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

Medial brostrom repair to resolve anterior medial rotary laxity in Weber B ankle fracture: A case report 内侧brostrom修复Weber B型踝关节骨折前内侧旋转松弛1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-05-28 DOI: 10.1016/j.fastrc.2025.100509

Lauren Simon DPM , Michael Mancano DPM , Kendall O'Steen , Mitchell L. Goldflies MD , Edgardo Rodriguez-Collazo DPM

{"title":"Medial brostrom repair to resolve anterior medial rotary laxity in Weber B ankle fracture: A case report","authors":"Lauren Simon DPM , Michael Mancano DPM , Kendall O'Steen , Mitchell L. Goldflies MD , Edgardo Rodriguez-Collazo DPM","doi":"10.1016/j.fastrc.2025.100509","DOIUrl":"10.1016/j.fastrc.2025.100509","url":null,"abstract":"<div><div>The ankle is one of the most commonly injured joints in the lower extremity. In the United States, there are over 2 million ankle injuries annually (1). Historically, the treatment of bimalleolar equivalent fractures includes the fibular fracture, and use of a syndesmotic fixation if syndesmotic laxity and medial widening are observed. This article argues that deltoid ligament repair should be done concomitantly with anterior medial capsule repair in order to fully address rotary laxity. The centerpiece of deltoid injury with capsule injury diagnosis is the widening of the medial clear space >4 mm and/or >1 mm difference than the contralateral limb on AP radiographs (1–7). We suggest that anterior medial capsule repair must be done with the deltoid ligament repair. We present a case of a Weber B fracture with uncertain deltoid involvement on pre-operative radiographs, for which a deltoid rupture with capsule involvement was determined intraoperatively with appropriate stress radiographs taken under general anesthesia. Repair of the deltoid using a low cost, non-intraarticular implant with concomitant repair of the anterior-medial capsule of the ankle joint was utilized. This medial ankle repair, in addition to ORIF of the fibula resulted in a satisfactory clinical and radiographic outcome.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100509"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144253425","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

Surgical management of a deep arteriovenous malformation in the foot: Case report 足部深动静脉畸形的外科治疗：1例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-05-27 DOI: 10.1016/j.fastrc.2025.100512

Mohammed A. Farhan DPM, AACFAS, DABPM , Callie Morlock DPM AACFAS , Saloni Buch DPM , Anna L. Hronek DPM, FACFAS, DABPM, CWSP

引用次数: 0

Benign plexiform schwannoma of the superficial peroneal nerve: A case study 腓浅神经良性丛状神经鞘瘤一例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-05-27 DOI: 10.1016/j.fastrc.2025.100510

William Stallings DPM , Uzair Amjad DPM , Timothy P. Cheung DPM, PhD, CPT , Michael I. Gazes DPM, MPH , Fernando Pinero DPM

引用次数: 0

Acute limb ischemia after posterior ankle dislocation with impingement and vasospasm of the anterior tibial artery: a case report and inpatient clinical algorithm 踝关节后脱位伴胫前动脉撞击和血管痉挛后急性肢体缺血1例及住院临床算法

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-05-23 DOI: 10.1016/j.fastrc.2025.100511

Kayla Curlis DPM , Quinn Schroeder DPM AACFAS , Bailey Lervick DO , Miranda Montion B.S. , Kyle McKray Smith DPM, FACFAS

