Abstract:
:Osteochondral lesions of the talar dome are common problems encountered in orthopaedics. Procedures for the treatment of osteochondral lesions of the talus, including debridement of the joint, shaving of fibrillated cartilage, and resection or perforation of subchondral bone in the last decade, have been performed arthroscopically with very low morbidity. These seem to be inadequate in lesions larger than 1.5 cm(2) and have not been histologically effective in restoring the hyaline cartilage sheath. Osteochondral allografts or autogenous grafts and autologous chondrocyte transplantation have proven to be capable of restoring the articular hyaline cartilage surface, including defects larger than 2 cm(2), although with higher costs and morbidity. In this review, the aforementioned methods of operative treatment are examined and issues that are related to these methods are discussed.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Giannini S,Vannini Fdoi
10.1177/107110070402500311keywords:
subject
Has Abstractpub_date
2004-03-01 00:00:00pages
168-75issue
3eissn
1071-1007issn
1944-7876pii
594999journal_volume
25pub_type
杂志文章,评审abstract:BACKGROUND:In this retrospective study, both the patients' and surgeons' satisfaction with resection of the first through fifth metatarsal heads for long-standing rheumatoid forefoot deformity was evaluated. METHODS:Thirty-four patients (56 feet) had first through fifth metatarsal head resection. After a mean time of ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700804
更新日期:2006-08-01 00:00:00
abstract::Factors making runners more susceptible to injuries were identified with a comparative study between a healthy control group (216) and runners (66) suffering from overuse pathology. On static and dynamic footprint, the angles alpha0 (static) and alpha1 (dynamic) between heel and forefoot have been measured. Analysis s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900106
更新日期:1998-01-01 00:00:00
abstract::Absorbable polyglycolide pins were used for fixation of 94 chevron osteotomies in 70 patients at the Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, between 1986 and 1992. Postoperative osteolytic changes around the degrading pin occurred in 21 of 94 (22%) metatarsal heads. In 17 of ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800105
更新日期:1997-01-01 00:00:00
abstract::We compared the pressure distribution in the ankle and posterior facet of the subtalar joint following 1 cm medial and lateral displacement calcaneal osteotomies to the pressure distribution in the intact foot. Six cadaver specimens were loaded in neutral alignment while pressure measurements were recorded. A 1-cm med...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102201105
更新日期:2001-11-01 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:The published long-term follow-up of modern total ankle arthroplasty is limited. We report results after a minimum of 10-year follow-up in a cohort of patients who underwent the Scandinavian Total Ankle Replacement (STAR™) in the United States. METHODS:Between 1998 and 2003, 18 patients underwent total ankl...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714550654
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to perform a histological comparative analysis of tibiotalar joint samples taken from areas of osteolysis adjacent to total ankle arthroplasties vs control synovial specimens to determine the reaction to and presence of polyethylene (PE) particles. METHODS:A total of 57 patholo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716682333
更新日期:2017-04-01 00:00:00
abstract::We report a case of bilateral Achilles tendon xanthoma as the first clinical manifestation of familial hypercholesterolemia. We review the literature and stress the need for orthopaedic surgeons to be familiar with this disease. An early diagnosis of this metabolic disorder is important to institute medical therapy an...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079902000509
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to review the results of arthrodesis of the Charcot hindfoot when an implantable bone growth stimulator was added to the procedure. Arthrodesis of the Charcot hindfoot has a high nonunion and complication rate. METHODS:Ten patients (ages 50 to 69 years) with Charcot neuroarthro...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0971
更新日期:2007-09-01 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::For measurement of the first metatarsophalangeal angle and intermetatarsal angle I-II, five different methods for drawing the axis of the first metatarsal have been published. This study aimed to evaluate differences in the resulting angles that depend on the method of drawing this axis. Using pre- and postoperative r...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900805
更新日期:1998-08-01 00:00:00
abstract::We studied the validity and reliability of the Foot and Ankle Outcome Score (FAOS) when used to evaluate the outcome of 213 patients (mean age 40 years, 85 females) who underwent anatomical reconstruction of the lateral ankle ligaments with an average postoperative follow-up of 12 years (range, three to 24 years). The...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102201004
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:The Self-reported Foot and Ankle Score (SEFAS) is a patient-reported outcome measure, while the American Orthopedic Foot and Ankle Society Score (AOFAS) is a clinician-based score, both used for evaluation of foot and ankle disorders. The purpose of this study was to compare the psychometric properties of th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714543647
