Foot & ankle surgery (New York, N.Y.)最新文献_第3页

Novel surgical correction of brachymetatarsia using 3D printed custom implant 使用3D打印定制植入物对短跖骨进行新型手术矫正

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-04-27 DOI: 10.1016/j.fastrc.2025.100501

David Kalambet , Lawrence Fallat

{"title":"Novel surgical correction of brachymetatarsia using 3D printed custom implant","authors":"David Kalambet , Lawrence Fallat","doi":"10.1016/j.fastrc.2025.100501","DOIUrl":"10.1016/j.fastrc.2025.100501","url":null,"abstract":"<div><div>Brachymetatarsia is a condition of congenital shortening of the metatarsal. Surgical intervention traditionally consists of lengthening procedures of the metatarsal utilizing techniques such as distraction osteogenesis and bone allograft/autograft implantation. These procedures can lead to a variety of complications including stiffness, malalignment, resorption of bone, and delayed consolidation. Intervention consisting of a custom 3D printed implant can maintain metatarsal length following an osteotomy without risk of bone graft resorption. To our knowledge, we are presenting the first case of using a 3D printed custom implant used to restore metatarsal length. The patient is a 56-year-old female with painful brachymetatarsia involving the fourth metatarsal of her left foot and complaining of 8/10 pain. The patient’s fourth metatarsal was 11.8 mm shorter than the fifth metatarsal. The patient underwent fourth metatarsal osteotomy with distraction and insertion of 3D printed custom implant. The length of the patient’s fourth metatarsal was successfully maintained with insertion of the implant and stabilization with a plate and screws. At 36 months post-operatively, there was no evidence of resorption, malalignment, or delayed consolidation.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100501"},"PeriodicalIF":0.0,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912141","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

Deltoid ligament repair and augmentation using the posterior tibial tendon during hindfoot arthrodesis in Progressive Collapsing Foot Deformity: A novel technique 在进行性塌陷足畸形的后足关节融合术中使用胫骨后腱修复和增强三角韧带：一项新技术

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-04-26 DOI: 10.1016/j.fastrc.2025.100500

Turki Almugren MBBS , Sulaiman Alrefai MB, BCh, BAO , Shahin Kayum MD, ABOS, MRCS , Jasim Alsaei MD, FRCSC , Timothy Daniels MD, FRCSC

{"title":"Deltoid ligament repair and augmentation using the posterior tibial tendon during hindfoot arthrodesis in Progressive Collapsing Foot Deformity: A novel technique","authors":"Turki Almugren MBBS , Sulaiman Alrefai MB, BCh, BAO , Shahin Kayum MD, ABOS, MRCS , Jasim Alsaei MD, FRCSC , Timothy Daniels MD, FRCSC","doi":"10.1016/j.fastrc.2025.100500","DOIUrl":"10.1016/j.fastrc.2025.100500","url":null,"abstract":"<div><h3>Introduction</h3><div>Progressive Collapsing Foot Deformity (PCFD), or Adult Acquired Flatfoot Deformity (AAFFD), leads to medial longitudinal arch collapse and ankle instability, with deltoid ligament insufficiency exacerbating valgus talar tilt. Despite multiple reconstruction methods, an optimal approach remains elusive.</div></div><div><h3>Technique</h3><div>This study presents a novel technique for deltoid ligament repair and augmentation using the posterior tibial tendon (PTT) in patients undergoing hindfoot arthrodesis for PCFD. A medial approach is used for both hindfoot fusion and PTT harvesting. The tendon is split into superior and inferior arms, which are utilized to reinforce the tibionavicular and tibiocalcaneal bands. Nonabsorbable sutures and suture anchors secure fixation, while hindfoot fusion is completed using cannulated screws. Postoperative weight-bearing is gradually advanced.</div></div><div><h3>Discussion</h3><div>This technique improves medial ankle stability while preserving native deltoid ligament tissue. By augmenting the ligament with the PTT, it avoids the risks associated with allografts and donor site morbidity. Preliminary intraoperative and radiographic findings show enhanced coronal and sagittal stability, indicating potential benefits in restoring ankle alignment and function. This novel augmentation strategy offers a promising alternative for managing medial ankle instability in PCFD patients undergoing hindfoot fusion. However, further studies comparing its long-term outcomes to other techniques are essential to validate its efficacy.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100500"},"PeriodicalIF":0.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902423","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

