Biomechanical Comparison of Locking Plate and Cancellous Screw Techniques in Medial Malleolar Fractures: A Finite Element Analysis
In this study, 3-dimensional models of the distal tibia were reconstructed from a computed tomography scan of a young healthy male adult. Conditions included 3 fracture lines at 30°, 60°, and 90°; 2 groups of fixation (LCP and CS); and 3 adduction loads of 300, 500, and 700 N applied to the medial malleolar joint surface. The proximal part of the tibia was fixed for all degrees of freedom. The fracture displacements of the LCP were smaller than those of CS (p
Source: The Journal of Foot and Ankle Surgery - September 25, 2019 Category: Orthopaedics Source Type: research

Reply to Letter to the Editor
Publication date: Available online 25 September 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Paul J. Kim, Tammer Elmarsafi (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - September 25, 2019 Category: Orthopaedics Source Type: research

Local Autograft and Strong Pulvertaft Fixation Technique for Reconstruction of a Rerupture of the Extensor Hallucis Longus Tendon: A Case Report
Publication date: Available online 25 September 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Lisa Tuennermann, Martin C. Jordan, Mila M. Paul, Hendrik Jansen, Rainer H. Meffert, Stefanie Hoelscher-DohtAbstractThere are different treatment options for extensor hallucis longus injuries. For primary repair, the end-to-end suture is recommended. The treatment of reruptures or tendon defects is challenging, and a wide range of procedures have been used in this regard, including primary and secondary repairs with and without auto- and allografts. To overcome the disadvantages of second-site morbidity and to achiev...
Source: The Journal of Foot and Ankle Surgery - September 25, 2019 Category: Orthopaedics Source Type: research

Can We Abandon Saw Wedge Resection in Lapidus Fusion? A Comparative Study of Joint Preparation Techniques Regarding Correction of Deformity, Union Rate, and Preservation of First Ray Length
Publication date: Available online 25 September 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Troy J. Boffeli, Shelby B. HyllengrenAbstractThe traditional joint preparation technique for Lapidus fusion involves wedge resection using a saw to achieve correction of intermetatarsal angular deformity. The main drawback of this approach is undesirable shortening of the first ray, which can predispose to second ray overload that may preclude the procedure for a subset of patients or may necessitate second metatarsal shortening osteotomy. The goal of this study was to determine whether a first ray length-preserving ...
Source: The Journal of Foot and Ankle Surgery - September 25, 2019 Category: Orthopaedics Source Type: research

Relationships Between First Metatarsal and Sesamoid Positions and Other Clinically Relevant Parameters for Hallux Valgus Surgery
In this study, we explored the relationships between frontal-plane rotations of the first metatarsal as well as the sesamoids, and other factors not limited to the first ray, to better understand the pathological process of HV deformity and to assist in surgical planning. We found that when adjusting for these covariates, the only factor associated with first metatarsal external rotation was having less metatarsus adductus. Sesamoid rotation, on the other hand, was independently associated with the HV angle, tibial sesamoid position, and medial column collapse. When surgically treating HV, correction of sesamoid rotation m...
Source: The Journal of Foot and Ankle Surgery - September 25, 2019 Category: Orthopaedics Source Type: research

Letter to the Editor
Publication date: Available online 25 September 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Lawrence A. Lavery, Daniel C. Jupiter (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - September 25, 2019 Category: Orthopaedics Source Type: research

Relationship Between Isokinetic Muscle Strength and Functional Tests in Chronic Ankle Instability
The objective of this study was to evaluate the relationship between isokinetic muscle strength and functional tests in CAI. Between April 2014 and August 2016, 103 patients with unilateral CAI were studied. Single-leg balance, single-heel raise, and single-leg squat tests were performed for static balancing assessment. Single-leg hop, double-leg jump, and sidestep tests were performed for dynamic balancing assessment. The isokinetic muscle strength of both ankles was measured using a dynamometer. The involved ankle showed lower muscle strength in inversion than the uninvolved ankle, while eversion, dorsiflexion, and plant...
Source: The Journal of Foot and Ankle Surgery - September 25, 2019 Category: Orthopaedics Source Type: research

