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

{"title":"Dynamic syndesmotic stabilization with non-metallic bio-integrative fixation: A novel technique guide","authors":"Anthony Schwab DPM, MS, AACFAS ,&nbsp;Garrett Wireman DPM, ATC, AACFAS ,&nbsp;Jason Nowak DPM, FACFAS ,&nbsp;Garret Strand DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100587","DOIUrl":"10.1016/j.fastrc.2025.100587","url":null,"abstract":"<div><div>Syndesmotic instability occurs in up to 20 % of ankle fractures and may lead to asymmetric tibiotalar loading and early arthrosis if inadequately reduced. Traditional metallic fixation techniques, though effective, are associated with hardware removal rates exceeding 40 % and malreduction rates approaching 35 %. Bio-integrative fixation composed of continuous mineral fibers within a PLDLA matrix provides strength retention during healing while eliminating permanent hardware. We describe a reproducible technique utilizing OSSIOfiber® bio-integrative suture anchors for dynamic syndesmotic fixation. Under fluoroscopic guidance, a 2.5 mm tibial anchor is deployed through a 4.75 mm fibular tunnel, tensioned, and secured with a second anchor to achieve physiologic syndesmotic stabilization. Technical pearls, reduction verification, and postoperative assessment are outlined. This technique provides a minimally invasive, dynamic alternative for syndesmotic stabilization with the potential to reduce implant removal and malreduction risk. Early results and comparative evidence suggest equivalent fixation strength and radiographic outcomes to metallic devices, supporting bio-integrative fixation as a viable option for surgeons seeking a non-metallic solution.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"6 1","pages":"Article 100587"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737979","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":"Cotton osteotomy with a guide pin: A technique tip","authors":"R. Todd Hockenbury MD ,&nbsp;Blake E. Pritchett DPM, AACFAS ,&nbsp;Mark J. Capuzzi DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100552","DOIUrl":"10.1016/j.fastrc.2025.100552","url":null,"abstract":"<div><div>The Cotton osteotomy is a mainstay procedure in the foot and ankle surgeon's repertoire during correction of progressive collapsing foot deformity (PCFD). The procedure involves a dorsal opening wedge osteotomy of the medial cuneiform followed by insertion of a bone wedge for recreation of the medial longitudinal arch. This addresses the forefoot varus component of a flatfoot, and is typically used in conjunction with other procedures to achieve correction in all planes. The osteotomy provides a supinatory moment around the triple joint complex. However, some pitfalls have been reported which have negative impact on reproducibility. These include lateral column overloading due to over-correction, sesamoid pain due to under-correction, breach of the plantar hinge, and even joint violation. Due to intricate local anatomy, proper identification of the location and trajectory of osteotomy placement is vital to ensuring avoidance of injury to adjacent joints. The purpose of this paper is to report on a simple technique utilizing a Kirschner wire guide pin for osteotomy guidance, resulting in improved patient outcomes and reproducibility.</div></div><div><h3>Level of evidence</h3><div>Level V</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"6 1","pages":"Article 100552"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187823","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":"2025-12-01","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":"Erratum to “Tuberculosis of the midfoot: A rare case report” [Foot & Ankle Surgery: Techniques, Reports & Cases 4 (2024) 100436]","authors":"Marijn Stelwagen MD ,&nbsp;Wouter Brekelmans MD ,&nbsp;Fanny Lauw MD, PhD ,&nbsp;Menno Bénard MD, PhD ,&nbsp;Wilbert van Laar MD","doi":"10.1016/j.fastrc.2025.100579","DOIUrl":"10.1016/j.fastrc.2025.100579","url":null,"abstract":"","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100579"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519670","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":"Intramuscular corticosteroids combined with exercise for refractory midportion achilles tendinopathy: A case series","authors":"Jan MA Mens MD, PhD","doi":"10.1016/j.fastrc.2025.100573","DOIUrl":"10.1016/j.fastrc.2025.100573","url":null,"abstract":"<div><h3>Background</h3><div>Treatment of Achilles tendinopathy (AT) typically consists of progressive exercise, load management, and patient education. The use of paratendinous administration is controversial. Improvement with conventional measures is often insufficient, creating a need for alternative solutions.</div></div><div><h3>Purpose</h3><div>Purpose is to describe the outcomes of patients treated with intramuscular corticosteroid-injections in combination with exercises.</div></div><div><h3>Study design</h3><div>retrospective analysis of a case series.</div></div><div><h3>Methods</h3><div>Baseline data and short-term outcomes were collected from patient records treated in our clinic. Follow-up results were gathered by means of structured telephonic interviews. AT was defined as pain in the Achilles tendon during activities with at least two of the following criteria: pain on tiptoe standing, swelling and/or tenderness 2–7 cm above the insertion, ultrasound signs of tendinopathy.</div></div><div><h3>Results</h3><div>Ten patients were included. The median duration of symptoms was 12 months (IQR 23). Patients reported improvement after 5.6 days (SD 4.8).The treatment reached its maximum effect at 6.2 weeks (SD 3.4). At the end of the 2–12 week intervention, six patients felt completely recovered and four reported feeling much better. At follow-up (23 months, SD 17), seven patients felt completely recovered and three much better. The median NRS pain score changed from 8 at baseline to 0 (<em>p</em> = 0.002), and the mean VISA-A score from 37 to 95 (<em>p</em> &lt; 0.0001). No major adverse events were observed.</div></div><div><h3>Conclusion</h3><div>one or two intramuscular corticosteroid injections combined with concentric–eccentric exercises may offer rapid and sustained relief for patients with midportion AT.