Post-Operative Magnetic Resonance Evaluation of Anterior Talofibular Ligament following Arthroscopic Brostrom Procedure: Analysis and Outcomes of 40 Repairs at 12 Months
Lateral ankle sprains are one of the most common orthopedic injuries. When conservative treatment fails, surgical correction is often performed using either open or arthroscopic techniques. We hypothesize that MRI evaluation of the arthroscopic brostrom repair will show intact repair and decrease in thickness of the anterior talofibular ligament (ATFL) at 1 year, with statistically significant improvement of patient function and pain scores. Post-operative MRI was utilized at minimum 1-year follow-up to evaluate the integrity of the arthroscopic brostrom repair, as well as comparison of ATFL thickness to literature validat...
Source: Journal of Foot and Ankle Surgery - December 5, 2023 Category: Orthopaedics Authors: Dr. Jay S. Badell, Dr. James M. Cottom Tags: Original Research Source Type: research
Comparing Outcomes Of Acute Versus Gradual Surgical Correction In Brachymetatarsia
Brachymetatarsia consists of a shortened metatarsal resulting in a shorter toe. Pain with shoe wear and cosmetic concerns are the main reasons for surgical intervention. Surgical techniques to increase metatarsal length include acute lengthening with interpositional bone grafting or gradual lengthening with callus distraction. We performed a retrospective cohort study for one surgeon's patients at one institution over ten years. Twenty-nine feet in 22 patients met inclusion criteria for acute correction; 16 feet in 11 patients were included for gradual correction. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - December 5, 2023 Category: Orthopaedics Authors: Noman A. Siddiqui, Sara Mateen, Michael A. Thomas, Kelsey J. Millonig Tags: Original Research Source Type: research
Radiological Analysis of the Syndesmosis Concept in Metatarsus Primus Varus and Hallux Valgus Deformities Recurrence Prevention
Hallux valgus (HV) is a common deformity of the foot. Its postoperative recurrence is not uncommon and is closely related to the recurrence of its underlying metatarsus primus varus (MPV) deformity. The syndesmosis procedure uses 1-2 intermetatarsal cerclage sutures to realign the first metatarsal and then induces a biological bonding between the two metatarsals to prevent the MPV deformity from recurring. This radiological study aimed to assess its effectiveness in long-term MPV and HV deformities recurrence prevention. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - December 4, 2023 Category: Orthopaedics Authors: Daniel Yiang Wu, Eddy Kwok Fai Lam Tags: Original Research Source Type: research
New Classification for Pediatric Proximal Fifth Metatarsal Fractures
Proximal fifth metatarsal fractures are the most common foot fractures in children. Attempts to classify these injuries are misapplied and inadequately predict outcomes. This is the first study to identify factors associated with healing in pediatric fifth metatarsal fractures. In this retrospective cohort study (N=305), proximal fifth metatarsal fractures were classified on radiographs by location on the bone, alignment (transverse or oblique), displacement (>2mm), and completion through the bone. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - December 3, 2023 Category: Orthopaedics Authors: Hannah A. Lee, Morgan G. Batley, Arielle Krakow, Matthew J. Buczek, Sulagna Sarkar, Divya Talwar, B. David Horn, Richard S. Davidson Tags: Original Research Source Type: research
Intramedullary nailing versus open reduction and plate fixation for lateral malleolar fractures: a meta-analysis
The fixation for lateral malleolar fracture in ankle fractures is still controversial. The purpose of this meta-analysis is to compare clinical and radiological outcomes between intramedullary nail (IMN) and plate for lateral malleolar fracture in ankle fractures. The PubMed, EMBASE and Cochrane Library were searched for randomized controlled trials (RCTs) from databases inception to June 2023. Data of outcomes were extracted and the methodological quality of included studies were assessed. A meta-analysis was performed using RevMan 5.3 software when the data extracted from included studies could be synthesized. (Source: J...
