1,915 results match your criteria Ankle Injury Soft Tissue


Surgical treatment of lateral and posterior process fractures of the talus: Mid-term results of 15 cases after 7 years.

Foot Ankle Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of Trauma Surgery, Otto-von-Guericke University, Leipziger Str. 44 Magdeburg, Germany.

Background: We retrospectively evaluated the mid-term results of surgery for talar process fractures (lateral and posterior processes) and exploratively analyzed parameters that potentially impact treatment outcomes.

Methods: Fifteen patients who underwent internal fixation (January 2000 to December 2015) were examined for radiological and clinical functional outcomes. The independent parameters evaluated were age, sex, extent of general injury, soft-tissue damage, surgical latency, and fracture type. Read More

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http://dx.doi.org/10.1016/j.fas.2018.11.013DOI Listing
November 2018

Foot arch deformation and plantar fascia loading during running with rearfoot strike and forefoot strike: A dynamic finite element analysis.

J Biomech 2018 Dec 8. Epub 2018 Dec 8.

The Hong Kong Polytechnic University Shenzhen Research Institute, Shenzhen, China; Department of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, China. Electronic address:

Forefoot strike becomes popular among runners because it facilitates better impact attenuation. However, forefoot strike may overload the plantar fascia and impose risk of plantar fasciitis. This study aimed to examine and compare the foot arch deformation and plantar fascia tension between different foot strike techniques in running using a computational modelling approach. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2018.12.007DOI Listing
December 2018

Combined Lag Screw and Cerclage Wire Fixation for Calcaneal Tuberosity Avulsion Fractures.

Case Rep Orthop 2018 11;2018:6207024. Epub 2018 Nov 11.

Klinik für Unfall und Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.

Avulsion fractures of the calcaneal tuberosity represent a rare injury pattern that is caused by a powerful tension force from the Achilles tendon and is usually seen following minor trauma, especially in elderly patients. The objective of this study is to describe a surgical technique using cerclage wiring through cannulated screws in the treatment of extra- and intra-articular avulsion fractures of the calcaneal tuberosity and to present our results in a small patient's cohort. Through a 5. Read More

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http://dx.doi.org/10.1155/2018/6207024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252191PMC
November 2018
1 Read

Free composite groin flap to solve a complex loss of tissue in a traumatic injury of the foot: A case report.

Injury 2018 Dec 3;49 Suppl 4:S25-S28. Epub 2018 Dec 3.

University of Turin, Orthopaedic Clinic, C.T.O. Hospital, Turin, Italy.

Severe traumatic losses of soft tissues and bone at foot and ankle level are often treated by means of amputation, but this may involve important psychological and anatomic consequences for the patient. If there are good vascular conditions, reconstruction by means of composite free flaps is often the only alternative to this demolitive treatment. The transfer of composite free flaps that include vascularized bone from various donor sites may provide anatomical reconstruction and recovery of function of the foot and ankle. Read More

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http://dx.doi.org/10.1016/j.injury.2018.11.032DOI Listing
December 2018

Wound Coverage of Infected Open Fracture of Distal Third of Tibia by Distally Based Medial Hemi-Soleus Muscle Flap.

Mymensingh Med J 2018 Oct;27(4):798-804

Dr Md Saiful Islam, Associate Professor, Orthopedic Surgery, Community Based Medical College Bangladesh, Mymensingh.

We conducted a study to evaluate the reliability of the medial hemi-soleus muscle flap for wound coverage of infected open fracture of distal third of tibia. Wound coverage of exposed lower third tibia and ankle region remains a difficult task. Muscle flaps are preferred for infected wounds especially where there are exposed bone, joint and/or tendons. Read More

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October 2018
1 Read

Foot and Ankle Injuries in Soccer.

Am J Orthop (Belle Mead NJ) 2018 Oct;47(10)

University of California, Davis, Department of Orthopaedics, 3301 C St, Ste 1700, Sacramento, CA 95816, USA. Email:

The ankle is one of the most commonly injured joints in soccer and represents a significant cost to the healthcare system. The ligaments that stabilize the ankle joint determine its biomechanics-alterations of which result from various soccer-related injuries. Acute sprains are among the most common injury in soccer players and are generally treated conservatively, with emphasis placed on secondary prevention to reduce the risk for future sprains and progression to chronic ankle instability. Read More

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October 2018
3 Reads

The Arterial Anatomy of the Lateral Ligament Complex of the Ankle: A Cadaveric Study.

Am J Sports Med 2018 Nov 19:363546518808060. Epub 2018 Nov 19.