</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 4","pages":"Article 100573"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158383","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":"Right foot acute pediatric extensor hallucis longus end to end repair with semitendinosus graft application: A case report","authors":"Emanoil Shafik DPM, MPH, MS,&nbsp;Max Sanginario DPM,&nbsp;Stephen Trimnell DPM, MS,&nbsp;Joseph D. Cuomo DPM, MS,&nbsp;Abdelhafid El Akri MD, DPM,&nbsp;Sagar Shah DPM,&nbsp;Henry Habib DPM, DABPM","doi":"10.1016/j.fastrc.2025.100562","DOIUrl":"10.1016/j.fastrc.2025.100562","url":null,"abstract":"<div><div>A 11 year old female was referred to Podiatric Surgeon by Plastic Surgeon for right foot lacerations and lateral fibular fracture that had occurred one month prior. Patient had no known past medical history and states that she is a very active dancer. Patient states she was on vacation with her family on a Caribbean island where while rough housing with her sibling, she stepped on a broken glass bottle leading to inverting her ankle. Patient sustained multiple lacerations to her foot and ankle. A plastic surgeon on holiday at the same Caribbean resort was able to provide immediate medical attention to the patient. The right hallux upon physical examination was noted to be in fixed plantarflexion and lacked the ability to manually extend her right hallux upon command. Magnetic Resonance Imaging was done to evaluate the integrity of the long extensor tendon. Imaging of the right foot showing a 4 cm tear of the extensor hallucis longus tendon at the level of the proximal first metatarsal. Patient underwent a procedure for extensor hallucis longus repair with semitendinosus graft application.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100562"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049163","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":"Lipofibromatosis-like neural tumor of the foot: A case study","authors":"Derek A. Swanson PMSIII ,&nbsp;Robert Lee PMSIII ,&nbsp;Annie Phan OMSIII, MA ,&nbsp;Janna Kroleski DPM, MS","doi":"10.1016/j.fastrc.2025.100568","DOIUrl":"10.1016/j.fastrc.2025.100568","url":null,"abstract":"<div><div>Lipofibromatosis-like neural tumors (LPF-NTs) are a rare form of mesenchymal tumors generally found in children and young adults¹. LPF-NTs are a novel tumor type, only recently identified and named with the first case being &lt;10 years ago². These tumors tend to occur in the distal extremities, presenting as slow-growing benign non-metastatic masses. They display a lipofibromatosis-like structure with an immunophenotype positive for CD34/S100 and NTRK1 gene abnormalities². Due to LPF-NTs rarity and a lack of pain until significant mass expansion, they are often challenging to diagnose making treatment options more challenging³. Conservative treatment will not stop tumor growth or pain long term, causing a need for surgical excision. LPF-NTs, if improperly excised, demonstrate a high rate of local recurrence². The rarity and diagnostic difficulty of LPF-NTs complicate patient care and increase the risk of misdiagnosis. This case report details a successful surgical removal of an LPF-NT and reviews the literature to improve recognition, diagnosis, and treatment by explicitly focusing on key characteristics, common diagnostic failures, and optimal treatment approaches for an LPF-NT located in the foot.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100568"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096294","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":"2025-12-01","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":"About the Journal","authors":"","doi":"10.1016/S2667-3967(25)00127-2","DOIUrl":"10.1016/S2667-3967(25)00127-2","url":null,"abstract":"","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100592"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789900","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":"Minimally invasive cheilectomy with first metatarsal plantarflexory osteotomy fixated via intramedullary plating device - A novel technique for the management of hallux limitus and concomitant metatarsus primus elevatus: A case report with 3-year follow-up and surgical technique guide","authors":"Benjamin Wehrli DPM, FACFAS ,&nbsp;Jonathan Fisher DPM, FACFAS ,&nbsp;G. Parker Peresko DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100588","DOIUrl":"10.1016/j.fastrc.2025.100588","url":null,"abstract":"<div><h3>Background</h3><div>Hallux Limitus/Rigidus is a well-described pathologic spectrum, although the surgical management, especially when observed with concomitant metatarsus primus elevatus, can present less-than-desirable outcomes. While there is an abundance of available literature on the surgical management of these pathologies, more recent findings potentiate a continued need for a more encompassing approach.</div></div><div><h3>Study Design</h3><div>Case Report with Technique Guide.</div></div><div><h3>Methods</h3><div>We report the case of a 79-year-old male with painful symptomatic late-stage hallux limitus. Conservative measures were attempted and failed. Upon electing surgical intervention, a minimally invasive cheilectomy and 1st metatarsal plantarflexory osteotomy was conducted to address the hallux limitus and elevatus components simultaneously.</div></div><div><h3>Results</h3><div>The implementation of this novel surgical technique improved clinical factors, allowed for restoration of 1st metatarsal positioning, satisfactory exposure to address periarticular osteophytosis secondary to hallux limitus, while allowing for a minimal degree of soft tissue dissection. Postoperative course was uneventful with marked improvement in 1st metatarsophalangeal joint motion and patient’s pain and symptom generators, even when compared at 3-year follow-up. No recurrence of the resected exostoses or metatarsal malalignment was noted.</div></div><div><h3>Conclusion</h3><div>Recent literature has suggested the need for a more comprehensive approach when surgically addressing hallux limitus with associated metatarsus primus elevatus. The novel technique described in the report today of a minimally invasive cheilectomy coupled with plantarflexory osteotomy fixated via intramedullary plating appears to be a safe and effective surgical option. The advantageous minimal incisional window allowed for increased soft tissue protection without detracting from the correction of the root pathologies intraoperatively.</div></div><div><h3>Level of Evidence</h3><div>IV. Case-Report</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 4","pages":"Article 100588"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623978","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}