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

Three-dimensional navigation assisted pediatric foot and ankle surgery: Operative technique and safety profile 三维导航辅助小儿足踝手术：手术技术及安全性分析

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-02-21 DOI: 10.1016/j.fastrc.2025.100482

Ramez Sakkab DPM , Hafsah Dean DPM , Scott Shoemaker MD , Ryan O'Shea MD

{"title":"Three-dimensional navigation assisted pediatric foot and ankle surgery: Operative technique and safety profile","authors":"Ramez Sakkab DPM , Hafsah Dean DPM , Scott Shoemaker MD , Ryan O'Shea MD","doi":"10.1016/j.fastrc.2025.100482","DOIUrl":"10.1016/j.fastrc.2025.100482","url":null,"abstract":"<div><div>Computer-assisted surgery (CAS) is an innovative technology that provides surgeons with three-dimensional navigation (TDN) to optimize intraoperative visualization and guidance. Computer-assistance after intraoperative cone beam computed tomography is predominantly found in spinal surgery. The senior authors have applied the same principles and techniques to some lower extremity pathologies. The present study reviews lower extremity operative technique and safety profile with three-dimensional real-time navigation at a single institution. Technique for retrograde drilling of osteochondral lesions of the talus and pedal coalition resection(s) are presented. At our institution, thirty-five computer-assisted foot and ankle cases were identified from 2015 to 2022. Complications occurred in 8.6 % of cases (3/35). Over the past decade, the authors have employed a low dose protocol for intraoperative cone beam computed tomography. Doses from each tarsal coalition and talar osteochondral defect case were averaged, resulting in 1.48 and 1.14 milliGrays (mGy), respectively. Both surgeries demonstrate below 25 % of the annual background radiation dose (6.2 mGy). Further research is needed regarding three-dimensional navigation in foot and ankle surgery along with comparisons to radiation exposure via intraoperative fluoroscopy in similar cases.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100482"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892221","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

A novel treatment of talar neck fractures with significant bone voids using cervical spine allograft 颈椎异体移植治疗距颈骨折伴明显骨空洞的新方法

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-02-21 DOI: 10.1016/j.fastrc.2025.100485

Anthony Wing DO, Tung Dao DPM, Ryan Stone DPM, Daniel Degenova DO, Trent Davis DO, Benjamin Taylor MD

{"title":"A novel treatment of talar neck fractures with significant bone voids using cervical spine allograft","authors":"Anthony Wing DO, Tung Dao DPM, Ryan Stone DPM, Daniel Degenova DO, Trent Davis DO, Benjamin Taylor MD","doi":"10.1016/j.fastrc.2025.100485","DOIUrl":"10.1016/j.fastrc.2025.100485","url":null,"abstract":"<div><div>Talar neck fractures are rare and challenging injuries often associated with severe complications, including malunion, nonunion, and osteonecrosis. This case report highlights a novel surgical approach for managing a severely comminuted and displaced talar neck fracture with a substantial medial bone void using a tricorticocancellous cervical spine allograft. A 19-year-old male presented with a Hawkins IIA talar neck fracture, successfully treated through dual incision primary osteosynthesis, grafting, and stable internal fixation. Postoperative outcomes revealed radiographic union by four months, near-normal function at 17 months, and no evidence of avascular necrosis or malunion. This is the first reported case using a cervical spine allograft to address acute bone voids in talar neck fractures, demonstrating its viability as an alternative to autograft, with excellent functional and radiographic outcomes. The findings underscore the importance of innovative grafting techniques for managing complex talar injuries.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100485"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501800","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

Total ankle replacement conversion to Tibiotalocalcaneal Arthrodesis – Single lateral transfibular approach: Technical note 全踝关节置换术转化为胫距跟关节融合术-单外侧经腓骨入路：技术说明

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-02-21 DOI: 10.1016/j.fastrc.2025.100481

Raquel Lima Cunha MD , Alexandre Castro MD , António Madureira MD , António Miranda MD , Pedro Atilano Carvalho MD , João Teixeira MD

