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Education Calendar. 教育日历。
Foot & ankle international Pub Date : 2024-10-01 DOI: 10.1177/10711007241287829
{"title":"Education Calendar.","authors":"","doi":"10.1177/10711007241287829","DOIUrl":"https://doi.org/10.1177/10711007241287829","url":null,"abstract":"","PeriodicalId":94011,"journal":{"name":"Foot & ankle international","volume":"45 10","pages":"1170"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515266","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
Early Functional Outcomes and Complications of Tibial and/or Peroneal Sesamoidectomy Utilizing a Burr Through a Medial Approach. 胫骨和/或腓骨趾骨切除术的早期功能效果和并发症(通过内侧入路使用毛刺)。
Foot & ankle international Pub Date : 2024-10-01 Epub Date: 2024-07-29 DOI: 10.1177/10711007241264239
William M Engasser, J Chris Coetzee, Jeffrey D Seybold, Carissa C Dock, Kayla J Seiffert, Rebecca Stone McGaver, Ahmed Khalil Attia, Bryan D Den Hartog
{"title":"Early Functional Outcomes and Complications of Tibial and/or Peroneal Sesamoidectomy Utilizing a Burr Through a Medial Approach.","authors":"William M Engasser, J Chris Coetzee, Jeffrey D Seybold, Carissa C Dock, Kayla J Seiffert, Rebecca Stone McGaver, Ahmed Khalil Attia, Bryan D Den Hartog","doi":"10.1177/10711007241264239","DOIUrl":"10.1177/10711007241264239","url":null,"abstract":"<p><strong>Background: </strong>Sesamoid pathology can lead to significant pain and disability both with activities of daily living and high-impact athletic movements. Sesamoidectomy is a widely used procedure for patients who fail conservative treatment measures. Traditional dorsal or plantar approaches for sesamoidectomy have shown to successfully alleviate pain, but complications were reported. A proposed alternative medial approach using a burr may provide many advantages compared with traditional approaches. This study presents patient outcomes and complications for this technique.</p><p><strong>Methods: </strong>This was a retrospective chart review of patients undergoing sesamoidectomy (tibial, peroneal, or both) using a burr through a medial approach to the sesamoid metatarsal articulation. Data collected included patient demographics, radiographic analysis, and outcomes: Veterans Rand 12 Item Health Survey (VR-12), Foot and Ankle Ability Measure (FAAM), visual analog scale (VAS), patient satisfaction, and complications.</p><p><strong>Results: </strong>Twenty-seven patients (29 feet) were included. The mean age was 38.4 years followed up for a mean of 30.9 months. VR-12 physical component improved from 35.98 ± 7.86 to 51.34 ± 8.01 (<i>P</i> < .001), FAAM ADL and sport improved from 58.33 ± 16.61 to 83.27 ± 18.28 (<i>P</i> < .001) and 26.37 ± 20.31 to 63.75 ± 29.74 (<i>P</i> < .001), respectively. Patient satisfaction with the treatment was 80.59% ± 27.06%. The overall complication rate was 11 (37.9%) whereas the overall reoperation rate was 4 (13.7%) of 29 feet. Complications included 1 arthrofibrosis, 1 flexor hallucis longus subacute rupture, and 1 asymptomatic hallux valgus. There were no sesamoid excision revisions.</p><p><strong>Conclusion: </strong>Sesamoidectomy using a medial approach with a burr provided significantly improved short-term functional outcomes, 80% patient satisfaction rate, with a relatively acceptable complications rate including 20% persistent pain. The medial approach is familiar to orthopaedic foot and ankle surgeons, provides adequate exposure, and eliminates the possibility of a painful plantar scar while avoiding disruption of the plantar plate, flexor hallucis brevis tendon, and ligamentous structures attached to the sesamoids. Larger studies with long-term follow-up from other centers are needed.</p>","PeriodicalId":94011,"journal":{"name":"Foot & ankle international","volume":" ","pages":"1070-1075"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141794291","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
The Role of the Flexor Hallucis Longus in the Treatment of the Painful Hallux Metatarsophalangeal Joint. 拇趾外展肌在治疗跖趾关节疼痛中的作用》(The Role of Flexor Hallucis Longus in the Treatment of the Painful Hallux Metatarsophalangeal Joint)。
Foot & ankle international Pub Date : 2024-10-01 Epub Date: 2024-07-30 DOI: 10.1177/10711007241266842
James D Michelson, Mark D Charlson, Jacob W Bernknopf, Rachel L Carpenter, Stephen J Brand
