8,616 results match your criteria Fracture Foot


Ankle joint re-balancing in the management of ankle fracture malunion using fibular lengthening: prospective clinical-radiological results at mid-term follow-up.

Int Orthop 2020 Jul 8. Epub 2020 Jul 8.

II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Purpose: An unsatisfactory reduction and internal fixation of an ankle fracture can result in an alteration of the anatomical axes and distribution of the load on the ankle, with consequent development of chronic pain and articular degeneration. The aim of this study is to evaluate the results of the articular re-balancing with realignment and lengthening of the fibula in case of malunited distal fibular fractures.

Methods: A review of prospectively collected data was performed for all patients with a diagnosis of malunion of the fibula and underwent ankle joint re-balancing with fibular lengthening. Read More

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http://dx.doi.org/10.1007/s00264-020-04690-yDOI Listing

Clinical and radiographic outcomes with the Nanos™ short-stem hip implant at 24 months: A prospective, single-center study.

J Orthop 2020 Jul-Aug;20:326-331. Epub 2020 Jun 6.

Department of Orthopaedic Surgery at Diakovere Annastift, Hannover Medical School, Hannover, Germany.

Aim: Short-stem total hip arthroplasty is designed to preserve proximal bone stock in case of eventual revision, potentially benefiting younger and more active patients. This prospective, single-center study assessed the safety and performance of the partially neck-sparing Nanos™ short-stem uncemented prosthesis at 24 months using clinical outcome scores and radiographic results.

Methods: Between April 2011 and February 2015, 52 subjects (mean age, 54. Read More

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http://dx.doi.org/10.1016/j.jor.2020.06.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330422PMC

Outcomes of Polyvinyl Alcohol Hydrogel Implant of the Lesser Metatarsals.

Foot Ankle Int 2020 Jul 8:1071100720935034. Epub 2020 Jul 8.

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

Background: Lesser toe metatarsophalangeal (MTP) joint pathology presents a challenge for surgical treatment. At our institution, arthroplasty using a polyvinyl alcohol (PVA) hydrogel implant has been utilized in the second and third MTP joints for advanced arthritis, failed management of Freiberg's infraction, and osteochondral defects. We present a case series describing the clinical outcomes of 13 patients following PVA implantation of the second or third MTP. Read More

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http://dx.doi.org/10.1177/1071100720935034DOI Listing

Plantar Medial Avulsion Fracture of the Calcaneus With Acute Tarsal Tunnel: Case Report and Technique Tip [Formula: see text].

Foot Ankle Int 2020 Jul 7:1071100720924379. Epub 2020 Jul 7.

Department of Orthopaedic Surgery, University of South Carolina, Columbia, SC, USA.

Level V, expert opinion. Read More

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http://dx.doi.org/10.1177/1071100720924379DOI Listing

Keel fracture changed the behavior and reduced the welfare, production performance, and egg quality in laying hens housed individually in furnished cages.

Poult Sci 2020 Jul 24;99(7):3334-3342. Epub 2020 Apr 24.

College of Animal Science and Technology, Northeast Agricultural University, 150030 Harbin, China. Electronic address:

Keel fracture has adverse effects on welfare, behavior, health, production performance, and egg quality of laying hens. To investigate this, 90 healthy Lohmann white laying hens with normal keel bones at 17 wk of age (WOA) were used in this study and housed individually in furnished cages. All hens were marked with fractured keel (FK) or normal keel (NK) based on the keel bone status through palpation at 5 time-points (22, 27, 32, 37, and 42 WOA). Read More

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http://dx.doi.org/10.1016/j.psj.2020.04.001DOI Listing

Magnetic Resonance Imaging and Outcomes of Osteochondral Lesions of the Talus Associated With Ankle Fractures.

Foot Ankle Int 2020 Jul 2:1071100720937243. Epub 2020 Jul 2.

Midyat State Hospital, Mardin, Turkey.

Background: Osteochondral lesions of the talus (OCLTs) secondary to ankle fractures have previously been reported in the literature. However, no study has evaluated OCLTs using magnetic resonance imaging (MRI) following ankle fracture treatment. The purpose of our study was to investigate accompanying OCLTs in patients with an ankle fracture and evaluate its relationship with the clinical outcomes. Read More

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http://dx.doi.org/10.1177/1071100720937243DOI Listing

Omitting Routine Radiography of Traumatic Ankle Fractures After Initial 2-Week Follow-up Does Not Affect Outcomes: The WARRIOR Trial: A Multicenter Randomized Controlled Trial.

