Foot & ankle specialist最新文献

{"title":"Deltoid Ligament Release in Total Ankle Arthroplasty: The Effects on Coronal Stability and the Longitudinal Arch of the Foot.","authors":"Jesse F Doty, G Andrew Murphy, Tyler A Ward, Shumaila Sarfani, Joseph R Duff","doi":"10.1177/19386400251345520","DOIUrl":"https://doi.org/10.1177/19386400251345520","url":null,"abstract":"<p><p>BackgroundTotal ankle arthroplasty (TAA) with severe varus deformity may be associated with medial soft tissue contractures. The long-term consequences of deltoid ligament release are unknown in the setting of coronal plane deformity correction during TAA. We examined the impacts of TAA with concomitant deltoid ligament release to achieve and maintain coronal alignment, and subsequent effects on longitudinal arch stability.MethodsA retrospective review of 399 consecutive TAA performed with either INFINITY, INBONE II, or INVISION arthroplasty systems identified 32 patients who underwent concomitant complete deltoid ligament release. All patients had a preoperative intra-articular varus deformity >10 degrees and minimum follow-up of 2 years. Preoperative and postoperative radiographs quantified Meary's angle, calcaneal pitch, and tibiotalar tilt. Implant revision, unplanned reoperations, magnitude of coronal plane correction, and longitudinal arch stability were the primary interests.ResultsTwenty-five ankles met inclusion criteria with a median follow-up of 3.5 (range, 2 to 6.7) years and 92% implant survivorship. Seven ankles were excluded secondary to insufficient follow-up but revealed no complications. Median preoperative coronal alignment improved from 20.0 (range, 10.9 to 32.6) to 1.6 (range, -1.2 to 8.0) degrees varus (P < .001). Median preoperative calcaneal pitch increased from 19.1 (range, 12.0 to 37.1) to 20.8 (range, 14.0 to 26.9) degrees (P = .48). Median preoperative Meary's angle increased from -0.5 (range, -17.3 to 29.8) to 2.4 (range, -10.0 to 23.0) degrees (P = .77).ConclusionSevere varus deformity is not a contraindication to TAA. Complete release of the contracted deltoid ligamentous complex may be beneficial to achieve neutral coronal alignment and intra-articular balance of varus deforming forces during TAA. Despite being a critical stabilizer of the nonpathologic ankle and foot, deltoid ligament release performed in conjunction with TAA did not appear to accelerate clinical medial ankle instability, valgus talar tilt, or radiographic progressive collapsing foot deformity.Level of Evidence:Therapeutic, Level III: Retrospective.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400251345520"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531398","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}

{"title":"Preoperative Alcohol Use Disorder Is Associated With Increased Morbidity and Costs in Ankle Arthrodesis.","authors":"Weston E McDonald, Joshua Morningstar, Sarah Jenkins, Christopher E Gross, Daniel J Scott","doi":"10.1177/19386400251345535","DOIUrl":"https://doi.org/10.1177/19386400251345535","url":null,"abstract":"<p><p>IntroductionThe purpose of this study is to evaluate the influence of alcohol use disorder (AUD) on postoperative outcomes following ankle anrthrodesis (AA).MethodsThis investigation utilized the Nationwide Readmissions Database from 2016 to 2020, identifying 26 705 patients who underwent primary elective AA, and further stratifying based on the presence of preoperative AUD (N = 612, 2.29%).ResultsMultivariate regression analysis, adjusting for demographic and comorbid disparities, revealed that preoperative AUD significantly predicted a 22% increase in the risk of complications (odds ratio [OR] = 1.217), a 42% increase in readmission risk (OR = 1.424), and a 135% increase in the likelihood of an extended LOS exceeding 4 days (OR = 2.349). Moreover, preoperative AUD was significantly associated with an approximate $7000 increase in total procedural costs (β = 6929.34).ConclusionThe AUD was statistically significantly associated with higher rates of multiple complications for patients undergoing AA. These findings suggest the importance of considering AUD as a risk factor in patient assessment and treatment planning for AA.Level of Evidence:Level III, Retrospective Cohort Study.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400251345535"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487344","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}

