8,507 results match your criteria Fracture Foot


Minimally Invasive Osteosynthesis of Distal Tibia Fractures using Anterolateral Locking Plate.

Authors:
P Choudhari D Padia

Malays Orthop J 2018 Nov;12(3):38-42

Department of Orthopaedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, India.

Plating in distal tibia fractures are associated with higher rate of soft tissue complications. As adequate soft tissue cover is available over anterolateral surface of the tibia, use of anterolateral plate fixation in distal tibia fractures has increased. The purpose of our research is to evaluate the outcomes of anterolateral locking plate fixation in distal tibia fractures using ORIF. Read More

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http://morthoj.org/2018/v12n3/anterolateral-locking-plate.pd
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http://dx.doi.org/10.5704/MOJ.1811.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287133PMC
November 2018
1 Read

Surgical treatment of lateral and posterior process fractures of the talus: Mid-term results of 15 cases after 7 years.

Foot Ankle Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of Trauma Surgery, Otto-von-Guericke University, Leipziger Str. 44 Magdeburg, Germany.

Background: We retrospectively evaluated the mid-term results of surgery for talar process fractures (lateral and posterior processes) and exploratively analyzed parameters that potentially impact treatment outcomes.

Methods: Fifteen patients who underwent internal fixation (January 2000 to December 2015) were examined for radiological and clinical functional outcomes. The independent parameters evaluated were age, sex, extent of general injury, soft-tissue damage, surgical latency, and fracture type. Read More

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http://dx.doi.org/10.1016/j.fas.2018.11.013DOI Listing
November 2018

Is Use of Bone Cement for Treatment of Second Metatarsal Stress Fractures Safe? A Case Report.

Cureus 2018 Oct 9;10(10):e3436. Epub 2018 Oct 9.

Orthopaedics, University of Alabama at Birmingham, Birmingham, USA.

Metatarsal stress fractures are common injuries of the foot and can be a source of chronic pain without appropriate management. Conservative management is first line, but surgery may be indicated in athletes, cases of nonunion, and fractures of the fifth metatarsal. We report a case of a 34-year-old female who presented to clinic for intractable pain of the left foot secondary to a stress fracture of the left second metatarsal, which had been previously treated with injectable acrylic bone cement. Read More

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https://www.cureus.com/articles/14581-is-use-of-bone-cement-
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http://dx.doi.org/10.7759/cureus.3436DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289564PMC
October 2018
1 Read

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

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

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

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

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http://dx.doi.org/10.1097/MD.0000000000013574DOI Listing
December 2018

Combined Lag Screw and Cerclage Wire Fixation for Calcaneal Tuberosity Avulsion Fractures.

Case Rep Orthop 2018 11;2018:6207024. Epub 2018 Nov 11.

Klinik für Unfall und Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.

Avulsion fractures of the calcaneal tuberosity represent a rare injury pattern that is caused by a powerful tension force from the Achilles tendon and is usually seen following minor trauma, especially in elderly patients. The objective of this study is to describe a surgical technique using cerclage wiring through cannulated screws in the treatment of extra- and intra-articular avulsion fractures of the calcaneal tuberosity and to present our results in a small patient's cohort. Through a 5. Read More

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http://dx.doi.org/10.1155/2018/6207024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252191PMC
November 2018
1 Read

Effects of fluoxetine on functional outcomes after acute stroke (FOCUS): a pragmatic, double-blind, randomised, controlled trial.

Authors:

Lancet 2018 Dec 4. Epub 2018 Dec 4.

Background: Results of small trials indicate that fluoxetine might improve functional outcomes after stroke. The FOCUS trial aimed to provide a precise estimate of these effects.

Methods: FOCUS was a pragmatic, multicentre, parallel group, double-blind, randomised, placebo-controlled trial done at 103 hospitals in the UK. Read More

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http://dx.doi.org/10.1016/S0140-6736(18)32823-XDOI Listing
December 2018

Pseudoarthrosis of second metatarsal fracture.

Pediatr Med Chir 2018 Oct 19;40(2). Epub 2018 Oct 19.

Clinical Surgical Department, Diagnostic and Pediatric Sciences, Locomotor System Diseases Unit, University of Pavia, Pavia.