J Bone Joint Surg Am 2020 Jun 25. Epub 2020 Jun 25.

Department of Trauma Surgery, Leiden University Medical Center, Leiden, the Netherlands.

Background: The clinical consequences of routine follow-up radiographs for patients with ankle fracture are unclear, and their usefulness is disputed. The purpose of the present study was to determine if routine radiographs made at weeks 6 and 12 can be omitted without compromising clinical outcomes.

Methods: This multicenter randomized controlled trial with a noninferiority design included 246 patients with an ankle fracture, 153 (62%) of whom received operative treatment. Read More

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http://dx.doi.org/10.2106/JBJS.19.01381DOI Listing

Total Ankle Arthroplasty Survivorship: A Meta-analysis.

J Foot Ankle Surg 2020 Jun 26. Epub 2020 Jun 26.

Assistant Professor in Surgery, Department of Surgery, Harvard Medical School, Boston, MA; Chief, Division of Podiatric Surgery, Department of Surgery, Mount Auburn Hospital, Cambridge, MA.

The gold standard for management of end-stage ankle arthritis was previously ankle arthrodesis; however, improvements in total ankle replacements are making this a more viable treatment option. The primary aim of this meta-analysis was to evaluate the survivorship of total ankle replacement implants currently in use. An extensive search strategy initially captured 20,842 citations that were evaluated for relevance. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.10.011DOI Listing

Stress Distributions and Micromovement of Fragment Bone of Pilon Fracture Treated With External Fixator: A Finite Element Analysis.

J Foot Ankle Surg 2020 Jul - Aug;59(4):664-672

Professor, Sports Innovation and Technology Centre (SITC), Institute of Human Centered Engineering (iHumEn), Universiti Teknologi Malaysia, Johor, Malaysia.

Osteoporosis and osteoarthritis are common pathological problems of the human bone tissue. There are some cases of pilon fractures associated with these 2 pathological conditions. In terms of treatment, for a normal and healthy bone with pilon fracture, the use of the Delta external fixator is a favorable option because it can allow early mobilization for patients and provide stability for the healing process. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.09.006DOI Listing
November 2018

Increased Risk of Nonunion and Charcot Arthropathy After Ankle Fracture in People With Diabetes.

J Foot Ankle Surg 2020 Jul - Aug;59(4):653-656

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

The aim of this study was to evaluate the frequency of complications after an ankle fracture in patients with and without diabetes and to evaluate risk factors for nonunion. We conducted a retrospective study of 439 patients with ankle fractures (31.7% had diabetes) and followed them for 1 year or until the fracture healed. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.05.006DOI Listing

Clinical Study of Ankle Fracture Combined With Deltoid Ligament Injury: Repair or Not? A Retrospective, Comparative Study.

J Foot Ankle Surg 2020 Jul - Aug;59(4):648-652

Professor, Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Beijing, China.

This study retrospectively evaluated patients with ankle fracture to compare the prognosis between patients who had primary repair of the superficial deltoid ligament and those who did not. A total of 71 patients with ankle fracture and fracture-dislocation combined with deltoid ligament injury were divided into 2 groups: repair of superficial layer group (33 cases) and nonrepair group (38 cases). For the repair group, patients first underwent open reduction and internal fixation of the lateral malleolus and received a stress test. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.07.005DOI Listing

Incidence and risk factor for preoperative deep vein thrombosis (DVT) in isolated calcaneal fracture, a prospective cohort study.

Foot Ankle Surg 2020 Jun 18. Epub 2020 Jun 18.

Department of orthopaedic surgery, the 3rd Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, PR China; Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang 050051, Hebei, PR China; Orthopaedic Institution of Hebei Province, Shijiazhuang 050051, Hebei, PR China. Electronic address:

Backgrounds: Deep vein thrombosis (DVT) occurring during the preoperative waiting period may affect the prognosis of traumatic patients, but there still lack of relevant data. This study aimed to address the preoperative DVT in isolated calcaneal fractures.

Methods: Patients who presented with isolated calcaneal fracture and received preoperative Duplex ultrasound scanning of bilateral lower extremities for detection of DVT between October and December 2018 were eligible for inclusion. Read More

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http://dx.doi.org/10.1016/j.fas.2020.06.007DOI Listing

Patient-specific instrument-assisted minimally invasive internal fixation of calcaneal fracture for rapid and accurate execution of a preoperative plan: A retrospective study.

BMC Musculoskelet Disord 2020 Jun 27;21(1):407. Epub 2020 Jun 27.

