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
Screws Alone for Acute Lisfranc Injuries Fixed Without Arthrodesis: A Better “Value” than Plating in the Short Term
This study compares outcomes of patients with Lisfranc injuries treated with screw only fixation constructs to those treated with dorsal plate and screw constructs. Seventy patients who underwent surgical treatment for acute Lisfranc injury without arthrodesis and minimum 6-month (mean> 1-year) follow-up were identified. Demographics, surgical information, and radiographic imaging were reviewed. Cost data was compared. The primary outcome measure was the American Orthopedic Foot and Ankle Surgery (AOFAS) midfoot score. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 24, 2023 Category: Orthopaedics Authors: Dr Christopher G. Herbosa, Dr Kenneth A. Egol Tags: Original Research Source Type: research
Tibialis Anterior Tendon Rupture Surgical Treatments and Outcomes: A Systematic Review and Meta-Analysis
Tibialis anterior tendon ruptures are a rare condition with an often-delayed diagnosis due to transient pain and compensation of remaining anterior compartment tendons. Previous systematic reviews have limited their recommendations to surgical treatment over nonoperative cares given the relatively small sample size in the literature. This current systematic review and meta-analysis was performed to compare the outcomes amongst the various surgical techniques and define factors that may affect long term patients results. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 22, 2023 Category: Orthopaedics Authors: Keegan A. Duelfer, Jeffrey E. McAlister Tags: Original Research Source Type: research
Progression to Hindfoot Charcot Neuroarthropathy After Midfoot Charcot Correction in Patients With and Without Subtalar Joint Arthrodesis
Charcot neuroarthropathy (CNA) is a disabling and progressive disease that affects the bones and joints of the foot. Successful Charcot reconstruction focuses on restoring anatomic alignment, obtaining multiple joint arthrodesis, selecting stable fixation, preserving foot length, and creating a foot suitable for community ambulation in supportive shoegear. Intramedullary fixation arthrodesis of the medial and lateral columns has been previously reported to produce improvement in midfoot Charcot reconstruction. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 22, 2023 Category: Orthopaedics Authors: Sara Mateen, Michael A. Thomas, Asma Jappar, Stephanie Wu, Andrew J. Meyr, Noman A. Siddiqui Tags: Original Research Source Type: research
Primary Deltoid Repair for Ankle Fracture using All-Suture Anchors
Primary repair of the deltoid ligament is a common surgical option for unstable ankle fracture. However, controversy exists regarding whether such repair is necessary or provides any benefit to patient outcomes. A retrospective study was performed following acute deltoid repairs using all-suture bone anchors. Patients at two surgical centers were included when they were over 18 years old at surgery, had a medial clear space (MCS) greater than 4mm preoperatively, and had at least six months of follow-up. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 13, 2023 Category: Orthopaedics Authors: Ryan B. Rigby, Glenn S. Fleisig, Norman E. Waldrop Source Type: research
Retrospective Comparison of Isolated Haglund's Deformity Surgery versus Combined with Gastrocnemius Recession
Insertional Achilles tendonitis is a common pathology treated by foot and ankle surgeons that may require surgical intervention. Literature has shown good outcomes following detachment and reattachment of the Achilles for removal of the exostosis. However, there is minimal literature showing the impact of adding a gastrocnemius recession to the Haglund's resection. The goal of the present study was to retrospectively review the outcomes of an isolated Haglund's resection versus a Haglund's resection combined with a gastrocnemius recession. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - March 13, 2023 Category: Orthopaedics Authors: Bryanna D. Vesely, Brennan K. Reardon, Aaron T. Scott, Ashleigh W. Medda Tags: Original Research Source Type: research
Readability, Understandability, and Actionability of Online Limb Preservation Patient Education Materials
With countless sites detailing disease management, treatment, and prognosis, patients often turn to the internet for medical decision-making assistance. While such sites provide ample patient education material, little is known about the reading level, understandability, and actionability of information on these sites. In a limb preservation population, assessing what information patients are interpreting becomes vital to ensure care is not compromised. Internet searches of the terms “Charcot foot, diabetic foot ulcer, foot ulcer, critical limb ischemia, gangrene, osteomyelitis, lymphedema, DVT, pulmonary thrombosis, and...
Source: Journal of Foot and Ankle Surgery - March 13, 2023 Category: Orthopaedics Authors: Dominick Casciato, Alexa Bykowski, Nevin Joseph, Robert Mendicino Tags: Original Research Source Type: research
The Impact of Surgical Timing After Ankle Fracture on Clinical and Long-Term Patient Reported Outcomes
The goal of this study is to evaluate the effect of time-to-surgery following closed ankle fractures on long-term patient reported outcomes, fracture healing, and wound complications. To date, little research has been done focusing on the impact “time to definitive fixation” has on patient reported outcomes. We performed a retrospective analysis of 215 patient records who underwent open reduction and internal fixation (ORIF) for an ankle fracture from July 2011 to July 2018. A total of 86 patients completed the patient reported outcome measurement information systems (PROMIS) survey at long term follow up. (Source: Jou...
Source: Journal of Foot and Ankle Surgery - March 2, 2023 Category: Orthopaedics Authors: Jacob Hawkins, Nicholas A. Andrews, Matthew T. Sankey, Thomas Sanchez, Sean Young, Abhinav Agarwal, Gerald McGwin, Ashish Shah Tags: Original Research Source Type: research
TEMPORARY REMOVAL: Re: ACFAS Ankle Arthritis Consensus Statement
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies/article-withdrawal. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - February 28, 2023 Category: Orthopaedics Authors: Michael M Cohen, Jason E Levine, Nathan Vela Source Type: research
Maintenance of Correction of the Modified Lapidus Procedure with a First Metatarsal to Second Metatarsal Screw with “Spot Weld” Technique: A Retrospective and Radiographic Analysis
Lapidus 1st tarsometatarsal (TMT) arthrodesis gained popularity for its ability to correct large deformities especially in cases of medial column instability. Despite solid 1st TMT fusion, instability between the 1st and 2nd columns can result in loss of intermetatarsal (IM) angle correction over time. A ‘spot weld’ or fusion between the 1st and 2nd metatarsal may improve maintenance of correction. This retrospective study reviewed cases of Lapidus arthrodesis with 1st to 2nd metatarsal base screw fixation for maintenance of IM correction and determine whether a “spot weld” is predictive of maintenance. (Source: Jo...
Source: Journal of Foot and Ankle Surgery - February 28, 2023 Category: Orthopaedics Authors: John M. Thompson, Christopher F. Hyer Tags: Original Study Source Type: research
Re: ACFAS Ankle Arthritis Consensus Statement
The authors of the ACFAS ankle arthritis consensus statement [1] should be congratulated for their work on this project. There is no doubt that multifaceted treatment options for osteoarthritis of the ankle have expanded exponentially and represents an exciting field of future research, both from a medical and surgical perspective. However, it was disappointing to see that two published articles did not appear to deserve mention. Clearly Dr. Roy Altman and the late Roland Moskowitz are renown for publishing a plethora of leading articles and consensus statements in the field of osteoarthritis. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - February 28, 2023 Category: Orthopaedics Authors: Michael M Cohen, Jason E Levine, Nathan Vela Tags: Letters to the Editor Source Type: research
