2,535 results match your criteria Dislocation Foot


Functional Outcomes After Fracture-Dislocation of the Ankle.

Foot Ankle Spec 2019 Feb 2:1938640019826701. Epub 2019 Feb 2.

Department of Orthopaedic Surgery, Columbia University Medical Center, New York (DT, GH, JK, HCB, BA, CF, JKG, JTV).

Background: Fracture dislocation of the ankle represents a substantial injury to the bony and soft tissue structures of the ankle. There has been only limited reporting of functional outcome of ankle fracture-dislocations. This study aimed to compare functional outcome after open reduction internal fixation in ankle fractures with and without dislocation. Read More

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http://dx.doi.org/10.1177/1938640019826701DOI Listing
February 2019
3 Reads

Testing the adaptive value of gastropod shell morphology to flow: a multidisciplinary approach based on morphometrics, computational fluid dynamics and a flow tank experiment.

Zoological Lett 2019 18;5. Epub 2019 Jan 18.

1Vogelwarte, Zoologisches Institut und Museum, Universität Greifswald, Soldmannstraße 23, 17489 Greifswald, Germany.

A major question in stream ecology is how invertebrates cope with flow. In aquatic gastropods, typically, larger and more globular shells with larger apertures are found in lotic (flowing water) versus lentic (stagnant water) habitats. This has been hypothetically linked to a larger foot, and thus attachment area, which has been suggested to be an adaptation against risk of dislodgement by current. Read More

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http://dx.doi.org/10.1186/s40851-018-0119-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337808PMC
January 2019

Initial Displacement Does Not Affect Loss of Reduction After Lisfranc Fracture Dislocations.

Foot Ankle Spec 2019 Jan 22:1938640018823067. Epub 2019 Jan 22.

Department of Orthopaedic Surgery, University of Michigan Health System, Ann Arbor, Michigan.

We sought to determine whether significantly displaced Lisfranc injuries had a higher rate of loss of reduction after fixation compared to those with low displacement. Forty-five patients who had fixation of an acute Lisfranc injury from 2005 to 2014 were retrospectively reviewed. All patients underwent subsequent hardware removal at 3 to 15 months after their index procedure. Read More

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http://dx.doi.org/10.1177/1938640018823067DOI Listing
January 2019
2 Reads

Lesser Metatarsophalangeal Joint Pathology Addressed With Arthrodesis: A Case Series.

J Foot Ankle Surg 2019 Jan 15. Epub 2019 Jan 15.

Resident Physician, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ.

Lesser metatarsophalangeal joint pathology is a common condition facing the foot and ankle surgeon, often beginning as a mild subluxation of the toe and progressing to a full dislocation of the metatarsophalangeal joint. In severe or recalcitrant deformities, traditional conservative and surgical methods can fail to resolve the issue. We report on 4 patients with 5 severely dislocated lesser metatarsophalangeal joints with varied etiologies and comorbidities who underwent arthrodesis of these joints using screw and plate fixation. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.039DOI Listing
January 2019
1 Read

Open Talar Neck Fracture With Medial Subtalar Joint Dislocation: A Case Report.

J Foot Ankle Surg 2019 Jan 15. Epub 2019 Jan 15.

Podiatric Surgical Resident, Department of Podiatric Surgery, Beaumont Hospital Wayne, Wayne, MI.

We present a unique case of an open talar neck fracture with medial subtalar joint dislocation. This rare and traumatic injury was treated with immediate open reduction of the subtalar joint and open reduction internal fixation of the talar neck fracture. After a follow-up of 2. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.049DOI Listing
January 2019
2 Reads

The biomechanics of lower limb injuries in frontal-impact road traffic collisions.

Afr Health Sci 2018 Jun;18(2):321-332

Department of Surgery, College of Medicine and Health Sciences, UAE University,17666 Al-Ain, United Arab Emirates.

Aim: We aimed to review the biomechanics of lower limb injuries caused by frontal-impact road traffic collisions.

Methods: In this narrative review, we identified articles through pubmed, Scopus and Science Direct search engines for the period of 1990-2014. Search terms included: "biomechanics", "lower limb injury", "hip injury", "knee injury", "foot and ankle injury" and "frontal impact collision". Read More

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http://dx.doi.org/10.4314/ahs.v18i2.17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306979PMC
June 2018
5 Reads

[Treatment strategy for flail foot with sensory disorder of spina bifida sequela in adult].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Oct;32(10):1255-1260

Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R.China;Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, Beijing, 100176, P.R.China;Key Laboratory of Rehabilitation Aids Technology and System of the Ministry of Civil Affairs, Beijing, 100176, P.R.China.

