9,190 results match your criteria Fracture Foot


The therapeutic effects of X-ray devitalization and replantation and alcoholic devitalization and replantation in adolescent patients with lower limb osteosarcoma.

Am J Transl Res 2021 15;13(5):5547-5553. Epub 2021 May 15.

The Department of Hand and Foot Surgery, The First People's Hospital of Wenling Wenling, Zhejiang, P. R. China.

Objective: To compare and analyze the therapeutic effects of X-ray devitalization and replantation and alcoholic devitalization and replantation in adolescent patients with lower limb osteosarcoma.

Methods: We collected clinical data for 43 osteosarcoma patients with limb salvage treatment treated in our hospital from February 2014 to February 2018. The patients were divided into x-ray devitalization and replantation group (n=23) and alcoholic devitalization and replantation group (n=20) based on the treatment methods. Read More

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Impact of percutaneous poking reduction combined with minimally invasive plate internal fixation on foot function and complications of patients with Sanders type II and III calcaneal fractures.

Am J Transl Res 2021 15;13(5):5329-5335. Epub 2021 May 15.

First Department of Traumatology and Orthopedics, Zaozhuang Mining Group Zaozhuang Hospital Zaozhuang, Shandong Province, China.

Objective: To investigate the impact of percutaneous poking reduction (PPR) combined with minimally invasive plate internal fixation on foot function and complications of Sanders type II and III calcaneal fractures (CFs).

Methods: In this prospective study, 76 patients with Sanders type II and III CFs were randomly divided into the control group (n=38, "L" incision open reduction and plate internal fixation) and the study group (n=38, PPR combined with minimally invasive plate internal fixation (MIPIF)). The operation related indexes, skin necrosis rate, Gissane angle, Bohler angle, calcaneal height and ankle-hindfoot score before and after the operation were compared between the two groups. Read More

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The importance of Böhler's angle in calcaneus geometry: A finite element model study.

Jt Dis Relat Surg 2021 11;32(2):420-427. Epub 2021 Jun 11.

Ankara Şehir Hastanesi Ortopedi ve Travmatoloji Kliniği, El ve Üst Ekstremite Cerrahisi Bölümü, 06800 Çankaya, Ankara, Türkiye.

Objectives: Calcaneal fractures are the most common tarsal fractures following a foot-ankle trauma. The Böhler's angle is an important measurable angle before, during, and after surgery. In this study, we aimed to investigate correlation between Böhler's angle, calcaneal strength, and subtalar joint stress using a finite element analysis (FEA). Read More

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Multiple Metatarsal Fractures: The First Manifestation of Cushing's Disease-A Case Report.

J Am Podiatr Med Assoc 2021 May;111(3)

Cushing's syndrome is an uncommon clinical condition most frequently presenting with central obesity, facial rounding, proximal muscle weakness, and skin thinning. The objective of this case report is to highlight an unusual presentation of Cushing's syndrome. A 35-year-old woman presented to the orthopedic clinic with a 1-year history of foot pain without any history of trauma. Read More

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Novel Technique for the Treatment of a Tongue-Type Calcaneal Fracture in the Setting of Chronic Osteomyelitis.

J Am Podiatr Med Assoc 2021 May;111(3)

Osteomyelitis of the calcaneus combined with a pathologic fracture is a rare and difficult presentation for any practicing foot and ankle surgeon. Treatment for achieving an aseptic nonunion involves a variety of steps, including surgical debridement, antibiotic administration, and fracture stabilization. In this case series, we report a novel technique for the treatment of a tongue-type calcaneal fracture in the setting of chronic osteomyelitis using the Biomet JuggerLoc bone-to-bone system for fixation. Read More

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Reporting errors in plain radiographs for lower limb trauma-a systematic review and meta-analysis.

Skeletal Radiol 2021 Jun 18. Epub 2021 Jun 18.

London Northwest University Healthcare NHS Trust, London, UK.

