Abstract:
BACKGROUND:There is a paucity of literature on the effect of calcaneal fractures on subtalar joint motion and patient satisfaction. The objective of this study was to determine the relationship between subtalar joint motion and outcome satisfaction in patients who had displaced intraarticular calcaneal fractures. The design of this study was a retrospective analysis from a randomized, controlled clinical trial. The setting was a Level I trauma center. METHODS:Of the 332 displaced intraarticular calcaneal fractures entered into the clinical trial and managed by the senior author, 244 fractures had subtalar joint motion measurements taken at least 12 weeks after fracture, and patient-oriented outcomes were reviewed at 2 years. Nonoperative treatment consisted of ice, elevation, and rest without closed reduction. In the operative group, an extended lateral approach was used with subchondral fixation, plating, and bone grafting when necessary. The Short Form 36 (SF-36), a validated visual analogue scale (VAS), and a gait analogue score measured patient satisfaction. Subtalar joint motion was recorded as percentages of the uninjured limb and grouped into quartiles. RESULTS:The VAS, SF-36 (p <.0001), and the gait satisfaction score (p <.05) all increased significantly with increasing subtalar joint motion. Satisfaction on the VAS and SF-36 was significantly related to subtalar joint motion for men (p <.0001) and in the age groups 30 to 39 (p <.001) and 40 to 49 years (p <0.05). In non-Workman Compensation Board (WCB) clients, higher subtalar joint motion was significantly related to improved satisfaction on VAS and SF-36 (p <.005). Patient satisfaction was significantly related to subtalar joint motion as measured by the VAS when patients reported pre-injury workloads of moderate (p <.05) or heavy (p <.01) regardless of whether they were treated operatively (p <.05) or nonoperatively (p <.0005). CONCLUSIONS:The amount of subtalar joint motion at least 12 weeks after displaced intraarticular calcaneal fracture is significantly related to patient satisfaction at 2 years regardless of the method of treatment.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Kingwell S,Buckley R,Willis Ndoi
10.1177/107110070402500912keywords:
subject
Has Abstractpub_date
2004-09-01 00:00:00pages
666-73issue
9eissn
1071-1007issn
1944-7876pii
857488journal_volume
25pub_type
临床试验,杂志文章,随机对照试验abstract::Using optical pedobarography, the outcome of open reduction and internal fixation of displaced os calcis fractures was assessed. In 12 patients, well reconstructed heel contact widths and no reduction in heel-ground contact times were found. In conjunction with this, patients showed lateral deviation of the plantar pr...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302401108
更新日期:2003-11-01 00:00:00
abstract::Two commonly used techniques for tibiotalar fusion were quantitatively compared using instrumented testing of the strength of the construct. The tibiae and tali from 10 pairs of fresh-frozen cadaveric limbs were used. One joint of each pair was fused using two 6.5-mm crossed cancellous screws from proximal to distal w...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500604
更新日期:1994-06-01 00:00:00
abstract:BACKGROUND:Over the past decade, total ankle arthroplasty (TAA) has become a mainstay in the treatment of end-stage ankle arthritis. Currently in its fourth generation, the Scandanavian Total Ankle Replacement (STAR) is the only 3-piece mobile bearing ankle prosthesis available in the United States. Our current study r...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717738747
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Osteonecrosis of the talus is a well-recognized pathology, which can result in significant hindfoot collapse resulting in poor function and pain. Treatment with intramedullary tibiotalocalcaneal arthrodesis (IMTCA) using a retrograde intramedullary nail is widely utilized for severe concomitant tibiotalar an...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714558506
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:More than 40 open procedures have been described for ankle arthrodesis, most with high complication rates. Since its description in 1983, arthroscopic ankle arthrodesis has become a viable option in selected patients. With one of the largest series in the literature, the purpose of the paper was to analyze t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600402
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Tibiotalocalcaneal arthrodesis is a salvage option for severe ankle and hindfoot deformities, arthritis of the ankle and subtalar joints, avascular necrosis of the talus, failed total ankle arthroplasty, and Charcot arthropathy. This multicenter study reports clinical experience with the hindfoot arthrodesis...
