AbstractText: The American OrthopaedicFoot and Ankle Society (AOFAS) Ankle-Hindfoot Scale is among the most used questionnaires for measuring functional recovery after a hindfoot injury. Recently, this instrument was translated and culturally adapted into a Dutch version. In this study, the measurement properties of the Dutch language version (DLV) were investigated in patients with a unilateral hindfoot fracture AbstractText ...
... studies looking at the number of pills consumed after outpatient foot and anklesurgeries, nor are there guidelines for how many pills providers should ... of narcotic pills taken by opioid-naïve patients undergoing outpatient foot and anklesurgeries with regional anesthesia AbstractText: Eighty-four patients underwent outpatient foot and anklesurgeries under spinal blockade and long-acting popliteal blocks ...
AbstractText: We analyzed self-reported outcomes in a prospective cohort of patients treated with ankle arthrodesis or total anklereplacement (TAR) during a time of transition from older to newer-generation TAR implants AbstractText: We performed a prospective cohort study comparing outcomes in 273 consecutive patients treated for ankle arthritis ...
Muscular and Skeletal Diseases (2), Anti-Obesity and Weight Loss (1) Arthritis (2), more mentions
AnkleReplacement or Ankle Fusion: Who Reigns Supreme?: Commentary on an article by Marisa R. Benich, BS, et al.: "Comparison of Treatment Outcomes of Arthrodesis and Two Generations of AnkleReplacementImplants"..
AbstractText: We evaluated treatment of osteomyelitis in the foot in the presence of Charcot neuroarthropathy, a devastating condition with progressive degeneration and joint destruction... of osteomyelitis within versus outside the Charcot zone AbstractText: Forty patients (43 ft) diagnosed with Charcot neuroarthropathy and osteomyelitis of the same foot were retrospectively analyzed.
nov., strain P3598(T) (CSURP3598), a new Kocuria species that caused footosteomyelitis in a 78-year-old woman. The improvement of diagnostic tools for the identification of bacteria in microbiological laboratories, including MALDI-TOF MS and 16S rRNA sequencing, largely contributed to the emergence and to the expansion of the clinical spectrum of infections caused by Kocuria spp.
AbstractText: There has been an evolution recently in the management of unstable fractures of the ankle with a trend towards direct fixation of a posterior malleolar fragment... Cite this article: Bone Joint J 2017;99-B:1496-1501 Keyword: Anklefracture. Keyword: Posterior malleolus. Keyword: Posteromedial approach.
... of repairing the deltoid ligament during the fixation of an anklefracture compared to conservative management AbstractText: We retrospectively evaluated 78 consecutive cases of a ruptured deltoid ligament with an associated anklefracture between 2001 and 2016 ... The outcome measures included radiographic findings, the American OrthopaedicFoot & Ankle Society ankle-hindfoot scores, visual analog scale scores, and the Foot Function ...
... ligamentous injuries in midtarsal (Chopart) sprains and their association with ankle sprains after acute ankleinjuries... search: patients who had undergone MRI within 8 weeks after ankleinjury and control subjects who had not sustained ankletrauma... midtarsal sprain AbstractText: Midtarsal sprains are commonly associated with acute ankleinjury and with ankle sprains.
... AbstractText: To investigate the nature and extent of soft tissue ankleinjuries, and to consider whether the anatomical severity of injury can ... local Accident and Emergency Department in Oxford with an acute ankleinjury with no clinical requirement for radiographs, or where radiographs were ... 58 had simple ankleinjuries, 21 complex, 19 had significant fractures and 2 were excluded ...
... of bias (ROB) tool was used to assess the methodological quality. Outcome measurements were the visual analogue scale (VAS), Foot and Ankle Disability Index (FADI), American OrthopedicFoot and Ankle Society (AOFAS) scale, and the Roles and Maudsley score (RMS. The statistical analysis was performed with RevMan 5.3.5 software AbstractText: Nine RCTs (n = 430) were included in this meta-analysis.
Pain Management (1), Muscular and Skeletal Diseases (1) Plantar Fasciitis (2), Fasciitis (1), more mentions
The aim of this study was to investigate the risk factors of wound infection after open reduction and internal fixation of calcaneal fractures.In all, 299 patients with 318 calcaneal fractures who underwent open reduction and internal fixation by a single surgeon were grouped according to different outcomes. We gathered the data on each patient including sex, age, injury mechanism, body mass index (BMI), time to operation, fracture type, associated injuries, treatment course, tourniquet time, blood loss, bone graft (yes or no), diabetes (yes or no), smoking history, and complications. Univariate analysis and multivariable analysis were used to determine the association between risk factors and wound infection.Patients who met the entry criteria included 267 males and 32 females with a mean age of 38.6 years. Among them, 5.3% (n = 17) suffered wound infection, and all of the wounds healed after different treatments. According to the univariate analysis, the patients who developed wound infections were active smokers, more obese (higher BMI), had a longer time from injury to operation, and longer tourniquet time. Multivariate analysis indicated that a higher BMI, delayed operation, and active smoking were independent risk factors for wound infection after open reduction and internal fixation of calcaneal fractures.Patients with calcaneal fractures who were smokers and had a higher BMI had a high risk of wound infections. We suggested that surgeons wait to operate until swellings of the injured foot improved, and we also suggested the operation should be within 14 days after the injury.
