8,599 results match your criteria Fracture Foot


Wound Coverage Options for Soft Tissue Defects Following Calcaneal Fracture Management (Operative/Surgical).

Clin Podiatr Med Surg 2019 Apr 12;36(2):323-337. Epub 2018 Dec 12.

Plastic Reconstructive and Orthopaedic Surgery, University of Pennsylvania Health System, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, South Pavilion, 1st Floor, Philadelphia, PA 19104, USA.

Soft tissue defects and wound healing complications related to calcaneus fractures may result in significant morbidity. The management of these soft tissue complications requires following reconstructive principles that provide the requisites for preservation of the injured limb and the maximization of function. Soft tissue complications are addressed with methods that commensurate with the degree of injury, ranging from local wound care to free flap reconstruction. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.012DOI Listing

Intraoperative Reduction Techniques for Surgical Management of Displaced Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg 2019 Apr 24;36(2):269-277. Epub 2019 Jan 24.

Coastline Foot and Ankle Center, 800 Liberty Street Southeast, Salem, OR 97302, USA.

Fractures of the calcaneus are detrimental injuries, often caused by high-energy trauma. To best restore the functionality of a limb and allow normal ambulation, it is recommended to repair displaced intra-articular calcaneus fractures surgically. This article presents several methods of reduction and repair of the calcaneus. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.008DOI Listing

Sinus Tarsi Approach with Subcutaneously Delivered Plate Fixation for Displaced Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg 2019 Apr 24;36(2):225-231. Epub 2019 Jan 24.

Kaiser Permanente Santa Clara and GSAA, 710 Lawrence Expressway, Department 140, Santa Clara, CA 95051, USA.

Displaced intra-articular calcaneal fractures can be treated with open reduction and internal fixation through various methods, including the extensile lateral approach, sinus tarsi approach, percutaneous reduction and fixation, external fixation, and calcaneoplasty. Although the gold standard is the extensile lateral approach, this method has significant wound-healing complications associated with it. Literature shows that the reduction achieved through minimally invasive techniques is equal to that achieved with the extensile lateral approach, while reducing the amount of postoperative complications. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.005DOI Listing

Utility of weight-bearing radiographs compared to computed tomography scan for the diagnosis of subtle Lisfranc injuries in the emergency setting.

Emerg Med Australas 2019 Feb 19. Epub 2019 Feb 19.

Department of Orthopaedic Surgery, Gold Coast Hospital and Health Service, Gold Coast, Queensland, Australia.

Objective: The goal of the present study was to compare the diagnostic yield of weight-bearing radiographs with non-weight-bearing computed tomography (CT) scan for subtle Lisfranc (LF) injuries in the ED.

Methods: Retrospective analysis of patients presenting with a suspected LF injury over a 2 year period from 2016 to 2017 who had both weight-bearing bilateral foot radiographs and CT scan. Information extracted included patient demographics, radiographic findings of metatarsal fractures, fleck sign and measurements of diastasis between the medial cuneiform and second metatarsal expressed as a ratio of the uninjured side, clinical findings and treatment modality. Read More

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http://dx.doi.org/10.1111/1742-6723.13237DOI Listing
February 2019

CT Analysis of the Posteromedial Fragment of the Posterior Malleolar Fracture.

Foot Ankle Int 2019 Feb 17:1071100719830999. Epub 2019 Feb 17.

2 Aintree University Hospital, Lower Lane, Liverpool, United Kingdom.

Background:: To date, there have been no studies describing the characteristics of posteromedial fragment in the posterior malleolus fracture. The aim was to investigate the variability of posteromedial fracture fragments to enable better surgical planning.

Methods:: All Mason and Molloy type 2B fractures, defined as fracture of both the posterolateral and the posteromedial fragments of the posterior malleolus, from our database were identified to analyze the preoperative computed tomography scan. Read More

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http://dx.doi.org/10.1177/1071100719830999DOI Listing
February 2019

Ankle fusion following failed initial treatment of complex ankle fractures in neuropathic diabetics.

Foot Ankle Surg 2019 Feb 5. Epub 2019 Feb 5.

The Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System, 2160 South First Avenue, Maywood, IL 60153, United States. Electronic address:

Background: Unstable ankle fractures in diabetics with peripheral neuropathy have an increased risk of postoperative complications, often leading to amputation. Primary ankle arthrodesis has been suggested as an alternative when acceptable reduction and mechanical stabilization cannot be obtained.

Methods: Over a fourteen year period, thirteen diabetic patients with peripheral neuropathy underwent an attempt at primary ankle arthrodesis following the early post-fracture development of acute neuropathic (Charcot) deformity of the ankle after sustaining a low energy unstable ankle fracture. Read More

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http://dx.doi.org/10.1016/j.fas.2019.01.010DOI Listing
February 2019

Ultrasound-guided percutaneous peripheral nerve stimulation: neuromodulation of the suprascapular nerve and brachial plexus for postoperative analgesia following ambulatory rotator cuff repair. A proof-of-concept study.

Reg Anesth Pain Med 2019 Feb 15. Epub 2019 Feb 15.

Departments of Orthopaedic Surgery, University of California San Diego, San Diego, California, USA.

Background And Objectives: Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through an introducing needle followed by the delivery of electric current. This modality has been reported to treat chronic pain as well as postoperative pain following knee and foot surgery. However, it remains unknown if this analgesic technique may be used in ambulatory patients following upper extremity surgery. Read More

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http://dx.doi.org/10.1136/rapm-2018-100121DOI Listing
February 2019
6 Reads

Displaced intrarticular fractures of the calcaneus: Orif through an extended lateral approach.

Injury 2019 Feb 8. Epub 2019 Feb 8.

Department of Orthopedic Oncology, Azienda Ospedaliera Universitaria Careggi, Largo P. Palagi 1, 50134 Firenze, Italy. Electronic address:

Introduction: Displaced intra-articular calcaneal fractures (DIACF) represent a challenging and controversial issue in traumatology. Conservative treatment has been recommended to avoid surgical problems and complications. The final result, however, is often a painful malunioun of the calcaneus with peroneal impingement. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.037DOI Listing
February 2019
1 Read

The effectiveness and safety of cervus and cucumis polypeptide injection in promoting fracture healing after bone fracture surgeries: Protocol for a systematic review and meta-analysis.

Medicine (Baltimore) 2019 Feb;98(7):e14571

Department of Orthopaedics, Inner Mongolia Baogang Hospital, The Third Affiliated Hospital of Inner Mongolia Medical University, Baotou, Inner Mongolia Autonomous Region, China.

Background: Bone fractures are a common occurrence, and, according to clinical investigations, approximately 5% to 10% of patients with fractures will suffer from delayed healing or even non-healing. The high efficacy of traditional Chinese medicine in promoting fracture healing has been fully verified over a long history of diagnosis and treatment. Traditional Chinese medicine has a long history of applying Chinese herbs to treat fractures. Read More

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http://dx.doi.org/10.1097/MD.0000000000014571DOI Listing
February 2019

Increased Rates of Readmission, Reoperation, and Mortality Following Open Reduction and Internal Fixation of Ankle Fractures Are Associated With Diabetes Mellitus.

J Foot Ankle Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

The purpose of this study was to compare the rates of readmission, reoperation, and mortality in patients with and without diabetes mellitus during the 30-day postoperative period after ankle fracture surgery. Patients who underwent operative management for ankle fractures between 2006 and 2015 were identified in the American College of Surgeons National Surgical Quality Improvement Program database by using Current Procedural Terminology codes for ankle fracture surgery. A total of 17,464 patients undergoing ankle fracture surgery were identified. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.023DOI Listing
February 2019
1 Read

Plantar pressures in male adolescent soccer players and its associations with bone geometry and strength.

J Sports Med Phys Fitness 2019 Feb 12. Epub 2019 Feb 12.

