Foot & ankle surgery (New York, N.Y.)最新文献_第5页

A novel technique for surgical treatment of diabetic calcaneal osteomyelitis: Trabecular calcaneal instillation technique 手术治疗糖尿病跟骨髓炎的新技术：跟骨小梁灌注技术

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-05 DOI: 10.1016/j.fastrc.2025.100517

Alper Erkin , Hande Cengiz Açıl , Taner Demirci , Dilek Aygin , Thomas Eberlein

{"title":"A novel technique for surgical treatment of diabetic calcaneal osteomyelitis: Trabecular calcaneal instillation technique","authors":"Alper Erkin , Hande Cengiz Açıl , Taner Demirci , Dilek Aygin , Thomas Eberlein","doi":"10.1016/j.fastrc.2025.100517","DOIUrl":"10.1016/j.fastrc.2025.100517","url":null,"abstract":"<div><div>Negative Pressure Wound Therapy with instillation (NPWTi) is widely used for managing various wound types, including acute and chronic infections, soft tissue injuries and surgical wounds. However, there is a lack of large-scale, controlled studies specifically assessing the efficacy and safety of NPWTi in diabetic calcaneal osteomyelitis. This study aims to evaluate the effectiveness of the Trabecular Calcaneal Instillation technique, a novel surgical approach utilizing NPWTi for the management of diabetic calcaneal osteomyelitis. We implemented the Trabecular Calcaneal Instillation technique, which involves creating deep tubular cavities within the calcaneus and applying NPWTi. This approach was assessed in a cohort of 15 patients with diabetic calcaneal osteomyelitis. Key outcomes measured included wound healing rates, patient comfort and incidence of amputation. Preliminary findings indicate that the Trabecular Calcaneal Instillation technique significantly improved wound healing rates and patient comfort compared to traditional methods. It further allowed for the avoidance of amputation in 13 patients. The Trabecular Calcaneal Instillation technique shows advantages over traditional treatments for diabetic calcaneal osteomyelitis. Further research is necessary to confirm these findings and establish the technique's efficacy and safety in broader clinical practice.</div></div><div><h3>Level of evidence</h3><div>Level 4</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100517"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665800","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

Tibial cortex transverse transport: Historical evolution, clinical applications, and future directions 胫骨皮质横向转运：历史演变、临床应用及未来方向

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-02 DOI: 10.1016/j.fastrc.2025.100513

Quinn M. Schroeder DPM, AACFAS , Dalon U. Paredes DPM , Miranda Montion BS, MA , Elizabeth R. Powell BS , Dakota R.C. Topp BS , Gan Golshteyn MS, DPM, FACFAS , Emmy Oji DPM, FACFAS , Khase A. Wilkinson DPM, FACFAS , David V. Tran DPM, FACFAS , Kyle M. Smith DPM, FACFAS

{"title":"Tibial cortex transverse transport: Historical evolution, clinical applications, and future directions","authors":"Quinn M. Schroeder DPM, AACFAS , Dalon U. Paredes DPM , Miranda Montion BS, MA , Elizabeth R. Powell BS , Dakota R.C. Topp BS , Gan Golshteyn MS, DPM, FACFAS , Emmy Oji DPM, FACFAS , Khase A. Wilkinson DPM, FACFAS , David V. Tran DPM, FACFAS , Kyle M. Smith DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100513","DOIUrl":"10.1016/j.fastrc.2025.100513","url":null,"abstract":"<div><div>Diabetic foot ulcers are among the most severe complications of diabetes mellitus, often leading to high morbidity, major amputations, and premature mortality. Despite advancements in wound care and limb salvage techniques, treatment failures remain prevalent. Tibial cortex transverse transport (TCT), leveraging principles of distraction osteogenesis, offers a unique approach by directly stimulating microvascular perfusion and tissue regeneration in ischemic limbs, addressing limitations of conventional therapies. Despite its potential and documented use elsewhere, TCT remains underutilized and less studied within Western healthcare systems, representing a significant knowledge gap. This paper provides a comprehensive review of the historical evolution of tibial cortex transverse transport, its underlying biomechanics, surgical methodology, and clinical applications. By tracing the origins of this procedure, detailing its mechanism of action, and discussing modern adaptations and future utilities, we aim to provide a foundation for wide adoption and refinement of this technique, particularly in Western medicine.</div><div>Level of clinical evidence: V</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100513"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270814","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

