Table of Contents
(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 27, 2023 Category: Orthopaedics Source Type: research

Re: Evaluation of Proposed Protocol Changing Statistical Significance From 0.05 to 0.005 in Foot and Ankle Randomized Controlled Trials
We read with interest the recent editorial by Reddy et al (1). We agree with the authors when they state that changing the threshold for statistical significance from 0.05 to 0.005 in foot and ankle randomised controlled trials (RCTs) would heavily alter literature published in the field. However, their claim that it will increase the quality of RCT methodology is misleading. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 25, 2023 Category: Orthopaedics Authors: Michael Backhouse, James Griffin, Helen Parsons Tags: Letters to the Editor Source Type: research

The Preoperative Neutrophil-Lymphocyte Ratio is an Independent Predictive Factor in Predicting 1-Year Mortality in Amputated Diabetic Foot Patients
In this study, we aimed to evaluate the efficacy of neutrophil/lymphocyte ratio values in preoperative blood tests of patients amputated due to diabetic foot in predicting one-year mortality. We assumed that the neutrophil/lymphocyte ratio predicted one-year mortality in these patients. The inclusion criteria were as follows: to be diagnosed with diabetic foot, being>18 years of age, having a confirmed Type-1 or Type-2 diabetes mellitus diagnosis, stage 3-5 Wagner ulcers, and having at least one year of follow-up. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 24, 2023 Category: Orthopaedics Authors: Ali Y üce, Mustafa Yerli, Nazım Erkurt, Murat Çakar Tags: Original Research Source Type: research

A Study of Tibial Cyst Formation in Modular Stemmed Total Ankle Arthroplasty: Exploring a Possible Relationship to Smooth and Porous Coating on the Stem Segments
Vertical fixation through stemmed components has been a successful strategy in total ankle arthroplasty. Research in hip replacement surgery has demonstrated increased rates of stress shielding, aseptic loosening, thigh pain, and cystic formation around stemmed femoral implants extensively coated with porous surfaces. While some ankle prostheses have integrated porous coating technology with stemmed tibial implants, there is little to no research investigating the potential negative effects of bone bonding to the tibial stems and possible impact on tibial cyst formation. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 23, 2023 Category: Orthopaedics Authors: Cody J. Togher, John M. Thompson, Jacob M. Perkins, Christopher F. Hyer, Gregory C. Berlet Tags: Original Research Source Type: research

Effect of Arthrodesis Device Type and Trajectory on Subtalar Joint Compression
The use of subtalar arthrodesis procedures has been widely implemented to relieve hindfoot issues after failure of conservative treatments; however, fusion failures persist in some patients with certain risk factors. Currently, surgeons utilize cannulated screws in these arthrodesis procedures to immobilize the subtalar joint. Recent clinical studies have demonstrated improved fusion outcomes in at-risk patients using sustained dynamic compression devices in the tibiotalocalcaneal complex. These devices utilize pseudoelastic nitinol which enables sustained dynamic compression when faced with postoperative bone resorption, ...
Source: Journal of Foot and Ankle Surgery - April 21, 2023 Category: Orthopaedics Authors: Caitlyn J. Beals, Kenneth M. Dupont, Christopher E. Gross, David L. Safranski Tags: Original Research Source Type: research

The use of hindfoot nails for elderly complex distal tibial and ankle fractures
Elderly patients who sustain complex ankle or distal tibial fractures are often frail and comorbid and need surgery to contain the talus underneath the tibia in order to protect the soft tissue envelope and allow early unrestricted weight bearing. We performed a retrospective observational review of patients>65years old who underwent a hindfoot nail fixation of an ankle or distal tibial fracture in our institution. Data collected included: injury sustained, open or closed injury, ASA grade, age at time of surgery, length of stay, post operative mortality, complications and further treatment. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 19, 2023 Category: Orthopaedics Authors: Nicole Corin, Timothy Pearkes, Kalina Hristova, Prashanth Nagaraj, James Bassett, Andrew Riddick, William Harries, Steven Hepple, Ian Winson, Peter Robinson Tags: Original Research Source Type: research