Printed 3-Dimensional Computed Tomography Scanned Ankle Fractures as an Educational Instrument
The objective of this investigation was to examine the feasibility of and student satisfaction with using 3-dimensional (3D) printed bone models representative of the Lauge-Hansen classification. The computed tomography scans of subjects with actual rotational ankle fractures representative of the Lauge-Hansen classification were identified and extracted into a format compatible with a 3D printer. The models were approximately 20 cm in height and made of acrylonitrile butadiene styrene plastic in ivory color. These were subsequently implemented into the curriculum of a traumatology course with third year podiatric medical ...
Source: The Journal of Foot and Ankle Surgery - September 25, 2019 Category: Orthopaedics Source Type: research

Delayed Healing in Metatarsal Fractures: Role of Low-Intensity Pulsed Ultrasound Treatment
Publication date: Available online 20 September 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Robert Anderson, Selene Parekh, Mary Jo Braid-Forbes, R. Grant SteenAbstractThe most common fracture in primary care is metatarsal fracture, but it is controversial whether to treat this fracture conservatively or surgically. We performed a cohort study to contrast metatarsal fractures that heal normally with fractures that show delayed healing. We analyzed 5% Medicare Standard Analytic Files, selecting all metatarsal fractures in 2011 to 2013, excluding patients with multiple fractures. Delayed healing was defined a...
Source: The Journal of Foot and Ankle Surgery - September 21, 2019 Category: Orthopaedics Source Type: research

Acute Deep Venous Thrombosis and Pulmonary Embolism in Foot and Ankle Trauma in the National Trauma Data Bank: An Update and Reanalysis
In this study of the National Trauma Data Bank Data set (2007–2009 and 2010–2016), these rates were reexamined and risk factors associated with these complications were assessed. Data quality is improved in the later data set; the incidence of deep venous thrombosis and pulmonary embolism was 0.28% and 0.21%, respectively, in the 2010–2016 data. Prophylaxis, male gender, treatment in a university hospital, open reduction, chronic obstructive pulmonary disease, and hypertension were notable significant risk factors for pulmonary embolism. For deep venous thrombosis, male gender, bleeding disorder, angina, ...
Source: The Journal of Foot and Ankle Surgery - September 21, 2019 Category: Orthopaedics Source Type: research

Interobserver Analysis of Standard Foot and Ankle Radiographic Angles
This study validates the previously documented normal angles using a significantly larger observer group as well as a greater number of analyzed angles. Additionally, this study reveals the tibio-second metatarsal angle on the calcaneal axial view is not a reliable radiographic angle for evaluation of foot and ankle deformity. Intraclass correlation coefficients were also analyzed, which displayed variability in measurements based on level of training, with residents being the most accurate, followed by attending physicians and then students. Foot and ankle radiographs are essential for surgical planning, and understanding...
Source: The Journal of Foot and Ankle Surgery - September 14, 2019 Category: Orthopaedics Source Type: research

Validation of the Western Ontario and McMaster Universities Osteoarthritis Index in Patients Having Undergone Ankle Fracture Surgery
Publication date: Available online 6 September 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Ville T. Ponkilainen, Arja H. Häkkinen, Mikko M. Uimonen, Erkki Tukiainen, Henrik Sandelin, Jussi P. RepoAbstractThe Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is a patient-reported outcome measure (PROM) that is widely used to evaluate the pain, stiffness, and physical function of patients with osteoarthritis of the hip and knee. Although the WOMAC has also been used for patients after foot and ankle surgery, it has not been validated for this purpose. A total of 130 patients with sur...
Source: The Journal of Foot and Ankle Surgery - September 7, 2019 Category: Orthopaedics Source Type: research

Anatomical Study of the Compositions and Internal Connections of the Chiasma Plantare (Master Knot of Henry): Exploring Its Possible Clinical Impact
In conclusion, we considered the FDL to be more advanced for the recovery of both the ankle and the forefoot based on this study. (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - September 5, 2019 Category: Orthopaedics Source Type: research

