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Knee Surg Sports Traumatol Arthrosc 2020 Jun 30. Epub 2020 Jun 30.

Ramsay Santé, Clinique du Sport Paris V, Paris, France.

Purpose: Ankle sprain is a common injury that can be treated conservatively, though many injured patients do not seek treatment or are not adequately managed, both of which can lead to subsequent chronic ankle instability (CAI). The purpose of this study was to evaluate the functional scores and complication rates of an all-inside anatomic reconstruction technique to treat CAI at a minimum follow-up of 24 months.

Methods: The authors retrospectively collected the records of 41 patients that underwent all-inside endoscopic anatomic reconstruction of the ATFL and CFL including demographics, complications, satisfaction, American Orthopaedic Foot and Ankle Society (AOFAS) score, Karlsson score, and ankle activity score (AAS), at a minimum follow-up of 24 months. Read More

Arthrosc Tech 2020 Jun 15;9(6):e837-e840. Epub 2020 Jun 15.

Department of Orthopaedics and Traumatology, Tuen Mun Hospital, Hong Kong, China.

Sinus tarsi syndrome is the clinical syndrome of lateral heel pain with local tenderness at the sinus tarsi and is frequently associated with a history of inversion sprain to the ankle. The lateral heel pain can be due to the capsule-ligamentous structures lateral to the axis of the anterior and posterior subtalar joints. Anterior and posterior subtalar arthroscopies are needed to detect and treat the disorders of both joints. Read More

Foot Ankle Int 2020 Jun 17:1071100720931095. Epub 2020 Jun 17.

Department of Orthopedics and Traumatology, LK Baden-Mödling, Baden, Austria.

Background: The anterocentral portal is not a standard portal in anterior ankle arthroscopy due to its proximity to the anterior neurovascular bundle. However, it provides certain advantages, including a wide field of vision, and portal changes become redundant. The purpose of this study was to evaluate the neurovascular complications after anterior ankle arthroscopy using the anterocentral portal. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):726-729

Department of Sports and Joint, the First Affiliated Hospital of Nanjing Medical University, Nanjing Jiangsu, 210006, P.R.China.

Objective: To investigate the effectiveness of autogenous tendon reconstruction under total arthroscopy in the treatment of chronic Achilles tendon rupture.

Methods: Between June 2015 and June 2018, 16 patients with chronic Achilles tendon ruptures were treated by autogenous tendon reconstruction under total arthroscopy. Of the 16 patients, 11 were males and 5 were females. Read More

J Surg Educ 2020 Jun 11. Epub 2020 Jun 11.

Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York.

Background: Simulation-based education and objective evaluation of surgical skill have been incorporated into many surgical training programs. We describe the development and implementation of a timed, multitask, station-based Surgical Games to evaluate orthopedic resident surgical skills.

Methods: Participants in the study were postgraduate-year 2 to 5 orthopedic surgery residents from a single institution. Read More

Acad Radiol 2020 Jun 10. Epub 2020 Jun 10.

Department of Radiodiagnosis, Faculty of Human Medicine, Benha University, Benha, Egypt.

Rationale And Objectives: The bright rim sign (BRS) was used as a reliable indicator of anterior talofibular ligament (ATFL) disruption beside other well-known diagnostic criteria. Although this sign can improve accuracy of conventional magnetic resonance imaging (MRI) in diagnosis of ATFL disruption, it was not adequately discussed in the literature. This study aimed to confirm the added diagnostic value of BRS to conventional MRI assessment of ATFL disruption. Read More

Rev Clin Esp 2020 Jun 9. Epub 2020 Jun 9.

Universidad Francisco de Vitoria, Departamento de Medicina Interna, Hospital Asepeyo Coslada, Madrid, España. Electronic address:

Thromboembolism prophylaxis is well-established in major orthopaedic surgery (hip and knee arthroplasty and hip fracture surgery), with low-molecular-weight heparins the most often chosen agent. In recent years, however, direct-acting anticoagulants have been gaining ground and can be used in this scenario (except for hip fracture surgery). In the US, even aspirin could be indicated for low-risk patients who undergo hip or knee arthroplasty. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Jun 9. Epub 2020 Jun 9.

