Foot & ankle surgery (New York, N.Y.)最新文献_第8页

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

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