Metatarsal fractures make up the greatest portion of foot fractures in children. Most of them are treated with closed reduction and non-weightbearing cast immobilization.Usually, these fractures heal uneventfully and delay union and pseudoarthrosis are rare. Read More

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http://dx.doi.org/10.4081/pmc.2018.205DOI Listing
October 2018
2 Reads

Surgical versus nonsurgical treatment for scaphoid waist fracture with slight or no displacement: A meta-analysis and systematic review.

Medicine (Baltimore) 2018 Nov;97(48):e13266

Hand & Foot Surgery and Reparative & Reconstruction Surgery Center, The Second, Hospital of Jilin University, Changchun, China.

Background: Surgical or nonsurgical treatment for scaphoid waist fracture with slight or no displacement is still controversial. This study compared the efficacy of the 2 methods through meta-analysis to provide a reference for the choice of clinical treatment options.

Methods: Two individuals independently searched for relevant RCTs and cohort studies from PubMed (1946-February 2018), Embase (1946-February 2018), and Cochrane library (1997-February 2018). Read More

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http://dx.doi.org/10.1097/MD.0000000000013266DOI Listing
November 2018
1 Read

Thumb reconstruction with combination of the wrap-around flap prefabricated by medialis pedis perforator flap with nail bed and phalanx banked from the amputated thumb: A case report.

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Thumb reconstruction has been a very challenging issue for hand surgeons. In this report, we present a case of thumb reconstruction with combination of the wrap-around flap prefabricated by the medialis pedis perforator flap with phalanx and nail bed banked from the amputated thumb. A 22-year-old man suffered from the left thumb amputation as well as large soft tissue defect of hand and comminuted fracture in wrist due to a crush accident. Read More

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http://dx.doi.org/10.1002/micr.30382DOI Listing
November 2018
1 Read

The Role of Allograft Bone in Foot and Ankle Arthrodesis and High-Risk Fracture Management.

Foot Ankle Spec 2018 Nov 28:1938640018815227. Epub 2018 Nov 28.

Rutgers New Jersey Medical School, Newark, New Jersey (SH).

Allogenic bone graft has long been accepted as a standard of care in the surgical arthrodesis of the foot and ankle and treatment of certain high-risk, comminuted fracture types that have greater potential for delayed union or nonunion. It has been shown in multiple studies to be equivalent to autograft in regard to union rates without the morbidity associated with bone graft harvest. We present a retrospective study on the efficacy of an allogenic cancellous/periosteal cellular bone matrix with mesenchymal stem cells and angiogenic growth factors. Read More

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http://dx.doi.org/10.1177/1938640018815227DOI Listing
November 2018
2 Reads

Adding deltoid ligament repair in ankle fracture treatment: Is it necessary? A systematic review.

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

Department of Orthopaedic Surgery & Rehabilitation, Texas Tech University Health Sciences Center - El Paso, 4801 Alberta Avenue, El Paso, TX, 79905 United States.

Background: Deltoid ligament injuries are typically caused by supination-external rotation or pronation injury. Numerous ligament reconstruction techniques have been proposed; however, clear indications for operative repair have not yet been well established in the literature.

Methods: We reviewed primary research articles comparing ORIF treatment for ankle fracture with versus without deltoid ligament repair. Read More

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http://dx.doi.org/10.1016/j.fas.2018.11.001DOI Listing
November 2018
1 Read

Evaluating the potential of kit-based 68Ga-ubiquicidin formulation in diagnosis of infection: a pilot study68Ga.

Nucl Med Commun 2018 Nov 21. Epub 2018 Nov 21.

Department of Nuclear Medicine and PET, Post Graduate Institute of Medical Education and Research, Chandigarh.

Objective: The aim was to evaluate the diagnostic potential of Ga-ubiquicidin positron-emission tomography/computed tomography (PET/CT) in imaging patients with infection.