Laboratory of Arthroscopic and Surgical Anatomy. Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Via Augusta, 281, 08023, Barcelona, Spain.

Purpose: ATFL's superior fascicle injury has been considered to be the underlying cause in cases of ankle microinstability. As its clinical diagnosis can be difficult, arthroscopic examination may be the only objective diagnostic tool. The purpose of this study was to determine what types of injuries to the ATFL's superior fascicle are associated with ankle microinstability, and to provide the reader with an arthroscopic classification of the types of microinstability affecting the ankle. Read More

Injury 2020 May 20. Epub 2020 May 20.

Department of Musculoskeletal Disorders, University of Salerno, Salerno, Italy; Centre for Sports and Exercise Medicine, Queen Mary University of London, London, England.

Purpose: . In chronic lateral ankle instability, primary ligament repair is not always possible because of poor quality of the local tissues. A free autologous or allograft tendon graft or synthetic grafts are suitable alternative. Read More

J Foot Ankle Surg 2020 Jun 3. Epub 2020 Jun 3.

Specialist, Department of Radiation Oncology, King Hussein Cancer Center, Amman, Jordan.

Augmented or hybrid reality is a display technology that combines the real world with the virtual world; it permits digital images of preoperative planning information to be combined with the surgeon's view of the real world. Augmented reality (AR) can increase the surgeon's intraoperative vision by providing virtual transparency of the real patient and has been applied to a wide spectrum of orthopedic procedures, such as tumor resection, fracture fixation, arthroscopy, and component's alignment in total joint arthroplasty. We present a case of a male patient who presented with pain in the medial aspect of his left foot after he underwent an incomplete mass excision elsewhere where it turned out to be synovial sarcoma. Read More

Arthroscopy 2020 06;36(6):1722-1724

Lancaster, Pennsylvania.

The surgical management of ankle fractures can be an unforgiving endeavor. Subtle malreductions in fracture fragments lead to significant deviations in joint reactive forces and, consequently, accelerated arthritis. The diagnosis of associated ligamentous pathology, such as deltoid and syndesmotic injuries, is often difficult and ideal surgical management is debated. Read More

Arthroscopy 2020 Jun 1. Epub 2020 Jun 1.

Division of Orthopaedic Trauma Department of Orthopaedics and Traumatology; Taipei Veterans General Hospital Department of Orthopaedics; School of Medicine; National Yang-Ming University. Electronic address:

Purpose: The purpose of this study was to evaluate the surgical outcome in terms of radiographic measurements, functional outcomes, and complications following arthroscopic ankle arthrodesis (AAA) in patients 60 years of age or older, and to compare the results of patients with mildly deformed ankle with those of patients with severely deformed ankle.

Methods: We retrospectively reviewed patients who underwent AAA with three cannulated screws between January 2008 and December 2017 and followed postoperatively for at least 24 months. All included patients were 60 years of age or older. Read More

Acta Orthop Belg 2020 Mar;86(1):115-121

Anterior inferior tibiofibular ligament (AITFL) lesion have been shown to result in proliferation of cicatricial tissue ; concomitant insufficiency of the anterior talofibular ligament (ATFL) and AITFL Lesion may cause anterolateral syndesmotic impingement in the ankle joint of runners. Twenty-two runners with suspected syndesmotic impingement after ankle sprain were included in the study. An MRI of the ankle joint was performed followed by arthroscopy. Read More

Acta Orthop Belg 2020 Mar;86(1):95-101

In cases of chronic instability of the lateral ligament complex following an ankle sprain, operative stabilization should be considered when conservative treatment fails. The purpose of this study is to determine the outcome of a percutaneous stabilization of the lateral ligament complex with a gracilis tendon auto-graft, after an adjuvant arthroscopy of the ankle joint. We retrospectively reviewed the medical files of patients who underwent this surgery performed by the senior author. Read More

Knee Surg Sports Traumatol Arthrosc 2020 May 25. Epub 2020 May 25.

Department of Orthopaedic Surgery, Amsterdam University Medical Center, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam Zuidoost, The Netherlands.

