20,911 results match your criteria foot deformity


Sibling Cases of Charcot-Marie-Tooth Disease Type 4H with a Homozygous FGD4 Mutation and Cauda Equina Thickening.

Intern Med 2021 Jun 19. Epub 2021 Jun 19.

Department of Neurology, Gunma University Graduate School of Medicine, Japan.

Charcot-Marie-Tooth disease type 4H (CMT4H) is an autosomal recessive inherited demyelinating neuropathy caused by an FYVE, RhoGEF, and a PH domain-containing protein 4 (FGD4) gene mutation. CMT4H is characterized by an early onset, slow progression, scoliosis, distal muscle atrophy, and foot deformities. We herein present sibling cases of CMT4H with a homozygous mutation in the FGD4 gene. Read More

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Triplanar Correction for First Metatarsophalangeal Fusion.

J Foot Ankle Surg 2021 May 20. Epub 2021 May 20.

Department of Orthopaedics, West Virginia University, Morgantown, WV.

Successful deformity correction utilizing first metatarsophalangeal (MTP) fusion for hallux valgus with concomitant degenerative changes of the first MTP joint is well documented. Currently, there is limited discussion in the literature focusing on triplanar correction of the first MTP arthrodesis. Presented is a novel approach for triplane correction and fusion of the first MTP joint utilizing a biplanar locked plating system. Read More

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Denosumab in active Charcot neuro-osteorthropathy of the foot.

Joint Bone Spine 2021 Jun 16:105241. Epub 2021 Jun 16.

Department of Rheumatology, Université Paris-Saclay, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Paris-Saclay (HUPS), Hôpital Bicêtre, Le Kremlin-Bicêtre, France. Electronic address:

Objective: Active Charcot Neuro-osteoarthropathy (CN) is a rare and severe complication of peripheral neuropathy that leads to deformity and disability. No pharmacological treatment is available. Increased osteoclastic activity plays a central role in active CN, particularly via receptor activator of nuclear factor ligand (RANK-L). Read More

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[Clinical characteristics of 170 cases of macrodactyly].

Beijing Da Xue Xue Bao Yi Xue Ban 2021 Jun;53(3):590-593

Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing 100035, China.

Objective: To analyze the clinical characteristics of 170 cases of macrodactyly.

Methods: Medical records of 170 macrodactyly patients at Beijing Jishuitan Hospital between March 2006 and October 2019, including demographic characteristics, clinical presentations, anatomical distributions, X-rays, pathological findings, and treatments, were reviewed. PIK3CA mutation analyses of 12 patients were also reviewed. Read More

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Neglected Stiff Equinocavus Foot Deformity Treated with Cole Osteotomy, Combined with External Ilizarov Hinged Frame Fixation, Soft-Tissue Release, and Achilles Tendon Lengthening: A Case Report.

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

Stiff equinocavus foot deformities are challenging clinical entities that may be treated with osteotomies and extensive soft-tissue release. The most common causes of such lesions are neglected trauma and Charcot-Marie-Tooth disease; other causes include burns, neurologic diseases, and compartment leg syndrome. Conventional treatments, including extensive soft-tissue release, osteotomies, and arthrodesis combined with or without internal splinting, may result in severe complications such as neurovascular or soft-tissue damage and shortening of the foot. Read More

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Diaphyseal Proximal Phalangeal Shortening Osteotomy for Correction of Hammertoe Deformity: Operative Technique and Radiological Outcomes.

Foot Ankle Spec 2021 Jun 18:19386400211012800. Epub 2021 Jun 18.

Institute of Foot and Ankle Reconstruction, Mercy Medical Center; Faculty MedStar Union Memorial Hospital; and Johns Hopkins School of Medicine; Baltimore, Maryland; New York University Langone, New York; and Georgetown School of Medicine, Washington, District of Columbia.

Background: Correction of hammertoe deformities at the proximal interphalangeal (PIP) joint results in an inherent loss of motion that can be a concern for active patients who want to maintain toe function and grip strength. Diaphyseal proximal phalangeal shortening osteotomy (DPPSO) is a joint-sparing procedure resecting a cylindrical portion of the proximal phalanx on the middiaphysis.