GENUD "Growth, Exercise, NUtrition and Development" Research Group, Universidad de Zaragoza, Zaragoza, Spain -

Background: Mechanical loads exerted by soccer-specific actions increase bone remodeling activity. Nevertheless, little is known about the relationship between plantar pressure and bone structure. Therefore, the aim of this study was to compare bone geometry and strength between soccer players who exhibited different maximum values of the average pressures (MP) when performing a combination of soccer-specific tasks. Read More

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http://dx.doi.org/10.23736/S0022-4707.19.09267-3DOI Listing
February 2019

Multi-sensory training and wrist fractures: a randomized, controlled trial.

Aging Clin Exp Res 2019 Feb 11. Epub 2019 Feb 11.

Faculty of Medicine, University of Iceland, Reykjavik, Iceland.

Background: Asymmetric vestibular function, decreased plantar sensation, postural control and functional ability have been associated with fall-related wrist fractures.

Objective: To investigate whether multi-sensory training (MST) improves postural control, vestibular function, foot sensation and functional ability among people with fall-related wrist fractures compared to wrist stabilization training (WT).

Methods: This was an assessor-blinded, randomized controlled trial. Read More

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http://dx.doi.org/10.1007/s40520-019-01143-4DOI Listing
February 2019
1 Read

Avulsion Fractures of Posterior Calcaneal Tuberosity: Identification of Prognostic Factors and Classification.

J Foot Ankle Surg 2019 Feb 8. Epub 2019 Feb 8.

Surgeon, Department of Traumatology and Orthopedic Surgery, Hospital Regional Universitario de Málaga, Málaga, Spain.

Avulsion fractures of the posterior calcaneal tuberosity are rare injuries, and little is known about the underlying factors, outcomes, and prognosis. Furthermore, classifications described previously focus on fracture morphology, with uncertain clinical utility. We present the results of a retrospective study of 21 patients treated for this pathology from January 2002 to December 2015. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.002DOI Listing
February 2019
1 Read

Modified Extension Block Technique for Bony Mallet Injury of the Hallux.

J Foot Ankle Surg 2019 Feb 8. Epub 2019 Feb 8.

Professor, Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.

Bony mallet injury of the hallux is uncommon. In the few reports of this injury, authors have described surgical treatments such as closed reduction with percutaneous pinning and open surgical fixation with Kirschner wires or a suture anchor. However, the appropriate surgical management for this injury remains controversial. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.018DOI Listing
February 2019
1 Read

The ANK nail treatment of lateral malleolar fractures with syndesmosis injury: Clinical outcomes at 10 years of follow-up.

Ulus Travma Acil Cerrahi Derg 2019 Jan;25(1):75-79

Department of Orthopaedics and Traumatology, İstanbul Bilim University Şişli Florence Nightingale Hospital, İstanbul-Turkey.

Background: Lateral malleolar fractures associated with syndesmotic injuries are common. Various surgical implants may be used for the management of syndesmosis injury. One of these is ANK nail. Read More

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http://dx.doi.org/10.5505/tjtes.2018.91679DOI Listing
January 2019
1 Read

Stentoplasty of calcaneal fractures: Surgical technique and early outcomes.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy.

Calcaneus is the most common site of hindfoot fracture, frequently caused by fall from height or high energy trauma. The therapeutic strategy ranged from non-operative to ORIF (Open Reduction Internal Fixation). Indications for percutaneous fixation include soft tissue damage or relative contraindications to open surgery. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.049DOI Listing
February 2019
1 Read

Target site antibiotic concentrations in orthopedic/trauma extremity surgery: is prophylactic cefazolin adequately dosed? A systematic review and meta-analysis.

Acta Orthop 2019 Feb 11:1-17. Epub 2019 Feb 11.

a Trauma Unit, Department of Surgery, Amsterdam UMC , University of Amsterdam ;

Background and purpose - The incidence of surgical site infections (SSIs) in trauma/orthopedic surgery varies between different body parts. Antibiotic prophylaxis (e.g. Read More

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http://dx.doi.org/10.1080/17453674.2019.1577014DOI Listing
February 2019
1 Read

[Application of self-made chronic wound closure device in the repair of scarred lower extremity wounds].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):219-222

Department of orthopedics, the Joint Service Support Force 920 th Hospital of Chinese PLA, Kunming Yunnan, 650032, P.R.China.

