Postoperative Stability in Displaced Ankle Fractures with Concomitant Ligamentous Injuries
This study aimed to assess postoperative ankle instability in patients with displaced ankle fractures. A total of 54 patients with displaced ankle fractures were included. Malleolar fractures were surgically reduced and fixated, and if necessary, the syndesmosis was stabilized. Concomitant deltoid injuries were left unrepaired. Ankle stress radiographs were taken approximately 25.4 months after surgery, with a standard deviation of 20.5 months. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 22, 2024 Category: Orthopaedics Authors: Ji Hye Choi, Yoon Hyo Choi, Jung Geul Kim, Seungbum Koo, Kyoung Min Lee Tags: Original Research Source Type: research
Prognostic Values of Clinical and Anthropometric Characteristics in Lateral Ankle Sprain Following Physiotherapy
Lateral Ankle Sprain (LAS) is a common injury in sports and daily activities. The present study aimed to determine the prognostic value of clinical and anthropometric parameters in predicting LAS recovery after physiotherapy. Twenty seven patients with acute LAS were included in this cohort study. First, prognostic factors and anthropometric variables were assessed, along with the time elapsed since the injury, pain score on a Visual Analogue Scale (VAS), navicular drop, ankle Range of Motion (ROM), and ambulation status. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 16, 2024 Category: Orthopaedics Authors: Farzaneh Khazaei, Sayyed-Hadi Sayyed-Hosseinian, Hamid Heidarian Miri, Afsaneh Zeinalzadeh, Salman Nazary-Moghadam Tags: Original Research Source Type: research
Diabetic Osteomyelitis: Oral vs Intravenous Antibiotics at a Single Level 1 Academic Medical Trauma Center
Residual osteomyelitis is a frequent problem following surgical intervention for diabetic foot infection. The current Infectious Disease Society of America guidelines recommend 4-6 weeks of initial intravenous antibiotics for treatment of residual osteomyelitis. However, recent literature suggests oral antibiotic therapy is not inferior to intravenous therapy. The primary aim of this study was to evaluate treatment success in 128 patients receiving oral versus intravenous antibiotics for residual osteomyelitis in the diabetic foot after amputation at a Level 1 academic medical trauma center. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 6, 2024 Category: Orthopaedics Authors: Jennifer A. Kipp, Lindsay K. LeSavage, Joni K Evans, Travis A. Denmeade, Cody D. Blazek Tags: Original Research Source Type: research
A Randomized Comparison Between Anterior Talofibular Ligament Repair Using Brostr öm Operation with and without an Internal Brace.
The aim of the study was to compare the intermediate-term (>24 months) clinical outcomes between anterior talofibular ligament repair using Brostr öm operation with and without an internal brace. Nineteen patients underwent surgery using an arthroscopic traditional Broström repair with an internal brace technique (IB) and Eighteen patients underwent surgery using an arthroscopic traditional Broström repair without an internal brace techniqu e (TB) . All patients were evaluated clinically using the Foot and Ankle Outcome Score (FAOS) and Foot and Ankle Ability Measure (FAAM). (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 4, 2024 Category: Orthopaedics Authors: Yilong Dong, Gangyi Jiang, Min Liu, Chunyuan Cai, Lue Liu Tags: Original Research Source Type: research
Operative Time, Cost, and Union Rate of Power Rasp Joint Preparation Versus Traditional Preparation in Arthrodesis of the Foot and Rearfoot
Time spent in the operating room is valuable to both surgeons and patients. One of the biggest rate-limiting factors when it comes to arthrodesis procedures of the foot and ankle is cartilage removal and joint preparation. Power instrumentation in joint preparation provides an avenue to decrease joint preparation time, thus decreasing operating room time and costs. Arthrodesis of 47 joints (n) from 27 patients were included. Power rasp joint preparation in 26 joints was compared to traditional osteotome and curette joint preparation in 21 joints in both time (seconds), cost (total operating room time cost per minute), and ...