Defining the topography of the common peroneal nerve and surgical approaches for nerve transfers and neurolysis 确定腓总神经的地形和神经转移和神经松解术的手术入路

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-01 DOI: 10.1016/j.fastrc.2025.100503

Edgardo Rodriguez-Collazo DPM , Alieu Kanu DPM , Sitong Chen DPM

{"title":"Defining the topography of the common peroneal nerve and surgical approaches for nerve transfers and neurolysis","authors":"Edgardo Rodriguez-Collazo DPM , Alieu Kanu DPM , Sitong Chen DPM","doi":"10.1016/j.fastrc.2025.100503","DOIUrl":"10.1016/j.fastrc.2025.100503","url":null,"abstract":"<div><div>As one of the most common mononeuropathy in the lower extremity, common peroneal nerve neuropathy requires concise and complete understanding by any specialist of the lower extremity. The causes of common peroneal nerve injuries vary including trauma, iatrogenic injury and chronic compression or traction but can have debilitating effects. Conservative treatment for motor symptoms can include bracing and orthotics whereas neuropathic pain is often managed with analgesics such as narcotics. Surgical intervention is recommended if no improvements are noted after 4 months. Common entrapment sites for the common peroneal nerve have not been well described in the literature. This article discusses the topography of the common peroneal nerve and its branches, sites of entrapment, appropriate diagnosis, and surgical approaches for treatment of common peroneal nerve pathologies. Defining the topography of the common peroneal nerve allows for precise anatomical identification and improved surgical techniques for treatment. Studies have shown that patients with significant injuries can suffer from socioeconomic debilitation and narcotic abuse. Therefore, this precise anatomic identification is of utmost importance for reproducible, and effective surgical techniques when addressing these issues as symptoms can persist if an inadequate intervention is performed.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100503"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196367","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

About the Journal 关于华尔街日报

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-01 DOI: 10.1016/S2667-3967(25)00053-9

引用次数: 0

Staple fixation for first metatarsophalangeal joint fusion: A case series with surgical and clinical outcomes 第一跖趾关节融合术的钉钉固定：一个手术和临床结果的病例系列

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-05-31 DOI: 10.1016/j.fastrc.2025.100515

Adam Ferguson DPM, Makenzie Kerns DPM, Matthew Gorski DPM, AACFAS

引用次数: 0

Gutter impingement following total ankle arthroplasty: A systematic review of management and surgical approaches, 全踝关节置换术后沟撞击：治疗和手术方法的系统回顾

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-05-31 DOI: 10.1016/j.fastrc.2025.100508

Karissa Badillo , Julia Tolin , Jarrett D. Cain , Jeffrey Manway

{"title":"Gutter impingement following total ankle arthroplasty: A systematic review of management and surgical approaches,","authors":"Karissa Badillo , Julia Tolin , Jarrett D. Cain , Jeffrey Manway","doi":"10.1016/j.fastrc.2025.100508","DOIUrl":"10.1016/j.fastrc.2025.100508","url":null,"abstract":"<div><div>Total ankle arthroplasty (TAA) has become an increasingly common surgical option for patients with end stage ankle arthritis. Gutter impingement is a common yet largely underreported complication following total ankle arthroplasty (TAA). As the use of TAA exponentially increases, an understanding of how to both recognize and manage gutter impingement is vital to the optimization of post-operative care. Narrowing of the medial and lateral ankle gutters can arise from a variety of causes, including implant malalignment, scar tissue formation and hypertrophic bone formation, ultimately leading to residual pain following surgery. The incidence of this pathology and its respective management varies greatly within the available literature. The purpose of this study is to review the incidence, treatment approaches and outcomes of gutter impingement following TAA. Eight studies were analyzed which included 1456 patients, of which 130 were treated for gutter impingement at an average of 18 months following index TAA. The mean age of patients across all studies was 62.9 years, with an average follow up period of 40.6 ± 23.1 months. Open debridement was noted to be the most common surgical approach (50.8 %) followed by arthroscopic debridement (37.7 %). Conservative treatment was only used in 9.2 % of cases. This review demonstrates the underreporting of gutter impingement following total ankle arthroplasty and highlights the of lack of standardized treatment. Future prospective studies are warranted in efforts to optimize patient outcomes in the management of gutter impingement.</div></div><div><h3>Level of Evidence</h3><div>Level III Systematic Review</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100508"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860728","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

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