Foot & ankle surgery (New York, N.Y.)最新文献_第9页

The role of intrinsic muscle flaps in the treatment of calcaneal osteomyelitis associated with heel ulceration in high-risk patients: proximally based abductor hallucis and abductor digiti minimi muscle flaps: Case report and a systematic review 内在肌瓣在治疗高危患者与跟跟溃疡相关的跟骨髓炎中的作用：近端外展幻肌和外展小指肌瓣：病例报告和系统回顾

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-06-18 DOI: 10.1016/j.fastrc.2025.100534

Efthymios Gkotsoulias DPM, FACFAS , David Kuten MD, FACC

{"title":"The role of intrinsic muscle flaps in the treatment of calcaneal osteomyelitis associated with heel ulceration in high-risk patients: proximally based abductor hallucis and abductor digiti minimi muscle flaps: Case report and a systematic review","authors":"Efthymios Gkotsoulias DPM, FACFAS , David Kuten MD, FACC","doi":"10.1016/j.fastrc.2025.100534","DOIUrl":"10.1016/j.fastrc.2025.100534","url":null,"abstract":"<div><div>The purpose of this study is to demonstrate the use of the abductor hallucis and abductor digiti minimi muscle flaps in high-risk patients with diabetes and peripheral vascular disease for limb salvage involving extensive nonhealing ulcerations of the heel with concomitant osteomyelitis. The second objective is to assess the outcomes and safety of these intrinsic muscles in the surgical reconstruction of foot and ankle wounds. The two patients in this study exemplify the use of intrinsic muscle flaps as a last resort for complex foot pathology. A systematic literature review was conducted using several databases and search engines. A total of twenty-six studies met the inclusion criteria and were used for data extraction. One hundred fifty-two patients, with a total of one hundred fifty-three limbs treated, underwent either abductor hallucis or abductor digiti minimi intrinsic muscle flap for coverage of various foot and ankle pathology. Successful wound healing occurred in all patients, attesting to procedural efficacy and reliability. A major complication occurred in one patient (0.6 %), experiencing complete loss of the flap that was successfully managed with a local fasciocutaneous flap. Despite existing evidence, larger comparative studies are needed to investigate the efficacy of abductor hallucis and abductor digiti minimi muscle flaps in foot and ankle reconstruction.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100534"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514012","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

Can AI outperform professional writers in summarizing foot and ankle literature? 人工智能在总结足部和脚踝文献方面能胜过专业作家吗？

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-06-06 DOI: 10.1016/j.fastrc.2025.100522

Seth L. Warren DPM , Steven R. Cooperman DPM, MBA, AACFAS

{"title":"Can AI outperform professional writers in summarizing foot and ankle literature?","authors":"Seth L. Warren DPM , Steven R. Cooperman DPM, MBA, AACFAS","doi":"10.1016/j.fastrc.2025.100522","DOIUrl":"10.1016/j.fastrc.2025.100522","url":null,"abstract":"<div><div>This study evaluates the performance of an advanced large language model in summarizing scientific literature within the specialized field of foot and ankle surgery. Building upon prior work that demonstrated ChatGPT-3.5′s comparability to podiatric residents, this investigation compares ChatGPT-4.5 directly against paid, professionally written summaries sourced from Foot and Ankle Quarterly. Ten original research articles were summarized by ChatGPT-4.5 and matched with corresponding professionally written summaries. Quantitative analysis using BLEU and ROUGE metrics assessed textual similarity, while Flesch Reading Ease and Flesch-Kincaid Grade Level scores evaluated readability. A qualitative preference survey was conducted among three blinded, fellowship-trained foot and ankle surgeons. Results showed that AI-generated summaries were preferred in 73.33 % of comparisons and demonstrated no factual inaccuracies. Although professionally written summaries were quantitatively more readable, AI-generated summaries maintained higher consistency in language complexity. ROUGE scores suggested substantial content overlap between AI-generated and reference summaries, whereas BLEU scores reflected differences, which may be attributable to shorter AI summary lengths. These findings suggest ChatGPT-4.5 can reliably and efficiently produce accurate, high-quality summaries, potentially surpassing paid academic writers in certain domains. Broader implications include improved efficiency in academic research and literature review. Continued investigation and oversight are necessary to guide the responsible integration of AI tools into clinical and scholarly workflows.</div></div><div><h3>Level of evidence</h3><div>III, comparative study</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100522"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321833","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

Transverse tibial bone transport for treatment of calcaneal osteomyelitis: a case report 胫骨横骨转运治疗跟骨骨髓炎1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-09-01 Epub Date: 2025-07-02 DOI: 10.1016/j.fastrc.2025.100537

