Postoperative Opioid Consumption Following Hallux Valgus and Rigidus Surgery: A Guide to Postoperative Prescription Writing
Prescribing postoperative pain medications is essential to foot and ankle surgery; however, prescribing an amount that results in an excess of pills has shown to lead to opioid abuse. The opioid epidemic has forced surgeons to analyze how we manage postoperative pain with a goal to prescribe the optimal number of pills that will reduce a patient's pain while limiting the amount that is left over. The purpose of this study was to develop a guideline for prescribing postoperative pain medication for hallux valgus and rigidus procedures. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - June 12, 2023 Category: Orthopaedics Authors: Jake Eisenschink, Dennis Leveille, Rachelle Leveille, Anthony Mollica, Joshua Rhodenizer Tags: Original Research Source Type: research
Post-Operative Opioid Consumption Following Hallux Valgus and Rigidus Surgery: A Guide to Post-Operative Prescription Writing
Prescribing post-operative pain medications is essential to foot and ankle surgery, however, prescribing an amount that results in an excess of pills has shown to lead to opioid abuse. The opioid epidemic has forced surgeons to analyze how we manage post-operative pain with a goal to prescribe the optimal number of pills that will reduce a patient's pain while limiting the amount that is left over. The purpose of this study was to develop a guideline for prescribing post-operative pain medication for hallux valgus and rigidus procedures. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - June 12, 2023 Category: Orthopaedics Authors: Jake Eisenschink, Dennis Leveille, Rachelle Leveille, Anthony Mollica, Joshua Rhodenizer Tags: Original Research Source Type: research
Initial Experience with Subchondral Stabilization for Grade II Stress Fractures of the Midfoot and Forefoot
Stress fractures of the foot are often preceded by MRI evidence of bone marrow edema. While new evidence suggests intraosseous injection of calcium phosphate ( “subchondral stabilization”) can alleviate symptoms associated with bone marrow edema, no data yet exists regarding its use in developing mid- and forefoot stress fractures.Fifty-four patients who underwent subchondral stabilization of various midfoot/forefoot bones in our practice were observed over a five-year period. All patients were unresponsive to standard nonoperative measures for at least 6 weeks, and all had clinical exams and advanced imaging consisten...
Source: Journal of Foot and Ankle Surgery - June 7, 2023 Category: Orthopaedics Authors: Michael Matthews, Erin Klein, Lowell Weil, Matthew Sorensen, Adam Fleischer Tags: Original Research Source Type: research
Prevalence and clinical factors associated with pes planus among children and adults: A population-based synthesis and systematic review
Estimates of pes planus ( “flatfoot”) prevalence vary considerably across studies. Moreover, there is uncertainty over which factors are associated with the pes planus prevalence. We aimed to systematically review the prevalence and clinical factors associated with flatfoot among children and adults. We searched Web of S cience, PubMed/MEDLINE, and Google Scholar databases reporting population-based flatfoot prevalence. Two reviewers independently extracted the data and assessed the qualities of the studies. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - June 5, 2023 Category: Orthopaedics Authors: V íctor M. Salinas-Torres, Rafael A. Salinas-Torres, Luis E. Carranza-García, Jesús Herrera-Orozco, José L. Tristán-Rodríguez Tags: Review Article Source Type: research
“In Situ” Joint Preparation Technique for First Metatarsophalangeal Arthrodesis: A Retrospective Comparative Review of 388 Cases
This study aims to compare the clinical, radiographic, and patie nt-reported outcomes (PROMs) of the IS technique for various MTP pathologies with other MTP joint preparation techniques. A single-center retrospective review was performed for patients who underwent primary MTP joint arthrodesis between 2015 and 2019. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - May 21, 2023 Category: Orthopaedics Authors: Dan Prat, Yosef Sourugeon, Brandon A. Haghverdian, Eric M. Pridgen, Wonyong Lee, Keith L. Wapner, Daniel C. Farber Tags: Original Research Source Type: research
“In-Situ” Joint Preparation Technique for 1st Metatarsophalangeal Arthrodesis: A retrospective comparative review of 388 cases.
