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Outcomes and Complications of Open vs Posterior Arthroscopic Subtalar Arthrodesis: A Prospective Randomized Controlled Multicenter Study
Chamnanni Rungprai, MD1, Aekachai Jaroenarpornwatana, MD2, Nusorn Chaiprom, MD1, Phinit Phisitkul, MD3, Yantarat Sripanich, MD1
doi : 10.1177/10711007211047239
Volume: 42 issue: 11, page(s): 1371-1383
Open subtalar arthrodesis is the standard treatment for subtalar arthritis. Posterior arthroscopic subtalar arthrodesis (PASTA) has recently gained increasing popularity due to a shorter recovery time and better cosmesis. However, studies comparing outcomes and complications between these 2 techniques are limited.
Radiographic Outcomes of Cotton Osteotomy in Treatment of Adult-Acquired Flatfoot Deformity
Mostafa M. Abousayed, MD, MSc1, Michelle M. Coleman, MD, PhD1, Lawrence Wei, MD1, Cesar de Cesar Netto, MD, PhD1, Lew C. Schon, MD1, Gregory P. Guyton, MD1
doi : 10.1177/10711007211015175
Volume: 42 issue: 11, page(s): 1384-1390
We investigated the long-term radiographic outcomes of the Cotton osteotomy performed at our institution by the 2 senior authors in conjunction with other reconstruction procedures to correct adult-acquired flatfoot deformity (AAFD).
Clinical and Patient-Reported Outcomes Following Peroneus Brevis Reconstruction With Hamstring Tendon Autograft
Bopha Chrea, MD1, Stephanie K. Eble, BA1, Jonathan Day, MS1, Oliver B. Hansen, BA1, Scott J. Ellis, MD1, Martin J. O’Malley, MD1, Mark C. Drakos, MD1
doi : 10.1177/10711007211015186
Volume: 42 issue: 11, page(s): 1391-1398
Peroneal tendon injuries are a common cause of lateral ankle pain and instability. While the use of hamstring autograft has been proposed as a viable surgical option for peroneus brevis reconstruction, reported outcomes with this technique are limited in the literature. We present patient-reported and clinical outcomes for patients who underwent peroneus brevis reconstruction with hamstring autograft.
Long-term Patient-Reported Outcome Measures Following Particulated Juvenile Allograft Cartilage Implantation for Treatment of Difficult Osteochondral Lesions of the Talus
Joseph Manzi, BS1, Artine Arzani, BS1, Mathew J. Hamula, MD2, Kshitij Manchanda, MD3, Dinesh Dhanaraj, MD, MSPH4, Cary B. Chapman, MD3
doi : 10.1177/10711007211014173
Volume: 42 issue: 11, page(s): 1399-1409
Conventional methods are not suitable for difficult to treat osteochondral lesions of the talus (OCLTs). The role of particulated juvenile allograft articular cartilage implantation is not well elucidated for long-term patient outcomes.
Short-term Efficacy of Ultrasonographic Guidance for Intra-articular Corticosteroid Injection in Hallux Rigidus: A Single-Blind Randomized Controlled Trial
Seyede Zahra Emami Razavi, MD1, Mohaddeseh Azadvari, MD1, 2, Hamid R. Fateh, MD3, Masood Ghahvechi Akbari, MD4, Shahrbanoo Kazemi, MD5, Elahe Rezaee, MD1
doi : 10.1177/10711007211015988
Volume: 42 issue: 11, page(s): 1410-1418
Multiple considerations should be taken before standardizing a clinical procedure such as efficacy, safety, or the cost. The aim of this study was to compare the effects of landmark-guided vs ultrasonography-guided intra-articular injection of corticosteroid into the first metatarsophalangeal joint cavity to reduce pain and dysfunction in patients with hallux rigidus.
Outcomes of Joint Preservation Surgery in Valgus Ankle Arthritis Without Deltoid Ligament Insufficiency
Jaeyoung Kim, MD, Ji-Beom Kim, MD, Woo-Chun Lee, MD, PhD
doi : 10.1177/10711007211016001
Volume: 42 issue: 11, page(s): 1419-1430
To date, information about the role of proximal alignment correction in treating nontraumatic valgus ankle arthritis is limited. This study aimed to report outcomes of realignment surgery, including supramalleolar correction in valgus arthritic ankles without evidence of deltoid ligament insufficiency.
