5.4. and the Newcastle-Ottawa scale.ResultsA total of 18 studies with a total of 1,040 patients were ultimately included in this study. The SS had a significantly higher OMAS 2-year follow-up compared to TTC. The TTC had a significantly lower infection rate compared to SS. The SB had a significantly higher OMAS at both 1-year and 2-year follow-ups than SS. The SB had a significantly lower reoperation rate compared to SS. The SB had a significantly higher OMAS at both 1-year and 2-year follow-ups than TTC. The SB had a significantly lower infection rate compared to TTC.ConclusionThe SB emerges as the preferred treatment method for syndesmotic ankle fractures, while TTC stands as a viable alternative. The SB is recommended as the primary surgical intervention for patients with syndesmotic ankle fractures due to its superior clinical benefits when compared to TTC and SS.Levels of Evidence:3.","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"519-529"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 Spinal Anesthesia and Wide-Awake Local Anesthesia No Tourniquet in Hallux Valgus Surgery. 脊髓麻醉与全清醒局麻无止血带在拇外翻手术中的比较。

IF 2.1

Foot & ankle specialist Pub Date : 2026-10-01 Epub Date: 2026-06-28 DOI: 10.1177/19386400261459494

Ahmet Acar, Ahmet Berkay Girgin, Nur Yılmaz, Ömer Torun, Hüseyin Bilgehan Çevik

{"title":"Comparison of Spinal Anesthesia and Wide-Awake Local Anesthesia No Tourniquet in Hallux Valgus Surgery.","authors":"Ahmet Acar, Ahmet Berkay Girgin, Nur Yılmaz, Ömer Torun, Hüseyin Bilgehan Çevik","doi":"10.1177/19386400261459494","DOIUrl":"10.1177/19386400261459494","url":null,"abstract":"Purpose: This study investigated whether the Wide-Awake Local Anesthesia No Tourniquet (WALANT) technique, widely used in hand surgery, is safe and acceptable in elective hallux valgus (HV) surgery.Methods: A total of 83 patients were included in this cross-sectional retrospective study, 38 of whom underwent surgery with WALANT and 45 of whom underwent surgery with spinal anesthesia (SA). The 2 groups were compared regarding demographic data, clinical results, and radiological outcomes.Results: Preoperative preparation time and hospital stay were shorter in the WALANT group compared to the SA group. Visual analogue scale (VAS) values at the first, sixth, and 72nd hours after surgery were lower in the WALANT group. Intraoperative VAS-Anxiety (VAS-A) values were higher in the WALANT group, while postoperative VAS-A values at the sixth hour were lower. In the WALANT group, American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal Rating System (AOFAS Hallux MT-IP) postoperative second-week values were found to be higher and the time to return to work was shorter than in the SA group. The groups had no significant difference regarding other variables.Conclusion: The WALANT technique in HV surgery is a method that can be easily applied, is safe, and is not inferior to SA in terms of clinical results. The WALANT shortens preoperative patient-preparation time, hospital stay, operating room usage, and return-to-work time after HV surgery. It improves functional and clinical results with low postoperative complication rates.","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"544-552"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0