{"title":"Acute limb ischemia after posterior ankle dislocation with impingement and vasospasm of the anterior tibial artery: a case report and inpatient clinical algorithm","authors":"Kayla Curlis DPM , Quinn Schroeder DPM AACFAS , Bailey Lervick DO , Miranda Montion B.S. , Kyle McKray Smith DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100511","DOIUrl":"10.1016/j.fastrc.2025.100511","url":null,"abstract":"<div><h3>Introduction</h3><div>Arterial vasospasms occurring from foot and ankle trauma, such as severe fracture dislocations, are under-reported throughout the foot and ankle literature. The tunica media of blood vessels is highly sensitive to external stimuli, such as trauma, compression, or traction, which can induce vasospasm.</div></div><div><h3>Body</h3><div>Here we describe a 25-year-old male who sustained a traumatic injury to the left ankle eliciting a posterior dislocation with associated fractures who subsequently had absent pedal pulses and unobtainable signal on a handheld doppler. CT-angiography revealed reduced vessel caliber along the course of the anterior tibial artery. Following bedside reduction and prior to scheduled surgical intervention, the patient spontaneously regained vascular flow to the lower extremity.</div></div><div><h3>Conclusion</h3><div>There are very limited reports of posterior ankle fracture dislocation creating an acute limb ischemia from vasospasms in the anterior tibial artery. This case report stands to portray the need for further reporting, follow up, and peri-operative management of patients with vascular compromise to the foot and ankle. A guideline was developed to assist clinicians in the inpatient setting with selecting appropriate imaging modalities to assess vascular status and identify potential compromise.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100511"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241813","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

Fourth generation minimally invasive hallux valgus surgery: A technical variation on two-screw fixation and case series 第四代微创拇外翻手术：双螺钉固定的技术变异及病例分析

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-05-16 DOI: 10.1016/j.fastrc.2025.100504

Michael J. Radcliffe DPM, AACFAS , Ramez Sakkab DPM, AACFAS , Jeffrey E. McAlister DPM, FACFAS

{"title":"Fourth generation minimally invasive hallux valgus surgery: A technical variation on two-screw fixation and case series","authors":"Michael J. Radcliffe DPM, AACFAS , Ramez Sakkab DPM, AACFAS , Jeffrey E. McAlister DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100504","DOIUrl":"10.1016/j.fastrc.2025.100504","url":null,"abstract":"<div><div>Minimally invasive bunion surgery (MIBS) is an increasingly popular choice in the treatment of hallux valgus. While it is not a new concept, advancements in surgical technique and equipment have reinvigorated the excitement around the procedure. The fourth generation of MIBS traditionally consists of two screws oriented parallel in a transverse or horizontal relationship. The aim of this study is to describe a technical variation in MIBS screw orientation with a sagittal or vertical orientation and evaluate the potential benefits.</div><div>The authors performed MIBS on 50 feet across 48 patients according to the fourth generation technique with both standard horizontal screw orientation and a vertical screw orientation variation. Patient outcomes, VAS scores, radiographic foot widths, and complications were recorded and compared between the two groups.</div><div>Vertical screw orientation demonstrated similar results compared to horizontal screw orientation in all categories. Vertical screw orientation had the additional benefit of maintaining or decreasing the midshaft width. The authors believe fourth generation MIBS performed with a vertical screw orientation variant is a viable technique with additional benefits compared to traditional horizontal screw orientation, although further follow up studies are required.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100504"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139405","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

Treatment of adolescent talar osteochondral defect with a distal tibial metaphyseal autograft: A case study 胫骨远端干骺端自体移植物治疗青少年距骨软骨缺损一例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-05-13 DOI: 10.1016/j.fastrc.2025.100505

Hadiya Khan DPM , Lawrence Fallat DPM FACFAS

引用次数: 0

Use of custom 3D polyethylene-ether ketone ketone (PEKK) spacer in the treatment of Charcot neuroarthropathy: A case report 定制3D聚醚酮（PEKK）间隔剂治疗Charcot神经关节病1例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-05-13 DOI: 10.1016/j.fastrc.2025.100507

