Foot & ankle surgery (New York, N.Y.)最新文献_第4页

Minimally invasive zadek osteotomy: A cadaveric study of structures at risk 微创zadek截骨术：一项危险结构的尸体研究

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-04 DOI: 10.1016/j.fastrc.2025.100491

Anthony Schwab DPM, MS , Corine L. Creech DPM, FACFAS

{"title":"Minimally invasive zadek osteotomy: A cadaveric study of structures at risk","authors":"Anthony Schwab DPM, MS , Corine L. Creech DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100491","DOIUrl":"10.1016/j.fastrc.2025.100491","url":null,"abstract":"<div><div>Minimally invasive surgery (MIS) has continued to expand with respect to applications throughout the forefoot and into the hindfoot. Our center has performed the minimally invasive Zadek osteotomy in ten fresh frozen cadaver limbs through a single percutaneous incision. Distances in millimeters (mm) were measured from the anterior and posterior arm of the osteotomy to identify nearby anatomical structures. We documented the position of the peroneal sheath and sural nerve relative to the lateral portal, and the position of the tibialis posterior tendon (TP), flexor digitorum longus tendon (FDL), posterior tibial artery (PTA), posterior tibial vein (PTV), and flexor hallucis longus (FHL). The average distance of the sural nerve and the peroneal sheath from the anterior and posterior aspect of the osteotomy about the lateral portal was 6.65, 11.21 and 21.84, 23.26 mm, respectively. No medial neurovascular or tendinous structure was damaged as a result of the osteotomy, and the closest medial structure at risk was the tibial nerve at an average of 24.51 mm from the anterior arm of the osteotomy and 18.21 mm from the posterior arm of the osteotomy. While several technique guides have been discussed, to our knowledge this is the first study looking into structures at risk for this specific procedure with previously established anatomic portals.</div><div>Level of clinical evidence: Level V Cadaveric Study</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100491"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636876","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

Revisional total ankle arthroplasty for a unique case of late periprosthetic joint infection 翻修全踝关节置换术治疗晚期假体周围关节感染一例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-02 DOI: 10.1016/j.fastrc.2025.100488

Yashkumar Bhalala DPM , Lawrence Fallat DPM FACFAS

引用次数: 0

Recalcitrant calcaneal intraosseous lipoma treated with a cadaveric femoral head allograft plug and internal fixation in a 22-year-old military veteran: A case report 顽固性跟骨内脂肪瘤22岁退伍军人用尸体同种异体股骨头内固定治疗1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-01 DOI: 10.1016/j.fastrc.2025.100469

Miranda G. Montion M.A. , Quinn Schroeder D.P.M. , Danielle Brewer D.P.M. , Rujul Patel B.S. , Maryam Ameen B.A. , Aneesha N. Usman M.S. , Kyle McKray Smith D.P.M.

{"title":"Recalcitrant calcaneal intraosseous lipoma treated with a cadaveric femoral head allograft plug and internal fixation in a 22-year-old military veteran: A case report","authors":"Miranda G. Montion M.A. , Quinn Schroeder D.P.M. , Danielle Brewer D.P.M. , Rujul Patel B.S. , Maryam Ameen B.A. , Aneesha N. Usman M.S. , Kyle McKray Smith D.P.M.","doi":"10.1016/j.fastrc.2025.100469","DOIUrl":"10.1016/j.fastrc.2025.100469","url":null,"abstract":"<div><h3>Introduction</h3><div>Intraosseous lipomas (IOL's) are rare benign tumors of mature adipose tissue within the bone, most commonly found in the calcaneus, femur, tibia, and humerus. These lesions are typically asymptomatic and often discovered incidentally in imaging studies. Calcaneal IOL's pose unique challenges due to their location and potential for significant structural compromise.</div></div><div><h3>Body</h3><div>Here we describe a young male with a recalcitrant calcaneal IOL's without remission of symptoms from previous treatments. Surgery consisted of aggressive lesion debridement with remodeling and interpositional packing of a cadaveric femoral head allograft and tibial autograft Additionally, the construct was secured with a lag screw and supported by an anatomic lateral wall plate. The patient at two years post-operation has returned to normal weight-bearing, comfortable ambulation, and increased quality of life working as a full-time mail carrier.</div></div><div><h3>Conclusion</h3><div>To the authors’ knowledge, this is the first report of an IOL's in the foot and ankle literature treated with a cadaveric femoral head allograft and internal fixation. Our approach underscores the efficacy of combining aggressive tumor resection with structural allografts and non-structural autografts protected with internal fixation, offering a promising alternative in managing benign calcaneal neoplasms refractory to conventional therapies.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100469"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510330","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