Department of Orthopaedic Surgery, Washington University in Saint Louis/Barnes-Jewish Hospital, St Louis, Missouri, USA.

Background:: Ankle sprains are the most common musculoskeletal injury in the United States. Chronic lateral ankle instability can ultimately require operative intervention to decrease pain and restore stability to the ankle joint. There are no anatomic studies investigating the vascular supply to the lateral ankle ligamentous complex. Read More

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http://journals.sagepub.com/doi/10.1177/0363546518808060
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http://dx.doi.org/10.1177/0363546518808060DOI Listing
November 2018
6 Reads

Wound-Healing Issues Following Rotational Ankle Fracture Surgery: Predictors and Local Management Options.

Foot Ankle Spec 2018 Nov 16:1938640018810422. Epub 2018 Nov 16.

New York University Langone Orthopaedic Hospital, New York, New York (HS, SK, AD, KE).

Background: The incidence and risk factors of wound-healing complications following rotational ankle fracture surgery are well documented in the literature. However, there is a paucity regarding management options following these complications. The goal of this study was to provide a descriptive analysis of one surgeon's experience managing wound complications in patients who have undergone ankle fracture surgery. Read More

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http://journals.sagepub.com/doi/10.1177/1938640018810422
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http://dx.doi.org/10.1177/1938640018810422DOI Listing
November 2018
6 Reads

Free flap and kickstand external fixator in foot and ankle soft tissue reconstruction. The versatility of a microsurgical-friendly application of an orthopedic device.

Injury 2018 Nov;49 Suppl 3:S105-S109

Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy.

Introduction: Foot and ankle are prone to injuries and often require free flap for complex soft tissue reconstruction due to the insufficiency of local soft tissue. Lower limb reconstruction can be commonly compromised by venous insufficiency, and the elevation of the limb represents a critical component of the postoperative care. This study aims to explore the versatility of combining free soft tissue flap reconstruction for complex foot and ankle defect with a temporary Kickstands External Fixator (KEF) placement. Read More

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http://dx.doi.org/10.1016/j.injury.2018.09.048DOI Listing
November 2018
1 Read

Arthroscopic Treatment of Ankle Instability - Allograft/Autograft Reconstruction.

Foot Ankle Clin 2018 Dec;23(4):571-579

Clinique du Sport, 2 rue Negrevergne, Bordeuax-Mérignac 33700, France. Electronic address:

Inversion ankle sprains represent one of the most common traumatic injuries in the active sports population. Although most respond well to conservative treatment, some hide important lesions. Lateral ankle ligament injuries occur in more than 80% of all ankle sprains, with one-third of these developing chronic ankle instability (CAI). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183005
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http://dx.doi.org/10.1016/j.fcl.2018.07.004DOI Listing
December 2018
7 Reads

Application of a Ni-Ti arched shape-memory connector in unstable lateral malleolus fractures: A retrospective study.

Injury 2018 Oct 30. Epub 2018 Oct 30.

Department of Emergency, Trauma Center, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China. Electronic address:

Purpose: To compare the outcomes of the arched shape-memory connector (ASC) only fixation and the lateral one-third tubular plate fixation in managing unstable Type A or B lateral malleolus fractures according to the Weber (AO) classification, and to evaluate the feasibility and reliability of ASC only fixation in treating these fractures.

Methods: From January 2010 to January 2015, 148 patients with Type A or B (Weber (AO) classification) lateral malleolus fractures treated with the arched shape-memory connector (ASC) only fixation or lateral plate fixation were included. There were 66 patients in the ASC only fixation group and 82 patients in the lateral plate group. Read More

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http://dx.doi.org/10.1016/j.injury.2018.10.037DOI Listing
October 2018
4 Reads

The success rate of first metatarsophalangeal joint lateral soft tissue release through a medial transarticular approach: A cadaveric study.

Foot Ankle Surg 2018 Oct 17. Epub 2018 Oct 17.

Department of Orthopaedics, Foot and Ankle, Hospital for Special Surgery, New York, NY, USA.

Background: The objective of this study was to evaluate the success rate of first metatarsophalangeal joint (MTPJ) lateral soft tissue release through a medial transarticular approach.

Methods: Ten cadaveric specimens were used (6 females/4 males, mean age, 73.4years). Read More

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http://dx.doi.org/10.1016/j.fas.2018.09.006DOI Listing
October 2018
2 Reads

Minimally invasive fixation for displaced intra-articular fractures of calcaneum: a short-term prospective study on functional and radiological outcome.

Musculoskelet Surg 2018 Oct 23. Epub 2018 Oct 23.