{"title":"The Effect of Cone-Beam Computed Tomography Imaging With Weight-Bearing Feature on the Treatment of Foot and Ankle Patients: A Retrospective Follow-Up of 333 Cases.","authors":"Helka Koivu, Ilona Koski, Jussi Hirvonen","doi":"10.1177/19386400251345531","DOIUrl":"https://doi.org/10.1177/19386400251345531","url":null,"abstract":"<p><p>IntroductionWeight-bearing cone-beam computed tomography (WBCT) allows 3D imaging with full weight-bearing, providing a detailed evaluation of foot and ankle pathologies. WBCT has gained applications in numerous areas of foot and ankle surgery. This study aimed to analyze the effect of WBCT imaging on treating various foot and ankle patients.Patients and methodsConsecutive patients imaged by WBCT of foot and/or ankle from 2018 to 2022 for any indication were included in the study. The number of and the indications for WBCT imaging were collected. The indications for WBCT imaging were divided into different categories: congenital deformity, posttraumatic deformity, acute trauma, routine bony union follow-up, delayed union/non-union, and other indications. The effect of WBCT on the diagnosis and treatment was analyzed.ResultsA total of 439 foot and/or ankle WBCT studies in 333 cases were included. Most of the studies (58%) were performed due to acute trauma. The main effect on treatment was establishing previous treatment choices (48%). A change in the diagnosis or treatment was found in 37% of the cases. There was a significant association between the effect of the WBCT imaging and indication category (<i>χ</i>^<i>2</i> = 110, <i>P</i> < .001) and between any change of treatment or diagnosis and indication category (<i>χ</i>^<i>2</i> = 29, <i>P</i> < .001). Change in treatment was most common in posttraumatic deformity and least common in routine bony union. The type of acute trauma was significantly associated with outcome (<i>χ</i>^<i>2</i> = 108, <i>P</i> < .001).ConclusionWBCT has the potential to substantially affect the management of various foot and ankle patients, implying clinical relevance.Level of Evidence:Level 4.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400251345531"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487345","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}

{"title":"Sagittal Position of Nail in Talus Affects Tibiotalocalcaneal Arthrodesis Outcomes.","authors":"Sean O'Leary, Navneet K Venugopal, Ariadna Robledo, Roshan B Tom, Daniel C Jupiter, Jie Chen, Vinod K Panchbhavi","doi":"10.1177/19386400251346518","DOIUrl":"https://doi.org/10.1177/19386400251346518","url":null,"abstract":"<p><p>BackgroundTibiotalocalcaneal (TTC) nails are commonly used implants for hindfoot arthrodesis. This study evaluated the relationship between the sagittal placement of the nail-specifically, more anterior versus more posterior positioning within the talus-and patient outcomes following surgery.MethodsWe conducted a retrospective, single-center study involving patients aged 18 years and older who underwent hindfoot nail fusion. Variables analyzed included smoking status, body mass index (BMI), diabetes mellitus (DM) status, age, cause of surgery, surgical complications including nonunion, and need for revision surgery. Postoperative X-rays were assessed to calculate the talar-to-nail ratio (tnR), defined as the distance between the anterior margin of the talus and the center of the hindfoot nail (nL) relative to the total length of the talus (tL), expressed as tnR = nL/tL.ResultsThe study included 53 patients (24 male, 29 female) aged 18-92 years. The mean tnR was 54.635% (SD = 9.925), with a range from 23.89% to 76.71%. Bivariate analysis showed no significant relationship between the analyzed variables and nonunion or revision surgery, with the exception of tnR, which was significantly positively associated with revision surgery (59.130 ± 8.253 vs 51.912 ± 9.967, P = .009). In multivariable logistic regression, while DM and age were not significantly associated with revision surgery (P > .05), tnR demonstrated a significant association, with an odds ratio of 1.093 (95% CI: 1.017-1.193) and a P-value of .026.ConclusionMore posterior nail placement, as indicated by a higher tnR, is significantly associated with an increased likelihood of revision surgery, potentially due to an increased foot lever arm. These findings suggest that more anterior nail placement may lead to improved surgical outcomes in TTC arthrodesis.Level of Evidence:Level III, Prognostic.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400251346518"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478093","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}