Clinical Evidence for Treatment of Distal Tibiofibular Syndesmosis Injury: A Systematic Review of Clinical Studies
Publication date: Available online 5 September 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Guoming Liu, Li Chen, Min Gong, Fei Xing, Zhou XiangAbstractNo consensus had been reached about the optimal treatment for syndesmotic fixation. We performed a review of randomized controlled trials (RCTs) to assist in clarifying many of the controversies that were debated for years despite new technology and options. PubMed, Embase, and the Cochrane Library were searched through specific terms and limits. Only RCTs were selected for final inclusion. Study screening and data extraction were performed independently by 2...
Source: The Journal of Foot and Ankle Surgery - September 5, 2019 Category: Orthopaedics Source Type: research

Peroneal Tendon Lengthening as an Adjunct Procedure to Aid in the Reduction of the Lateral Malleolus in Diabetic Ankle Fractures: 2 Case Reports
Publication date: Available online 31 August 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Nkechinyere Christina Nwoko, Edgardo Rodriguez-Collazo, Mitchell L. GoldfliesABSTRACTIt is well-documented that individuals with longstanding diabetes mellitus are at risk for specific metabolic abnormalities; this includes but is not limited to increased glycation of collagenous soft-tissue structures. It is also apparent that such changes can manifest as thickening and increased stiffness of tendinous structures. What remains unknown are the biomechanical ramifications of these changes and how they should affect the s...
Source: The Journal of Foot and Ankle Surgery - September 1, 2019 Category: Orthopaedics Source Type: research

Cover 1 -- cover prints black and PMS 261
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Sub Info
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Editorial Board
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Table of Contents
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Feel the Burn…Out
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): D. Scot Malay (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Comparison of Supervised Exercise and Home Exercise After Ankle Fracture
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Nihal Büker, Raziye Şavkın, Nusret ÖkAbstractAnkle fractures are common fractures of the lower extremities that have an incidence rate of 101 fractures per 100.000 person-years. It is not clear which rehabilitation intervention should be performed after an ankle fracture. The aims of this study are to compare the effectiveness of a supervised exercise program with that of a home exercise program and to determine and compare the costs of these programs. A supervised exercise program and a home exercise pro...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Long-Term Results With the Use of Modified Percutaneous Repair of the Ruptured Achilles Tendon Under Local Anaesthesia (15-Year Analysis With 270 Cases)
This article presents results with the use of modified percutaneous Achilles tendon repair under local anesthesia performed from January 1991 to December 2005 with a 2- to 10-year follow-up. There were 270 procedures in 247 male patients (92.51%) and 20 female patients (7.49%), mean ± SD age 38.7 ± 11.56 (range 20 to 83) years, in all consecutively treated patients within 7 days after acute total rupture; 3 patients sustained ruptures on both sides in different periods. Postoperative care consisted of wearing a cast or soft cast or functional immobilization for 6 weeks. The procedure was well tolerated in all...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Three-Year Follow-Up Results of Combined Short Scarf Osteotomy With Akin Procedure for Hallux Valgus
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Aysha Rajeev, Nezar TumiaABSTRACTThe short scarf osteotomy has been developed as a less-invasive method of preserving the soft tissue envelope, at the same time maintaining the strength, correction, and utility of a classic long scarf osteotomy. We carried out a review of 166 short scarf osteotomies performed combined with the Akin procedure with a mean follow-up of 34.6 (range 28 to 38) months. These radiographic parameters were evaluated preoperatively, at 6 weeks, and at 3 years. The functional evaluation was base...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

