8,680 results match your criteria Fracture Foot


Calcaneal tuberosity fractures through prior Schantz pin sites in patients with diabetic neuropathy.

Foot (Edinb) 2019 Mar 2;39:96-99. Epub 2019 Mar 2.

Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT, United States.

Schantz pin placement in the calcaneal tuberosity is a common procedure known to be complicated by pin site infections and nerve injuries. Fractures through Schantz pin sites has been reported mostly in diaphyseal bone. This case series highlights three patients with type 2 diabetes mellitus and diabetic neuropathy who were fixed in an external fixator frame with a pin through the calcaneal tuberosity. Read More

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http://dx.doi.org/10.1016/j.foot.2019.02.011DOI Listing

PROFILE OF PATIENTS WITH OSTEOPOROTIC FRACTURES AND FACTORS THAT DECREASE PREVENTION.

Acta Ortop Bras 2019 Mar-Apr;27(2):95-99

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

Objective: To evaluate the epidemiological profile of patients with osteoporotic fractures compared to patients with osteoarthritis (OA) and identify factors that diminish adherence to secondary prevention.

Methods: A total of 108 patients with osteoporotic fractures (OF) were compared to 86 patients with OA.

Results: Patients in the OF group were older (p < 0. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/1413-785220192702214727DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442712PMC
April 2019
1 Read

Pediatric and Adolescent Figure Skating Injuries: A 15-Year Retrospective Review.

Clin J Sport Med 2019 Apr 8. Epub 2019 Apr 8.

The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.

Objective: To analyze the characteristics of injuries sustained by young figure skaters who were evaluated at regional pediatric sports medicine clinics.

Design: Retrospective chart review (2003-2017).

Setting: Sports medicine clinics at a tertiary-level pediatric medical center. Read More

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http://Insights.ovid.com/crossref?an=00042752-900000000-9905
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http://dx.doi.org/10.1097/JSM.0000000000000743DOI Listing
April 2019
1 Read

Anatomical variations in the cutaneous innervation on the dorsum of the foot.

Anat Cell Biol 2019 Mar 29;52(1):34-37. Epub 2019 Mar 29.

Department of Anatomy, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.

Generally among the branches of common peroneal nerve, the superficial peroneal nerve provides cutaneous innervation to major part of the dorsum of the foot whereas the deep peroneal nerve innervates the skin over the first interdigital cleft region. The sural and saphenous nerves supplies the smaller lateral and medial margins of the dorsum respectively. The present study has been taken to classify the patterns of innervations of the nerves on the dorsum of the foot in South Indian population. Read More

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http://dx.doi.org/10.5115/acb.2019.52.1.34DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449594PMC
March 2019
2 Reads

[Effectiveness analysis of modified tarsal sinus approach for Sanders - type calcaneal fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):462-466

Department of Orthopedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou Fujian, 362000,

Objective: To investigate the short-term effectiveness of modified tarsal sinus approach and traditional tarsal sinus approach in the treatment of Sanders Ⅱ-Ⅲ type calcaneal fractures.

Methods: Between January 2015 and August 2017, 53 patients with Sanders Ⅱ-Ⅲ type calcaneal fractures were selected and divided into observation group (21 cases, using modified tarsal sinus approach for fracture reduction after exposure of the subtalar joint below the long and short fibular tendon) and control group (32 cases, using traditional tarsal sinus approach) by random number method. There was no significant difference between the two groups in terms of gender, age, side, cause of injury, fracture type, injury to operation time, and preoperative Böhler angle, Gissane angle, visual analogue scale (VAS) core ( >0. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201810010
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http://dx.doi.org/10.7507/1002-1892.201810010DOI Listing
April 2019
1 Read

Biomimetic chitosan-graft-polypeptides for improved adhesion in tissue and metal.

Carbohydr Polym 2019 Jul 22;215:20-28. Epub 2019 Mar 22.

Key Laboratory of Eco-Environment-Related Polymer Materials Ministry of Education, Key Laboratory of Polymer Materials of Gansu Province, College of Chemistry and Chemical Engineering, Northwest Normal University, Lanzhou, 730070, China.

Inspired by the mussel foot protein and chitosan-based macromolecular adhesives, a series of chitosan-graft-polypeptides were synthesized by ring-opening polymerization of three N-carboxyanhydrides (NCAs) - 3,4-dihydroxyphenylalanine-N-carboxyanhydride (DOPA-NCA), cysteine-NCA (Cys-NCA) and arginine-NCA (Arg-NCA) - using partial-NH-protected chitosan as an initiator. These copolymers demonstrated good biodegradability and low cytotoxicity. The results of lap-shear adhesion test showed that the maximum lap-shear adhesion strength on the porcine skin and aluminum sheet were 195. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01448617193033
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http://dx.doi.org/10.1016/j.carbpol.2019.03.065DOI Listing
July 2019
3 Reads

The importance of syndesmotic reduction on clinical outcome after syndesmosis injuries.