Materials And Methods: Ga-NOTA-ubiquicidin (Ga-UBI) was prepared by addition of freshly eluted Ga-chloride from Ge/Ga generator into the NOTA-ubiquicidin vial and incubated at room for 15 min at 90°C. After compounding of the radiopharmaceutical, quality control using instant thin-layer chromatography, culture and endotoxin estimation was performed. Read More

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http://dx.doi.org/10.1097/MNM.0000000000000943DOI Listing
November 2018
5 Reads
1.371 Impact Factor

Technologies in the Treatment of Bone Marrow Edema Syndrome.

Orthop Clin North Am 2019 Jan;50(1):131-138

Tehran University of Medical Science, Number 21, Dameshgh Street, Vali-e Asr Avenue, Tehran 1416753955, Iran.

Bone marrow edema syndrome is a rare and self-limited syndrome with an unknown cause. The natural time course for improvement of clinical symptoms and normalization in MRI lasts from 3 to 18 months. This entity must be distinguished from other causes of marrow abnormality, such as stress fractures and osteonecrosis, for the best treatment options. Read More

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http://dx.doi.org/10.1016/j.ocl.2018.08.008DOI Listing
January 2019
1 Read

Managing the open calcaneal fracture: A systematic review.

Foot Ankle Surg 2018 Nov 5. Epub 2018 Nov 5.

Trauma unit, Academic Medical Center, Amsterdam, The Netherlands. Electronic address:

Introduction: Open fractures of the calcaneus are rare. They are mostly caused by high-energy trauma. There are several treatment options for calcaneal fractures. Read More

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http://dx.doi.org/10.1016/j.fas.2018.10.005DOI Listing
November 2018
2 Reads

Dual Motor Drill Continuously Measures Drilling Energy to Calculate Bone Density and Screw Pull-out Force in Real Time.

J Am Acad Orthop Surg Glob Res Rev 2018 Sep 25;2(9):e053. Epub 2018 Sep 25.

Department of Orthopedics and Sports Medicine, Mammoth Orthopedic Institute, Mammoth Lakes, CA.

Introduction: Low bone density complicates the surgical management of fractures. Screw stripping in osteoporotic bone leads to decreased fixation strength and weakening of the fixation construct. If low density could be detected during drilling, augmentation may be performed to prevent screw stripping. Read More

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http://dx.doi.org/10.5435/JAAOSGlobal-D-18-00053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6226295PMC
September 2018

Importance of assistant intra-operative medial distraction technique for intraarticular calcaneus fractures.

Acta Orthop Belg 2018 Jun;84(2):235-241

To report the clinical efficacy of open reduction and internal fixation (ORIF) assisted by medial distraction for intra-articular calcaneus fractures. From September 2010 to November 2013, 151 patients with intra-articular calcaneus fractures were treated at our department by ORIF. They were 95 men and 56 women, 18 to 69 years of age. Read More

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June 2018
3 Reads

An Injury Risk Function for the Leg, Foot, and Ankle Exposed to Axial Impact Loading Using Force and Impulse.

J Biomech Eng 2019 Feb;141(2)

Center for Applied Biomechanics, University of Virginia, , Charlottesville, VA 22911 e-mail: .

Most injury risk functions (IRFs) for dynamic axial loading of the leg have been targeted toward automotive applications such as predicting injury caused by intrusion into the occupant compartment from frontal collisions. Recent focus on leg injuries in the military has led to questions about the applicability of these IRFs shorter duration, higher amplitude loading associated with underbody blast (UBB). To investigate these questions, data were collected from seven separate test series that subjected post-mortem human legs to axial impact. Read More

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http://biomechanical.asmedigitalcollection.asme.org/article.
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http://dx.doi.org/10.1115/1.4042012DOI Listing
February 2019
7 Reads

Open Talus Fractures: Early Infection and Its Epidemiological Characteristics.

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

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

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

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183035
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http://dx.doi.org/10.1053/j.jfas.2018.08.020DOI Listing
November 2018
6 Reads
0.979 Impact Factor

Ankle Fracture Fixation: Medial or Lateral First?

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

Medical Student, Department of Orthopedic Surgery, Doctors Hospital, Columbus, OH.

