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

{"title":"Corrigendum to “From Theory to Practice: Integrating AI Dictation” [Foot and Ankle Surgery: Techniques, Reports & Cases 5 (2025) 100497]","authors":"Steven R. Cooperman DPM, MBA, AACFAS","doi":"10.1016/j.fastrc.2025.100549","DOIUrl":"10.1016/j.fastrc.2025.100549","url":null,"abstract":"","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100549"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809515","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":"Corrigendum to “Incidence and impact of the presence of tarsometatarsal joint arthritis in patients with hallux rigidus: A retrospective radiographic study” [Foot & Ankle Surgery: Techniques, Reports & Cases 4 (2024) 100380]","authors":"Hayden L. Hoffler DPM, AACFAS , Nathaniel A. Ptak DPM , Bryanna D. Vesely DPM, MPH , Joni K. Evans MS , Trevor E. Black DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100548","DOIUrl":"10.1016/j.fastrc.2025.100548","url":null,"abstract":"","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100548"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809438","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":"Corrigendum to “The management of non-union following minimally invasive bunion surgery” [Foot & Ankle Surgery: Techniques, Reports & Cases 5 (2025) 100455]","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.2025.100547","DOIUrl":"10.1016/j.fastrc.2025.100547","url":null,"abstract":"","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100547"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809439","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 50 % rule technique for guidewire placement in minimally invasive bunion surgery","authors":"Michael L. Sganga ,&nbsp;Keith A. Crenshaw","doi":"10.1016/j.fastrc.2025.100546","DOIUrl":"10.1016/j.fastrc.2025.100546","url":null,"abstract":"<div><div>Minimally Invasive Bunion Surgery (MIBS) continues to gain popularity with advancements in fixation systems, although there continues to be a steep learning curve associated with this procedure. This study aims to provide an additional technique to facilitate the placement of accurate and reproducible guidewires for screw fixation. As achieving the desired alignment with the proximal guidewire can be challenging, this study focuses on a reproducible technique that adheres to the important stability principles of MIBS.</div><div>This technique describes pre-operative planning for guidewire placement referred to as establishing the “cross-hairs and gunsights”. This provides external visualization to aid in guidewire placement. The 50% rule provides a landmark on lateral x-ray that allows for initial wire placement along the lateral cortex for efficient and accurate positioning that correlates with the expected capital fragment translation.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100546"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144829170","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":"Knee-to-Talus osteochondral grafting for talar lesions: Mid-term outcomes of the OATS procedure","authors":"Shevanka Dias Abeyagunawardene ,&nbsp;Joseph Paul ,&nbsp;Dror Maor","doi":"10.1016/j.fastrc.2025.100544","DOIUrl":"10.1016/j.fastrc.2025.100544","url":null,"abstract":"<div><h3>Background</h3><div>Talar osteochondral lesions (OCLs), often resulting from ankle trauma, affect the cartilage and subchondral talus bone and frequently require surgical intervention when conservative measures fail. Arthroscopic debridement and microfracture are some of the surgical interventions, leaving many patients with ongoing pain even after extended rehabilitation. The osteochondral autograft transfer system (OATS) offers an alternative by restoring hyaline cartilage using grafts from non-weight-bearing knee regions.</div></div><div><h3>Purpose / Study Design</h3><div>This retrospective case series evaluated the effectiveness of OATS in improving patient-reported outcomes for patients with postero-medial talar OCL.</div></div><div><h3>Methods</h3><div>All procedures were performed by a single surgeon across three centres in Western Australia. The donor sites for all autografts were from a non-weight bearing region of the lateral femoral condyle on the ipsilateral side. Pre- and post-operative patient-reported outcome measures were collected.</div></div><div><h3>Results</h3><div>Thirteen patients underwent OATS for talar OCLs from 2020 to 2024, with mean follow-up of 1.99 years. All had failed prior non-operative management, and over half underwent previous arthroscopic debridement. The average lesion size was 169 mm², requiring 1–3 grafts. AOFAS scores improved significantly from 60.3 to 80.2 (p &lt; 0.0001), with no correlation between score change and age, lesion size, number of plugs, nor previous procedures. Donor site morbidity was low (15.4%), reported only as subjective weakness.</div></div><div><h3>Conclusion</h3><div>OATS is a safe and effective treatment for talar OCLs unresponsive to conservative or previous arthroscopic surgical management. Low donor site morbidity supports the use of ipsilateral knee harvest. Future studies should incorporate validated PROMs and explore predictive factors for surgical success.