引用次数: 0

Accessory soleus muscle causing tarsal tunnel syndrome: A case report 副比目鱼肌引起跗骨隧道综合征1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-02-15 DOI: 10.1016/j.fastrc.2025.100479

Ali Dourra DPM , Lawrence Fallat DPM FACFAS

引用次数: 0

Diabetic foot osteomyelitis treated with Surgical adjuvant antibiotic loaded bio-composite materials—A comparative retrospective cohort Study 手术辅助抗生素负载生物复合材料治疗糖尿病足骨髓炎-一项比较回顾性队列研究

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-02-07 DOI: 10.1016/j.fastrc.2025.100478

James Craven FRCPodS, MSc , John Stephenson PhD , Ben J Yates FRCPodS, FACPS, MSc , Matthew Cichero FRCPodS, FACPS, MPod

{"title":"Diabetic foot osteomyelitis treated with Surgical adjuvant antibiotic loaded bio-composite materials—A comparative retrospective cohort Study","authors":"James Craven FRCPodS, MSc , John Stephenson PhD , Ben J Yates FRCPodS, FACPS, MSc , Matthew Cichero FRCPodS, FACPS, MPod","doi":"10.1016/j.fastrc.2025.100478","DOIUrl":"10.1016/j.fastrc.2025.100478","url":null,"abstract":"<div><div>Diabetic foot osteomyelitis (DFO) is a challenging component of the diabetic foot syndrome and the pathway to amputation. It is associated with high morbidity, increased hospitalisation, extended use of antibiotics, and is a significant economic burden to healthcare systems. Conventional treatment encompasses combined medical and surgical management including prolonged antibiotic therapy and radical debridement. The advent of antibiotic loaded bio-composite materials may improve cure rates while facilitating a more conservative surgical approach. The purpose of this study was to determine the efficacy of a range of antibiotic loaded bio-composite materials in the presence of DFO. A retrospective cohort study of 133 consecutive DFO cases was conducted over a 60-month period from May 2017 to May 2022 following local ethical approval. All cases were treated with judicious surgical debridement and either hydroxyapatite/calcium sulphate; calcium sulphate; or collagen antibiotic impregnated bio-composite material. The primary outcome measures were re-infection and re-operation rates within 12 months of surgery. 40/133 patients (30.1 %) developed a re-infection at the same location requiring further treatment. 39/133 patients (29.3 %) had revision surgery during the same period. Subgroup analysis comparing re-operation rates classified by specific antibiotic loaded bio-composite material revealed no significant association (<em>p</em> = 0.218). The effect of Diabetes Mellitus control and vascular status did not significantly affect this finding. Adjuvant antibiotic impregnated bio-composite material is a valuable tool in the therapeutic armamentarium against DFO. This material appears to promote a uniformly high rate of infectious clearance while facilitating functional limb salvage.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100478"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437462","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

Desmoplastic fibroblastoma: A case series 纤维母细胞瘤：一个病例系列

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-02-06 DOI: 10.1016/j.fastrc.2025.100473

Shuja Abbas MBS, DPM , Breana Marine DPM , Naomi Choi MBA, DPM , Ian Richter DPM, AACFAS , Arnold J. Zuckman DPM, FABFAS

引用次数: 0

MIS “DMO” - MISnomer and MISconception from MISunderstanding. MIS“DMO”-误称和误解。

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-02-05 DOI: 10.1016/j.fastrc.2025.100476

Bogdan Grecea DPM, AACFAS

引用次数: 0

Dual motorized hexapod singular external fixator frame construct for knee and ankle contracture deformities: A novel technique & case study 双机动六足单外固定架结构治疗膝关节和踝关节挛缩畸形：一种新技术&案例研究

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-02-01 DOI: 10.1016/j.fastrc.2025.100472

Garrett Wireman DPM, ATC , Thomas Poynter DPM , David Seligson MD , Nicholas Laco DPM

引用次数: 0

Interpositional arthroplasty of the fourth and fifth tarsometatarsal joint with an autologous gastrocnemius aponeurosis graft: A surgical technique guide and case series 自体腓肠肌腱膜移植物在第四和第五跗跖关节间置换术中的应用：手术技术指南和病例系列