In unstable ankle fractures, the importance of reducing the lateral malleolus first to obtain an anatomic reduction of the talus is well established. Although this is a time-tested and common surgical approach, current surgical practice does not always follow the established dogma. Medial-first fixation may be a worthwhile alternative to lateral-first fixation in select instances. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.007DOI Listing
November 2018
5 Reads

Outcomes of midfoot and hindfoot fractures in multitrauma patients.

Injury 2018 Nov 12. Epub 2018 Nov 12.

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopaedic Surgery, The Alfred Hospital, Melbourne, Australia.

Introduction: Multitrauma patients suffering hindfoot fractures, including calcaneal and talar fractures, often result in poor outcomes. However, less is known about the outcomes following midfoot fracture in the mutitrauma population. This study aims to describe the epidemiology of midfoot fractures in multitrauma patients and to compare the outcomes of midfoot and hindfoot fractures in this population. Read More

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http://dx.doi.org/10.1016/j.injury.2018.11.021DOI Listing
November 2018
8 Reads

The Effect of Foot Massage on Pain Intensity and Anxiety in Patients Having Undergone a Tibial Shaft Fracture Surgery: A Randomized Clinical Trial.

J Orthop Trauma 2018 Dec;32(12):e482-e486

Department of Nursing, Student Research Committee of Shiraz University of Medical Sciences, Shiraz, Iran.

Objective: To determine the effect of massage therapy on pain intensity and anxiety in patients who have undergone tibial shaft fracture surgery.

Design: This study was a randomized clinical trial with a pre-post design. As the study included 2 treatment groups, it was a parallel study. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001320DOI Listing
December 2018
3 Reads

Wound-Healing Issues Following Rotational Ankle Fracture Surgery: Predictors and Local Management Options.

Foot Ankle Spec 2018 Nov 16:1938640018810422. Epub 2018 Nov 16.

New York University Langone Orthopaedic Hospital, New York, New York (HS, SK, AD, KE).

Background: The incidence and risk factors of wound-healing complications following rotational ankle fracture surgery are well documented in the literature. However, there is a paucity regarding management options following these complications. The goal of this study was to provide a descriptive analysis of one surgeon's experience managing wound complications in patients who have undergone ankle fracture surgery. Read More

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http://journals.sagepub.com/doi/10.1177/1938640018810422
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http://dx.doi.org/10.1177/1938640018810422DOI Listing
November 2018
6 Reads

[Effectiveness comparison between Scarf osteotomy combined with Akin osteotomy fixed by absorbable screws and fixed by metal screws for the treatment of moderate to severe hallux valgus].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Nov;32(11):1386-1391

Department of Foot and Ankle Surgery, Honghui Hospital Affiliated to Medical College of Xi'an Jiaotong University, Xi'an Shaanxi, 710054,

Objective: To evaluate the effectiveness of Scarf osteotomy combined with Akin osteotomy in the treatment of moderate to severe hallux valgus with absorbable screws or metal screws fixation by clinical and radiological data.

Methods: Between March 2014 and May 2016, the Scarf osteotomy combined with Akin osteotomy was used to treat 62 patients (83 feet) with moderate to severe hallux valgus. Twenty-five patients (35 feet) were fixed by absorbable screws (group A) and 37 patients (48 feet) were fixed by metal screws (group B). Read More

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http://dx.doi.org/10.7507/1002-1892.201805116DOI Listing
November 2018
1 Read

Balloon-assisted reduction, pin fixation and tricalcium phosphate augmentation for calcaneal fracture: A retrospective analysis of 42 patients.

Injury 2018 Nov;49 Suppl 3:S94-S99

School of Medicine, University of Bari "Aldo Moro"- AOU Policlinico Consorziale - Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic &Trauma Unit, Bari, Italy.

Introduction: The treatment of intra-articular calcaneal fractures is still complex and controversial. Although open reduction and internal fixation (ORIF) is favored by many authors, several percutaneous techniques have been introduced to reduce complications and to obtain satisfactory clinical and radiological results. Among these percutaneous treatments, balloon reduction and bone graft augmentation is gaining an increasing popularity. Read More

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http://dx.doi.org/10.1016/j.injury.2018.09.047DOI Listing
November 2018
1 Read

Acute and Chronic Syndesmotic Injury: The Authors' Approach to Treatment.