Department of Orthopaedics, Sunshine Hospitals, Secunderabad, 500003, India.

Introduction: Studies have demonstrated a decrease in the incidence of late consequences and the socio-economic burden of intra-articular fractures of calcaneum when treated by surgical fixation. Operative management of displaced intra-articular calcaneal fractures (DIACF) pose significant challenges such as technical difficulty, wound healing and long-term pain and disability.

Materials And Methods: All patients presenting to the ER with DIACF over a period of 2 years and matching the inclusion criteria were enrolled in the study. Read More

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http://link.springer.com/10.1007/s12306-018-0575-3
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http://dx.doi.org/10.1007/s12306-018-0575-3DOI Listing
October 2018
4 Reads

Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap.

J Int Med Res 2018 Oct 23:300060518801461. Epub 2018 Oct 23.

Department of Orthopedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China.

The patient was a 26-year-old man who fell while riding a motorcycle and friction led to defects in the lateral malleolus and soft tissue of the ankle. Although the wound surface healed with scarring and skin grafting, the patient had symptoms of ankle joint instability 4 months after the injury. Using a second metatarsal composite tissue flap with a dorsalis pedis artery pedicle, we repaired the soft tissue defect of the ankle and reconstructed the lateral malleolus. Read More

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http://dx.doi.org/10.1177/0300060518801461DOI Listing
October 2018
2 Reads

Imaging Manifestations of Ankle Impingement Syndromes.

Radiol Clin North Am 2018 Nov;56(6):893-916

Department of Radiology, MSK Division, University of Michigan Health System, 1500 Medical Center Drive-TC2910Q, Ann Arbor, MI 48109, USA.

Ankle impingement syndromes encompass various pathologic entities that contribute to ankle pain with limited range of motion. Although classically described in athletes, these changes can occur in individuals of all ages, often with a history of prior ankle trauma. Ankle impingement is broadly categorized as anterolateral, anterior, posterior, anteromedial, and posteromedial, depending on the area of the ankle affected. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00338389183007
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http://dx.doi.org/10.1016/j.rcl.2018.06.005DOI Listing
November 2018
4 Reads
1.984 Impact Factor

A prospective evaluation of bone marrow aspirate concentrate and microfracture in the treatment of osteochondral lesions of the talus.

Foot Ankle Surg 2018 Feb 22. Epub 2018 Feb 22.

Department of Trauma and Orthopaedics, Galway University Hospital, Saolta Hospital Group, Ireland. Electronic address:

Background: The term osteochondral lesion (OCL) refers to a defect involving the chondral surface and or subchondral bone. These lesions are associated with ankle injuries with bony and soft tissue and cause pain, decreased range of motion, swelling and impact adversely on quality of life. To date the standard treatment has been isolated microfracture (BMS). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183003
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http://dx.doi.org/10.1016/j.fas.2018.02.011DOI Listing
February 2018
5 Reads

A Morel-Lavallée lesion of the proximal calf in a young trauma patient: A case report.

Medicine (Baltimore) 2018 Oct;97(41):e12761

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Dongnam-gu, Cheonan.

Rationale: The Morel-Lavallée lesion (MLL) is a closed degloving injury developing when shear force acts between the muscle fascia and the subcutaneous layer. MLLs develop principally in the trochanteric area or the pelvis; lesions in the proximal calf are rare. Acute lesions can be treated conservatively, but chronic lesions are best treated surgically because of a high rate of recurrence. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810120-0006
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http://dx.doi.org/10.1097/MD.0000000000012761DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203552PMC
October 2018
19 Reads

Chopart amputation with tibiotalocalcaneal arthrodesis and free flap reconstruction for severe foot crush injury.

Bone Joint J 2018 Oct;100-B(10):1359-1363

Department of Orthopaedic Surgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.

Aims: This study reports the outcomes of a technique of soft-tissue coverage and Chopart amputation for severe crush injuries of the forefoot.

Patients And Methods: Between January 2012 to December 2016, 12 patients (nine male; three female, mean age 38.58 years; 26 to 55) with severe foot crush injury underwent treatment in our institute. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.100
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http://dx.doi.org/10.1302/0301-620X.100B10.BJJ-2018-0118.R1DOI Listing
October 2018
2 Reads

Arthroscopic posterior subtalar arthrodesis for salvage of posttraumatic arthritis following calcaneal fractures.

Injury 2018 Sep;49 Suppl 2:S65-S70

Department of Traumatology and Orthopedic Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain; Department of Surgery, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain.