{"title":"The Role of the Flexor Hallucis Longus in the Treatment of the Painful Hallux Metatarsophalangeal Joint.","authors":"James D Michelson, Mark D Charlson, Jacob W Bernknopf, Rachel L Carpenter, Stephen J Brand","doi":"10.1177/10711007241266842","DOIUrl":"10.1177/10711007241266842","url":null,"abstract":"<p><strong>Background: </strong>Pain in the hallux metatarsophalangeal joint (MTPJ) is very common, yet the underlying etiology remains unknown. Previous clinical research and biomechanical research has implicated stenosing flexor hallucis longus (FHL) tendonitis as a possible cause. The hypothesis of this study was that treatment solely focusing on alleviating restricted FHL excursion would be beneficial in patients with hallux MTPJ pain.</p><p><strong>Methods: </strong>This is a retrospective study of those treated in the Foot & Ankle Division between January 2009, and December 2018, who were diagnosed with FHL tendonitis with associated pain in the hallux MTPJ. Demographics, comorbidities, examination findings, imaging results, pain scores, treatment instituted, and outcome was obtained from the electronic medical record. The primary outcome was the improvement in the pain score (visual analog scale [VAS]). The surgical patients were included if their procedure was solely related to the FHL (posteromedial ankle release ± os trigonum resection). The decision to have surgery was analyzed by univariate and multivariable statistics using demographics, comorbidities, and clinical findings as potential factors (<i>P</i> < .05).</p><p><strong>Results: </strong>In 75% (59 of 79 feet), nonoperative treatment of FHL stenosis resulted in a decrease in pain scores that the patients felt was satisfactory. The operative group that had an FHL release showed decreased pain in 90% (18 of 20 feet). Multivariable analysis identified the need for immobilization (OR 9.8, 95% CI 1.8-55.2, <i>P</i> = .009), participating in athletics (OR 8.7, 95% CI 1.8-42.2, <i>P</i> = .007), and higher initial VAS (OR 1.7, 95% CI 1.3-2.3, <i>P</i> < .001) as being associated with the decision for surgery.</p><p><strong>Conclusion: </strong>Previous biomechanical studies have suggested that stenosing FHL synovitis can cause increased intraarticular loading in the hallux MTPJ. The current clinical study supports this hypothesis, demonstrating that treatment focused on relieving restricted FHL excursion can ameliorate pain in the hallux MTPJ in select cases.</p>","PeriodicalId":94011,"journal":{"name":"Foot & ankle international","volume":" ","pages":"1051-1058"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857411","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
Endoscopic Calcaneoplasty in Haglund Disease: Surgical Technique, Clinical and Subjective Outcomes. 哈格隆病的内窥镜钙化术:手术技术、临床和主观效果。
Foot & ankle international Pub Date : 2024-10-01 Epub Date: 2024-08-02 DOI: 10.1177/10711007241264223
Guillermo Cardone, Facundo Bilbao, Jonathan M Verbner, Virginia M Cafruni, Marina N Carrasco
{"title":"Endoscopic Calcaneoplasty in Haglund Disease: Surgical Technique, Clinical and Subjective Outcomes.","authors":"Guillermo Cardone, Facundo Bilbao, Jonathan M Verbner, Virginia M Cafruni, Marina N Carrasco","doi":"10.1177/10711007241264223","DOIUrl":"10.1177/10711007241264223","url":null,"abstract":"<p><strong>Background: </strong>During the last decade, arthroscopic procedures have been replacing open techniques in Haglund disease treatment because of their considerable advantages. Endoscopic calcaneoplasty is a technique that allows resection of posterosuperior calcaneal exostosis and retrocalcaneal bursitis. The objective of this article was to describe this technique and report its clinical and subjective outcome.</p><p><strong>Methods: </strong>A retrospective study was performed of consecutive patients undergoing endoscopic Haglund resection surgery between July 2014 and March 2020 at a single academic institution. All patients were surveyed in person about the level of pain (visual analog scale), its location (central, lateral, medial or diffuse), its relation with rest, or physical activity. Clinical evaluation was assessed using the hindfoot scale designed by the American Orthopaedic Foot & Ankle Society (AOFAS).</p><p><strong>Results: </strong>In this study, 14 endoscopic calcaneoplasties were performed in 14 patients, with an average follow-up of 40 months. The visual analog scale score improved from a preoperative average value of 9.07 to 1.8 after surgery (<i>P</i> > .0001). The AOFAS scale rose from 38.7 before surgery to 94.6 postoperative (<i>P</i> > .0001). Good subjective results were observed in 12 patients (85.7%), and all of them would have surgery again. There were no wound complications or infections. No patient required reoperation.</p><p><strong>Conclusion: </strong>In this relatively small cohort, we found that endoscopic calcaneoplasty was associated with good clinical and subjective results with few complications.</p>","PeriodicalId":94011,"journal":{"name":"Foot & ankle international","volume":" ","pages":"1076-1082"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141880022","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