Foot Ankle Clin 2018 Dec 24;23(4):625-637. Epub 2018 Sep 24.

Foot and Ankle Surgery, Weill Cornell Medical College, Downtown Orthopedic Associates, AO Foot and Ankle Expert Group, 170 William Street, New York, NY 10038, USA.

Ankle injuries are a common traumatic injury. Rupture to the syndesmosis may occur as a result of these injuries. Strategies for the treatment of both acute and chronic syndesmotic repair are reviewed in detail. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.007DOI Listing
December 2018
1 Read

Minimally invasive internal fixation of calcaneal fractures or subtalar joint arthrodesis using the Calcanail®.

Oper Orthop Traumatol 2018 Nov 9. Epub 2018 Nov 9.

Klinik und Poliklinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Germany.

Objective: A minimally invasive technique to prevent soft tissue problems using a calcaneal nail (Calcanail®, FH Orthopedics, Heimsbrunn, France) for calcaneal fractures or in subtalar joint arthrodesis is described.

Indications: Displaced extra-articular calcaneal fractures involving the tuberosity fragment and in displaced intra-articular calcaneal fractures with impression and/or displacement of the subtalar joint surface. Subtalar joint arthrodesis for posttraumatic subtalar osteoarthritis. Read More

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http://dx.doi.org/10.1007/s00064-018-0576-2DOI Listing
November 2018
6 Reads

Intermediate-term Experience With the STAR Total Ankle in the United States.

Foot Ankle Int 2018 Nov 9:1071100718808743. Epub 2018 Nov 9.

3 Division of Foot & Ankle Surgery, Florida Orthopaedic Institute, Tampa, FL, USA.

Background:: Limited intermediate and no real long-term follow-up data have been published for total ankle arthroplasty (TAA) in the United States. This is a report of clinical follow-up data of a prospective, consecutive cohort of patients who underwent TAA by a single surgeon from 1999 to 2013 with the Scandinavian Total Ankle Replacement (STAR) prosthesis.

Methods:: Patients undergoing TAA at a single US institution were enrolled into a prospective study. Read More

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http://dx.doi.org/10.1177/1071100718808743DOI Listing
November 2018
5 Reads

Operative treatment of geriatric ankle fractures with conventional or locking plates. A retrospective case-control study.

Foot Ankle Surg 2018 Oct 23. Epub 2018 Oct 23.

Center for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg GmbH, Location Marburg, Marburg, Germany. Electronic address:

Background: The incidence of geriatric ankle fractures continues to rise due to demographic changes. While locking plates have become standard implants for injuries of other body regions, clinical studies on their use for geriatric ankle fractures are rare.

Methods: Therefore, a retrospective case-control study, including 333 patients with a mean age of 73. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183046
Publisher Site
http://dx.doi.org/10.1016/j.fas.2018.10.002DOI Listing
October 2018
5 Reads

Radiographic Analysis of National Football League Players' Fifth Metatarsal Morphology Relationship to Proximal Fifth Metatarsal Fracture Risk.

Foot Ankle Int 2018 Nov 7:1071100718809357. Epub 2018 Nov 7.

1 Hospital for Special Surgery, New York, NY, USA.

Background:: Fractures of the proximal fifth metatarsal are one of the most common foot injuries in athletes. Repetitive stresses endured by the fifth metatarsal can lead to stress fracture, delayed union, and refracture, making optimal treatment challenging. A radiographic analysis of fifth metatarsal morphology and foot type in National Football League (NFL) players was performed to investigate morphologic risk factors for these injuries. Read More

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http://dx.doi.org/10.1177/1071100718809357DOI Listing
November 2018
2 Reads

[Deltoid ligament augmentation and repairing in ankle fracture associated with deltoid ligament injury and syndesmosis diastasis].

Zhonghua Yi Xue Za Zhi 2018 Oct;98(39):3192-3196

To evaluate the outcome of the deep component augmentation and superficial component repairing and syndesmosis screw fixation in treating ankle fracture associated with deltoid ligament injury and syndesmosis diastasis. From January 2014 to December 2017, 16 patients with ankle fracture combined with deltoid ligament injury and syndesmosis diastasis were treated with the deep component augmentation and superficial component repairing in Beijing Jishuitan Hospital.Of the patients, 13 were males and 3 were females, with an average age of (38±10) years (21-57 years). Read More

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October 2018
8 Reads

Infected tibial nonunion in children: Is radical debridement mandatory?