New Sagittal Plane Reference Parameters for Foot Deformity Correction Planning: The Vitruvian Foot
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Leonid N. Solomin, Konstantin A. Ukhanov, Alexander P. Kirienko, John E. HerzenbergABSTRACTCurrently available methods for analysis and planning of post-traumatic or congenital deformity correction of the foot have some limitations. The aim of this retrospective study was to establish reference lines and angles (RLAs), and the resulting ratios, based on reproducible anatomic points on sagittal feet radiographs. The key starting point of our evaluation was the previously undescribed length and position of the talus jo...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Patient Health Literacy and Diabetic Foot Amputations
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Kristie Hadden, Robert Martin, Latrina Prince, C. Lowry BarnesABSTRACTPatient health literacy is associated with self-care and management of chronic diseases, including diabetes. Interventions that address health literacy and aim to improve clinical outcomes have been focused mostly in primary care. The purpose of this study was to explore the association between patient health literacy and diabetic foot amputations in a retrospective cohort analysis in a large orthopaedic practice at an academic medical center. Usin...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Foot and Ankle Radiographic Parameters in Korean Adults Vary by Sex and Age
We presented reference values for foot and ankle radiographic measurements in a healthy Korean population; several radiographic indices varied significantly by sex or age, which were grossly similar to previous studies based on white race. The study data can serve as a basis for evaluation of foot and ankle disorders. (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Arthroereisis for Symptomatic Flexible Flatfoot Deformity in Young Children: Radiological Assessment and Short-Term Follow-Up
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Panos Megremis, Orestis MegremisAbstractThe purpose of this study is to recognize those young patients with symptomatic flexible flatfoot deformity who need treatment and to provide radiological evidence that arthroereisis is capable of relocating the talus properly over the calcaneus. We included 28 feet in 14 children who underwent subtalar arthroereisis in association with percutaneous triple-hemisection Achilles tendon lengthening. Selected for arthroereisis were children with symptomatic flexible flatfoot deform...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

How Does A Structured Review Instrument Impact Learning at Resident Journal Club?
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Eric So, Christopher F. Hyer, Marcus Richardson, Melissa Younger, Donald S. MalayABSTRACTJournal club article review is an integral aspect of graduate medical education. A structured review instrument (SRI) is a checklist form that serves to guide through critical appraisal of the literature. The goal of this study was to objectively evaluate the effect of an SRI on journal critical appraisal in foot and ankle residency programs. A prospective study evaluated resident critical appraisal of journal club articles at 2 ...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Should the Tibiotalar Angle Be Measured Using an AP or Mortise Radiograph? Does It Matter?
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Ali-Asgar Najefi, Olatunbosun Buraimoh, John Blackwell, Andrew Bing, Ruth Varrall, David Townshend, Andy GoldbergAbstractUnderstanding the tibiotalar angle (TTA) is key to planning for deformity correction. The TTA is an important radiographic tool to determine alignment or malalignment of the ankle and hindfoot. Two methods of measuring the TTA have been described: the midline TTA (MTTA) and the lateral TTA (LTTA). The aim of this study was to compare the 2 angles as measured on mortise and anteroposterior (AP) radi...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

A Systematic Review Investigating the Effectiveness of Surgical Versus Conservative Management of Unstable Ankle Fractures in Adults
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Lugman Elgayar, Frances Arnall, Jim BarrieAbstractNine percent of all fractures affect the ankle, with an annual incidence of 122/100,000 in Edinburgh, UK. While unstable fractures are usually treated surgically, there has been no recent systematic review of the evidence supporting this decision. In this systematic review, relevant electronic databases (such as MEDLINE and CINHAL) were searched from inception to February 2017. Five randomized controlled trials that examined surgical versus conservative interventions ...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Early Functional Rehabilitation for Acute Achilles Tendon Ruptures: An Update Meta-Analysis of Randomized Controlled Trials
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Jun Lu, Xiaojun Liang, Qiang MaABSTRACTThe aim of this study was to investigate the role of early functional rehabilitation in acute Achilles tendon ruptures. Eligible studies were identified from PubMed, Embase, and the Cochrane Library using the following search keywords: “Achilles tendon rupture” and “rehabilitation” or “function” or “functional” or “mobilization” and “randomized” or “random” or “blind” or “contro...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