Purpose: Ankle arthroscopy is widely used for diagnosis of syndesmotic instability, especially in subtle cases. To date, no published article has systematically reviewed the literature in aggregate to understand which instability values should be used intraoperatively. The primary aim was to systematically review the amount of tibiofibular displacement that correlates with syndesmotic instability after a high ankle sprain. Read More

J Orthop Surg Res 2020 May 24;15(1):187. Epub 2020 May 24.

Department of Sport Medicine, First Affiliated Hospital of Jinan University, Guangzhou, 510630, Guangdong, China.

Background: Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden. Choosing between open surgery and arthroscopic arthrodesis for ankle arthritis is still controversial. This study compared arthroscopic arthrodesis and open surgery by performing a systematic review and meta-analysis. Read More

Foot Ankle Surg 2020 May 5. Epub 2020 May 5.

Professor of Medicine, Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, 221009, PR China; Surgical Department, Xuzhou Central Hospital, Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, 221009, PR China. Electronic address:

Background: The main purpose of this study was to describe the all-inside arthroscopic technique for repairing anterior talofibular ligament (ATFL) avulsion fractures at the attachment points of the fibula and talus, and to evaluate the functional outcomes during long-term follow-up.

Methods: The data of 78 patients with ATFL avulsion fracture treated in our hospital from August 2013 to November 2016 were analyzed retrospectively. All patients underwent surgery. Read More

Foot Ankle Int 2020 Jun 15;41(6):689-697. Epub 2020 May 15.

Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

Background: Operative treatment of calcaneal fractures using the extensile lateral approach is associated with high rates of soft tissue complications. In the past years, there has been a trend toward less invasive surgical approaches. Percutaneous and arthroscopically assisted calcaneal osteosynthesis (PACO) combines the advantages of visualization of the posterior facet of the subtalar joint with a minimally invasive approach. Read More

Am J Sports Med 2020 Jun 14;48(7):1702-1710. Epub 2020 May 14.

Arthroscopy and Joint Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.

Background: While the medial meniscal posterior horn (MMPH) is reported to bear a considerable portion of overall load on the knee joint, including compressive and shear forces, no study has yet investigated the relationship between the MMPH and posterior tibial slope (PTS), which is a geometric factor associated with the shear force component in the presence of a compressive load in the knee joint.

Hypothesis/purpose: The purpose was to investigate the relationship between the PTS and MMPH tears in patients without ligamentous injury. It was hypothesized that the PTS is greater in patients with MMPH tears as compared with those without. Read More

J Clin Orthop Trauma 2020 May-Jun;11(3):388-398. Epub 2020 Apr 8.

Barts Health NHS Trust, The Royal London Hospital, Whitechapel, London, E1 1BB, United Kingdom.

Ankle arthritis is a common condition. It causes a significant socioeconomic burden, and is associated with significant morbidity. Patients with ankle arthritis are either elderly with significant co-morbidities, or young adults who have previously suffered with ankle injuries, resulting in post-traumatic arthritis. Read More

Knee Surg Sports Traumatol Arthrosc 2020 May 10. Epub 2020 May 10.

Department of Sports Medicine, The Third Affiliated Hospital of Wenzhou Medical University, No. 108, Wansong Road, Ruian, Wenzhou, 325200, Zhejiang, China.

Purpose: This prospective study aimed to investigate the clinical benefits of meniscal repair during open-wedge high tibial osteotomies (OWHTOs) in patients with medial meniscus posterior root tears (MMPRTs) and to identify potential risk factors for meniscal healing.

Methods: Ninety patients with degenerative MMPRTs were included in the final cohort and randomized into three groups. The patients in Group A (n = 30) underwent OWHTO and arthroscopic all-inside meniscal repair concurrently, those in Group B (n = 34) underwent OWHTO only, and those in Group C (n = 26) underwent arthroscopic partial meniscectomy. Read More

Arch Orthop Trauma Surg 2020 Jul 7;140(7):993-999. Epub 2020 May 7.

Department of Pediatric Orthopaedics and Foot and Ankle Surgery, Orthopedic Hospital Speising, Medical University Vienna, Speisingerstrasse 109, 1130, Vienna, Austria.