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:The incidence and potential life-threatening complications of thromboembolic disease after major orthopaedic surgery has been extensively studied. However, there are two studies pertaining to the incidence of thromboembolic disease after foot and ankle surgery, the findings of which suggest that the incidenc...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700907
更新日期:2006-09-01 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: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:Hallux valgus deformities with large intermetatarsal angles require a more proximal metatarsal procedure to adequately correct the deformity. Due to the relative ease of a closing wedge osteotomy, this technique was adopted but with concern over first metatarsal shortening. In this study, we primarily evalua...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0513
更新日期:2011-05-01 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:BACKGROUND:Among the various operative treatments of Morton's neuroma, deep transverse metatarsal ligament (DTML) release has been performed for decompression of neuroma. However, the main lesion of Morton's neuroma is located between the metatarsal head and the metatarsophalangeal (MTP) joint and more distal than the ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713499905
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Insertional Achilles tendinopathy and retrocalcaneal bursitis is difficult to treat, and several operative techniques have been used after failure of conservative management. Dorsal wedge calcaneal osteotomy has been described for the treatment of insertional Achilles pathology. It was hypothesized that dors...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716681139
更新日期:2017-04-01 00:00:00
abstract::This study proposed to assess foot types and radiological examination of feet of individuals with hypermobility syndrome in comparison to healthy matched controls for age, sex, and body mass index. The relationship between foot angles and hypermobility scores of subjects in both groups were also~assessed. Twenty indiv...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500211
更新日期:2004-02-01 00:00:00
abstract::We hypothesized that the posterior-to-anterior (PA) calcaneal interlocking screw of the Biomet Ankle Arthrodesis Nail would increase rotational stability secondary to increased bone purchase compared with the standard lateral-to-medial (transverse) screw. Each of 10 fresh human cadaver lower limbs (five matched pairs)...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200908
更新日期:2001-09-01 00:00:00
abstract::Contemporary methods of bone grafting osteochondral defects, in which the remaining overlying cartilage is relatively well preserved, have inherent problems. The bony defects are often saucer-shaped and the cylindrical graft may not fill the void, leaving areas of cartilage with no underlying scaffold and obviating ea...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0616
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Anatomic reduction and fixation of the syndesmosis in traumatic injuries is paramount in restoring function of the tibiotalar joint. While overcompression is a potential error, recent work has called into question whether ankle position during fixation really matters in this regard. Our study aimed to corrob...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718759966
更新日期:2018-06-01 00:00:00
abstract:RECOMMENDATION:Several studies support the effect of peripheral vascular disease (PVD) on wound healing and surgical site infection (SSI). Despite this, there have been no specific studies proving the beneficial effect of revascularization on SSI prior to operative intervention in the setting of traumatic or elective f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719859343
更新日期:2019-07-01 00:00:00
abstract::Six patients with ankle joint destruction and delayed metaphyseal union after tibial plafond fracture were surgically treated with tibiotalar arthrodesis and metaphyseal reconstruction, using a fixed-angle cannulated blade-plate. The procedure was performed through a posterior approach in five cases and a lateral appr...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000606
更新日期:1999-06-01 00:00:00
abstract:BACKGROUND:Bunionette deformity is characterized as head hypertrophy, lateral bowing, or splaying of the fifth metatarsal, or a combination of these deformities. Most previous studies have focused on the fourth and fifth metatarsals; few have analyzed the radiographic morphologic characteristics of the entire foot. The...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715614923
更新日期:2016-03-01 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:Symptomatic large hallux valgus deformities commonly require surgical intervention with a proximal metatarsal osteotomy. A number of fixation methods have been described for proximal chevron osteotomies; one of the most recent is locking plates. METHODS:We retrospectively reviewed the records of 16 consecut...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0361
更新日期:2007-03-01 00:00:00
abstract::The purpose of this study was to evaluate the biomechanical properties of commonly used autogenous transplants for the surgical stabilization of chronic lateral ankle instability. We dissected the transplants (peroneus longus, peroneus brevis, Achilles and plantaris tendon, periosteal flap, fascia, corium) and the ant...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300714
更新日期:2002-07-01 00:00:00