Anti-Obesity and Weight Loss (4), Endocrine Disorders (1) Wound Infections (7), Surgical Wound Infections (1), Obesity (1), more mentions
PURPOSE: Rupture of the Achilles tendon results in inferior scar tissue formation. Elastography allows a feasible in vivo investigation of biomechanical properties of the Achilles tendon. The purpose of this study is to investigate the biomechanical properties of healed Achilles tendons in the long term.
MATERIALS AND METHODS: Patients who suffered from Achilles tendon rupture were recruited for an elastographic evaluation. Unilateral Achilles tendon ruptures were included and scanned in the mid-substance and calcaneal insertion at least 2 years after rupture using shear wave elastography. Results were compared to patients' contralateral non-injured Achilles tendons and additionally to a healthy population. Descriptive statistics, reliability analysis, and correlation analysis with clinical scores were performed.
RESULTS: Forty-one patients were included in the study with a mean follow-up-time of 74 ± 30; [26-138] months after rupture. Significant differences were identified in shear wave elastography in the mid-substance of healed tendons (shear wave velocity 1.2 ±1.5 m/s) compared to both control groups [2.5 ±1.5 m/s (p < 0.01) and 2.8 ±1.6 m/s (p < 0.0001) contralateral and healthy population, respectively]. There was no correlation between the measurements and the clinical outcome.
CONCLUSIONS: This study shows that the healed Achilles tendon after rupture has inferior elastic properties even after a long-term healing phase. Differences in elastic properties after rupture mainly originate from the mid-substance of the Achilles tendon, in which most of the ruptures occur. Elastographic results do not correspond with subjective perception. Clinically, sonoelastographical measurements of biomechanical properties can be useful to provide objective insights in tendon recovery.
BACKGROUND: Clubfoot is one of the most common congenital deformities affecting mobility. It leads to pain and disability if untreated. The Ponseti method is widely used for the correction of clubfoot. There is variation in how the result of clubfoot management is measured and reported. This review aims to determine and evaluate how success with the Ponseti method is reported in sub-Saharan Africa.
METHODS: Five databases were examined in August 2017 for studies that met the inclusion criteria of: (1) evaluation of the effect of clubfoot management; (2) use of the Ponseti method; (3) original study undertaken in sub-Saharan Africa; (4) published between 2000 and 2017. We used the PRISMA statement to report the scope of studies. The included studies were categorised according to a hierarchy of study methodologies and a 27-item quality measure identified methodological strengths and weaknesses. The definition of success was based on the primary outcome reported.
RESULTS: Seventy-seven articles were identified by the search. Twenty-two articles met the inclusion criteria, of which 14 (64%) reported a primary outcome. Outcomes were predominantly reported though case series and the quality of evidence was low. Clinical assessment was the most commonly reported outcome measure and few studies reported long-term outcome. The literature available to assess success of clubfoot management is characterised by a lack of standardisation of outcomes, with different measures reporting success in 68% to 98% of cases.
CONCLUSION: We found variation in the criteria used to define success resulting in a wide range of results. There is need for an agreed definition of good outcome (successful management) following both the correction and the bracing phases of the Ponseti method to establish standards to monitor and evaluate service delivery.
Pre- and post-operative ankle function was assessed using the American OrthopedicFoot and Ankle Society -Ankle and Hindfoot (AOFAS-AH) score and the Muscularskeletal Tumor Society (MSTS) score AbstractText: The mean follow-up duration was 37.4 months (range 25 to 50 months. There were 6 males and 9 females, with a mean age of 35 years old (range 18 ...
Muscular and Skeletal Diseases (2) Giant Cell Tumors (3), Neoplasms (3), Pigmented Villonodular Synovitis (1), more mentions
Exclusion criteria were case reports, (systematic) reviews, articles not published in English, description of only acute instability or only conservative treatment, medial ankle instability and concomitant injuries, deformities or previous surgical treatment for ankle instability. After inclusion, studies were critically appraised using the Modified Coleman Methodology Score AbstractText: The search resulted in a total of 19 articles, including 882 patients ...
... the outcome of chronic lateral ankle instability (CLAI) by compromising the rehabilitation program AbstractText: Ankle arthroscopy and anatomic lateral ankle ligament repair with suture anchors were ... Pre-operative and post-operative visual analog scale (VAS) scores, American OrthopaedicFoot and Ankle Society (AOFAS) scores, Tegner scores, sprain recurrence, ankle stability, and range ...