32,822 results match your criteria foot ankle


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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Calcaneal fractures: 3D-printing model to assist spatial weaving of percutaneous screws versus conventional open fixation-a retrospective cohort study.

Int Orthop 2021 Jun 11. Epub 2021 Jun 11.

Department of Foot and Ankle Surgery, Shanghai Tongji Hospital, School of Medicine, Tongji University, Shanghai, 200065, China.

Purpose: This study compared the clinical effectiveness and wound complications of a three-dimensional model-assisted spatial weaving screw fixation (3D-SWSF) versus open reduction and internal fixation (ORIF) via an L-shaped extensile lateral approach for calcaneal fractures.

Methods: This single-centre retrospective cohort study was conducted with two cohort groups in which patients with Sanders II and III calcaneal fractures underwent 3D-SWSF or conventional ORIF. The clinical outcome measures included operation duration, time to operation, wound complications, blood loss volume, hospital stays, American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot score, and visual analog scale (VAS) score. Read More

View Article and Full-Text PDF

Feasibility of a home-based foot-ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial II.

Sci Rep 2021 Jun 11;11(1):12404. Epub 2021 Jun 11.

Department of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São Paulo, Rua Cipotânea, 51, Cidade Universitária, São Paulo, SP, 05360-160, Brazil.

This study sought to assess the feasibility of design, adherence, satisfaction, safety and changes in outcomes followed by a home-based foot-ankle exercise guided by a booklet in individuals with diabetic peripheral neuropathy (DPN). 20 participants were allocated usual care [control group (CG)] or usual care plus home-based foot-ankle exercises [intervention group (IG)] for 8 weeks. For feasibility, we assessed contact, preliminary screening and recruitment rates, adherence, and using a 5-point Likert scale to satisfaction and safety of the booklet. Read More

View Article and Full-Text PDF

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

BMJ Open 2021 Jun 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

View Article and Full-Text PDF

Ten-year revision rates of contemporary total ankle arthroplasties equal 22%. A meta-analysis.

Foot Ankle Surg 2021 Jun 6. Epub 2021 Jun 6.

Department of Orthopedics, Xpert Orthopedics and Specialized Centre of Orthopedic Research and Education (SCORE), Laarderhoogtweg 12, 1101 EA Amsterdam, The Netherlands.

Background: The National Institute for Health and Care Excellence criterion for hip replacements is a (projected) revision rate of less than 5% after 10 years. No such criterion is available for ankle prostheses. The objective of the current study is to compare survival rates of contemporary primary ankle prostheses to the hip-benchmark. Read More

View Article and Full-Text PDF

Distal Tibial Reconstruction in the Management of Primary Bone Tumors in Children and Adolescents.

Foot Ankle Int 2021 Jun 11:10711007211012690. Epub 2021 Jun 11.

Department of Oncology and Surgical Oncology for Children and Youth, Institute of Mother and Child, Warsaw, Poland.

Background: Distal tibial primary bone tumors are rare, and options for limb salvage surgery are limited and challenging. Importantly, local control has shown to be crucial and necessary for cure, and radical surgery is one of the most important components of therapy for some bone sarcomas. We investigated the feasibility and functional and oncological outcomes of distal tibial reconstruction using endoprosthesis in children with malignant bone tumors. Read More

View Article and Full-Text PDF

Outcomes of Percutaneous Calcaneoplasty for Insertional Achilles Tendon Problems.

Foot Ankle Int 2021 Jun 11:10711007211004963. Epub 2021 Jun 11.

Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi (SA), Italy.

Background: Percutaneous procedures have been used recently to treat insertional Achilles tendon problems. The present study reports our results of this treatment approach.

Methods: Patients undergoing percutaneous calcaneoplasty for insertional Achilles tendon problems were retrieved. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Risk Factors for Nonunion After First Metatarsophalangeal Joint Arthrodesis With a Dorsal Locking Plate and Compression Screw Construct: Correction of Hallux Valgus Is Key.

J Foot Ankle Surg 2021 May 11. Epub 2021 May 11.

Trauma and Orthopaedics Department, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom; University of Liverpool, Liverpool, United Kingdom.

