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Arch Orthop Trauma Surg 2022 May 9. Epub 2022 May 9.

Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria.

Introduction: This study investigated the anatomic feasibility of a new surgical therapy option for radial head arthrosis using an autologous vascularized bone graft of the second metatarsal and proximal fibula to recreate the proximal radiohumeral joint.

Materials And Methods: Upper and lower extremities of eleven body donors were evaluated using CT prior to anatomic dissection. Several distinct anatomic parameters were measured on the ipsi- and contralateral radial and fibular head and the second metatarsal base: bone diameter, articular surface diameter, head height, metaphyseal (neck) diameter, articular surface radius, total articular surface area, and angulation of the articular surfaces (facet). Read More

Case Rep Orthop 2022 21;2022:1843367. Epub 2022 Apr 21.

Westchester Medical Center, Department of Orthopaedic Surgery, 100 Woods Road, Valhalla, NY 10595, USA.

Case: A fifteen-year-old male patient sustained a posteriorly dislocated right capital femoral Delbet type Ib epiphyseal fracture-separation and a right acetabular posterior column fracture after a low-energy trip and fall. The capital femoral epiphysis was closed reduced and fixed with cannulated screws on an urgent basis. He underwent acetabular osteosynthesis via a Kocher-Langenbeck approach two days thereafter. Read More

J Foot Ankle Surg 2022 Mar 24. Epub 2022 Mar 24.

Department of Orthopedic Surgery, McGill University Health Centre, Montreal, Canada.

Acute compartment syndrome (ACS) in the foot is a challenging diagnosis and can lead to significant disabilities to patients. The present study aims to investigate the incidence, risk factors, demographics and association in the analysis of acute compartment syndrome (ACS) of the foot. We performed a retrospective review of the Trauma Quality Programs data from the American College of Surgeons including 70,525 patients who sustained a fracture of the foot from 2015 to 2018 (4 calendar years). Read More

J Funct Morphol Kinesiol 2022 Mar 25;7(2). Epub 2022 Mar 25.

Department of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome "Tor Vergata", 00133 Rome, Italy.

The authors report the long-term outcome in a series of 26 patients surgically treated for a fracture-dislocation of the ankle by open reduction and internal fixation (ORIF), reviewed after an average followup of 5.2 years. The average age of the patients was 46. Read More

Int Orthop 2022 Apr 21. Epub 2022 Apr 21.

Orthopaedics Department, Ain Shams University, Cairo, Egypt.

Background: Charcot neuroarthropathy is a destructive disease characterized by progressive bony fragmentation as a result of the isolated or accumulative trauma in patients with decreased sensation that manifests as dislocation, periarticular fractures, and instability. In this study, we present the results of salvage procedure of the ankle Charcot neuroarthropathy using aggressive debridement and Ilizarov frame fusion with early weight bearing.

Methods: Twenty-three patients with severely infected ulcerated and unstable Charcot neuroarthropathy of the ankle were treated between 2013 and 2018. Read More

Musculoskelet Surg 2022 Apr 18. Epub 2022 Apr 18.

Department of Orthopaedics and Traumatology, Rovereto Hospital, Rovereto, Italy.

Background: Subtalar joint dislocation (1% of all dislocations) is the permanent loss of articular relationships in the talonavicular and talocalcaneal joints, without other involvement of the foot. Dislocation can occur medially (85%), laterally (15%), posteriorly (2.5%) and anteriorly (1%). Read More

Unfallchirurg 2022 Apr 14. Epub 2022 Apr 14.

Klinik für Orthopädie und Unfallchirurgie, Luzerner Kantonsspital, Spitalstraße, 6000, Luzern, Schweiz.

We describe the case of a forest worker with a Gustilo-Anderson III dislocation fracture of the ankle joint. After initial external fixation, round necrotic skin lesions with hyperemic border walls appeared on the entire lower leg. Recurrent débridements worsened the soft tissue instead of improving it. Read More

J Orthop Case Rep 2021 Sep;11(9):67-71

Department of Orthopedics, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India.

Introduction: Neglected peroneal tendon dislocation with iatrogenic etiology has been rarely reported in the literature and its management has not been fully understood to date.

Case Report: We present a case of a 25-year-old male who presented with pain over the posterolateral aspect of his left ankle which was diagnosed to be a case of neglected peroneal tendon dislocation of iatrogenic etiology. Peroneal groove deepening with superior retinaculum repair was done in the patient along with loose body removal and osteophyte excision. Read More

J Orthop Case Rep 2021 Nov;11(11):11-15

Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.

Introduction: The Bosworth fracture is a distal fibula oblique fracture with proximal fibula posterior dislocation behind the posterior tibia tubercle. Extreme external rotation of the supinated foot causes it. These types of fractures and their treatment are infrequently described in the literatures. Read More

J Am Acad Orthop Surg Glob Res Rev 2022 04 7;6(4). Epub 2022 Apr 7.

From the Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, MI.