Introduction: Plain radiographs are a globally ubiquitous means of investigation for injuries to the musculoskeletal system. Despite this, initial interpretation remains a challenge and inaccuracies give rise to adverse sequelae for patients and healthcare providers alike. This study sought to address the limited, existing meta-analytic research on the initial reporting of radiographs for skeletal trauma, with specific regard to diagnostic accuracy of the most commonly injured region of the appendicular skeleton, the lower limb. Read More

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Lack of Surgeon Standardization on Implant Selection in Ankle Fracture Fixation May Increase Costs and Decrease Contribution Margin.

Foot Ankle Spec 2021 Jun 18:19386400211009357. Epub 2021 Jun 18.

Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Background: Surgical standardization has been shown to decrease costs without impacting quality; however, there is limited literature on this subject regarding ankle fracture fixation. Methods. Between October 5, 2015 and September 27, 2017, a total of 168 patients with isolated ankle fractures who underwent open reduction, internal fixation (ORIF) were analyzed. Read More

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Early Results of a Novel Intramedullary Fixation Device for Proximal Fifth Metatarsal Fractures.

Foot Ankle Spec 2021 Jun 18:19386400211016948. Epub 2021 Jun 18.

Orthopedic Foot and Ankle Center, Worthington, Ohio (TMP).

Background: Proximal fifth metatarsal fractures are commonly treated surgically due to their poor healing capacity. While intramedullary screws may be the most popular operative treatment choice, newer fixation methods continue to develop. We present a case series utilizing a novel intramedullary fixation device for proximal fifth metatarsal fractures. Read More

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Conservative Treatment of the Fifth Metatarsal Bone Fractures in Professional Football Players Using Platelet-Rich Plasma.

Foot Ankle Spec 2021 Jun 18:19386400211017368. Epub 2021 Jun 18.

Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.

Injuries of the metatarsal bones in football are relatively rare and in most cases are localized in the fifth metatarsal. The gold standard of the diagnosis of fractures in this area can be X-rays, which in most cases allows verifying the diagnosis. The treatment tactics depend on the localization of the fracture according to Lawrence and Botte's classification: 3 zones of localization are distinguished. Read More

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[A comparative study on internal fixation of calcaneal fractures assisted by robot and traditional open reduction internal fixation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Jun;35(6):729-733

Department of Orthopedics, Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences, Chengdu Sichuan, 610072, P.R.China.

Objective: To compare the effectiveness of robot assisted internal fixation and traditional open reduction and internal fixation for calcaneal fractures.

Methods: The clinical data of 44 patients (44 feets) with calcaneal fracture admitted between October 2017 and December 2018 who met the selection criteria were retrospectively analyzed. According to different operation methods, they were divided into trial group (19 cases, treated with robot assisted percutaneous reduction and cannulated screw fixation through tarsal sinus incision) and control group (25 cases, treated with open reduction and internal fixation via traditional tarsal sinus incision). Read More

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[Comparison of the effectiveness of the posterior malleolus fixed or not on treatment of different Haraguchi's classification of posterior malleolus fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Jun;35(6):722-728

Department of Spinal Surgery, the Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou Zhejiang, 310000, P.R.China.

Objective: To investigate the effectiveness of fixation the posterior malleolus or not to treat different Haraguchi's classification of posterior malleolus fractures.

Methods: The clinical data of 86 trimalleolar fracture patients who were admitted between January 2015 and September 2019 and met the selection criteria were retrospectively reviewed. There were 29 males and 57 females; the age ranged from 26 to 82 years with a mean age of 55. Read More

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Whole Body PMHS Response in Injurious Experimental Accelerative Loading Events.

Ann Biomed Eng 2021 Jun 17. Epub 2021 Jun 17.

Johns Hopkins Applied Physics Lab, Laurel, MD, USA.

Previous studies involving whole-body post-mortem human surrogates (PHMS) have generated biomechanical response specifications for physically simulated accelerative loading intended to reproduce seat and floor velocity histories occurring in under-body blast (UBB) events (e.g.,. Read More

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Variable patterns of the cutaneous innervation of the dorsum of the foot and its clinical implication.

