Search Our Scientific Publications & Authors

J Foot Ankle Surg 2020 May 8. Epub 2020 May 8.

Orthopedic Surgeon, Orthopaedic and Traumatology Department, University Hospital of Martinica, Martinique, France.

Total or complete dislocation of the talus is a triple dislocation of the tibiotalar, talocalcaneal, and talonavicular joints. It is a rare injury and is considered to be 1 of the most disabling ankle injuries. In light of the literature, there is a lack of consensus on their surgical treatment. Read More

Foot Ankle Clin 2020 Jun 5;25(2):239-256. Epub 2020 Apr 5.

University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse 74, Dresden 01307, Germany.

Severe calcaneal malunions are debilitating conditions owing to substantial hindfoot deformity with subtalar arthritis and soft tissue imbalance. Type III malunions are best treated with a subtalar distraction bone block fusion. Additional osteotomies may be required for severe varus or superior displacement of the calcaneal tuberosity. Read More

Zhonghua Yi Xue Za Zhi 2020 May;100(17):1305-1309

Department of Radiology, Peking University Fourth School of Clinical Medicine, Beijing Jishuitan Hospital, Beijing 100035, China.

To explore the MR characteristics of normal anatomy and injured peroneal tendon and the diagnostic value of MR in the peroneal tendon injuries. From February 2018 to December 2018, a total of 20 healthy volunteers (40 ankle joints) were selected, 10 males and 10 females, with an age range of 20-30 (26±3) years. Retrospective analyzed 62 patients with ankle sprain and peroneal tendon injuries confirmed by operation, 34 males and 28 females, with an age range of 14-78(41±14) years. Read More

Foot Ankle Spec 2020 May 4:1938640020913177. Epub 2020 May 4.

Department of Orthopaedics, Foot and Ankle Surgery, University of Iowa, Iowa City, Iowa.

The association of ipsilateral talar and calcaneal fractures is an uncommon combination and is typically the result of a high-energy trauma. It is often associated with comminution, marked fracture displacement, and soft-tissue compromise. Obtaining satisfactory clinical and radiographic results is very challenging. Read More

Pediatr Emerg Care 2020 May;36(5):248-254

Attending Physician, Division of Emergency Medicine, Children's Mercy Hospital, Kansas City, MO.

Ankle injuries are a common reason for presentation to the pediatric emergency department. An understanding of the anatomy of the ankle joint, the mechanism of injury, and a thorough history and physical examination can help narrow the differential diagnosis. This article will discuss the management of common ankle injuries, including ankle sprains, dislocations, and pediatric fractures, including transitional triplane and Tillaux fractures. Read More

Rozhl Chir 2020 ;99(2):77-85

Introduction: Maisonneuve fracture (MF) is a generally known entity in ankle trauma. However, details about this type of injury can be found only rarely in the literature. For these reasons we have decided to perform a study on MF epidemiology and pathoanatomy. Read More

Unfallchirurg 2020 Apr 28. Epub 2020 Apr 28.

Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburg Allee 160, 23538, Lübeck, Deutschland.

This article reports a case of medial dislocation of the talus as a rare injury caused by a fall from a low height.Treatment recommendations given in the literature for this rare injury are heterogeneous but closed reduction is predominant. Little is known about possible obstacles in closed reduction. Read More

J Foot Ankle Surg 2020 Apr 25. Epub 2020 Apr 25.

Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Dorsal dislocation of the interphalangeal joint of the great toe is quite rare. Closed reduction is often attempted in the emergency setting, but this measure is seldom successful because of invagination of the sesamoid-plantar plate complex into the interphalangeal space. Generally, open reduction is indicated when closed reduction fails. Read More

J Foot Ankle Surg 2020 Apr 25. Epub 2020 Apr 25.

Consultant, Hospital for Trauma and Reconstructive Surgery, BG Hospital Bergmannstrost Halle gGmbH, Halle/S., Germany; Senior Physician, Hospital for Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Jena, Germany.

Ankle fracture dislocations with frustrating attempts at closed reduction are a rare traumatic entity. We present a case of an irreducible ankle fracture due to incarceration of all the flexor tendons including the neurovascular bundle in the tibial fibular interosseous space; to date, only one such case has been published in the literature. A computed tomography scan in both bone and soft tissue windows was necessary to clarify the structures that were inhibiting repositioning. Read More

J Clin Neurosci 2020 Apr 23. Epub 2020 Apr 23.

