Ali-Asgar Najefi, FRCS (Tr&Orth)1, Amit Zaveri, MRCS1, Mohammad Khalid Alsafi, BMBCh1, Karan Malhotra, FRCS (Tr&Orth)1, Shelain Patel, FRCS (Tr&Orth)1, Nicholas Cullen, FRCS (Tr&Orth)1, Matthew Welck, FRCS (Tr&Orth)1
doi : 10.1177/10711007211015187
Volume: 42 issue: 10, page(s): 1223-1230
The importance of the rotational profile of the first metatarsal is increasingly recognized in the surgical planning of hallux valgus. However, rotation in the normal population has only been measured in small series. We aimed to identify the normal range of first metatarsal rotation in a large series using weightbearing computed tomography (WBCT).
Thomas L. Lewis, MBChB, BSc1, Robbie Ray, MBChB, ChM(T&O)1, Peter Robinson, BSc, MBChB2, Paul M. C. Dearden, BMBS, BMedSci3, Thomas J. Goff, MBChB, PGDip4, Clare Watt, BNurs5, Peter Lam, MBBS5
doi : 10.1177/10711007211008498
Volume: 42 issue: 10, page(s): 1231-1240
Patients with severe hallux valgus deformity present technical and operative challenges with high rates of recurrence and residual deformity. The clinical and radiologic outcomes of percutaneous surgery for severe hallux valgus are not known.
Nicholas Bedard, MD1, Charles L. Saltzman, MD2, Taylor Den Hartog, MD3, Samuel Carlson, MD4, John Callaghan, MD3, Greg Alvine, MD5, Frank Alvine, MD5
doi : 10.1177/10711007211010179
Volume: 42 issue: 10, page(s): 1241-1244
Between 1984 and 1994, a single surgeon performed 132 primary cementless total ankle replacements using the Agility total arthroplasty system. The purpose of this study was to report on the 20-year follow-up, which we believe is the first study with this length of follow-up.
Michael F. Githens, MD1, Malcolm R. DeBaun, MD1, Kimberly A. Jacobsen, MD1, Hunter Ross, DO2, Reza Firoozabadi, MD, MA1, Justin Haller, MD3
doi : 10.1177/10711007211006032
Volume: 42 issue: 10, page(s): 1245-1253
Supination-adduction (SAD) type II ankle fractures can have medial tibial plafond and talar body impaction. Factors associated with the development of posttraumatic arthritis can be intrinsic to the injury pattern or mitigated by the surgeon. We hypothesize that plafond malreducton and talar body impaction is associated with early posttraumatic arthrosis.
Toby Jennison, FRCS (Orth) MBChB, MSC(Oxon), BSc, PGCert(MedEd)1, Andrew King, MBChB1, Christopher Hutton, BM, BMedSci1, Ian Sharpe, FRCS(Orth) BSc1
doi : 10.1177/10711007211010188
Volume: 42 issue: 10, page(s): 1254-1259
The number of ankle and revision ankle replacements performed is increasing. There is limited research into functional outcomes, especially in revision ankle replacements. The primary aim of this cohort study was to determine the functional improvements following primary and revision ankle replacements and compare which gave the greatest improvement in functional scores.
Jaeyoung Kim, MD1, Ji-Beom Kim, MD2, Woo-Chun Lee, MD, PhD2
doi : 10.1177/10711007211011182
Volume: 42 issue: 10, page(s): 1260-1269
Little information is available about how to manage ankles with eccentric arthritis in the sagittal plane. This study aimed to report clinical and radiographic outcomes following joint preservation surgery for ankles with eccentric arthritis at the posterior tibiotalar joint and a plantarflexed talus in the sagittal plane, which we named posterior ankle arthritis.