First metatarsophalangeal joint (MTPJ) arthrodesis is currently the gold standard technique for advanced hallux rigidus. This retrospective study aimed to identify the risk factors for nonunion after first MTPJ arthrodesis with a dorsal locking plate and compression screw construct. Between April 2014 and April 2019, 165 consecutive patients (28 men and 137 women; mean age, 60 (range, 28-84) years) who underwent 178 primary first MTPJ arthrodeses were retrospectively reviewed. Read More

View Article and Full-Text PDF

Comparative Reliability of a Novel Electromechanical Device and Handheld Ruler for Measuring First Ray Mobility.

Foot Ankle Int 2021 Jun 11:10711007211020345. Epub 2021 Jun 11.

Leon Root, MD, Motion Analysis Laboratory, Hospital for Special Surgery, New York, NY, USA.

Background: Quantifying first ray mobility is crucial to understand aberrant foot biomechanics. A novel device (MAP1) that can perform measurements of first ray mobility in different weightbearing conditions, foot alignments, and normalization was tested. The reliability of these measurement techniques was assessed in comparison to a handheld ruler considered representative of the common clinical examination. Read More

View Article and Full-Text PDF

Long-term Patient-Reported Outcome Measures Following Particulated Juvenile Allograft Cartilage Implantation for Treatment of Difficult Osteochondral Lesions of the Talus[Formula: see text].

Foot Ankle Int 2021 Jun 11:10711007211014173. Epub 2021 Jun 11.

Miami Orthopedics & Sports Medicine Institute, Coral Gables, FL, USA.

Background: Conventional methods are not suitable for difficult to treat osteochondral lesions of the talus (OCLTs). The role of particulated juvenile allograft articular cartilage implantation is not well elucidated for long-term patient outcomes.

Methods: Thirteen patients with difficult-to-treat OCLTs underwent arthroscopy-assisted implantation of particulated juvenile articular cartilage graft into defects from 2010 to 2012 by the same surgeon. Read More

View Article and Full-Text PDF

A Prospective Cohort Study Comparing Functional Outcomes of Primary and Revision Ankle Replacements.

Foot Ankle Int 2021 Jun 11:10711007211010188. Epub 2021 Jun 11.

Royal Devon and Exeter NHS Foundation Trust, Exeter, United Kingdom.

Background: The number of ankle and revision ankle replacements performed is increasing. There is limited research into functional outcomes, especially in revision ankle replacements. The primary aim of this cohort study was to determine the functional improvements following primary and revision ankle replacements and compare which gave the greatest improvement in functional scores. Read More

View Article and Full-Text PDF

Short-term Efficacy of Ultrasonographic Guidance for Intra-articular Corticosteroid Injection in Hallux Rigidus: A Single-Blind Randomized Controlled Trial.

Foot Ankle Int 2021 Jun 11:10711007211015988. Epub 2021 Jun 11.

Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Background: Multiple considerations should be taken before standardizing a clinical procedure such as efficacy, safety, or the cost. The aim of this study was to compare the effects of landmark-guided vs ultrasonography-guided intra-articular injection of corticosteroid into the first metatarsophalangeal joint cavity to reduce pain and dysfunction in patients with hallux rigidus.

Methods: We carried out a single-blind randomized controlled trial with 2 parallel arms in an outpatient clinic affiliated with a medical university. Read More

View Article and Full-Text PDF

Percutaneous Chevron and Akin (PECA) Osteotomies for Severe Hallux Valgus Deformity With Mean 3-Year Follow-up[Formula: see text].

Foot Ankle Int 2021 Jun 11:10711007211008498. Epub 2021 Jun 11.

Orthopaedic and Arthritis Specialist Centre, Chatswood, Sydney, Australia.

Background: Patients with severe hallux valgus deformity present technical and operative challenges with high rates of recurrence and residual deformity. The clinical and radiologic outcomes of percutaneous surgery for severe hallux valgus are not known.

Methods: A retrospective review of consecutive patients with a hallux valgus angle (HVA) >40 degrees or intermetatarsal angle (IMA) >20 degrees who underwent third-generation percutaneous chevron and Akin osteotomy (PECA) for hallux valgus deformity correction. Read More

View Article and Full-Text PDF

An Unusual Foreign Body-Caused Chondral Lesion of the Talar Dome: A Case Report.

JBJS Case Connect 2021 06 10;11(2). Epub 2021 Jun 10.

Hospital for Special Surgery, Department of Foot and Ankle Surgery, New York, New York.

Case: A patient presented with chronic ankle pain and instability. Imaging revealed a talar osteochondral lesion as well as intra-articular loose bodies. Intraoperatively, an unusual, well-demarcated chondral defect was found. Read More

View Article and Full-Text PDF

Radiographic Outcomes of Cotton Osteotomy in Treatment of Adult-Acquired Flatfoot Deformity.