Introduction: Recent reports in the adult literature reported the use of standardized radiographic measurement techniques to determine distal radioulnar joint (DRUJ) instability. The aim of this study was to evaluate the efficacy and accuracy of (1) the MRI-based modified radioulnar ratio technique and (2) the pisoscaphoid (PiSca) and radioulnar (RaUl) distances in true lateral radiographs in children and adolescents with arthroscopically-verified TFCC tears.

Materials And Methods: We retrospectively assessed lateral wrist radiographs and axial MRI sequences of 18 adolescent patients (22 wrists) who had arthroscopically-confirmed TFCC tears and compared them to similar imaging of a control group of 28 healthy patients (28 wrists). Read More

Arthroscopy 2020 05;36(5):1219-1220

Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Orthopaedics, School of Medicine, National Yang-Ming University, Taipei, Taiwan.

Arthroscopy 2020 05;36(5):1218-1219

Department of Orthopedics, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, China.

J Foot Ankle Surg 2020 May - Jun;59(3):594-597

Surgeon, Department of Orthopaedic Surgery, Inha University Hospital College of Medicine, Incheon, Korea; Associate Professor, Department of Orthopaedic Surgery, Inha University Hospital College of Medicine, Incheon, Korea. Electronic address:

Avascular necrosis of a sesamoid bone is a rare and incompletely understood entity. Furthermore, associated lesions secondary to sesamoid pathology have seldom been described in the literature. We report a case of avascular necrosis of the medial sesamoid, accompanied by severe synovitis of the first metatarsophalangeal joint, that was successfully managed with arthroscopic synovectomy and open excision of the sesamoid. Read More

J Foot Ankle Surg 2020 May - Jun;59(3):465-468

Professor, Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.

This study aimed to examine the factors affecting the clinical outcomes of anterior talofibular ligament (ATFL) repair surgery with arthroscopy for chronic lateral ankle instability (CLAI). From 2015 to 2018, 18 consecutive patients diagnosed with CLAI after conservative treatment for ≥3 months underwent arthroscopic ATFL repair surgery using the Broström-Gould technique. Clinical scores at 1 year postoperatively on the Karlsson scoring scale (median, 85 points) and the Japanese Society for Surgery of the Foot scale (median, 90 points) were significantly improved compared with preoperative scores (median, 50 and 66 points; p < . Read More

Medicine (Baltimore) 2020 Apr;99(17):e19862

Physical Medicine and Rehabilitation Unit, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Recovery of postural control and proprioception in patients affected by chronic ankle instability (CAI) and operated on capsulo-ligaments reconstructive surgery lacks of objective assessment. The aim of this study was to evaluate long-term post-surgical postural and proprioceptive control through the DPPS device in a cohort of patients operated on ligaments reconstruction through the modified Brostrom procedure at a minimum follow up of 12 months.Eleven patients with post-traumatic lateral CAI, operated of external capsulo-ligamentous complex repair according to Brostrom technique at a minimum follow-up of 1 year were enrolled. Read More

Foot Ankle Int 2020 Jun 24;41(6):728-734. Epub 2020 Apr 24.

Rothman Orthopaedic Institute, Philadelphia, PA, USA.

Background: In patients with avascular necrosis (AVN) of the talus in the precollapse stage unresponsive to conservative measures, joint preservation should be considered. Good results have previously been reported for vascularized bone grafting. The medial femoral condyle (MFC) free flap has recently been introduced, which consists of corticoperiosteal bone. Read More

PLoS One 2020 22;15(4):e0232012. Epub 2020 Apr 22.

Department of Orthopaedics and Traumatology, Faculty of Medicine, Padjajaran University/Dr. Hasan Sadikin Hospital Bandung, Bandung, Indonesia.

Background: Little is known about differences in the size and morphology of the right and left human tali. The present study demonstrates differences between right and left talar morphometric geometric profiles as fluctuating asymmetry in matched pairs of cadaveric specimens.

Methods: In total, 24 tali were collected in this study. Read More

Orthop J Sports Med 2020 Mar 31;8(3):2325967120909918. Epub 2020 Mar 31.

Department of Orthopaedic Surgery, Washington University in St Louis, St Louis, Missouri, USA.