Neuroscience Research Center, Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran; Department of Nuclear Medicine, Odense University Hospital, Odense, Denmark; Research Unit of Clinical Physiology and Nuclear Medicine, Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; BRIDGE-Brain Research-Inter-Disciplinary Guided Excellence, Department of Clinical Research, University of Southern Denmark, Odense, Denmark; Research Unit of Psychiatry, Department of Psychiatry, Psychiatry in the Region of Southern Denmark, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark. Electronic address:

Different mechanisms including knee dislocation, replacement surgery, nerve tumor, lumbar disc herniation, sharp injury, and gunshot wound lead to foot drop. Several surgical techniques have been used for treatment of foot drop, however, they have had sub-optimal outcomes. Soleus branch of tibial nerve is a good donor for nerve transfer for treatment of foot drop. Read More

Eur J Orthop Surg Traumatol 2020 Apr 25. Epub 2020 Apr 25.

Department of Pediatric Orthopedics and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy.

EFORT Open Rev 2020 Mar 2;5(3):145-155. Epub 2020 Mar 2.

Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, UK.

Up to 18% of multiligament knee injuries (MLKI) have an associated vascular injury.All MLKI should be assessed using the ankle brachial pressure index (ABPI) with selective arteriography if ABPI is < 0.9. Read More

J Surg Case Rep 2020 Mar 24;2020(3):rjz363. Epub 2020 Mar 24.

Department of Orthopaedics, Wythenshawe Hospital, Manchester, M239LT, England.

We present a case of incorrect seating of the polyethylene liner in an INFINITY total ankle replacement causing discomfort and eventually leading to a revision ankle replacement. This malposition of the implant was observed on a computed tomography (CT) scan as a 'gap' between the liner and the body of the replacement. The patient complained of discomfort on walking postoperatively, which limited activity. Read More

JBJS Case Connect 2020 Jan-Mar;10(1):e0205

Orthopedic Surgery Department, Division of Foot and Ankle Surgery, University of Alabama Birmingham, Birmingham, Alabama.

Case: A 19-year-old woman sustained a plantar flexion-inversion injury to her right ankle after a low-speed motor vehicle collision. Clinical examination demonstrated supinated, adducted deformity of the foot, and prominent calcaneus laterally. Radiographs revealed dislocation of the calcaneocuboid joint, a rare injury, which was successfully stabilized by a novel technique using a hamstring allograft. Read More

Biomed Res Int 2020 10;2020:4139028. Epub 2020 Mar 10.

Department of Orthopedic, The First College of Clinical Medical Science, China Three Gorges University & Yichang Central People's Hospital, Yichang 443002, China.

As a rare and exceptional injury with significant syndesmotic disruption, the outcome of Logsplitter injury remains poor and unfavorable. In this study, we retrospectively investigated the relationship between the intraoperative reduction quality and the prognosis such as the posttraumatic osteoarthritis to help surgeons achieve better functional outcomes for this high-energy transsyndesmotic ankle fracture dislocation. From January 2015 to February 2019, 31 patients (average 37. Read More

Int Orthop 2020 May 17;44(5):973-977. Epub 2020 Mar 17.

Orthopedic Surgery Dept, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.

Introduction: Talus fractures are not uncommon and one of the serious fractures in the foot and ankle. Peroneal tendon dislocation is one of the commonly missed soft tissue injuries which may have significant impact on the outcomes including persistent pain and swelling. They have been reported to be associated with calcaneum as well as talus fractures. Read More

Tunis Med 2019 Dec;97(12):1370-1374

Introduction: The loss of correct relationships between the sesamoid and the first metatarsal is one of the architectural consequences of the hallux valgus (HV). The reduction of this dislocation by lateral soft tissue release (LSTR) is one of the objectives of surgery.

Aim: To study the relationship between postoperative position of sesamoid and clinical outcome at one-year postoperative follow-up. Read More

J Phys Ther Sci 2020 Feb 14;32(2):161-165. Epub 2020 Feb 14.

Department of Physical Therapy, Mongolian National University of Medical Sciences, Mongolia.