Objective: To investigate the effectiveness of self-made limb chronic wound closure device in the treatment of scarred lower limbs and complex skin and soft tissue defects.

Methods: Between January 2014 and January 2017, 29 patients with complex fractures of the lower extremities and skin and soft tissue defects were treated. There were 19 males and 10 females with an average age of 31. Read More

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http://dx.doi.org/10.7507/1002-1892.201803045DOI Listing
February 2019
2 Reads

Plantar pressure changes in hindfoot relief devices of different designs.

J Exp Orthop 2019 Feb 7;6(1). Epub 2019 Feb 7.

Department of Orthopaedics, Trauma and Hand Surgery, Klinikum Osnabrück, Osnabrück, Germany.

Background: It is frequently observed that overloading the foot can impair bone and soft tissue healing and can lead to harmful sequelae (i.e. ulcers, stress reactions) in context of pre-existing tissue disabilities. Read More

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http://dx.doi.org/10.1186/s40634-019-0173-9DOI Listing
February 2019
1 Read

Safety of SGLT2 Inhibitors in Patients with Diabetes Mellitus.

Curr Drug Saf 2019 Feb 6. Epub 2019 Feb 6.

Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research (NIPER-Raebareli), Lucknow (UP). India.

Background: Recently, Food and Drug Administration (FDA) has approved sodium/glucose co-transporter 2 (SGLT2) inhibitors for the treatment of diabetes mellitus. However, regarding adverse drug reactions (ADRs) of SGLT2 inhibitors in large group of population, very less information is available. Thus, we have tried to find out the risk profile of SGLT 2 inhibitors. Read More

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http://dx.doi.org/10.2174/1574886314666190206164647DOI Listing
February 2019
1 Read

Clinical applications of allografts in foot and ankle surgery.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 5. Epub 2019 Feb 5.

Orthopaedic Department, Centro Hospitalar Póvoa de Varzim, Vila do Conde, Portugal.

Purpose: The purpose of this review is to systematically analyse current literature on the use of allografts in the surgical treatment of foot and ankle disorders in adult patients. Based on this study, we propose evidence-based recommendations.

Methods: The database for PubMed was searched for all published articles. Read More

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http://link.springer.com/10.1007/s00167-019-05362-0
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http://dx.doi.org/10.1007/s00167-019-05362-0DOI Listing
February 2019
2 Reads

Talocalcaneal Coalition Including Open Comminuted Calcaneal Fracture; A Case Report and Literature Review.

Bull Emerg Trauma 2019 Jan;7(1):80-83

Medical University of Graz, Department of Orthopaedics and Trauma, Graz, Austria.

Tarsal coalition is an often unrecognised cause of foot and ankle pain and represents a congenital osseous, cartilaginous or fibrous connection between two or more tarsal bones. Fractures in combination with tarsal coalitions are rarely described in the literature. We report the case of a 43-year-old male patient with a talocalcaneal coalition who sustained an open comminuted calcaneal fracture and a closed transverse cuboid fracture. Read More

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http://dx.doi.org/10.29252/beat-0701013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360003PMC
January 2019
5 Reads

Clinical risk factors for Achilles tendinopathy: a systematic review.

Br J Sports Med 2019 Feb 4. Epub 2019 Feb 4.

Department of Orthopedic Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Background: Achilles tendinopathy is a common problem, but its exact aetiology remains unclear.

Objective: To evaluate the association between potential clinical risk factors and Achilles tendinopathy.

Design: Systematic review. Read More

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http://dx.doi.org/10.1136/bjsports-2018-099991DOI Listing
February 2019
1 Read

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

Tibialis anterior tendon traumatic rupture secondary to a closed talar neck fracture: A case report.

Foot (Edinb) 2019 Jan 28;38:76-80. Epub 2019 Jan 28.