Background: The operative treatment of Achilles tendon ruptures has been associated with lower rerupture rates and better function but also a risk of surgery-related complications compared with nonoperative treatment, which may provide improved outcomes with accelerated rehabilitation protocols. However, economic decision analyses integrating the updated costs of both treatment options are limited in the literature.

Purpose: To compare the cost-effectiveness of operative and nonoperative treatment of acute Achilles tendon tears. Read More

Case Rep Orthop 2020 27;2020:6236302. Epub 2020 Mar 27.

Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima, Tokushima 770-8503, Japan.

We report a rare case of massive accumulation of fluid in the flexor hallucis longus tendon sheath with stenosing tenosynovitis and os trigonum. A 34-year-old woman presented to our hospital with pain and swelling in the posteromedial aspect of the left ankle joint after an ankle sprain approximately 8 months earlier. There was tenderness at the posteromedial aspect of the ankle, and the pain worsened on dorsiflexion of the left great toe. Read More

J Foot Ankle Surg 2020 May - Jun;59(3):577-586. Epub 2020 Apr 2.

Associate Professor, Center for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China. Electronic address:

Surgical treatment for end-stage ankle joint tuberculosis (TB) has rarely been reported. This study followed cases treated by arthroscopic arthrodesis for ankle joint TB to evaluate its efficacy and safety in the clinic. Patients who underwent arthroscopic ankle arthrodesis for ankle joint TB between April 11, 2010, and December 31, 2016, were followed. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Apr 3. Epub 2020 Apr 3.

Statistics Unit, QIMR Berghofer Medical Research Institute, Herston, QLD, Australia.

Purpose: Patients with primarily ligamentous injuries of the distal tibiofibular joint comprise up to 12% of all ankle sprains. Patients frequently present late after a syndesmosis injury and delayed treatment potentially leads to pain, prolonged disability and arthritis in the long term. This study aimed to assess clinical outcomes in patients who required syndesmosis fixation in the presence of arthroscopically proven instability, the hypothesis being that a delay to treatment would be associated with worse function. Read More

J Foot Ankle Surg 2020 Jul - Aug;59(4):733-738. Epub 2020 Mar 31.

(2)Orthopedics and Traumatology Specialist, Antique Civil Hospital of Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México.

The mechanical superiority of suture tape augmentation associated with the Broström-Gould procedure for treating lateral ankle instability has been reported. This study aimed to describe functional results using the visual analog scale (VAS), American Orthopedic Foot & Ankle Society (AOFAS) scale, and Short Form of Quality of Life Survey (SF-36) in patients with ankle lateral instability who underwent the modified Broström-Gould repair and suture tape augmentation and to determine the recurrence of injury and the impact on the perception of its stability. This retrospective cohort study included patients with lateral ankle instability treated using the modified Broström-Gould procedure and suture tape augmentation from December 2015 to July 2018 with a 6- to 36-month follow-up. Read More

Br J Sports Med 2020 Apr 2. Epub 2020 Apr 2.

Faculty of Medicine and Health Technology; Department of Orthopaedics and Traumatology, Tampere University Hospital, Tampere University, Tampere, Pirkanmaa, Finland.

Objectives: To assess the rates and secular trends of different joint arthroscopies-shoulder, elbow, wrist, hip, knee and ankle-in Finland between 1997 and 2016.

Design: Retrospective nationwide registry study.

Participants: All adults in Finland with any arthroscopic intervention procedure code for knee, shoulder, ankle, wrist, elbow or hip arthroscopy between 1 January 1997 and 31 December 2016 were included. Read More

J Med Imaging Radiat Oncol 2020 Jun 1;64(3):338-346. Epub 2020 Apr 1.

Department of Radiology, Soonchunhyang University Seoul Hospitial, Bucheon-si, Korea.

Introduction: To compare diagnostic performance of additional two-dimensional (2D) oblique coronal view and three-dimensional (3D) T2-weighted fast spin-echo(FSE) images for diagnosing injury of the anterior inferior tibiofibular (AiTFL) and anterior talofibular ligaments (ATFL).