Department of Orthopedics, Xiangya Hospital Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China.

Background: Traditional methods for minimally invasive internal fixation (MIIF) of calcaneal fractures require extensive intraoperative fluoroscopy, and fracture recovery is usually not ideal. We developed a new surgical procedure using digital surgical simulation and constructed a patient-specific instrument (PSI) for calcaneal fracture that we used during the operation. This study investigated whether PSI-assisted MIIF of calcaneal fracture enables rapid and accurate execution of the preoperative plan. Read More

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http://dx.doi.org/10.1186/s12891-020-03439-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321547PMC

Total Ankle Replacement in a Military Jet Pilot.

Aerosp Med Hum Perform 2020 Jul;91(7):597-603

A total ankle replacement in a jet pilot after an open, high-energy foot and ankle fracture and dislocation with talar extrusion in a plane crash was carefully evaluated before considering fitness to fly. A 33-yr-old male test pilot of the Italian Air Force was involved in a plane crash and reported an open high-energy fracture/dislocation of the right ankle, with the expulsion of the right talus due to the impact, and other fractures. A titanium replica was inserted inside the ankle. Read More

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http://dx.doi.org/10.3357/AMHP.5541.2020DOI Listing

The Use of Percutaneous Screw Fixation Without Fracture Site Preparation in the Treatment of Fifth Metatarsal Base Nonunion.

Authors:
Andrea Poggetti

J Foot Ankle Surg 2020 Jun 22. Epub 2020 Jun 22.

Consultant, Hand and Reconstructive Microsurgery Unit, Careggi University Hospital, largo Palagi 2, Florence, Italy. Electronic address:

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http://dx.doi.org/10.1053/j.jfas.2020.04.008DOI Listing

Hallux sesamoid complex imaging: a practical diagnostic approach.

Skeletal Radiol 2020 Jun 24. Epub 2020 Jun 24.

Service d'imagerie Guilloz, hôpital central, CHRU de Nancy, 29 avenue du Maréchal-de-Lattre-de-Tassigny, 54035, Nancy Cedex, France.

A wide variety of pathologies can affect the hallux sesamoid complex of the foot, including traumatic, micro traumatic, degenerative, inflammatory, vascular, infectious, and neoplastic conditions. Symptoms are quite nonspecific, mainly related to pain in the plantar surface of the first metatarsal head. In this context, imaging is important for the etiologic diagnosis of hallux sesamoid complex pathology with implications in patient management. Read More

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http://dx.doi.org/10.1007/s00256-020-03507-8DOI Listing

A Bioinformatic Approach to Utilize a Patient's Antibody-Secreting Cells against to Detect Challenging Musculoskeletal Infections.

Immunohorizons 2020 Jun 22;4(6):339-351. Epub 2020 Jun 22.

Center for Musculoskeletal Research, University of Rochester Medical Center, Rochester, NY 14642;

Noninvasive diagnostics for musculoskeletal infections (MSKI) remain challenging. Abs from newly activated, pathogen-specific plasmablasts in human blood, which emerge during an ongoing infection, can be used for diagnosing and tracking treatment response in diabetic foot infections. Using multianalyte immunoassays on medium enriched for newly synthesized Abs (MENSA) from Ab-secreting cells, we assessed anti- IgG responses in 101 MSKI patients (63 culture-confirmed , 38 -negative) and 52 healthy controls. Read More

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http://dx.doi.org/10.4049/immunohorizons.2000024DOI Listing

Lisfranc fleck sign: characteristics and clinical outcomes following fixation using a percutaneous position Lisfranc screw.

Eur J Trauma Emerg Surg 2020 Jun 19. Epub 2020 Jun 19.

Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Avulsion of the Lisfranc ligament, fleck sign, results in unstable Lisfranc injuries. This cross-sectional study was conducted to investigate the characteristics of Lisfranc injuries with fleck sign and the clinical and radiological outcomes following closed reduction and percutaneous screw fixation.

Methods: All consecutive operatively managed Lisfranc injuries with fleck sign were reviewed from 2016 to 2018. Read More

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http://dx.doi.org/10.1007/s00068-020-01415-zDOI Listing

Comparison of 3D X-ray tomography with computed tomography in patients with distal extremity fractures.

Skeletal Radiol 2020 Jun 18. Epub 2020 Jun 18.

Department of Radiology, University Hospital Basel, University of Basel, Petersgraben 4, 4031, Basel, Switzerland.

Objective: To compare fracture detection, image quality, and radiation dose in patients with distal extremity fractures using 3D tomography and computed tomography (CT).

