Correlating Arthroscopic and Radiographic Findings of Deep Deltoid Ligament Injuries in Rotational Ankle Fractures

D’Ann Arthur, MD, Casey Pyle, DO, Stephen J. Shymon, MD, David Lee, MD, Thomas Harris, MD

doi : 10.1177/1071100720962796

First Published October 26, 2020; pp. 251–256

The deep deltoid ligament (DDL) is a key stabilizer to the medial ankle and ankle mortise and can be disrupted in ligamentous supination external rotation type IV (LSER4) ankle fractures. The purpose of this study was to define the medial clear space (MCS) measurement on injury mortise radiographs that corresponds with complete DDL injury.

خرید پکیج و مشاهده آنلاین مقاله

A Staged Approach to Combined Extra-articular Limb Deformity Correction and Total Ankle Arthroplasty for End-Stage Ankle Arthritis

Jonathan Day, MS, Peter S. Principe, BS, Kristin C. Caolo, BA, Austin T. Fragomen, MD, S. Robert Rozbruch, MD, Scott J. Ellis, MD

doi : 10.1177/1071100720965120

First Published November 13, 2020; pp. 257–267

Patients presenting with end-stage ankle osteoarthritis (OA) in the setting of a concomitant extra-articular limb deformity pose a challenging problem that has not yet been described in the literature. We describe a case series of patients treated with external and internal fixation techniques followed by total ankle arthroplasty (TAA) in a staged approach to treat this complex presentation.

خرید پکیج و مشاهده آنلاین مقاله

Preoperative Patient-Reported Outcome Measures Relationship With Postoperative Outcomes in Flexible Adult-Acquired Flatfoot Deformity

Matthew S. Conti, MD, Kristin C. Caolo, BA, Joseph T. Nguyen, MPH, Jonathan T. Deland, MD, Scott J. Ellis, MD

doi : 10.1177/1071100720963077

First Published November 4, 2020; pp. 268–277

Previous studies have demonstrated that procedure-specific thresholds using preoperative patient-reported outcome scores may be used to predict postoperative outcomes. The primary purpose of this study was to determine if preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) thresholds could be used to predict which patients would clinically improve at 2 years postoperatively following reconstruction of their flexible adult-acquired flatfoot deformity (AAFD).

خرید پکیج و مشاهده آنلاین مقاله

Minimally Invasive vs Open Akin Osteotomy

Sebastian Schilde, MD, Karl-Stefan Delank, MD, Dariusch Arbab, MD, Natalia Gutteck, MD

doi : 10.1177/1071100720962411

First Published November 9, 2020; pp. 278–286

Minimally invasive techniques of Akin osteotomy have grown in popularity, as early results suggest faster recovery, earlier return to work, and minimized wound healing problems. Preserving lateral cortex integrity during first phalanx osteotomy thereby presents a challenge because of the lack of direct visual control. This retrospective comparative study investigated clinical and radiographic outcomes of minimally invasive and open Akin osteotomy with different fixation methods and analyzed whether or not intraoperative violation of the lateral cortex caused loss of correction or delayed bone healing.

خرید پکیج و مشاهده آنلاین مقاله

The Role of Weightbearing Computed Tomography Scan in Hallux Valgus

Karim Mahmoud, MD, Sreenivasulu Metikala, MD, Samir D. Mehta, MD, George W. Fryhofer, MD, MTR, Daniel C. Farber, MD, Dan Prat, MD

doi : 10.1177/1071100720962398

First Published November 4, 2020; pp. 287–293

Hyperpronation of the first metatarsal in hallux valgus (HV) is poorly understood by conventional weightbearing radiography. We aimed to evaluate this parameter using weightbearing computed tomography (WBCT) and to understand its association with other standard measurements.

خرید پکیج و مشاهده آنلاین مقاله

Clinical Outcomes and Complications Following Limited Open Achilles Repair Without an Instrumented Guide

Craig C. Akoh, MD, Amanda Fletcher, MD, Akhil Sharma, BS, Selene G. Parekh, MD, MBA, FAOA

doi : 10.1177/1071100720962493

First Published November 4, 2020; pp. 294–304

We report the clinical outcomes and complications following our limited open incision Achilles tendon repair technique without instrument guides.

خرید پکیج و مشاهده آنلاین مقاله

Comparison of Botulinum Toxin A, Corticosteroid, and Anesthetic Injection for Plantar Fasciitis

Jorge Elizondo-Rodr?guez, MD, Mario Simental-Mend?a, PhD, Victor Pe?a-Mart?nez, PhD, MD, Félix Vilchez-Cavazos, PhD, MD, Yadira Tamez-Mata, MD, Carlos Acosta-Olivo, PhD, MD

doi : 10.1177/1071100720961093

First Published October 8, 2020; pp. 305–313

Plantar fasciitis is the most common cause of heel pain, and injection therapies are part of the treatment modalities. This study aimed to compare 2 intralesional injection therapies for plantar fasciitis: corticosteroid and botulinum toxin A, compared with a third control group using a local anesthetic. The clinical evolution, as well as changes in the thickness of the plantar fascia and ankle dorsiflexion, was evaluated.