Technical tip: Hitch and compression conical tamp technique for intramedullary nail extraction 技术提示：用于髓内钉拔除的套索和压缩锥形锤技术

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-04-18 DOI: 10.1016/j.fastrc.2025.100499

Yiannis Vyrides , Zain Al Abdeen Al Zuabi , Zhikai Li , Chandra Pasapula

{"title":"Technical tip: Hitch and compression conical tamp technique for intramedullary nail extraction","authors":"Yiannis Vyrides , Zain Al Abdeen Al Zuabi , Zhikai Li , Chandra Pasapula","doi":"10.1016/j.fastrc.2025.100499","DOIUrl":"10.1016/j.fastrc.2025.100499","url":null,"abstract":"<div><div>Extracting intramedullary nails presents significant challenges, especially when conventional nail extraction techniquesfail due to thread damage or implant compatibility issues. This technical report presents an innovative approach known as the \"hitch-and-compression\" conical tamping technique, which was applied to a 58-year-old patient who had received a retrograde tibial nail implanted in the hindfoot 14 years earlier to stabilise and fuse the tibio-talo-calcaneal joints. Due to the inability to engage the proximal nail threads, conventional methods were not possible during the procedure. The technique involves using a Steinmann pin to control rotation, a hooked extractor to grasp the distal anchor point, and conical tamping to stabilise the structure and transmit axial force effectively. Extracting the nail without causing any damage, especially unintended damage, was the real and primary challenge. Other key points are the absence of complications during the procedure, the stability of the extraction construct during nail extraction, and the duration of the procedure. This method's proven effectiveness lies in its absence of proximal intact sutures or specialised equipment, making it applicable to various clinical situations. The lack of post-operative follow-up and comparative data with other extraction methods are limitations of this promising technique. Although it offers a practical alternative solution for complex cases requiring intramedullary nail extraction, further research is needed to confirm its effectiveness on a more comprehensive scale.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100499"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859091","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

Clinical experience with calcaneal skeletal traction in the treatment of ankle fracture-dislocation caused by riding electric bicycles: A case series 使用小腿骨骼牵引治疗因骑电动自行车导致的踝关节骨折脱位的临床经验：病例系列

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-04-04 DOI: 10.1016/j.fastrc.2025.100498

Yafeng Li MD, Linchuan Ran MD, Jiangtao Song MD

{"title":"Clinical experience with calcaneal skeletal traction in the treatment of ankle fracture-dislocation caused by riding electric bicycles: A case series","authors":"Yafeng Li MD, Linchuan Ran MD, Jiangtao Song MD","doi":"10.1016/j.fastrc.2025.100498","DOIUrl":"10.1016/j.fastrc.2025.100498","url":null,"abstract":"<div><h3>Background</h3><div>There is limited literature on ankle fracture-dislocations specifically associated with electric bicycle accidents. This study aims to contribute to the understanding of this specific injury pattern by analyzing cases treated in our department.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on patients who sustained ankle fracture-dislocations caused by riding electric bicycles were treated in our department between November 2020 and January 2024. Radiological evaluations were performed for each patient. All patients underwent immediate closed reduction using a calcaneal skeletal traction (CST) device, followed by open reduction and internal fixation once skin swelling subsided. Clinical outcomes were assessed using the American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score, and statistical analyses were performed using SPSS Statistics version 25.0.</div></div><div><h3>Results</h3><div>The cohort consisted of three male and two female patients, with an average age of 43.2 ± 19.33 years. The mean duration of calcaneal skeletal traction was 181.6 ± 85.81 h. Patients were followed up for an average of 39.20±1.64 months, during which the average AOFAS score was 93.2 ± 10.16. Four patients achieved excellent outcomes, while one had a fair result. The average range of motion (ROM) loss was 3.6 ± 3.65 ° in dorsiflexion and 7.2 ± 4.71 ° in plantarflexion. All patients exhibited significant ankle stability and fracture healing.</div></div><div><h3>Conclusion</h3><div>Calcaneal skeletal traction is a critical intervention for achieving favorable clinical outcomes in patients with ankle fracture-dislocations caused by riding electric bicycles. This study highlights its effectiveness in ensuring fracture healing and restoring ankle stability without major complications.</div></div><div><h3>Level of evidence</h3><div>Level IV, case series.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100498"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815078","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