Low Rate of Peri-implant Osteolysis in Trabecular Metal Total Ankle Replacement on Short- to Midterm Follow-up
Sami Kormi, MD1, Ia Kohonen, MD, PhD1, Helka Koivu, MD, PhD2, Hannu Tiusanen, MD, PhD1
doi : 10.1177/10711007211017468
Volume: 42 issue: 11, page(s): 1431-1438
Peri-implant osteolysis is one of the major complications related to total ankle replacement. The aim of this study was to investigate the short- to midterm incidence of peri-implant osteolysis using computed tomography (CT) as imaging method for the Trabecular Metal Total Ankle (TMTA) implant representing a novel total ankle replacement (TAR) implant design regarding material and surgical technique.
Staged Management of Severely Displaced Calcaneal Fractures With Transarticular Pinning: A Damage Control Strategy
Kyeong-Hyeon Park, MD, PhD1, Chang-Wug Oh, MD, PhD1, Joon-Woo Kim, MD, PhD1, Hee-June Kim, MD1, Dong-Hyun Kim, MD1, Tae-Seong Kim, MD1
doi : 10.1177/10711007211013012
Volume: 42 issue: 11, page(s): 1439-1446
Severely displaced calcaneal fractures can result in considerable morphology derangement and may be accompanied by soft tissue compromise. Delayed operative restoration of the calcaneal morphology may result in acute retensioning of the damaged soft tissue with associated wound-related complications. In this study, we describe a staged treatment of displaced intra-articular calcaneal fractures that uses temporary transarticular Kirschner wire (K-wire) fixation and staged conversion to definite fixation.
Distal Tibial Reconstruction in the Management of Primary Bone Tumors in Children and Adolescents
Anna Raciborska, MD, PhD1, Katarzyna Bilska, MD, PhD1, Iwona Malesza, MD1, Carlos Rodriguez-Galindo, MD2, Bartosz Pachuta, MD1
doi : 10.1177/10711007211012690
Volume: 42 issue: 11, page(s): 1447-1453
Distal tibial primary bone tumors are rare, and options for limb salvage surgery are limited and challenging. Importantly, local control has shown to be crucial and necessary for cure, and radical surgery is one of the most important components of therapy for some bone sarcomas. We investigated the feasibility and functional and oncological outcomes of distal tibial reconstruction using endoprosthesis in children with malignant bone tumors.
Modified Lapidus vs Scarf Osteotomy Outcomes for Treatment of Hallux Valgus Deformity
Megan E. Reilly, MD1, Matthew S. Conti, MD1, Jonathan Day, MS1, Aoife MacMahon, BA2, Bopha Chrea, MD3, Kristin C. Caolo, BA1, Nicholas Williams, MPH4, Mark C. Drakos, MD1, Scott J. Ellis, MD1
doi : 10.1177/10711007211013776
Volume: 42 issue: 11, page(s): 1454-1462
The Lapidus procedure and scarf osteotomy are indicated for the operative treatment of hallux valgus; however, no prior studies have compared outcomes between the procedures. The aim of this study was to compare clinical and radiographic outcomes between patients with symptomatic hallux valgus treated with the modified Lapidus procedure versus scarf osteotomy.
30-Day Outcomes for Total Ankle Arthroplasty in Patients With Anemia
Jordan R. Pollock, BS1, Matt K. Doan, BS1, M. Lane Moore, BS1, Jeffrey D. Hassebrock, MD2, Justin L. Makovicka, MD, MBA2, David G. Deckey, MD2, Todd A. Kile, MD2, Karan A. Patel, MD2
doi : 10.1177/10711007211017512
Volume: 42 issue: 11, page(s): 1463-1468
While anemia has been associated with poor surgical outcomes in total knee arthroplasty and total hip arthroplasty, the effects of anemia on total ankle arthroplasty remain unknown. This study examines how preoperative anemia affects postoperative outcomes in total ankle arthroplasty.