Objective: To summarize the main methods and comprehensive effects of limited surgery combined with external fixation for the treatment of flail foot with sensory disorder of spina bifida sequela in adult.

Method: The clinical data of 22 cases (30 feet) of the adult spina bifida sequela who suffered from flail foot with sensory disorder and treated by limited surgery combined with external fixation were retrospectively analysed between January 2005 and December 2015. There were 14 males and 8 females with an age of 8-38 years (mean, 21. Read More

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http://dx.doi.org/10.7507/1002-1892.201808076DOI Listing
October 2018
4 Reads

Successful Limb Salvage Using Bone Transport for Complete Loss of Distal Tibia and Talus: A Case Report.

J Foot Ankle Surg 2019 Jan;58(1):195-199

Assistant Professor, Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea. Electronic address:

Complex comminuted fractures involving the distal tibia, ankle joint, and talus are often accompanied by bone loss and are highly prone to complications such as soft tissue infection, fixation failure, and posttraumatic arthrosis, with joint reconstruction being difficult in cases with severe joint destruction or bone loss. In this case, bone transport and fusion procedures were performed to treat a patient with an open fracture involving total talar dislocation, talar bone loss, and distal tibial bone loss. Just as in this case, where the surrounding soft tissues remain healthy, limb salvage via segmental bone transport may be a reasonable option in fractures with massive bone loss that include joints. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.024DOI Listing
January 2019
2 Reads

Improved functional outcome after early reduction in Bosworth fracture-dislocation.

Foot Ankle Surg 2018 Nov 15. Epub 2018 Nov 15.

Department of Orthopaedic Surgery, Chungnam National University School of Medicine, Korea.

Background: Bosworth described an unusual fracture-dislocation of the ankle with fixed posterior fracture-dislocation of the fibula. Previous epidemiological data on the prevalence and characteristics of patients with Bosworth ankle fractures have been limited. Bosworth fracture-dislocations are often missed in patients with ankle fractures. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183030
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http://dx.doi.org/10.1016/j.fas.2018.10.007DOI Listing
November 2018
12 Reads

Outcome of Second-Ray Pathologies Following Weil Osteotomy in Patients Treated for Hallux Valgus.

Foot Ankle Spec 2018 Dec 17:1938640018819778. Epub 2018 Dec 17.

Department of Foot and Ankle Surgery, Eulji Medical Center, Eulji University, Seoul, Korea.

Background: We hypothesized that the cause of second-ray pathology with hallux valgus is excessive relative length of the second metatarsal and performed Weil osteotomy to shorten it, with correction of hallux valgus. The purpose of this study is to evaluate the outcome of second-ray pathology after distal chevron osteotomy (DCO) with Weil osteotomy to correct metatarsal parabola.

Methods: We performed concomitant Weil osteotomy of the second metatarsal with DCO of the first metatarsal as part of hallux valgus with second-ray pathology correction surgery in 45 feet (40 patients). Read More

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http://dx.doi.org/10.1177/1938640018819778DOI Listing
December 2018
2 Reads

Non-dislocation lunate fracture combined with distal radius fracture: A case report.

Medicine (Baltimore) 2018 Dec;97(49):e13574

Department of Orthopedics, The Second Hospital of Jilin University, Changchun, China.

Rationale: Lunate fractures are very rare, accounting for only 0.5% to 6.5% of all carpal fractures. Read More

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http://dx.doi.org/10.1097/MD.0000000000013574DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310596PMC
December 2018
5 Reads

Open Talus Fractures: Early Infection and Its Epidemiological Characteristics.

J Foot Ankle Surg 2019 Jan 15;58(1):103-108. Epub 2018 Nov 15.

Department of Orthopaedic Surgery, West China Hospital, Chengdu, Sichuan Province, China.

Open talus fractures are relatively rare and severe open injuries with a high risk of severe infection. To better understand the epidemiological characteristics of this kind of injury, a monocentric case review was conducted among open talus fracture patients admitted in West China Hospital of Sichuan University between January 2010 and December 2014. Fifty-one (N = 51) patients were recruited to the study, including 44 (86. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183035
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http://dx.doi.org/10.1053/j.jfas.2018.08.020DOI Listing
January 2019
13 Reads
0.979 Impact Factor

Use of Metatarsophalangeal Joint Dorsal Subluxation in the Diagnosis of Plantar Plate Rupture.