Ryan Stone DPM, FACFAS , Mikhail Samchukov MD , Byron Hutchison DPM, FACFAS

引用次数: 0

From theory to practice: Integrating AI dictation 从理论到实践：整合人工智能听写

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-01 Epub Date: 2025-03-25 DOI: 10.1016/j.fastrc.2025.100497

Steven R. Cooperman DPM, MBA, AACFAS

引用次数: 0

Clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis 动态加压髓内钉治疗后足和踝关节融合术的临床和生物力学分析

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-01 Epub Date: 2025-05-11 DOI: 10.1016/j.fastrc.2025.100502

Ryan Stone DPM, AACFAS , Trevor Page DPM , Thomas Chang DPM, FACFAS , Byron Hutchinson DPM, FACFAS

{"title":"Clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis","authors":"Ryan Stone DPM, AACFAS , Trevor Page DPM , Thomas Chang DPM, FACFAS , Byron Hutchinson DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100502","DOIUrl":"10.1016/j.fastrc.2025.100502","url":null,"abstract":"<div><div>Tibiotalocalcaneal (TTC) arthrodesis and tibiocalcaneal (TC) arthrodesis are salvage procedures indicated to maintain stability and ambulation in the setting of various debilitating lower extremity conditions. Intramedullary nail fixation has proven to be highly effective in achieving stable union when performing TTC and TC arthrodesis procedures. Newer generation intramedullary nail implants feature dynamic compression technology, offering continuous compression across the desired fusion interfaces. Although published data is scarce, emerging literature suggests use of dynamic compression implants may be favorable to static implants, particularly in patients with increased risk of non-union. The primary aim of this paper is to review clinically relevant mechanical testing data that outlines specific mechanical properties of a particular TTC implant (Phantom ActivCore). Specifically, we describe various properties of the implant through objective testing data and describe these findings in a clinically relevant format to provide surgeons with closer insight into dynamic compression technology. Secondarily, we feature three case examples in which this flex coil intramedullary nail was employed by the senior authors (BH &TC) to achieve functional TTC arthrodesis in salvage scenarios.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100502"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935775","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

Minimally invasive zadek osteotomy: A cadaveric study of structures at risk 微创zadek截骨术：一项危险结构的尸体研究

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-01 Epub Date: 2025-03-04 DOI: 10.1016/j.fastrc.2025.100491

Anthony Schwab DPM, MS , Corine L. Creech DPM, FACFAS

{"title":"Minimally invasive zadek osteotomy: A cadaveric study of structures at risk","authors":"Anthony Schwab DPM, MS , Corine L. Creech DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100491","DOIUrl":"10.1016/j.fastrc.2025.100491","url":null,"abstract":"<div><div>Minimally invasive surgery (MIS) has continued to expand with respect to applications throughout the forefoot and into the hindfoot. Our center has performed the minimally invasive Zadek osteotomy in ten fresh frozen cadaver limbs through a single percutaneous incision. Distances in millimeters (mm) were measured from the anterior and posterior arm of the osteotomy to identify nearby anatomical structures. We documented the position of the peroneal sheath and sural nerve relative to the lateral portal, and the position of the tibialis posterior tendon (TP), flexor digitorum longus tendon (FDL), posterior tibial artery (PTA), posterior tibial vein (PTV), and flexor hallucis longus (FHL). The average distance of the sural nerve and the peroneal sheath from the anterior and posterior aspect of the osteotomy about the lateral portal was 6.65, 11.21 and 21.84, 23.26 mm, respectively. No medial neurovascular or tendinous structure was damaged as a result of the osteotomy, and the closest medial structure at risk was the tibial nerve at an average of 24.51 mm from the anterior arm of the osteotomy and 18.21 mm from the posterior arm of the osteotomy. While several technique guides have been discussed, to our knowledge this is the first study looking into structures at risk for this specific procedure with previously established anatomic portals.</div><div>Level of clinical evidence: Level V Cadaveric Study</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100491"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636876","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 following use of large diameter antibiotic coated threaded rod for treatment of osteomyelitis 使用大直径抗生素涂层螺纹棒治疗骨髓炎的结果

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-01 Epub Date: 2025-05-12 DOI: 10.1016/j.fastrc.2025.100506