Background: Subtalar arthrodesis is a treatment option for pain due to posttraumatic arthritis following calcaneal fractures. The goal of this study is to examine the results of arthroscopic subtalar arthrodesis for posttraumatic arthritis following calcaneal fractures.

Patients And Methods: We performed a retrospective case series reviewing 37 consecutive patients (36 male) treated for posttraumatic arthritis following calcaneal fractures by arthroscopic subtalar arthrodesis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183037
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http://dx.doi.org/10.1016/j.injury.2018.07.022DOI Listing
September 2018
6 Reads

Efficacy of Dehydrated Human Amniotic Membrane Allograft for the Treatment of Severe Extravasation Injuries in Preterm Neonates.

Wounds 2018 Aug;30(8):224-228

Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, NY.

Introduction: A peripheral intravenous (PIV) catheter is placed in 60% to 70% of neonatal intensive care unit (NICU) infants. Extravasation injuries occur in 18% to 33%, with 70% in neonates < 27 weeks of gestational age. Despite such frequent use of PIV therapy, evidence on best practice, injury prevention, management, and treatment of extravasations is lacking. Read More

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August 2018
8 Reads

Is There a Pathological Gait Associated With Common Soft Tissue Running Injuries?

Am J Sports Med 2018 Oct 7;46(12):3023-3031. Epub 2018 Sep 7.

School of Health Sciences, University of Salford, Salford, UK.

Background: Previous research has demonstrated clear associations between specific running injuries and patterns of lower limb kinematics. However, there has been minimal research investigating whether the same kinematic patterns could underlie multiple different soft tissue running injuries. If they do, such kinematic patterns could be considered global contributors to running injuries. Read More

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http://dx.doi.org/10.1177/0363546518793657DOI Listing
October 2018
7 Reads

Fixation of unstable ankle fractures using a long hindfoot nail.

Injury 2018 Nov 16;49(11):2083-2086. Epub 2018 Aug 16.

Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom.

Background: Management of fragility fractures of the ankle is challenging. Non-operative treatment often requires significant periods of reduced weight bearing. Operative fixation is difficult due to osteoporotic bone and poor soft tissues. Read More

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http://dx.doi.org/10.1016/j.injury.2018.07.028DOI Listing
November 2018

[Treatment of Pilon fractures complicated with soft tissue injury by plate and lag screw fixation via posterolateral approach].

Zhongguo Gu Shang 2018 Aug;31(8):775-778

Department of Orthopaedics, People's Hospital of Renhuai City, Renhuai 564500, Guizhou, China.

Objective: To evaluate the clinical effects of plate and lag screw fixation for treatment of Pilon fractures complicated with soft tissue injury via posterolateral approach.

Methods: From May 2013 to June 2016, 25 patients with Pilon fractures complicated with soft tissue injury underwent open reduction and internal fixation via posterolateral approach. There were 15 males and 10 females, aged from 25 to 61 years old with an average of(39. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.08.017DOI Listing

Treatment of infected Achilles tendinitis and overlying soft tissue defect using an anterolateral thigh free flap in an elderly patient: A case report.

Medicine (Baltimore) 2018 Aug;97(35):e11995

The Research Center for Advanced Image and Information Technology, School of Electronics and Information Engineering, Chonbuk National University, Jeonju, Chonbuk, Republic of Korea.

Introduction: Infected segmental loss of the Achilles tendon with overlying soft tissue and skin defect remains a more complex reconstructive challenge. Here, we present a functional reconstruction of infected Achilles tendinitis with combined soft tissue defects using a free composite anterolateral thigh (ALT) flap with vascularized fascia lata in an elderly patient.

Case Presentation: A 71-year-old male patient was transferred to our department due to soft tissue defect of the left lower leg and infected Achilles tendinitis. Read More

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http://dx.doi.org/10.1097/MD.0000000000011995DOI Listing
August 2018
2 Reads

Percutaneous screw fixation for painful non-union of lateral malleolus ankle fractures.

Injury 2018 Oct 16;49(10):1936-1941. Epub 2018 Aug 16.

Royal Cornwall Hospital, Penventinnie Lane, Truro, TR1 3LJ, United Kingdom.

Introduction: Lateral malleolus non-union can cause pain and loss of function. Standard treatment involves open approach with debridement, bone-grafting and plate stabilisation, with published surgical site infection rates to 17%. To minimise the risk of soft tissue complications and allow early mobilisation, we describe a technique for percutaneous cannulated screw stabilisation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183046
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http://dx.doi.org/10.1016/j.injury.2018.08.010DOI Listing
October 2018
9 Reads

[Influence of Time to Surgery in Ankle Fractures on the Rate of Complications and Length of Stay - a Multivariate Analysis].

