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Foot Ankle Surg 2022 Jun 21. Epub 2022 Jun 21.

Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Germany. Electronic address:

Background: This study aims to analyze the ligaments of the dorso-lateral calcaneo-cuboid joint and to assess the biomechanical relevance of the bifurcate ligament.

Methods: 16 specimens were analyzed for their ligamentous anatomy of the dorso-lateral calcaneo-cuboid joint and side-alternating assigned to two groups with varying ligamentous dissection order. The Chopart joint was stressed in plantar, medial, and lateral direction measuring the displacement by an 3D motion tracker for every dissection step. Read More

Foot Ankle Spec 2022 Jun 29:19386400221099660. Epub 2022 Jun 29.

Queen Elizabeth Hospital, Birmingham, UK.

Background: Ankle fractures are becoming more common in the elderly and their management is frequently challenging. There is increasing evidence of good outcomes following fibula nail fixation in the management of ankle fractures. The use of a fibula nail in open fractures comes with potential advantages such as minimal soft tissue dissection, early rehabilitation, and decreased wound complications. Read More

Orthop Rev (Pavia) 2022 31;14(4):35688. Epub 2022 May 31.

Interdisciplinary Research Center for Pathology and Surgery of the Musculoskeletal System, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Varese, Italy.

Background: Unstable ankle fractures are very frequent. Given the instability, they often require surgical treatment, but literature scarcely reports on the outcomes of their management.

Questions/purposes: For this systematic review we asked: (1) What are the outcomes in treatment of unstable ankle fractures? (2) What about complications of treatment in unstable fractures? (3) What factors influence the outcomes? (4) What about the role of the posterior malleolus?

Methods: The electronic databases PubMed, Scopus, and Embase were interrogated using the search terms "bimalleolar" or "trimalleolar" and "fracture". Read More

J Clin Orthop Trauma 2022 Jul 16;30:101921. Epub 2022 Jun 16.

MaineGeneral Orthopedics, Augusta, ME, USA.

Introduction: There is increasing evidence that the prescription opioid crisis is spreading internationally. However, there is scarce literature comparing contemporary prescribing practices between units in different countries, particularly in the context of this evolving international problem. We sought to determine the patterns of postoperative opioid prescribing in three hospitals from geographically distinct regions. Read More

Foot Ankle Orthop 2022 Apr 20;7(2):24730114221108107. Epub 2022 Jun 20.

Medical University of South Carolina, Charleston, SC, USA.

Background: Scientific publication and original articles remain the primary method of sharing scientific findings and advancing the knowledge base of that subject. Despite the value of these publications, little research has surveyed what topics are being published. This study aims to identify and characterize the most common topics in current foot and ankle literature. Read More

Oxid Med Cell Longev 2022 14;2022:7427255. Epub 2022 Jun 14.

Department of Orthopedics, Chongqing University Three Gorges Hospital, Chongqing 404000, China.

Objective: Type C fracture is a complete intra-articular fracture, and the mainstay of treatment remains open reduction and internal fixation. The purpose of the study is to observe the clinical effect of an anterior ankle C approach (ankle-C) combined with minimal invasive plate osteosystems (MIPO) for tibial pilon fractures (AO/OTA 43C, combined with fibula fractures).

Methods: A retrospective comparative analysis was performed on the clinical data of 33 patients with C-type pilon fractures (combined fibula fractures) admitted to our department from July 2018 to July 2021, including 12 cases treated with ankle-C (a-C) approach and 21 cases with conventional approach (including combined approach). Read More

Healthcare (Basel) 2022 Jun 8;10(6). Epub 2022 Jun 8.

Department of Morphological Sciences, Carol Davila University of Medicine and Pharmacy, RO-020021 Bucharest, Romania.

Osteochondral lesions (OCLs) that are frequently encountered in skeletally immature and adult patients are more common than once thought, and their incidence rate is rising. These lesions can appear in many synovial joints of the body, such as the shoulder, elbow, hip, and ankle, occurring most often in the knee. The term osteochondral lesion includes a vast spectrum of pathologies such as osteochondritis dissecans, osteochondral defects, osteochondral fractures, and osteonecrosis of the subchondral bone. Read More

Diagnostics (Basel) 2022 Jun 16;12(6). Epub 2022 Jun 16.