Materials And Methods: IRB approval was obtained including informed consent for this prospective study from June to December 2016. Patients diagnosed with an acute fracture at CT were consecutively scanned on the same day using 3D tomography. Read More

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http://dx.doi.org/10.1007/s00256-020-03508-7DOI Listing

Calcaneus traction compression with orthopaedic reduction forceps combined with percutaneous minimally invasive treatment of intra-articular calcaneal fractures: An analysis of efficacy.

Biomed Pharmacother 2020 Aug 15;128:110295. Epub 2020 Jun 15.

Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, China.

Background: The treatment of displaced calcaneal fractures is controversial.Open reduction and internal fixation are widely described as the gold standard in the literature,but these technique shave many complications,including skin necrosis,internal fixation leakage and deep infection and wound healing problems.Percutaneous reduction and unilateral external fixation have received increasing attention because they can provide a good, stable reduction and reduce the soft tissue complications caused by open surgery(such as deep infection and delayed wound healing). Read More

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http://dx.doi.org/10.1016/j.biopha.2020.110295DOI Listing

Muscle destruction caused by coxsackievirus A10 in gerbils: construction of a novel animal model for antiviral evaluation.

Virus Res 2020 Jun 15:198067. Epub 2020 Jun 15.

Key Lab of Vaccine, Prevention and Control of Infectious Disease of Zhejiang Province, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. Electronic address:

The morbidity and mortality of coxsackievirus A10 (CVA10)-associated hand, foot, and mouth disease (HFMD) have been increasing in recent years, while few studies on the vaccine and animal model of CVA10 have been reported. Here, we first established a CVA10-infected gerbil model and employed it to evaluate the immunoprotective effect of an inactivated CVA10 vaccine. The results showed that gerbils up to the age of 14 days were fully susceptible to CVA10, and all died within five days post-infection by intraperitoneal inoculation. Read More

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http://dx.doi.org/10.1016/j.virusres.2020.198067DOI Listing

Syndesmotic Screw Breakage May Be More Problematic Than Previously Reported: Increased Rates of Hardware Removal Secondary to Pain With Intraosseous Screw Breakage.

Foot Ankle Spec 2020 Jun 19:1938640020932049. Epub 2020 Jun 19.

Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital, Boston, Massachusetts (IOI).

Background: The majority of retained syndesmotic screws will either loosen or break once the patient resumes weight-bearing. While evidence is limited, anecdotal experience suggests that intraosseous screw breakage may be problematic for some patients due to painful bony erosion. This study seeks to identify the incidence of intraosseous screw breakage, variables that may predict intraosseous screw breakage, and whether intraosseous screw breakage is associated with higher rates of implant removal secondary to pain. Read More

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http://dx.doi.org/10.1177/1938640020932049DOI Listing

[Ligamentoplasty of the anterior cruciate ligament of the knee-joint in the athlete: retrospective study of 80 cases conducted in the Department of Orthopaedics in Tataouine, Tunisia].

Pan Afr Med J 2020 4;36. Epub 2020 May 4.

Service de Chirurgie Orthopédique et Traumatologie, Centre Hospitalier Universitaire Habib Bourguiba, Sfax, Tunisie.

Ligamentoplasty of the anterior cruciate ligament is performed to correct the anterior laxity of the knee and to regain stability and indolence. The purpose of our study was to assess short-term and medium-term functional outcomes in our case series. We conducted a retrospective study in the Department of Orthopedics and Traumatology at the Hospital of Tataouine in the South of Tunisia over a period of 5 years, from January 2013 to April 2018. Read More

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http://dx.doi.org/10.11604/pamj.2020.36.2.22880DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282616PMC

Limb Salvage for a Mangled Foot: A Case Report.

J Orthop Case Rep 2020 ;9(6):58-61

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan.

Introduction: It remains controversial whether amputation or limb salvage is the best approach for mangled foot cases because there are no clear criteria for treatment. We report a case of successful limb salvage for a mangled foot, with good outcomes.

Case Report: The patient was a 30-year-old man who sustained a crush injury to his left foot and ankle and lower legs in a car crash; he had severe open left foot and ankle fracture and bilateral open tibial shaft fractures. Read More

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http://dx.doi.org/10.13107/jocr.2019.v09.i06.1588DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276590PMC
January 2020

Biomechanical Effect on Joint Stability of Including Deltoid Ligament Repair in an Ankle Fracture Soft Tissue Injury Model With Deltoid and Syndesmotic Disruption.