[Purpose] The purpose of this study was to investigate sports-related injuries among judokas in Mongolia which is classified in the lower-middle income country. This study may help prevent future sports-related injuries. [Participants and Methods] We studied 75 judokas affiliated to the judo club in Ulaanbaatar, Mongolia. Read More

J Foot Ankle Surg 2020 Mar - Apr;59(2):379-384

Director, Podiatric and Medicine and Surgery Residency, University of Pittsburgh Medical Center, Pittsburgh, PA; Assistant Professor of Orthopaedic Surgery, University Pittsburgh School of Medicine, Pittsburgh, PA.

Lateral dislocation of the subtalar joint is a relatively uncommon pathology. It has previously been described in the literature secondary to acute trauma. This form of dislocation can also be acquired and seen in severe long-standing cases of flatfoot and Charcot neuroarthropathy. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Mar 4. Epub 2020 Mar 4.

Praxis Zeppelin, Brauerstrasse 95, 9016, St. Gallen, Switzerland.

Purpose: To evaluate the kinematics/kinetics of the ankle, knee, hip in the sagittal plane in adolescents with recurrent patellar dislocation in comparison to a healthy control.

Methods: Case-control study. Eighty-eight knees (67 patients) with recurrent patellar dislocation (mean age 14. Read More

J Oncol 2019 26;2019:9417284. Epub 2019 Dec 26.

Department of Orthopedic Oncology, King Hussein Cancer Center, Queen Rania Street, Amman, Jordan.

Background: Joint-sparing limb salvage surgery (JSLSS) is an advancement in the techniques and concepts of limb salvage surgery, which makes it possible to save not only the limb affected by malignancy but also the adjacent joint and the epiphyseal plate. In the growing child, this procedure is technically demanding due to the availability of small length of bone for implant purchase. Reconstruction options can be biological reconstruction or endoprosthesis; however, the outcome of endoprosthetic reconstruction after joint-sparing resection is not well described in the literature. Read More

Mil Med 2020 01;185(Suppl 1):420-422

Naval Medical Center San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134.

Introduction: The purpose of this study was to identify the location of the peroneal tendons in relationship to the fibular groove in an asymptomatic population of elite U.S. Military Service members. Read More

JBJS Essent Surg Tech 2019 Oct-Dec;9(4). Epub 2019 Nov 1.

Section for Foot and Ankle Surgery, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

Lisfranc injuries consist of a wide spectrum of injuries, ranging from subtle injuries to severe fracture-dislocations. Injuries with instability of the tarsometatarsal, intercuneiform, or naviculocuneiform joints should be treated with anatomic reduction and stable fixation. The best method of fixation is debated. Read More

Case Rep Orthop 2020 27;2020:5026058. Epub 2020 Jan 27.

Ascension Genesys Hospital, 1 Genesys Parkway, Grand Blanc, MI. 48439, USA.

We describe a case of an isolated posteromedial ankle dislocation, without malleolar fracture, with associated dislocation of an os trigonal process after a low-energy tennis injury. We demonstrate that nonoperative treatment results in excellent functional outcome scores with minimal arthritic progression at 2 years of follow-up. We discuss pathoanatomic risk factors of pure dislocations and propose that an os trigonum is a risk factor for isolated dislocations of the ankle. Read More

JBJS Case Connect 2020 Jan-Mar;10(1):e0467

Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, Tennessee.

Case Report: A 65-year-old man presented with pain in his left ankle. After a delay, he presented to the orthopaedic clinic where computed tomography scan revealed an intra-articular, locked-lateral calcaneal fracture with dislocation of the peroneal tendons.

Conclusions: This combination of injuries can produce subtle signs, such as an atypical double-density sign and varus talar tilt, on plain radiographs; however, the consequences of delayed treatment can be catastrophic. Read More

Z Orthop Unfall 2020 Feb 10. Epub 2020 Feb 10.

UniversitätsCentrum für Orthopädie und Unfallchirurgie (OUC), Universitätsklinikum Carl Gustav Carus, Dresden.

Even minor residual fragment malpositioning after internal fixation of ankle fractures is associated with a worse prognosis. Frequent causes for non-anatomical reduction are fibular shortening due to comminuted fractures or poor bone quality, translational or rotational malpositioning of the distal fibula within the tibial incisura with unstable syndesmosis injuries, and inadequately addressed bony avulsions of the tibiofibular syndesmosis. After operative treatment of fracture dislocations with syndesmotic fixation, in case of complex fracture pathoanatomy, and with suspected non-anatomic reduction in postoperative radiographs, computed tomography imaging of both ankles should be performed. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Feb 6. Epub 2020 Feb 6.