Injury 2018 Oct 29. Epub 2018 Oct 29.

Benha University, Faculty of Medicine, Egypt. Electronic address:

Nonunion is a devastating complication of tibial fractures with a debilitating effect. Several studies reporting tibial nonunions in adults are available; however, the reports on infected nonunions in children are scarce. The purpose of this study was to evaluate the results of treating paediatric infected tibial nonunion using Ilizarov fixator without radical resection. Read More

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http://dx.doi.org/10.1016/j.injury.2018.10.043DOI Listing
October 2018
1 Read

Therapeutic Advantages of Internal Fixation with Kirschner Wire and Bone Grafting via Limited Tarsal Sinus Incision Approach for Displaced Intra-Articular Calcaneal Fractures of Children.

Med Sci Monit 2018 Nov 3;24:7862-7868. Epub 2018 Nov 3.

Department of Pediatric Orthopedics, Wuhan Fourth Hospital (Puai Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (mainland).

BACKGROUND Displaced intra-articular calcaneal fractures (DIACF) are a serious injury and are clinically considered to be an important source of disability. This study investigated therapeutic effects of internal fixation with Kirschner wire and bone grafting via limited tarsal sinus incision in pediatric DIACF. MATERIAL AND METHODS This retrospective study included pediatric DIACF patients admitted to our department from June 2010 to February 2014. Read More

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http://dx.doi.org/10.12659/MSM.910610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231323PMC
November 2018
1 Read

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

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

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

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

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

Musculoskeletal Ultrasonography to Detect a Displaced Fracture of the Fifth Metatarsal.

J Orthop Sports Phys Ther 2018 Nov;48(11):903

A 27-year-old man presented to an outpatient physical therapy clinic with left lateral foot pain after playing lacrosse 1 day prior. Ultrasound imaging was performed immediately by the physical therapist, focusing on the fifth metatarsal distal shaft. Images obtained with a 13- to 6-MHz linear transducer demonstrated cortical bone disruption. Read More

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http://dx.doi.org/10.2519/jospt.2018.7884DOI Listing
November 2018
2 Reads

Brachymetatarsia as a Source of Pain in a US Military Trainee.

J Orthop Sports Phys Ther 2018 Nov;48(11):904

A 19-year-old female US Army trainee presented to a direct-access physical therapy clinic reporting 1 week of bilateral dorsal foot pain that was worse on the right than the left side. Due to swelling, focal tenderness, and pain, the physical therapist ordered radiographs to evaluate for a potential stress fracture. The radiographs revealed that the fourth metatarsals were notably shorter than the others, but were negative for other pathology. Read More

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https://www.jospt.org/doi/10.2519/jospt.2018.7522
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http://dx.doi.org/10.2519/jospt.2018.7522DOI Listing
November 2018
4 Reads

[Diagnosis and treatment for posterior ostrigonum of talus fracture:a case report].

Zhongguo Gu Shang 2018 Oct;31(10):962-964

Department of Foot and Ankle Surgery, Integration of Chinese and Western Hospital of Cangzhou, Cangzhou 061001, Hebei, China.

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October 2018
1 Read

[Headless pressure screw with local complication of PRP for the treatment of intra-articular fracture of old metatarsal].

Zhongguo Gu Shang 2018 Oct;31(10):953-956

The First People's Hospital of Jiangxia District, Wuhan 430200, Hubei, China.

Objective: To discuss clinical effects of headless pressure screw with local complication of PRP in treating old metatarsal intra-articular fracture.

Methods: From January 2010 to June 2016, 7 patients with old metatarsal intra-articular fracture treated by open reduction headless compression screw internal fixation by local application PRP, including 5 males and 2 females, aged from 21 to 52 years old, 5 patients injured by falling down and 2 patients caused by crushing, the time from injury to operation ranged from 3 to 6 weeks. Preoperative anteroposterior, lateral and oblique X-ray film and three-dimensional CT reconstruction were examined, and the results showed 2 patients on the second metatarsal, 2 patients on the third metatarsal, 3 patients on the fourth metatarsal. Read More

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October 2018
6 Reads

[Preliminary finite element analysis of anterior inferior tibiofibular syndesmosis injuries treated with screw and tight-rope fixation].

