Foot & ankle surgery (New York, N.Y.)最新文献

{"title":"Ipsilateral achilles tendon rupture and medial malleolar fracture in an elderly patient: A rare case report and review","authors":"Emanoil Shafik DPM, MPH, MS,&nbsp;Stephen Trimnell DPM, MS,&nbsp;Joseph D. Cuomo DPM, MS,&nbsp;Max Sanginario DPM,&nbsp;Abdelhafid El Akri MD, DPM,&nbsp;Sagar Shah DPM,&nbsp;Michael Piccarelli DPM, AACFAS","doi":"10.1016/j.fastrc.2025.100561","DOIUrl":"10.1016/j.fastrc.2025.100561","url":null,"abstract":"<div><div>A 77-year-old male presented with a left Achilles tendon rupture and an ipsilateral medial malleolus fracture sustained after a misstep. This combination of injuries is rare, with only eight cases previously reported in the literature. Magnetic resonance imaging (MRI) confirmed a complete rupture of the Achilles tendon approximately 7 cm proximal to its calcaneal insertion. Intraoperative evaluation using an Arthroscopy procedure demonstrated no intra-articular step-off of the medial malleolus fracture. A positive Thompson test further confirmed the tendon rupture. The medial malleolus was stabilized with two 4 × 40 mm Arthrex cannulated screws, and the Achilles tendon was repaired using the Percutaneous Achilles Repair System.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100561"},"PeriodicalIF":0.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926567","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 intramedullary anatomy of the distal fibula as it pertains to current fibular nail offerings: A CT scan analysis","authors":"Brian Burgess DPM FACFAS ,&nbsp;Ross Groeschl DPM AACFAS","doi":"10.1016/j.fastrc.2025.100559","DOIUrl":"10.1016/j.fastrc.2025.100559","url":null,"abstract":"<div><div>There has been recent increased interest in intramedullary fibular nails for the treatment of fibular fractures. While most publications highlight the clinical outcomes and decreased complication rates associated with fibular nails in comparison to their plate and screw counterparts, no studies to date have discussed the intramedually anatomy of the distal fibula as it pertains to fibular nailing. We retrospectively reviewed 197 tibial/fibular CT scans. Measurements of the intramedullary canal were taken at set points (180 mm, 130 mm from the fibular tip, the isthmus, and the widest portion of the fibula) in both the coronal and sagittal planes. 43 CT scans met inclusion criteria. The average width of the isthmus was 4.21 ± 1.08 mm (range, 2.19–7.33 mm) in the coronal plane and 5.27 ± 1.40 mm (range, 1.7–7.91 mm) in the sagittal plane. The average width of the fibula at 130 mm from the distal tip of the fibula was 5.18 ± 1.15 mm (range, 2.46–8.31 mm) in the coronal plane and 6.41 ± 1.45 mm (range, 2.88–9.89 mm) in the sagittal plane. 180 mm from the distal tip of the fibula, the average diameter was 5.77 ± 1.49 mm (range, 3.02–10.2 mm) and 7.18 ± 1.66 mm (range, 2.42–10.42 mm), for the coronal and sagittal planes, respectively. This is the first study of its kind to provide important insight into the distal fibula’s intramedullary anatomy, specifically as it pertains to fibular nails.</div></div><div><h3>Level of Evidence</h3><div>3</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100559"},"PeriodicalIF":0.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933384","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":"An anomaly of the medial process of the cuboid mimicking pseudo-calcaneonavicular coalition: A case report","authors":"Paris Elio ,&nbsp;De Marco Giacomo MD ,&nbsp;Vazquez Oscar MD ,&nbsp;Steiger Christina MD, PhD ,&nbsp;Dayer Romain MD ,&nbsp;Boudabbous Sana MD ,&nbsp;Ceroni Dimitri MD","doi":"10.1016/j.fastrc.2025.100560","DOIUrl":"10.1016/j.fastrc.2025.100560","url":null,"abstract":"<div><div>Calcaneonavicular coalition is well recognised as a malformation that restricts movement of the midfoot, and it can be responsible for sinus tarsi pain and ankle instability. Local calcaneal morphology anomalies, such as a protrusive anterior process of the calcaneus or calcaneus secundarius, can also alter the hindfoot’s biomechanics and exhibit clinical effects similar to a calcaneonavicular coalition.</div><div>This case report examines a previously undescribed hypertrophic medial process of the cuboid, which can limit the range of motion of the subtalar joint, mimicking calcaneonavicular coalition. We also explain the clinical approach used to reach our diagnosis.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100560"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907975","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":"Circumferential ankle leiomyoma with intratendinous involvement: A case report","authors":"Lauren Simon DPM ,&nbsp;David Gelbmann DPM ,&nbsp;Marsha A Apushkin MD","doi":"10.1016/j.fastrc.2025.100557","DOIUrl":"10.1016/j.fastrc.2025.100557","url":null,"abstract":"<div><div>Leiomyomas are mostly benign soft tissue neoplasms arising from smooth muscle. These neoplasms are infrequent in the lower extremity accounting for about 1.7 % of all benign soft tissue tumors. In the literature, rare case reports of the foot and ankle have presented the leiomyomas with average size of 2 cm. We present a case report of a leiomyoma of the ankle with the size exceeding the reported.