</div></div><div><h3>Level of Clinical Evidence</h3><div>Level 4 – Case Series</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100544"},"PeriodicalIF":0.0,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713409","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":"Atypical presentation of musculoskeletal tuberculosis in the ankle: A case report","authors":"Bassem Al Hariri ,&nbsp;Muhammad Faizan ,&nbsp;Mennatallah Lotfi ,&nbsp;Ahmed Alayadi M Salem ,&nbsp;Muhammad sharif ,&nbsp;Memon Noor Illahi","doi":"10.1016/j.fastrc.2025.100543","DOIUrl":"10.1016/j.fastrc.2025.100543","url":null,"abstract":"<div><div>Tuberculosis (TB) remains a significant global health challenge, with extrapulmonary TB making up about 10 % of all cases. Musculoskeletal TB is a minor component of these cases, with TB of the ankle and foot being exceptionally uncommon, accounting for just 0.1–0.3 % of extrapulmonary TB instances. We introduce a diagnostically challenging case involving a 30-year-old South Asian male who developed primary TB osteomyelitis of the left ankle, which initially presented as a non-healing ulcer resistant to conventional antibiotic treatment.</div><div>Characteristic features of osteomyelitis with associated soft tissue involvement were demonstrated by advanced imaging studies, including MRI. The definitive diagnosis was made through PCR and culture confirmation of Mycobacterium tuberculosis from surgical specimens. A thorough evaluation uncovered the presence of concomitant pulmonary TB, underscoring the significance of systemic assessment in cases of extrapulmonary presentations. The patient was effectively treated using a combination of surgical debridement and standard anti-tubercular therapy, showing a favorable early response.</div><div>This case demonstrates several vital clinical lessons: the importance of keeping a high suspicion for TB in persistent musculoskeletal lesions, especially in patients from endemic regions; the worth of state-of-the-art diagnostic methods in atypical presentations; and the significance of examining for concurrent pulmonary involvement even in cases of extrapulmonary disease that appear to be isolated. The report bolsters existing guidelines that advocate for a multidisciplinary strategy in TB management, integrating precise microbiological diagnosis, suitable imaging, and extended antimicrobial treatment to avert long-term consequences. Clinicians working in both endemic and non-endemic areas may find these findings especially relevant, as they may come across such atypical presentations.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100543"},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687426","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":"Novel advanced imaging method to differentiate acute osteomyelitis from acute charcot neuroarthropathy in the presence of chronic ulcer: A case series","authors":"William Pacheco DPM ,&nbsp;Carly Cook DPM ,&nbsp;Woo Y. Chun DPM ,&nbsp;April Wong DPM ,&nbsp;Grace Hewett MD ,&nbsp;Marianne Bonanno MD ,&nbsp;Don Yoo MD ,&nbsp;Douglas Glod DPM","doi":"10.1016/j.fastrc.2025.100541","DOIUrl":"10.1016/j.fastrc.2025.100541","url":null,"abstract":"<div><div>Charcot neuroarthropathy presents a diagnostic challenge and is complicated by chronic ulceration, as radiographic and histological findings are similar to osteomyelitis. Traditional techniques for diagnosis, such as bone biopsy and magnetic resonance imaging, lack specificity when attempting to differentiate between these two entities. In our prior case report, it was found that utilizing a comprehensive nuclear medicine imaging protocol starting with a bone scan utilizing Technetium-99 m methyl diphosphonate with single photon emission computed tomography-computed tomography (SPECT/CT) followed by an additional nuclear medicine study utilizing indium-111 labeled white blood cells and Technetium-99 m sulfur colloid with single photon emission computed tomography-computed tomography allowed differentiation between these two entities. This case series utilized this protocol and found that it allows for differentiation between these two entities even after Charcot reconstructions with chronic ulcerations. This protocol allows for improved diagnostic specificity and surgical planning for complex limb salvage.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100541"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725112","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":"Use of non metallic implant for medial malleolar prophylactic fixation in total ankle arthroplasty, a noninferiority study","authors":"Cameron Meyer ,&nbsp;Jae Yoon Kim ,&nbsp;Orlando Martinez ,&nbsp;Lauren M. Christie ,&nbsp;Gregory Berlet","doi":"10.1016/j.fastrc.2025.100542","DOIUrl":"10.1016/j.fastrc.2025.100542","url":null,"abstract":"<div><div>Metal screw fixation has been standard in orthopedic procedures but carries drawbacks including migration, breakage, and need for removal. New bio-integrative options have shown promise in fracture repair; but the use with prophylactic fixation in total ankle arthroplasty (TAA) is unclear. The purpose of this study was to compare outcomes of biointegrative implants versus no fixation in prophylactic medial malleolar fixation with TAA.