Department of Orthopaedic Surgery and Traumatology, Medical University, 4 Lindleya Street, 02-005 Warsaw, Poland.

The number of overweight and obese patients in developed countries is gradually increasing. It was reported that 1287 (64%) out of 2007 adults operated on in 2017 had a body mass index (BMI) greater than 25 kg/m, and 26.4% even greater than 30, while the BMI of the most obese patient was as high as 57. Read More

Antibiotics (Basel) 2022 May 25;11(6). Epub 2022 May 25.

International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA.

Antibiotic cement-coated intramedullary nails (ACCINs) are increasing in popularity as a viable solution for the treatment of fracture-related infections (FRIs), infected long bone nonunions, and arthrodeses without an external fixator. ACCINs effectively manage to fulfill three of the basic principles for eradicating osteomyelitis: dead space management, antibiotic delivery, and bone stability. We performed a retrospective review of 111 patients who were treated with ACCINs between January 2014 and December 2020. Read More

Cureus 2022 May 18;14(5):e25100. Epub 2022 May 18.

Trauma and Orthopaedics, William Harvey Hospital, Ashford, GBR.

Introduction: Fracture non-union is a distressing diagnosis for both patients and clinicians. Several methods have been tried to help promote bone healing. Some of the non-operative strategies include the use of pulsed ultrasound and electrical or magnetic bone stimulators. Read More

Orthop Surg 2022 Jun 22. Epub 2022 Jun 22.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Background: Talus fractures are rare in children but can lead to severe outcomes if untreated. The Ilizarov external fixator has been used in the treatment of a variety of lower extremity pathologies. The purpose of this study was to investigate the clinical outcomes of talus body fractures treated with the Ilizarov external fixator. Read More

BMJ Case Rep 2022 06 22;15(6). Epub 2022 Jun 22.

Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK.

Bone Jt Open 2022 Jun;3(6):502-509

Department of Trauma & Orthopaedics, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Aims: To identify a core outcome set of postoperative radiographic measurements to assess technical skill in ankle fracture open reduction internal fixation (ORIF), and to validate these against Van der Vleuten's criteria for effective assessment.

Methods: An e-Delphi exercise was undertaken at a major trauma centre (n = 39) to identify relevant parameters. Feasibility was tested by two authors. Read More

Sports Biomech 2022 Jun 20:1-22. Epub 2022 Jun 20.

Bioinspired Devices and Tissue Engineering (BIOINSPIRA) Research Group, School of Biomedical Engineering and Health Sciences, Faculty of Engineering, Universiti Teknologi Malaysia, Johor Bahru, Malaysia.

Previous research has reported that up to 92% of injuries amongst badminton players consist of lower limb, whereby 35% of foot fractures occurred at the metatarsal bone. In sports, insoles are widely used to increase athletes' performance and prevent many injuries. However, there is still a lack of badminton insole analysis and improvements. Read More

Foot Ankle Orthop 2022 Apr 14;7(2):24730114221104078. Epub 2022 Jun 14.

Department of Orthopaedic Surgery, Østfold Hospital Trust, Grålum, Norway.

Background: Deltoid ligament injury occurs often with supination-external rotation (SER) ankle trauma. SER fibula fractures with concomitant deltoid ligament injury are considered unstable-requiring operative fixation. Recent studies have questioned this general practice with emphasis on better defining the medial side ankle ligamentous injury. Read More

Arch Bone Jt Surg 2022 Apr;10(4):347-352

Department of Orthopedic and Traumatology, Prof. Dr. Cemil Taşçıoğlu City Hospital, İstanbul, Turkey.

Background: The calcaneofibular ligament is cut to increase vision in surgical field in minimally invasive surgery of displaced intraarticular calcaneus fractures with subtalar incision. We aimed to investigate whether this causes talar tilt instability in ankle stress radiographs due to the calcaneofibular ligament deficiency in postoperative period.

Methods: The files of 38 patients who were operated with the diagnosis of displaced calcaneus fracture between 2013 and 2018 were examined retrospectively. Read More

Qual Life Res 2022 Jun 18. Epub 2022 Jun 18.

Department of Orthopedic Surgery, Stavanger University Hospital, Helse Stavanger HF, Stavanger, Norway.