Patients/methods: This was a retrospective review including patients treated using DPPSO with at least a 1-year follow-up. Read More

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Treatment of Severe Rigid Posttraumatic Equinus Deformity With Gradual Deformity Correction and Arthroscopic Ankle Arthrodesis.

Foot Ankle Int 2021 Jun 18:10711007211018201. Epub 2021 Jun 18.

Department of Orthopedic Surgery, Foot and Ankle Unit, Hospital del Trabajador-Clinica Las Condes, Hospital San Jose-Universidad de Chile, Santiago, Chile.

Background: Posttraumatic ankle equinus is associated with rigid deformity, poor skin condition, and multiple prior surgeries. Open acute correction has been described using osteotomies, talectomy, and arthrodesis, but concerns exist about skin complications, neurologic alterations, secondary limb discrepancy, and bone loss. Gradual correction using a multiplanar ring fixator and arthroscopic ankle arthrodesis (AAA) may decrease these complications. 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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Treatment of Severe Ankle and Hindfoot Deformity: Technique Using Femoral Head Allograft for Tibiotalocalcaneal Fusion Using a Cup-and-Cone Reamer.

Arthrosc Tech 2021 May 6;10(5):e1187-e1195. Epub 2021 Apr 6.

Valley Hospital Medical Center, Las Vegas, Nevada, U.S.A.

Limb shortening due to structural bone loss in tibiotalocalcaneal arthrodesis is a concern that can negatively impact the patient's gait and weight-bearing. To aid in preventing the risk of limb shortening, the use of a femoral head allograft and intramedullary nail in tibiotalocalcaneal arthrodesis has been shown to successfully preserve limb length in patients with structural bone deficits. We present our technique using a femoral head allograft with a cup-and-cone reamer for the treatment of severe ankle and hindfoot deformity. Read More

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Percutaneous Bunionette Correction Without Fixation: Clinical Results and Radiographic Evaluations Including Rotation of Metatarsal Head and Sagittal Angle Change of Fifth Metatarsal.

J Foot Ankle Surg 2021 May 14. Epub 2021 May 14.

Department of Orthopaedic Surgery, Chiba Aiyukai Memorial Hospital, Nagareyama City, Chiba, Japan. Electronic address:

Bunionette deformities have been treated as an analog of hallux valgus, and the surgical techniques are similar. Most commonly anteroposterior image is evaluated pre- and postoperatively. To our knowledge, only one study has evaluated changes on the lateral radiograph and no study has evaluated changes in rotation of the fifth metatarsal head postoperatively. Read More

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Neglected neurogenic clubfoot treated with Achilles tendon lengthening using Z-plasty, total talectomy, and tibiocalcaneal arthrodesis.

Int J Surg Case Rep 2021 Jun 2;84:106051. Epub 2021 Jun 2.

Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia. Electronic address:

Introduction: The most common foot and ankle deformity from injury to the nervous system is equinocavovarus. This deformity comprises of equinus, cavus, varus, and adduction of the forefoot which leads to pain and poor stability in stance phase of gait. Treatment for this condition is difficult regarding literature limitation of the neurogenic clubfoot management. Read More

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Distal Chevron Osteotomy vs The Simple, Effective, Rapid, Inexpensive Technique (SERI) for Mild to Moderate Isolated Hallux Valgus: A Randomized Controlled Study.

Indian J Orthop 2021 May 8;55(Suppl 1):110-118. Epub 2020 Aug 8.

Department of Orthopaedic Surgery, Assuta Medical Center, Affiliated with the Faculty of Health and Science, Ben Gurion University, Ashdod, Israel.

Background: Hallux valgus is a common foot deformity that leads to functional disability with serious sequelae. Minimally invasive surgery is often used to treat hallux valgus in order to reduce wound complications and improve recovery time. The objective of this study was to compare a Simple, Effective, Rapid, Inexpensive (SERI) technique with a simple Chevron technique in patients with minimum of 1-year follow-up. Read More

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The Assessment of First Metatarsal Rotation in the Normal Adult Population Using Weightbearing Computed Tomography.