Source: Journal of Foot and Ankle Surgery - December 3, 2023 Category: Orthopaedics Authors: Jie Wang, Hao-bo Jia, Hao-min Li, Hong-qiang Jiang, Jia-guo Zhao Tags: Original Research Source Type: research
Characteristics of Nonunion After Arthroscopic Ankle Arthrodesis: A Multicenter Retrospective Cohort Study
Nonunion is a major complication of arthroscopic ankle arthrodesis. However, the characteristics and risk factors of nonunion are not well understood. This retrospective multicenter observational study aimed to clarify the characteristics of nonunion after arthroscopic ankle arthrodesis. We included 154 patients who underwent arthroscopic ankle arthrodesis at any 1 of 5 institutions. Patients were divided into 2 groups: union and nonunion, and the groups were compared. Age, sex, body mass index, diabetes, smoking, corticosteroid use, diagnosis, treatment information, treatment protocol, radiographic evaluation, and patient...
Source: Journal of Foot and Ankle Surgery - December 1, 2023 Category: Orthopaedics Authors: Katsunori Takahashi, Atsushi Teramoto, Satoshi Yamaguchi, Kentaro Amaha, Kenta Saiga, Koji Noguchi, Kota Watanabe Tags: Original Research Source Type: research
Quality and Readability Analysis of Online Information on First Metatarsophalangeal Joint Fusion
This study evaluates the readability and quality of first metatarsophalangeal (MTP) joint fusion information found online. We evaluated websites based on classification, search term, readability, HON code, DISCERN score, Journal of the American Medical Association benchmark criteria, and an author-created MTP fusion index (MFI). The average readability of websites was 8.48 ± 1.99, above the recommended sixth- or eighth-grade reading level. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - December 1, 2023 Category: Orthopaedics Authors: Hamza M. Raja, Sterling J. DeShazo, Jeffrey T. Bowcutt, Jie Chen Tags: Original Research Source Type: research
Calcaneal Bone Biopsy Inconsistency between Specimens obtained from Trephine and Fine Needle Biopsy Techniques
Standardized methods for osteomyelitis (OM) diagnosis of the lower extremity have proven to be difficult. Pre-operative probability of foot osteomyelitis necessitates a combination of clinical, laboratory, imaging evidence (i.e., x-ray, CT, MRI), and bone biopsy to guide diagnosis and treatment. In the recent past, the relative weight that clinicians give to these collections of data to advise potential surgical intervention has been challenged, particularly with histologic evaluation of bone biopsy – traditionally considered “gold standard” in OM diagnosis. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - December 1, 2023 Category: Orthopaedics Authors: John W. Sessions, Karen Brust Tags: Original Research Source Type: research
Characteristics of Nonunion After Arthroscopic Ankle Arthrodesis: A Multi-center Retrospective Cohort Study
Nonunion is a major complication of arthroscopic ankle arthrodesis. However, the characteristics and risk factors of nonunion are not well understood. This retrospective multi-center observational study aimed to clarify the characteristics of nonunion after arthroscopic ankle arthrodesis. We included 154 patients who underwent arthroscopic ankle arthrodesis at any one of five institutions. Patients were divided into two groups: union and nonunion, and the groups were compared. Age, sex, body mass index, diabetes, smoking, corticosteroid use, diagnosis, treatment information, treatment protocol, radiographic evaluation, and...
Source: Journal of Foot and Ankle Surgery - December 1, 2023 Category: Orthopaedics Authors: Katsunori Takahashi, Atsushi Teramoto, Satoshi Yamaguchi, Kentaro Amaha, Kenta Saiga, Koji Noguchi, Kota Watanabe Tags: Original Research Source Type: research
Incidence of Medial Deltoid Ligament Instability in 226 Patients with Chronic Ankle Instability
The deltoid ligament is vitally important in the stability of the ankle and preventing excessive medial ankle movement. Historically, the impact of medial ankle instability has not been well understood in the setting of chronic ankle instability. A retrospective review of 226 patients treated for ankle instability between 2017-2022 identified 40 patients who required both medial and lateral repair. Decision for medial deltoid repair was based upon patient presentation, MRI findings, intraoperative fluoroscopy and final confirmation via arthroscopic positive “drive-through sign”. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - December 1, 2023 Category: Orthopaedics Authors: Ryan B. Rigby, Nathaniel A. Ptak Tags: Original Research Source Type: research
“No Care Pin Care” Following Charcot Reconstruction with Static External Fixation
Charcot reconstruction with static external fixation provides stability in deformity correction. Concern for pin site health remains forefront to prevent premature fixator removal should infection develop. While previous investigations examined a spectrum of pin care protocol with a similar variation in outcomes, this study assesses results following a “no care pin care” routine. A retrospective analysis of patients with Charcot neuroarthropathy treated with static external fixation was performed where all pin sites were dressed using a chlorhexidine-soaked sponge without post-operative maintenance. (Source: Journal of...