J Foot Ankle Surg 2019 Jan 15;58(1):27-33. Epub 2018 Nov 15.

Faculty, The Podiatry Institute, Decatur, GA; Resident, Dekalb Medical Center Podiatry Residency, Decatur, GA; Staff Surgeon, Piedmont Clinics Physician, Newnan, GA.

A dorsal drawer exam, also known as a modified Lachman's test, is a common clinical test for plantar plate insufficiency. This disorder presents as a dislocated metatarsophalangeal joint. The aim of this cadaveric case study was to quantify the degree of the plantar plate pathology necessary to correlate with a positive Lachman's test. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183026
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http://dx.doi.org/10.1053/j.jfas.2018.06.007DOI Listing
January 2019
13 Reads

Functional Outcome of Pronation-External Rotation-Weber C Ankle Fractures with Supracollicular Medial Malleolar Fracture Treated with or without Syndesmotic Screws: A Retrospective Comparative Cohort Study.

Chin Med J (Engl) 2018 Nov;131(21):2551-2557

Department of Orthopaedics, Chaoyang Hospital, Third Clinical Medical School of Capital Medical University, Bejing 100020, China.

Background: In treatment of ankle fracture, intraoperative stress tests are used to assess the syndesmotic injury and instability. However, the optimized timing of the strees test should be applied whether in pre- or post-bony fixation during operation is seldom be reported in previous studies. The different strategies on stress test timing would exhibit opposite results within a type of pronation-external rotation (PER) fractures with supracollicular medial malleolar (SMM) fractures. Read More

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http://www.cmj.org/text.asp?2018/131/21/2551/244112
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http://dx.doi.org/10.4103/0366-6999.244112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213829PMC
November 2018
14 Reads

[Clinical observation of ultrasound guided popliteal sciatic nerve combined saphenous nerve block for hallux valgus patients with metatarsophalangeal joint dislocation].

Zhongguo Gu Shang 2018 Oct;31(10):907-911

Department of Anesthesiology, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China.

Objective: To explore clinical effects of ultrasound guided popliteal sciatic nerve combined saphenous nerve block in patients with anterior foot orthopedics.

Methods: From January 2017 to October 2017, 60 hallux valgus patients with metatarsophalangeal joint dislocation were randomly divided into experimental and control group according to random number table. Thirty patients in experimental group were treated by ultrasound guided popliteal sciatic nerve combined saphenous nerve block, including 13 males and 17 females, aged 31 to 76 years old with an average of (59. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.10.006DOI Listing
October 2018
12 Reads

Injury Pattern in Ligamentous Lisfranc Injuries in Competitive Athletes.

Foot Ankle Int 2018 Oct 21:1071100718802264. Epub 2018 Oct 21.

1 Methodist Sports Medicine, Indianapolis, IN, USA.

Background: We report data on the largest cohort to date of patients who sustained a ligamentous Lisfranc injury during sport. To date, the prevalence of concurrent intercuneiform ligament injuries in the competitive athlete with subtle Lisfranc instability has not been reported.

Methods: Eighty-two patients (64 males, 18 females) sustained an unstable Lisfranc injury (49 left, 33 right) and met inclusion criteria. Read More

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http://journals.sagepub.com/doi/10.1177/1071100718802264
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http://dx.doi.org/10.1177/1071100718802264DOI Listing
October 2018
25 Reads

Lisfranc Injury: Current Concepts.

Authors:
Hyojeong Mulcahy

Radiol Clin North Am 2018 Nov 17;56(6):859-876. Epub 2018 Sep 17.

Department of Radiology, University of Washington, Seattle, WA, USA. Electronic address:

Lisfranc injuries range from sprain to fracture-dislocation. Radiologists must have a thorough understanding of anatomy, mechanisms, and patterns of these injuries to diagnose and help clinicians assess treatment options and prognosis. The initial imaging evaluation of patients with a suspected Lisfranc injury consists of non-weight-bearing radiographs. Read More

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http://dx.doi.org/10.1016/j.rcl.2018.06.003DOI Listing
November 2018
4 Reads

Prognostic factors for intermediate-term clinical outcomes following Bosworth fractures of the ankle joint.

Foot Ankle Surg 2018 May 29. Epub 2018 May 29.

Department of Anesthesiology and Pain Medicine, Chungbuk National University College of Medicine, Cheongju, Republic of Korea.

Background: This retrospective comparative study was performed to evaluate the clinical outcomes after surgical treatment for Bosworth fracture-dislocation, and to analyse the prognostic factors related to postoperative outcomes.