Foot Ankle Int 2021 Jun 10:10711007211015175. Epub 2021 Jun 10.

Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA.

Background: We investigated the long-term radiographic outcomes of the Cotton osteotomy performed at our institution by the 2 senior authors in conjunction with other reconstruction procedures to correct adult-acquired flatfoot deformity (AAFD).

Methods: We retrospectively studied patients who underwent Cotton osteotomy between 2005 and 2010 with minimum 4-year follow-up. Radiographic assessment was made on weightbearing radiographs taken at 4 different time intervals: preoperative, early (first postoperative full weightbearing), intermediate (between 1 and 4 years postoperatively), and final (over 4 years postoperatively). Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Outcomes of Joint Preservation Surgery in Valgus Ankle Arthritis Without Deltoid Ligament Insufficiency.

Foot Ankle Int 2021 Jun 10:10711007211016001. Epub 2021 Jun 10.

Seoul Foot and Ankle Center, Dubalo Orthopaedic Clinic, Seochogu, Seoul, Republic of Korea.

Background: To date, information about the role of proximal alignment correction in treating nontraumatic valgus ankle arthritis is limited. This study aimed to report outcomes of realignment surgery, including supramalleolar correction in valgus arthritic ankles without evidence of deltoid ligament insufficiency.

Methods: Thirteen patients (13 ankles) who underwent joint preservation surgery for valgus ankle arthritis without evidence of deltoid ligament insufficiency were reviewed. Read More

View Article and Full-Text PDF

Clinical and Patient-Reported Outcomes Following Peroneus Brevis Reconstruction With Hamstring Tendon Autograft.

Foot Ankle Int 2021 Jun 10:10711007211015186. Epub 2021 Jun 10.

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

Background: Peroneal tendon injuries are a common cause of lateral ankle pain and instability. While the use of hamstring autograft has been proposed as a viable surgical option for peroneus brevis reconstruction, reported outcomes with this technique are limited in the literature. We present patient-reported and clinical outcomes for patients who underwent peroneus brevis reconstruction with hamstring autograft. Read More

View Article and Full-Text PDF

30-Day Outcomes for Total Ankle Arthroplasty in Patients With Anemia.

Foot Ankle Int 2021 Jun 10:10711007211017512. Epub 2021 Jun 10.

Department of Orthopedic Surgery, Mayo Clinic, Phoenix, AZ, USA.

Background: While anemia has been associated with poor surgical outcomes in total knee arthroplasty and total hip arthroplasty, the effects of anemia on total ankle arthroplasty remain unknown. This study examines how preoperative anemia affects postoperative outcomes in total ankle arthroplasty.

Methods: A retrospective analysis was performed using the American College of Surgeons National Surgery Quality Improvement Project database from 2011 to 2018 for total ankle arthroplasty procedures. Read More

View Article and Full-Text PDF

Assessment of Hindfoot Alignment Comparing Weightbearing Radiography to Weightbearing Computed Tomography.

Foot Ankle Int 2021 Jun 10:10711007211014171. Epub 2021 Jun 10.

Department of Orthopaedics, Trauma and Reconstructive Surgery, University of Hamburg, Hamburg, Germany.

Background: Hindfoot alignment view (HAV) radiographs are widely utilized for 2-dimensional (2D) radiographic assessment of hindfoot alignment; however, the development of weightbearing computed tomography (WBCT) may provide more accurate methods of quantifying 3-dimensional (3D) hindfoot alignment. The aim of this study was to compare the 2D calcaneal moment arm measurements on HAV radiographs with WBCT.

Methods: This retrospective cohort study included 375 consecutive patients with both HAV radiographs and WBCT imaging. Read More

View Article and Full-Text PDF

Impact of the Subtle Lisfranc Injury on Foot Structure and Function.

Foot Ankle Int 2021 Jun 10:10711007211012956. Epub 2021 Jun 10.

Department of Traumatology and Orthopaedic Surgery, Clínico San Carlos Hospital, Madrid, Spain.

Background: The subtle Lisfranc injury is the disruption of the osteoligamentary complex between the first cuneiform and the second metatarsal, resulting in minor widening of this space that is often difficult to detect with plain radiographs. In this study, we assessed the results after treatment of the different stages of subtle Lisfranc injuries, focusing on their impact on foot arch anatomy and functionality at short- to midterm follow-up.