Complicated problems solved with the use of 3D printing: A case series 使用3D打印解决复杂问题：案例系列

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-26 DOI: 10.1016/j.fastrc.2025.100490

Akshay Jain DPM , Ryan Lerch DPM , Julia Tolin DPM , Patrick Burns DPM

{"title":"Complicated problems solved with the use of 3D printing: A case series","authors":"Akshay Jain DPM , Ryan Lerch DPM , Julia Tolin DPM , Patrick Burns DPM","doi":"10.1016/j.fastrc.2025.100490","DOIUrl":"10.1016/j.fastrc.2025.100490","url":null,"abstract":"<div><div><em>Background</em> The applications of 3D-printed implants in foot and ankle surgery are rapidly rising in popularity. These custom-made implants provide an alternative option for salvage in the setting of a variety of pathologies that are difficult and challenging to treat, including trauma, deformity and arthritis. The use of 3D custom implants has increased significantly in recent years, described in the literature as being utilized for conditions such as avascular necrosis, osteomyelitis, Charcot neuroarthropathy, fracture, large osseous defects and deformity correction. The present study demonstrates novel methods for utilizing 3D-printed implants to treat complex deformities in the foot and ankle.</div><div><em>Methods</em> We performed a retrospective case series of five patients, each of whom required a unique 3D-printed implant solution to treat their foot and ankle pathology. All cases were performed by a single primary surgeon (P.R.B) at a single university-based institution between 2020-2021.</div><div><em>Discussion</em> The present case series aims to describe the utilization of 3D implants to assist with the management of large, bony defects as well as complex deformities and associated sequela in the foot and ankle. The cases discussed in this series provide a satisfactory outcome and can be applied to future patients in similar cohorts.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100490"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792340","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

From theory to practice: Integrating AI dictation 从理论到实践：整合人工智能听写

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-25 DOI: 10.1016/j.fastrc.2025.100497

Steven R. Cooperman DPM, MBA, AACFAS

引用次数: 0

Influence of selective versus nonselective joint preparation in first metatarsophalangeal arthrodesis: A systematic review and meta-analysis 选择性与非选择性关节准备对第一跖趾关节融合术的影响：一项系统回顾和荟萃分析

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-24 DOI: 10.1016/j.fastrc.2025.100496

Mark J. Bullock DPM, FACFAS , Kyleigh Pierson DPM , Shivam U. Desai MS , Rebecca Hill Renirie MA, MLIS , Chin-I Cheng PhD , Marisa Samani BS , Nhan Tran DPM