Intramedullary use of an antibiotic synthetic bone filler in diabetics undergoing metatarsal amputation(s) 抗生素合成骨填充物在糖尿病患者跖骨截肢术中的髓内应用

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-01 DOI: 10.1016/j.fastrc.2025.100484

Thomas Poynter DPM , Kaitlyn J. Loesel DPM , Michael Sweeney DPM , Alden Simmons DPM , Brandon Kitchens DPM , Timothy Ford DPM , Nicholas Laco DPM

引用次数: 0

About the Journal 关于华尔街日报

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-01 DOI: 10.1016/S2667-3967(25)00027-8

引用次数: 0

New Transveron™ osteotomy and single dual-zone screw fixation: Sixth generation minimally invasive bunion surgery 新Transveron™截骨和单双区螺钉固定：第六代微创拇外翻手术

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-01 DOI: 10.1016/j.fastrc.2025.100477

Neal M. Blitz DPM, FACFAS

引用次数: 0

Toppling the leaning tower theory in bunion correction 翻斜塔理论在拇外翻矫正中的应用

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-03-01 DOI: 10.1016/j.fastrc.2025.100483

Neal M. Blitz DPM, FACFAS

引用次数: 0

Cadaveric evaluation of first metatarsophalangeal joint preparation using a 2.0 mm MIS burr 用2.0 mm MIS毛刺对第一跖趾关节制备的尸体评价

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-02-28 DOI: 10.1016/j.fastrc.2025.100487

Steven R. Cooperman DPM, MBA, AACFAS , Lauren M. Christie DPM, AACFAS , Chad A. Smith DPM, AACFAS , Jacob M. Perkins DPM, AACFAS , Vincent G. Vacketta DPM, FACFAS , Roberto A. Brandão DPM, FACFAS

{"title":"Cadaveric evaluation of first metatarsophalangeal joint preparation using a 2.0 mm MIS burr","authors":"Steven R. Cooperman DPM, MBA, AACFAS , Lauren M. Christie DPM, AACFAS , Chad A. Smith DPM, AACFAS , Jacob M. Perkins DPM, AACFAS , Vincent G. Vacketta DPM, FACFAS , Roberto A. Brandão DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100487","DOIUrl":"10.1016/j.fastrc.2025.100487","url":null,"abstract":"<div><div>Minimally invasive techniques for foot and ankle procedures have gained popularity as an alternative to traditional open techniques, with proposed benefits including earlier weight-bearing, improved cosmesis, and decreased postoperative pain. The current study aimed to evaluate the efficacy of first metatarsophalangeal joint preparation using a minimally invasive burr while concurrently evaluating the risk of extensor hallucis longus tendon damage with this technique. Nine fresh, thawed cadaveric lower limbs were utilized for this investigation. A single, reproducible dorsomedial minimally invasive portal was created at the level of the first metatarsophalangeal joint, and a 2.0 mm burr was used to denude the cartilage for two minutes under fluoroscopic guidance. Digital calipers were used to measure the distance between the portal and the extensor hallucis longus tendon. The joints were then carefully disarticulated to evaluate the extent of cartilage debridement and surface area ratios were calculated. Results identified an average distance of 7.13 mm between the portal and the extensor tendon, with minor partial damage occurring to the tendon in 1/9 specimens. The proximal phalanx and metatarsal head ratios averaged 0.76 and 0.75, respectively, indicating approximately 76 % and 75 % of the respective joint surfaces were denuded. This study demonstrates comparable cartilage debridement to traditional open techniques based on historical data. Results of this study suggest that first metatarsophalangeal joint preparation can be effectively achieved with the use of a minimally invasive burr technique with fluoroscopic assistance, with a low risk of injury to the extensor hallucis longus tendon.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100487"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579970","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

Transverse bone transport for the treatment of dysvascular complex wounds of the foot: a case series 横骨运输治疗足部血管障碍复杂伤口：一个病例系列

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-02-28 DOI: 10.1016/j.fastrc.2025.100486

Lisa Grant-McDonald , Anna Hronek , Adrienne Estes

引用次数: 0

Stingray envenomation in the foot & its effects on wound healing: A case report 足部黄貂鱼中毒及其对伤口愈合的影响：1例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-02-25 DOI: 10.1016/j.fastrc.2025.100480

Teeya Raghunandan DPM, Rahman Majid DPM, Raymond Ferguson DPM, Ashley T. Russo DPM, April Bailey-Maletta DPM

引用次数: 0