Methods: This study included 48 patients with ankle sprain who had undergone MRI using standard protocol and two additional sequences with 2D oblique coronal and 3D isotropic images, followed by arthroscopic surgery. Ligament injuries was subdivided by intact tendon, partial or complete tear. Read More

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499020905054

Department of Orthopaedics and Traumatology, Kocaeli Darıca Farabi Training and Research Hospital, Darıca, Kocaeli, Turkey.

Purpose: Osteochondral lesions of the talus are lesions that are seen particularly in the young age group and are often related to sports injuries and trauma. These lesions, which show late symptoms radiologically, can be determined in the early stages with magnetic resonance imaging. The aim of this study was to present a new osteotomy technique to reduce the complications of mosaicplasty surgery to a minimum and provide an early return to work. Read More

Zhonghua Wai Ke Za Zhi 2020 Mar;58(3):220-224

Department of Orthopaedics, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.

To examine the clinical effect of autologous osteochondral transplantation via biplanar osteotomy for osteochondral lesions of the talus combined with subchondral cysts. A retrospective analysis of 25 patients who underwent autogenous osteochondral transplantation via biplanar osteotomy for treatment of talus osteochondral injury combined with subchondral cysts at Department of Orthopaedics, First Affiliated Hospital of Xinjiang Medical University from December 2015 to December 2018 were conducted.There were 21 males and 4 females, aged 35. Read More

J Foot Ankle Surg 2020 Mar - Apr;59(2):436-439

Program Director, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO. Electronic address:

The treatment options for osteochondral lesions of the ankle are scarce, and newer modalities are becoming available. We describe a minimally invasive arthroscopic approach with implantation of juvenile particulated allograft to facilitate the growth of true hyaline cartilage in patients with osteochondral lesions of the talus. The purpose of this study was to subjectively review clinical outcomes using the validated Foot and Ankle Outcomes Score in patients who underwent this technique. Read More

J Foot Ankle Surg 2020 Mar - Apr;59(2):258-263

Radiologist, Victoria House Medical Imaging, South Yarra, Victoria, Australia. Electronic address:

Syndesmotic injuries are common, but only a subset of these injuries are unstable. A noninvasive tool for identifying instability would aid in the selection of patients for surgery. Weightbearing computed tomography (CT) data have been reported for healthy patients, but there are limited data on unstable syndesmoses. Read More

J Foot Ankle Surg 2020 Mar - Apr;59(2):222-230

Associate Professor, Department of Orthopaedics, Wuhan General Hospital of Guangzhou Command, Hubei Province, China. Electronic address:

The goal of this study was to evaluate the surgical technique and clinical outcome of all-inside arthroscopic anterior talofibular ligament anatomic reconstruction with a gracilis tendon autograft for chronic ankle instability in high-demand patients. Fifteen consecutive patients (14 [93.3%] males and 1 [6. Read More

Injury 2020 Apr 19;51(4):1114-1117. Epub 2020 Feb 19.

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, United States.

Background: Limited studies have been conducted to determine the minimum amount and sensitivity of the saline load test of the ankle. Prior studies, only performed in arthroscopic models, have suggested a wide range of volumes necessary to confirm arthrotomy. The purpose of this study was to investigate the amount of fluid required and the sensitivity of the saline load test to identify an intra-articular arthrotomy of the ankle. Read More

Foot Ankle Int 2020 May 23;41(5):549-555. Epub 2020 Feb 23.

Palo Alto Medical Foundation, University of California, San Francisco, Burlingame, CA, USA.

Background: While smaller talar dome osteochondral lesions (OCLs) are successfully treated with bone marrow stimulation techniques, the optimal treatment for large or cystic OCLs remains controversial. This study tested the hypothesis that transferring structural autograft bone from the distal tibia to the talus for large or cystic OCLs improves pain and function.

Methods: Thirty-two patients with large or cystic OCLs underwent structural bone grafting from the ipsilateral distal tibia to the talar dome. Read More

Zhonghua Yi Xue Za Zhi 2020 Feb;100(5):367-372

Department of Hand and Foot Microsurgery, Xuzhou Central Hospital, Xuzhou 221009, China.