Ann Med Surg (Lond) 2021 Jun 27;66:102404. Epub 2021 May 27.

Department of Anatomy, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, 576104, India.

Background: The superficial sensory nerves are at great risk for injury from lacerations and operative incisions. Precise knowledge regarding the course and distribution of sensory nerves over the dorsum of foot is important to avoid iatrogenic damage by surgeons who are planning the surgical intervention around the distal leg, ankle and foot. The objective of the study is to report the variation in the branching pattern and distribution of the cutaneous nerves over the dorsum of foot. Read More

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Patient-Reported Outcome Following Operative and Conservative Treatment of Calcaneal Fractures: A Retrospective Analysis of 79 Patients at Short- to Midterm Follow-Up.

Front Surg 2021 28;8:620964. Epub 2021 May 28.

Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.

Fractures of the calcaneus are severe injuries of the hindfoot, mostly resulting from high-energy axial loads, which still present enormous challenges to modern trauma surgery. Possible variables influencing the outcome are the type of fracture, age, and quality of fracture reduction. These might also be factors affecting the self-reported patient outcome, but large studies are still lacking. Read More

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Fancy shoes and painful feet: Hallux valgus and fracture risk in medieval Cambridge, England.

Int J Paleopathol 2021 May 14. Epub 2021 May 14.

Department of Archaeology, University of Cambridge, Cambridge, UK.

Objective: Hallux valgus, the lateral deviation of the great toe, can result in poor balance, impaired mobility and is an independent risk factor for falls. This research aims to compare the prevalence of hallux valgus in subpopulations of medieval Cambridge, England, and to examine the relationship between hallux valgus and fractures to examine the impact of impaired mobility and poor balance caused by this condition.

Materials: 177 adult individuals from four cemeteries located in Cambridge, England. Read More

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Necrosulfonamide reverses pyroptosis-induced inhibition of proliferation and differentiation of osteoblasts through the NLRP3/caspase-1/GSDMD pathway.

Exp Cell Res 2021 Jun 10;405(2):112648. Epub 2021 Jun 10.

Devision of Orthopaedics and Traumatology, Department of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China; Department of Orthopaedics, Guangdong Provincial Key Laboratory of Bone and Cartilage Regeneration Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. Electronic address:

The acute inflammatory stimulation occurring after a bone fracture regulates the repair and healing of local bone injury; however, under certain conditions, pyroptosis may occur in osteoblasts, which affects osteoblast proliferation and differentiation, thereby affecting the growth, development and morphological changes of bone tissue. The aim of the present study was to examine the effect of the pyroptosis inhibitor necrosulfonamide (NSA) on the proliferation and differentiation of osteoblasts and elucidate the underlying mechanism. The results revealed that NSA reversed the effects of ATP/lipopolysaccharide (LPS) on cell viability and pyroptosis, and on the mRNA and protein expression of pyroptosis-related genes. Read More

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The instep flap for anterior ankle coverage with bone and hardware exposure.

Eur J Orthop Surg Traumatol 2021 Jun 12. Epub 2021 Jun 12.

Division of Orthopaedic and Trauma Surgery, Sahel General Hospital, University Medical Centre, PO Box 99/25., Ghoubeiry, Beirut, Lebanon.

Purpose: The instep medial plantar flap is a well-known flap based on the medial plantar artery of the foot and usually used for coverage of soft tissue defects of the heel area. It has seldom been reported for coverage of anterior ankle area with exposure of the bone and metallic hardware after open reduction and internal fixation of distal tibial fractures. The primary purpose of this study is to evaluate the feasibility and viability of this flap as well as its reliability saving the internal fixation devices and efficiency protecting bone healing; the secondary purpose is to assess the condition of the flap and its cosmetic appearance, as well as occurrence of complications related to its harvesting. Read More

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Severe Calcaneus Injury Probability Curves Due to Under-Body Blast.

Ann Biomed Eng 2021 Jun 11. Epub 2021 Jun 11.

Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Road, Laurel, MD, 20723, USA.

The lower extremity is the most frequently injured body region to mounted soldiers during underbody blast (UBB) events. UBB events often produce large deformations of the floor and subsequent acceleration of the lower limb that are not sufficiently mitigated by the combat boot, leaving the calcaneus bone vulnerable to injury. Biomechanical experiments simulating UBB loading scenarios were conducted in a laboratory environment using isolated postmortem human subject (PMHS) leg components. Read More

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Effect of meteorological factors and air pollutants on fractures: a nationwide population-based ecological study.

BMJ Open 2021 06 11;11(6):e047000. Epub 2021 Jun 11.

Artificial Intelligence and Big-Data Convergence Center, Gachon University Gil Medical Center, Incheon, South Korea

Objective: To determine the association of meteorological factors and air pollutants (MFAPs) with fracture and to estimate the effect size/time lag.

Design: This is a nationwide population-based ecological study from 2008 to 2017.

Setting: Eight large metropolitan areas in Korea. Read More

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Treatment of High-Energy Intra-Articular Fractures of Tibia with Ilizarov External Fixator in Adults: A Tertiary Center Experience.

Int J Clin Pract 2021 Jun 11:e14488. Epub 2021 Jun 11.

Dow University of Health Sciences, Karachi, Pakistan.

Objective: To evaluate the clinical and radiological outcomes of the Ilizarov fixator in the proximal and distal fractures of the tibia.

Materials And Methodology: This retrospective study reviewed 59 patients having high-energy intra-articular proximal and distal tibia fractures associated with severe soft-tissue injury, who were managed surgically with an Ilizarov fixator. The functional outcome was evaluated by using the American Orthopaedic Foot and Ankle Society scoring system (AOFAS) and the Association for the Study and Application of the Method of Ilizarov (ASAMI) Italy scoring system for tibial plateau and plafond fractures respectively. Read More

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Os Vesalianum Pedis in a Young Adult: A Case Report and Literature Review.

Cureus 2021 May 7;13(5):e14896. Epub 2021 May 7.

Orthopedics, General Hospital of Patras "Agios Andreas", Patras, GRC.

Os vesalianum pedis is a rare accessory foot ossicle. It is usually asymptomatic, however, it can be an infrequent cause of lateral foot pain. We present the case of a 19-year-old healthy male with lateral foot pain after an inversion-type injury. Read More

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Depression Following Operative Treatments for Achilles Ruptures and Ankle Fractures.

Foot Ankle Int 2021 Jun 10:10711007211020346. Epub 2021 Jun 10.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.

Background: The sudden and debilitating nature of lower extremity injuries can trigger mood disturbances, including major depressive disorder.

Methods: This prospective study enrolled patients undergoing operative repair of ankle fractures and Achilles ruptures and followed them for 1 year postoperatively. The validated Patient Health Questionnaire (PHQ-9) for depressive symptoms was administered at the preoperative visit and at postoperative weeks 1, 2, 4, 8, 16, 24, 32, 40, and 52. Read More

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Malunited and malrotated Salter-Harris type I fracture of distal femur managed with circular ring external Ilizarov fixator.

BMJ Case Rep 2021 Jun 9;14(6). Epub 2021 Jun 9.

Orthopedics & Spine Surgery, Ghurki Trust Teaching Hospital, Lahore, Pakistan

A 9-year-old girl presented with malunited Salter-Harris type I fracture of distal femur treated by bone-setter (unreliable-practitioner). Assessment revealed 3 cm limb-length-discrepancy and affected leg was unable to bear weight, knee was stiff with no active-range of motion; radiographs showed displaced sagittally malunited femoral condyle with 163° posterior distal femoral angle (PDFA). Correction planned with circular-ring-external Ilizarov fixator using distraction-osteogenesis through supracondylar osteotomy and gradual anterior opening. Read More

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Removal of Syndesmotic Screw After Fixation in Ankle Fractures: A Systematic Review.

Cureus 2021 Jun 4;13(6):e15435. Epub 2021 Jun 4.

