Foot & ankle surgery (New York, N.Y.)最新文献_第7页

Conservative management of a 63-year-old athlete with a full-thickness tear of the second metatarsophalangeal plantar plate: A case report with 48 months follow-up 63岁运动员第二跖趾跖板全层撕裂的保守治疗：1例随访48个月

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-25 DOI: 10.1016/j.fastrc.2024.100461

Jacek Cholewicki PhD , Michael P Swords DO , John M Popovich Jr. PhD, DPT, ATC , Ryan S Fajardo MD

{"title":"Conservative management of a 63-year-old athlete with a full-thickness tear of the second metatarsophalangeal plantar plate: A case report with 48 months follow-up","authors":"Jacek Cholewicki PhD , Michael P Swords DO , John M Popovich Jr. PhD, DPT, ATC , Ryan S Fajardo MD","doi":"10.1016/j.fastrc.2024.100461","DOIUrl":"10.1016/j.fastrc.2024.100461","url":null,"abstract":"<div><div>Plantar plate (PP) tears often necessitate surgical intervention to address concerns of progressive toe deformity and impaired function, particularly in the case of full-thickness PP tears or when conservative treatment fails. There is currently a lack of level 1 or 2 evidence regarding the efficacy of surgical versus non-surgical approaches to guide the management of plantar plate tears, especially for older individuals. This case presents a successful conservative management of a 63-year-old male recreational athlete/competitive skier with a full-thickness PP tear. The patient presented with a history of worsening pain around the left second metatarsophalangeal (MTP) joint, accompanied by a visible medial toe deviation and loss of toe purchase. Based on the history, physical exam, and MRI findings, the diagnosis of a subacute, full-thickness PP tear at the phalangeal attachment of the second MTP joint was made. During the surgical consultation, the patient was presented with both surgical and conservative treatment options and opted for conservative management. Conservative treatment consisted of avoiding activities requiring toe extension, carbon fiber insoles, a metatarsal pad, and sling taping of the toe for walking and other activities. He also performed daily toe plantarflexion stretches and used night splint taping with the second toe in 10-20 degrees of plantarflexion. At the 7-month follow-up, the patient was pain-free and had a notable reduction in toe deformity. The serial MRI findings revealed evolving scarring, with complete scar formation evident on the 19-month follow-up MRI. At the most recent follow-up, the patient remained physically active and pain-free 4 years after initiating treatment.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100461"},"PeriodicalIF":0.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103287","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}

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A rare case of fibroma of a tendon-sheath of the fourth toe: A case report 罕见的第四趾肌腱鞘纤维瘤1例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-24 DOI: 10.1016/j.fastrc.2024.100460

Thanh Thao Nguyen DPM, MPH , John M. Giurini DPM, FACFAS

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Pseudoaneurysm of the posterior tibial artery after posterior ankle arthroscopy 后踝关节镜术后胫骨后动脉假性动脉瘤

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-21 DOI: 10.1016/j.fastrc.2024.100458

Tobias Finck , Peter Savov , Sarah Ettinger , Matthias Lerch , Christina Stukenborg-Colsman , Jörn Tongers , Thomas Aper , Christian Plaass

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Podiatry hospitalists shaping the future of podiatric hospital care 足病医院医生塑造足病医院护理的未来

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-16 DOI: 10.1016/j.fastrc.2024.100456

Sara E. Lewis DPM, MHA

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The management of non-union following minimally invasive bunion surgery 微创拇囊炎手术后骨不连的处理

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-16 DOI: 10.1016/j.fastrc.2024.100455

Gil Genuth M.D. , Rachel Thompson B.A. , Amanda Zeng B.A. , Nick Cullen M.D. , Andrew Goldberg M.D. , A. Holly Johnson M.D.