Association of Preoperative Depression Score with Outcomes of Transfibular Total Ankle Arthroplasty
This study aimed to determine whether preoperative depression affects the outcome of transfibular total ankle arthroplasty and whether depression changes with surgery. Scores from the Japanese Society of Surgery of the Foot Ankle/Hindfoot scale (JSSF scale), Self-Administered Foot Evaluation Questionnaire (SAFE-Q), Hospital Anxiety and Depression Scale (HADS), and Timed Up& Go test (TUG) were collected preoperatively, at 6 months-, and at 1 year postoperatively from 20 patients. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 19, 2023 Category: Orthopaedics Authors: Tetsuro Yasui, Junya Higuchi, Taro Kasai, Atsuhisa Yamada, Tomohiro Kobata, Kiyotaka Hasebe, Motohiko Hara Tags: Original Research Source Type: research

Risks of Immunosuppressive Therapy in Patients Undergoing Open Reduction Internal Fixation for Ankle Fractures
Chronic steroid and immunosuppressant use have been shown to increase the risk for postoperative complications in orthopaedic surgery. Further understanding of the risks of immunosuppression is necessary to aid in risk stratification and patient counseling. However, these risks have not yet been explored in ankle fracture patients. Thus, the purpose of this study is to determine whether patients taking immunosuppressives are at an increased risk for morbidity and mortality following open reduction and internal fixation (ORIF) of ankle fractures. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 19, 2023 Category: Orthopaedics Authors: Anna M. Ifarraguerri, Puneet Gupta, Theodore Quan, Jordan S. Cohen, Frank R. Chen, Jacob Zeitlin, Joseph E. Manzi, Benjamin Farley, Pradip Ramamurti, Sean Tabaie Tags: Original Research Source Type: research

Cortices of fibula and tibia can provide landmarks for accurate syndesmosis fixation angle: Computed tomography validation of angle bisector method
This study aimed to validate the angle bisector method to reveal whether it provides an accurate syndesmotic fixation angle that is patient- and level-specific. Lower extremity CT angiography of 50 consecutive patients (25 male, 25 female) without evident ankle pathology were evaluated. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 19, 2023 Category: Orthopaedics Authors: Bedri KARA İSMAİLOĞLU, Erdem ŞAHİN, Mustafa KARA, Mehmed Nuri TÜTÜNCÜ Tags: Original Research Source Type: research

Factors Associated with Amputation Following Ankle Fracture Surgery
Patients with diabetes mellitus (DM) are at increased risk of complications following ankle fracture surgery. Previous research suggests that patients of low socioeconomic status are at increased risk of amputation following orthopaedic complications. The purpose of this research was to determine if low socioeconomic status increases risk of below knee amputation (BKA) following ankle fractures among patients with DM. The National Inpatient Sample (NIS) was queried from 2010 to 2014 to identify 125 diabetic patients who underwent ankle fracture surgical fixation followed by BKA. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 19, 2023 Category: Orthopaedics Authors: Gregory J. Kirchner, Andrew H. Kim, Brandon J. Martinazzi, Suleiman Y. Sudah, Alexander M. Lieber, Michael C. Aynardi Tags: Original Research Source Type: research

Physiologic Motion in the Intact and Unstable Syndesmosis During Plantigrade Weightbearing in Controlled Ankle Motion Boots
Consensus has not been reached for the optimal postoperative care after high ankle sprain and syndesmotic fixation. A potential drawback of earlier return to activity is greater instability of the ankle and fixation failure. The controlled ankle motion (CAM) boot has been an effective implementation to stabilize the leg and may aid in safe early weightbearing status. However, there is insufficient study of its effect on motion in the syndesmosis following injury. Hence, the aim of this cadaveric study was to determine the stability of the ankle with a CAM boot at 3 levels of injury: syndesmosis ligaments intact (no injury)...
Source: Journal of Foot and Ankle Surgery - April 14, 2023 Category: Orthopaedics Authors: Jacob Matz, Shayom Debopadhaya, Safa Herfat, Meir T. Marmor Tags: Original Research Source Type: research