Departments of Orthopaedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.

Purpose: The purpose of this study was to evaluate whether tendoscopic peroneal retinaculum repair for patients with recurrent peroneal tendon dislocation (RPTD) is more useful than an open procedure.

Methods: Twenty-five patients with RPTD were retrospectively reviewed. Twelve patients (13 ankles) with RPTD underwent the open procedure (Group A) between 2008 and 2014, and 13 patients (14 ankles) underwent the tendoscopic procedure (Group B) between 2014 and 2017. Read More

Arthrosc Tech 2020 Jan 12;9(1):e35-e38. Epub 2019 Dec 12.

Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Yau Ma Tei, China.

The peroneus quartus is the most common supernumerary muscle of the foot and ankle. It can be symptomatic and associated with splits or tears in the peroneus brevis, subluxation or dislocation of the peroneal tendon, tendinous calcification, chronic peroneal compartment syndrome, and painful hypertrophy of the retrotrochlear eminence. The purpose of this Technical Note was to describe the details of endoscopic resection of the peroneus quartus. Read More

Arch Orthop Trauma Surg 2020 Jan 25. Epub 2020 Jan 25.

Department of Orthopaedics and Traumatology, Bürgerspital Solothurn, Solothurn, Switzerland.

Background: Direct fixation of posterior malleolar fractures has been shown to lead to higher accuracy of fracture reduction compared to an indirect anterior to posterior fixation but lacks long-term clinical results. This study shows the mid- to long-term clinical and radiological outcome after direct fixation of the posterior malleolus through a posterolateral approach.

Materials And Methods: Thirty-six patients with an ankle fracture including a posterior malleolar fragment (23 × AO-44C, 12 × AO-44B, 1 × unclassifiable) treated with direct fixation of the fragment through a posterolateral approach were retrospectively evaluated. Read More

Cureus 2020 Jan 12;12(1):e6632. Epub 2020 Jan 12.

Orthopaedic Surgery, Riverside University Health System Medical Center, Moreno Valley, USA.

The Bosworth fracture is defined as a bimalleolar fracture-dislocation of the ankle, with entrapment of the fibula behind the posterior tubercle of the distal tibia. In the current orthopedic literature, not only is this fracture pattern rare, but this type of fracture-dislocation has also been reported to be near impossible to close reduce, with the majority requiring early open reduction and internal fixation to prevent complications and poor clinical outcomes. Reported early complications include compartment syndrome and soft tissue complications from repeated closed reduction attempts. Read More

Unfallchirurg 2020 Jan;123(1):43-56

UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, 01307, Dresden, Deutschland.

Ankle fractures and associated ligamentous injuries are the most common injuries of a load-bearing joint. There is still no general consensus with respect to the pathomechanism, the treatment indications and surgical techniques. The medium and long-term results are affected by a particularly high risk of posttraumatic arthritis in bimalleolar and trimalleolar fractures and fracture dislocations. Read More

Eur J Trauma Emerg Surg 2020 Jan 16. Epub 2020 Jan 16.

Department of Foot and Ankle Surgery, Catholic Clinic Mainz, Mainz, Germany.

Purpose: The aim of this study was to investigate the influence of different ligamentous Lisfranc injuries on computed tomography (CT) findings under weight-bearing and to emphasize the indications for surgical treatment of their various types.

Methods: Sixteen human cadaveric lower limbs were placed in weight-bearing radiolucent frame for CT scanning. All intact specimens were initially scanned, and then, dorsal approach was used for sequential ligaments cutting of: (1) the dorsal and the interosseous (Lisfranc) ligaments between medical cuneiform (MC) and metatarsal 2 (MT2); (2) the plantar ligament between the MC and MT3; (3) the plantar ligament between MC and MT2. Read More

Ugeskr Laeger 2020 Jan;182(2)

This review summaries the knowledge of the treatment of peroneal nerve palsy. Isolated peroneal nerve palsy is often seen after fracture of the knee or knee dislocation. In cases with chronic peroneal nerve palsy and foot drop, tendon transfer of the posterior tibial muscle tendon to the dorsum of the foot is a possibility to be considered. Read More

Unfallchirurg 2020 Jan;123(1):76-79

Schlichtungsstelle für Arzthaftpflichtfragen der norddeutschen Ärztekammern, 30161, Kollenrodtstr. 5, Hannover, Deutschland.