{"title":"The management of non-union following minimally invasive bunion surgery","authors":"Gil Genuth M.D. , Rachel Thompson B.A. , Amanda Zeng B.A. , Nick Cullen M.D. , Andrew Goldberg M.D. , A. Holly Johnson M.D.","doi":"10.1016/j.fastrc.2024.100455","DOIUrl":"10.1016/j.fastrc.2024.100455","url":null,"abstract":"<div><div>As the use of minimally invasive surgery (MIS) becomes more prevalent for the correction of hallux valgus deformity, there is increased information on complications following the procedure, including non-union. However, there remains a gap in literature relating to the management of symptomatic non-union following MIS. This retrospective, multicenter study investigates the incidence, risk factors, and outcomes of symptomatic non-union following MIS bunion surgery. Among four orthopedic institutions, 17 cases of symptomatic non-union were identified after MIS bunion surgery between June 2018 and January 2024, representing an estimated prevalence rate of 0.3 %. Risk factors including smoking, Vitamin D deficiency, and comorbidities such as diabetes and Lyme disease were noted in some cases, although no obvious risk factors were found to contribute to the development of non-union after MIS bunion surgery performed using a distal metatarsal osteotomy and proximal phalanx osteotomy. Both open and MIS approaches were employed for revision surgeries, with 67 % performed as open surgeries. 14 of 17 (82 %) non-union cases achieved complete healing following revision surgery, with an average time to union of 11 weeks. This study highlights both open and MIS techniques as preliminary treatment protocols for symptomatic non-union following MIS bunion surgery, providing guidance for surgeons on how to manage this rare, but challenging, complication.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100455"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103308","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}

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Isolated proximal dislocation of fibular sesamoid of the great toe: A rare and overlooked pathology 孤立性大脚趾腓骨籽突近端脱位：一种罕见且被忽视的病理

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-05 DOI: 10.1016/j.fastrc.2024.100454

Antigoni Gkoudina , Konstantinos Makiev , Kosmas Petras , Michael Iosifidis , Efthymios Iliopoulos

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Minimally invasive treatment of Talar neck fractures using the calcaneal distractor - a technical note 跟骨牵开器微创治疗距骨颈骨折技术要点

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-03 DOI: 10.1016/j.fastrc.2024.100452

M. Katzensteiner , M. Bischofreiter , G. Schalamon , R. Ortmaier , Ch. Rodemund , G. Mattiassich

{"title":"Minimally invasive treatment of Talar neck fractures using the calcaneal distractor - a technical note","authors":"M. Katzensteiner , M. Bischofreiter , G. Schalamon , R. Ortmaier , Ch. Rodemund , G. Mattiassich","doi":"10.1016/j.fastrc.2024.100452","DOIUrl":"10.1016/j.fastrc.2024.100452","url":null,"abstract":"<div><div>Talar neck fractures, though rare, pose significant challenges in treatment due to their complex nature and potential for severe complications. Despite the fact that most of talar fractures are treated operatively, there is scarcity of clear recommendations concerning appropriate surgical technique and care. Historically, conservative management was favored, but open reduction and internal fixation (ORIF) have become the standard of care. However, merely restoring rotation, axis, and length is insufficient; restoring the articulating surface in an anatomical manner is essential for long-term joint health. Surgical access to the fracture site via anteromedial and anterolateral approaches provides visualization, but risks compromising the sensitive, partly retrograde blood supply to the talar body. While being biomechanically superior, screws inserted from a posterior to anterior direction pose challenges in soft tissue preservation and accurate placement. Despite widespread usage of this technique, postoperative outcomes remain suboptimal with considerable rates of malunion, osteonecrosis and osteoarthritis. An overlooked technique in the literature is the use of a distractor, commonly employed in minimally-invasive surgical calcaneal fracture treatment in order to maintain length, alignment and joint reposition during fixation. With the potential to reduce soft tissue damage and preserve the blood supply minimally invasive techniques present a promising advancement in fracture management of talar neck fractures.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100452"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103307","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}

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The complexities of self-harm in foot & ankle surgery 足踝手术中自我伤害的复杂性

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-01 DOI: 10.1016/j.fastrc.2024.100453

Preeti Kumrah DPM, MS , Niral A. Patel DPM, MS , Kayli Hurst DPM, MS , Patrick A. Deheer DPM