J Orthop Trauma 2019 Apr 9. Epub 2019 Apr 9.

Department of Orthopaedic Surgery, Baerum Hospital, Vestre Viken Hospital Trust, Norway. E-mail:

Objectives: To evaluate the relationship between syndesmosis reduction and outcome.

Design: Level III diagnostic study.

Setting: One level 1 and one level 3 Trauma Centre. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001485DOI Listing
April 2019
2 Reads

Computer-assisted virtual surgical technology in pre-operative design for the reconstruction of calcaneal fracture malunion.

Int Orthop 2019 Apr 10. Epub 2019 Apr 10.

Department of Orthopaedic Trauma, Shanghai East Hospital, Tongji University School of Medicine, 150 Jimo Road, Shanghai, 200120, China.

Purpose: No computer-assisted pre-operative design for calcaneal fracture malunions has been presented. The aim of the study is to evaluate the intra-operative realization of computer-assisted pre-operative planning (CAPP) and the clinical outcomes based on computer-assisted virtual surgical technology for calcaneal malunions.

Methods: Between 2010 and 2016, 20 patients with 21 calcaneal fracture malunions were retrospectively reviewed with the average follow-up time of 22. Read More

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http://link.springer.com/10.1007/s00264-019-04328-8
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http://dx.doi.org/10.1007/s00264-019-04328-8DOI Listing
April 2019
4 Reads

Single- vs 2-Screw Lag Fixation of the Medial Malleolus in Unstable Ankle Fractures.

Foot Ankle Int 2019 Apr 11:1071100719840995. Epub 2019 Apr 11.

1 NYU Langone Orthopedic Hospital, New York, NY, USA.

Background: The purpose of this study was to determine the efficacy of medial malleolar fixation with 1 vs 2 screws.

Methods: Between April 2013 and February 2017, 196 patients who presented at 2 hospitals within one academic institution with an unstable rotational ankle fracture with a medial fracture and were treated operatively by a trained orthopedic surgeon were identified. These patients' charts were reviewed and their injury, radiographic, surgical, and follow-up data recorded. Read More

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http://dx.doi.org/10.1177/1071100719840995DOI Listing
April 2019
1 Read

Threatening Fracture of Intraosseous Lipoma Treated by Internal Fixation .

J Am Podiatr Med Assoc 2019 Jan;109(1):75-79

Intraosseous lipomas are rare benign bone neoplasms with an incidence of less than 0.1%; origin in the calcaneus has been reported in only a few patients. First-line treatment remains conservative, but several surgical techniques have also been described. Read More

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http://dx.doi.org/10.7547/17-077DOI Listing
January 2019

Accessory ossicles of the foot-an imaging conundrum.

Emerg Radiol 2019 Apr 8. Epub 2019 Apr 8.

Department of Radiology, Changi General Hospital, 2 Simei Street 3, Singapore, 529889, Singapore.

Various anatomical variations can be found in the foot and ankle, including sesamoid bones and accessory ossicles. These are usually incidental findings and remain asymptomatic; however, they may cause complications resulting in painful syndromes or degenerative changes secondary to overuse or trauma. They can also lead to fractures or simulate fractures. Read More

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http://link.springer.com/10.1007/s10140-019-01688-x
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http://dx.doi.org/10.1007/s10140-019-01688-xDOI Listing
April 2019
2 Reads

Clinical Outcomes of Hyperplantarflexion Variant Compared With Supination External Rotation Ankle Fractures: A Matched-Cohort Analysis.

J Foot Ankle Surg 2019 Apr 5. Epub 2019 Apr 5.

Associate Director, Orthopedic Trauma Service, Hospital for Special Surgery and Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY.

Recent literature has reported an uncategorized hyperplantarflexion variant ankle fracture characterized by a posteromedial fragment separate from the posterior or medial malleolar fragments. The current study sought to determine whether the outcomes for surgically treated hyperplantarflexion variant fractures are similar to the more common supination external rotation (SER) IV fractures. A prospective registry of operatively treated ankle fractures was queried to create 2 age- and gender-matched cohorts: hyperplantarflexion variant and SER IV fractures. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.11.006DOI Listing
April 2019
1 Read

Quantitative Assessment of the Obliquity of the First Metatarsal-Medial Cuneiform Articulation.

J Foot Ankle Surg 2019 Apr 6. Epub 2019 Apr 6.