This study aims to compare the clinical, radiographic, an d patient-reported outcomes (PROMs) of the IS technique for various MTP pathologies with other MTP joint preparation techniques. A single-center retrospective review was performed for patients who underwent primary MTP joint arthrodesis between 2015-2019. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - May 21, 2023 Category: Orthopaedics Authors: Dan Prat, Yosef Sourugeon, Brandon A. Haghverdian, Eric M. Pridgen, Wonyong Lee, Keith L. Wapner, Daniel C. Farber Source Type: research
How adductor hallucis reattachment affects outcomes following scarf osteotomy in hallux valgus correction: A four to eight year follow-up retrospective comparative study
This study observed the differences between two adductor hallucis release techniques (non-reattachment vs reattachment) in four to eight year follow-up outcomes of scarf osteotomy combined with distal soft tissue release (DSTR) in moderate-severe hallux valgus correction. A retrospective review of moderate-severe hallux valgus patients treated with scarf osteotomy with DSTR was conducted. The patients were divided into two groups based on adductor hallucis release techniques (without and with reattachment to the metatarsophalangeal joint capsule). (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - May 21, 2023 Category: Orthopaedics Authors: Theerawoot Tharmviboonsri, Bussakorn Chalidapong, Apisit Rattanatanasarn, Bavornrit Chuckpaiwong, Penpun Lertwattanachai, Thos Harnroongroj Tags: Original Research Source Type: research
Short-Term Outcomes of Jones-Specific Implant Versus Intramedullary Screw and Plate Fixation for Proximal Fifth Metatarsal Fractures
Although intramedullary screw fixation is commonly performed for proximal fifth metatarsal fractures, high rates of nonunion, refracture, and hardware prominence have been reported. The Jones Specific Implant (JSI) is a novel surgical implant which contours to the native curvature of the fifth metatarsal allowing for a more anatomic fixation. The purpose of this study was to compare short-term complication rates and outcomes of patients treated with the JSI to other fixation types such as plates and intramedullary screws. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - May 19, 2023 Category: Orthopaedics Authors: Aman Chopra, Albert T. Anastasio, Amanda N. Fletcher, Troy Q. Tabarestani, Akhil Sharma, Selene G. Parekh Tags: Original Research Source Type: research
Short-Term Outcomes of Jones Specific Implant vs. Intramedullary Screw and Plate Fixation for Proximal Fifth Metatarsal Fractures
Although intramedullary screw fixation is commonly performed for proximal fifth metatarsal fractures, high rates of nonunion, refracture, and hardware prominence have been reported. The Jones Specific Implant (JSI) is a novel surgical implant which contours to the native curvature of the fifth metatarsal allowing for a more anatomic fixation. The purpose of this study was to compare short-term complication rates and outcomes of patients treated with the JSI to other fixation types such as plates and intramedullary screws. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - May 19, 2023 Category: Orthopaedics Authors: Aman Chopra, Albert T. Anastasio, Amanda N. Fletcher, Troy Q. Tabarestani, Akhil Sharma, Selene G. Parekh Tags: Original Research Source Type: research
What Do Patients Report Regarding Their Real-World Function Following Triplane Metatarsophalangeal Joint Arthrodesis for Hallux Valgus?