Physiologic Motion in the Intact and Unstable Syndesmosis During Plantigrade Weight Bearing in Controlled Ankle Motion Boots
Consensus has not been reached for the optimal postoperative care after high ankle sprain and syndesmotic fixation. A potential drawback of earlier return to activity is greater instability of the ankle and fixation failure. The controlled ankle motion (CAM) boot has been an effective implementation to stabilize the leg and may aid in safe early weight-bearing status. However, there is insufficient study of its effect on motion in the syndesmosis following injury. Hence, the aim of this cadaveric study was to determine the stability of the ankle with a CAM boot at three levels of injury: syndesmosis ligaments intact (no in...
Source: Journal of Foot and Ankle Surgery - April 14, 2023 Category: Orthopaedics Authors: Jacob Matz, Shayom Debopadhaya, Safa Herfat, Meir T Marmor Tags: Original Research Source Type: research

Risk factors for Contralateral Tendon Rupture in patients with Acute Achilles Tendon Rupture
The present study was performed to determine the incidence and risk factors of contralateral Achilles tendon rupture after an initial tendon rupture, and to identify the associated patient characteristics. Medical records of 181 adult patients with acute Achilles tendon rupture were reviewed. We investigated the risk factors for contralateral Achilles tendon rupture and calculated the incidence density (per 100 person-years), survival rate, hazard ratios, and 95% confidence intervals. The risk factors were extracted, including blood type, age, body mass index (BMI), occupation, underlying comorbidities, history of alcohol ...
Source: Journal of Foot and Ankle Surgery - April 6, 2023 Category: Orthopaedics Authors: Jee Young Hong, Chan Kang, Tae Gyun Kim, Jin Woong Yi, Jae Hwang Song, Gi Soo Lee, Kyung Deok Seo, Woo Jin Shin, Seong Kyeong Jo Tags: Original Research Source Type: research

Evaluation of contact area and pressure after malreduction in isolated medial malleolar fractures with 2mm of displacement: a cadaveric study
This study was performed to evaluate the changes in contact area and pressure in the tibiotalar joint, with a 2 mm displacement after IMMF(isolated medial malleolar fracture). Ten cadavers with pairs were used to establish a situation in which IMMF occurred during ankle injury. We performed IMMF corresponding to types C and D of the Herscovici classification, and it was displaced by 2 mm. The normal group was defined as a normal tibiotalar joint, the TF(transverse fracture) group as a 2 mm transverse displacement corresponding to the Herscovici classification type C, and the OF(oblique fracture) group as a 2 mm oblique dis...
Source: Journal of Foot and Ankle Surgery - March 30, 2023 Category: Orthopaedics Authors: Young Koo Lee, Yong Seung Oh, Do Kwan Lee, Myoung Jin Lee, Yong Nam Song, Hong Seop Lee, Eui Dong Yeo Tags: Original Research Source Type: research

A Retrospective Analysis of Distal Fibula Fractures Treated with Intramedullary Fibular Nail Fixation
There is growing literature supporting the use of intramedullary fixation for fracture care because of its smaller incisions, improved biomechanical outcomes, and faster time to weight bearing than traditional internal fixation methods. The aim of this study is to investigate the postoperative outcomes in ankle fractures treated with intramedullary nail fixation in the largest patient cohort to date. From 2015 - 2021, 151 patients were evaluated following surgical treatment of fibular fractures with intramedullary nail fixation. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 24, 2023 Category: Orthopaedics Authors: Jaclyn Schumann, Brian Burgess, Daniel Ryan, David Garras Tags: Original Research Source Type: research