Abstract:
:A retrospective review was performed on industrial patients who sustained calcaneal fractures within the State of Idaho during the years 1992 to 1994, and these patients were insured by the Idaho State Insurance Fund. Of 48 calcaneal fractures that occurred during this period, 18 were non-displaced extra-articular fractures and 30 were displaced intra-articular fractures. An independent evaluator contacted each patient and performed chart reviews regarding the work history, period of time off work, and cost incurred with the injury. A total of 24 primary surgical procedures were performed on patients who sustained a displaced intra-articular calcaneal fracture and 31 secondary procedures were performed including wound debridement, hardware removal, skin grafting, and secondary subtalar fusion. For patients whose calcaneal fractures could be treated with non-operative care, the average time from injury until return to work was 18 weeks, and the average total cost of injury was $14,230. For patients whose calcaneal fractures required open reduction and internal fixation, the average time loss from work was 35 weeks, and the average total cost of injury was $31,004. Seven patients whose calcaneal fractures were initially treated with an open reduction, internal fixation later underwent a hindfoot arthrodesis. The average time off work for these patients was 69 weeks and the average total cost of injury was $65,384. Fractures were rated on postoperative radiographs according to the quality of their operative reduction. Fractures that were non-anatomically reduced had an increased tendency to require a subtalar fusion. Nine patients sustained other injuries associated with their calcaneal fracture and three patients sustained an open fracture. Both concurrent injuries and open fractures were associated with increased total cost and increased time off work. The total cost of injury was doubled as was time off work when an open reduction and internal fixation was followed later by a secondary subtalar arthrodesis.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Coughlin MJdoi
10.1177/107110070002101102keywords:
subject
Has Abstractpub_date
2000-11-01 00:00:00pages
896-905issue
11eissn
1071-1007issn
1944-7876journal_volume
21pub_type
杂志文章abstract:BACKGROUND:Talonavicular fusion is performed for a variety of indications. This study examined the effects of fixation techniques on plantar pressures, construct stiffness, and strength. MATERIALS AND METHODS:Eight matched pairs of cadaveric lower extremities were axially loaded intact and after talonavicular fixation...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI-2009-0150
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:This prospective study evaluated the results of arthroscopic subtalar arthrodesis for painful hindfoot osteoarthritis. METHODS:The hypotheses were that (1) the arthroscopic technique results in a reliable fusion rate, (2) the clinical outcome is better than the open procedure and (3) complication rates are ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0001
更新日期:2007-01-01 00:00:00
abstract::Improved designs and surgical technique has led to much better mid-term and longer term outcomes than the first generation ankle replacements of the 1970's. However, there remains multiple recent papers discussing the many potential complications with total ankle replacement surgery. As we proceed into the future, one...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0267
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Suture anchors have been used for soft tissue repair in orthopedic surgery for decades. Recently, bioabsorbable suture anchors have increased in popularity and have spurred the introduction of ultrasound-assisted systems. The purpose of our study was to determine the clinical safety and efficacy of a new ult...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720935122
更新日期:2020-09-01 00:00:00
abstract::Thirteen patients who had undergone unilateral triple or double arthrodesis were studied an average of 5.2 years after surgery. Patients with a neuromuscular disorder; inflammatory arthritis; or any other focus of lower extremity arthritis, deformity, or joint dysfunction were excluded from the study. Clinical and rad...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000902
更新日期:1999-09-01 00:00:00
abstract::We describe the characteristics of the medial longitudinal arch (MLA) of the right foot in 19 healthy men while sitting/partial bodyweight, standing/full bodyweight, and during the stance phase of walking. Three measurements were selected as representative of the MLA, including: height of the arch, length of the arch,...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000208
更新日期:1999-02-01 00:00:00
abstract:BACKGROUND:Standard treatment of plantar first metatarsal head neuropathic ulceration with underlying osteomyelitis consists of extensive debridement of infected soft tissues and bone and often first ray amputation. The purpose of this study was to present a previously unreported, one stage, alternative to first ray am...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0973
更新日期:2010-11-01 00:00:00
abstract::Dorsal dislocation of the first metatarsophalangeal joint without a fracture is a rare injury, although it has been well described in the literature. The pathologic anatomy of the case presented has not been documented previously. We suggest a new method of open repair using a sling procedure. ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501600204
更新日期:1995-02-01 00:00:00
abstract::A prospective randomized controlled trial comparing open and percutaneous repair of closed ruptured Achilles tendons was performed over a period of 30 months. Sixty-six patients from seven district general hospitals were entered into the study with 33 patients randomized into each group. A modification of the techniqu...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110070102200705
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Osteoarthritis (OA) is characterized not only by cartilage degeneration, but also subchondral bone changes. The subchondral bone plate (SBP) plays an important role in cartilage metabolism, and elucidation of the relationship between the SBP and cartilage degeneration would be helpful to determine the most a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714548061
更新日期:2014-12-01 00:00:00
abstract::Forty-three patients (47 heels) underwent decompression of the nerve to abductor digiti minimi with partial plantar fascia release for intractable plantar fasciitis over a 4-year period. Forty-one patients (45 heels) were available for follow-up. All of the patients had failed to respond to nonoperative treatment. The...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902001209
更新日期:1999-12-01 00:00:00
abstract::The strain changes of the central part of the anterior talofibular ligament (ATFL), the posterior talofibular ligament (PTFL), the calcaneofibular ligament (CFL), and the tibiocalcaneal ligament (TCL) were measured simultaneously for a full range of ankle motion. Twelve fresh frozen amputated ankles were used. To meas...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300909