A 60-year-old patient suffered an ankle distortion resulting in a comminuted fracture of the fifth metatarsal. On the same day the accident occurred the patient presented to an emergency department and immediate operative treatment of the fracture was performed by intramedullary Kirschner wires with closed reduction and internal fixation. The aftercare was carried out on an outpatient basis by a registered orthopedist in accordance with the surgeon's instructions. Read More

Malays Orthop J 2019 Nov;13(3):80-84

Department of Orthopaedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome, Italy.

Bilateral fracture-dislocation of the talus is a rare occurrence. It represents 0.06% of the dislocations and 2% of the traumas of the talus. Read More

ANZ J Surg 2020 Apr 19;90(4):585-590. Epub 2019 Dec 19.

Alfred Hospital, Melbourne, Victoria, Australia.

Background: The aims of this retrospective study were to compare the functional and radiological outcomes of primary arthrodesis and open reduction internal fixation (ORIF) for the treatment of complete Lisfranc fracture dislocations.

Methods: A retrospective cohort study of 39 patients treated for a complete Lisfranc fracture dislocation, defined as Myerson types A and C2, over a period of 8 years at a level 1 trauma centre was performed. Of these, 18 underwent primary arthrodesis, and 21 ORIF. Read More

Bull Emerg Trauma 2019 Oct;7(4):411-415

Bone and Joint Diseases Research Center, Department of Orthopedics Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

Transcalcaneal talonavicular fracture dislocation is an extremely rare debilitating injury with high complication rates. The present case report demonstrates highly comminuted joint-depressed fracture of left calcaneus treated with primary subtalar arthrodesis following reduction and fixation of the calcaneus. The right ankle sustained a highly comminuted fracture of calcaneal body with completely-destroyed posterior facet, fracture dislocation of the calcaneocuboid joint, dorsally dislocated talonavicular joint, fracture of anterior of tibial plafond, and subluxation of the tibiotalar joint. Read More

Clin J Sport Med 2019 Dec 13. Epub 2019 Dec 13.

Human Movement Sciences Department, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.

Objective: To explore the relationship between ankle dorsiflexion range of motion (ROM) and hip and knee muscle strength between patients with a history of patellar dislocation (PD) to healthy controls.

Design: Case-control study.

Setting: Orthopedical specialty outpatient clinic at a tertiary hospital. Read More

Praxis (Bern 1994) 2019 ;108(16):1091-1095

Klinik für Traumatologie Universitätsspital Zürich.

Fever after an Open Ankle Fracture - a Surprising Diagnosis We present the case of a patient with a second-degree open dislocated ankle fracture and a complex wound situation as well as fever in the postoperative course. The man, originally from Nigeria, spent his annual holidays in a rural area of ​​the country, where he sustained a right-sided open dislocation fracture of his ankle in a car accident. After initial rudimentary care in Nigeria, the patient traveled back to Switzerland on his own, where he has been living for the past ten years. Read More

Int J Surg Case Rep 2019 19;65:333-338. Epub 2019 Nov 19.

Department of Orthopaedic & Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Central Jakarta, Jakarta, 10430, Indonesia.

Introduction: Peroneal tendon subluxation is a relatively rare disorder that is often misdiagnosed as an ankle sprain. It affects mainly young adults, usually during sports activities. It is mostly caused by avulsion of the superior peroneal retinaculum (SPR) from its fibular insertion, which requires surgical intervention, especially for cases of symptomatic chronic peroneal tendon subluxation and/or dislocation. Read More

Medicine (Baltimore) 2019 Nov;98(48):e18175

Department of Orthopedic Surgery, Soonchunhyang University Hospital Cheonan, Cheonan.

Rationale: Hereditary multiple exostoses (HME) is an autosomal dominant disease that causes multiple exostoses throughout the body. It usually occurs around the metaphysis of the long bones, and when it involves the hip, symptoms arise due to deformity and the mass effect. If the lesion does not involve the joint or is not associated with arthritis, symptoms can be relieved by surgical excision of the osteochondroma. Read More

J Foot Ankle Surg 2020 Jan - Feb;59(1):178-183. Epub 2019 Nov 19.