{"title":"Influence of selective versus nonselective joint preparation in first metatarsophalangeal arthrodesis: A systematic review and meta-analysis","authors":"Mark J. Bullock DPM, FACFAS , Kyleigh Pierson DPM , Shivam U. Desai MS , Rebecca Hill Renirie MA, MLIS , Chin-I Cheng PhD , Marisa Samani BS , Nhan Tran DPM","doi":"10.1016/j.fastrc.2025.100496","DOIUrl":"10.1016/j.fastrc.2025.100496","url":null,"abstract":"<div><div>First metatarsophalangeal (MPJ) arthrodesis is a common and effective procedure for hallux rigidus and select patients with hallux valgus. Non selective joint preparation with conical reamers is the most common method for joint preparation in the literature. This meta-analysis compares patients who underwent 1st MPJ arthrodesis with reamer versus patients who underwent selective joint preparation with rongeurs and/or burrs. A systematic review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. PubMed, CINAHL, Cochrane, and Scopus databases were used to identify recent studies based on inclusion and exclusion criteria, and only patients with locking plate fixation were included. Twenty three studies with reamers and 5 studies with selective joint preparation met criteria. Many of the included studies in both treatment groups had low quality data with inadequate radiographic follow-up. A random effects model was utilized to compare union rates between the treatment groups. The estimated union rate was significantly higher (<em>p</em> = 0.03) for selective joint preparation, 99 % (95 % CI 98–100), compared with reamers, 93 % (95 % CI 91–96). Current data suggests selective debridement with rongeurs and/or burrs has superior union rates when 1st MPJ arthrodesis is performed with locking plate fixation.</div><div><strong>Level of Clinical Evidence:</strong> 3</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100496"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768472","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

Angioleiomyoma in the ankle mimicking a schwannoma: A case report and review of literature 模拟神经鞘瘤的踝关节血管平滑肌瘤：1例报告及文献复习

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-18 DOI: 10.1016/j.fastrc.2025.100495

Junaid Akbar DPM (Podiatric Resident) , Jonathan Gabor MD (Orthopedic Resident) , Stuart Katchis MD (Section Chief)

引用次数: 0

Not your father's palliative care 不是你父亲的姑息治疗

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-10 DOI: 10.1016/j.fastrc.2025.100494

Susan M. Walsh DPM, MBA

引用次数: 0

Re-injury after arthroscopic anatomical reconstruction by allograft tendon of the lateral ankle ligaments treated by a new arthroscopic anatomical allograft reconstruction: A case report 关节镜下同种异体解剖重建治疗踝关节外侧韧带肌腱重建后再损伤1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-07 DOI: 10.1016/j.fastrc.2025.100489

Julien Paquot MD, David Ancelin MD,Ph

{"title":"Re-injury after arthroscopic anatomical reconstruction by allograft tendon of the lateral ankle ligaments treated by a new arthroscopic anatomical allograft reconstruction: A case report","authors":"Julien Paquot MD, David Ancelin MD,Ph","doi":"10.1016/j.fastrc.2025.100489","DOIUrl":"10.1016/j.fastrc.2025.100489","url":null,"abstract":"<div><div>Revision surgery after ligamentoplasty with anatomical reconstruction presents a complex challenge that remains underreported. This case report highlights a unique arthroscopic revision approach using a novel allograft technique, which has not been previously documented in the surgical literature. A 22-year-old female sustained trauma to her left ankle following a prior anatomical ligamentoplasty reconstruction of the anterior talofibular and calcaneofibular ligaments using an allograft. Persistent instability despite conservative management necessitated revision surgery. Clinical examination and MRI confirmed graft rupture and malposition of the talar tunnel. Arthroscopic revision ligamentoplasty was performed using a non-irradiated allograft with tunnel correction. A new blind talar tunnel (5 mm × 20 mm) was meticulously positioned in the \"bare zone\" of the talus, ensuring optimal biomechanical alignment. Postoperatively, the patient regained stability and resumed professional activities without recurrent instability episodes.</div><div><strong>Relevance and Impact:</strong><ul><li><span>•</span><span><div>Correcting the improper placement of bone tunnels during revision surgery is critical for successful outcomes.</div></span></li><li><span>•</span><span><div>Arthroscopic approaches allow for comprehensive joint inspection while minimizing surgical morbidity.</div></span></li><li><span>•</span><span><div>The use of allografts in revision procedures avoids donor site morbidity while ensuring optimal functional recovery.</div></span></li></ul></div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100489"},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737925","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