A Systematic Review and Meta-Analysis on Treatment of Ankle Fractures With Syndesmotic Rupture: Suture-Button Fixation Versus Cortical Screw Fixation
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Alexandra C. McKenzie, Kristian E. Hesselholt, Morten S. Larsen, Hagen SchmalAbstractAnkle fractures accompanied by syndesmotic rupture are a complex challenge for orthopedic surgeons. Sufficient reduction and stabilization of the syndesmosis are important to prevent early degeneration of the ankle joint and to optimize clinical outcomes. The purpose of the study was to systematically review the literature comparing the suture-button fixation method with the cortical screw fixation method when treating syndesmotic ru...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Comparison of Vacuum Sealing Drainage and Traditional Therapy for Treatment of Diabetic Foot Ulcers: A Meta-Analysis
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Qiang Huang, Ji-Ting Wang, Han-Cheng Gu, Gang Cao, Jian-Chun CaoAbstractVacuum sealing drainage (VSD) is a noninvasive adjunctive therapy to help patients with diabetic foot ulcers by reducing edema and promoting wound healing and formation of granulation tissue. Multiple databases were searched for relevant studies, and full-text articles comparing VSD and conventional therapy were reviewed. Meta-analyses were conducted with Review Manager 5.0 software to estimate the results of the selected articles. Forest plots, ...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Middle Phalangectomy for the Correction of Toe Clinodactyly With Longitudinal Epiphyseal Bracket in Young Children
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): David Elkoun, Vittorio Ferrari, François Deroussen, Marie-Christine Plancq, Céline Klein, Richard GouronABSTRACTToe clinodactyly is often owed to the presence of a longitudinal epiphyseal bracket. We developed middle phalangectomy as a simple surgical solution for correction of toe clinodactyly because of longitudinal epiphyseal bracket in childhood. Ten children (ages 1–5 years) were operated on by the same surgeon between October 2007 and May 2012 (n = 15 feet). The same surgical technique w...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Synovial Metallosis After Ceramic Total Ankle Arthroplasty Treated With a Total Talar Prosthesis: A Case Report
We report here a case of aseptic implant loosening with metallosis after total ankle arthroplasty using the TNK ankle (Kyocera, Kyoto, Japan), which occurred despite the components being ceramic. We also report favorable results from our method of treatment using a total talar prosthesis in the revision surgery. During the revision surgery, synovial metallosis was found, probably related to superficial damage to the screw affixing the tibial component to the bone. Because both the tibial and talar components were loose, all the components and the remaining talar bone were removed. A new tibial component and a custom-made a...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Achilles Lengthening and Multiple Z-Plasty in Parallel for Correction of Toe Walking Associated With Burn Scar Equinus Contracture
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Troy J. Boffeli, Catlea M. GormanABSTRACTThe literature is sparse regarding treatment of burn scar equinus contracture, with focus primarily on staged procedures, serial casting, and gradual correction using external fixation in combination with soft-tissue procedures. This case study describes a single-stage ambulatory approach for late-stage correction of burn scar equinus contracture associated with toe walking. A case report is presented of an 11-year-old male with focus on procedure selection, surgical technique...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Plantar Approach for Midfoot Wedge Resection to Reconstruct the Rocker Bottom Foot
This study aims to review a population of patients with a rocker bottom foot deformity that underwent a midfoot wedge resection performed from the plantar surface for deformity correction, wound healing, and limb salvage. A review of medical records from a single foot and ankle surgeon was undertaken. Patients who had a midfoot wedge performed from the plantar surface to address rocker bottom deformity resulting from Charcot neuroarthropathy or severe flatfoot were included. Thirty patients met inclusion criteria. The outcome measures evaluated were minor and major complications, wound healing, and functional limb status. ...
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

American College of Foot and Ankle Surgeons Commentary on Surgeon Type and Outcomes After Inpatient Ankle Arthrodesis and Total Ankle Arthroplasty: Chan et al, J Bone Joint Surg 2019;101:127–135
Publication date: September 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 5Author(s): Christopher L. Reeves (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - August 30, 2019 Category: Orthopaedics Source Type: research