Stepping Hill Hospital, Stockport NHS Foundation Trust, Poplar Grove, Stockport SK2 7JE, United Kingdom. Electronic address:

A case of a 22 year-old woman who sustained a closed Hawkins type II talar neck fracture after her left foot was caught in a rope while rock climbing outdoors is described. She presented to emergency department with a swollen and neurovascularly intact foot and a displaced talar neck fracture was identified. Intraoperatively a traumatic rupture of tibialis anterior tendon was found and was primarily repaired after the talar fixation. Read More

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http://dx.doi.org/10.1016/j.foot.2019.01.011DOI Listing
January 2019

Bioabsorbable implants in foot trauma surgery.

Injury 2019 Jan 23. Epub 2019 Jan 23.

University of Turin, Clinica Ortopedica I, CTO Hospital Via Zuretti 29, 10126, Turin, Italy.

Background: Resorbable osteosynthesis has been used in orthopaedic surgery for many years. However, indications for the use of these implants in the surgery of traumatic lesions of the foot have not yet been clearly defined. The aim of this study is to analyse reported experiences with the bioabsorbable devices and to suggest guidelines for their use in foot trauma surgery METHODS: We conducted a literature review to identify known indications for the use of absorbable devices in traumatic lesions of the foot. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.016DOI Listing
January 2019

Retrospective cohort study of operatively treated ankle fractures involving the posterior malleolus.

Foot Ankle Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Trauma and Orthopaedics, Torbay and South Devon NHS Foundation Trust, Torbay Hospital, Torquay, TQ2 7AA, UK.

Background: Direct fixation of the posterior malleolus through a posterolateral approach is increasing in popularity. However, data is limited, and no studies have stratified results by posterior malleolus size.

Methods: A retrospective cohort study of patients with posterior malleolus (PM) fractures undergoing internal fixation over an 18-month period was conducted. Read More

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http://dx.doi.org/10.1016/j.fas.2019.01.003DOI Listing
January 2019
1 Read

Medial malleolar stress fracture resulting from repetitive stress caused by lateral ankle instability: A case report.

Medicine (Baltimore) 2019 Feb;98(5):e14311

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan, Korea.

Rationale: Stress fractures are most commonly sustained in the lower extremities owing to the repetitive weight-bearing forces. They are overuse injuries that are seen often in athletes, but rare in the general population, so early diagnosis and proper treatment are important to enable athletes to return to activity. This is a rare example of successful treatment of a medial malleolar stress fracture with lateral ankle instability. Read More

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http://dx.doi.org/10.1097/MD.0000000000014311DOI Listing
February 2019
1 Read

Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion.

BMC Musculoskelet Disord 2019 Jan 29;20(1):43. Epub 2019 Jan 29.

Department of Orthopedic Surgery, College of Medicine, Soonchunhyang University Bucheon Hospital, 1174 Jung-1-dong, Wonmi-gu, Bucheon-si, Gyunggi-do, 420-767, Republic of Korea.

Background: We hypothesized that calcaneal reconstruction can relieve chronic pain due to calcaneal malunion. We report the mid-term follow-up results of calcaneal reconstruction for calcaneal malunion.

Methods: We reviewed the records of 10 male patients (10 ft) who underwent calcaneal reconstruction for calcaneal malunion between January 2009 and July 2014 at the mid-term follow-up. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12891-019-2419-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352372PMC
January 2019
4 Reads

The effectiveness of ultrasound in the detection of fractures in adults with suspected upper or lower limb injury: a systematic review and subgroup meta-analysis.

BMC Emerg Med 2019 Jan 28;19(1):17. Epub 2019 Jan 28.

Centre for Rural Health, University of Aberdeen, Inverness, Scotland, UK.

Background: The aim of the present review is to assess the effectiveness of ultrasound (US) in the detection of upper and lower limb bone fractures in adults compared to a diagnostic gold standard available in secondary and tertiary care centres (e.g. radiography, CT scan or MRI). Read More

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http://dx.doi.org/10.1186/s12873-019-0226-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350304PMC
January 2019
1 Read

Correlation of Soft Tissue Swelling and Timing to Surgery With Acute Wound Complications for Operatively Treated Ankle and Other Lower Extremity Fractures.

Foot Ankle Int 2019 Jan 28:1071100718820352. Epub 2019 Jan 28.