{"title":"The complexities of self-harm in foot & ankle surgery","authors":"Preeti Kumrah DPM, MS , Niral A. Patel DPM, MS , Kayli Hurst DPM, MS , Patrick A. Deheer DPM","doi":"10.1016/j.fastrc.2024.100453","DOIUrl":"10.1016/j.fastrc.2024.100453","url":null,"abstract":"<div><div>This paper delves into the complexities of self-harm within the context of foot and ankle surgery, an aspect often overlooked in the surgical realm. Mental health's impact on surgical outcomes, particularly in podiatric surgery, is explored, emphasizing the need for routine pre-operative mental health assessments. The prevalence of mental health disorders in patients with musculoskeletal conditions, their influence on pain perception, and the interplay with immune system dysregulation are discussed. Recognizing the intricacies of self-harm, the paper provides guidelines for practitioners to navigate these conditions, including the importance of compassionate responses, motivational interviewing techniques, and specialized psychiatric referrals. Screening tools for anxiety are outlined, and considerations for wound management in cases of self-inflicted injuries are detailed. The paper highlights the effects of self-harm on surgical outcomes, including complications, prolonged recovery, and challenges in post-operative care adherence. Treatment recommendations encompass preoperative screening, patient education, anxiety-reduction techniques, medication management, and a multidisciplinary approach involving mental health professionals. The conclusion advocates for a collaborative care model between podiatric surgeons and mental health professionals, emphasizing the significance of preoperative psychological evaluations in optimizing surgical outcomes and providing holistic podiatric care. The paper also identifies areas for future research, including the direct impacts of self-harm on postoperative outcomes and wound healing, and the need for further assessment in podiatric procedures.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100453"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143164172","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}

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About the Journal 关于华尔街日报

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-12-01 DOI: 10.1016/S2667-3967(24)00087-9

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Calcaneal osteomyelitis with Pseudomonas aeruginosa infection treated by Masquelet technique combined with vascularized free fibula flap: Two case reports Masquelet技术联合带血管的游离腓骨瓣治疗铜绿假单胞菌感染的跟骨髓炎2例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2024-11-30 DOI: 10.1016/j.fastrc.2024.100446

Goki Ohashi M.D. , Takashi Nuri M.D. Ph.D. , Akinori Asaka M.D. , Shunji Miyamae M.D. , Koichi Ueda M.D. Ph.D. , Hiroaki Shima M.D. Ph.D. , Emi Yasuda M.D. Ph.D.

{"title":"Calcaneal osteomyelitis with Pseudomonas aeruginosa infection treated by Masquelet technique combined with vascularized free fibula flap: Two case reports","authors":"Goki Ohashi M.D. , Takashi Nuri M.D. Ph.D. , Akinori Asaka M.D. , Shunji Miyamae M.D. , Koichi Ueda M.D. Ph.D. , Hiroaki Shima M.D. Ph.D. , Emi Yasuda M.D. Ph.D.","doi":"10.1016/j.fastrc.2024.100446","DOIUrl":"10.1016/j.fastrc.2024.100446","url":null,"abstract":"<div><div>The treatment of calcaneal osteomyelitis is challenging, and no effective treatment has been confirmed. In particular, <em>Pseudomonas aeruginosa</em> is resistant to many treatments and is associated with a high risk of amputation. The induced membrane technique has recently shown efficacy in treating osteomyelitis. In this paper, we present two cases of calcaneal osteomyelitis with <em>Pseudomonas aeruginosa</em> infection treated by the Masquelet technique combined with a fibular free flap. Case 1 involved a 25-year-old woman who developed calcaneal osteomyelitis following a calcaneal open fracture. Case 2 involved a 46-year-old man with paraplegia who developed calcaneal osteomyelitis secondary to a chronic skin ulcer. In the first stage of surgery, the necrotic bone and soft tissue were debrided, and a polymethylmethacrylate cement spacer was implanted into the bone defect. In the second stage of surgery, a free fibula flap was transplanted to the bone defect, and the peroneal artery and vein were anastomosed to the dorsal artery and saphenous vein. In Cases 1 and 2, the C-reactive protein concentration had decreased to normal by 21 and 36 days after surgery, respectively. Both patients showed no recurrence of osteomyelitis for >3 years of follow-up. The Masquelet technique involves the use of an induced membrane with neovascularization around the cement spacer. Drug delivery to the calcaneal region is considered to increase through this membrane, contributing to the suppression of <em>Pseudomonas aeruginosa</em>. The blood circulation in the free fibular flap is stable, contributing to wound healing.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100446"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098635","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}

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