Source: Journal of Foot and Ankle Surgery - December 1, 2023 Category: Orthopaedics Authors: Dominick J Casciato, Sara Mateen, Jacob Wynes Tags: Original Research Source Type: research
Retrospective Evaluation of Ultrasound Guided Percutaneous Plantar Fasciotomy With and Without Platelet Rich Plasma
This study evaluates patient reported pain scores collected pre- and post-op for patients who underwent percutaneous ultrasonic micro-tenotomy (PUT) plantar fasciotomy with PRP injection vs without the use of PRP. We compared pain visual analog scale (VAS) scores, for patients treated surgically by Orthopedic Surgery department of foot& ankle faculty members between December 2007 and December 2022. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - November 30, 2023 Category: Orthopaedics Authors: Alexander Turner, Jijia Wang, George Liu, Dane Wukich, Michael VanPelt Tags: Original Research Source Type: research
Correlation Between Traditional Anteroposterior Radiographic Measurements with Lateral Radiographic Measurements Following Triplanar Correction of Hallux Valgus and with Patient-Reported Outcomes from a Prospective Multicenter Trial
Hallux valgus (HV) is a common condition in which the first ray is deformed, leading to pain and altered joint mechanics. A variety of radiographic measurements are used to evaluate HV. Little is known about measurements used in assessment of HV on lateral radiographs compared to anteroposterior (AP) radiographs. The primary aim of this study was to correlate lateral measurements with AP measurements pre- and post-operatively. The secondary aim was to correlate lateral measurements with patient-reported outcome measures (PROMs) pre- and post-operatively. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - November 18, 2023 Category: Orthopaedics Authors: Holden Archer, Seth Reine, Shyam Ramachandran, Jennifer Koay, George Liu, Dane K. Wukich, Avneesh Chhabra Tags: Original Research Source Type: research
Evidence-Based Opioid Education that Reduces Prescribing: The 10 Principles of Opioid Prescribing in Foot and Ankle Surgery
The United States Opioid Epidemic is a worsening public health crisis. We aim to determine if a voluntary educational intervention containing standard opioid and non-opioid analgesic prescribing ranges for common surgeries is effective in altering postoperative prescribing practice. We utilized a mixed methods approach and sent out a questionnaire to American podiatric physicians, including residents (baseline group A), via email in early 2020 for baseline data; then, we interviewed foot and ankle surgeons and the primary themes of these semi-structured interviews informed us to target residents for an educational interven...
Source: Journal of Foot and Ankle Surgery - November 17, 2023 Category: Orthopaedics Authors: Camille P. Ryans, Bradley M. Brooks, Dyane E. Tower, Jeffrey M. Robbins, Michelle L. Butterworth, Mickey D. Stapp, Ashley M. Nettles, Brandon M. Brooks Tags: Original Research Source Type: research
Short-Term Outcomes After Bipolar Osteochondral Allograft Transplantation (OCAT) in the Ankle
This study documents initial outcomes for patients undergoing bipolar OCAT in the ankle after advances in tissue preservation, transplantation techniques, and patient management strategies were implemented. Patients were prospectively enrolled into a registry designed to follow outcomes after OCAT in the ankle. Fourteen patients were included for analyses (12 primary OCAT, 2 revision OCAT). Four patients underwent Bipolar OCAT (tibia, talus) and 10 Bipolar+ OCAT (tibia, talus, fibula). (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - November 13, 2023 Category: Orthopaedics Authors: Kylee Rucinski, James L. Cook, Kyle M. Schweser, Brett D. Crist Tags: Original Research Source Type: research