{"title":"Technical Tip: The Use of Arthroscopic Portals to Safeguard Medial Neurovascular Structures During Suture Button Fixation.","authors":"Magnolia Livingston, W Reed Bigham, Ian Savage-Elliott","doi":"10.1177/19386400251341821","DOIUrl":"https://doi.org/10.1177/19386400251341821","url":null,"abstract":"<p><p>IntroductionAnkle fractures with concurrent syndesmotic instability are commonly encountered orthopaedic injuries. Suture button syndesmotic fixation has emerged as a favorable alternative to traditional screw fixation due to its comparable biomechanical stability and reduced hardware removal rates. However, concerns persist regarding potential injury to medial neurovascular structures during tibial cortical button deployment and a medial incision is often recommended for verification.TechniqueThis paper describes a safe and reproducible technique for suture button fixation that offers an alternative to a medial incision. Using an anteromedial arthroscopy portal, indirect visualization, and palpation ensure safe tibial button placement, avoiding neurovascular structure impingement or soft tissue entrapment.DiscussionVia cadavers, we confirmed the absence of neurovascular or soft tissue injury. Anecdotally, this approach has been successfully implemented in multiple clinical cases without observed intraoperative complications or immediate post-operative neurovascular injuries. However, further studies with more rigorous follow-up are needed to confirm its safety and efficacy in a clinical setting. By utilizing an anteromedial arthroscopic portal, this technique offers a potential alternative for confirming button placement without requiring an additional medial incision. Avoiding a medial incision may reduce risks associated with wound healing, infection, and morbidity in the medial ankle-an area prone to soft tissue breakdown. Further research is necessary to assess long-term clinical outcomes and validate the broader applicability of this approach.ConclusionThe described arthroscopic-assisted technique provides a safe, efficient method for suture button fixation in syndesmotic injuries without requiring a medial incision. By utilizing indirect visualization and palpation, it minimizes risks of neurovascular injury and surgical morbidity while preserving the benefits of suture button constructs. This technique provides a reproducible and efficient alternate approach to managing syndesmotic instability in ankle fractures.Level of Evidence:V.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400251341821"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327975","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}

{"title":"Does Fragment-Specific Fixation Provide Better Functional Outcomes Following Trimalleolar Ankle Fractures?","authors":"Danuksha K Amarasena, Upamanyu Nath, Abhirun Das, Thomas Collins, Anand Pillai","doi":"10.1177/19386400251343745","DOIUrl":"https://doi.org/10.1177/19386400251343745","url":null,"abstract":"<p><p>BackgroundFractures to the ankle account for nearly 10% of all fractures. The trimalleolar configuration of ankle fracture is a notoriously unstable injury encompassing injury to the medial, lateral, and posterior malleolus, often occurring as a result of rotational force to the ankle. Historically, poorer outcomes have been associated with fractures of the posterior malleolar component, which were broadly categorized as a single homogenous group. Recent advancements and greater appreciation of fracture pathomechanisms have aided fragment classification and hence tailored fixation. Aims. Our study compares the post-operative functional outcomes following novel fragment-specific plating (Volition) against conventional plating during the surgical fixation of trimalleolar ankle fractures. Post-operative functional outcomes were measured at 12 months using the Foot and Ankle Disability Index (FADI) and Manchester-Oxford Foot Questionnaire (MOXFQ) as patient-reported outcome measures (PROMs).MethodsWe conducted a retrospective cohort study of patients admitted to our orthopaedic department for a corrective surgery following a trimalleolar ankle fracture. Each fracture was confirmed via computed tomography (CT) imaging and corrected using either fragment-specific or conventional plating. Post-operatively, patients were followed up functionally and radiologically.ResultsOur study included 22 matched pairs of patients, each of who required surgical fixation for a trimalleolar ankle fracture. The FADI and MOXFQ questionnaires were conducted to assess functional outcomes during the post-operative period. The PROM data indicated that there were statistically significant superior outcomes in both the activity and pain subscales of the FADI (P > .05). However, no significant differences were observed in the MOXFQ scores.ConclusionThis study concludes that fragment-specific plating of the posterior malleolar component provides superior functional outcomes in terms of pain and activity levels following trimalleolar ankle fractures, as measured by the FADI. Larger studies with longer follow-up are needed to confirm these results and guide standardized treatment protocols.Level of Evidence:Level 2.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400251343745"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327974","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}