journal_title:Foot & ankle international
pub_type: 杂志文章,多中心研究
doi:10.1177/1071100713487526
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:The proximal crescentic osteotomy is an effective technique for correcting a widened 1-2 intermetatarsal angle associated with moderate to severe hallux valgus deformities. However, postoperative dorsal malunion at the osteotomy site from loss of fixation has been reported. The purpose of this study was to e...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600505
更新日期:2005-05-01 00:00:00
abstract::A prospective case-control study was performed comparing axial and coronal CT scan images of 11 patients (14 ankles) with chronic lateral instability and 12 controls. Scans were performed in a standardized fashion to simulate weight-bearing. Nine measurements to evaluate the alignment of the hindfoot and forefoot were...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300107
更新日期:2002-01-01 00:00:00
abstract::Twenty-nine feet in 28 patients who underwent subtalar distraction bone block fusion for the treatment of subtalar deformities associated with symptomatic arthrosis were evaluated. All patients were assessed with the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale score. Eighteen men and 10 wo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701801206
更新日期:1997-12-01 00:00:00
abstract::We examined the effect of cutaneous warming on the transcutaneous oxygen measurement (TcPO2) at standard locations below the knee, on the dorsal foot, on the plantar right great toe, and on the plantar surface under the second metatarsal head of 656 diabetic and 16 nondiabetic subjects. All subjects underwent a direct...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501601208
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND:There are various ligament reattachment techniques for the modified Brostrom procedure. There have been few comparative studies on recently developed techniques. This prospective study was performed to compare the functional outcomes of 2 different ligament reattachment techniques using suture anchors. We fu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714552079
更新日期:2015-02-01 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:A recent clinical study suggested that restrictive tenosynovitis of the flexor hallucis longus (FHL) may play an important causative role in hallux rigidus. The goals of this research were to assess normal function of the FHL and the effect of restricted FHL gliding on the loading of the hallux metatarsophal...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0367
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:The first metatarsal bone can shorten after a distal chevron metatarsal osteotomy (DCMO). This shortening can result in a postoperative second metatarsal transfer lesion. The aim of the present study was to investigate the occurrence of second metatarsal transfer lesions after DCMO. METHODS:This study invol...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715627350
更新日期:2016-06-01 00:00:00
abstract::Angioleiomyomas are relatively rare, benign, vascular soft tissue tumors with a predilection for the lower extremity. They may occur in either the cutaneous or subcutaneous tissue and are usually well encapsulated. Erosion of adjacent bone due to secondary compression phenomenon has rarely been reported in the literat...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200810
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Numerous operative procedures around the foot and ankle use bone graft to augment healing. Autologous bone graft remains the preferred type for these procedures. This can be harvested from the iliac crest, but complications are frequent. The purpose of our study was to investigate the option of harvesting th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600604
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:Proximal chevron osteotomy with a distal soft tissue procedure has been widely used to treat moderate to severe hallux valgus deformities. However, there have been no studies comparing the results of proximal chevron osteotomy between patients with moderate and severe hallux valgus. We compared the results o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0637
更新日期:2012-08-01 00:00:00
abstract::The purpose of this study was to evaluate the function of the ankle joint during walking before and after Scandinavian Total Ankle Replacement (STAR). Nine patients (six males and three females) with an average age of 65 years, scheduled for unilateral total ankle replacement for osteoarthritis and rheumatoid arthriti...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110070402500602
更新日期:2004-06-01 00:00:00
abstract:BACKGROUND:Failed total ankle arthroplasty (TAA) often results in significant bone loss and requires salvage arthrodesis. This study quantified the bone loss following failed TAA and reports the outcome of seven arthrodesis reconstructions using the Ilizarov method. METHODS:A retrospective review of ankle fusions was ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0947
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Nonunion or delayed union of fractures in the proximal aspect of metatarsals 1 to 4 and Zone 2 of the fifth metatarsal were treated by high energy extracorporeal shock wave treatment (ESWT) to study the safety and efficacy of this method of treatment in a FDA study of the Ossatron device. MATERIALS AND METH...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0746
更新日期:2011-08-01 00:00:00
abstract::There are numerous cutaneous disorders that affect the foot, but of these conditions skin infections have the most significant impact on overall patient morbidity and clinical outcome. Skin infections in foot and ankle patients are common, with often devastating consequences if left unrecognized and untreated in both ...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.3113/FAI.2012.0612
更新日期:2012-07-01 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::The current work sought to quantify pronation of the first metatarsal relative to the second metatarsal and of the proximal phalanx of the great toe relative to the first metatarsal. METHODS::Three-dimensional models were reconstructed from weightbearing computed tomography (CT) images (10 hallux valgus, 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718793391
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:Specialized treatment of plantar fasciitis that can reduce inflammation and promote healing may be a possible alternative prior to surgical intervention. We report the results of a randomized clinical trial examining the efficacy of micronized dehydrated human amniotic/chorionic membrane (mDHACM) injection a...
journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
doi:10.1177/1071100713502179
更新日期:2013-10-01 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: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: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::In this study, 29 patients were hospitalized with a diabetic foot infection and were treated with piperacillin/tazobactam. Of these 23 patients who were evaluated for efficacy of treatment, 22 patients improved or were clinically cured. In seven patients (30%), there was persistence of one of the baseline pathogens. A...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900311
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:Posterior tibial tendon dysfunction (PTTD) is a common malady leading to acquired flatfoot, which frequently causes foot and ankle pain and swelling. We hypothesized that patients with PTTD and pitting edema along the course of the posterior tibial tendon (PTT) would have evidence of fluid within the tendon ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0189
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:The prevalence of obesity in the United States is staggering. Currently, the effect of obesity on third-generation total ankle replacement (TAR) is unknown. METHODS:We prospectively identified a consecutive series of 455 primary TARs operated between May 2007 and September 2013 who had a minimum follow-up o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715606477
更新日期:2016-02-01 00:00:00