Foot & ankle surgery (New York, N.Y.)最新文献_第10页

A transligamentous approach for lateral osteochondral defect: A case report 横纹肌入路治疗外侧骨软骨缺损1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-06 DOI: 10.1016/j.fastrc.2024.100464

Gregory Rose DPM MPH , Gabrielle Uptegraph DPM , Anthony Schwab DPM MS , Rebecca Varney DPM , Corine Creech DPM FACFAS

{"title":"A transligamentous approach for lateral osteochondral defect: A case report","authors":"Gregory Rose DPM MPH , Gabrielle Uptegraph DPM , Anthony Schwab DPM MS , Rebecca Varney DPM , Corine Creech DPM FACFAS","doi":"10.1016/j.fastrc.2024.100464","DOIUrl":"10.1016/j.fastrc.2024.100464","url":null,"abstract":"<div><div>Osteochondral defects of the talus are insidious yet common post operative sequela of ankle trauma. Nondisplaced osteochondral lesions are first treated conservatively. If this option fails, surgical intervention is often warranted. In larger lesions, uncontained shoulder lesions, or lesions that have failed arthroscopic intervention, an open enbloc osteochondral bone graft treatment may be indicated. Conventional anterior and medial malleolar osteotomy approaches do not allow access to the posterolateral talus for bulk allograft procedures. This case report provides the first known in vivo description of a transligamentous approach for lesions of the lateral and posterolateral talar dome. A 31-year-old male presented to our institution with a sizable osteochondral fracture along the mid to posterolateral margin of the talar dome. A single incision, lateral transligamentous approach was utilized to visualize the lesion which was resected in its entirety with a sagittal saw. A size matched fresh talar allograft was then cut with a sagittal saw to obtain a size matched bony allograft. This was then press fit into the defect within the patient's talar dome and fixed with a partially threaded, headless 3.0 screw buried deep to the cartilage. The patient remained non weight bearing for 12 weeks followed by protected weightbearing in a removal cast boot for 2 weeks and then full weight bearing in a shoe at 14 weeks post op. At final follow up 15 months post-operative the patient remained pain free. Final radiographs reveal a well incorporated bulk talar allograft with physical exam demonstrating a stable ligamentous complex and full range of tibiotalar motion without pain.</div></div><div><h3>Level of clinical evidence</h3><div>IV-Case Report</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100464"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Innovative management of hypertrophic tibia and fibula nonunions: Outcomes of custom 3D-printed implants 增生性胫骨和腓骨不连的创新管理：定制3d打印植入物的结果

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-01 DOI: 10.1016/j.fastrc.2024.100462

Besim Becoja DPM , Lawrence M. Fallat DPM, FACFAS

{"title":"Innovative management of hypertrophic tibia and fibula nonunions: Outcomes of custom 3D-printed implants","authors":"Besim Becoja DPM , Lawrence M. Fallat DPM, FACFAS","doi":"10.1016/j.fastrc.2024.100462","DOIUrl":"10.1016/j.fastrc.2024.100462","url":null,"abstract":"<div><div>The presentation of a hypertrophic nonunion of the ankle after repeated failed surgeries presents a unique set of challenges that necessitate extensive surgical planning and preparation. Three-dimensional (3D) printing technology enables the creation of patient-specific surgical implants, offering tailored solutions for complex cases such as hypertrophic nonunion following repeated surgical failures. We present two cases that used customized 3D implantation devices to treat hypertrophic nonunion after a history of repeated failed surgical interventions. One patient underwent surgical correction of the distal tibial metaphysis nonunion and another patient underwent surgical correction of a distal fibula nonunion. After 3 years of follow-up, both patients demonstrated radiographic evidence of complete bone union, an 90 % reduction in pain Visual Analog Scale (VAS), restoration of functional mobility, 85 % improvement of AOFAS Ankle-Hindfoot scale, and corrected anatomic limb alignment. The use of patient-specific 3D implant devices in the case of hypertrophic nonunion is a successful integration of innovative technology in medicine. The technology of customizable implantation devices is a valuable tool in the surgical treatment of pathologies of the foot and ankle.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100462"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143164169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of surgical management of hallux abductovalgus with concomitant metatarsus adductus deformity: A systematic review 拇外翻合并跖内收畸形的手术治疗结果：系统回顾