Foot Ankle Int 2021 Jun 13:10711007211015187. Epub 2021 Jun 13.

Foot & Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK.

Background: The importance of the rotational profile of the first metatarsal is increasingly recognized in the surgical planning of hallux valgus. However, rotation in the normal population has only been measured in small series. We aimed to identify the normal range of first metatarsal rotation in a large series using weightbearing computed tomography (WBCT). Read More

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Single Medial vs 2-Incision Approach for Double Hindfoot Arthrodesis: Is There a Difference in Joint Preparation?

Foot Ankle Int 2021 Jun 13:10711007211001030. Epub 2021 Jun 13.

Department of Orthopaedics and Rehabilitation, University of Rochester, Rochester, NY, USA.

Background: Double hindfoot arthrodesis is a reliable treatment option in lower extremity deformity and arthritis. Single (medial) and 2-incision techniques have been described. The purpose of this study was to evaluate the extent of cartilage debrided in each approach and to evaluate the competency of the deltoid ligament. Read More

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Correlation of medial longitudinal arch morphology with body characteristics and locomotive function in community-dwelling older women: A cross-sectional study.

J Orthop Surg (Hong Kong) 2021 May-Aug;29(2):23094990211015504

School of Rehabilitation, Osaka Kawasaki Rehabilitation University, Osaka, Japan.

Purpose: This cross-sectional study aimed to investigate the effects of foot arch deformities on physical characteristics, muscular strength, and motor function in older women depending on the presence or absence of pain.

Methods: Overall, 145 community-dwelling women aged 65 to 90 years were included in this study. We measured the foot arch height ratio (AHR, dorsal height/truncated foot length) and classified participants with AHR values above, below, or within 1. Read More

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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

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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

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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

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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

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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

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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

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Plantar load transfer in children: a descriptive study with two pathological case studies.

BMC Musculoskelet Disord 2021 Jun 7;22(1):521. Epub 2021 Jun 7.

School of Allied Health Sciences, Griffith University, Gold Coast, QLD, 4222, Australia.

Background: Typical gait is often considered to be highly symmetrical, with gait asymmetries typically associated with pathological gait. Whilst gait symmetry is often expressed in symmetry ratios, measures of symmetry do not provide insight into how these asymmetries affect gait variables. To fully understand changes caused by gait asymmetry, we must first develop a normative database for comparison. Read More

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A Foot to Last a Lifetime-Is Hindfoot Fusion Ever Appropriate for Pediatric Orthopaedic Conditions?

Authors:
Derek M Kelly

J Pediatr Orthop 2021 Jul;41(Suppl 1):S39-S46

Campbell Clinic Orthopaedics, Memphis, TN.

Introduction: Hindfoot deformities in the pediatric population can be painful and result in severe limitations. Although arthrodesis is known to relieve pain, there are concerns over its use because of the risk that adjacent joint degenerative disease could result, leading to a new source of pain, dysfunction, and additional surgical procedures later in life.

Methods: A literature review of hindfoot fusions in children focused on articles with the highest levels of evidence and those of particular historical significance. Read More

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Hallux Valgus Correction Comparing Percutaneous Oblique Osteotomy and Open Chevron Osteotomy at a 2-year Follow-up.

Orthop Surg 2021 Jun 6. Epub 2021 Jun 6.

Department of Orthopaedics, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Objective: This study aimed to compare the percutaneous oblique osteotomy (POO) and the open chevron osteotomy technique for correction of hallux valgus deformity at a 2-year follow-up.

Methods: This is a retrospective study of consecutive patients undergoing operative correction of hallux valgus using one of two techniques (POO vs open chevron osteotomy) from 2014 to 2018. Forty eight feet (41 patients) that underwent the POO was compared with 64 feet (58 patients) that underwent open chevron osteotomy. Read More

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Treatment for Flexible Flatfoot in Children With Subtalar Arthroereisis and Soft Tissue Procedures.