2 Department of Orthopaedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Background:: Considerable debate exists regarding how soft-tissue edema should influence timing of surgery for ankle and other lower extremity fractures. Assessment of swelling is subjective, and timing varies among surgeons. However, timing of surgery is one of the few modifiable factors in fracture care. Read More

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http://dx.doi.org/10.1177/1071100718820352DOI Listing
January 2019
1 Read

Standardised virtual fracture clinic management of Achilles tendon ruptures is safe and reproducible.

Foot Ankle Surg 2018 Nov 10. Epub 2018 Nov 10.

Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, United Kingdom.

Background: Traditional fracture clinics are some of the busiest clinics in a hospital, often with significant patient waiting times and delays. The use of virtual fracture clinic (VFC) for the management of certain injuries to reduce the workload on the traditional fracture clinic, in addition to reducing costs is growing in popularity. The tendoachilles is the most frequently ruptured tendon in the body but despite this, management remains a keenly debated topic. Read More

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http://dx.doi.org/10.1016/j.fas.2018.10.010DOI Listing
November 2018
1 Read

Osteomyelitis of the Calcaneus With Pathologic Fracture.

J Foot Ankle Surg 2019 Jan 23. Epub 2019 Jan 23.

Attending Physician, Geisinger Health System, Danville, PA.

Pathologic fractures of the calcaneus secondary to osteomyelitis (OM) have rarely been reported in the literature. This case series describes 5 patients who were treated in our institution for chronic OM of the calcaneus and subsequently suffered a fracture of the involved calcaneus in the absence of trauma. All 5 patients had a history of insulin-dependent diabetes mellitus and were treated with a range of surgical treatments including open reduction and internal fixation, external fixation, and excision of the fracture fragment. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.016DOI Listing
January 2019
2 Reads

Avascular Necrosis of the Sesamoids.

Foot Ankle Clin 2019 Mar;24(1):57-67

Department of Orthopaedic Surgery, Washington University School of Medicine, Campus Box 8233, 660 Euclid Avenue, St Louis, MO 63110, USA. Electronic address:

Avascular necrosis (AVN) of the sesamoid is pathology of the medial or lateral hallucal sesamoid resulting in pain under the first metatarsophalangeal joint often presenting in young female athletes. There is overlap of stress fracture, nonunion, and AVN that makes defining the diagnosis difficult but the treatment and outcomes are similar. The most reliable operative treatment used for AVN of the sesamoid is an accumulation of anatomic and mechanical factors with repetitive microtrauma. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.09.004DOI Listing
March 2019
1 Read

Prevention of Avascular Necrosis with Fractures of the Talar Neck.

Foot Ankle Clin 2019 Mar 9;24(1):47-56. Epub 2018 Nov 9.

The Institute for Foot and Ankle Reconstruction at Mercy, 301 St Paul Place, Baltimore, MD 21202, USA.

Displaced talar neck fractures no longer constitute a surgical emergency; timing of definitive surgery has no bearing on the risk of osteonecrosis. Amount of initial fracture displacement is best predictor of osteonecrosis. Grossly displaced fractures or fracture-dislocations should be provisionally reduced, with or without temporary external fixation. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.09.003DOI Listing
March 2019
1 Read
0.844 Impact Factor

Avascular Necrosis of the Tibial Plafond Following Rotational Ankle Fractures.

Foot Ankle Clin 2019 Mar 16;24(1):113-119. Epub 2018 Nov 16.

Foot and Ankle Surgery, UCLA Harbor Medical Center, 1000 W. Carson Street, Torrance, CA 90502, USA; Foot and Ankle Department, Congress Medical Associates, 800 South Raymond, 2nd Floor, Pasadena, CA 91105, USA.

Avascular necrosis (AVN) following rotational ankle fractures is most commonly described in the talus; however, it can also occur in the tibial plafond. These sequelae of ankle fractures are rarely described in the literature. Diagnosis of AVN is best confirmed with MRI of the involved extremity. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.10.003DOI Listing
March 2019
7 Reads

Transarticular tibiotalocalcaneal nailing versus open reduction and internal fixation for treatment of the elderly ankle fracture: protocol for a multicentre, prospective, randomised controlled trial.