Gender Trends in Authorship of Foot and Ankle Academic Literature Over 24 Years
In this study, we aimed to describe the representation and longevity of female investigators among the authors of articles in 3 foot and ankle research journals from 1993 to 2017. In this retrospective bibliometric analysis, authors from 3 prominent foot and ankle research journals (Foot and Ankle International, The Journal of Foot and Ankle Surgery, and Foot and Ankle Clinics) were identified. The proportion of female authors who were first, middle, and senior authors and the total publication count per author were determined. From 1993 to 2017, 8132 original articles were published and a total of 6597 (81.1%) had an acce...
Source: The Journal of Foot and Ankle Surgery - July 25, 2019 Category: Orthopaedics Source Type: research

Hallux Pronation in Hallux Valgus: Experimental and Radiographic Study
Publication date: Available online 24 July 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Mercedes Gómez Galván, JA Constantino, María José Bernáldez, Manuel QuilesABSTRACTToe pronation is a frequent sign in hallux valgus (HV), but it is difficult to assess and quantify. The aim of this study was to evaluate the relation between big toe pronation with both radiological and clinical findings and to determine if toe pronation is an influential factor in severity of HV. Six big toe donor proximal phalanges were used to create a radiographic calibrating system controlling their p...
Source: The Journal of Foot and Ankle Surgery - July 25, 2019 Category: Orthopaedics Source Type: research

Distal Peroneus Longus Dislocation and Pseudohypertrophy of the Peroneal Tubercle: A Systematic Review
Publication date: Available online 24 July 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Heinz LohrerABSTRACTPeroneal tendon injuries at the peroneal tubercle are rare. No systematic research regarding this pathology is currently available. In this systematic literature review, the author evaluated the present knowledge about peroneal tendon lesions at the lateral calcaneal wall. These lesions are predominantly associated with peroneal tubercle enlargement. Information on 25 respective patients (26 cases) has been published in 14 articles. Until now, only 3 reports presented 5 patients with dislocation of the...
Source: The Journal of Foot and Ankle Surgery - July 25, 2019 Category: Orthopaedics Source Type: research

Recurrent Familial Digital Fibrokeratoma: A Case Report
Publication date: Available online 24 July 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Xingpei Hao, Gene Mirkin, Robert BaglioABSTRACTDigital fibrokeratoma (DF) is an uncommon, benign, soft tissue tumor. It usually occurs sporadically in adult males, and its recurrence is rare when treated by means of surgical removal. To the best of our knowledge, we report here the first case of recurrent female familial DF. The mother's first DF, on her right hallux, was removed when she was 32 years of age, and her second fibrokeratoma, on the left fifth toe, was removed when she was 49 years of age, and then relapsed 3...
Source: The Journal of Foot and Ankle Surgery - July 25, 2019 Category: Orthopaedics Source Type: research

Dual Nonlocked Plating as an Alternative to Locked Plating for Comminuted Distal Fibula Fractures: A Biomechanical Comparison Study
This study provides evidence that dual nonlocked plating likely constitutes adequate fixation in situations in which a locking plate is being considered for comminuted distal fibula fractures. (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - July 23, 2019 Category: Orthopaedics Source Type: research

Revision of Failed Total Ankle Replacement With a Custom 3-Dimensional Printed Talar Component With a Titanium Truss Cage: A Case Presentation
Publication date: Available online 23 July 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Harshil Patel, Kyle KinmonABSTRACTAn innovative technique is presented for salvage of a failed total ankle replacement resulting from talar subsidence with the use of a custom 3-dimensional printed articulating talar component with a titanium truss cage. This introduces a better alternative to an ankle arthrodesis with which ankle joint function and range of motion may be preserved. (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - July 23, 2019 Category: Orthopaedics Source Type: research