Front Pediatr 2021 21;9:656178. Epub 2021 May 21.

Department of Orthopedics, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, China.

Children with flexible flatfoot is common in clinics and there is no unified conclusion on surgical treatment. And for some patients with severe deformities, the correction of the subtalar joint arthroereisis combine the release of the Achilles tendon or gastrocnemius muscle release is still not satisfactory. The main aim of the present study was to investigate the therapeutic outcomes of subtalar arthroereisis combined with Achilles tendon or gastrocnemius recession and medial soft tissue (spring ligament, talonavicular joint capsule, tibionavicular ligaments and tibiospring ligaments) tightening for treating flexible flatfoot with severe deformities. Read More

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Anatomical Study of the Accessory Tendon of the Extensor Hallucis Longus Muscle and Its Clinical Application.

Clin Orthop Surg 2021 Jun 2;13(2):261-265. Epub 2021 Feb 2.

Department of Hand and Foot Surgery, Yanbian Hospital, Yanji, China.

Backgroud: The accessory tendon of the extensor hallucis longus (ATEHL) muscle is a common abnormal structure, and its clinical significance remains debatable. In this study, we provide the incidence of the ATEHL and characterize its morphological types in Asian cadavers and investigate its clinical applications.

Methods: The tendons from 50 adult cadaveric feet, fixed in 10% formalin, were analyzed. Read More

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Clinical and Radiographic Results of Ankle Joint Preservation Surgery in Posterior Ankle Arthritis.

Foot Ankle Int 2021 Jun 6:10711007211011182. Epub 2021 Jun 6.

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

Background: Little information is available about how to manage ankles with eccentric arthritis in the sagittal plane. This study aimed to report clinical and radiographic outcomes following joint preservation surgery for ankles with eccentric arthritis at the posterior tibiotalar joint and a plantarflexed talus in the sagittal plane, which we named posterior ankle arthritis.

Methods: Ten ankles with posterior ankle arthritis were treated with realignment surgery between 2017 and 2018. Read More

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Short-Term, Retrospective Radiographic Evaluation Comparing Pre- and Postoperative Measurements in the Chevron and Minimally Invasive Distal Metatarsal Osteotomy for Hallux Valgus Correction.

J Foot Ankle Surg 2021 May 1. Epub 2021 May 1.

Attending Physician, Physicians Footcare, Florence, SC.

Various techniques exist for correction of mild to moderate hallux valgus (HAV) deformity. Recently, minimally invasive distal metatarsal osteotomy (MIDMO) has gained popularity for HAV correction. This retrospective radiographic review aims to report the surgical correction obtained by the chevron and MIDMO osteotomies at a single institution between 2012 and 2017. Read More

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Modified Lapidus Versus Scarf Osteotomy Outcomes for Treatment of Hallux Valgus Deformity.

Foot Ankle Int 2021 Jun 4:10711007211013776. Epub 2021 Jun 4.

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

Background: The Lapidus procedure and scarf osteotomy are indicated for the operative treatment of hallux valgus; however, no prior studies have compared outcomes between the procedures. The aim of this study was to compare clinical and radiographic outcomes between patients with symptomatic hallux valgus treated with the modified Lapidus procedure versus scarf osteotomy.

Methods: This retrospective cohort study included patients treated by 1 of 7 fellowship-trained foot and ankle surgeons. Read More

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Anatomic Description of the Distal and Intercuneiform Articulations: A Cadaveric Study.

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

Assistant Professor, Department of Basic Medical Sciences, Barry University School of Podiatric Medicine, Miami Shores, FL.

The medial, intermediate, and lateral cuneiforms play a pivotal role in foot biomechanics. When correcting deformities of this joint complex understanding the clinical anatomy remains imperative to provide both anatomic reduction and appropriately sized fixation. This study qualitatively and quantitatively describes the distal and intercuneiform articulations and their clinical implications. Read More

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