Foot Ankle Int 2020 Jun 17:1071100720929007. Epub 2020 Jun 17.

Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.

Background: The current operative standard of treatment for bimalleolar equivalent ankle fracture is open reduction and internal fixation (ORIF) of the lateral malleolus followed by syndesmotic stabilization if indicated. There is controversy surrounding the indication and need for deltoid ligament repair in this setting. The purpose of this study was to quantify the biomechanical effect of deltoid ligament repair in an ankle fracture soft tissue injury model. Read More

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http://dx.doi.org/10.1177/1071100720929007DOI Listing

The split transfer of tibialis anterior tendon to peroneus tertius tendon for equinovarus foot in children with cerebral palsy.

Acta Orthop Traumatol Turc 2020 May;54(3):262-268

Department of Orthopaedics and Traumatology, Ortopediatri Academy of Pediatric Otrhopaedics, İstanbul, Turkey.

Objective: The aim of this study was to analyze the results of the split anterior tibialis tendon transfer (SPLATT) to peroneus tertius (PT) for equinovarus foot deformity in children with cerebral palsy (CP).

Methods: The medical records of 25 ambulatory CP patients (mean age: 8.7±3. Read More

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http://dx.doi.org/10.5152/j.aott.2020.03.571DOI Listing

Experimental design of AlO/MWCNT/HDPE hybrid nanocomposites for hip joint replacement.

Bioengineered 2020 Dec;11(1):679-692

Production Engineering and Printing Technology Department, Akhbar El Yom Academy , Giza, Egypt.

Fracture in the hip joint is a major and quite common health issue, particularly for the elderly. The loads exploited by the lower limbs are very acute and severe; in the femur, they can be several folds higher than the whole weight of the body. Nanotechnology and nanocomposites offer great potential in biomedical applications. Read More

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http://dx.doi.org/10.1080/21655979.2020.1775943DOI Listing
December 2020

Conservative treatment of refractures after modified tension band wiring of fifth metatarsal base stress fractures in athletes.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(2):2309499020926282

Seoul Medical Center, Seoul, Republic of Korea.

Objective: Recurrent fifth metatarsal base stress fractures (MT5-BSF) in athletes present a challenging problem. The aim of this study was to evaluate the result of conservative treatment for the refracture of MT5-BSF after modified tension band wiring (MTBW).

Materials And Methods: The outcomes of 15 elite athletes undergoing conservative treatment for refracture of MT5-BSF after MTBW were retrospectively reviewed. Read More

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http://dx.doi.org/10.1177/2309499020926282DOI Listing

[Clinical analysis of full-repair strategy under small incision for closed Lauge-Hansen pronation-external rotation type ankle fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):730-736

Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To investigate the safety, feasibility, and efficacy of full repair strategy under small incision in the treatment of closed Lauge-Hansen pronation-external rotation type Ⅳ ankle fracture.

Methods: The clinical data of 57 patients with closed Lauge-Hansen pronation-external rotation type Ⅳ ankle fracture treated by full repair strategy (fracture, ligament, and cartilage repair) under small incision between January 2012 and January 2017 were retrospectively analyzed. There were 31 males and 26 females, with an average age of 41. Read More

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http://dx.doi.org/10.7507/1002-1892.201911024DOI Listing

[Nitinol memory alloy two foot fixator with autologous cancellous bone grafting for old scaphoid fracture and nonunion].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):676-682

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

Objective: To summarize the effectiveness of nitinol memory alloy two foot fixator with autologous cancellous bone grafting in treating old scaphoid fracture and nonunion.

Methods: Between January 2013 and January 2017, 11 patients of old scaphoid fracture and nonunion were treated with nitinol memory alloy two foot fixator and autologous cancellous bone grafting. All patients were male with an average age of 26. Read More

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http://dx.doi.org/10.7507/1002-1892.201910078DOI Listing

The Application of Posttransfer Free Flap Expansion for Management of Severe Foot Crush Injury with Extensive Soft Tissue Loss: A Case Report.

Plast Reconstr Surg Glob Open 2020 Mar 11;8(3):e2707. Epub 2020 Mar 11.

Division of Plastic and Reconstructive Surgery, Bethlehem Arab Society for Rehabilitation and Specialized Surgery Hospital, Bethlehem, State of Palestine.