{"title":"Anatomic Insights Into Lateral Intersection Syndrome in the Foot and Ankle.","authors":"Steven R Cooperman, Vincent G Vacketta, Christopher F Hyer","doi":"10.1177/19386400251345529","DOIUrl":"https://doi.org/10.1177/19386400251345529","url":null,"abstract":"<p><p>Lateral intersection syndrome, or fibularis intersection syndrome, is an uncommon overuse condition affecting the lateral aspect of the foot involving the intersection of the peroneus longus and brevis tendons. While intersection syndromes have been described in other anatomic locations, such as the wrist and medial foot/ankle, this pathology remains underreported. This cadaveric study aimed to establish baseline anatomical measurements relevant to lateral intersection syndrome. Eight thawed fresh-frozen cadaveric lower limbs, 4 matched pairs, were dissected, and measurements of key lateral foot structures were recorded, including plantar fascia width, peroneus brevis width, the distance between the peroneus brevis and the plantar fascia, and the distance between the cuboid groove and the fifth metatarsal. The average (mean) plantar fascial width was 4.99 mm, whereas the peroneus brevis width averaged 6.64 mm. A notable laterality difference was identified, with right-sided specimens consistently showing larger measurements compared with the left. Limitations include a small sample size and the use of cadaveric models, which may not replicate in vivo tissues. This study serves as a foundational reference for further research into lateral intersection syndrome and highlights the need for increased clinical recognition of the pathology.<b>Levels of evidence:</b> <i>Level IV Cadaveric Study</i>.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400251345529"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318798","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}

{"title":"Stepping Up Informed Consent: Navigating Foot and Ankle Orthopedics.","authors":"Suraj Jain, Zachary Chanmin, Janice Havasy, Benjamin Hershfeld, Brandon Klein, Randy M Cohn, Adam D Bitterman","doi":"10.1177/19386400251336807","DOIUrl":"https://doi.org/10.1177/19386400251336807","url":null,"abstract":"<p><p>Orthopaedic foot and ankle surgeons have an ethical obligation to obtain proper informed consent, ensuring that their patients are thoroughly educated about their diagnosis, risks, benefits, and alternatives of all possible treatment options. This study explores several critical aspects of the informed consent process in foot and ankle orthopedics, including: (1) its current state; (2) barriers that hinder the acquisition of adequate informed consent; and (3) potential solutions based on these identified barriers. The current literature suggests effective approaches to improve the quality of informed consent include using patient-appropriate language, standardized education materials, extended physician-patient visit times, and translation assistance. Utilizing plain language and supplemental materials, such as animated videos and standardized reading materials, enhance patient comprehension and decision-making. Integrating these methods with personalized patient-surgeon discussions results in optimal informed consent quality and patient satisfaction. Additionally, extended visit times, ideally 15 to 30 minutes, improve understanding, while interpreter services ensure clear communication for nonnative speakers. The findings of this study reveal significant deficiencies in the current informed consent process for foot and ankle orthopaedic surgery, which compromise patient autonomy. Implementing solutions to improve the quality of informed consent is necessary to protect patient autonomy and protect surgeons from litigation.<b>Level of Evidence:</b> IV.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400251336807"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210399","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}