Letter Regarding: Conflict of Interest and FAI/FAO: Updated. 关于以下问题的信函利益冲突与 FAI/FAO:已更新。
Foot & ankle international Pub Date : 2024-10-01 Epub Date: 2024-09-26 DOI: 10.1177/10711007241279279
Kiya Shazadeh Safavi, Cory F Janney, John M Tarazi, Daniel C Jupiter, Peter B White, Vinod K Panchbhavi, Adam Bitterman
{"title":"Letter Regarding: Conflict of Interest and FAI/FAO: Updated.","authors":"Kiya Shazadeh Safavi, Cory F Janney, John M Tarazi, Daniel C Jupiter, Peter B White, Vinod K Panchbhavi, Adam Bitterman","doi":"10.1177/10711007241279279","DOIUrl":"10.1177/10711007241279279","url":null,"abstract":"","PeriodicalId":94011,"journal":{"name":"Foot & ankle international","volume":" ","pages":"1168-1169"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335091","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
Anti-RANKL Antibody For Active Charcot Foot Neuro-Osteoarthropathy in Patients with Diabetes and Chronic Kidney Disease. 抗 RANKL 抗体治疗糖尿病和慢性肾病患者的活动性夏科足神经骨关节病。
Foot & ankle international Pub Date : 2024-10-01 Epub Date: 2024-08-26 DOI: 10.1177/10711007241268147
Ashu Rastogi, Raveena Singh, Jayaditya Ghosh, Rajat Gupta
{"title":"Anti-RANKL Antibody For Active Charcot Foot Neuro-Osteoarthropathy in Patients with Diabetes and Chronic Kidney Disease.","authors":"Ashu Rastogi, Raveena Singh, Jayaditya Ghosh, Rajat Gupta","doi":"10.1177/10711007241268147","DOIUrl":"10.1177/10711007241268147","url":null,"abstract":"<p><strong>Background: </strong>Charcot neuroosteoarthropathy (CNO) is characterized with increased osteoclastic activity that can be curbed with antiresorptive agents. Chronic kidney disease (CKD) precludes bisphosphonates but anti-receptor activator of nuclear factor-B ligand (anti-RANKL) antibody, denosumab, can be contemplated in CKD. We investigated denosumab for active CNO of foot in CKD for CNO remission.</p><p><strong>Methods: </strong>During the study period, 446 persons of diabetes with unilateral, active CNO of foot and CKD were identified and 78 were finally enrolled. Patients received either 60 mg denosumab (single-dose, subcutaneous) along with standard of care (SoC) as total contact cast (TCC) (group A; n = 26) or SoC (group B; n = 52) only. Patients were followed every 4 weeks until CNO remission and subsequently every 8 weeks until 48 weeks following remission. Remission was defined as temperature difference <2 °C between 2 feet confirmed twice (4 weeks apart) with clinical resolution of signs of inflammation. The primary outcome studied was proportion of patients achieving remission within 48 weeks and the time to remission.</p><p><strong>Results: </strong>Median age was 56.5 (48.8-65) and 57 (48.5-61.2) years, <i>P</i> = .57; duration of diabetes 16 (10-25.3) and 14.9 (10-19) years, <i>P</i> = .151; and estimated glomerular filtration rate 44.8 (21.1-65.6) and 45.7 (32.9-55.7) mL/min/1.73 m<sup>2</sup>, <i>P</i> = .771, in group A and B, respectively. Median temperature difference at presentation between the affected and opposite foot was 3.4 °C (2.7-6.9) and 3.2 °C (2.2-4.0), <i>P</i> = .119, respectively. All patients achieved remission in group A (100%) compared with 42 (80.8%) in group B (<i>P</i> = .006) (hazard ratio 0.52, 95% CI: 0.32-0.87; <i>P</i> = .012). The median time to remission was similar in the 2 groups (15 [11-25] and 17.5 [14-31.5] weeks, <i>P</i> = .229, respectively). 25-Hydroxyvitamin D<sub>3</sub> >14 ng/mL was significantly associated (OR 9.5, 95% CI 1.04-87.5, <i>P</i> = .045) with remission.</p><p><strong>Conclusion: </strong>Anti-RANKL antibody added to SoC (TCC) induces remission of active foot CNO in greater proportions of patients with diabetes and CKD.</p>","PeriodicalId":94011,"journal":{"name":"Foot & ankle international","volume":" ","pages":"1122-1130"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074786","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