BMJ Open 2019 Jan 21;9(1):e026360. Epub 2019 Jan 21.

Department of Orthopaedics, The Prince Charles Hospital, Chermside, Queensland, Australia.

Introduction: Ankle fractures are common in the elderly population. Surgical fixation is technically challenging and often results in complications due to high rates of osteoporosis and vascular disease. Open reduction and internal fixation (ORIF) often requires prolonged periods of non-weight bearing increasing the risks of complications. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-026360DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347874PMC
January 2019
2 Reads

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

Eradication of Acinetobacter baumannii/Enterobacter cloacae complex in an open proximal tibial fracture and closed drop foot correction with a multidisciplinary approach using the Taylor Spatial Frame: a case report.

Eur J Med Res 2019 Jan 19;24(1). Epub 2019 Jan 19.

Department for General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Germany.

Background: Multi-drug-resistant bacteria (e.g. Carbapenem-resistant Acinetobacter baumannii, extended-spectrum betalactamase or carbapenemase-producing enterobacteriaceae) are emerging in early-onset infections. Read More

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http://dx.doi.org/10.1186/s40001-019-0360-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339402PMC
January 2019
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Comparison of Plantar Pressure Distribution During Walking After Two Different Surgical Treatments for Calcaneal Fracture.

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

Professor, Department of Natural Sciences in Kinanthropology, Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic.

The aim of our study was to compare gait in terms of foot loading and temporal variables after 2 different operative approaches (the extended lateral approach [ELA] and sinus tarsi approach). Twenty-two patients who sustained an intra-articular calcaneal fracture underwent plantar pressure distribution measurements 6 months after surgery. Measurements were performed while patients walked on the pedobarography platform. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183039
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http://dx.doi.org/10.1053/j.jfas.2018.08.051DOI Listing
January 2019
4 Reads

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
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Ground reaction force metrics are not strongly correlated with tibial bone load when running across speeds and slopes: Implications for science, sport and wearable tech.

PLoS One 2019 17;14(1):e0210000. Epub 2019 Jan 17.

Department of Mechanical Engineering, Vanderbilt University, Nashville, TN, United States of America.

Introduction: Tibial stress fractures are a common overuse injury resulting from the accumulation of bone microdamage due to repeated loading. Researchers and wearable device developers have sought to understand or predict stress fracture risks, and other injury risks, by monitoring the ground reaction force (GRF, the force between the foot and ground), or GRF correlates (e.g. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0210000PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336327PMC
January 2019
2 Reads

A pathological toe fracture as the first presentation of cervical cancer: A case report.

Medicine (Baltimore) 2019 Jan;98(3):e14190

Department of Orthopedic Surgery, Hebei Medical University Fourth Affiliated Hospital and Hebei Provincial Tumor Hospital.

Rationale: Cervical cancer is one of the most common gynecologic malignancies worldwide, and it spreads mainly through direct extension. Distinct metastases are less common and usually spread to distant lymph nodes, lungs, and bones. Bone metastases from cervical cancer are most commonly observed in the pelvis and spine. Read More

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http://dx.doi.org/10.1097/MD.0000000000014190DOI Listing
January 2019
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Characteristics and proposed classification system of posterior pilon fractures.

Medicine (Baltimore) 2019 Jan;98(3):e14133

Department of Orthopedic Surgery, PLA Army General Hospital, No. 5 Nanmencang, Dongcheng District, Beijing, China.

Posterior pilon fractures involve the medial malleolus (MM). Our purpose was to define the characteristics of posterior pilon fractures, and propose a classification system based on fracture morphology and type of management.The records of patients with posterior pilon fractures treated from 2011 to 2015 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/MD.0000000000014133DOI Listing
January 2019
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A Rare Cause Of Heel Pain: A Calcaneal Spur Fracture.

J Am Podiatr Med Assoc 2019 Jan 16. Epub 2019 Jan 16.

¶ orthopaedics.