Source: Journal of Foot and Ankle Surgery - March 15, 2024 Category: Orthopaedics Authors: Jay S. Badell, James M. Cottom Tags: Original Research Source Type: research
Operative Time, Cost, and Union Rate of Power Rasp Joint Preparation vs. Traditional Preparation in Arthrodesis of the Foot and Rearfoot
Time spent in the operating room is valuable to both surgeons and patients. One of the biggest rate-limiting factors when it comes to arthrodesis procedures of the foot and ankle is cartilage removal and joint preparation. Power instrumentation in joint preparation provides an avenue to decrease joint preparation time, thus decreasing operating room time and costs. Arthrodesis of 47 joints (n) from 27 patients were included. Power rasp joint preparation in 26 joints was compared to traditional osteotome and curette joint preparation in 21 joints in both time (seconds), cost (total operating room time cost per minute), and ...
Source: Journal of Foot and Ankle Surgery - March 15, 2024 Category: Orthopaedics Authors: Dr. Jay S. Badell, Dr. James M. Cottom Tags: Original Research Source Type: research
Predictive Factors of Postoperative Pain in Patients with Tibiotalocalcaneal Arthrodesis with an Intramedullary Nail: A Retrospective Review
Tibiotalocalcaneal arthrodesis has been shown in literature to have good results in regards to low complication rates and deformity correction. While previous studies have investigated functional outcomes and complication rates, no large-scale studies have looked at pain outcomes. The present study used a retrospective review of 154 extremities to analyze how a patient's comorbidities and characteristics influence pain outcomes following a tibiotalocalcaneal arthrodesis. The present study found an average change of pain from 7.1 to 3.0 in at least a 6 month follow up. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 15, 2024 Category: Orthopaedics Authors: Bryanna D. Vesely, Jennifer Kipp, Gregory Russell, Lindsay LeSavage, Hayden Hoffler, Ashleigh W. Medda, Aaron T. Scott Tags: Original Research Source Type: research
Comparing Myofascial Pain Syndrome Treatment with Dry Needling Versus Extracorporeal Shock Wave Therapy for Plantar Fasciitis on Pain and Function of the Heel
The aim of this study was to compare the effects of dry needling (DN) and extracorporeal shock wave therapy (ESWT) in the treatment of plantar fasciitis (PF). The study included 55 patients with PF. The patients were randomly divided into 2 groups. The DN group applied 3 sessions of DN to the myofascial trigger points in the lower limb muscles. The ESWT group applied 3 sessions of ESWT to the plantar fascia. For clinical evaluation, we used a visual analog scale (VAS) (first step, rest, activity) and Foot Function Index (FFI) (pain, disability, activity). (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 12, 2024 Category: Orthopaedics Authors: Burak Tayyip Dede, Ay şenur Ada, Muhammed Oğuz, Berat Bulut, Fatih Bagcıer, Ebru Aytekin Tags: Original Research Source Type: research
Comparing Myofascial pain syndrome treatment with DN versus ESWT for plantar fasciitis on pain and function of the heel
The aim of this study was to compare the effects of dry needling (DN) and extracorporeal shock wave therapy (ESWT) in the treatment of plantar fasciitis (PF). The study included 55 patients with PF. The patients were randomly divided into 2 groups. The DN group applied 3 sessions of DN to the myofascial trigger points in the lower limb muscles. The ESWT group applied 3 sessions of ESWT to the plantar fascia. For clinical evaluation, we used a visual analog scale (VAS) (first step, rest, activity) and Foot Function Index (FFI) (pain, disability, activity). (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 12, 2024 Category: Orthopaedics Authors: Burak Tayyip Dede, Ay şenur Ada, Muhammed Oğuz, Berat Bulut, Fatih Bagcıer, Ebru Aytekin Tags: Original Research Source Type: research
Isolated subtalar repositional arthrodesis compared with Triple arthrodesis for the treatment of Progressive collapsing foot deformity
The optimal extent of arthrodesis for severe and rigid progressive collapsing foot deformity is controversial. Traditionally, triple arthrodesis has been recommended; however, good results have been reported using subtalar arthrodesis only. We compared the results of triple arthrodesis and isolated subtalar repositional arthrodesis. A total of 22 symptomatic feet were evaluated retrospectively. Isolated subtalar repositional arthrodesis was performed in 13 cases (the subtalar group) and double or triple arthrodesis in 9 cases (the triple group). (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 4, 2024 Category: Orthopaedics Authors: Sunghoo Kim, EunSoo Park, Byung-Ki Cho, Chang Hyun Doh, Youngrak Choi, Ho-seong Lee Source Type: research
Comparison of Two Techniques for Proximal Margin Analysis of Toe Amputations: a Retrospective Review
Toe amputations are a common podiatric procedure for treatment of osteomyelitis. Whether or not the surgeon obtains a surgical cure, thus resolving the infection, can be difficult to assess. Obtaining a proximal bone margin can assist the treatment team in deciding the duration of postoperative antibiotics, need for re-operation, and postoperative care. The two senior surgeons use different methods to analyze proximal bone margins. The first surgeon obtains a microbiologic culture from the remaining bone, either at the proximal phalanx or metatarsal head, following the removal of the toe to be reviewed for osteomyelitis. (...