خرید پکیج و مشاهده آنلاین مقاله

Relationship Between Tibiotalar Joint Space and Ankle Function Following Ankle Surgery

Jess Mullens, MD, Ingrid K. Stake, MD, Lauren M. Matheny, PhDc, MPH, Blake Daney, MD, Thomas O. Clanton, MD

doi : 10.1177/1071100720962490

First Published October 8, 2020; pp. 314–319

Joint-preserving procedures of the ankle may postpone the need for ankle arthrodesis (AA) or total ankle replacement (TAR). The challenge for the surgeon is to determine which patients may benefit from these joint-preserving procedures. We hypothesized that patents with less than 2 mm of ankle joint space on preoperative radiographs would report inferior outcomes following joint-preserving surgery compared with those with 2 mm or greater joint space.

خرید پکیج و مشاهده آنلاین مقاله

Feasibility of Rapid Development and Deployment of a Telemedicine Program in a Foot and Ankle Orthopedic Practice

Wesley J. Manz, MS, Rahul Goel, MD, Omolola P. Fakunle, BS, Sameh A. Labib, MD, Jason T. Bariteau, MD

doi : 10.1177/1071100720963059

First Published October 10, 2020; pp. 320–328

A lack of access to care is predictably associated with negative outcomes in foot and ankle surgery. Despite recent advances in telecommunication technologies, the field of orthopedics has been slow to adopt these resources in offsetting barriers to care. The COVID-19 pandemic has forced departments to change their clinical approach, lending unprecedented opportunity to better understand how telehealth may bridge this care gap in foot and ankle practices. The purpose of this study was to assess patient-reported outcomes of telemedicine encounters, including comfort and patient satisfaction. Our hypothesis was that patients would be significantly less satisfied with telemedicine when compared with in-office appointments for all nonemergency visit types.

خرید پکیج و مشاهده آنلاین مقاله

Risk Factors for Anterior Tibial Tendon Pathology

Matthew M. Levitsky, MD, Christina E. Freibott, BS, Justin K. Greisberg, MD, J. Turner Vosseller, MD

doi : 10.1177/1071100720963071

First Published October 14, 2020; pp. 329–332

Though the tibialis anterior (TA) serves a vital role in ankle dorsiflexion, there is little information regarding risk factors and demographic information that might predispose one to tendinopathy or rupture. This study investigates the features of patients in a single institution who presented with either TA tendinopathy or rupture. The circumstances surrounding rupture were also noted.

خرید پکیج و مشاهده آنلاین مقاله

Weightbearing Computed Tomography and 3-Dimensional Analysis of Mobility Changes of the First Ray After Proximal Oblique Osteotomy for Hallux Valgus

Tadashi Kimura, MD, PhD, Makoto Kubota, MD, PhD, Naoki Suzuki, PhD, Asaki Hattori, PhD, Mitsuru Saito, MD, PhD

doi : 10.1177/1071100720962471

First Published November 9, 2020; pp. 333–339

Hypermobility of the first ray has been evaluated using various methods and has conventionally been considered to be involved in the pathology of hallux valgus. We hypothesized that hypermobility of the first ray in hallux valgus could be decreased by simply correcting foot alignment without arthrodesis. This study sought to evaluate first-ray mobility using weightbearing computed tomography (CT) before and after proximal oblique osteotomy and also in healthy volunteer’s feet.

خرید پکیج و مشاهده آنلاین مقاله

Early Failures of Polyvinyl Alcohol Hydrogel Implant for the Treatment of Hallux Rigidus

Yoshiharu Shimozono, MD, Eoghan T. Hurley, MB, BCh, MCh, John G. Kennedy, MD, MCh, MMSc, FFSEM, FRCS(Orth)

doi : 10.1177/1071100720962482

First Published October 10, 2020; pp. 340–346

The purpose of this study was to evaluate the clinical and radiological outcomes following a polyvinyl alcohol hydrogel implant in the treatment of hallux rigidus.