The Modified Lepird Procedure for Correction of Metatarsus Adductus
Publication date: Available online 23 July 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): S. Jeffrey SiegelAbstractMetatarsus adductus is a common transverse plane congenital foot deformity. Achieving anatomic correction can be challenging, as all osteotomy procedures have a steep learning curve. A multitude of complications can occur when using traditional pan-metatarsal osteotomy approaches. The modified Lepird procedure is performed with proximal base osteotomies on all 5 metatarsals oriented dorsal distal to plantar proximal. All screws are inserted parallel to each other, allowing the forefoot to move lat...
Source: The Journal of Foot and Ankle Surgery - July 23, 2019 Category: Orthopaedics Source Type: research

Should We Use Intermetatarsal Angle as Primary Determinant to Define the Limits of Distal Chevron Osteotomy?
Publication date: Available online 23 July 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Görkem Kıyak, Tanil EsemenliAbstractClassic treatment algorithms limit the use of distal chevron osteotomy (DCO) to cases with an intermetatarsal angle (IMA) 50% contact area if we perform a DCO. Thirty of 50 (60%) and 17 of 50 (34%) patients had>50% EBC in moderate and severe groups, respectively. We performed DCO for 24 patients (14 moderate and 10 severe cases). The 100-point American Orthopaedic Foot and Ankle Society (AOFAS) hallux-metatarso-phalangeal-interphalangeal scale was used to assess the clinical ou...
Source: The Journal of Foot and Ankle Surgery - July 23, 2019 Category: Orthopaedics Source Type: research

Utility of Culturing Marginal Bone in Patients Undergoing Lower Limb Amputation for Infection
Publication date: Available online 23 July 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Timothy P. Shiraev, Benjamin A. Lipsky, Trevor M.Y. Kwok, David A. RobinsonABSTRACTGuidelines suggest culturing clinically uninfected bone at the margin after surgical resection for osteomyelitis, but little published evidence supports this procedure. To investigate whether culturing marginal bone after completing resection of infected bone affected antibiotic use or further surgical intervention, we collected data on sequential patients undergoing amputation for a foot infection at our tertiary care hospital between Janu...
Source: The Journal of Foot and Ankle Surgery - July 23, 2019 Category: Orthopaedics Source Type: research

Ultrasound-Guided Minimally Invasive Surgical Resection of Retrocalcaneal Bursitis: A Preliminary Comparison With Traditional Open Surgery
Publication date: Available online 23 July 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Chung-Li Wang, Pei-Yu Chen, Kai-Chiang Yang, Hsing-Cheng Wu, Chen-Chie WangABSTRACTPosterior heel pain is a common complaint that is often caused by overuse injuries. In such cases, the retrocalcaneal bursa is compressed and chafed repeatedly, leading to local inflammation. Sonography is a popular imaging tool used to study the pathology of soft tissues, and it can be used to assist in diagnosing bursitis because of its accuracy. Herein, we report an innovative method to treat retrocalcaneal bursitis under ultrasound guid...
Source: The Journal of Foot and Ankle Surgery - July 23, 2019 Category: Orthopaedics Source Type: research

Arthroscopic Implantation of a Cartilage Matrix for an Osteochondral Defect of the Talus: A Case Report
We present an arthroscopically assisted technique that uses an allogenic cartilage graft in treating an osteochondral lesion of the medial dome of the talus. A brief discussion on current surgical options for osteochondral defects of the talus is also provided. (Source: The Journal of Foot and Ankle Surgery)
Source: The Journal of Foot and Ankle Surgery - July 23, 2019 Category: Orthopaedics Source Type: research

Fracture of a Bipartite Medial Hallux Sesamoid Masquerading as a Tripartite Variant: A Case Report and Review of the Literature
We report a case of a competitive athlete who complained of chronic pain over the first metatarsal head in the absence of preceding trauma that was exacerbated with forced plantar flexion of the big toe. Initial radiographic findings suggested a tripartite appearance of the medial hallux sesamoid, and the patient was treated as for sesamoiditis. However, persistent symptoms over a period of 12 months necessitated further imaging with magnetic resonance, which confirmed a fracture of the bipartite medial hallux sesamoid. Considering that it is clinically important to differentiate between a tripartite/multipartite hallux se...
Source: The Journal of Foot and Ankle Surgery - July 23, 2019 Category: Orthopaedics Source Type: research