Methods: Fifteen patients were followed for ≥2 years after Bosworth fracture-dislocation. Twenty-five ankle fracture-dislocations as control group were enrolled to compare clinical outcomes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183019
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http://dx.doi.org/10.1016/j.fas.2018.05.005DOI Listing
May 2018
6 Reads

The Cunéo and Picot fracture-dislocation of the ankle: A case report and review of the literature.

Foot (Edinb) 2018 Dec 18;37:11-15. Epub 2018 Jun 18.

ASST Bergamo Est, Ospedale "Bolognini", Seriate, Bergamo, Italy.

The Cunéo and Picot fracture-dislocation is an atypical trimalleolar fracture-dislocation of the ankle with unique anatomopathologic and radiographic features, which has not been reported in English literature. We report a case of a 42-year-old woman that was diagnosed with a trimalleolar fracture-dislocation and treated surgically with an open reduction and osteosynthesis of the lateral and medial malleolus. At one-month follow-up, X-rays showed secondary displacement of the medial malleolus requiring revision surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592173021
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http://dx.doi.org/10.1016/j.foot.2018.06.003DOI Listing
December 2018
8 Reads

Modified SERI technique in the treatment of hallux valgus combined with arthritis.

J Orthop Surg (Hong Kong) 2018 May-Aug;26(3):2309499018802489

Orthopedic Clinic, University Hospital of Parma, Maggiore Hospital, Parma, Italy.

Introduction: Few reports encompass the treatment of first metatarsophalangeal joint (MTPJ) arthritis complicating hallux valgus. Indeed, in the literature, there is a lack of guidance concerning the management of patients affected by mild to moderate first MTPJ arthritis complicating hallux valgus. The aim of this study is to present the mid-term results of an original joint-preserving surgical technique. Read More

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http://dx.doi.org/10.1177/2309499018802489DOI Listing
October 2018
2 Reads

Should pre-manipulation radiographs be obtained in ankle fracture-dislocations?

Foot (Edinb) 2018 Sep 20;36:10-14. Epub 2018 Sep 20.

Orthopaedic Department, University Hospitals of Leicester, Gwendolen Rd., Leicester LE5 4PW, United Kingdom.

Background: Should pre-manipulation radiographs be obtained in ankle fracture-dislocations? This question remains controversial. The twelfth British Orthopaedic Association Standard for Trauma (BOAST-12) published in August 2016 states that 'Reduction and splinting should be performed urgently for clinically deformed ankles. Radiographs should be obtained before reduction unless this will cause an unacceptable delay'. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592183010
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http://dx.doi.org/10.1016/j.foot.2018.09.001DOI Listing
September 2018
7 Reads

Combined Medial Column Arthrodesis with Open Reduction Internal Fixation of Central Column for Treatment of Lisfranc Fracture-Dislocation: A Review of Consecutive Cases.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1059-1066. Epub 2018 Sep 19.

Chief Resident, Foot and Ankle Surgery Residency Program, Regions Hospital/ HealthPartners Institute for Education & Research, St. Paul, MN. Electronic address:

Lisfranc fracture-dislocations can be devastating injuries with significant long-term sequelae with or without surgical intervention. The main goal of treatment is to minimize the common long-term complications including pain, progressive arch collapse, degenerative joint disease, hardware failure, and reoperation. Partial primary fusion involving the first, second, and third tarsometatarsal joints has become a common approach for primarily dislocation injuries, with open reduction and internal fixation (ORIF) favored for Lisfranc injuries involving fracture. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183009
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http://dx.doi.org/10.1053/j.jfas.2018.03.026DOI Listing
February 2019
14 Reads

[Effectiveness comparison of open reduction and internal fixation for open and closed ankle Logsplitter fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1302-1307

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041,

Objective: To investigate the effectiveness of open reduction and internal fixation on high-energy ankle Logsplitter injuries (a kind of transsyndesmotic ankle fracture dislocation), and compare the prognosis between open and closed Logsplitter fracture.

Methods: The clinical data of 36 Logsplitter fractures treated with open reduction and internal fixation between April 2011 and May 2016 were retrospectively analyzed. Among them, 15 cases were open fracture and dislocation (open group) and 21 cases were closed fracture and dislocation (closed group). Read More

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http://dx.doi.org/10.7507/1002-1892.201712073DOI Listing
October 2018
9 Reads

[The treatment of Tillaux bone block in the Ruedi-Allgower type Pilon fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1308-1312

Department of Orthopaedical Oncology, Tianjin Hospital, Tianjin, 300210, P.R.China.