Midterm Outcomes of Unstable Ankle Fractures in Young Patients Treated by Closed Reduction and Fixation With an Intramedullary Fibular Nail vs Open Reduction Internal Fixation Using a Lateral Locking Plate
Duk-hwan Kho, MD1, Byung-Ki Cho, MD, PhD2, Seung-Myung Choi, MD, PhD3
doi : 10.1177/10711007211017470
Volume: 42 issue: 11, page(s): 1469-1481
We aimed to compare midterm radiological and clinical outcomes between closed reduction and internal fixation (CRIF) using the fibular intramedullary nail (IMN) and open reduction and internal fixation (ORIF) using the locking plate for the treatment of unstable ankle fractures in active young patients.
Assessment of Hindfoot Alignment Comparing Weightbearing Radiography to Weightbearing Computed Tomography
Christopher B. Arena, MD1, 2, Yantarat Sripanich, MD1, 3, Richard Leake, MD4, Charles L. Saltzman, MD1, Alexej Barg, MD5
doi : 10.1177/10711007211014171
Volume: 42 issue: 11, page(s): 1482-1490
Hindfoot alignment view (HAV) radiographs are widely utilized for 2-dimensional (2D) radiographic assessment of hindfoot alignment; however, the development of weightbearing computed tomography (WBCT) may provide more accurate methods of quantifying 3-dimensional (3D) hindfoot alignment. The aim of this study was to compare the 2D calcaneal moment arm measurements on HAV radiographs with WBCT.
Four-Dimensional CT Analysis of Normal Syndesmotic Motion
Murray T. Wong, MD, MSc1, Charmaine Wiens, MD, FRCPC1, Jeremy Lamothe, MD, PhD, FRCSC1, W. Brent Edwards, PhD1, Prism S. Schneider, MD, PhD, FRCSC1
doi : 10.1177/10711007211015204
Volume: 42 issue: 11, page(s): 1491-1501
The syndesmosis ligament complex stabilizes the distal tibiofibular joint while allowing for small amounts of physiologic motion. When injured, malreduction of the syndesmosis is the most important factor that contributes to inferior functional outcomes. Syndesmotic reduction is a dynamic measure, which is not adequately captured by conventional computed tomography (CT). Four-dimensional CT (4DCT) can image joints as they move through range of motion (ROM). The aim of this study was to employ 4DCT to determine in vivo syndesmotic motion with ankle ROM in uninjured ankles.
Evaluation of a Weightbearing CT Artificial Intelligence-Based Automatic Measurement for the M1-M2 Intermetatarsal Angle in Hallux Valgus
Jonathan Day, MS1, 2, Cesar de Cesar Netto, MD, PhD3, Martinus Richter, MD, PhD4, Nacime Salomao Mansur, MD3, Celine Fernando, PhD5, Jonathan T. Deland, MD1, Scott J. Ellis, MD1, François Lintz, MD, MSc5
doi : 10.1177/10711007211015177
Volume: 42 issue: 11, page(s): 1502-1509
Weightbearing cone beam computed tomography (WBCT) has been gaining traction as a useful imaging modality in the diagnosis and follow-up of foot and ankle musculoskeletal pathologies due to the ability to perform quick, low-dose, 3-dimensional (3D) scans. However, the resulting wealth of 3D data renders daily clinical use time-consuming. The aim of this study was to evaluate a new artificial intelligence (AI)–based automatic measurement for the M1-M2 intermetatarsal angle (IMA) in hallux valgus (HV). We hypothesized that automatic and manual measurements would have a strong correlation, and that the AI software would yield better reproducibility and would be faster compared with manual measurements.
Letter Regarding: Staged Management of Severely Displaced Calcaneal Fractures With Transarticular Pinning: A Damage Control Strategy
John Y. Kwon, MD, Eitan M. Ingall, MD
doi : 10.1177/10711007211043857
Volume: 42 issue: 11, page(s): 1510-1511
Response to “Letter Regarding: Staged Management of Severely Displaced Calcaneal Fractures With Transarticular Pinning: A Damage Control Strategy”
Kyeong-Hyeon Park, MD, PhD, Chang-Wug Oh, MD, PhD, Joon-Woo Kim, MD, PhD, Hee-June Kim, MD, Dong-Hyun Kim, MD, Tae-Seong Kim, MD
doi : 10.1177/10711007211044091
Volume: 42 issue: 11, page(s): 1512-1513
