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Short Reports
Charles L. Saltzman, MD
doi : 10.1177/10711007211019711
Volume: 42 issue: 6, page(s): 675-675
Outcomes and Surgical Strategies of Minimally Invasive Chevron/Akin Procedures
Steven K. Neufeld, MD, Daniel Dean, MD, Syed Hussaini, MD
doi : 10.1177/1071100720982967
Volume: 42 issue: 6, page(s): 676-688
Minimally invasive surgery (MIS) is increasingly being used for bunion correction, but limited patient outcome data have been reported for third-generation minimally invasive chevron/Akin (MICA) techniques. The aim of this study was to report on radiographic outcomes, pain control, satisfaction, learning curve, and complication rates in a consecutive series of 94 patients undergoing MICA procedures for hallux valgus. It also describes strategies for avoiding perioperative complications that may arise with MIS bunionectomies.
Comparison of Clinical and Radiographic Outcomes Following Arthroscopic Debridement With Extracellular Matrix Augmentation and Osteochondral Autograft Transplantation for Medium-Size Osteochondral Lesions of the Talus
Oliver B. Hansen, BA, Stephanie K. Eble, BA, Karan Patel, MD, Taylor N. Cabe, BA, Carolyn Sofka, MD, FACR, Jonathan T. Deland, MD, Mark C. Drakos, MD
doi : 10.1177/1071100720980020
Volume: 42 issue: 6, page(s): 689-698
Historically, microfracture has been used to treat small talar osteochondral lesions with good results, whereas osteochondral autologous transplantation (OAT) has proven effective for the treatment of larger lesions. It is not clear which method is more effective for medium-sized lesions around the critical size of 150 mm2, above which microfracture outcomes tend to be poor. The purpose of this study was to determine the potential advantages of OAT augmented with a combination of extracellular matrix and bone marrow aspirate concentrate (ECM-BMAC) compared to debridement with ECM-BMAC (DEB) in the treatment of medium-sized osteochondral lesions of the talus (OLTs).
Clinical and Functional Outcomes of Peroneus Longus to Brevis Tendon Transfer
Marco D. Burkhard, MD, Stephan H. Wirth, MD, Octavian Andronic, MD, Arnd F. Vieh?fer, MD, Florian B. Imhoff, MD, Stefan Fr?hlich, MD
doi : 10.1177/1071100720982592
Volume: 42 issue: 6, page(s): 699-705
Peroneal tendon lesions can cause debilitating pain, but operative treatment remains controversial. Some studies recommend peroneal tenodesis or transfer if more than half of the tendon is affected. However, clinical outcomes and inversion/eversion motion after peroneal transfer have not been investigated yet.
Recognition, Treatment, and Outcome of Calcaneal Fracture-Dislocation
Stefan Rammelt, MD, PhD, Christine Marx, MD, Grace Swords, Michael Swords, DO
doi : 10.1177/1071100720980012
Volume: 42 issue: 6, page(s): 706-713
Calcaneal fracture-dislocations are rare but potentially disabling injuries that are regularly overlooked at first presentation. To date, only about 50 cases have been reported in the literature.
Management and Outcome of Hindfoot Trauma With Concomitant Talar Head Injury
Esmee Wilhelmina Maria Engelmann, MD, MSc, Olivier Wijers, MD, Jelle Posthuma, MD, PhD, Tim Schepers, MD, PhD
doi : 10.1177/1071100720980023
Volume: 42 issue: 6, page(s): 714-722
Talar head fractures account for 2.6% to 10% of all talar fractures and are often associated with concomitant musculoskeletal injuries. The current literature only describes a total of 14 patients with talar head fractures and, with that, guidelines for management are lacking. The aim of the current study was to evaluate the management and long-term outcome of patients who have hindfoot trauma with concomitant talar head fractures.
Outcomes and Complications With Treatment of Open Tibial Plafond Fractures With Circular External Fixator
Ahmed M. Thabet, MD, PhD, Christopher Gerzina, MD, Francesco Sala, MD, Soyoung Jeon, PhD, Giovanni Lovisetti, MD, Amr Abdelgawad, MD, Thomas A. DeCoster, MD, Wael Azzam, MD
doi : 10.1177/1071100720979976
Volume: 42 issue: 6, page(s): 723-733
Open tibial plafond fractures (Orthopaedic Trauma Association and AO Foundation [OTA/AO] 43) are associated with severe complications, including deep infection (closed fractures, 20%; open fractures, 30%), amputation (3%-14%), and nonunion (up to 25%). Circular external fixators (CEFs) can minimize soft tissue injury. This study aimed to report the rate of union and occurrence of severe complications in patients with open tibial plafond fractures treated with CEFs.
Comparison of Isolated Screw to Plate and Screw Fixation for Tarsometatarsal Arthrodesis Including Clinical Outcome Predictors
Sarah Ettinger, MD, Anna Altemeier, MD, Christina Stukenborg-Colsman, MD, PhD, Daiwei Yao, MD, Christian Plaass, MD, Matthias Lerch, MD, Leif Claassen, MD
doi : 10.1177/1071100720980014
Volume: 42 issue: 6, page(s): 734-743
The common treatment for end-stage tarsometatarsal (TMT) arthritis is an arthrodesis of the affected joints. This study was performed to examine the clinical and radiographic outcome after TMT arthrodesis and to identify risk factors for postoperative complications.