{"title":"Sex Differences in Patient-Reported Outcomes and Range of Motion After Total Ankle Arthroplasty.","authors":"Kathy M McGurk, Daniel J Scott, Caroline Hoch, Federico G Usuelli, Andrew Hsu, Christopher E Gross","doi":"10.1177/19386400231168737","DOIUrl":"10.1177/19386400231168737","url":null,"abstract":"<p><p>BackgroundAs the popularity of total ankle arthroplasty (TAA) increases, there is a growing need to examine the effects of sex on postoperative outcomes. This study compares patient-reported outcome measures and ankle range of motion (ROM) in the postoperative period, as stratified by sex.MethodsPatients who underwent TAA during 2013 to 2018 with a minimum follow-up of 2 years were included (N = 133). American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score, Visual Analog Scale (VAS), and 12-Item Short-Form Survey (SF-12) were administered preoperatively and at 6 months, 1 year, and 2 years postoperatively. ROM was recorded at these same time points.ResultsPreoperatively and at 6 months postoperatively, the cohorts did not differ in any of the measured outcomes. At 1 year postoperatively, females had lower SF-12 Physical Composite Scores (female = 44.1, male = 47.1, P = .019) and less plantarflexion (female = 20.5 degrees, male = 23.5 degrees, P = .029). By 2 years postoperative, females had lower AOFAS scores (female = 80.3, male = 85.4, P = .040). A greater complication rate amongst the female cohort approached significance at 18.6% versus 9% for males (P = .124).DiscussionThese results support TAA as a reliable means of treating ankle arthritis in both sexes, despite important differences. Understanding these outcome differences is critical for effectively managing expectations and treating both female and male populations.Levels of Evidence:Level III: Retrospective cohort study.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"229-235"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752796","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}

{"title":"Short-term Adverse Events Following Ankle Arthroplasty and Ankle Arthrodesis: A Matched Analysis of Recent Nationally Representative Data.","authors":"Haleigh M Hopper, Chase T Nelson, James R Satalich, Kevin A Wu, Albert T Anastasio, Conor N O'Neill, Tejas T Patel, Andrew E Hanselman, Karl M Schweitzer, Samuel Adams","doi":"10.1177/19386400251318906","DOIUrl":"10.1177/19386400251318906","url":null,"abstract":"<p><p>BackgroundSurgical management of ankle osteoarthritis (AOA) includes Ankle Arthrodesis (AA) or Total Ankle Arthroplasty (TAA). The purpose of this study was to analyze data from the National Surgical Quality Improvement Project (NSQIP) to elucidate differences in outcomes between TAA and AA.MethodsPatients who underwent TAA or AA from January 2010 to December 2020 were included in this analysis. Matched cohorts were created using 1:1 propensity score matching to match patients according to patient demographics. Independent sample t-tests and chi-square tests were used to determine whether there was a difference between groups. A binary logistic regression was performed to determine the odds ratio (OR) and 95% confidence intervals for any adverse event as related to patient demographics and comorbidities.ResultsThere were 2,053 TAA and 359 AA in the unmatched cohorts. The matched cohorts included 359 patients in each group. In the matched cohorts, there was an increase in transfusions, urinary tract infection (UTI), and return to the operating room in the arthrodesis group compared with the arthroplasty group (1.95%, 0.28%, P = .038; 1.11%, 0.00%, P = .045, 3.90%, 1.11%, P = .017). The logistic regression revealed that length of hospital stay (OR = 1.157) and insulin-dependent diabetes (OR = 6.043) had an increased risk of any adverse event for TAA or AA.ConclusionIdentification of complication rates and patient risk factors for adverse events after TAA and AA can assist surgeons and patients in their choice of treatment for AOA.Levels of Evidence:III (retrospective cohort study).</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"319-329"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470090","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}