Z Orthop Unfall 2018 Aug 24. Epub 2018 Aug 24.

Klinik für Unfallchirurgie, Orthopädie und Sporttraumatologie, Klinikum Köln-Merheim, Kliniken der Stadt Köln gGmbH.

Background: With an incidence of 9/1000 per year, ankle fracture is one of the most common skeletal injuries. It is currently unclear whether time to surgery affects the complication rate or the hospital length of stay and whether there are confounders in patient characteristics or comorbidities.

Material And Methods: In a retrospective cohort study (n = 421), the risk of perioperative complications in patients with a primary operative fracture treatment within 6 hours of trauma was compared to a secondary surgical treatment. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0658-1753
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http://dx.doi.org/10.1055/a-0658-1753DOI Listing
August 2018
9 Reads

Implant Removal Matrix for the Foot and Ankle Orthopaedic Surgeon.

Foot Ankle Spec 2018 Aug 22:1938640018791015. Epub 2018 Aug 22.

Harvard Combined Orthopaedic Residency Program, Boston, Massachusetts (PBK, IW, MDR).

Background: Orthopaedic surgery frequently requires the use of metal plate and screw constructs for osteosynthesis. These constructs may be subsequently removed for a variety of indications. In the lower extremity in particular, implants (ie, hardware) can lead to prominence and pain secondary to a thin soft-tissue envelope with little subcutaneous tissue. Read More

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http://dx.doi.org/10.1177/1938640018791015DOI Listing
August 2018
1 Read

[Effectiveness of wide fascial and doubly vascularized pedicle posterior cnemis flap in repair of soft tissue defect of forefoot].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1192-1195

Orthopaedic Trauma of Orthopaedic Center, Lanzhou General Hospital of Chinese PLA, Lanzhou Gansu, 730050, P.R.China.

Objective: To investigate the effectiveness of wide fascial and doubly vascularized pedicle posterior cnemis flap in repair of the soft tissue defect of forefoot.

Methods: Between March 2011 and March 2017, 18 cases with severe soft tissue defects of forefeet were repaired with the wide fascial and doubly vascularized pedicle posterior cnemis flaps. There were 13 males and 5 females with an average age of 33 years (range, 11-49 years). Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201803111
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http://dx.doi.org/10.7507/1002-1892.201803111DOI Listing
September 2018
4 Reads

Subtalar Joint Biomechanics: From Normal to Pathologic.

Foot Ankle Clin 2018 Sep 3;23(3):341-352. Epub 2018 Jul 3.

Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, USA.

Subtalar joint biomechanics are primarily driven by the shape of the articulations with contributions from the surrounding soft tissues. The joint motion occurs about a single axis oriented medially and superiorly. Joint contact forces change during different stages of gait and are affected by hindfoot alignment and traumatic alterations to their normal anatomy. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.002DOI Listing
September 2018
1 Read

The role of biologic in foot and ankle trauma-a review of the literature.

Curr Rev Musculoskelet Med 2018 Sep;11(3):495-502

Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, Pittsburgh, PA, 15213, USA.

Purpose Of Review: The use of biologics in orthopedics is becoming increasingly popular as an adjuvant in healing musculoskeletal injuries. Though many biologics involved in the management of foot and ankle injuries are used based on physician preference, reports of improved outcomes when combined with standard operative treatment has led to further clinical interest especially in foot and ankle trauma.

Recent Findings: The most recent studies have shown benefits for biologic use in patients predisposed to poor bone and soft tissue healing. Read More

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http://link.springer.com/10.1007/s12178-018-9512-1
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http://dx.doi.org/10.1007/s12178-018-9512-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105477PMC
September 2018
17 Reads

Retrograde Hindfoot Nailing for Acute Trauma.

Curr Rev Musculoskelet Med 2018 Sep;11(3):439-444

Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3471 Fifth Avenue, 911 Kaufmann Building, Pittsburgh, PA, 15213, USA.

Purpose Of Review: The role of retrograde hindfoot nailing in the treatment of acute orthopedic trauma is explored.

Recent Findings: Tibio-talar calcaneal (TTC) nailing is an acceptable treatment alternative for the low-demand geriatric patient with peri-articular ankle trauma permitting immediate weight-bearing with low rates of complication and return to functionality. Hindfoot nailing can be used for limb salvage in the younger active patient; yet, joint-preserving reconstruction is preferred when feasible. Read More

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http://dx.doi.org/10.1007/s12178-018-9507-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105487PMC
September 2018

The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015.