Seiji Kimura, MD, PhD1, Satoshi Yamaguchi, MD, PhD1, Yoshimasa Ono, MD1, Shotaro Watanabe, MD1, Ryuichiro Akagi, MD, PhD1, Takahisa Sasho, MD, PhD1, Seiji Ohtori, MD, PhD1
doi : 10.1177/10711007211008518
Volume: 42 issue: 10, page(s): 1270-1276
Evaluation over time is important in assessing the reduction of the syndesmosis after suture-button fixation for ankle malleolar fractures. The purposes of this study were to evaluate time-dependent change in the syndesmotic reduction immediately after suture-button fixation for ankle malleolus fractures and 1 year after surgery using computed tomography, and to investigate the reliability of the measurement values to evaluate the reduction of syndesmosis.
Peter Y. Joo, MPH1, Judith F. Baumhauer, MD, MPH1, Olivia Waldman, BS1, Samantha Hoffman, BA1, Jeffrey Houck, PT, PhD1, Jessica M. Kohring, MD1, A. Samuel Flemister, MD1, John P. Ketz, MD1, Benedict F. DiGiovanni, MD1, Irvin Oh, MD1
doi : 10.1177/10711007211007843
Volume: 42 issue: 10, page(s): 1277-1286
Hallux rigidus is a common and painful degenerative condition of the great toe limiting a patient’s physical function and quality of life. The purpose of this study was to investigate pre- and postoperative physical function (PF) and pain interference (PI) levels of patients undergoing synthetic cartilage implant hemiarthroplasty (SCI) vs arthrodesis (AD) for treatment of hallux rigidus using the Patient-Reported Outcomes Measurement Information System (PROMIS).
Stefano Ferranti, MD*, 1, Filippo Migliorini, MD*, 2, Federico Maria Liuni, MD3, Marco Corzani, MD4, Alfio Azzarà, MD1, Flavio Polliano, MD1, Abusaa Saher Sami Tawfiq, MD1, Nicola Maffulli, MD, MS, PhD5, 6, 7
doi : 10.1177/10711007211004963
Volume: 42 issue: 10, page(s): 1287-1293
Percutaneous procedures have been used recently to treat insertional Achilles tendon problems. The present study reports our results of this treatment approach.
Michael D. Johnson, MD1, Jane B. Shofer, MS2, Sigvard T. Hansen, Jr., MD2, William R. Ledoux, PhD2, Bruce J. Sangeorzan, MD2
doi : 10.1177/10711007211015185
Volume: 42 issue: 10, page(s): 1294-1302
Ankle coronal plane deformity represents a complex 3-dimensional problem, and comparative data are lacking to guide treatment recommendations for optimal treatment of end-stage ankle arthritis with concomitant coronal plane deformity.
Daniel Garríguez-Pérez, MD1, María Puerto-Vázquez, MD, PhD1, José Luis Tomé Delgado, MD1, Enrique Galeote, MD1, Fernando Marco, MD, PhD2, 3
doi : 10.1177/10711007211012956
Volume: 42 issue: 10, page(s): 1303-1310
The subtle Lisfranc injury is the disruption of the osteoligamentary complex between the first cuneiform and the second metatarsal, resulting in minor widening of this space that is often difficult to detect with plain radiographs. In this study, we assessed the results after treatment of the different stages of subtle Lisfranc injuries, focusing on their impact on foot arch anatomy and functionality at short- to midterm follow-up.
Ezra Goodrich, BA1, Matthew L. Vopat, MD2, Jordan Baker, BS3, Armin Tarakemeh, BA3, Kimberly Templeton, MD3, Mary K. Mulcahey, MD4, J. Paul Schroeppel, MD3, Scott Mullen, MD3, Bryan G. Vopat, MD3
doi : 10.1177/10711007211004191
Volume: 42 issue: 10, page(s): 1311-1318
Chronic ankle instability is a common condition that can be treated with lateral ankle ligament repair. These procedures have a reported success rate greater than 85% in the literature, but little has been reported about the differences in postoperative outcomes between males and females. The purpose of this study was to evaluate sex-specific outcomes following lateral ankle ligament repair.