更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:The Krackow locking loop technique has been used for Achilles tendon repair with documented success in allowing early range of motion with stable fixation. Previous studies documented failure at the rupture site by knot failure. We propose a modification of the traditional Krackow technique where the knots o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI-2009-0410
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:The moment, a force applied at a distance, is responsible for movement and balance. A key component of the moment is the moment arm. The moment arms of nine muscles surrounding the ankle complex during motion in three planes, were studied. MATERIALS AND METHODS:Five cadaveric feet were mounted in a testing ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0300
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:The etiology of navicular stress fractures is a topic of interest due to the implications in high-level athletes. Previous studies suggest an avascular zone in the central one-third of the bone as a potential causative factor. This study investigated the extraosseous and intraosseous arterial anatomy of the ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0857
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Patients with arthritis or severe dysfunction involving both the ankle and subtalar joints can benefit from tibiotalocalcaneal (TTC) arthrodesis or total ankle replacement and subtalar fusion. TTC fusion is considered by many as a salvage operation resulting in a stiff ankle and hindfoot, considerably limiti...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716642751
更新日期:2016-07-01 00:00:00
abstract::The purpose of the study was to investigate effects of adhesive ankle taping. Using electromyographic, goniometric, and thermologic methods, different ankle tapes were tested before and after athletic exercise in simulated inversion trauma. Twelve subjects with stable ankle joints performed five trials: with two diffe...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110079902000406
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Evaluation and management of osteochondral lesions of the talus (OLTs) often warrant advanced imaging studies, especially in revision or cases with cystic defects. It is possible that orthopedic surgeons may overestimate the size and misinterpret the morphology of OLT from conventional computed tomography (C...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718771834
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Lateral column lengthening (LCL) has become an accepted procedure for the operative treatment of the flexible flatfoot deformity. Hindfoot arthrodesis via a calcaneocuboid distraction arthrodesis (CCDA) has been considered a less favourable surgical option than the anterior open wedge calcaneal distraction o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0386
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:The modified Broström (MB) procedure has long been the mainstay for the treatment of chronic lateral ankle instability (CLAI). Recently, suture tape (ST) has emerged as augmentation for this repair. The clinical benefit of such augmentation has yet to be fully established. The purpose of this study was to de...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720976071
更新日期:2021-01-23 00:00:00
abstract:BACKGROUND:Studies using footprint-based estimates of arch height have indicated that obesity results in a lowered medial longitudinal arch in children. However, the potentially confounding effect of body composition on indirect measures of arch height, such as the arch index, has not been investigated. METHODS:This s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500811
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND:Ankle replacement and ankle arthrodesis are standard treatments for treating end-stage ankle arthritis when conservative treatment fails. Comparing patient-reported outcome scores to the instrument's minimal important difference (MID) helps physicians and researchers infer whether a meaningful change in heal...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720977842
更新日期:2021-01-27 00:00:00
abstract:BACKGROUND:Although cross-sectional biomechanical studies have reported that wearing high-heeled shoes can change the musculoskeletal system of the lower extremities, the long-term effects of wearing such shoes on the ankle remain unknown. The aim of this study was to reveal changes in ankle range of motion and muscle ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100712468562
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:The incidence of Achilles ruptures has been on the rise in National Collegiate Athletic Association (NCAA) football players, but the career impact of this injury is not fully understood. In this study, we analyzed a large series of Achilles tendon injuries in NCAA Football Bowl Subdivision (FBS) defensive fo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719899072
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:The current clinical standard for the surgical treatment of ankle instability remains the open modified Broström procedure. Modern advents in arthroscopic technology have allowed physicians to perform certain foot and ankle procedures arthroscopically as opposed to traditional open approaches. METHODS:Twent...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714535765
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:Over the past 20 years, ankle arthrodesis with use of screw augmentation has become a popular technique to gain fusion of the arthritic ankle. The objective of this cadaver study was to identify the risks to local neurovascular structures using standard operative practices for percutaneous guide pin placemen...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0614
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Evans showed that lengthening the lateral column by inserting structural bone graft into the anterior calcaneus could correct abduction and valgus deformity in flatfoot. To better understand the mechanism of correction and the three-dimensional effect of this procedure a cadaver study was done. METHODS:Thre...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600209
更新日期:2005-02-01 00:00:00
abstract::We conducted magnetic resonance imaging of the posterior tibial (PT) and flexor digitorum longus (FDL) muscle bellies in 12 patients undergoing surgical treatment for unilateral posterior tibial tendon (PTT) dysfunction. All patients had atrophy of the PT muscle compared to the normal leg (mean 10.7%, p = 0.008). In t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400409
更新日期:2003-04-01 00:00:00
abstract::A custom, patellar-tendon bearing (PTB), patten-bottom, caliper suspension orthosis was constructed for six patients with severe, active (Eichenholtz stage I) Charcot arthropathy of the ankle and hindfoot. With the orthosis, the suspended foot and ankle remained completely non-weight-bearing, and the lower extremity s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300408
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:The aim of this study was to examine the influence of age, body mass index (BMI) and leg dominance on the PRT, balance control and foot position sense. MATERIALS AND METHODS:The proprioception of the ankle was investigated in 210 participants. All participants completed a questionnaire. The PRT was measured...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0423
更新日期:2010-05-01 00:00:00