Objective: To analyze the importance and effectiveness of Tillaux bone block in Ruedi-Allgower type Ⅲ of Pilon fracture surgery.

Method: Twenty-one patients with Pilon fractures with Tillaux dislocation were treated between February 2010 and September 2013. There were 17 males and 4 females, aged from 28 to 68 years with an average age of 42. Read More

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http://dx.doi.org/10.7507/1002-1892.201710068DOI Listing
October 2018
34 Reads

Volar dislocation of the second and third carpometacarpal joints - the Lisfranc injury of the hand?

Hand Surg Rehabil 2018 Oct 28;37(5):320-323. Epub 2018 Aug 28.

Weston General Hospital, Grange Road, Weston-Super-Mare, BS23 4TQ, United Kingdom.

A case of an isolated volar dislocation of the second and third carpometacarpal (CMC) joints in an 18-year-old man is described. He presented following a game of rugby unable to move his hand or wrist. He was managed by manipulation and K-Wire fixation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24681229183012
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http://dx.doi.org/10.1016/j.hansur.2018.06.004DOI Listing
October 2018
5 Reads

Nonoperative, open reduction and internal fixation or primary arthrodesis in the treatment of Lisfranc injuries: a prospective, randomized, multicenter trial - study protocol.

BMC Musculoskelet Disord 2018 Aug 21;19(1):301. Epub 2018 Aug 21.

Department of Orthopaedics and Traumatology, Tampere University Hospital, Teiskontie 35, PL2000, 33521, Tampere, Finland.

Background: Lisfranc injuries are known to be rare and often overlooked injuries that can cause long-term disability and pain when missed or treated incorrectly. The wide variety of Lisfranc injuries ranges from subtle ligament distensions to open fracture dislocations. The treatment of Lisfranc joint injuries is still controversial and very little is known about what types of injury can be treated nonoperatively. Read More

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http://dx.doi.org/10.1186/s12891-018-2222-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6102864PMC
August 2018
5 Reads

Traumatic Injury to the Subtalar Joint.

Foot Ankle Clin 2018 Sep;23(3):353-374

Department of Orthopedic Surgery, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea.

Traumatic injury to the subtalar joint occurs during subtalar dislocations, talar and calcaneal fractures, and fracture-dislocations. After closed reduction of subtalar dislocations, peripheral talar or calcaneal fractures need to be ruled out by computed tomography scanning. In fractures and fracture-dislocations of the talus and calcaneus involving the subtalar joint, anatomic reconstruction of joint congruity is essential for functional rehabilitation. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.004DOI Listing
September 2018
2 Reads

Can arthroscopic Bankart repairs using suture anchors restore equivalent stability to open repairs in the management of traumatic anterior shoulder dislocation? A meta-analysis.

J Orthop Sci 2018 Nov 26;23(6):935-941. Epub 2018 Jul 26.

Clinical Guidelines Committee, Japanese Orthopaedic Society of Knee, Arthroscopy, and Sports Medicine (JOSKAS) 5-1 Kojimachi, Chiyodaku, Tokyo 102-8481, Japan; Department of Orthopaedic Surgery, Division of Clinical Medical Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.

Background: Recently, arthroscopic Bankart repairs have become much more popular than open repairs for the treatment of recurrent anterior shoulder instability. However, it is unclear whether the modern arthroscopic Bankart repairs using suture anchors could restore equivalent stability to open repairs. We conducted a meta-analysis to compare arthroscopic Bankart repairs using suture anchors and open repairs in regard to clinical outcomes. Read More

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http://dx.doi.org/10.1016/j.jos.2018.06.016DOI Listing
November 2018
3 Reads

Revision stapes surgery after stapedotomy: A retrospective evaluation of 75 cases.

Ear Nose Throat J 2018 Jun;97(6):E1-E4

Department of Otorhinolaryngology and Audiology, Infermi Hospital, via Popilia 233, Rimini, RN 47922, Italy.

We retrospectively evaluated a series of 75 surgical revisions after stapedotomy for the treatment of otosclerosis, carried out between 2001 and 2015. Intraoperative findings, causes of failure, and surgical solutions using an angular prosthesis, Causse prosthesis, and glass-ionomer cement were reviewed. Audiometric results performed the day before revision surgery and 1 to 2 months postoperatively were also examined. Read More

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Recurrent Dislocation of the Tibialis Posterior Tendon Treated With Suture Tape: A Case Report of an Innovative Operative Procedure.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1267-1271. Epub 2018 Jul 13.