Reconstruction of posttraumatic soft tissue defects has been revolutionized after the application of microvascular free flaps. However, standard flaps are limited in size and may not completely cover the defect. Flap expansion which is indicated in large defects with extensive soft tissue loss or shortage of donor tissue enables tension-free closure of large defects, minimal donor site morbidity, and better aesthetic outcomes. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002707DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253240PMC

The effect of obesity on post-operative complications and functional outcomes after surgical treatment of torsional ankle fracture: A matched cohort study.

Injury 2020 Jun 2. Epub 2020 Jun 2.

Study performed at MetroHealth Medical Center, Cleveland, Ohio, affiliated with Case Western Reserve University. Electronic address:

Background: Obesity is a growing public health concern. While diabetes mellitus is associated with obesity and is a risk for infection and other complications, effects of obesity on outcomes remains less clear. The purpose was to determine effect of obesity on complications, secondary operations, and functional outcomes after surgical treatment of ankle fracture. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.006DOI Listing

Thromboembolism prophylaxis in orthopaedic surgery and trauma.

Rev Clin Esp 2020 Jun 9. Epub 2020 Jun 9.

Universidad Francisco de Vitoria, Departamento de Medicina Interna, Hospital Asepeyo Coslada, Madrid, España. Electronic address:

Thromboembolism prophylaxis is well-established in major orthopaedic surgery (hip and knee arthroplasty and hip fracture surgery), with low-molecular-weight heparins the most often chosen agent. In recent years, however, direct-acting anticoagulants have been gaining ground and can be used in this scenario (except for hip fracture surgery). In the US, even aspirin could be indicated for low-risk patients who undergo hip or knee arthroplasty. Read More

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http://dx.doi.org/10.1016/j.rce.2020.04.016DOI Listing

Osseous Remodeling Secondary to a Chronic Intermetatarsal Ganglion Cyst: A Case Report.

J Foot Ankle Surg 2020 Jun 8. Epub 2020 Jun 8.

Director, Podiatric Foot and Ankle Residency, Beaumont Hospital Wayne, Wayne, MI.

Bone is a dynamic tissue constantly adapting to meet the demands of the body. There is extensive evidence of primary bone tumors causing remodeling but rarely does a soft-tissue tumor become encompassed in bone. This reaction is seen through a combination of increased stress and the increased activity of basic multicellular units. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.09.041DOI Listing

Compared to conventional physiotherapy, does the use of an ankle trainer device after Weber B ankle fracture operation improve outcome and shorten hospital stay? A randomized controlled trial.

Clin Rehabil 2020 Jun 11:269215520929727. Epub 2020 Jun 11.

Department of Orthopaedic, Oslo University Hospital, Oslo, Norway.

Objective: To compare the functional outcomes and length of hospital stay for patients treated with conventional physiotherapy compared to a new ankle trainer device after Weber B ankle fractures.

Design: The patients were randomized, and then followed up at 3, 6, 12 and 52 weeks by a blinded physiotherapist.

Setting: This study was done at a level 1 trauma centre. Read More

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http://dx.doi.org/10.1177/0269215520929727DOI Listing

Occupational Outcomes and Return to Running After Operative Management of Lisfranc Injuries in a High-Demand Population.

Foot Ankle Spec 2020 Jun 9:1938640020933078. Epub 2020 Jun 9.

Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, El Paso, Texas.

Literature evaluating outcomes following operative fixation of Lisfranc injuries has demonstrated high rates of chronic disability, particularly in those returning to prior levels of physical function. The purpose of this study is to evaluate the occupational outcomes and return to running after open reduction and internal fixation (ORIF) or arthrodesis for Lisfranc fracture-dislocations in a moderate- to high-demand military cohort. All active-duty servicemembers undergoing ORIF or primary arthrodesis (Current Procedural Terminology 28615 and 28730, respectively) for confirmed Lisfranc fracture-dislocations (International Classification of Diseases, Ninth Revision codes 838. Read More

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http://dx.doi.org/10.1177/1938640020933078DOI Listing

Intraoperative Effect of 2D vs 3D Fluoroscopy on Quality of Reduction and Patient-Related Outcome in Calcaneal Fracture Surgery.

Foot Ankle Int 2020 Jun 9:1071100720926111. Epub 2020 Jun 9.

Trauma Unit, Amsterdam University Medical Centers, Location AMC, Amsterdam, The Netherlands.

Background: Three-dimensional (3D) fluoroscopy is thought to be advantageous in the open reduction and internal fixation (ORIF) of calcaneal fractures. The goal of this multicenter randomized controlled trial was to investigate the clinical effect of additional intraoperative 3D fluoroscopy on postoperative quality of reduction and fixation and patient-reported outcome as compared to conventional 2-dimensional (2D) fluoroscopy in patients with intra-articular fractures of the calcaneus.