To investigate the surgical technology and clinical efficacy of using the all-inside arthroscopic treatment of intra-articular displaced calcaneal fracture. A retrospective analysis was made of 46 patients (46 feet) with intra-articular displaced calcaneal fractures treated by modified all-inside arthroscopic from December 2015 to December 2017 in Xuzhou Central Hospital. Twenty-eight cases (28 feet) were male and 18 cases (18 feet) were female, aged from 19 to 60 years (mean (39±13) years). Read More

Knee Surg Sports Traumatol Arthrosc 2020 Feb 17. Epub 2020 Feb 17.

Department of Orthopedic Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Purpose: Technical innovation now offers the possibility of 2-mm diameter operative arthroscopy: an alternative to conventional arthroscopy that no longer uses inner rod-lenses. The purpose of this study was to assess whether all significant structures in the ankle could be visualized and surgically reached during 2-mm diameter operative arthroscopy, without inflicting iatrogenic damage.

Methods: A novel, 2-mm diameter arthroscopic system was used to perform a protocolled arthroscopic procedure in 10 fresh-frozen, human donor ankles. Read More

Arthroscopy 2020 06 13;36(6):1655-1664. Epub 2020 Feb 13.

Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, South Korea. Electronic address:

Purpose: To verify the accuracy of supine nonweight-bearing radiography versus standing radiography in preoperative planning and to determine the predictors of unintended limb alignment correction in medial open-wedge high tibial osteotomy (OWHTO).

Methods: Consecutive patients who underwent medial OWHTO for medial osteoarthritis of the knee with varus alignment were retrospectively reviewed. The analyzed pre- and postoperative radiologic measurements included postoperative mechanical axis deviation (MAD) on standing whole-leg radiographs (WLRs), the predicted value of the postoperative MAD on the preoperative supine (predicted MAD) radiograph, and standing WLRs (predicted MAD. Read More

Unfallchirurg 2020 Apr;123(4):330-338

Leiter der Sektion Fuß- und Sprunggelenkchirurgie Campus Großhadern & Innenstadt, Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Universität, LMU München, Nussbaumstr. 20, 80336, München, Deutschland.

Objective: Identification and treatment of intra-articular injuries, stabilization of the syndesmotic complex by open reduction and internal fixation (ORIF) of the posterior malleolus (PM).

Indications: Bimalleolar and trimalleolar fractures, patients with functional demands.

Contraindications: Soft tissue injuries/infections in the area of the surgical approach, higher grade circulatory disorders, diabetes mellitus. Read More

Arthroscopy 2020 06 10;36(6):1714-1721. Epub 2020 Feb 10.

Department of Orthopedics, Zhejiang University School of Medicine, Sir Run Run Shaw Hospital, Hangzhou 310016, China. Electronic address:

Purpose: To evaluate the feasibility of arthroscopic reduction percutaneous fixation (ARPF) in the treatment of isolated medial malleolar fracture and compare the results with those of conventional open reduction internal fixation (ORIF).

Methods: This prospective study enrolled 77 patients with isolated medial malleolar fracture between November 2011 and February 2016. The patients were assigned to the ARPF (n = 34) and ORIF (n = 43) groups. Read More

Gait Posture 2020 03 11;77:175-181. Epub 2019 Nov 11.

Division of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, 453 W 10th Avenue, Suite 516, Columbus, OH 43210, United States; Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Drive, Suite 3200, Columbus, OH 43202, United States.

Background: Suboptimal patient-reported function and movement impairments often persist after hip arthroscopy for femoroacetabular impingement syndrome (FAIS). Individuals with FAIS with preoperative cartilage pathology (ie. chondropathy) demonstrate distinct movement patterns and have worse post-operative outcomes. Read More

BMJ Open 2020 02 9;10(2):e033850. Epub 2020 Feb 9.

Institute of Sports Medicine, Peking University Third Hospital, Beijing, China

Introduction: Large cystic osteochondral lesions of the talus (OLTs) have been shown to have inferior clinical outcomes after reparative techniques such as bone marrow stimulation. Autologous osteochondral transplantation has been viewed as an alternative choice for treating these lesions, but donor-site morbidity has limited its application. Excellent clinical outcomes have been shown in repairing these types of lesions with autologous osteoperiosteal grafts, and these outcomes are achieved at a low cost and without donor-site morbidity in the normal knee joint. Read More