Professor, Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan.

Dislocation of the tibialis posterior tendon (PTT) is a rare traumatic injury, and treatment is often delayed. Conservative treatment is ineffective for recurrent dislocation of the PTT; however, a reference standard procedure has not yet been established. In the present case report, we describe an innovative pseudo-pouch closing procedure with suture tape and a suture anchor for recurrent PTT dislocation. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.046DOI Listing
July 2018
4 Reads

Open Reduction Internal Fixation of the Lisfranc Complex.

Authors:
Harmeeth S Uppal

J Orthop Trauma 2018 Aug;32 Suppl 1:S42-S43

Department of Orthopaedic Surgery-Trauma, Kaiser Permanente Medical Center, Anaheim, CA.

Lisfranc injuries are uncommon; however, if left untreated, it can have a detrimental effect causing deformity, chronic pain, and mid-foot arthrosis. Injury can include disruption of the first through fifth tarsometatarsal joints as well as variant patterns that include the involvement of the metatarsals, the naviculocuneiform articulation, and the cuboid. There is controversy regarding the benefits of open reduction internal fixation versus arthrodesis. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001198DOI Listing
August 2018
5 Reads

Treatment of Chronic Subluxation of the Peroneal Tendons Using a Modified Posteromedial Peroneal Tendon Groove Deepening Technique.

Authors:
Mu Hu Xiangyang Xu

J Foot Ankle Surg 2018 Sep - Oct;57(5):884-889. Epub 2018 Jun 19.

Professor and Surgeon, Department of Orthopaedics, Shanghai Ruijin Hospital North, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address:

The present study investigated the clinical efficacy of a modified approach for the treatment of chronic subluxation of the peroneal tendons using posteromedial peroneal tendon groove deepening. We retrospectively analyzed the data from 21 patients who had undergone posteromedial peroneal tendon groove deepening combined with repair of the tendon sheath for the treatment of chronic subluxation of the peroneal tendons from March 2006 to October 2012. The lateral edge of the peroneal tendon groove was left untouched. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.009DOI Listing
January 2019
1 Read

Surgical Treatment of Posteromedial Talus Fractures: Technique Description and Results of 10 Cases.

Indian J Orthop 2018 May-Jun;52(3):269-275

Department of Orthopedics and Sports Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA.

Background: The aim of this study is to describe a surgical technique for successful treatment of posteromedial talar body fractures and establish treatment recommendations for fractures of the posterior aspect of the talus.

Materials And Methods: Ten patients treated operatively for a posteromedial talar body fractures entering both the subtalar and ankle articulations with a minimum of 1-year followup were identified from a trauma database. Age, mechanism of injury, associated injuries, time to surgery, complications, the range of motion, secondary procedures, and need for arthrodesis were evaluated. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_646_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961264PMC
June 2018
3 Reads

Intra-articular Hematoma Block Compared to Procedural Sedation for Closed Reduction of Ankle Fractures.

Foot Ankle Int 2018 Oct 2;39(10):1162-1168. Epub 2018 Jun 2.

2 Department of Orthopaedic Surgery, Regions Hospital, Saint Paul, MN, USA.

Background: Initial treatment for a displaced ankle fracture is closed reduction and splinting. This is typically performed in conjunction with either an intra-articular hematoma block (IAHB) or procedural sedation (PS) to assist with pain control. The purpose of this study was to compare the safety of IAHB to PS and evaluate the efficiency and efficacy for each method. Read More

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http://dx.doi.org/10.1177/1071100718780693DOI Listing
October 2018
3 Reads

Psychogenic Equinovarus Caused by Dislocation of the Chopart Joint Complex.

Case Rep Orthop 2018 3;2018:2736917. Epub 2018 May 3.

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

Patients with conversion disorder (CD) present with weakness or unexplained movement disorder that may evolve from inciting psychological events, but presentation with rigid deformity is rare. Only one case of CD presenting as foot deformity with atraumatic rigid psychogenic equinovarus has been reported previously. Here we describe a rare case of psychogenic equinovarus in a physically healthy 10-year-old boy. Read More

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http://dx.doi.org/10.1155/2018/2736917DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960513PMC
May 2018
1 Read

Treatment for displaced sustentaculum tali fractures.

Foot (Edinb) 2018 Jun 28;35:70-74. Epub 2017 Dec 28.