Clinical Associate Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania. Electronic address:

The so-called obliquity of the first metatarsal-medial cuneiform articulation has been described as an atavistic trait of human foot morphology, and it is commonly proposed as a relative risk factor for development of the hallux abductovalgus (HAV) deformity. The objectives of this investigation were to 1) provide descriptive normative radiographic data on a series of first metatarsal-medial cuneiform articulations and 2) correlate these findings to other common radiographic parameters used to define the HAV deformity. We measured radiographic parameters including the first intermetatarsal angle, hallux abductus angle, tibial sesamoid position, Engel's angle, and 2 measures of obliquity in the transverse and sagittal planes on a consecutive series of 136 weightbearing foot radiographic projections from subjects without a history of foot/ankle surgery or fracture/dislocation. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.11.017DOI Listing
April 2019
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Identification of Postoperative Step-Offs and Gaps With Brodén's View Following Open Reduction and Internal Fixation of Calcaneal Fractures.

Foot Ankle Int 2019 Apr 8:1071100719840812. Epub 2019 Apr 8.

1 Trauma Unit, Amsterdam University Medical Center, Amsterdam, the Netherlands.

Background: To date, there is no consensus regarding which postoperative imaging technique should be used after open reduction and internal fixation of an intra-articular calcaneal fracture. The aim of this study was to clarify whether Brodén's view is sufficient as postoperative radiologic examination to assess step-offs and gaps of the posterior facet.

Methods: Six observers estimated the size of step-offs and gaps on Brodén's view in 42 surgically treated intra-articular calcaneal fractures. Read More

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http://dx.doi.org/10.1177/1071100719840812DOI Listing
April 2019
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Minimally invasive treatment of calcaneal fractures via the sinus tarsi approach based on a 3D printing technique.

Math Biosci Eng 2019 02;16(3):1597-1610

Department of Hand Surgery, Department of Plastic Reconstructive Surgery, Ningbo No. 6 Hospital, Ningbo, 315040, China.

The sinus tarsi approach can be used for a limited exposure of the calcaneal fracture site. The reduction of the posterior articular surface, the shape of the calcaneus, the precise placement of the sustentacular screw (SS), the posterior articular surface screw of the calcaneal (PASS), and the long axis screw of the calcaneal (LAS) are still challenging. To that end, we proposed a minimally invasive technique for the treatment of calcaneal fractures via the sinus tarsi approach in combination with a three-dimensional (3D) printing technique. Read More

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http://dx.doi.org/10.3934/mbe.2019076DOI Listing
February 2019
1 Read
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Functional outcome of implant removal following fracture fixation below the level of the knee: a prospective cohort study.

Bone Joint J 2019 04;101-B(4):447-453

Trauma Unit, Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Aims: The aim of this study was to evaluate the functional outcome in patients undergoing implant removal (IR) after fracture fixation below the level of the knee.

Patients And Methods: All adult patients (18 to 75 years) undergoing IR after fracture fixation below the level of the knee between November 2014 and September 2016 were included as part of the WIFI (Wound Infections Following Implant Removal Below the Knee) trial, performed in 17 teaching hospitals and two university hospitals in The Netherlands. In this multicentre prospective cohort, the primary outcome was the difference in functional status before and after IR, measured by the Lower Extremity Functional Scale (LEFS), with a minimal clinically important difference of nine points. Read More

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http://dx.doi.org/10.1302/0301-620X.101B4.BJJ-2018-0745.R1DOI Listing
April 2019
2 Reads

Radiologic Evaluation of Lower Leg, Ankle, and Foot Fracture Fixation Hardware.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):e36-e55. Epub 2019 Mar 29.

Department of Orthopedic Surgery, University of Arizona, Tucson, Arizona.

Radiologists should be familiar with basic principles of fracture fixation and the normal imaging appearances of implant constructs and their complications. The surgeon's selection of external fixation, intramedullary nail fixation, open reduction and internal fixation, or some combination depends on patient factors, fracture configuration, injury to the soft tissue envelope, and surgeon experience. Complications including loss of fixation with resultant malalignment, nonunion, infection, and posttraumatic osteoarthritis present additional challenges for the surgeon as well as the radiologist. Read More

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http://dx.doi.org/10.1055/s-0039-1681049DOI Listing
April 2019
1 Read

Current Trends and Variations in the Treatment of Unicameral Bone Cysts of the Humerus: A Survey of EPOS and POSNA Members.

J Pediatr Orthop 2019 Mar 28. Epub 2019 Mar 28.

Department of Orthopaedic Surgery, Children's Hospital Boston, Boston, MA.