Purpose: Ankle fractures are commonly occurring fractures, especially in the aging population, where they often present as fragility fractures. The disease burden and economic costs to the patient and society are considerable. Choosing accurate outcome measures for the evaluation of the management of ankle fractures in clinical trials facilitates better decision-making. Read More

Pain Res Manag 2022 7;2022:3458056. Epub 2022 Jun 7.

Department of Orthopaedic Trauma, Beijing Jishuitan Hospital, Beijing, China.

Background: The enhanced recovery after surgery (ERAS) program is aimed to shorten patients' recovery process and improve clinical outcomes. This study aimed to compare the outcomes between the ERAS program and the traditional pathway among patients with ankle fracture and distal radius fracture.

Methods: This is a multicenter prospective clinical controlled study consisting of 323 consecutive adults with ankle fracture from 12 centers and 323 consecutive adults with distal radial fracture from 13 centers scheduled for open reduction and internal fixation between January 2017 and December 2018. Read More

Orthop J Sports Med 2022 Jun 9;10(6):23259671221100790. Epub 2022 Jun 9.

Intermountain Healthcare, Salt Lake City, Utah, USA.

Background: Lower extremity stress fracture injuries are a major cause of morbidity in physically active populations. The ability to screen for modifiable risk factors associated with injury is critical in developing injury-prevention programs.

Purpose: To determine if baseline Landing Error Scoring System (LESS) scores are associated with the incidence rate of lower extremity stress fracture. Read More

J Foot Ankle Surg 2022 May 23. Epub 2022 May 23.

Director, Foot and Ankle Surgical Residency Program, Regions Hospital, HealthPartners Institute for Education and Research, St. Paul, MN.

The distal tibia bone quality is of paramount importance for ankle fractures, total ankle implants, ankle fusions, and osteotomy procedures. Despite this fact relatively little is known regarding the overall bone quality for this section of the tibia. Previous literature suggest that there is a statistically significant decrease in bone mineral density within the distal 5% to 10% segment of the tibia medullary canal. Read More

Am J Transl Res 2022 15;14(5):3261-3268. Epub 2022 May 15.

Department of Hand and Foot Micro Orthopedics, The Second People's Hospital of Dongying City Dongying 257335, Shandong, China.

Objective: To explore the efficacy of arthroscopic-assisted reduction and internal fixation (ARIF) and traditional open reduction and internal fixation in the treatment of talus fractures.

Methods: This study retrospectively analyzed the clinical data of 92 patients with talus fractures admitted to our hospital. The patients were divided into a control group (treated with traditional open reduction and internal fixation) and a research group (with ARIF) with 46 cases in each. Read More

J Bone Joint Surg Am 2022 Jun 6. Epub 2022 Jun 6.

Eisenhower Army Medical Center, Fort Gordon, Georgia.

Biomed Eng Online 2022 Jun 13;21(1):35. Epub 2022 Jun 13.

CPGEI - Universidade Tecnológica Federal Do Paraná, Avenida Silva Jardim, 3165, Rebouças, Zip code 80230-901, Curitiba, Brasil.

Introduction: Low- to high-energy impact trauma may cause from small fissures up to extended bone losses, which can be classified as closed or opened injuries (when they are visible at a naked eye).

Objective: The aim of this study was to investigate the feasibility of clinical diagnosis of bone trauma through medical infrared thermography, in a hospital emergency room.

Methods: Forty-five patients with suspected diagnosis of bone fracture were evaluated by means of medical infrared images, and the data correlated with the gold standard radiographic images, in the anteroposterior, lateral, and oblique views, at the orthopedic emergency department. Read More

J Long Term Eff Med Implants 2022 ;32(2):35-43

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York, Downstate Medical Center/University Hospital Brooklyn, Brooklyn, New York 11203; New York City Health and Hospitals/Kings County, Brooklyn, New York 11203.

There is a lack of understanding of risk factors and postoperative outcomes of syndesmotic injuries with singular versus multipart fractures. A retrospective analysis was done between 2008 and 2016, utilizing the American College of Surgeons National Surgical Improvement Program database. Patients with open reduction and internal fixation of isolated lateral malleolus fractures, bimalleolar fractures, or trimalleolar fractures were identified. Read More

J Orthop Sci 2022 Jun 9. Epub 2022 Jun 9.

Sports Medicine & Joint Center, Funabashi Orthopaedic Hospital, 1-833, Hasama-cho, Funabashi, Chiba Prefecture 2740822, Japan.