Payal Sethi DPM PGY , Lawrence M. Fallat DPM, FACFAS

{"title":"Use of custom 3D polyethylene-ether ketone ketone (PEKK) spacer in the treatment of Charcot neuroarthropathy: A case report","authors":"Payal Sethi DPM PGY , Lawrence M. Fallat DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100507","DOIUrl":"10.1016/j.fastrc.2025.100507","url":null,"abstract":"<div><div>Charcot neuroarthropathy poses a surgical challenge in individuals of all populations. We report a case of a 79-year-old male with Charcot neuroarthropathy and a painful rearfoot varus deformity of the left rearfoot and ankle, who underwent a novel reconstructive procedure. The patient had previously failed conservative treatment and deferred a below-knee amputation in favor of surgical correction. The surgical approach included left ankle arthrodesis, subtalar joint arthrodesis, talectomy, insertion of a tibiotalocalcaneal nail (TTC), and placement of a custom poly-ether-ketone-ketone (PEKK) spacer implant. The surgical approach aimed to stabilize the joint, restore length and alignment, and facilitate healing through autogenous bone grafting and advanced biological materials. No intraoperative or postoperative complications occurred, and postoperative plain film radiographs confirmed correct implant placement and improved rearfoot alignment. Three years postoperatively, the patient had no pain and was able to bear weight on his stable, plantigrade foot without difficulty. This case provides an insight of the applicability of multi-component surgical reconstruction in challenging Charcot deformities with bone loss and rearfoot involvement.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100507"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098663","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

Outcomes following use of large diameter antibiotic coated threaded rod for treatment of osteomyelitis 使用大直径抗生素涂层螺纹棒治疗骨髓炎的结果

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-05-12 DOI: 10.1016/j.fastrc.2025.100506

Melody John DPM , Henna Akbarzai DPM , Michael Subik DPM, FACFAS

{"title":"Outcomes following use of large diameter antibiotic coated threaded rod for treatment of osteomyelitis","authors":"Melody John DPM , Henna Akbarzai DPM , Michael Subik DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100506","DOIUrl":"10.1016/j.fastrc.2025.100506","url":null,"abstract":"<div><div>The treatment of large bony defects secondary to osteomyelitis in the lower extremity continues to be a challenge in reconstructive surgery. Surgical treatment for osteomyelitis in long bones commonly entails resection of the infected portion of bone, but this often leaves a large bony defect. Masquelet technique has been successfully used in the treatment of osteomyelitis through the concept of induced membrane and the use of antibiotic impregnated polymethylmethacrylate (PMMA) cement. This retrospective case study evaluates the clinical and radiographic outcomes of using a staged approach in the treatment of lower extremity osteomyelitis in 14 patients using an intramedullary antibiotic coated threaded rod. Measured outcomes include time to radiographic fusion (5.1 weeks), time to weight bearing (3.2 weeks), hardware removal (7.14 %), need for revision surgery (7.14 %), and complications (35.71 %). Our findings support the use of a staged approach using a large antibiotic rod prior to definitive fixation as a mode of successfully treating lower extremity osteomyelitis and aiding in joint fusion.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100506"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124242","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 and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis 动态加压髓内钉治疗后足和踝关节融合术的临床和生物力学分析

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-05-11 DOI: 10.1016/j.fastrc.2025.100502

Ryan Stone DPM, AACFAS , Trevor Page DPM , Thomas Chang DPM, FACFAS , Byron Hutchinson DPM, FACFAS

{"title":"Clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis","authors":"Ryan Stone DPM, AACFAS , Trevor Page DPM , Thomas Chang DPM, FACFAS , Byron Hutchinson DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100502","DOIUrl":"10.1016/j.fastrc.2025.100502","url":null,"abstract":"<div><div>Tibiotalocalcaneal (TTC) arthrodesis and tibiocalcaneal (TC) arthrodesis are salvage procedures indicated to maintain stability and ambulation in the setting of various debilitating lower extremity conditions. Intramedullary nail fixation has proven to be highly effective in achieving stable union when performing TTC and TC arthrodesis procedures. Newer generation intramedullary nail implants feature dynamic compression technology, offering continuous compression across the desired fusion interfaces. Although published data is scarce, emerging literature suggests use of dynamic compression implants may be favorable to static implants, particularly in patients with increased risk of non-union. The primary aim of this paper is to review clinically relevant mechanical testing data that outlines specific mechanical properties of a particular TTC implant (Phantom ActivCore). Specifically, we describe various properties of the implant through objective testing data and describe these findings in a clinically relevant format to provide surgeons with closer insight into dynamic compression technology. Secondarily, we feature three case examples in which this flex coil intramedullary nail was employed by the senior authors (BH &TC) to achieve functional TTC arthrodesis in salvage scenarios.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100502"},"PeriodicalIF":0.0,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935775","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

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