Melody John DPM , Henna Akbarzai DPM , Michael Subik DPM, FACFAS

{"title":"Outcomes following use of large diameter antibiotic coated threaded rod for treatment of osteomyelitis","authors":"Melody John DPM , Henna Akbarzai DPM , Michael Subik DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100506","DOIUrl":"10.1016/j.fastrc.2025.100506","url":null,"abstract":"<div><div>The treatment of large bony defects secondary to osteomyelitis in the lower extremity continues to be a challenge in reconstructive surgery. Surgical treatment for osteomyelitis in long bones commonly entails resection of the infected portion of bone, but this often leaves a large bony defect. Masquelet technique has been successfully used in the treatment of osteomyelitis through the concept of induced membrane and the use of antibiotic impregnated polymethylmethacrylate (PMMA) cement. This retrospective case study evaluates the clinical and radiographic outcomes of using a staged approach in the treatment of lower extremity osteomyelitis in 14 patients using an intramedullary antibiotic coated threaded rod. Measured outcomes include time to radiographic fusion (5.1 weeks), time to weight bearing (3.2 weeks), hardware removal (7.14 %), need for revision surgery (7.14 %), and complications (35.71 %). Our findings support the use of a staged approach using a large antibiotic rod prior to definitive fixation as a mode of successfully treating lower extremity osteomyelitis and aiding in joint fusion.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100506"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124242","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

Complicated problems solved with the use of 3D printing: A case series 使用3D打印解决复杂问题：案例系列

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-01 Epub Date: 2025-03-26 DOI: 10.1016/j.fastrc.2025.100490

Akshay Jain DPM , Ryan Lerch DPM , Julia Tolin DPM , Patrick Burns DPM

{"title":"Complicated problems solved with the use of 3D printing: A case series","authors":"Akshay Jain DPM , Ryan Lerch DPM , Julia Tolin DPM , Patrick Burns DPM","doi":"10.1016/j.fastrc.2025.100490","DOIUrl":"10.1016/j.fastrc.2025.100490","url":null,"abstract":"<div><div><em>Background</em> The applications of 3D-printed implants in foot and ankle surgery are rapidly rising in popularity. These custom-made implants provide an alternative option for salvage in the setting of a variety of pathologies that are difficult and challenging to treat, including trauma, deformity and arthritis. The use of 3D custom implants has increased significantly in recent years, described in the literature as being utilized for conditions such as avascular necrosis, osteomyelitis, Charcot neuroarthropathy, fracture, large osseous defects and deformity correction. The present study demonstrates novel methods for utilizing 3D-printed implants to treat complex deformities in the foot and ankle.</div><div><em>Methods</em> We performed a retrospective case series of five patients, each of whom required a unique 3D-printed implant solution to treat their foot and ankle pathology. All cases were performed by a single primary surgeon (P.R.B) at a single university-based institution between 2020-2021.</div><div><em>Discussion</em> The present case series aims to describe the utilization of 3D implants to assist with the management of large, bony defects as well as complex deformities and associated sequela in the foot and ankle. The cases discussed in this series provide a satisfactory outcome and can be applied to future patients in similar cohorts.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100490"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792340","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

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 : 2025-06-01 Epub 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":"2025-06-01","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

Re-injury after arthroscopic anatomical reconstruction by allograft tendon of the lateral ankle ligaments treated by a new arthroscopic anatomical allograft reconstruction: A case report 关节镜下同种异体解剖重建治疗踝关节外侧韧带肌腱重建后再损伤1例

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-01 Epub Date: 2025-03-07 DOI: 10.1016/j.fastrc.2025.100489

Julien Paquot MD, David Ancelin MD,Ph

{"title":"Re-injury after arthroscopic anatomical reconstruction by allograft tendon of the lateral ankle ligaments treated by a new arthroscopic anatomical allograft reconstruction: A case report","authors":"Julien Paquot MD, David Ancelin MD,Ph","doi":"10.1016/j.fastrc.2025.100489","DOIUrl":"10.1016/j.fastrc.2025.100489","url":null,"abstract":"<div><div>Revision surgery after ligamentoplasty with anatomical reconstruction presents a complex challenge that remains underreported. This case report highlights a unique arthroscopic revision approach using a novel allograft technique, which has not been previously documented in the surgical literature. A 22-year-old female sustained trauma to her left ankle following a prior anatomical ligamentoplasty reconstruction of the anterior talofibular and calcaneofibular ligaments using an allograft. Persistent instability despite conservative management necessitated revision surgery. Clinical examination and MRI confirmed graft rupture and malposition of the talar tunnel. Arthroscopic revision ligamentoplasty was performed using a non-irradiated allograft with tunnel correction. A new blind talar tunnel (5 mm × 20 mm) was meticulously positioned in the \"bare zone\" of the talus, ensuring optimal biomechanical alignment. Postoperatively, the patient regained stability and resumed professional activities without recurrent instability episodes.</div><div><strong>Relevance and Impact:</strong><ul><li><span>•</span><span><div>Correcting the improper placement of bone tunnels during revision surgery is critical for successful outcomes.</div></span></li><li><span>•</span><span><div>Arthroscopic approaches allow for comprehensive joint inspection while minimizing surgical morbidity.</div></span></li><li><span>•</span><span><div>The use of allografts in revision procedures avoids donor site morbidity while ensuring optimal functional recovery.</div></span></li></ul></div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100489"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737925","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