Background: Heel pain is a complaint frequently encountered in ortho¬paedic clinics that has peculiar symptoms and may have various etiological causes. Fracture of calcaneal spurs are extremely rare causes for heel pain and only four cases had previously been reported in the English literature.

Methods: We present a 45 years old woman who had a heel pain on her right foot after fell from a height onto the heel. Read More

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http://www.japmaonline.org/doi/10.7547/17-111
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http://dx.doi.org/10.7547/17-111DOI Listing
January 2019
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A local anesthesia without tourniquet for distal fibula hardware removal after open reduction and internal fixation: the safe use of epinephrine in the foot. A randomized clinical study.

J Biol Regul Homeost Agents 2018 Nov-Dec;32(6 Suppl. 1):57-63

Intensive Unit Care, University of Pisa, Italy.

Hardware removal after surgical treatment fracture is one of the most common procedures in orthopaedic daily activity. A percentage from 14.5 to 21 of total removal involves the ankle joint. Read More

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January 2019
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Early outcomes and radiographic alignment of the Infinity total ankle replacement with a minimum of two year follow-up data.

Foot Ankle Surg 2018 Nov 22. Epub 2018 Nov 22.

The Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW, United Kingdom.

Background: The Infinity total ankle replacement (Wright Medical Technology, Memphis, TN) is a low profile, fluoroscopically navigated, fixed-bearing device. We hypothesised that the fluoroscopic navigation would allow more accurate alignment of the prosthesis than conventional techniques. We present our minimum two year follow up data of Infinity ankle replacements. Read More

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http://dx.doi.org/10.1016/j.fas.2018.11.007DOI Listing
November 2018
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Foot reconstruction with the superficial circumflex iliac artery perforator flap under local anesthesia: Two case reports.

Medicine (Baltimore) 2019 Jan;98(2):e13888

Division of Plastic and Reconstructive Surgery, National Nagasaki Medical Center, Japan.

Rationale: The superficial circumflex iliac artery perforator (SCIP) free flap is a popular method used in foot reconstruction. Although the SCIP flap has a relatively short pedicle and does not require intramuscular dissection, general anesthesia is largely preferred for SCIP flap reconstruction. We report 2 cases with the free SCIP flap for skin and soft tissue reconstruction of the foot under local anesthesia. Read More

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http://dx.doi.org/10.1097/MD.0000000000013888DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336647PMC
January 2019
2 Reads

The fracture pattern and periosteal entrapment in adolescent displaced distal tibial physeal fractures: an MRI study.

J Orthop Trauma 2019 Jan 8. Epub 2019 Jan 8.

Department of Orthopedic Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, 88, Olympic-ro, 43-gil, Songpa-gu, Seoul 05505, Republic of Korea.

Objectives: to investigate the fracture pattern and periosteal entrapment in adolescent distal tibial physeal fractures.

Design: Retrospective case series SETTING:: Level I academic trauma centerPatients/Participants: Fifty patients (age 10-16 years) with displaced Salter-Harris type II, III, or IV distal tibial physeal fractures were retrospectively reviewed.

Intervention: periosteal involvement, fracture pattern MAIN OUTCOME MEASUREMENTS:: We investigated the incidence and location of periosteal entrapment in those fractures and the angle of the fracture plane of metaphyseal fragments on axial plane by using MRI. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001421DOI Listing
January 2019
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Magnetic Resonance Imaging Evaluation of Musculoskeletal Diseases of Ankle and Foot.

Kathmandu Univ Med J (KUMJ) 2018 Jan.-Mar;16(61):28-34

Department of Orthopedics, B and C Teaching Hospital, Birtamod, Jhapa.

Background Ankle and foot pain is a common clinical problem, that may be due to a variety of soft tissue and osseus abnormalities. Magnetic resonance imaging plays vital role for diagnosing internal derangement of the ankle joint, assessing soft tissue structures around the ankle such as tendons, ligaments, nerves and osseus structures. Method Retrospective magnetic resonance imaging evaluation of the ankle and foot was done in 100 patients using 0. Read More

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January 2019
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