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-27 DOI: 10.1016/j.fastrc.2025.100475

Madison Leyk DPM , Scott Jorgensen DPM, FACFAS , Kristen Brett DPM, AACFAS

{"title":"Interpositional arthroplasty of the fourth and fifth tarsometatarsal joint with an autologous gastrocnemius aponeurosis graft: A surgical technique guide and case series","authors":"Madison Leyk DPM , Scott Jorgensen DPM, FACFAS , Kristen Brett DPM, AACFAS","doi":"10.1016/j.fastrc.2025.100475","DOIUrl":"10.1016/j.fastrc.2025.100475","url":null,"abstract":"<div><div>Limited literature exists regarding the treatment for symptomatic osteoarthritis of the fourth and fifth tarsometatarsal joints. Reports regarding joint sparing procedures describe the use of interpositional autologous grafts from the peroneus brevis and peroneus tertius tendons, tendon allografts, and ceramic spherical implants, while arthrodesis remains cautiously reserved. This case study demonstrates an innovative surgical technique that displays the use of an autologous gastrocnemius aponeurosis graft between January 2016 and December 2020 for the treatment of symptomatic osteoarthritis of the fourth and fifth tarsometatarsal joint. Fifteen patients were included in the case study, no patients were lost to follow up. The average follow-up was 30 months with 40 % of patients returning greater than 3 years after their surgery date for unrelated complaints. The reported surgical technique can be performed as an isolated procedure; however, additional procedures can be performed as necessary depending on patient pathology. One postoperative complication was encountered secondary to non-compliance, but no patients required revision or re-operation. The surgical technique allows for preservation of adjacent normal anatomy without the use of a foreign body implant and provides a powerful advantage compared to other reported surgical techniques.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100475"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103305","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

Achilles hero or heel? A systematic review of popliteal nerve block for achilles repair 阿基里斯英雄还是跟腱？腘神经阻滞治疗跟腱修复的系统综述

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-27 DOI: 10.1016/j.fastrc.2025.100474

Connor T.A. Brenna MD , Shawn Khan MD MEng , Faraj W. Abdallah MD FRCPC , Richard Brull MD FRCPC

{"title":"Achilles hero or heel? A systematic review of popliteal nerve block for achilles repair","authors":"Connor T.A. Brenna MD , Shawn Khan MD MEng , Faraj W. Abdallah MD FRCPC , Richard Brull MD FRCPC","doi":"10.1016/j.fastrc.2025.100474","DOIUrl":"10.1016/j.fastrc.2025.100474","url":null,"abstract":"<div><div>Achilles tendon rupture is an exceptionally common injury, particularly among athletes. Popliteal nerve block is often performed for pain relief during surgical Achilles repair; however, the evidence basis demonstrating its analgesic effectiveness is uncertain. Popliteal nerve block faces an especially high burden of proof in this setting, because percutaneous Achilles repair and popliteal nerve block are each independently associated with a relatively high risk of iatrogenic nerve injury, which is potentially catastrophic for athletes competing at any level. Therefore, we undertook a systematic review of the literature to understand the evidence basis for popliteal nerve block compared to systemic multimodal analgesia for Achilles repair surgery. We followed a predefined protocol (CRD42024577995) and adhered to PRISMA reporting guidelines. However, our systematic review of the published literature identified zero randomized trials comparing popliteal nerve block to systemic analgesia for Achilles repair surgery, and only one small retrospective cohort study which failed to demonstrate a significant difference in patient outcomes after popliteal nerve block versus systemic analgesia alone. There is presently no high-quality evidence to support or refute the routine administration of a popliteal nerve block relative to systemic analgesia for Achilles repair surgery. Providers, patients, and payers alike must recognize this major gap in the literature. Future randomized controlled trials are required to validate the analgesic effectiveness and safety profile of popliteal nerve block compared to systemic analgesia for surgical Achilles repair.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100474"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387343","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