Soft Tissue Structures at Risk with a Percutaneous Focal Dome Osteotomy: A Cadaver Study
The focal dome osteotomy allows deformity correction through frontal plane rotation, and if needed, anterior or posterior translation. This percutaneous technique allows extracapsular ankle realignment with minimal soft tissue dissection. While circumventing a standard anterior incision, this technique encounters soft tissue structures that must be considered. Focal dome osteotomies were simulated on ten fresh-frozen below the knee cadavers. Centered proximal to the tibial plafond at the physeal scar, a radial arm using a four-hole Rancho cube was used to map the dome. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 11, 2023 Category: Orthopaedics Authors: Dominick J Casciato, Ryan Stone, Robert Mendicino Tags: Original Research Source Type: research
Evaluate the Influencing Factors of Congruency of the First Metatarsophalangeal Joint in Hallux Valgus Based on Weight-bearing CT
The purpose of this study was to explore the difference between congruency and incongruency of the first metatarsophalangeal (MTP) joint in hallux valgus using weight-bearing CT (WBCT) and to identify the risk factors for incongruency. From January 2019 to January 2021, WBCT scans were retrospectively analyzed for 110 (191 feet) consecutive patients. According to whether the metatarsal articular surface and phalanx articular surface were parallel, they were divided into congruency (73 feet) and incongruency groups (118 feet). (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 11, 2023 Category: Orthopaedics Authors: Chao Wang, Zhi Wang, Mingzhu Zhang Tags: Original Research Source Type: research
Center-Center Surgical Technique with Dynamic Syndesmosis Fixation: A Cadaveric Pilot Study
The objective of this cadaveric biomechanical study was to evaluate if the center-center surgical technique is a reliable and repeatable method of achieving proper syndesmotic reduction when using dynamic syndesmotic fixation. Nine fresh frozen above-knee cadaveric lower extremities were used. Computerized tomography (CT) scans were first obtained for each intact specimen as the baseline for comparison. A simulated complete syndesmotic disruption was created by transection of all deltoid and syndesmotic ligaments. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 11, 2023 Category: Orthopaedics Authors: Shane P. Duggan, Alexander CM. Chong, Timothy P. Uglem Tags: Original Research Source Type: research
Medium-term Outcomes of the Arthroscopic Brostrom Procedure: A Retrospective Analysis of 66 Patients
The arthroscopic Brostrom procedure is a minimally invasive technique that is a viable option surgeons have to treat patients with chronic lateral ankle instability (CAI). Our hypothesis was that there will be a statistically significant difference in pre- and postoperative scores and that patient satisfaction scores remained consistent at a minimum of 5 years post-operatively. Pre-operative American Orthopedic Foot and Ankle (AOFAS) hindfoot scores, visual analog scale (VAS), foot function index (FFI) were compared with post-operative scores. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 10, 2023 Category: Orthopaedics Authors: James M. Cottom, Jorge Acevedo, Charles Sisovsky Tags: Original Research Source Type: research
Foot Surgery using Resorbable Magnesium Screws
The use of bioabsorbable magnesium (Mg) screws is new in foot surgery. Their relative merit over conventional titanium screws has not yet been proven. This prospective case series study was conducted to compare the clinical and radiological outcomes of bioabsorbable Mg screws and titanium screws. A consecutive series of patients (n=60; 11 men and 49 women) underwent corrective hallux valgus surgery. The minimum follow-up period was 1 year. The assessment was based on a patient questionnaire, including the American Orthopedic Foot and Ankle Society (AOFAS) hallux valgus score, visual analog scale, patient's global impress...
Source: Journal of Foot and Ankle Surgery - September 10, 2023 Category: Orthopaedics Authors: Tomer Gazit, Dror Robinson, Kefah Khawalde, Mohammed Eisa, Khaled Qassem, Eyal Heller, Mustafa Yassin Tags: Original Research Source Type: research
The Reliability of Common Radiographic Measurements Used to Describe Foot Deformities
Radiographic measurements are frequently used to classify deformity and determine treatment options. Correlation coefficients can be used to determine inter- and intra-rater reliability. Reliability is a required feature of any measurement if the measurement is to provide valid information. We calculated correlation coefficients for standard radiographic measurements used to categorize foot deformities: this was done for 52 sets of radiographs assessed by 5 raters. We aimed for generalizability, and kept rater instructions to match what was originally published for each measurement of interest with schematic illustration. ...
Source: Journal of Foot and Ankle Surgery - September 8, 2023 Category: Orthopaedics Authors: Mohammad Junayed Khan, Modupe D. Apetuje, Eugene Cheng, Lauren Christie, Hye R. Kim, Cathrine Stark, D. Scot Malay Tags: Original Research Source Type: research
Defining the Structures at Risk and an Anatomical Safe Zone for Percutaneous Antegrade Subtalar Joint Fixation with a Single Screw: A Cadaveric Study
Percutaneous antegrade (anterior to posterior (AP), or proximal to distal) fixation for subtalar joint (STJ) arthrodesis offers various intraoperative and biomechanical advantages. Currently, the entry point for percutaneous antegrade STJ screw fixation is not clearly described and variable. To our knowledge, there are no publications that evaluate anatomic structures at risk or define an anatomically safe entry point for this fixation. The aim of this investigation was to define an anatomically safe and reproducible entry point for percutaneous antegrade STJ arthrodesis fixation, while also describing anatomic structures ...