Background: A variety of treatment methods have so far been described for unicameral bone cysts (UBC). However, to the best of our knowledge, no particular consensus has yet been reached on when to operatively treat a patient with a humeral UBC. Therefore, members of the European Pediatric Orthopedic Society (EPOS) and Pediatric Orthopedic Society of North America (POSNA) were surveyed to characterize current treatment preferences. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001376DOI Listing
March 2019
3 Reads

Longer Operative Time Is Independently Associated With Surgical Site Infection and Wound Dehiscence Following Open Reduction and Internal Fixation of the Ankle.

Foot Ankle Spec 2019 Mar 27:1938640019835299. Epub 2019 Mar 27.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.

Background: Little is known regarding the association of operative time with adverse events following foot and ankle surgery. This study tests whether greater operative time is associated with the occurrence of adverse events following open reduction and internal fixation (ORIF) of the ankle.

Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried for cases of ankle ORIF (primary CPT codes 27766, 27769, 27792, 27814, 27822, 27823) performed during 2005-2016. Read More

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http://dx.doi.org/10.1177/1938640019835299DOI Listing

Cone-beam computed tomography compared to X-ray in diagnosis of extremities bone fractures: A study of 198 cases.

Eur J Radiol Open 2019 13;6:119-121. Epub 2019 Mar 13.

Università degli Studi di Verona, Verona 37100, Italy.

CBCT is an imaging technique consisting of X-ray computed tomography, in which the x-rays are divergent, forming a cone. During 2015, a new model of CBCT, New Tom 5G XL (Verona), was used in the Radiology Department of The University of Verona, in collaboration with the Orthopaedics Department. Our study was carried out from October 2015 to October 2016 (198 patients). Read More

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http://dx.doi.org/10.1016/j.ejro.2019.01.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416521PMC

Missed foot fractures in multiple trauma patients.

BMC Musculoskelet Disord 2019 Mar 25;20(1):121. Epub 2019 Mar 25.

Committee on Emergency Medicine, Intensive Care and Trauma Management, (Sektion NIS) of the German Trauma Society (DGU), Cologne, Germany.

Background: Missed or underestimated injuries are one of the central problems in trauma care. Foot injuries can easily be missed because they lay beyond the regularly screened field of a trauma computer tomography scan (CT scan). During primary and secondary survey a careful examination of the extremities often becomes of secondary interest in the severely injured patient. Read More

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http://dx.doi.org/10.1186/s12891-019-2501-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434880PMC
March 2019
1 Read

Uncertain progress in Swiss perioperative mortality 1998-2014 for 22 operation groups.

Swiss Med Wkly 2019 03 24;149:w20034. Epub 2019 Mar 24.

Institute of Social and Preventive Medicine (ISPM), University of Bern, Switzerland.

Background: The perioperative mortality rate (POMR) is used as a quality indicator to monitor health care system performance at regional and national levels. The Swiss Federal Office of Public Health publishes national in-hospital mortality rates for several indicator conditions and indicator operation types (IORs). We investigated long-term time trends of POMRs from 1998-2014. Read More

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http://dx.doi.org/10.4414/smw.2019.20034DOI Listing
March 2019
2 Reads

Comparison of sinus tarsi approach versus extensile lateral approach for displaced intra-articular calcaneal fractures Sanders type IV.

Int Orthop 2019 Mar 22. Epub 2019 Mar 22.

Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.

Purpose: Displaced intra-articular calcaneus fractures Sanders type IV(DIACFS IV) can result in an unsatisfactory prognosis and a high complication rate. Our investigation intends to compare the outcomes of DIACFS IV treated by open reduction and internal fixation (ORIF) via sinus tarsi approach (STA) with these via extensile lateral approach (ELA).

Methods: Sixty-nine patients (82 ft) with DIACFS IV who were treated with ORIF (29 in STA group and 40 in ELA group) were retrospectively assessed. Read More

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http://dx.doi.org/10.1007/s00264-019-04318-wDOI Listing
March 2019
2 Reads

Another Classification of First Metatarsophalangeal Joint Dislocation-Type 3: Review and Case Description of the Plantar Dislocation.

J Foot Ankle Surg 2019 Mar 19. Epub 2019 Mar 19.

Associate, Main Line Foot and Ankle Center, Ardmore, PA.

Plantar dislocation of the first metatarsophalangeal joint is a possible, albeit rare, injury to the foot. The mechanism has been attributed to a hyperflexion motion, with the hallux situated plantar to the first metatarsal head. In this article, we provide a case example of an open, plantar dislocation of the first metatarsophalangeal and perform a literature review of this rare injury. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.012DOI Listing
March 2019
1 Read

Prominent Injury Types in Vehicle Underbody Blast.