Orthop J Sports Med 2018 Jul 18;6(7):2325967118786227. Epub 2018 Jul 18.

The Steadman Clinic, Steadman Philippon Research Institute, Vail, Colorado, USA.

Background: American football is a leading cause of sports-related injuries, with the knee, ankle, and shoulder most commonly involved.

Purpose/hypothesis: The purpose of this study was to describe the epidemiology, characteristics, and imaging findings of ankle injuries in football players at the National Football League (NFL) Combine and determine the relationship to player position. We hypothesized that there would be a high relative incidence of ankle injuries in these players compared with other sports and that there would be a direct correlation between the incidence of ankle injuries and player position. Read More

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http://dx.doi.org/10.1177/2325967118786227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052500PMC
July 2018
6 Reads

A comparative study of three commonly used fixation techniques for isolated medial malleolus fracture.

Eklem Hastalik Cerrahisi 2018 Aug;29(2):104-9

Department of Orthopedics and Traumatology, Sakarya University Training and Research Hospital, 54100 Erenler, Sakarya, Turkey.

Objectives: This study aims to compare the three most commonly used fixation techniques: tension-band wire fixation, partially threaded cannulated screws, and fully threaded cannulated headless compression screws.

Patients And Methods: Ninety patients with medial malleolus fractures were included in the study. Patients were divided into three groups. Read More

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August 2018
5 Reads

Hybrid Achilles Tendon Repair.

Arthrosc Tech 2018 Jun 21;7(6):e639-e644. Epub 2018 May 21.

Department of Orthopedics, Lerdsin General Hospital, Bangkok, Thailand.

In the treatment of acute Achilles tendon rupture, recent studies demonstrate that conservative treatment with functional rehabilitation provides good results, with nearly identical postoperative rerupture rates when compared with surgical treatment. Surgical treatment is indicated in patients with particular conditions, such as patients who are young active athletes who require early return to play or those who wish to avoid the muscle atrophy associated with conservative methods. If surgery is the selected option for treatment, the postoperative complications of each type of surgery must be considered. Read More

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http://dx.doi.org/10.1016/j.eats.2018.02.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019910PMC
June 2018
3 Reads

Impact of a Canadian Pediatric Society Position Statement on Trampoline-related Injuries at IWK Health Centre, Halifax, Nova Scotia.

Cureus 2018 May 10;10(5):e2609. Epub 2018 May 10.

Emergency Department, IWK Health Centre.

Introduction: In 2007, the Canadian Pediatric Society (CPS) advised against the recreational use of trampolines at home and reaffirmed that statement in 2013. We evaluated the impact of this position statement on trampoline-related injuries at the IWK Health Centre in Halifax, Nova Scotia.

Methods: We completed a retrospective analysis (2001-2015) using the IWK Health Centre's Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) database. Read More

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http://dx.doi.org/10.7759/cureus.2609DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039218PMC

Ankle Spanning External Fixator Application.

J Orthop Trauma 2018 Aug;32 Suppl 1:S40-S41

Department of Orthopaedic Surgery, Washington University in Saint Louis, St. Louis, MO.

A 2-stage approach to treatment of tibia pilon fractures was reported in the 1990s and popularized over the ensuing decade to help avoid catastrophic soft-tissue complications experienced with one-stage open reduction and internal fixation. This approach can be expanded to the treatment of other high-energy injuries of the hind foot, with variation in external fixator application as needed. Key factors to maximize the utility and decrease complications of the external fixation stage include the following: (1) anatomic reduction of the talus under the long axis of the tibia in the coronal and sagittal planes, (2) strategic application of Schantz pins to resist deforming forces resulting from the injury, and (3) external fixation outside the zone of injury and definitive surgical treatment. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001210DOI Listing
August 2018
1 Read

Surgical Technique: Achieving Anatomic Alignment With Temporizing, Ankle-Spanning External Fixation.

J Orthop Trauma 2018 Aug;32 Suppl 1:S38-S39

Department of Orthopaedic Surgery, Division of Orthopaedic Trauma, Loyola University Stritch School of Medicine, Maywood, IL.

Introduction: Severe injuries to the ankle frequently result in soft tissue trauma too severe to proceed with immediate definitive fixation. Additionally, patients with multiple or vascular injuries may need a temporizing measure before undergoing definitive treatment. Temporizing, ankle-spanning external fixation offers a management strategy that allows for soft tissue rest and prioritized treatment of patients with polytrauma. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001205DOI Listing

The implants used for intramedullary fixation of distal fibula fractures: A review of literature.