Background: The deltoid ligament is a complex structure composed of multiple ligaments located on the medial side of the ankle joint that can be injured by ankle sprains. Although there have been previous reports on ultrasound imaging of the injured deltoid ligament, a systematic method for depicting each ligament component has not been established. This study aimed to clarify the ultrasound findings of the deltoid ligament in ankle sprains using a systematic scanning protocol. Read More

BMC Musculoskelet Disord 2022 Jun 10;23(1):562. Epub 2022 Jun 10.

Department of Orthopaedic Surgery, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Rd, Chongqing, 400016, China.

Background: The aim of this retrospective monocentric study was to investigate the clinical efficacy of percutaneous reduction and screw fixation without bone grafting in Sanders Type-II and Type-III displaced intra-articular calcaneal fractures (DIACFs).

Methods: The medical records of calcaneal fractures patients who were admitted to our department from January 2018 to January 2020 were retrospectively reviewed, and those meeting the inclusion criteria were fnally included for analysis. All patients were treated with percutaneous reduction and screw fixation, and no patients received bone grafting. Read More

JBJS Essent Surg Tech 2021 Oct-Dec;11(4). Epub 2021 Dec 22.

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

A triplane fracture is an example of a transitional fracture of adolescence that occurs because the distal tibial physis closes in a predictably asymmetric way from central to medial and then lateral. The triplane fracture is so named because the fracture lines propagate in 3 planes (axial, sagittal, and coronal) and thus appear on radiographs as a Salter-Harris III pattern on anteroposterior images and Salter-Harris II or IV on lateral images. The fracture occurs via a twisting mechanism (usually supination and external rotation) through the relatively weak open portion of the physis (axial) and propagates out the metaphysis (coronal) and/or epiphysis (sagittal) at the transition to the relatively stronger closed portion of the physis. Read More

Injury 2022 Jun 2. Epub 2022 Jun 2.

Department of Orthopedics, Fuzhou Second Hospital, Fuzhou 350007, China; Department of Orthopedics, The Third Clinical Medical College, Fujian Medical University, Fuzhou Second Hospital, Fuzhou 350007, China; Department of Orthopedics, Fuzhou Second Hospital of Xiamen University, School of Medicine, Xiamen University, Fuzhou 350007, China; Fujian Provincial Clinical Medical Research Center for First Aid and Rehabilitation in Orthopaedic Trauma, Fuzhou 350007, China; Fuzhou Trauma Medical Center, Fuzhou 350007, China.; Fuzhou Key Clinical Specialty, Fuzhou 350007, China. Electronic address:

Purpose: To investigate the feasibility and short-term clinical efficacy of the arthrography-assisted joystick technique for the treatment of adolescent transitional ankle fracture.

Methods: A retrospective analysis was performed in 10 adolescent transitional ankle fracture patients treated with the arthrography-assisted joystick technology. There were 7 male patients and 3 female patients with a mean age of 12. Read More

Foot Ankle Clin 2022 Jun 5;27(2):457-474. Epub 2022 May 5.

Orthopaedic Foot and Ankle Unit, Orthopaedic and Trauma Department, Hospital Universitario Quirónsalud Madrid, Faculty Medicine UEM Madrid, Calle Diego de Velazquez 1, 28223 Pozuelo de Alarcón, Madrid, Spain.

The tarsal navicular is an essential component of the Chopart joint and crucial for most of hindfoot motion. Most fractures are low-energy dorsal avulsions that may be treated nonoperatively. Displaced comminuted fractures require open reduction and internal fixation, sometimes with external fixation, bridge plating, and bone grafting. Read More

Foot Ankle Clin 2022 Jun 11;27(2):385-399. Epub 2022 May 11.

Department of Orthopaedic Surgery, University of Colorado School of Medicine, 12631 East 17th Ave, Room 4508, Aurora, CO 80045, USA.

Osteochondral lesions of the talus are a common result of traumatic ankle injury. Due to the low success rates of nonoperative management, surgical management of osteochondral lesions of the talus (OLTs) has evolved considerably over the past decade as more outcomes research has emerged, new techniques have been described, and we have developed a better understanding of the role of biologics in the treatment algorithm. We describe, in sequence, the surgical management options, including salvage procedures, for failed treatment of OLTs. Read More