Source: Journal of Foot and Ankle Surgery - September 2, 2023 Category: Orthopaedics Authors: Ryan Stone, Tung Dao, Zachary Hill, D. Scot Malay, Robert Mendicino Tags: Original Research Source Type: research
Venous thromboembolism prophylaxis in foot and ankle surgery: a worldwide survey
Current recommendations on thromboprophylaxis for foot and ankle (FA) surgery are often inconsistent and generally based on weak evidence. The aim of this survey study was to evaluate the current practice among orthopedic surgeons regarding venous thromboembolism (VTE) prophylaxis following FA surgery. From February 2019 to March 2020, an online questionnaire was sent by e-mail to orthopedic societies across the world. The questionnaire was hosted by the International Society of Thrombosis and Haemostais (ISTH) RedCAP platform. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 1, 2023 Category: Orthopaedics Authors: Roberto Zambelli, Sophie Fr ölke, Caio Nery, Daniel Baumfeld, Cristian Ortiz, Suzanne Cannegieter, Banne Nemeth, Suely Meireles Rezende Source Type: research
30-Day Readmission Following Outpatient Transmetatarsal Amputation in the Geriatric Population: An ACS NSQIP Analysis
Whether secondary to deformity, traumatic injury, infection, neoplasm, or ischemic disease, the transmetatarsal amputation provides a functional means of limb preservation prior to major proximal amputation. With similar readmission rates following inpatient and outpatient surgery, prevention of an unnecessary admission among vulnerable patients, specifically geriatrics, proves beneficial. This investigation examines differences among geriatric patients admitted and not requiring readmission following outpatient transmetatarsal amputation. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 31, 2023 Category: Orthopaedics Authors: Dominick J Casciato, Karen Kirkham, Jacob Wynes Tags: Original Research Source Type: research
Letter to the Editor on “What Do Patients Report Regarding Their Real-World Function Following Triplane Metatarsophalangeal Joint Arthrodesis for Hallux Valgus?”
We congratulate the authors for addressing activity levels after arthrodesis of the first metatarsophalangeal joint (1). The article contains important information and should be noted for what the abstract omitted. In the table regarding running before and after surgery, 51/60 said they were “worse” before surgery (85%) and 49/60 (81.7%) said they were worse after surgery as to the ability to run. Regarding tennis, 58/60 (96.7%) said they were worse before surgery and 57/60 (95%) said they were worse after surgery. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 30, 2023 Category: Orthopaedics Authors: Magali Fournier, Amol Saxena, Nicola Maffulli Tags: Letters to the Editor Source Type: research
“I Want My Bunion Back” 10 Years Later in the Era of Patient-Reported Outcomes
At the 2012 American College of Foot and Ankle Surgeons Annual Scientific Conference, Luke Cicchinelli, DPM, FACFAS, presented a lecture titled “Doc, I Want My Bunion Back.” The presentation was the most unscientific presentation at the scientific meeting, yet it received a standing ovation at the end. The lecture was about questioning our perception of success, often influenced by “evidence-based medicine,” in bunion surgery (or an y surgery, for that matter). He argued that our perceptions of success often did not align with patients’ expectations. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 30, 2023 Category: Orthopaedics Authors: Naohiro Shibuya Tags: Editorial Source Type: research
Exploring the Relationship Between Clinical Presentation in Hallux Valgus and Response to AbobotulinumtoxinA Treatment —A Closer Look
This is an impressive post hoc analysis of trial data for an oblique objective uncoupling the degrees of HV angular deformity and pain. Common knowledge to those who regularly treat HV, and a strong argument to offer a viable nonsurgical treatment for small painful bunions. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 30, 2023 Category: Orthopaedics Authors: Philip Radovic Source Type: research
Letter to the Editor, RE: Berger et al. A Comparative Analysis of Functional and Patient-Reported Outcomes Following Lisfranc and Chopart Amputations in High-Risk Limb Salvage Patients. J Foot Ankle Surg. 2023. doi: 10.1053/j.jfas.2023.04.014
We write regarding the recent article by Berger et al (1) given the multiple instances where our research has been misrepresented. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 30, 2023 Category: Orthopaedics Authors: Michael P Dillon, Matthew Quigley, Stefania Fatone Source Type: research
Cover 1 -- cover prints black and PMS 261
(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 30, 2023 Category: Orthopaedics Source Type: research
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(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 30, 2023 Category: Orthopaedics Source Type: research