Postoperative Calcaneocuboid Joint Subluxation and Midtarsal Joint Changes in Pediatric Idiopathic Flexible Flatfoot Treated With Calcaneal Lengthening Osteotomy: A Midterm Follow-up Study. 采用钙骨延长截骨术治疗小儿特发性柔韧型扁平足的术后钙小关节半脱位和跗中关节变化:中期随访研究
Foot & ankle international Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI: 10.1177/10711007241256638
Kunhyung Bae, Yoon Hae Kwak, Michael Seungcheol Kang, Aaron J Huser, Dohun Kim, Gisu Kim, Min-Ju Kim, Soo-Sung Park
{"title":"Postoperative Calcaneocuboid Joint Subluxation and Midtarsal Joint Changes in Pediatric Idiopathic Flexible Flatfoot Treated With Calcaneal Lengthening Osteotomy: A Midterm Follow-up Study.","authors":"Kunhyung Bae, Yoon Hae Kwak, Michael Seungcheol Kang, Aaron J Huser, Dohun Kim, Gisu Kim, Min-Ju Kim, Soo-Sung Park","doi":"10.1177/10711007241256638","DOIUrl":"10.1177/10711007241256638","url":null,"abstract":"<p><strong>Background: </strong>Calcaneal lengthening osteotomy (CLO) is one of the main surgical options for treatment of pediatric idiopathic flexible flatfoot (FFF). Reportedly, calcaneocuboid (CC) joint subluxation occurs after CLO; however, its effect on the midfoot remains unclear. This study aimed to investigate the radiologic midterm results after CLO treatment in pediatric idiopathic FFF.</p><p><strong>Methods: </strong>We evaluated 23 pediatric patients with idiopathic FFF aged ≥8 years, who underwent CLO from 1999 to 2017 owing to moderate to severe flatfoot deformity (assessed by visual inspection). Patients aged between 8 and 14 years were included (mean follow-up: 6.3 years; range, 3.1-11.4 years). Anteroposterior and lateral weightbearing foot radiographs were assessed for radiologic parameters preoperatively and at the 3-month, 1-year, and final follow-ups postoperatively.</p><p><strong>Results: </strong>All patients had immediate postoperative radiologic correction of the flatfoot deformity, and these improvements were maintained until the final follow-up. The mean allograft length inserted was 9 (range, 8-10) mm. There was increased CC joint subluxation after CLO, but it improved continuously until the final follow-up. A CC joint spur was newly noted in 1 case. There were 24 cases (24/39, 61.5%) of talonavicular (TN) joint spurs at the final follow-up, but 19 of these were already present on the preoperative radiographs (19/24, 79.2%). Further, the new-onset TN joint spurs were not associated with preoperative clinicoradiologic factors.</p><p><strong>Conclusion: </strong>In pediatric patients with idiopathic FFF receiving CLO treatment, preoperative radiologic angles improved. CC joint subluxation increased after surgery; however, it gradually reduced without evidence of CC joint arthritic changes over the time period studied in this cohort.</p>","PeriodicalId":94011,"journal":{"name":"Foot & ankle international","volume":" ","pages":"1059-1067"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082979","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
Arthroscopic Anterior Talofibular Ligament Repair Combined With All-Inside Suture Tape Augmentation for Treatment of Chronic Lateral Ankle Instability With Generalized Joint Laxity. 关节镜下胫腓骨前韧带修复术联合全内缝合带增强术治疗伴有全身关节松弛的慢性外侧踝关节不稳症
Foot & ankle international Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.1177/10711007241271247
Feng Qu, Linfeng Ji, Chengyi Sun, Mingjie Zhu, Mark S Myerson, Shuyuan Li, Mingzhu Zhang
{"title":"Arthroscopic Anterior Talofibular Ligament Repair Combined With All-Inside Suture Tape Augmentation for Treatment of Chronic Lateral Ankle Instability With Generalized Joint Laxity.","authors":"Feng Qu, Linfeng Ji, Chengyi Sun, Mingjie Zhu, Mark S Myerson, Shuyuan Li, Mingzhu Zhang","doi":"10.1177/10711007241271247","DOIUrl":"10.1177/10711007241271247","url":null,"abstract":"<p><strong>Background: </strong>To analyze the feasibility and clinical results of the modified Broström operation (MBO) combined with suture tape augmentation under arthroscopy for chronic lateral ankle instability (CLAI) in patients with generalized joint laxity (GJL).</p><p><strong>Methods: </strong>From October 2019 to October 2021, a total of 111 patients (111 ankles) treated with MBO combined with suture tape augmentation under arthroscope were retrospectively divided into a GJL group (29 patients) and a control group (82 patients). Mechanical stability of the affected ankle joint was evaluated radiographically preoperatively, at 6 months postoperatively, and the last follow-up. Complications and surgical failures, as well as visual analog scale (VAS) score, the Foot and Ankle Ability Measure (FAAM), and the Karlsson score were also recorded. All statistical analyses were completed using SPSS 20.0.