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

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

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

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

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

Angioleiomyoma in the ankle mimicking a schwannoma: A case report and review of literature 模拟神经鞘瘤的踝关节血管平滑肌瘤：1例报告及文献复习

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-01 Epub Date: 2025-03-18 DOI: 10.1016/j.fastrc.2025.100495

Junaid Akbar DPM (Podiatric Resident) , Jonathan Gabor MD (Orthopedic Resident) , Stuart Katchis MD (Section Chief)

引用次数: 0

Defining the topography of the common peroneal nerve and surgical approaches for nerve transfers and neurolysis 确定腓总神经的地形和神经转移和神经松解术的手术入路

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-01 Epub Date: 2025-05-09 DOI: 10.1016/j.fastrc.2025.100503

Edgardo Rodriguez-Collazo DPM , Alieu Kanu DPM , Sitong Chen DPM

{"title":"Defining the topography of the common peroneal nerve and surgical approaches for nerve transfers and neurolysis","authors":"Edgardo Rodriguez-Collazo DPM , Alieu Kanu DPM , Sitong Chen DPM","doi":"10.1016/j.fastrc.2025.100503","DOIUrl":"10.1016/j.fastrc.2025.100503","url":null,"abstract":"<div><div>As one of the most common mononeuropathy in the lower extremity, common peroneal nerve neuropathy requires concise and complete understanding by any specialist of the lower extremity. The causes of common peroneal nerve injuries vary including trauma, iatrogenic injury and chronic compression or traction but can have debilitating effects. Conservative treatment for motor symptoms can include bracing and orthotics whereas neuropathic pain is often managed with analgesics such as narcotics. Surgical intervention is recommended if no improvements are noted after 4 months. Common entrapment sites for the common peroneal nerve have not been well described in the literature. This article discusses the topography of the common peroneal nerve and its branches, sites of entrapment, appropriate diagnosis, and surgical approaches for treatment of common peroneal nerve pathologies. Defining the topography of the common peroneal nerve allows for precise anatomical identification and improved surgical techniques for treatment. Studies have shown that patients with significant injuries can suffer from socioeconomic debilitation and narcotic abuse. Therefore, this precise anatomic identification is of utmost importance for reproducible, and effective surgical techniques when addressing these issues as symptoms can persist if an inadequate intervention is performed.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100503"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196367","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