Despite success of the Ponseti method, a subset of patients with clubfeet experience residual deformity. Surgical release after unsuccessful serial casting can lead to residual clubfoot deformities, including a flat-top talus. We present a case of a 17-year-old boy with a dysmorphic ankle and a complete dorsal dislocation of the Chopart joint. Read More

Soud Lek 2022 ;67(1):3-6

A rare case of serious non-fatal pedestrian-motor vehicle accident in the constructions sector is described, leading to severe orthopedic trauma and disability. A 49-year-old male worker was admitted to the orthopedic department due to reported occupational injury. The accident occurred at the workplace during the construction of a cycling road, where the victim as pedestrian was referred to be crashed by a motor vehicle at his left lower extremity. Read More

Clin Podiatr Med Surg 2022 Apr;39(2):331-341

Division of Podiatric Surgery, LVPG Orthopedics and Sports Medicine, Lehigh Valley Health Network, 250 South Cedar Crest Boulevard, Suite 110, Allentown, PA 18103, USA; Penn State College of Medicine, 500 University Drive, Hershey, PA 17033, USA.

Charcot neuroarthropathy (CN) of the foot/ankle is a devastating complication that can occur in neuropathic patients. It is a progressive and destructive process that is characterized by acute fractures, dislocations, and joint destruction that will lead to foot and/or ankle deformities. Early diagnosis is imperative, and early treatment may be advantageous, but the condition is not reversible. Read More

J Neurophysiol 2022 Apr 30;127(4):1159-1170. Epub 2022 Mar 30.

Department of Biomedical Engineering, McGill University, Montreal, Quebec, Canada.

Human upright balance is maintained through feedback mechanisms that use a variety of sensory modalities. Vision senses information about the position and velocity of the visual surround motion to improve balance by reducing the sway evoked by external disturbances. This study characterized the effects of visual information on human anterior-posterior body sway in upright stance by presenting perturbations through a virtual reality system. Read More

Foot Ankle Int 2022 Mar 18:10711007221078000. Epub 2022 Mar 18.

Department of Orthopaedic Surgery, University of Colorado School of Medicine, Denver, CO, USA.

Background: A consensus group recently proposed the term (PCFD) and a new classification with 2 stages plus 5 classes to describe the complex array of flatfoot deformities. This study aimed to validate different diagnostic accuracy rates of the PCFD classification.

Methods: This was a survey-based study distributed among 13 foot and ankle fellowship programs for 3 groups of participants with varied experience in practice (group 1: fellows in training, group 2: surgeons in practice for 1-4 years, and group 3: surgeons in practice for ≥5 years). Read More

Ortop Traumatol Rehabil 2022 Feb;24(1):61-67

Katedra i Klinika Ortopedii i Traumatologii Narządu Ruchu Śląskiego Unierwsytetu Medycznego w Katowicach, Polska / Department of Orthopaedics and Musculoskeletal Traumatology, Medical University of Silesia in Katowice, Poland.

Subtalar dislocation is a very rare injury that accounts for just approximately 1% of traumatic dislocations. Stan-dard treatment in acute subtalar dislocations is immediate closed reduction and cast immobilization. Early reduction is of key importance and allows avoiding further damage to soft tissues, nerves and blood vessels. Read More

Cureus 2022 Feb 7;14(2):e21983. Epub 2022 Feb 7.

Orthopedic Surgery, Children's Hospital of Philadelphia, Philadelphia, USA.

Background Pediatric patients often present with vague complaints involving the anterolateral foot and ankle, the medial knee, the lower back, and the hip. In our experience, closer examination of these patients reveals a constellation of symptoms that involve pathology in the ankle, knee, back, and hip. This study aimed to detail the identification and treatment of patients with the triad of flexible flat feet, tight Achilles complex, and altered gait, and their clinical course over time. Read More

Arch Orthop Trauma Surg 2022 Mar 9. Epub 2022 Mar 9.

Department of Development and Regeneration, KU Leuven-University of Leuven, Leuven, Belgium.

Introduction: Several surgical techniques for chronic instability of the peroneal tendons have been reported. Yet, the most optimal technique has not been clarified. This study aims to perform a systematic review and meta-analysis of all existing evidence and compare all published surgical techniques in both the athletic as the nonathletic population. Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):37-42

Ortopedicko-traumatologická klinika, 3. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha.

PURPOSE OF THE STUDY The study analyses a cohort of patients with surgically treated ankle fractures who developed complete distal tibiofibular synostoses. It focuses on their occurrence and association with the extent of tibiotalar dislocation of the ankle joint on the trauma X-ray and its relation to the choice of surgery. MATERIAL AND METHODS The cohort of a total of 824 patients with type B and C fractures according to Weber classification was followed up for 9 years. Read More

Arch Orthop Trauma Surg 2022 Feb 28. Epub 2022 Feb 28.

Trauma Unit Amsterdam UMC, Location AMC, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Introduction: Only 6.4-17% of the load is transmitted through the fibula when weight-bearing. Plate fixation of distal fibular fractures using minifragments (≤ 2. Read More

Unfallchirurg 2022 Feb 18. Epub 2022 Feb 18.

Klinik für Orthopädie und Traumatologie, Kantonsspital Winterthur, Brauerstraße 15, 8400, Winterthur, Schweiz.