Mil Med 2019 Mar;184(Supplement_1):261-264

Army Research Laboratory, Weapons and Materials Research Directorate, Armor Mechanisms Branch, Aberdeen Proving Ground, APG, MD.

Background: To fully understand the injury mechanisms during an underbody blast (UBB) event with military vehicles and develop new testing standards specific to military vehicles, one must understand the injuries sustained by the occupants.

Methods: Injury data from Service Members (SM) involved in UBB theater events that occurred from 2010 to 2014 were analyzed. Analysis included the investigation of prominent skeletal and visceral torso injuries. Read More

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http://dx.doi.org/10.1093/milmed/usy322DOI Listing
March 2019
3 Reads

Effectiveness of protective clothing for motorized 2-wheeler riders.

Traffic Inj Prev 2019 22;20(2):196-203. Epub 2019 Mar 22.

a Univ Lyon, Université Lyon 1, IFSTTAR, UMRESTTE UMR_T 9405 , Lyon , France.

Objective: This study assesses the effectiveness of protective clothing (motorcycle jacket, trousers, gloves, knee-high or ankle boots, back protection) for motorized 2-wheeler (MTW) riders.

Methods: This retrospective observational study used injury data from the Rhône Registry of Road Accident Victims, plus a postal survey conducted in 2016. Seven thousand one hundred forty-eight MTW riders involved in accidents between 2010 and 2014 were identified from the Registry and were invited to complete a questionnaire. Read More

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http://dx.doi.org/10.1080/15389588.2018.1545090DOI Listing
March 2019
2 Reads

The Evaluation of the Radiological and Functional Outcome of Distraction Osteogenesis in Patients with Infected Gap Nonunions of Tibia Treated by Bone Transport.

Open Access Maced J Med Sci 2019 Feb 21;7(4):559-566. Epub 2019 Feb 21.

Lower Limb Fellow, Wrightington Hospital, United Kingdom.

Aim: The aims of this investigation were: 1) to study the Functional outcome of performing distraction osteogenesis in cases of infected non-union of tibia treated with Ilizarov and Limb Reconstruction System, and 2) to study the Radiological outcome of performing distraction osteogenesis in cases of infected non-union of tibia treated with Ilizarov and Limb Reconstruction System.

Methods: The study was done with 27 patients of infected gap nonunions of the tibia at Sir JJ Hospitals, Mumbai from 2013-2016. After implant removal, if required radical resection of necrotic tissue and fractures were stabilised with Ilizarov or mono-lateral fixator depending on non-union site. Read More

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http://dx.doi.org/10.3889/oamjms.2019.112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420925PMC
February 2019

Staged procedure protocol based on the four-column concept in the treatment of AO/OTA type 43-C3.3 pilon fractures.

J Int Med Res 2019 Mar 19:300060519836512. Epub 2019 Mar 19.

1 Department of Orthopaedics, Zhongda Hospital, Southeast University, Nanjing, Jiangsu, PR China.

Objective: We herein introduce a staged management protocol for AO/OTA type 43-C3.3 pilon fractures based on the four-column theory designed to protect the soft tissue.

Methods: Twenty-three patients with 25 type C3. Read More

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http://dx.doi.org/10.1177/0300060519836512DOI Listing
March 2019
1 Read

Gait characteristics and functional outcomes during early follow-up are comparable in patients with calcaneal fractures treated by either the sinus tarsi or the extended lateral approach.

Gait Posture 2019 May 12;70:190-195. Epub 2019 Mar 12.

Institute of Biomechanics, BG Unfallklinik Murnau, Germany; Institute of Biomechanics, Paracelsus Medical University Salzburg, Austria.

Background: To overcome the substantial functional loss after calcaneal fractures (CF), surgical treatment currently consists of two strategies, namely the commonly used extended lateral approach (ELA) and the less invasive sinus tarsi approach (STA). Despite the comparable anatomical restoration, the biomechanical and functional outcome of these strategies during early rehabilitation has not yet been investigated.

Research Question: To evaluate changes in gait characteristics and functional development in patients with CF treated by either STA or ELA. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2019.03.007DOI Listing
May 2019
1 Read

Selective fixation of the medial malleolus in unstable ankle fractures.

Injury 2019 Mar 11. Epub 2019 Mar 11.

Edinburgh Orthopaedic Trauma, Royal Infirmary of Edinburgh, Edinburgh, EH16 4SA, United Kingdom.