Thomas A. Perry, BSc, PhD1, 2, Alan Silman, FMedSci1, David Culliford, BSc, MSc, PhD1, 3, 4, Lucy Gates, BSc, PhD4, 5, Nigel Arden, MD, PhD2, 6, Catherine Bowen, BSc, MSc, PhD4, 5
doi : 10.1177/10711007211012947
Volume: 42 issue: 10, page(s): 1319-1329
Over the past decade, there has been a growth in the use of ankle replacements. Data from national joint registries have shown between-country differences in the utilization of ankle replacement. The reasons for these differences are, however, not well understood. Our aims were to describe and compare the annual incidence of primary ankle replacement between countries and, to examine potential reasons for variation over time.
Erik Nott, Lt Col, MD, USAF1, 2, Lauren M. Matheny, PhDc, MPH2, Thomas O. Clanton, MD1, Carly Lockard, MSc2, Brenton W. Douglass, BA2, Kira K. Tanghe, BS2, Nicholas Matta, BS2, Alex W. Brady, MSc2
doi : 10.1177/10711007211015189
Volume: 42 issue: 10, page(s): 1330-1339
The purposes of this study were to determine (1) if cartilage thicknesses on the talar dome and medial/lateral surfaces of the talus were similar, (2) whether there was sufficient donor cartilage surface area on the medial and lateral talar surfaces to repair talar dome cartilage injuries of the talus, and (3) whether the cartilage surface could be increased following anterior talofibular ligament (ATFL) and sectioning of the tibionavicular and tibiospring portion of the anterior deltoid.
Hyong Nyun Kim, MD, PhD1, Young Uk Park, MD, PhD2, Bom Soo Kim, MD, PhD3, Mark E. Easley, MD4
doi : 10.1177/10711007211008512
Volume: 42 issue: 10, page(s): 1340-1346
Jensen K. Henry, MD1, Carson Rider, MD1, Elizabeth Cody, MD1, Scott J. Ellis, MD1, Constantine Demetracopoulos, MD1
doi : 10.1177/10711007211027273
Volume: 42 issue: 10, page(s): 1347-1361
The number of total ankle replacements (TARs) performed in the United States has dramatically increased in the past 2 decades due to improvements in implant design and surgical technique. Yet as the prevalence of TAR increases, so does the likelihood of encountering complications and the need for further surgery. Patients with new-onset or persistent pain after TAR should be approached systematically to identify the cause: infection, fracture, loosening/subsidence, cysts/osteolysis, impingement, and nerve injury. The alignment of the foot and ankle must also be reassessed, as malalignment or adjacent joint pathology can contribute to pain and failure of the implant. Novel advanced imaging techniques, including single-photon emission computed tomography and metal-subtraction magnetic resonance imaging, are useful and accurate in identifying pathology. After the foot and ankle have been evaluated, surgeons can also consider contributing factors such as pathology outside the foot/ankle (eg, in the knee or the spine). Treatment of the painful TAR is dependent on etiology and may include debridement, bone grafting, open reduction and internal fixation, realignment of the foot, revision of the implants, arthrodesis, nerve repair/reconstruction/transplantation surgery, or, in rare cases, below-knee amputation.
Sudheer C. Reddy, MD1, David A. Porter, MD, PhD2
doi : 10.1177/10711007211027275
Volume: 42 issue: 10, page(s): 1362-1365
Andrew D. Beischer, MD, MBBS, FRACS, FAOrthA
doi : 10.1177/10711007211036083
Volume: 42 issue: 10, page(s): 1366-1366
Matthew M. Levitsky, MD, Christina E. Freibott, BS, Justin K. Greisberg, MD, J. Turner Vosseller, MD
doi : 10.1177/10711007211036085
Volume: 42 issue: 10, page(s): 1367-1367
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