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-01 DOI: 10.1016/j.fastrc.2024.100465

Joseph R. Brown DPM (Chief Resident Physician) , Nevin Joseph DPM (Resident Physician) , Bryan R. Blacka BS (Medical Student) , Ian Barron DPM, FACFAS (Assistant Professor)

{"title":"Outcomes of surgical management of hallux abductovalgus with concomitant metatarsus adductus deformity: A systematic review","authors":"Joseph R. Brown DPM (Chief Resident Physician) , Nevin Joseph DPM (Resident Physician) , Bryan R. Blacka BS (Medical Student) , Ian Barron DPM, FACFAS (Assistant Professor)","doi":"10.1016/j.fastrc.2024.100465","DOIUrl":"10.1016/j.fastrc.2024.100465","url":null,"abstract":"<div><div>Metatarsus adductus (MA) deformity adds to the complexity of hallux abductovalgus (HAV) correction. Scant literature exists on the outcomes of HAV correction with concomitant MA. The purpose of this study was to evaluate the literature on the outcomes, complications, and treatment strategies of HAV with concomitant MA deformity. A comprehensive systematic review was performed. Mean radiographic outcomes, patient reported outcome measure scores, and complication rates were calculated. A total of 279 articles were initially identified. 8 articles met the inclusion criteria, for a total of 237 feet. Procedures undertaken exhibited substantial heterogeneity across studies, revealing the lack of a standardized surgical approach. Studies were divided into two separate groups based on procedural selection: A) Isolated 1st ray procedures; B) Combined 1st and lesser ray procedures. The intermetatarsal, hallux valgus, and metatarsus adductus angles were all significantly improved. There was no significant difference in final radiographic angles between the two groups. Recurrence occurred in 12.2 % of patients, necessitating revision in 1.7 %. The total complication rate was 7.2 %, with nonunion as the primary complication at 1.7 %. The overall mean AOFAS score improved from 53.4 preoperatively to 88.8 postoperatively (<em>p</em> < 0.00001). The overall mean postoperative VAS score was 1.4. There was no significant difference in complication rates or AOFAS scores between the groups. No “gold standard” treatment exists for surgical management of HAV with MA. However, favorable functional outcomes with a low reoperation rate can be expected with a combination of arthrodesis and osteotomy procedures.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100465"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143164170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Calcaneal tuberosity avulsion fractures: A systematic review & meta-analysis of fixation methods 跟骨结节撕脱骨折：固定方法的系统回顾和荟萃分析

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-29 DOI: 10.1016/j.fastrc.2024.100459

Karissa Badillo DPM , Emily Zink DPM , Jeffrey Manway DPM, FACFAS

引用次数: 0

Letter to the editor regarding “Periarticular open wedge osteotomy for severe valgus deformity and associated rearfoot talar coalitions” 致编辑关于“关节周围开楔截骨术治疗严重外翻畸形及相关的后脚距骨联合”的信

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-26 DOI: 10.1016/j.fastrc.2024.100457

Balachandar Gopalan DNB Orth, ChM Tr & Orth (Consultant Orthopaedic Surgeon)

引用次数: 0

Conservative management of a 63-year-old athlete with a full-thickness tear of the second metatarsophalangeal plantar plate: A case report with 48 months follow-up 63岁运动员第二跖趾跖板全层撕裂的保守治疗：1例随访48个月

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-25 DOI: 10.1016/j.fastrc.2024.100461

Jacek Cholewicki PhD , Michael P Swords DO , John M Popovich Jr. PhD, DPT, ATC , Ryan S Fajardo MD