Background: Whilst the lateral malleolus appears to be crucial in controlling anatomical reduction of the talus, the role of the medial malleolus is less clear. Medial sided complications including infection, damage to local structures and symptomatic hardware are not without morbidity. This study compares the outcomes of patients with bimalleolar or trimalleolar ankle fractures who underwent fibular nail stabilisation with or without medial malleolar fixation. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.010DOI Listing
March 2019
1 Read

Lateral bone flap approach for displaced intra-articular calcaneus fractures.

ANZ J Surg 2019 Apr 14;89(4):329-333. Epub 2019 Mar 14.

Department of Orthopedics, Taizhou Hospital of Zhejiang Province, Taizhou, China.

Background: The traditional extended lateral approach for calcaneus fractures can provide sufficient exposure for reduction, but complications are frequent. The minimally invasive approach does limited damage to the soft tissue and its complication rate is low, but provides limited surgical exposure for complicated fracture. Thus, an approach that could provide wide exposure with less soft tissue injury is important. Read More

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http://dx.doi.org/10.1111/ans.15133DOI Listing

An experimental study on the digital precision of internal fixation via the sinus tarsi approach for calcaneal fractures.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019834072

1 National Key Discipline of Human Anatomy, School of Basic Medical Science, Southern Medical University, Guangdong Province, China.

Objective:: To investigate the effectiveness and accuracy of internal fixation of calcaneal fractures with a three-dimensional (3-D) printing navigation module via the sinus approach.

Methods:: Eleven lateral lower extremity specimens were used in the experiment and divided into the digital design (DD) group ( n = 11) and the real surgery (RS) group ( n = 11). For the DD group, thin-section computed tomography (CT) scans, virtual fracture modeling, virtual bone plate fixation, sinus occlusal module design, and navigation module design were performed for the cadaver specimens. Read More

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http://dx.doi.org/10.1177/2309499019834072DOI Listing
March 2019
4 Reads

[Arthroscopic treatment of avulsion fracture of tibial origin with Ⅰ degree supination and external rotation injury].

Zhonghua Wai Ke Za Zhi 2019 Mar;57(3):182-186

Department of Hand and Foot Microsurgery, Xuzhou Central Hospital, Xuzhou 221009, China.

To analyze the clinical effects of all-inside arthroscopic treatment for the patients of avulsion fracture of tibial origin withⅠdegree supination and external rotation injury according to the Lauge-Hansen classification. A retrospective analysis of 34 patients (34 feet) who had underwent all-inside arthroscopic for avulsion fracture of tibial origin with Ⅰ degree supination and external rotation injury from September 2015 to September 2017 in Department of Hand and Foot Microsurgery, Xuzhou Central Hospital. There were 20 males and 14 females, aged (24. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2019.03.005DOI Listing
March 2019
1 Read

Computed Tomography Imaging-Based Preoperative Virtual Simulation for Calcaneal Fractures Reduction.

J Foot Ankle Surg 2019 Mar;58(2):248-252

Chief Physician, Department of Orthopedics, Shanghai Pudong New Area Zhoupu Hospital, Shanghai, China.

Reduction of calcaneal fractures via a small incision approach at the sinus tarsi is technically difficult. This study was undertaken to determine if preoperative virtual simulation based on computed tomographic data improves reduction and reduces complications. Fifty-five patients with calcaneal fractures were treated via the sinus tarsi approach with minimally invasive plates between February 2013 and December 2015. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.054DOI Listing
March 2019
1 Read

Is Routine Hardware Removal Following Open Reduction Internal Fixation of Tarsometatarsal Joint Fracture/Dislocation Necessary?

J Foot Ankle Surg 2019 Mar;58(2):226-230

Associate Professor, Department of Orthopedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

Open reduction internal fixation (ORIF) is an accepted treatment for displaced tarsometatarsal joint (TMTJ) fracture dislocations. In general, hardware is routinely removed after 4 months to allow restoration of joint motion and avoid complications of hardware failure. Because few studies report outcomes of TMTJ fractures with retained hardware, there is little consensus regarding the optimal time for hardware removal or if hardware retention leads to adverse outcomes. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.016DOI Listing
March 2019
2 Reads

Surgical Considerations for Osteoporosis in Ankle Fracture Fixation.

Orthop Clin North Am 2019 Apr 12;50(2):245-258. Epub 2019 Feb 12.

Department of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, 1 Kettle Point Avenue, East Providence, RI 02915, USA.

As the geriatric population and associated ankle fractures continues to increase, fracture surgeons should be prepared to surgically manage osteoporotic ankle fractures. There are abundant challenges in management, soft tissue care, and fixation of ankle fractures with poor bone quality especially in elderly patients who have difficulty limiting weight bearing. This article summarizes several different surgical techniques that can be used to optimize outcomes of these fractures. Read More

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http://dx.doi.org/10.1016/j.ocl.2018.10.007DOI Listing
April 2019
1 Read

Osteogenesis Imperfecta: A Pediatric Orthopedic Perspective.