Orthopedics and Traumatology Department, Benha Faculty of Medicine, Benha University, Qualubia, Benha, Egypt. Electronic address:

Background: Sustentaculum tali fractures are rare foot fractures accounting for 1% of all calcaneal fractures, which accounts for about 1-2% of all bone fractures. Since the importance of sustentaculum tali in maintaining the medial foot arch, its fractures should be dealt with anatomical fixation to avoid post-traumatic arthrosis.

Objective: Is to delineate the importance of sustentacular tali fractures fixation mentioning operative technique and the post-operative outcome. Read More

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http://dx.doi.org/10.1016/j.foot.2017.12.002DOI Listing
June 2018
3 Reads

Traumatic Lumbosacral Spondyloptosis in a Pediatric Patient: Case Report and Literature Review.

Pediatr Neurosurg 2018 30;53(4):263-269. Epub 2018 May 30.

Department of Neurosurgery, School of Medicine, University of São Paulo, São Paulo, Brazil.

A 4-year-old girl was admitted to the emergency department after having been buried beneath a wall. A computed tomography scan revealed anterior grade V L5-S1 spondylolisthesis, and magnetic resonance imaging showed a traumatic rupture of the fibrous annulus of the L5-S1 intervertebral disc and lesion of the anterior longitudinal and yellow ligaments. The patient underwent anterior and posterior fixation. Read More

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http://dx.doi.org/10.1159/000488766DOI Listing
September 2018
7 Reads

Diabetic foot syndrome: Charcot arthropathy or osteomyelitis? Part I: Clinical picture and radiography.

J Ultrason 2018 Mar 30;18(72):42-49. Epub 2018 Mar 30.

First Department of Radiology, Medical University of Gdańsk, Gdańsk, Poland.

One of significant challenges faced by diabetologists, surgeons and orthopedists who care for patients with diabetic foot syndrome is early diagnosis and differentiation of bone structure abnormalities typical of these patients, i.e. osteitis and Charcot arthropathy. Read More

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http://jultrason.pl/index.php/issues/volume-18-no-72/diabeti
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http://dx.doi.org/10.15557/JoU.2018.0007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911718PMC
March 2018
6 Reads

[Effectiveness analysis of Ilizarov external fixation and ankle arthrodesis in treatment of late traumatic ankle arthritis].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Nov;31(11):1311-1315

Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041,

Objective: To evaluate the effectiveness of Ilizarov external fixation and ankle arthrodesis in the treatment of late traumatic ankle arthritis.

Methods: Between June 2013 and June 2015, 27 patients with late traumatic ankle arthritis were treated with Ilizarov external fixation technique. There were 16 males and 11 females with an age of 27-69 years (mean, 45. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201702010
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http://dx.doi.org/10.7507/1002-1892.201702010DOI Listing
November 2017
18 Reads

May-Thurner Syndrome in Operative Ankle Fracture Dislocations: A Case Report.

J Foot Ankle Surg 2018 Sep - Oct;57(5):1024-1026. Epub 2018 May 18.

Postgraduate Year 3 Resident, Residency Program, Penn Presbyterian Medical Center, Philadelphia, PA.

May-Thurner syndrome (MTS) is a rare condition in which patients develop iliofemoral deep venous thrombosis owing to an anatomic variant in which the right common iliac artery overlies and compresses the left common iliac vein against the lumbar spine. Data regarding lower extremity trauma in patients with previously diagnosed MTS are rare. We discuss the operative approach for ankle trauma occurring 3 weeks after endovascular surgery for the treatment of MTS. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.02.009DOI Listing
January 2019
2 Reads

The ESSKA-AFAS international consensus statement on peroneal tendon pathologies.

Knee Surg Sports Traumatol Arthrosc 2018 10 16;26(10):3096-3107. Epub 2018 May 16.

Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Introduction: Peroneal tendon injuries are a significant cause of lateral ankle symptoms in the active population. Accurate diagnosis and prompt treatment is important for minimizing the risk of long-term sequelae associated with chronic peroneal tendinopathy. Although several studies have been published on diagnostic strategies and treatment outcomes, there is no consensus on the optimal management of peroneal tendon pathologies. Read More

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http://dx.doi.org/10.1007/s00167-018-4971-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154028PMC
October 2018
4 Reads

Charcot Foot: Clinical Clues, Diagnostic Strategies, and Treatment Principles.

Am Fam Physician 2018 May;97(9):594-599

Madigan Army Medical Center, Tacoma, WA, USA.

