Foot & ankle surgery (New York, N.Y.)最新文献_第6页

Dorsal dislocation of the first metatarsophalangeal joint with first metatarsal fracture: A case report 第一跖趾关节背侧脱位伴第一跖骨骨折1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-21 DOI: 10.1016/j.fastrc.2025.100471

Ronald G. Ray DPM, FACFAS, WCC, PT

引用次数: 0

Adenocarcinoma of the lung with metastasis to the foot: A case report 肺腺癌伴足部转移1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-14 DOI: 10.1016/j.fastrc.2025.100468

Juan T. Ceja-Solorio DPM , Christopher Sullivan DPM , Ashley Ward MD , John M. Giurini DPM (Chief Division of Podiatric Surgery)

引用次数: 0

MRI findings one year post-radio frequency ablation for chronic Achilles tendonosis: A case report 慢性跟腱病射频消融术后一年的MRI表现：1例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-09 DOI: 10.1016/j.fastrc.2024.100463

Claudia Radek-Ziffra DPM , Howard A. Stone DPM, FACFAS

{"title":"MRI findings one year post-radio frequency ablation for chronic Achilles tendonosis: A case report","authors":"Claudia Radek-Ziffra DPM , Howard A. Stone DPM, FACFAS","doi":"10.1016/j.fastrc.2024.100463","DOIUrl":"10.1016/j.fastrc.2024.100463","url":null,"abstract":"<div><div>Achilles tendinosis has numerous possible etiologies including overuse, decreased tendon blood supply and tensile strength due to aging, muscle imbalance or weakness, and excessive pronation of the foot. The pathology of tendonosis is not completely understood yet there are many theories described throughout literature. If conservative therapy fails, surgical intervention is indicated<strong>.</strong> Open surgical debridement of the damaged areas of the Achilles tendon with or without tissue graft and tendon transfers has been the standard of care for many years. Within several studies, there has been reported TOPAZ radiofrequency ablation as a successful and effective method for the treatment of chronic Achilles tendinopathy similar to its use for plantar fasciitis in the lower extremity. This case study focuses on the comparing MRI findings of the Achilles tendon prior to radiofrequency ablation versus 13 months postoperatively. A VAS analog pain score was used pre-operatively and post-operatively for an accurate measurement of pain reduction. The objective measurement of pain was based on pain on palpation along the watershed area of the Achilles tendon on physical examination as well as return to daily life activities. Utilizing this treatment modality described below, no signal intensity changes were not present on follow up MRI within the Achilles tendon. Following surgery, there was reduced thickening of the Achilles tendon at the watershed area on physical exam. The patients pre-operative pain symptoms completely resolved. TOPAZ radiofrequency ablation is an effective method for the treatment of Achilles tendonosis and should be considered prior to performing a more invasive surgical procedure.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100463"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103291","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

Novel advanced imaging method to differentiate acute osteomyelitis from acute charcot neuroarthropathy in presence of chronic ulcer: A case report 一种新的先进的影像学方法来鉴别急性骨髓炎和慢性溃疡的急性神经关节病：1例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-08 DOI: 10.1016/j.fastrc.2025.100467

Woo Y. Chun D.P.M , April Wong D.P.M , Lee tiberi D.P.M , Alexander Trottier D.P.M , Don C. Yoo M.D , Glod Douglas D.P.M

{"title":"Novel advanced imaging method to differentiate acute osteomyelitis from acute charcot neuroarthropathy in presence of chronic ulcer: A case report","authors":"Woo Y. Chun D.P.M , April Wong D.P.M , Lee tiberi D.P.M , Alexander Trottier D.P.M , Don C. Yoo M.D , Glod Douglas D.P.M","doi":"10.1016/j.fastrc.2025.100467","DOIUrl":"10.1016/j.fastrc.2025.100467","url":null,"abstract":"<div><div>Charcot neuroarthropathy is a degenerative disorder that compromises the structural integrity of bones and joints in neuropathic limbs, particularly affecting the foot. Patients often have concomitant ulcers making it difficult to distinguish acute charcot neuroarthropathy from underlying acute osteomyelitis (OM). This case report details a 52-year-old patient who presented to clinic with charcot neuroarthropathy with chronic ulcer. Our team utilized a sequence of 3 phases of bone scan — Technetium-99 m methyl diphosphonate (Tc-99 m MDP), Technetium-99 m sulfur colloid (Tc-99 m SC), and Indium-111 white blood cell (WBC) imaging — combined with single-photon emission computed tomography scan with a computed tomography (SPECT-CT) to delineate acute Charcot changes from acute osteomyelitis (OM). Imaging revealed soft tissue infection in the left plantar midfoot without evidence of osteomyelitis (OM), allowing patient to undergo successful staged reconstructive surgery with combination hindfoot and midfoot arthrodesis with subsequent external fixator application. This innovative imaging approach enhances the ability to differentiate acute osteomyelitis (OM) from acute charcot neuroarthropathy in presence of ulcer, guiding surgical planning prior to reconstruction.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100467"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143164171","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

Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guide 骨折失败后同种异体肌腱解剖重建踝关节外侧。病例系列及手术技术指南

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-08 DOI: 10.1016/j.fastrc.2025.100466

Madison Leyk DPM (Chief Resident) , Scott Jorgensen DPM, FACFAS (Attending Physician) , Kristen Brett DPM, AACFAS (Attending Physician)

{"title":"Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guide","authors":"Madison Leyk DPM (Chief Resident) , Scott Jorgensen DPM, FACFAS (Attending Physician) , Kristen Brett DPM, AACFAS (Attending Physician)","doi":"10.1016/j.fastrc.2025.100466","DOIUrl":"10.1016/j.fastrc.2025.100466","url":null,"abstract":"<div><div>The current literature offers reconstruction options after a failed Brostrom-Gould but fails to demonstrate a durable option with multiple points of fixation in more than one anatomic plane without compromising adjacent soft tissue. This new and innovative surgical technique guide displays the use of semitendinosus tendon allograft in 22 ankles between January 2016 and December 2020 for treatment of recurrent lateral ankle instability after Brostrom-Gould failure. The average follow up time was 30 months and three patients were lost to follow up. Patients returned to regular shoe gear on average by 11 weeks. Three postoperative complications required return to the operating room for incision dehiscence or revision reconstruction. Eleven patients required advanced imaging postoperatively due to a new injury and only one patient compromised their reconstruction. In conclusion, our results demonstrate a new, reproducible lateral ankle ligament reconstruction technique that has been able to withstand repeat inversion.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100466"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103288","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

A transligamentous approach for lateral osteochondral defect: A case report 横纹肌入路治疗外侧骨软骨缺损1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-06 DOI: 10.1016/j.fastrc.2024.100464

Gregory Rose DPM MPH , Gabrielle Uptegraph DPM , Anthony Schwab DPM MS , Rebecca Varney DPM , Corine Creech DPM FACFAS

{"title":"A transligamentous approach for lateral osteochondral defect: A case report","authors":"Gregory Rose DPM MPH , Gabrielle Uptegraph DPM , Anthony Schwab DPM MS , Rebecca Varney DPM , Corine Creech DPM FACFAS","doi":"10.1016/j.fastrc.2024.100464","DOIUrl":"10.1016/j.fastrc.2024.100464","url":null,"abstract":"<div><div>Osteochondral defects of the talus are insidious yet common post operative sequela of ankle trauma. Nondisplaced osteochondral lesions are first treated conservatively. If this option fails, surgical intervention is often warranted. In larger lesions, uncontained shoulder lesions, or lesions that have failed arthroscopic intervention, an open enbloc osteochondral bone graft treatment may be indicated. Conventional anterior and medial malleolar osteotomy approaches do not allow access to the posterolateral talus for bulk allograft procedures. This case report provides the first known in vivo description of a transligamentous approach for lesions of the lateral and posterolateral talar dome. A 31-year-old male presented to our institution with a sizable osteochondral fracture along the mid to posterolateral margin of the talar dome. A single incision, lateral transligamentous approach was utilized to visualize the lesion which was resected in its entirety with a sagittal saw. A size matched fresh talar allograft was then cut with a sagittal saw to obtain a size matched bony allograft. This was then press fit into the defect within the patient's talar dome and fixed with a partially threaded, headless 3.0 screw buried deep to the cartilage. The patient remained non weight bearing for 12 weeks followed by protected weightbearing in a removal cast boot for 2 weeks and then full weight bearing in a shoe at 14 weeks post op. At final follow up 15 months post-operative the patient remained pain free. Final radiographs reveal a well incorporated bulk talar allograft with physical exam demonstrating a stable ligamentous complex and full range of tibiotalar motion without pain.</div></div><div><h3>Level of clinical evidence</h3><div>IV-Case Report</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100464"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103289","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

Innovative management of hypertrophic tibia and fibula nonunions: Outcomes of custom 3D-printed implants 增生性胫骨和腓骨不连的创新管理：定制3d打印植入物的结果

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-01 DOI: 10.1016/j.fastrc.2024.100462