Zhongguo Gu Shang 2018 Oct;31(10):937-943

Department of Orthopaedic Trauma, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning, China;

Objective: To establish finite element models of anterior inferior tibiofibular syndesmosis injuries (AITSI), screw fixation and Tight-rope(TR) fixation, and to compare its force and displacement, so as provide evidence for clinical diagnosis and treatment.

Methods: A three-dimensional model of a healthy ankle complex was developed by computed tomography (CT) images, and anterior inferior tibiofibular syndesmosis injuries(AITSI) model also established, then a screw was inserted into AITSI model to obtain a screw fixation model, and a Tight-rope system was put into AITSI model to obtain a TR model. Simulated loads were applied under three conditions:neutral position with single-foot standing, internal and external rotation of the ankle. Read More

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October 2018
2 Reads

Opioid Prescribing Practices After Isolated Pilon Fractures.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1167-1171

Orthopedic Trauma Service, Department of Orthopedics, Vanderbilt Medical Center, 1215 21st Avenue South, Suite 4200 MCE-South Tower Nashville, TN, 37232, USA. Electronic address:

The purpose of our study was to identify the opioid-prescribing practices after operative treatment of isolated pilon fractures at a level 1 trauma center. Patients ≥ 18 years of age with an operatively treated isolated pilon fracture between 2005 and 2015 were identified. Total morphine milligram equivalents (MMEs) were then calculated. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.06.010DOI Listing
May 2017
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Trends in Urgent Care Utilization Following Ankle Fracture Fixation.

Foot Ankle Int 2018 Oct 25:1071100718804178. Epub 2018 Oct 25.

2 Director of Orthopedic Research, Division of Orthopedic Surgery, Albany Medical College, Albany, NY, USA.

Background:: The Centers for Medicare and Medicaid services (CMS) have implemented initiatives to improve postdischarge care and reduce unnecessary readmissions. Readmissions within 30 days are frequent and represent an economic burden on both patients and the healthcare system. The aim of this study was to evaluate the frequency and causes for urgent care visits within 30 days of discharge after ankle open reduction and internal fixation (ORIF) and determine factors correlated with such visits. Read More

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http://journals.sagepub.com/doi/10.1177/1071100718804178
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http://dx.doi.org/10.1177/1071100718804178DOI Listing
October 2018
5 Reads

Minimally invasive fixation for displaced intra-articular fractures of calcaneum: a short-term prospective study on functional and radiological outcome.

Musculoskelet Surg 2018 Oct 23. Epub 2018 Oct 23.

Department of Orthopaedics, Sunshine Hospitals, Secunderabad, 500003, India.

Introduction: Studies have demonstrated a decrease in the incidence of late consequences and the socio-economic burden of intra-articular fractures of calcaneum when treated by surgical fixation. Operative management of displaced intra-articular calcaneal fractures (DIACF) pose significant challenges such as technical difficulty, wound healing and long-term pain and disability.

Materials And Methods: All patients presenting to the ER with DIACF over a period of 2 years and matching the inclusion criteria were enrolled in the study. Read More

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http://link.springer.com/10.1007/s12306-018-0575-3
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http://dx.doi.org/10.1007/s12306-018-0575-3DOI Listing
October 2018
4 Reads

Osteoid osteoma: multimodality imaging with focus on hybrid imaging.

Eur J Nucl Med Mol Imaging 2018 Oct 19. Epub 2018 Oct 19.

Department of Radiology and Nuclear Medicine, Cantonal Hospital Lucerne, Lucerne, Switzerland.