Acute Charcot neuroarthropathy of the foot and ankle is often difficult to diagnose because of limited findings in the patient history, physical examination, imaging, and laboratory studies. Delay in treatment results in the development of rigid foot and ankle deformities, increasing the risk of ulceration, infection, and major lower extremity amputation. Acute Charcot neuroarthropathy should be suspected in any patient 40 years or older with obesity and peripheral neuropathy who presents with an acutely swollen foot following minimal or no recalled trauma and who reports minimal to no pain, particularly if radiography and laboratory markers of infection are normal. Read More

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May 2018
5 Reads

Concomitant Traumatic Peroneal Tendon Dislocation and Medial Malleolus Fracture: A Case Report.

Malays Orthop J 2018 Mar;12(1):57-59

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

Peroneal tendon dislocation in association with medial malleolus fracture is a very rare traumatic injury to the ankle. A 19-year old male patient was referred after injury sustained in a motorcycle accident with car, with concomitant traumatic peroneal tendon dislocation and medial malleolus fracture. The possible mechanism of this unusual injury could have been sudden external rotation force to the pronated foot in full dorsiflexed position of the ankle. Read More

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http://dx.doi.org/10.5704/MOJ.1803.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5920263PMC
March 2018
7 Reads

The application of intraoperative ankle dislocation approach in the treatment of the unstable trimalleolar fractures involving posterior ankle comminuted fracture: a retrospective cohort study.

BMC Surg 2018 Apr 18;18(1):23. Epub 2018 Apr 18.

Department of Orthopaedics, the Third Hospital of Hebei Medical University, No.139, Ziqiang Road, Shijiazhuang, 050000, People's Republic of China.

Background: The aim of this study was to introduce a novel intraoperative lateral ankle dislocation approach during surgical treatment for patients with unstable trimalleolar fractures involving posterior ankle comminuted fractures and compare its effects and safety with those with conventional approach.

Methods: From June 2006 to June 2014, 69 patients diagnosed as unstable trimalleolar fractures involving posterior ankle comminuted fracture were included in this study. The patients were divided into intraoperative dislocating ankle group (experimental group) and conventional treatment group (control group) according to surgical modalities. Read More

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http://dx.doi.org/10.1186/s12893-018-0356-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907374PMC
April 2018
7 Reads

Surgical Treatment of Lisfranc Injury With Plantar Plate Approach.

J Foot Ankle Surg 2018 Jul - Aug;57(4):794-800. Epub 2018 Apr 11.

Attending Foot and Ankle Surgeon, Palo Alto Medical Foundation, Mountain View, CA.

Midfoot injuries are the second most common athletic foot injury documented in the published data. High-energy Lisfranc dislocations are commonly seen secondary to traumatic etiologies and disrupt the strong midfoot ligaments supporting the arch. These injuries require immediate surgical intervention to prevent serious complications such as compartment syndrome and amputation. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.11.006DOI Listing
December 2018
5 Reads

Dorsal bridge plating or transarticular screws for Lisfranc fracture dislocations.

Bone Joint J 2018 04;100-B(4):468-474

Alfred Hospital, 55 Commercial Road, Melbourne, Victoria 3004, OrthoSports Victoria, Level 5, 89 Bridge Rd, Richmond, Victoria 312, Australia.

Aims: The aim of this retrospective study was to compare the functional and radiological outcomes of bridge plating, screw fixation, and a combination of both methods for the treatment of Lisfranc fracture dislocations.

Patients And Methods: A total of 108 patients were treated for a Lisfranc fracture dislocation over a period of nine years. Of these, 38 underwent transarticular screw fixation, 45 dorsal bridge plating, and 25 a combination technique. Read More

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http://dx.doi.org/10.1302/0301-620X.100B4.BJJ-2017-0899.R2DOI Listing
April 2018
3 Reads

Return to Sports and Physical Activities After Open Reduction and Internal Fixation of Lisfranc Injuries in Recreational Athletes.

Foot Ankle Int 2018 07 2;39(7):801-807. Epub 2018 Apr 2.

1 Prince of Wales Hospital, Sydney, NSW, Australia.

Background: The purpose of this study was to assess participation in sport and physical activity following open reduction and internal fixation of a Lisfranc injury in a cohort of recreational athletes.

Methods: This study identified all adult patients aged 55 years or younger who presented with a Lisfranc injury and underwent open reduction and internal fixation (ORIF) using a Lisfranc screw combined with bridge plating technique. Sports and physical activity participation was assessed with a new sports-specific, patient-administered questionnaire. Read More

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http://dx.doi.org/10.1177/1071100718765176DOI Listing
July 2018
18 Reads