Besim Becoja DPM , Lawrence M. Fallat DPM, FACFAS

{"title":"Innovative management of hypertrophic tibia and fibula nonunions: Outcomes of custom 3D-printed implants","authors":"Besim Becoja DPM , Lawrence M. Fallat DPM, FACFAS","doi":"10.1016/j.fastrc.2024.100462","DOIUrl":"10.1016/j.fastrc.2024.100462","url":null,"abstract":"<div><div>The presentation of a hypertrophic nonunion of the ankle after repeated failed surgeries presents a unique set of challenges that necessitate extensive surgical planning and preparation. Three-dimensional (3D) printing technology enables the creation of patient-specific surgical implants, offering tailored solutions for complex cases such as hypertrophic nonunion following repeated surgical failures. We present two cases that used customized 3D implantation devices to treat hypertrophic nonunion after a history of repeated failed surgical interventions. One patient underwent surgical correction of the distal tibial metaphysis nonunion and another patient underwent surgical correction of a distal fibula nonunion. After 3 years of follow-up, both patients demonstrated radiographic evidence of complete bone union, an 90 % reduction in pain Visual Analog Scale (VAS), restoration of functional mobility, 85 % improvement of AOFAS Ankle-Hindfoot scale, and corrected anatomic limb alignment. The use of patient-specific 3D implant devices in the case of hypertrophic nonunion is a successful integration of innovative technology in medicine. The technology of customizable implantation devices is a valuable tool in the surgical treatment of pathologies of the foot and ankle.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100462"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143164169","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

Outcomes of surgical management of hallux abductovalgus with concomitant metatarsus adductus deformity: A systematic review 拇外翻合并跖内收畸形的手术治疗结果：系统回顾

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-01 DOI: 10.1016/j.fastrc.2024.100465

Joseph R. Brown DPM (Chief Resident Physician) , Nevin Joseph DPM (Resident Physician) , Bryan R. Blacka BS (Medical Student) , Ian Barron DPM, FACFAS (Assistant Professor)

{"title":"Outcomes of surgical management of hallux abductovalgus with concomitant metatarsus adductus deformity: A systematic review","authors":"Joseph R. Brown DPM (Chief Resident Physician) , Nevin Joseph DPM (Resident Physician) , Bryan R. Blacka BS (Medical Student) , Ian Barron DPM, FACFAS (Assistant Professor)","doi":"10.1016/j.fastrc.2024.100465","DOIUrl":"10.1016/j.fastrc.2024.100465","url":null,"abstract":"<div><div>Metatarsus adductus (MA) deformity adds to the complexity of hallux abductovalgus (HAV) correction. Scant literature exists on the outcomes of HAV correction with concomitant MA. The purpose of this study was to evaluate the literature on the outcomes, complications, and treatment strategies of HAV with concomitant MA deformity. A comprehensive systematic review was performed. Mean radiographic outcomes, patient reported outcome measure scores, and complication rates were calculated. A total of 279 articles were initially identified. 8 articles met the inclusion criteria, for a total of 237 feet. Procedures undertaken exhibited substantial heterogeneity across studies, revealing the lack of a standardized surgical approach. Studies were divided into two separate groups based on procedural selection: A) Isolated 1st ray procedures; B) Combined 1st and lesser ray procedures. The intermetatarsal, hallux valgus, and metatarsus adductus angles were all significantly improved. There was no significant difference in final radiographic angles between the two groups. Recurrence occurred in 12.2 % of patients, necessitating revision in 1.7 %. The total complication rate was 7.2 %, with nonunion as the primary complication at 1.7 %. The overall mean AOFAS score improved from 53.4 preoperatively to 88.8 postoperatively (<em>p</em> < 0.00001). The overall mean postoperative VAS score was 1.4. There was no significant difference in complication rates or AOFAS scores between the groups. No “gold standard” treatment exists for surgical management of HAV with MA. However, favorable functional outcomes with a low reoperation rate can be expected with a combination of arthrodesis and osteotomy procedures.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100465"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143164170","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

Calcaneal tuberosity avulsion fractures: A systematic review & meta-analysis of fixation methods 跟骨结节撕脱骨折：固定方法的系统回顾和荟萃分析

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-29 DOI: 10.1016/j.fastrc.2024.100459

Karissa Badillo DPM , Emily Zink DPM , Jeffrey Manway DPM, FACFAS

引用次数: 0

Letter to the editor regarding “Periarticular open wedge osteotomy for severe valgus deformity and associated rearfoot talar coalitions” 致编辑关于“关节周围开楔截骨术治疗严重外翻畸形及相关的后脚距骨联合”的信

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-26 DOI: 10.1016/j.fastrc.2024.100457

Balachandar Gopalan DNB Orth, ChM Tr & Orth (Consultant Orthopaedic Surgeon)

引用次数: 0