Int J Surg 2018 Aug 28;56:294-300. Epub 2018 Jun 28.

Aberdeen Royal Infirmary, Foresterhill, Aberdeen, AB25 2ZN, UK.

Background: Ankle fractures are amongst the most common surgically treated musculoskeletal injuries. Intramedullary (IM) fixation of the lateral malleolus had been attempted as early as the 1990s. In recent years, dedicated implants have emerged. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17439191183151
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http://dx.doi.org/10.1016/j.ijsu.2018.06.019DOI Listing
August 2018
7 Reads

Percutaneous direct current stimulation - a new electroceutical solution for severe neurological pain and soft tissue injuries.

Med Devices (Auckl) 2018 14;11:205-214. Epub 2018 Jun 14.

Institute of Medical Sciences, University of Aberdeen, Aberdeen, Scotland.

There is a high medical need to improve the effectiveness of the treatment of pain and traumatic soft tissue injuries. In this context, electrostimulating devices have been used with only sporadic success. There is also much evidence of endogenous electrical signals that play key roles in regulating the development and regeneration of many tissues. Read More

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http://dx.doi.org/10.2147/MDER.S163368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011884PMC
June 2018
2 Reads

Postoperative Imaging of the Ankle.

AJR Am J Roentgenol 2018 Sep 27;211(3):496-505. Epub 2018 Jun 27.

1 Department of Radiology, University of Colorado School of Medicine, 12631 E 17th Ave, Rm 2413, Aurora, CO 80045.

Objective: The purpose of this article is to review imaging after commonly encountered surgical interventions of the ligaments, tendons, and soft tissues around the ankle. Intraoperative images, when available, are provided to improve conceptual understanding of these complex procedures.

Conclusion: Surgical interventions in the ankle are becoming more prevalent with increasing athletic demands and emerging focus on techniques for prevention of joint injury. Read More

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http://dx.doi.org/10.2214/AJR.18.19600DOI Listing
September 2018
2 Reads

Time-Driven Activity-Based Costing in Fracture Care: Is This a More Accurate Way to Prepare for Alternative Payment Models?

J Orthop Trauma 2018 Jul;32(7):344-348

Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN.

Objectives: To use surgical treatment of isolated ankle fractures as a model to compare time-driven activity-based costing (TDABC) and our institution's traditional cost accounting (TCA) method to measure true cost expenditure around a specific episode of care.

Methods: Level I trauma center ankle fractures treated between 2012 and 2016 were identified through a registry. Inclusion criteria were age greater than 18 years and same-day ankle fracture operation. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001185DOI Listing

Soft tissue reconstruction of foot and ankle defects with reverse sural fasciocutaneous flaps.

Rev Bras Ortop 2018 May-Jun;53(3):319-322. Epub 2017 May 13.

Department of Orthopaedics and Traumatology, Izmir Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey.

Objective: This study presents the results of 25 consecutive patients and evaluates the success of reverse sural fasciocuteneous flap (RSFF) on coverage of the foot and ankle region.

Methods: A total of 25 patients with soft tissue defects in the lower leg, foot, or ankle were treated with RSFF, from January 2010 to January 2017. In the evaluation of patients, the form prepared by the clinic was used and the following data were collected: age, follow-up, gender, etiology, defect size, complications, and patient satisfaction rates. Read More

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http://dx.doi.org/10.1016/j.rboe.2017.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5993885PMC
May 2017
11 Reads

Management of Talar Body Fractures.

Indian J Orthop 2018 May-Jun;52(3):258-268

Department of Orthopaedics, Ganga Hospital, Coimbatore, Tamil Nadu, India.

Fractures of talar body are uncommon injuries often associated with fractures of other long bones and in polytraumatized patients. The integrity of the talus is essential for the normal function of the ankle, subtalar, and midtarsal joints. The relative infrequency of this injury limits the number of studies available to guide treatment. Read More

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http://www.ijoonline.com/text.asp?2018/52/3/258/231959
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http://dx.doi.org/10.4103/ortho.IJOrtho_563_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961263PMC
June 2018
18 Reads

Calcaneal Fractures - Should We or Should We not Operate?

Indian J Orthop 2018 May-Jun;52(3):220-230

Michigan Orthopedic Center, Sparrow Hospital, Lansing, MI, USA.