Incidence and Risk Factors for Flap Coverage After Total Ankle Arthroplasty
Daniel J. Cunningham, MD, MHSc, Sean P. Ryan, MD, Cierra Hong, MD, Suhail K. Mithani, MD, Samuel B. Adams, Jr, MD
doi : 10.1177/1071100720982901
Volume: 42 issue: 6, page(s): 744-749
Wound complications following total ankle arthroplasty (TAA) can have a significant impact on patient morbidity, particularly when they require flap coverage. We sought to determine the risk factors associated with the need for flap coverage after TAA and hypothesized that medical and operative risk factors such as diabetes and additional procedures would be associated with the need for flap coverage after TAA.
Association of Cavovarus Foot Alignment With Peroneal Tendon Tears
Akira Taniguchi, MD, PhD, Shannon F. Alejandro, MD, Justin M. Kane, MD, Yahya Daoud, MS, Yasuhito Tanaka, MD, PhD, Samuel E. Ford, MD, James W. Brodsky, MD
doi : 10.1177/1071100721990348
Volume: 42 issue: 6, page(s): 750-756
Although it is a widely accepted clinical principle that cavovarus deformity predisposes to peroneal tendon problems, there are limited data to support that assumption. This study tested the hypothesis that cavovarus is associated with peroneal tendon tears and evaluated which radiographic measures correlated with that association.
Three-Dimensional Distance and Coverage Maps in the Assessment of Peritalar Subluxation in Progressive Collapsing Foot Deformity
Kevin N. Dibbern, PhD, Shuyuan Li, MD, PhD, Victoria Vivtcharenko, BS, Elijah Auch, MS, Francois Lintz, MD, MSc, FEBOT, Scott J. Ellis, MD, John E. Femino, MD, Cesar de Cesar Netto, MD, PhD
doi : 10.1177/1071100720983227
Volume: 42 issue: 6, page(s): 757-767
Progressive collapsing foot deformity (PCFD), formerly termed adult-acquired flatfoot deformity, is a complex 3-dimensional (3D) deformity of the foot characterized by peritalar subluxation (PTS). PTS is typically measured at the posterior facet, but recent studies have called this into question. The objective of this study was to use 3D distance mapping (DM) from weightbearing computed tomography (WBCT) to assess PTS in patients with PCFD and controls. We hypothesized that DMs would identify the middle facet as a superior marker for PTS.
Distal Tibiofibular Syndesmotic Widening in Progressive Collapsing Foot Deformity
Elijah Auch, BS, Nacime Salomao Barbachan Mansur, MD, PhD, Thiago Alexandre Alves, MD, Christopher Cychosz, MD, Francois Lintz, MD, MSc, FEBOT, Alexandre Leme Godoy-Santos, MD, PhD, Daniel Soares Baumfeld, MD, PhD, Cesar de Cesar Netto, MD, PhD
doi : 10.1177/1071100720982907
Volume: 42 issue: 6, page(s): 768-775
Lateral overload in progressive collapsing foot deformity (PCFD) takes place as hindfoot valgus, peritalar subluxation, and valgus instability of the ankle increase. Fibular strain due to chronic lateral impingement may lead to distraction forces over the distal tibiofibular syndesmosis (DTFS). This study aimed to assess and correlate the severity of the foot and ankle offset (FAO) as a marker of progressive PCFD with the amount of DTFS widening and to compare it to controls.
Effect of Gender Differences on Patient-Reported Outcomes and Complications in Total Ankle Replacement
Amanda N. Fletcher, MD, MS, Kush S. Mody, BS, Samuel B. Adams, Jr, MD, James K. DeOrio, MD, Mark E. Easley, MD, James A. Nunley, MD, MS
doi : 10.1177/1071100720985292
Volume: 42 issue: 6, page(s): 776-787
The purpose of this study was to evaluate gender differences in patient outcomes and complications following total ankle replacement (TAR).
Short- and Intermediate-Term Results of Extracorporeal Shockwave Therapy for Noninsertional Achilles Tendinopathy
Nasr Awad Abdelkader, PhD, Mohamed Nasser Kise Helmy, BSc PT, Nadia Abdelazem Fayaz, PhD, Emad S. B. Saweeres, FRCS (Tr & Orth), MD
doi : 10.1177/1071100720982613
Volume: 42 issue: 6, page(s): 788-797
Earlier randomized controlled trials (RCTs) reported only midterm (3-4 months) results of extracorporeal shockwave therapy (ESWT) as a treatment for noninsertional Achilles tendinopathy (NAT). This study compared the effectiveness of an eccentric loading program followed by stretching exercises combined with ESWT (study group) or sham ESWT (control group) for treating chronic NAT in both the short and long term.
Effect of Age on Clinical and Radiological Outcomes of Hallux Valgus Surgery
Graham S. Goh, MBBS, MRCS, Adriel You Wei Tay, MBBS, MRCS, Yogen Thever, MBBS, Kevin Koo, MBBS, FRCS
doi : 10.1177/1071100720982975
Volume: 42 issue: 6, page(s): 798-804
The prevalence of hallux valgus increases with age. However, no studies have compared the effectiveness of surgical correction among different age groups. This study investigated the influence of age on clinical and radiological outcomes following hallux valgus surgery.
Do Coronal or Sagittal Plane Measurements Have the Highest Accuracy to Arthroscopically Diagnose Syndesmotic Instability?
Rohan Bhimani, MD, MBA, Bart Lubberts, MD, PhD, Pongpanot Sornsakrin, MD, Jafet Massri-Pugin, MD, Gregory Waryasz, MD, Christopher W. DiGiovanni, MD, Daniel Guss, MD, MBA
doi : 10.1177/10711007211004151
Volume: 42 issue: 6, page(s): 805-809
To compare the accuracy of arthroscopic sagittal versus coronal plane distal tibiofibular motion toward diagnosing syndesmotic instability.