We report the case of a 69-year-old female patient who sustained a traumatic anterior dislocation of the tibialis posterior muscle tendon. A computed tomography (CT) scan demonstrated an osseous avulsion of the flexor retinaculum with the tendon dislocated underneath it. The patient underwent surgical exploration with reduction of the tendon to its anatomical position and screw fixation of the avulsed fragment. Read More

Front Surg 2021 27;8:788575. Epub 2022 Jan 27.

Department of Orthopaedics and Traumatology, Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.

Bosworth fracture-dislocation is a rare type of ankle injury, which in the typical radiologic are overlap of distal tibia and fibula in the anteroposterior view, posterior subluxation of the talus and syndesmosis dissociation in the lateral view, while in the CT scan, the fibula was displaced behind the posterior edge of the fibular notch (incisura tibiae), locked between the distal tibia and the displaced posterior malleolus fragment. Treatment can be challenging owing to the ignorance or failure of the initial reduction, resulting in an irreducible tibiotalar joint and tibiofibular syndesmosis reduction. To treat this complicated injury, emergent open surgery is always recommended for the first stage reduction to prevent adverse events. Read More

Injury 2022 Apr 5;53(4):1394-1400. Epub 2022 Feb 5.

Department of Trauma surgery, Klinikum rechts der Isar, Technical University Munich, Germany.

Introduction: Bouldering is a climbing sport that has been attracting a greater number of recreational and professional athletes over recent decades, which has led to an increase in sport-related injuries. The aim of this study was to determine the characteristics and the types of acute injuries caused by bouldering. Further athlete-specific factors and covariates for the trauma types were investigated. Read More

Trauma Case Rep 2022 Apr 26;38:100618. Epub 2022 Jan 26.

Department of Orthopaedic Surgery, Kanazawa University Hospital 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, Japan.

We report a case of equinus foot deformity and malunion of the medial malleolus caused due to tibialis posterior tendon interposition following irreducible fracture-dislocation of the ankle. A 19-year-old female patient was referred to our hospital with the chief complaint of persistent ankle pain and restricted ankle dorsiflexion. Her medical history revealed a fracture-dislocation of the ankle in the left tibia at the age of 18 years. Read More

Zhongguo Gu Shang 2022 Jan;35(1):64-6

Department of Orthopaedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

Foot Ankle Orthop 2021 Apr 15;6(2):24730114211000297. Epub 2021 Apr 15.

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.

Level IV, case series. Read More

Medicine (Baltimore) 2022 Jan;101(4):e28773

Department of Orthopedics, The People's Hospital of Three Gorges University, The First People's Hospital of Yichang, Yichang, Hubei, China.

Rationale: Pipkin III femoral head fracture dislocation (FHFD) is rarely observed in clinical practice, and its outcome is alarming. A considerable proportion of Pipkin III fractures result from repeated or forceful closed reduction of an irreducible FHFD. Pipkin type III fractures pose a therapeutic challenge. Read More

Arch Orthop Trauma Surg 2022 Jan 18. Epub 2022 Jan 18.

Department of Orthopaedic Surgery and Joint Surgery Centre, Takatsuki General Hospital, 1-3-13, Kosobe-cho, Takatsuki, Osaka, 569-1192, Japan.

Introduction: In Oxford unicompartmental knee arthroplasty (OUKA), the flexion and extension gaps should be adjusted to prevent mobile-bearing dislocation. The extension gap is recommended to be evaluated in the 20° flexion position to avoid underestimation due to tension of the posterior capsule. However, we have become aware of a looser gap in full extension than in 20° flexion in some instances. Read More

Arch Orthop Trauma Surg 2022 Jan 18. Epub 2022 Jan 18.

Department of Orthopaedics, Centro Hospitalar e Universitário do Porto, Porto, Portugal.

Purpose: The aims of this study were: (1) to define the incidence of tendinous injuries in calcaneus and pilon fractures with different fracture severity and (2) to determine the clinical impact of such injuries.

Study Design And Methods: CT-scans of 121 patients with calcaneus and pilon fractures were retrospectively analyzed over a 4-year period. The tendinous injuries were identified and correlated with the type of fracture (location and classification). Read More

BMJ Case Rep 2022 Jan 17;15(1). Epub 2022 Jan 17.

Sports Medicine and Rehabilitation Clinic Sports Traumatology Center, Tartu University Hospital, Tartu, Tartumaa, Estonia.

Traumatic dislocation of the tibialis posterior tendon is an extremely rare injury with few reported cases. It is a complicated injury with high risk of misdiagnosis and mistreatment. MRI is the best tool for diagnosis. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Jan;36(1):18-24

The Second Department of Orthopedics, the Eighth People's Hospital of Qingdao, Qingdao Shandong, 266000, P. R. China.

Objective: To investigate the feasibility and effectiveness of high tibial osteotomy (HTO) in treatment of chronic multi-ligament knee injury (MLKI) associated with lower extremity malalignment.

Methods: A clinical data of 14 patients (14 knees) of chronic MLKI associated with lower extremity malalignment, who were treated with HTO between January 2016 and September 2020, was retrospectively analyzed. There were 10 males and 4 females, with an average age of 30. Read More