Source: Journal of Foot and Ankle Surgery - March 1, 2024 Category: Orthopaedics Authors: Jennifer Kipp-Jones, Bryanna D. Vesely, Madeline Fram, Gregory Russell, Jung Wha Kim-Shapiro, Ashleigh W. Medda, Paula Gangopadhyay Tags: Original Research Source Type: research
Does Preoperative Manual Reduction (Omoto Technique) Affect Surgical Outcomes for Calcaneal Fractures? A Multicenter (TRON Group) Retrospective Study
The Omoto technique is a well-known method that is commonly used for non-invasive manual repair of calcaneal fractures. However, there have been no detailed studies on its clinical outcomes in preoperative closed reduction for surgical cases. This multicenter retrospective study aimed to compare the clinical and radiographic outcomes of calcaneal fractures treated with and without the preoperative Omoto technique, assessing its effectiveness. We extracted 335 patients with calcaneal fracture who underwent surgery between 2015 and 2020 from our multicenter database, named TRON. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 1, 2024 Category: Orthopaedics Authors: Hidetane Takahashi, Yasuhiko Takegami, Katsuhiro Tokutake, Yu Takahashi, Mihoko Kato, Marie Mabuchi, Shiro Imagama Source Type: research
Predictors of Episode-of-Care Costs for Ankle Fractures
The objective of this study was to determine the EOCC associated with the surgical management of ankle fractures. A retrospective cohort study of 105 consecutive patients who underwent open reduction internal fixation of an isolated ankle fracture at a Canadian Level-1 trauma center was conducted. Episode-of-care costs were generated using an activity-based costing framework. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 1, 2024 Category: Orthopaedics Authors: Gowtham Thangathurai, Simon Martel, Julien Montreuil, Rudolf Reindl, Gregory K Berry, Edward J Harvey, Mitchell Bernstein Tags: Original Research Source Type: research
Anterior Talofibular Ligament Repair in Combination with Anterior Tibiofibular Ligament Distal Fascicle Transfer for The Treatment of Chronic Lateral Ankle Instability: A Finite Element Analysis
In recent years, anterior tibiofibular ligament-distal fascicle transfer for anterior talofibular ligament augmentation repair have proposed. However, a comprehensive biomechanical study on the anterior tibiofibular ligament-distal fascicle transfer is still lacking. We are established four distinct groups, namely the normal, the anterior talofibular ligament rupture, the anterior talofibular ligament repair, and the anterior talofibular ligament repair + anterior tibiofibular ligament-distal fascicle transfer. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 1, 2024 Category: Orthopaedics Authors: Lei Zhang, Ruihan Wang, Siyi Yang, Songtao Jiang, Guixuan You, Houyin Shi, Guoyou Wang Tags: Original Research Source Type: research
Effectiveness of Concurrent Ankle Arthroscopy During Open Reduction and Internal Fixation of Malleolar Fractures in Prevention of Common Short-term Complications
Rotational malleolar fractures result in a high prevalence of intra-articular pathologies; therefore, routine arthroscopic assessment may be beneficial in the surgical treatment of ankle fractures. However, the clinical studies regarding the effectiveness of arthroscopy thus far have mixed results. We investigated the efficacy of concurrent arthroscopy during the treatment of malleolar fractures using a large U.S. healthcare data set. Those who had arthroscopy were compared with those who did not, during the surgical treatment of malleolar fractures, while adjusting for covariates of clinical relevance. (Source: Journal of...
Source: Journal of Foot and Ankle Surgery - March 1, 2024 Category: Orthopaedics Authors: Naohiro Shibuya, Daniel C. Jupiter Tags: Original Research Source Type: research