Methods: Patients were randomized to 3D or conventional 2D fluoroscopy during operative treatment of calcaneal fractures. Read More

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http://dx.doi.org/10.1177/1071100720926111DOI Listing
June 2020
1.626 Impact Factor

Substantial decrease in paediatric lower extremity fracture rates in German hospitals in 2017 compared with 2002: an epidemiological study.

BMC Musculoskelet Disord 2020 Jun 8;21(1):357. Epub 2020 Jun 8.

Department of Traumatology and Reconstructive Surgery, BG Trauma Centre Tübingen, Eberhard Karls University Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Germany.

Background: There are no recent studies on the frequency of paediatric lower extremity fractures in Germany. The aims of this study were to report fracture rates of paediatric lower extremity fractures treated in German hospitals in 2002 and 2017 and to detect changes over time as well as to evaluate the gender and age distribution for each fracture location.

Methods: Data from the German National Hospital Discharge Registry, which covers over 99% of all German hospitals, were used for this study. Read More

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http://dx.doi.org/10.1186/s12891-020-03393-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282178PMC

[Treatment of old calcaneal fractures with calcaneus V-shape osteotomy for the subtalar joint preservation].

Zhongguo Gu Shang 2019 Oct;32(10):947-951

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

Objective: To observe the clinical effect of calcaneus V-shape osteotomy for the subtalar joint preservation in the treatment of old calcaneal fractures.

Methods: A retrospective study was conducted on 18 patients (18 feet) with old calcaneal fractures treated by calcaneus V-shape osteotomy from March 2014 to November 2017. Included 13 males and 5 females, aged from 23 to 48 years old with an average of (34. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.10.015DOI Listing
October 2019

An unusual presentation of acute onset Charcot arthropathy.

J Surg Case Rep 2020 May 1;2020(5):rjaa128. Epub 2020 Jun 1.

Vascular Surgery Unit, Worcestershire Royal Hospital, Worcester, UK.

Charcot arthropathy is a progressive condition primarily affecting the lower limbs in patients with diabetes mellitus. It is a rare complication of diabetic neuropathy and if left untreated can lead to severe limb destruction necessitating major amputation. Here, we report the case of a 41-year-old female who presented with rapidly progressive Charcot foot over a 10-day period, necessitating open reduction and internal fixation of Lisfranc-type fracture dislocations. Read More

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http://dx.doi.org/10.1093/jscr/rjaa128DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263751PMC

Safety and Efficacy of Prophylactic Closed Incision Negative Pressure Therapy after Acute Fracture Surgery.

Injury 2020 May 23. Epub 2020 May 23.

Department of Orthopaedics, Kaohsiung Veterans General Hospital, 386, Da-Chung 1st Road, Kaohsiung City, 813, Taiwan, ROC; Department of Orthopaedics, National Defense Medical Center, 161, Section 6, Minquan E Rd, Neihu District, Taipei City, Taiwan 114 Taipei city, Taiwan Republic of China. Electronic address:

Introduction: Soft tissue swelling after acute fracture surgery is a challenge which may increase wound dehiscence, delay early range of motion, and increase infection rate postoperatively. This study investigates closed incision negative pressure therapy (ciNPT) using wide-range cover over the incision site and the peripheral swelling trauma zone to promote early active motion and to mitigate joint stiffness, bulla formation, and tendon adhesion.

Methods: Twenty-nine patients were enrolled between January 2018 and December 2018. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.032DOI Listing

Biomechanical Analysis of Conventional Partially Threaded Screws Versus Headless Compression Screws in Proximal Fifth Metatarsal (Jones) Fracture Fixation.

Foot Ankle Spec 2020 Jun 8:1938640020931668. Epub 2020 Jun 8.

Department of Orthopaedic Surgery and Rehabilitation (KL, RM, VP).

Background: Intramedullary screw fixation of Jones fractures using partially threaded screws is a common method of fixation for these injuries, but refracture continues to be a problem. Various other fixation strategies, such as headless compression screws, plantar plating, and tension-band wiring. have been developed to mitigate these issues. Read More

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http://dx.doi.org/10.1177/1938640020931668DOI Listing

Innovative Surgical Planning in Resecting Soft Tissue Sarcoma of the Foot Using Augmented Reality With a Smartphone.

J Foot Ankle Surg 2020 Jun 3. Epub 2020 Jun 3.

Specialist, Department of Radiation Oncology, King Hussein Cancer Center, Amman, Jordan.

