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

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

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