Orthop Clin North Am 2019 Apr;50(2):193-209

Department of Orthopaedic Surgery, Nemours Alfred I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803, USA.

Osteogenesis imperfecta is a genetically and phenotypically heterogeneous disorder related to a defect or deficiency in the production of type I collagen. It is characterized by brittle bones, fractures, spine and extremity deformity, and a host of extraskeletal manifestations. Type I collagen is present in bone, tendons, ligaments, skin, dentin, and the sclera of the eye and other connective tissues. Read More

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http://dx.doi.org/10.1016/j.ocl.2018.10.003DOI Listing
April 2019
4 Reads

[Metatarsal and toe fractures].

Unfallchirurg 2019 Apr;122(4):309-322

Abteilung für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.

Metatarsal and toe fractures are the most frequent injuries of the foot skeleton. Nondislocated fractures can be conservatively treated with good success. Long-term relief and immobilization including the ankle joint are unnecessary. Read More

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http://link.springer.com/10.1007/s00113-019-0620-1
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http://dx.doi.org/10.1007/s00113-019-0620-1DOI Listing
April 2019
8 Reads

Lateral wall osteotomy combined with embedded biodegradable implants for displaced intra-articular calcaneal fractures.

J Orthop Surg Res 2019 Mar 6;14(1):74. Epub 2019 Mar 6.

Department of Orthopedics, Taizhou Hospital of Zhejiang Province, Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.

Background: The extensile lateral approach (ELA) has been widely used to treat displaced intra-articular calcaneal fractures (DIACFs) and remains the gold standard procedure. Orthopedic surgeons are extremely concerned of the high rate of wound complications. This study intended to report a new surgical technique of the lateral wall osteotomy combined with an embedded biodegradable implant for treating DIACFs and assess clinical and radiological results. Read More

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http://dx.doi.org/10.1186/s13018-019-1111-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402087PMC
March 2019
2 Reads
1.577 Impact Factor

Plantar Medial Avulsion Fragment Associated With Tongue-Type Calcaneus Fractures.

Foot Ankle Int 2019 Mar 6:1071100719830948. Epub 2019 Mar 6.

6 Department of Orthopaedics and Sports Medicine, University of Washington-Harborview Medical Center, WA, USA.

Background:: The plantar fascia attaches to the tuberosity of the calcaneus, which produces a distinct plantar medial avulsion (PMA) fracture fragment in certain calcaneal fractures. We hypothesized that tongue-type fractures, as described by the Essex-Lopresti classification, were more likely to be associated with this PMA fracture than joint depression fractures.

Methods:: A retrospective chart review was performed at 2 distinct Level I trauma centers to identify patients sustaining calcaneal fractures. Read More

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http://dx.doi.org/10.1177/1071100719830948DOI Listing
March 2019
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Algorithm for Management of Periprosthetic Ankle Fractures.

Foot Ankle Int 2019 Feb 27:1071100719834542. Epub 2019 Feb 27.

1 Department of Orthopaedics, Duke University Medical Center, Durham, NC, USA.

Background:: Evidence on the management of and outcomes from periprosthetic fractures about a total ankle replacement (TAR) are limited. The purpose of this study was to develop an algorithm for the management of patients with postoperative periprosthetic fractures about a TAR.

Methods:: This was a retrospective analysis of patients undergoing a TAR from 2007 through 2017 with a subsequent periprosthetic fracture >4 weeks from index surgery. Read More

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http://dx.doi.org/10.1177/1071100719834542DOI Listing
February 2019
1.626 Impact Factor

[Diagnosis and treatment of proximal fifth metatarsal fracture].

Zhongguo Gu Shang 2019 Jan;32(1):88-91

Department of Orthopaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China.

As one of the most common fractures of the foot, the blood supply characteristics and unique anatomy of proximal fifth metatarsal fracture makes a high risk of delayed union or non-union of fractures occurring at the junction of the diaphyseal-metaphyseal. At present, the classification system of proximal fifth metatarsal fracture is complicated and not yet unified, and Lawrence and Botte classification is more recommended. The system divides proximal fifth metatarsal fracture into three types:avulsion fractures of tuberosity(Zone I), fractures at the metaphysis-diaphysis junction, which extend into the fourth-fifth intermetatarsal facet (Zone II) and the proximal diaphyseal fractures(Zone III). Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.01.020DOI Listing
January 2019

[Bone and soft tissue combined with surgery for the treatment soft flatfoot combined with painful navicular bone].