Osteoid osteoma is a painful, benign, osteoblastic lesion that occurs in younger patients and affects the extremities or the axial skeleton. While plain film findings may suggest the diagnosis, in complex anatomical regions such as the spine, pelvis, wrist and foot advanced imaging modalities are often required. A typical nidus surrounded by sclerosis or cortical thickening characterizes osteoid osteoma on plain radiography and CT. Read More

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http://link.springer.com/10.1007/s00259-018-4181-2
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http://dx.doi.org/10.1007/s00259-018-4181-2DOI Listing
October 2018
6 Reads

Diagnostic Quandary: Agbeni Vertebral Osteomyelitis and Epidural Abscess.

Case Rep Orthop 2018 20;2018:1091932. Epub 2018 Sep 20.

Rockford Pain Center, Rockford, USA.

Salmonella vertebral discitis/osteomyelitis is a rare manifestation of Salmonella infection. Here, we report a case of a 54-year-old Caucasian male who presented with five weeks of progressively worsening bilateral low back, buttock, and lower extremity pain following an 8-foot fall onto concrete from a ladder. Initial workup following the fall included hip X-ray and MRI of the lumbar spine and revealed only mild lumbar facet arthropathy and moderate left neural foraminal stenosis at L3-L4 without any concomitant hip or spine fracture. Read More

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https://www.hindawi.com/journals/crior/2018/1091932/
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http://dx.doi.org/10.1155/2018/1091932DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6171215PMC
September 2018
7 Reads

British Army recruits with low serum vitamin D take longer to recover from stress fractures.

J R Army Med Corps 2018 Oct 15. Epub 2018 Oct 15.

Imperial College Healthcare NHS Trust, St Mary's Hospital, Praed Street, London, UK.

Background: Recruits undergoing military training experience a particularly high incidence of stress fractures. The role of combined calcium and vitamin D (25-OHD) deficiency and subsequent supplementation has been well described in the literature, but the role of 25-OHD deficiency alone is less well understood, particularly its influence on recovery once a stress fracture has been incurred.

Methods: Retrospective data of recruits who had incurred stress fractures were collected (n=37). Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-000983
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http://dx.doi.org/10.1136/jramc-2018-000983DOI Listing
October 2018
3 Reads

Staple versus suture closure for ankle fracture fixation: Retrospective chart review for safety and outcomes.

Foot (Edinb) 2018 Dec 22;37:71-76. Epub 2018 Aug 22.

University of Alabama at Birmingham, Department of Orthopaedic Surgery, USA. Electronic address:

Introduction/aim: Recent comparisons of suture versus metal staple skin closure on the rates of wound complications in orthopaedic surgeries have yielded conflicting results. Several studies have since started to approach this question based on anatomic location, comparing suture versus staple closure in total hip and knee arthroplasty and acetabulum fracture surgery. Ankle fractures are one of the most commonly treated fractures by orthopaedic surgeons with unique challenges to skin closure due to the lack of subcutaneous support. Read More

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http://dx.doi.org/10.1016/j.foot.2018.08.003DOI Listing
December 2018
4 Reads

Lisfranc Injury: Current Concepts.

Authors:
Hyojeong Mulcahy

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

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

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

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http://dx.doi.org/10.1016/j.rcl.2018.06.003DOI Listing
November 2018
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Comparison of different locking plate fixation methods in lateral malleolus fractures.

Foot Ankle Surg 2018 Feb 9. Epub 2018 Feb 9.

University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Orthopaedics, Ankara, Turkey. Electronic address:

Background: Several fixation methods may be used for displaced lateral malleolar fractures. We aimed to compare clinical and radiologic outcomes associated with use of locking one third tubular plate vs. anatomical distal fibula locking plate in lateral malleolar fractures. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183002
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http://dx.doi.org/10.1016/j.fas.2018.01.004DOI Listing
February 2018
7 Reads

Fractures of the anterior process of the calcaneum; a review and proposed treatment algorithm.

Foot Ankle Surg 2018 Feb 21. Epub 2018 Feb 21.

Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London SE1 9RT, United Kingdom.

Background: There remains a lack of recognition of these fractures, which leads to a delay in diagnosis and appropriate management.

Methods: A comprehensive literature search was performed. Following inclusion and exclusion criteria, 23 studies were available for analysis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183002
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http://dx.doi.org/10.1016/j.fas.2018.02.004DOI Listing
February 2018
6 Reads