{"title":"Conservative management of a 63-year-old athlete with a full-thickness tear of the second metatarsophalangeal plantar plate: A case report with 48 months follow-up","authors":"Jacek Cholewicki PhD , Michael P Swords DO , John M Popovich Jr. PhD, DPT, ATC , Ryan S Fajardo MD","doi":"10.1016/j.fastrc.2024.100461","DOIUrl":"10.1016/j.fastrc.2024.100461","url":null,"abstract":"<div><div>Plantar plate (PP) tears often necessitate surgical intervention to address concerns of progressive toe deformity and impaired function, particularly in the case of full-thickness PP tears or when conservative treatment fails. There is currently a lack of level 1 or 2 evidence regarding the efficacy of surgical versus non-surgical approaches to guide the management of plantar plate tears, especially for older individuals. This case presents a successful conservative management of a 63-year-old male recreational athlete/competitive skier with a full-thickness PP tear. The patient presented with a history of worsening pain around the left second metatarsophalangeal (MTP) joint, accompanied by a visible medial toe deviation and loss of toe purchase. Based on the history, physical exam, and MRI findings, the diagnosis of a subacute, full-thickness PP tear at the phalangeal attachment of the second MTP joint was made. During the surgical consultation, the patient was presented with both surgical and conservative treatment options and opted for conservative management. Conservative treatment consisted of avoiding activities requiring toe extension, carbon fiber insoles, a metatarsal pad, and sling taping of the toe for walking and other activities. He also performed daily toe plantarflexion stretches and used night splint taping with the second toe in 10-20 degrees of plantarflexion. At the 7-month follow-up, the patient was pain-free and had a notable reduction in toe deformity. The serial MRI findings revealed evolving scarring, with complete scar formation evident on the 19-month follow-up MRI. At the most recent follow-up, the patient remained physically active and pain-free 4 years after initiating treatment.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100461"},"PeriodicalIF":0.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare case of fibroma of a tendon-sheath of the fourth toe: A case report 罕见的第四趾肌腱鞘纤维瘤1例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-24 DOI: 10.1016/j.fastrc.2024.100460

Thanh Thao Nguyen DPM, MPH , John M. Giurini DPM, FACFAS

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Pseudoaneurysm of the posterior tibial artery after posterior ankle arthroscopy 后踝关节镜术后胫骨后动脉假性动脉瘤

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-21 DOI: 10.1016/j.fastrc.2024.100458

Tobias Finck , Peter Savov , Sarah Ettinger , Matthias Lerch , Christina Stukenborg-Colsman , Jörn Tongers , Thomas Aper , Christian Plaass

引用次数: 0

Podiatry hospitalists shaping the future of podiatric hospital care 足病医院医生塑造足病医院护理的未来

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-16 DOI: 10.1016/j.fastrc.2024.100456

Sara E. Lewis DPM, MHA

引用次数: 0

The management of non-union following minimally invasive bunion surgery 微创拇囊炎手术后骨不连的处理

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-16 DOI: 10.1016/j.fastrc.2024.100455

Gil Genuth M.D. , Rachel Thompson B.A. , Amanda Zeng B.A. , Nick Cullen M.D. , Andrew Goldberg M.D. , A. Holly Johnson M.D.

{"title":"The management of non-union following minimally invasive bunion surgery","authors":"Gil Genuth M.D. , Rachel Thompson B.A. , Amanda Zeng B.A. , Nick Cullen M.D. , Andrew Goldberg M.D. , A. Holly Johnson M.D.","doi":"10.1016/j.fastrc.2024.100455","DOIUrl":"10.1016/j.fastrc.2024.100455","url":null,"abstract":"<div><div>As the use of minimally invasive surgery (MIS) becomes more prevalent for the correction of hallux valgus deformity, there is increased information on complications following the procedure, including non-union. However, there remains a gap in literature relating to the management of symptomatic non-union following MIS. This retrospective, multicenter study investigates the incidence, risk factors, and outcomes of symptomatic non-union following MIS bunion surgery. Among four orthopedic institutions, 17 cases of symptomatic non-union were identified after MIS bunion surgery between June 2018 and January 2024, representing an estimated prevalence rate of 0.3 %. Risk factors including smoking, Vitamin D deficiency, and comorbidities such as diabetes and Lyme disease were noted in some cases, although no obvious risk factors were found to contribute to the development of non-union after MIS bunion surgery performed using a distal metatarsal osteotomy and proximal phalanx osteotomy. Both open and MIS approaches were employed for revision surgeries, with 67 % performed as open surgeries. 14 of 17 (82 %) non-union cases achieved complete healing following revision surgery, with an average time to union of 11 weeks. This study highlights both open and MIS techniques as preliminary treatment protocols for symptomatic non-union following MIS bunion surgery, providing guidance for surgeons on how to manage this rare, but challenging, complication.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100455"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0