Zhongguo Gu Shang 2019 Jan;32(1):77-81

Sichuan Province Orthopaedics Hospital, Chengdu 610041, Sichua, China.

Objective: To explore short-term clinical effects of bone and soft tissue combined with surgery for the treatment of soft flatfoot accompanied with painful navicular bone.

Methods: From May 2015 to August 2017, 16 patients (16 feet) with navicular bone soft flatfoot accompanied with painful navicular bone were treated with bone and soft tissues operation (gastrocnemius release, medial displacement calcaneal osteotomy, and excision of accessory navicular with reconstruction of posterior tibial tendon). Among them, there were 9 males (9 feet) and 7 females (7 feet), aged from 22 to 48 years old with an average of (32. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.01.017DOI Listing
January 2019
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[Short-term results of open reduction and percutaneous Kirschner wire fixation for Chopart joint dislocation].

Zhongguo Gu Shang 2019 Jan;32(1):72-76

Department of Bone Joint Surgery, the First Affiliated Hospital of University of South China, Hengyang 421001, Hunan, China.

Objective: To investigate short-term clinical efficacy of open reduction and percutaneous Kirschner wire fixation for Chopart joint dislocation.

Methods: From August 2014 to August 2017, 13 patients with Chopart joint dislocation were treated by open reduction and percutaneous Kirschner wire fixation, including 7 males and 6 female aged from 13 to 58 years old. American Orthopaedic Foot and Ankle Society(AOFAS)criteria system and visual analogue scale (VAS) were applied to evaluate function of foot and ankle at 12 months after operation. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.01.016DOI Listing
January 2019
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V-Y Tendon Plasty for Reconstruction of Chronic Achilles Tendon Rupture: A Medium-term and Long-term Follow-up.

Orthop Surg 2019 Feb 27;11(1):109-116. Epub 2019 Feb 27.

Center for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.

Objective: To evaluate the surgical results of V-Y tendon plasty in the treatment of chronic Achilles tendon rupture during medium and long-term follow-up.

Methods: Between June 2005 and September 2017, 20 patients with chronic Achilles tendon rupture underwent V-Y tendon plasty in our hospital. The mean injury-to-surgery time was 20. Read More

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http://dx.doi.org/10.1111/os.12429DOI Listing
February 2019
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Cadaveric Study on Retrograde Calcaneotibial Fixation of Unstable Ankle Fractures.

In Vivo 2019 Mar-Apr;33(2):489-494

Section Upper Extremity, Foot- and Rheuma Surgery, Trauma Department, Medical School Hanover (MHH), Hannover, Germany

Background/aim: In extensive soft tissue injury, primary internal fracture fixation is not always possible and external fixation for primary immobilization plays an important role. The aim of this study was to compare the accuracy of freehand technique and of a target device for retrograde calcaneotibial fixation in an uninjured bone and an unstable ankle fracture.

Materials And Methods: The calcaneotibial fixation was performed randomly by an experienced surgeon utilizing either a freehand drilling technique or a novel targeting device in four human cadavers before and after producing a bimalleolar ankle fracture. Read More

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http://dx.doi.org/10.21873/invivo.11500DOI Listing
November 2018

Machine Learning Accurately Predicts Short-Term Outcomes Following Open Reduction and Internal Fixation of Ankle Fractures.

J Foot Ankle Surg 2019 Feb 22. Epub 2019 Feb 22.

Orthopedic Surgeon, Department of Orthopedic Surgery, Albert Einstein Medical Center, Philadelphia, PA.

Ankle fractures are common orthopedic injuries with favorable outcomes when managed with open reduction and internal fixation (ORIF). Several patient-related risk factors may contribute to poor short-term outcomes, and machine learning may be a valuable tool for predicting outcomes. The objective of this study was to evaluate machine-learning algorithms for accurately predicting short-term outcomes after ORIF for ankle fractures. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.004DOI Listing
February 2019
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Is It an Overlooked Injury? Magnetic Resonance Imaging Examination of Occult Talus Lesions Concomitant to Tibial Shaft Fracture.

J Foot Ankle Surg 2019 Feb 22. Epub 2019 Feb 22.

Associate Professor, Department of Radiology, SBÜ Ankara Numune Training and Research Hospital, Ankara, Turkey.

Long-term studies have shown that 10% to 20% of patients continue to experience ankle pain years after tibial fracture, which causes poor functional results and dissatisfaction. The aim of this study was to show that there could be a talus injury in patients with a tibial shaft fracture and to reveal occult talus lesions with magnetic resonance imaging (MRI) examination. Fifty-two patients with a tibial shaft fracture, with closed epiphyses, not extending to the joint and with no problems in the application of MRI examination were included. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.007DOI Listing
February 2019