Trauma and Orthopaedics, Royal Blackburn Hospital, Blackburn, GBR.

Syndesmotic injuries can occur with ankle fractures and can lead to destabilization of the ankle joint. As a result, it usually requires a transyndesmotic screw insertion to stabilize it. Currently, there is no consensus on the type, amount and diameter of screws used, the number of cortices needed to be engaged, the recommended time to weight-bearing, and whether the screw should be removed in these types of injuries. Read More

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Minimal invasive surgery in the management of intra-articular calcaneal fractures: A retrospective comparison of screw fixation alone versus screw with small locking plate fixation techniques.

Acta Orthop Traumatol Turc 2021 May;55(3):258-264

Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Objective: The aim of this study was to compare clinical and radiological outcomes of screw fixation alone versus screw with small locking plate fixation techniques in the management of intra-articular calcaneal fractures by minimal invasive surgery.

Methods: A total of 42 patients treated with minimally invasive surgery because of an intra-articular calcaneal fracture were retrospectively reviewed and included in the study. The patient were then divided into two groups based on the implemented surgical technique: Group A, 20 patients (16 male, 4 female; mean age = 43. Read More

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Orthopaedic Problems in 35 Patients With Organic Acid Disorders.

J Pediatr Orthop 2021 Jul;41(6):e457-e463

Departments of Orthopaedic Surgery.

Introduction: Organic acid disorders (OADs) are a subset of inborn errors of metabolism that result in a toxic accumulation of organic acids in the body, which can lead to metabolic derangements and encephalopathy. Patients with these disorders are managed by a team of biochemical geneticists and metabolic nutritionists. However, subspecialists such as neurologists and orthopaedic surgeons are often needed to help manage the sequelae of the metabolic derangements. Read More

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Incidence of Talar Osteochondral Lesions After Acute Ankle Fracture: A Retrospective Analysis.

J Foot Ankle Surg 2021 May 13. Epub 2021 May 13.

Chair of Department of Podiatric Surgery, AdventHealth System, Faculty, Advent Health East Orlando Podiatric Surgical Residency, Orlando, FL.

Recent literature suggests the majority of osteochondral lesions occur in the ankle joint. Previous studies have suggested that varying incidences of talar osteochondral lesions (OCLT) are associated with ankle fractures. The primary aim of our study was to investigate the incidence of osteochondral lesions associated with acute ankle fractures as observed on computed tomographic (CT) imaging. Read More

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Patient reported outcomes following lateral process talus fracture.

J Orthop Trauma 2021 Jun 4. Epub 2021 Jun 4.

Department of Orthopedic Surgery, Metro Health Hospital - University of Michigan Health, Wyoming, MI Department of Orthopaedic Surgery, University of Utah School of Medicine, Salt Lake City, UT.

Objectives: To evaluate functional outcome following lateral process talus fracture using patient-reported instruments and identify injury characteristics that portend a worse prognosis.

Design: Retrospective case series.

Setting: Level 1 academic trauma centerPatients/Participants: Fifty-three patients with isolated lateral process talus fracture and 12 months minimum follow up. Read More

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Effect of Recombinant Human Parathyroid Hormone (1-84) on Resolution of Active Charcot Neuro-osteoarthropathy in Diabetes: A Randomized, Double-Blind, Placebo-Controlled Study.

Diabetes Care 2021 Jun 4. Epub 2021 Jun 4.

Diabetic Foot Clinic, King's College Hospital NHS Foundation Trust, London, U.K.

Objective: Fractures in Charcot neuro-osteoarthropathy (CN) often fail to heal despite prolonged immobilization with below-knee casting. The aim of the study was to assess the efficacy of recombinant human parathyroid hormone (PTH) in reducing time to resolution of CN and healing of fractures.

Research Design And Methods: People with diabetes and acute (active) Charcot foot were randomized (double-blind) to either full-length PTH (1-84) or placebo therapy, both in addition to below-knee casting and calcium and vitamin D3 supplementation. Read More

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