Surgeon and Faculty, Podiatric Surgical Residency, Podiatry, Community Health Network, Indianapolis, IN.

Plantar plate tears are a common cause of forefoot pain and digital deformity. Repair of the plantar plate has been described from both a dorsal and plantar approach, each with its own benefits and drawbacks. Many of the approaches use costly devices. Read More

J Emerg Med 2019 Nov 8. Epub 2019 Nov 8.

Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas.

Background: Knee dislocations are a potentially limb-threatening injury, and it is essential that emergency medicine clinicians are aware of them.

Objective: This article provides a review of the diagnosis and management of knee dislocation for the emergency provider.

Discussion: Knee dislocations are uncommon injuries with the potential for significant morbidity. Read More

Injury 2020 Feb 31;51(2):537-541. Epub 2019 Oct 31.

University Center of Orthopaedics and Traumatology, University Hospital Carl Gustav Carus Dresden, Fetscherstrasse 74, 01307, Dresden, Germany. Electronic address:

Objectives: Posterior malleolar fractures (PM) have been linked to inferior outcome in malleolar fractures. This study aims to analyze the prevalence and pathoanatomy of PM fractures in Bosworth fracture-dislocations (BF).

Materials & Methods: Radiographs and computed tomography (CT) scans of 13 patients treated at our institution and 97 cases published between 1947 and 2018, identified in a systematic literature search, were evaluated with respect to the pathoanatomy of BF. Read More

Appl Ergon 2020 Feb 4;83:102982. Epub 2019 Nov 4.

INAIL, National Institute for Insurance Against Accidents at Work, Via Roberto Ferruzzi 38-40, 00143, Rome, Italy.

Introduction: The aim of this paper is to examine gender differences in the occurrence of accidents among workers while walking to or from their workplace (non-vehicle commuting accidents). We have previously found that the lower limb is more often injured at work among women, compared to men, so the paper concentrates on lower limb injuries.

Methods: Using the records of the National Institute for Insurance against Injuries at Work (INAIL), we focused on the non-vehicle commuting accidents of women and men recognized as work-related for the period 2013-2017. Read More

Arch Orthop Trauma Surg 2020 Feb 6;140(2):275-282. Epub 2019 Nov 6.

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

Introduction: Instabilities of the thumb carpometacarpal (CMC) joint, caused by idiopathic ligamentous hyperlaxity, trauma or other conditions may lead to pain, functional impairment and eventually osteoarthritis. Several techniques have been described to enhance stability of the CMC 1. The aim of this study was to evaluate postoperative outcomes after CMC 1 joint stabilization using a soft-tissue procedure in patients with chronic instability. Read More

BMC Musculoskelet Disord 2019 Nov 3;20(1):513. Epub 2019 Nov 3.

Department of Orthopaedic Surgery, Chinese People's Liberation Army General Hospital, 28 Fuxing Road, Beijing, 100853, People's Republic of China.

Background: Limb length discrepancy (LLD) is one of the main cause of dissatisfaction after total hip arthroplasty (THA). The teardrop-lesser trochanter method can accurately predict and analyze LLD for healthy people. However, for patients with preoperative LLD, no method for predicting postoperative LLD is currently available, and these patients are highly susceptible to more severe LLD after THA. Read More

J Bone Joint Surg Am 2019 Oct;101(20):1838-1844

The Hospital for Special Surgery, New York, NY.

Background: Progressive peritalar subluxation (PTS) is part of adult acquired flatfoot deformity (AAFD). We investigated the use of the middle facet as an indicator of PTS using standing, weight-bearing computed tomography (CT) images. We hypothesized that weight-bearing CT would be an accurate method of measuring increased subluxation ("uncoverage") and incongruence of the middle-facet among patients with AAFD. Read More

Foot Ankle Int 2020 Feb 9;41(2):177-182. Epub 2019 Oct 9.

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Kaufmann Medical Building, Pittsburgh, PA, USA.

Background: Closed reduction and splinting followed by outpatient management is standard of care for temporizing most ankle fractures. However, ankle fracture-dislocation potentially warrants a different approach based on the propensity for loss of reduction. The purpose of this study was to determine the rate of complications associated with closed reduction and splinting of unstable ankle fracture-dislocations. Read More