Methods: A retrospective study including patients treated in our center for a subtle Lisfranc injury between 2012 and 2019 was conducted. Read More

View Article and Full-Text PDF

The Impact of Coronal Plane Deformity on Ankle Arthrodesis and Arthroplasty.

Foot Ankle Int 2021 Jun 10:10711007211015185. Epub 2021 Jun 10.

University of Washington, Seattle, WA, USA.

Background: Ankle coronal plane deformity represents a complex 3-dimensional problem, and comparative data are lacking to guide treatment recommendations for optimal treatment of end-stage ankle arthritis with concomitant coronal plane deformity.

Methods: In total, 224 patients treated for end-stage ankle arthritis were enrolled in an observational trial. Of 112 patients followed more than 2 years, 48 patients (19 arthrodesis, 29 arthroplasty) had coronal plane deformity and were compared to 64 patients without coronal plane deformity (18 arthrodesis, 46 arthroplasty) defined as greater than 10 degrees of varus or valgus. Read More

View Article and Full-Text PDF

Weight-bearing cone-beam computed tomography in the foot and ankle specialty: where we are and where we are going - an update.

Radiol Bras 2021 May-Jun;54(3):177-184

Department of Orthopedics and Rehabilitation, Iowa City, Iowa, USA.

Cone-beam computed tomography (CBCT) has been applied in dentistry and medicine for nearly two decades. Its application in the foot and ankle specialty has grown exponentially in recent years. Weight-bearing CBCT allows clinicians to obtain weight-bearing images that can be viewed in all three planes and to construct three-dimensional models, similar to those constructed from traditional CT scans, as well as exposing patients to less radiation than do traditional CT scans. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Surgical Takedown Approaches to Insertional Achilles Tendinopathy: A Systematic Review.

J Foot Ankle Surg 2021 Apr 30. Epub 2021 Apr 30.

Fellowship-Trained Foot and Ankle Surgeon, Orthopedic Foot and Ankle Center, Worthington, OH.

Various techniques of surgical detachment for treatment of insertional Achilles tendinopathy have been described, including lateral release, medial release, central tendon splitting (CTS), and complete detachment. A systematic review of electronic databases was performed, encompassing 17 studies involving 703 patients and 746 feet, to compare outcomes associated with surgical takedown techniques. Observed results include wound complication rates (CTS 2. Read More

View Article and Full-Text PDF

Prevalence, Characteristics, and Prognosis of Peripheral Arterial Disease in Patients With Diabetic Charcot Foot.

J Foot Ankle Surg 2021 May 8. Epub 2021 May 8.

Attending Physician, Department of Endocrinology and Nutrition, Cliniques Universitaires Saint-Luc, Brussels, Belgium.

Charcot foot (CF) is a rare complication of diabetes associated with foot deformities and foot ulcers. Peripheral arterial disease (PAD) is a factor of poor prognosis in patients with diabetic foot ulcers (DFUs). However, PAD has infrequently been studied in CF. Read More

View Article and Full-Text PDF

Effects of Orthoses on Standing Postural Control and Muscle Activity in Children With Cerebral Palsy.

Pediatr Phys Ther 2021 Jun 7. Epub 2021 Jun 7.

Early Intervention Associates (Dr Leonard), Rockville, Maryland; Doctoral Programs in Pediatric Science (Dr Sweeney), Rocky Mountain University of Health Professions, Provo, Utah; Functional and Applied Biomechanical Lab at National Institutes of Health (Dr Damiano), NIH Bethesda, Maryland; School of Medicine (Dr Bjornson), University of Washington, Seattle, Washington; Marymount University Program in Physical Therapy (Dr Ries), Marymount University, Arlington, Virginia.

Purpose: This exploratory study assessed postural control and muscle activity in children with cerebral palsy while standing barefoot (BF), in prescribed ankle-foot orthoses (AFOs) and in distal control orthoses (DCOs), which stabilized foot-ankle and deliberately aligned the shank.

Methods: This within-subject study evaluated 10 participants, Gross Motor Functional Classification System level III, across the 3 ankle-foot conditions in: (1) static standing duration and (2) modified Clinical Test of Sensory Interaction on Balance with electromyography (EMG) on 7 muscles.

Results: Participants had significantly decreased center of gravity (COG) velocity sway in DCO versus BF and AFO, decreased loss of balance (LOB), and increased standing for DCO versus BF. Read More

View Article and Full-Text PDF