First metatarsal phalangeal (MTP) joint arthrodesis has been employed for decades for pain related to arthritis and other associated abnormalities. Despite the commonality of the procedure there continues to be questions regarding functional expectations following the procedure especially when employed for correction of hallux valgus deformity. We surveyed 60 patients who had a tri plane MTP joint arthrodesis at mean 28.4 months (median 27.8) regarding their activities of daily living and sports activity through a direct conversation. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - May 17, 2023 Category: Orthopaedics Authors: Mindi Dayton, Paul Dayton, Cody J. Togher, John M. Thompson Tags: Letters to the Editor Source Type: research
Foot melanoma localized to subungual toe location portends poorer prognosis
In this study, we both expanded our study to include a 10-year population of patient with invasive melanoma of the foot and ankle and investigated additional factors associated with prognosis. Between January 2007 and December 2016, 211 patients underwent biopsy diagnosis and surgery for invasive melanoma in the BLANK health care system. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - May 9, 2023 Category: Orthopaedics Authors: Mitzi L Williams, Yaseer Parupia, Christy M. King, Thomas G. Dobbs, Peter Peng Tags: Original Research Source Type: research
A Model Study to Evaluate Osseointegration and Fracture Healing Following Open Reduction and Internal Fixation (ORIF) in Diabetic Lewis Rats
There is a higher risk of implant osseointegration failure after open reduction and internal fixation (ORIF) in patients with diabetes due to increased inflammatory conditions, associated metallic corrosion and infection. While it is possible to avoid elective osseous surgery in patients with diabetes, it may not be the case in non-elective cases, such as ORIF ankle fractures. A total of 30 male Lewis rats (12-15 weeks old) were distributed into diabetic (D) and non-diabetic (ND) groups. Fracture healing and osseointegration were evaluated at 2-, 10-, and 21-day time points. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - May 9, 2023 Category: Orthopaedics Authors: Alexandra Arteaga, Claudia Cristina Biguetti, Bhuvana Lakkasetter Chandrashekar, Jimena Mora, Adeena Qureshi, Javier La Fontaine, Danieli C. Rodrigues, Evelin Rios Tags: Original Research Source Type: research
Extracorporeal Shockwave Therapy (ESWT) in the Management of Diabetic Foot Ulcer: A prospective randomised clinical trial
Diabetic foot ulcer (DFU) is the most common cause of prolonged hospitalization with a high cost of care due to unsatisfactory outcomes with the current mode of therapy. Extracorporeal shockwave therapy (ESWT) is a new technology in the care of non-healing wounds. The study's main objective was to compare the healing parameters of DFUs between patients undergoing the standard of care (SOC) alone and ESWT + SOC. The secondary objective was to assess inflammatory markers in both study groups. The study was designed as a single-centre, randomised trial to provide evidence on the effects of ESWT on DFU healing. (Source: J...
Source: Journal of Foot and Ankle Surgery - May 8, 2023 Category: Orthopaedics Authors: Venkat N Vangaveti, Shaurya Jhamb, Julie Goodall, Jacqueline Bulbrook, Erik Biros, Usman H Malabu Tags: Original Research Source Type: research
Indication for Achilles Tenotomy in Congenital Clubfoot: Effectiveness of Using the Tibio-Plantar Fascia Angle as a Radiographic Parameter
Congenital clubfoot is one of the most common deformities in children, and currently, the Ponseti method is used worldwide because of its favorable short-term results. With the Ponseti method, the indication for Achilles tenotomy is traditionally based on only physical examination findings; however, some surgeons have also utilized plain radiographs. Because using physical examinations to determine the degree of hindfoot dorsiflexion for the indication of tenotomy can lead to underestimation. We developed and utilized the effectiveness of the Tibio-Plantar fascia angle (Ti-P angle) in the lateral maximum dorsiflexion view ...
Source: Journal of Foot and Ankle Surgery - May 7, 2023 Category: Orthopaedics Authors: Yoshinobu Oka, Wook-Cheol Kim, Takashi Yoshida, Masashi Nakase, Yoshihiro Kotoura, Atsushi Nishida, Naoki Ohmori, Hiroaki Wada, Kazuya Ikoma, Kenji Takahashi Tags: Original Research Source Type: research
Plantar Pressure Distribution Before and After Surgery for Lesser Metatarsophalangeal Joint Dislocation with Hallux Valgus
Hallux valgus surgery and open reduction of the lesser metatarsophalangeal joints with metatarsal shortening osteotomy help treat severe hallux valgus concomitant with the lesser metatarsophalangeal joint dislocation; however, pre- and postoperative plantar pressure distribution and its effect on the foot remain unclear. The pre- and postoperative groups comprised 16 patients with moderate-to-severe symptomatic hallux valgus with lesser metatarsophalangeal joint dislocation. All feet underwent open reduction and collateral ligament reconstruction of the second metatarsophalangeal joint and proximal metatarsal shortening os...
Source: Journal of Foot and Ankle Surgery - May 7, 2023 Category: Orthopaedics Authors: Yoshihiro Hirai, Hiroaki Shima, Kosho Togei, Toshito Yasuda, Masashi Neo Tags: Original Research Source Type: research