Augmented or hybrid reality is a display technology that combines the real world with the virtual world; it permits digital images of preoperative planning information to be combined with the surgeon's view of the real world. Augmented reality (AR) can increase the surgeon's intraoperative vision by providing virtual transparency of the real patient and has been applied to a wide spectrum of orthopedic procedures, such as tumor resection, fracture fixation, arthroscopy, and component's alignment in total joint arthroplasty. We present a case of a male patient who presented with pain in the medial aspect of his left foot after he underwent an incomplete mass excision elsewhere where it turned out to be synovial sarcoma. Read More

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http://dx.doi.org/10.1053/j.jfas.2020.03.011DOI Listing
June 2020
0.979 Impact Factor

Adverse events involving hallux metatarsophalangeal joint implants: Analysis of the United States Food and Drug Administration data from 2010 to 2018.

Foot Ankle Surg 2020 May 18. Epub 2020 May 18.

Duke University Medical Center, Box 2887, Durham, NC 27710, United States.

Background: The prevalence of osteoarthritis of the hallux metatarsophalangeal joint (MTPJ) is 1 in 40 people over the age of 50. Surgical treatment options for MTPJ arthritis include joint preservation, joint resurfacing, and arthrodesis. Hallux MTPJ implants have evolved over the past several decades, but are associated with various complications. Read More

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http://dx.doi.org/10.1016/j.fas.2020.05.002DOI Listing

Population-based incidence and epidemiology of 5912 foot fractures.

Foot Ankle Surg 2020 May 19. Epub 2020 May 19.

Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg, Denmark. Electronic address:

Background: The present study aimed to report a full overview of the incidence and epidemiology of foot fractures.

Method: Population-based epidemiological cohort study including all foot fractures over 5 years. All patient charts and radiology were manually assessed. Read More

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http://dx.doi.org/10.1016/j.fas.2020.03.009DOI Listing

Minimally Invasive Treatment of Displaced Intra-Articular Calcaneal Fractures.

Orthop Clin North Am 2020 Jul 16;51(3):325-338. Epub 2020 Apr 16.

Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA. Electronic address:

Minimally invasive surgical techniques are increasingly used for definitive treatment of displaced intra-articular calcaneal fractures. These approaches have been shown to minimize soft tissue injury, preserve blood supply, and decrease operative time. These methods can be applied to all calcaneal fractures and have particular advantages in patients with higher than usual risks to the soft tissues. Read More

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http://dx.doi.org/10.1016/j.ocl.2020.02.007DOI Listing

Symptoms of adjustment disorder and smoking predict long-term functional outcome after ankle and lower leg fracture.

J Rehabil Med 2020 Jun 4. Epub 2020 Jun 4.

Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany. E-mail:

Objective: To examine the psychological, social, behavioural and injury-related factors impacting functional outcome in patients with ankle or lower limb fracture 1 year post-operation.

Methods: In this prospective study 66 patients with ankle or lower leg fracture were recruited and followed up 1 year post-operation. Possible associations between predictors and functional outcome were explored by regression analyses. Read More

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http://dx.doi.org/10.2340/16501977-2701DOI Listing

[Hand and foot injuries in rheumatoid patients : Tips and tricks in operative and conservative treatment].

Authors:
Ralph Gaulke

Unfallchirurg 2020 Jun 3. Epub 2020 Jun 3.

Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Since the introduction of biologicals and small molecules for the treatment of inflammatory rheumatic diseases, these patients are more active and therefore sustain more accidents. The hands and feet are most affected by inflammatory rheumatic diseases, especially rheumatoid arthritis, and are also very exposed to injuries. Therefore, rheumatoid patients have a high coincidence of injuries and rheumatic destruction of the hands and feet. Read More

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http://dx.doi.org/10.1007/s00113-020-00823-5DOI Listing

Recurrent fifth metatarsal stress fractures in a professional soccer player with hypoparathyroidism: a case report.

BMC Musculoskelet Disord 2020 Jun 3;21(1):347. Epub 2020 Jun 3.

Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai, Showa-ku, Nagoya, Aichi, 466-8550, Japan.

Background: Hypoparathyroidism is characterized by low or inappropriately normal levels of parathyroid hormone leading to hypocalcemia. In this report, a case of recurrent fifth metatarsal stress fractures in a professional soccer player with hypoparathyroidism is presented.

Case Presentation: A 23-year-old male professional soccer player developed left foot pain. Read More

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http://dx.doi.org/10.1186/s12891-020-03383-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271481PMC