Foot and Ankle

Latest journal articles about foot and ankle from Foot and Ankle International, Journal of Foot and Ankle Research, Journal of Foot and Ankle Surgery, Foot and Ankle Surgery, Foot, The Bone & Joint Journal, Journal of Bone and Joint Surgery, Clinical Orthopaedics and Related Research, Acta Orthopaedica, Orthopedic Clinics of North, America, Journal of Orthopaedic Surgery and Research, Orthopedics

Soft tissue approach to hallux valgus deformity correction has not been popular due to concerns of its effectiveness. Osteodesis procedure is a soft tissue technique that has been reported with favorable results, especially its long term deformity recurrence rate was very low. Recurrence complication after Lapidus procedure has seldom been reported and its remedial surgery not much discussed yet. Soft tissue approach has never been recommended or reported for salvaging failed hallux valgus surgery. This case report is a failed Lapidus procedure due to symptomatic recurrence of deformity that was successfully salvaged by osteodesis procedure and followed up for six years to ensure no late symptoms and deformity recurrence.

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Double crush syndrome is a distinct compression at two or more locations along the course of a peripheral nerve that can coexist and synergistically increase symptom intensity. In addition, dissatisfaction after treatment at one site may be the result of persistent pathology at another site along a peripheral nerve. Double crush syndrome is a controversial diagnosis; some scientists and surgeons believe it is an illness construction that may do more harm than good because it emphasizes an objective pathophysiologic explanation for unexplained symptoms, disability, and dissatisfaction that may be more psychosocially mediated. However, peripheral neuropathy may coexist with compressive neuropathy and contribute to suboptimal outcomes following nerve decompression.

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BACKGROUND: Little is known about the long-term results of surgical correction of hallux valgus deformity, in particular, the recurrence rate and factors leading to recurrence. METHODS: Of one hundred and eight patients (115 feet) who underwent a Scarf osteotomy, ninety-three patients (ninety-three feet) were examined at an average duration of follow-up of 124 months. Clinical examination before surgery and at the time of final follow-up included an evaluation of range of motion, pain as measured with a visual analog scale, and American Orthopaedic Foot&Ankle Society (AOFAS) scores. The Foot and Ankle Outcome Score (FAOS) was also assessed postoperatively. Radiographic data were evaluated preoperatively, at six weeks postoperatively, and at the time of final follow-up.

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BACKGROUND: The aim of the present study was to evaluate the clinical value of using the lateral tibiocalcaneal (LTiC) angle, measured on a lateral radiograph made with the foot and ankle in maximal dorsiflexion, instead of the ankle dorsiflexion (ADF) angle, measured on physical examination, as a determining indicator of the need for percutaneous Achilles tenotomy after Ponseti serial cast treatment of idiopathic clubfoot. METHODS: We identified patients with idiopathic clubfoot who had been treated at our institution between March 2006 and June 2012. After exclusion of patients with Diméglio grade-I clubfoot and those followed for less than two years, 125 idiopathic clubfeet were evaluated.

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Related Articles Effect of shockwave therapy on plantar fasciopathy: A biomechanical prospective. Bone Joint J. 2013 Aug 1;95-B(8):1088-1093 Authors: Hsu WH, Lai LJ, Chang HY, Hsu RW Abstract

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Related Articles Outcome of limited forefoot amputation with primary closure in patients with diabetes. Bone Joint J. 2013 Aug 1;95-B(8):1083-1087 Authors: Shaikh N, Vaughan P, Varty K, Coll AP, Robinson AH Abstract Limited forefoot amputation in diabetic patients with osteomyelitis is frequently required. We retrospectively reviewed diabetic patients with osteomyelitis, an unhealed ulcer and blood pressure in the toe of > 45 mmHg who underwent limited amputation of the foot with primary wound closure. Between 2006 and 2012, 74 consecutive patients with a mean age of 67 years (29 to 93), and a median follow-up of 31 months, were included. All the wounds healed primarily at a median of 37 days (13 to 210; mean 48). At a median of 6 months (1.5 to 18; mean 353 days), 23 patients (31%) suffered a further ulceration. Of these, 12 patients (16% of the total) required a further amputation. We conclude that primary wound closure following limited amputation of the foot in patients with diabetes is a safe and effective technique when associated with appropriate antibiotic treatment. Cite this article: Bone Joint J 2013;95-B:1083-7. PMID: 23908424 [PubMed - as supplied by publisher]Read more... http://www.ncbi.nlm.nih.gov/pubmed/23908424?dopt=Abstract

Related Articles Comparison of the HINTEGRA and Mobility total ankle replacements: Short- to intermediate-term outcomes. Bone Joint J. 2013 Aug 1;95-B(8):1075-1082 Authors: Choi GW, Kim HJ, Yeo ED, Song SY Abstract

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