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100557"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144912608","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":"Digital arthroplasty using double K-wire technique for hammertoe correction","authors":"Dr. Kwanoo Lee DPM, AACFAS (Fellow) ,&nbsp;Dr. McKayla Seymour DPM, AACFAS (Fellow) ,&nbsp;Dr. Jonathon Srour DPM, AACFAS (Physician) ,&nbsp;Dr. Israel Santander DPM, AACFAS (Physician) ,&nbsp;Dr. Scott T. Vantre DPM, FACFAS (Director of Research) ,&nbsp;Dr. Laurence G. Rubin DPM, FACFAS (Fellowship Director)","doi":"10.1016/j.fastrc.2025.100558","DOIUrl":"10.1016/j.fastrc.2025.100558","url":null,"abstract":"<div><div>Digital arthroplasty is a standard surgical treatment for hammertoe correction. To date, no study has been performed to evaluate a double K-wire technique for digital arthroplasty. This study examined radiographic correction for digital arthroplasty using a double K-wire technique. A retrospective chart review was performed on consecutive patients undergoing digital arthroplasty through a foot and ankle surgery private practice between December of 2020 to September 2022. A total of 30 patients with 53 hammertoe corrections were included in the study with a minimum of a 1-year follow up. The average transverse and sagittal plane angle improvement postoperatively was 5.2° and 27.2°, respectively with a statistically significant difference. Based on our study, arthroplasty with double K-wire fixation corrects hammertoe deformity as confirmed by radiographic measurements.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100558"},"PeriodicalIF":0.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895744","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":"Ankle arthritis in the setting of distal tibial and calcaneal cysts: A case report of a novel staged treatment with bone graft substitute and total ankle arthroplasty","authors":"Michael A. Thomas DPM, MS, FACFAS ,&nbsp;Priya D. Patel DPM, AACFAS ,&nbsp;Hinal K. Patel DPM, AACFAS ,&nbsp;Mansi N. Patel DPM, AACFAS ,&nbsp;Aryan N. Bhagat ,&nbsp;Nitesh N. Bhagat MD ,&nbsp;Matthew K. Brant DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100556","DOIUrl":"10.1016/j.fastrc.2025.100556","url":null,"abstract":"<div><div>Total ankle arthroplasty is a selective procedure that can be highly advantageous for the appropriate candidate. A primary indicator for a positive outcome of the procedure is adequate bone stock, and there is limited literature regarding total ankle arthroplasty in the setting of inadequate bone stock. Most literature refers to periprosthetic bone cysts after a total ankle replacement. This case study documents a 52-year-old male with long-standing ankle arthritis and distal tibial (2.5 × 2.5 × 1.3 cm, volume: 8.13 cm³) and calcaneal (3.8 × 3.5 × 3.0 cm, volume: 39.9 cm³) cysts. Here, a novel treatment was performed utilizing a staged procedure of bone graft substitute in the setting of distal tibial and calcaneal cysts before a total ankle arthroplasty. Preoperative CT imaging was used to evaluate the severity and size of the cysts prior to bone graft substitute implementation. CT imaging was also used postoperatively to confirm consolidation of the cysts. The patient was subsequently followed for two years after the final procedure and was noted to have a stable distal tibial plafond with sufficient ankle joint range of motion with the Wright Medical Inbone Total Ankle Replacement system® (Memphis, Tennessee, USA) by primarily using bone graft substitute for the tibial and calcaneal cysts and later performing a total ankle replacement. The patient had a follow-up period of 24 months after the final procedure with a preoperative AOFAS score of 34, which progressed to 79 postoperatively. As total ankle replacements are increasing in popularity, this novel staged treatment appears to be a safe and viable option to prevent ankle arthrodesis in patients with tibial and calcaneal cysts.</div></div><div><h3>Level of Clinical Evidence</h3><div>4</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100556"},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864407","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 pull-through technique: Surgical augmentation for debriding diabetic infections of the mid- and forefoot","authors":"Dolfi Herscovici Jr DO, FAAOS ,&nbsp;Alexander D. Selsky DO","doi":"10.1016/j.fastrc.2025.100555","DOIUrl":"10.1016/j.fastrc.2025.100555","url":null,"abstract":"<div><div>Aggressive, mechanical debridement is the preferred treatment for the management of chronic infected diabetic foot ulcers. The Pull-Through technique is a low-tech approach that does not require specialized equipment. What makes this approach attractive is that, combined with standard irrigation and debridement, this approach is low-cost, produces a smaller dorsal incision, allows for adequate debridement of the plantar wound, and may help debride biofilms present in the dorsum of the chronic plantar-based wound that could not be addressed by simply debriding the plantar wounds.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100555"},"PeriodicalIF":0.