The best treatment for displaced, intraarticular fractures of the calcaneum remains controversial. Surgical treatment of these injuries is challenging and have a considerable learning curve. Studies comparing operative with nonoperative treatment including randomized trials and meta-analyses are fraught with a considerable number of confounders including highly variable fracture patterns, soft-tissue conditions, patient characteristics, surgeon experience, limited sensitivity of outcome measures, and rehabilitation protocols. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_555_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961258PMC
June 2018
19 Reads

Preserving the lower extremity after severe devolving injuries to meet the patient's demand in two cases: (Limb salvage after degloving injury).

Trauma Case Rep 2018 Jun 23;15:8-15. Epub 2018 Apr 23.

Luzerner Kantonsspital Zentrumsspital, Orthopaedic Surgery and Traumatology, Luzern, LU CH 6000, Switzerland.

Background: Severe injuries of the foot are a life-changing event. They often lead to some form of disability, and are therefore very challenging to manage. Injuries of the extremity, especially the foot and ankle, are distinct predictors of poor outcome in polytrauma patients. Read More

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http://dx.doi.org/10.1016/j.tcr.2018.04.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987263PMC
June 2018
12 Reads

Soft Tissue Structures at Risk With Percutaneous Posterior to Anterior Screw Fixation of the Talar Neck.

Foot Ankle Int 2018 Oct 2;39(10):1237-1241. Epub 2018 Jun 2.

1 Department of Orthopaedics, Foot and Ankle, Hospital for Special Surgery, New York, NY, USA.

Background: Fractures of the talar neck and body can be fixed with percutaneously placed screws directed from anterior to posterior or posterior to anterior. The latter has been found to be biomechanically and anatomically superior. Percutaneous guidewire and screw placement poses anatomic risks for posterolateral and posteromedial neurovascular and tendinous structures. Read More

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http://dx.doi.org/10.1177/1071100718777771DOI Listing
October 2018
14 Reads

Modulations of Foot and Ankle Frontal Kinematics for Breaking and Propulsive Movement Characteristics during Side-Step Cutting with Varying Midsole Thicknesses.

Appl Bionics Biomech 2018 9;2018:9171502. Epub 2018 May 9.

Graduate Institute of Biomedical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan.

This study is aimed at determining the effects of midsole thickness on movement characteristic during side cutting movement. Fifteen athletes performed side-step cutting while wearing shoes with varying midsole thicknesses. Temporal-spatial and ground reaction force variables as well as foot and ankle frontal kinematics were used to describe breaking and propulsive movement characteristics and modulation strategies. Read More

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http://dx.doi.org/10.1155/2018/9171502DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5966703PMC

[Ilizarov technique combined with limited surgery for correction of spastic clubfoot in adolescents with cerebral palsy].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Feb;32(2):182-186

Department of Orthopedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan, 450052,

Objective: To evaluate the effectiveness of Ilizarov technique combined with soft tissue release and muscle strength balance in the treatment of spastic clubfoot in adolescents with cerebral palsy.

Methods: A retrospective analysis of clinical data of 29 cases (33 feet) of cerebral palsy spastic clubfoot deformity conformed to the selection criteria between June 2011 and September 2016. Among them, 17 were male (20 feet) and 12 were female (13 feet) with an age range from 13 to 28 years (mean, 17. Read More

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http://dx.doi.org/10.7507/1002-1892.201710045DOI Listing
February 2018
11 Reads

[Clinical application of anterolateral thigh polyfoliate perforator flap for vascular pedicle protection].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Aug;31(10):1245-1249

Department of Burns and Plastic Surgery, the Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563000, P.R.China.

Objective: To evaluate the effectiveness of anterolateral thigh polyfoliate perforator flap plus pedicle with one foliate flap for repairing extremities soft tissue defect.

Methods: Between January 2014 and January 2017, 24 patients with extremities soft tissue defects were treated by anterolateral thigh polyfoliate perforator flap plus pedicle with one foliate flap. There were 15 males and 9 females, with a median age of 33. Read More

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http://dx.doi.org/10.7507/1002-1892.201703048DOI Listing
August 2017
9 Reads

[Reconstruction of the donor area of distally based sural flap with relaying lateral gastrocnemius artery perforator propeller flap].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Nov;31(11):1363-1366

Department of Hand Surgery, the Affiliated Hospital of Southwest Medical University, Luzhou Sichuan, 646600,

Objective: To investigate the clinical application of relaying lateral gastrocnemius artery perforator flap in reconstruction of the donor defect after distally sural flap transferring.

Methods: Between January 2014 and January 2016, 12 cases with foot and ankle defects were treated. There were 10 males and 2 females with an average age of 23. Read More

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http://dx.doi.org/10.7507/1002-1892.201705126DOI Listing
November 2017
6 Reads