</p><p><strong>Results: </strong>The average follow-up time was 21.7 ± 5.2 months for the GJL group, and 20.9 ± 5.3 months for the control group. Pain and symptoms in both groups were effectively relieved by the procedure reflected by decreased VAS scores, improved FAAM and Karlsson scores at 6 months postoperatively, and the final follow-up (<i>P</i> < .05). Preoperative talar tilt angle and anterior talar translation were significantly greater in the GJL group than those in the control group (<i>P</i> < .05). Postoperatively, both talar tilt angle and anterior talar translation were reduced in both groups at 6 months postoperatively and the last follow-up (<i>P</i> < .05), and we found no significant difference between the two groups (<i>P</i> > .05). Furthermore, we found no significant difference in VAS, FAAM, and Karlsson scores between the 2 groups 6 months postoperatively and at the last follow-up.</p><p><strong>Conclusion: </strong>Arthroscopic MBO combined with suture tape augmentation is a reliable procedure for treating CLAI with GJL. At short-term follow-up, we found that the GJL group achieved an equivalent level of stability compared with the control group.</p>","PeriodicalId":94011,"journal":{"name":"Foot & ankle international","volume":" ","pages":"1102-1110"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116453","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
Perioperative Risk Factors for Early Major Amputation Following First-Time Diabetic Forefoot Amputation. 首次糖尿病前足截肢后早期大截肢的围手术期风险因素。
Foot & ankle international Pub Date : 2024-10-01 Epub Date: 2024-07-29 DOI: 10.1177/10711007241262792
Jae Hyeon Seo, Ho Seong Lee, Young Rak Choi
{"title":"Perioperative Risk Factors for Early Major Amputation Following First-Time Diabetic Forefoot Amputation.","authors":"Jae Hyeon Seo, Ho Seong Lee, Young Rak Choi","doi":"10.1177/10711007241262792","DOIUrl":"10.1177/10711007241262792","url":null,"abstract":"<p><strong>Background: </strong>Despite a meticulous multidisciplinary team approach, limb salvage remains uncertain even after the initial forefoot amputation in patients with end-stage diabetes. Which of many factors strongly influence the early failure of the limb salvage strategy remains unknown. This study aimed to analyze perioperative independent risk factors for major amputation within 1 year following first-time diabetic forefoot amputation.</p><p><strong>Methods: </strong>Perioperative variables of 808 diabetic forefoot amputations performed in a tertiary referral center specialized for organ transplantation and end-stage diabetes were analyzed. Major amputations were performed in 104 patients (12.9%) throughout follow-up, and 77 (74%) of 104 patients had their major amputation within 1 year. Cox proportional hazards were examined to assess the risk factors for major amputation performed within 1 year.</p><p><strong>Results: </strong>In univariate analysis, 18 possible risk factors significantly differed between patients with and without early major amputation. In stepwise multivariable analysis, chronic renal failure (CRF), peritoneal dialysis, and bilateral initial amputation were strong risk factors for early major amputation, with hazard ratios of 2.973 (95% CI 1.805-4.896, <i>P</i> < .0001), 2.558 (95% CI 1.113-5.881, <i>P</i> = .027), and 2.515 (95% CI 1.318-4.798, <i>P</i> = .005), respectively.</p><p><strong>Conclusion: </strong>Regardless of kidney transplantation (KT) status, CRF strongly predicts >20% chance of major amputation within 1 year after the first diabetic forefoot amputation.</p>","PeriodicalId":94011,"journal":{"name":"Foot & ankle international","volume":" ","pages":"1111-1121"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141794294","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
Clinical Outcomes for Arthroscopic Anterior Talofibular Ligament Repair After Suture Anchor Insertion Through the Anterolateral Portal vs the Lateral Accessory Portal. 通过前外侧门户与外侧辅助门户插入缝合锚后进行关节镜胫骨前韧带修复术的临床效果。
Foot & ankle international Pub Date : 2024-10-01 Epub Date: 2024-07-30 DOI: 10.1177/10711007241265354
Hao Guo, Nian Sun, Qi Zhou, Zhuhong Chen, Yijun Liu, Yuxuan Wei, Canjun Zeng
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