</div><div>A retrospective review via surgeon operative database was performed including patients with primary total ankle arthroplasty by a single fellowship trained orthopedic foot and ankle surgeon between December 2018 and February 2024. Search was verified by billing documentation with a minimum of 1 year follow up. Objective patient data including age, comorbidities, smoking and social history were all recorded. Postoperative data was reviewed to assess perioperative complications specific to the two cohorts.</div><div>The authors reviewed 150 cases of a single surgeon performing total ankle replacement. When comparing postoperative complications between use of non metallic fixation to no fixation, this was 1.64% (n=1) to 5.65% (n=5) respectively. Intraoperative complications occurred in 60% (n=3/5) of patients without fixation while none were seen in the non metallic prophylactic cohort.</div><div>Non metallic implant designs continue to improve with bio-integrative benefits compared to no fixation of the medial malleolus in TAA. We found that intraoperative and postoperative complications are less likely with prophylactic fixation of the medial malleolus with a biointegrative implant. Further prospective studies are warranted to evaluate the long term benefit.</div><div><strong>Level Of Evidence:</strong> Level 3, Retrospective Cohort Study.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100542"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679960","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":"First case of calcaneal Brodie's abscess caused by Fusobacterium nucleatum in an immunocompetent adult","authors":"Jobin Jacob Job ,&nbsp;Zain Al Abdeen Al Zuabi ,&nbsp;Nisha De Souza ,&nbsp;Alauldeen Al Hussein ,&nbsp;Zhikai Li ,&nbsp;Chandra Pasapula","doi":"10.1016/j.fastrc.2025.100539","DOIUrl":"10.1016/j.fastrc.2025.100539","url":null,"abstract":"<div><div>Subacute calcaneal osteomyelitis is a challenging condition with a high relapse rate. This case report presents the first documented instance of subacute osteomyelitis of the calcaneus caused by <em>Fusobacterium nucleatum</em>, manifesting as post-traumatic heel pain in a 24-year-old male. The patient presented with heel pain following a fall, with no history of penetrating injury or immunosuppression. Imaging (Radiograph/CT/MRI) revealed a growing lytic lesion with surrounding bone marrow edema in the calcaneum. Surgical drainage and debridement were performed, and intraoperative cultures identified <em>Fusobacterium nucleatum</em>. The patient was treated with parenteral tazocin and oral metronidazole, followed by six weeks of oral doxycycline and metronidazole. Inflammatory markers normalized over three weeks, and the patient showed satisfactory recovery with follow-up radiographs and clinical reviews. This case highlights the importance of considering <em>Fusobacterium nucleatum</em> in subacute calcaneal osteomyelitis and demonstrates the effectiveness of combined surgical and antibiotic treatment.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100539"},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687425","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":"Technique for all arthroscopic Brostrom repair using novel biocomposite scaffold ligament graft","authors":"Jay S. Badell","doi":"10.1016/j.fastrc.2025.100540","DOIUrl":"10.1016/j.fastrc.2025.100540","url":null,"abstract":"<div><div>Ankle sprains affect a large portion of the general population and are one of the most common reasons for emergency room visits in the United States and globally. In recent years the advent of synthetic ligament grafts has provided an option for repair of the diseased/injured ligament using an anatomic augmentation. Several of these ligament grafts exist, however long-term data is limited. There has been no report in literature of an all-arthroscopic technique with use of biocomposite scaffold ligament graft in repair of the lateral collateral ankle ligaments. Technique and case examples are described using an all-arthroscopic technique for anatomic lateral ankle ligament repair using a novel ligament graft. Five patients with refractory chronic ankle instability received all arthroscopic ATFL repair using the biocomposite scaffold ligament graft. Pre and post operative American orthopedic foot and ankle society score, foot function index score, visual analog pain scale scores were collected. Mean pre-operative American orthopedic foot and ankle society score, foot function index score, visual analog pain scale were 38.2 ± 22.7, 55.28 ± 29.8, 6.8 ± 2.2 respectively. Mean post-operative American orthopedic foot and ankle society score, foot function index score, visual analog pain scale were 88.0 ± 11.4, 16.4 ± 14.0, 1.6 ± 1.5 resp. This technique offers anatomic restoration of the lateral ankle ligamentous complex through a minimally invasive approach that can lead to quicker recovery and return to activity.</div><div><strong>Level of Clinical Evidence</strong>: 5, Technique</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100540"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144623805","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}