خرید پکیج و مشاهده آنلاین مقاله

Differences in Gait and Stair Ascent After Total Ankle Arthroplasty and Ankle Arthrodesis

First Published November 16, 2020; pp. 347–355

doi : 10.1177/1071100720965144

First Published November 16, 2020; pp. 347–355

Ankle arthrodesis has historically been the standard of care for end-stage ankle arthritis; however, total ankle arthroplasty (TAA) is considered a reliable alternative. Our objective was to compare 3-dimensional foot and ankle kinetics and kinematics and determine the ankle power that is generated during level walking and stair ascent between TAA and ankle arthrodesis patients.

خرید پکیج و مشاهده آنلاین مقاله

Intraoperative Site Vancomycin Powder Application in Infected Diabetic Heel Ulcers With Calcaneal Osteomyelitis

James D. Brodell, Jr, MD, Lauren N. Kozakiewicz, BA, Samantha L. Hoffman, BA, Irvin Oh, MD

doi : 10.1177/1071100720962480

First Published November 13, 2020; pp. 356–362

Intraoperative site application of vancomycin powder has been found to be beneficial in foot and ankle surgery among diabetic patients undergoing elective procedures. However, there are concerns for risks such as selection of multidrug-resistant bacteria, local tissue irritation, and increased wound complications. The clinical utility of intraoperative site vancomycin powder application in infected diabetic foot ulcer surgery is unknown. We aimed to report the clinical outcomes of partial or total calcanectomy for diabetic heel ulcer (DHU) and determine if intraoperative site application of vancomycin powder placement at the time of wound closure leads to improved clinical outcomes.

خرید پکیج و مشاهده آنلاین مقاله

Species-Specific Immunoassay Aids Identification of Pathogen and Tracks Infectivity in Foot Infection

Stephanie P. Hao, MS, Elysia A. Masters, MS, Mark J. Ninomiya, MS, Christopher A. Beck, PhD, Edward M. Schwarz, PhD, John L. Daiss, PhD, Irvin Oh, MD

doi : 10.1177/1071100720965136

First Published November 9, 2020; pp. 363–372

Conventional bacterial cultures frequently fail to identify the dominant pathogen in polymicrobial foot infections, in which Staphylococcus aureus is the most common infecting pathogen. Previous work has shown that species-specific immunoassays may be able to identify the main pathogen in musculoskeletal infections. We sought to investigate the clinical applicability of a S. aureus immunoassay to accurately identify the infecting pathogen and monitor its infectivity longitudinally in foot infection. We hypothesized that this species-specific immunoassay could aid in the diagnosis of S. aureus and track the therapeutic response in foot infections.

خرید پکیج و مشاهده آنلاین مقاله

Biomechanical Comparison of 2 Common Techniques of Minimally Invasive Hallux Valgus Correction

Amiethab Aiyer, MD, Dustin H. Massel, MD, Noman Siddiqui, DPM, Jorge I. Acevedo, MD

doi : 10.1177/1071100720959029

First Published November 9, 2020; pp. 373–380

Hallux valgus is one of the most common surgically corrected forefoot deformities. Compared to open procedures, minimally invasive (MIS) treatment of hallux valgus has resulted in decreased operative time, reduced complication rates, and greater patient satisfaction. Historically, distal chevron osteotomies are the standard for moderate hallux valgus correction. To our knowledge, no studies have evaluated biomechanical strength of transverse and chevron distal first metatarsal osteotomy (DMO) constructs. The purpose of this study was to evaluate the biomechanical strength of these techniques.

خرید پکیج و مشاهده آنلاین مقاله

Letter Regarding: Biomechanical Comparison of 2 Common Techniques of Minimally Invasive Hallux Valgus Correction

Thomas L. Lewis, MBChB(Hons), BSc(Hons), Robbie Ray, MBChB, ChM(T&O), FRCSed (Tr & Orth), FEBOT, Peter Robinson, BSc(Hons), MBChB, FRCS(Tr & Orth), Paul M. C. Dearden, BMBS, BMedSci, FRCS(Tr & Orth), Thomas J. Goff, MBChB, FRCS(Tr & Orth), PGDip, David Gordon, MBChB, MRCS, MD, FRCS(Tr & Orth), Peter Lam, MBBS(Hons), FRACS

doi : 10.1177/1071100721992753

First Published March 9, 2021; pp. 381–382

خرید پکیج و مشاهده آنلاین مقاله

Response to “Letter Regarding: Biomechanical Comparison of 2 Common Techniques of Minimally Invasive Hallux Valgus Correction”

Amiethab Aiyer, MD, Dustin H. Massel, MD, Noman Siddiqui, DPM, Jorge I. Acevedo, MD

doi : 10.1177/1071100721992051

First Published March 9, 2021; pp. 383–384

خرید پکیج و مشاهده آنلاین مقاله

Education Calendar

doi : 10.1177/1071100721999376

First Published March 9, 2021; pp. 385–385

خرید پکیج و مشاهده آنلاین مقاله