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809514","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":"Gangrene of digits from phlegmasia cerulea dolens: A case report","authors":"Lauren Simon DPM ,&nbsp;Christopher Doty II BS ,&nbsp;Mariana Ocegueda BS ,&nbsp;Mitchell L. Goldflies MD., FAAOS","doi":"10.1016/j.fastrc.2025.100553","DOIUrl":"10.1016/j.fastrc.2025.100553","url":null,"abstract":"<div><div>Phlegmasia cerulea dolens (PCD) is a rare and severe manifestation of deep vein thrombosis (DVT) characterized by extensive venous obstruction extending into collateral veins.¹ PCD’s relationship to compartment syndrome and gangrene is known but has not yet been thoroughly studied.² We present a case of PCD in a pre-menopausal woman, who developed compartment syndrome, post fasciotomy wound infection, and required subsequent multi-digit amputations due to dry gangrene. The patient presented initially to another hospital where they performed a right superficial femoral artery to anterior tibial bypass with reversed saphenous vein with right leg four compartment decompression fasciotomies. This case covers the severity of PCD and its ability to cause irreversible tissue damage even with timely intervention.</div><div>Level of Evidence: 4</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100553"},"PeriodicalIF":0.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771354","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":"Outcomes of lower extremity peripheral nerve decompressions in the setting of radiculopathy","authors":"Victoria M. Nolte DPM, MS,&nbsp;Ashley L. Bowles DPM, FACFAS,&nbsp;Kyle J. Kinmon DPM, MS, FACFAS","doi":"10.1016/j.fastrc.2025.100550","DOIUrl":"10.1016/j.fastrc.2025.100550","url":null,"abstract":"<div><div>There have been volumes of literature published evaluating “Double Crush Syndrome” (DCS) and nerve pain treatment options, with little data centered on neuropathy specifically of the lower extremity. “Double Crush Syndrome” references a compression at two or more locations across a peripheral nerve that can synergize symptoms. Many surgeons will not attempt procedural treatment of this patient population due to the belief of a high risk-reward ratio. The objective of this case series is to evaluate patients suffering from lower extremity peripheral nerve entrapment and the impact of lower extremity nerve decompressions in the setting of radiculopathy. Twenty-seven patients treated with lower extremity nerve decompressions were followed for a minimum of 3 years. Outcomes were measured by subjective overall improvement in neuropathic pain. Twenty-five patients experienced pain relief post-operatively, including two patients who underwent a subsequent soleal sling tibial nerve decompression which improved their outcome. Two patients experienced no pain relief, though did not report an increase in their pain.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100550"},"PeriodicalIF":0.0,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895743","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":"Non-metal locking construct for hindfoot and ankle arthrodesis using intramedullary fibular allograft strut in cases with prior infection","authors":"Akshay Jain ,&nbsp;Garrett B. Nguyen ,&nbsp;Andrew K. Lamm ,&nbsp;Bradley M. Lamm","doi":"10.1016/j.fastrc.2025.100545","DOIUrl":"10.1016/j.fastrc.2025.100545","url":null,"abstract":"<div><div>Few reports have been published regarding septic ankle or charcot neuroarthropathy deformities with a fibular strut allograft construct. A retrospective review was conducted to examine the radiographic and clinical outcomes of using fibular allograft struts as intramedullary fixation to assist in hindfoot and ankle arthrodesis for limb salvage in patients with prior infections. 6 patients were identified, 5 patients met the inclusion and exclusion criteria. Three (60 %) patients had an initial diagnosis of Charcot neuroarthropathy with two (20 %) patients having an initial diagnosis of septic arthritis. All the patients (100 %) had various stages of wounds prior to surgery. Four patients had multiplanar external fixator devices applied prior to hindfoot arthrodesis with fibular strut allograft (Index procedure). One patient had an external fixator applied at the same time as the index procedure. External fixator devices were applied on average of 4.5 months (range, 3.97–5.33), were applied an average of 27 days before surgery (range, 4–60), and removed 3.9 months after surgery (range, 3.3–4.7). After external fixators were removed patients were placed into a fiberglass short leg cast for an average of 2.5 months (range, 1.4–4.2). At a 6 month postoperative CT scan, 80 % of patients achieved osseous union. This complex patient population has been shown to have poor union rates. Overall, the microvascular and macrovascular disease secondary to the uncontrolled hyperglycemia in diabetic patients, poor blood flow in patients with peripheral vascular disease, and suboptimal outcomes in cases of infection contributes to increased nonunion rates. This technique demonstrates a novel and viable approach in prior ankle and hindfoot infection cases. A locking, nonmetal construct in combination with fibular strut autograft needs to be considered routinely in this patient population as many of these patients either are faced with nonsurgical options or face amputation.</div></div><div><h3>Level of evidence</h3><div>3.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100545"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771353","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}