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 the results of arthroscopic ankle arthrodesis at our institution. METHODS:Between 1989 and 2002, 35 patients with end-stage ankle arthritis underwent arthroscopic ankle arthrodesis. The average followup was 72 months, with a range of 24 to 167 months. Patients returned for a clinical and radiolographic evaluation using the grading systems of Mazur and Morgan. All patients had preoperative and postoperative radiographic evaluation to assess fusion. Indications for arthroscopic ankle arthrodesis included failure of at least 6 months of conservative treatment, minimal or mild correctable deformity in the coronal plane, and no active infections. RESULTS:The overall fusion rate was 97% (34 of 35 patients). The average time to fusion was 11.8 weeks, with a range of 8 to 18 weeks. There were 74% good to excellent results by the Mazur grading system and 83% by the Morgan system. There were no infections or neurovascular injuries. In the three patients who required bone stimulators for delayed unions, fusion occurred in two, and one had a nonunion. Eleven patients had screws removed because of pain at an average of 11 months after the initial surgery. CONCLUSION:Our study demonstrated a high fusion rate with minimal complications for arthroscopic ankle arthrodesis.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Ferkel RD,Hewitt Mdoi
10.1177/107110070502600402keywords:
subject
Has Abstractpub_date
2005-04-01 00:00:00pages
275-80issue
4eissn
1071-1007issn
1944-7876pii
882331journal_volume
26pub_type
杂志文章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::Eleven consecutive patients with 12 stress fractures of the foot or ankle were seen between October 1992 and July 1995. Charts were reviewed retrospectively for clinical information. The patients were all postmenopausal females. Average age was 62 years. Onset of symptoms was not associated with a specific episode of ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900406
更新日期:1998-04-01 00:00:00
abstract::The purpose of this ex vivo biomechanical study was to determine the strength and stiffness of the anterior and posterior syndesmotic tibiofibular ligaments and the posterior tibiotalar component of the deltoid ligament. Injuries to these ligaments are a prevalent clinical problem, yet little is known about their mech...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400509
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:Bone marrow edema syndrome (BMOS) is a phenomenon primarily affecting the lower extremity. It is characterized by a sudden onset of pain and an ill-defined osseous hyperintense signal in magnetic resonance imaging. The main cause of BMOS is still largely unknown. Its pathophysiology is presumably multifactor...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717697427
更新日期:2017-07-01 00:00:00
abstract::The results following revision tarsal tunnel release in 12 patients (13 feet), including three men and nine women aged 28 to 66 years, are presented. The indication for surgery was incapacitating focal pain, associated with paresthesias and hyperesthesias, refractory to nonoperative treatment modalities. Electrodiagno...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500703
更新日期:1994-07-01 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:BACKGROUND:The current literature is not clear regarding the best method of determining medial longitudinal arch (MLA) height. Differences in MLA height can significantly alter lower extremity biomechanics; therefore, an accurate and reproducible assessment of arch height is essential for clinical evaluation and future...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0456
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Conventional bacterial cultures frequently fail to identify the dominant pathogen in polymicrobial foot infections, in which Staphylococcus aureus is the most common infecting pathogen. Previous work has shown that species-specific immunoassays may be able to identify the main pathogen in musculoskeletal inf...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720965136
更新日期:2020-11-09 00:00:00
abstract:BACKGROUND:Staged care with interval external fixation is a successful established treatment strategy for high energy periarticular fractures with often extensive soft tissue damage such as the tibial plateau and plafond. The aim of the current study was to determine whether staged care of high energy midfoot fracture/...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714552077
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Squamous cell carcinoma arising from chronic osteomyelitis is uncommon, and although most occur in the lower extremities, occurrence in the foot and ankle is rare. METHODS:Between February, 1991, and May, 2003, we treated 14 patients (13 men and one woman) with squamous cell carcinomas arising in chronic os...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110070402501109
更新日期:2004-11-01 00:00:00
abstract::Between 1984 and 1994, 40 patients with a posttraumatic compartment syndrome of the lower leg and foot were treated for talipes equinovarus adductus foot deformity, which subsequently developed. Twenty patients had a wedge osteotomy followed by arthrodesis of the midtarsal joint (Chopart joint). Another 17 patients ha...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601700607
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:Along with the recent advances in the pharmacological management of rheumatoid arthritis, there is a trend toward the use of joint-preserving surgery in the treatment of rheumatoid forefoot deformities. However, the clinical outcomes of joint-preserving surgery for rheumatoid forefoot deformities have not be...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715609981
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Patients with diabetes who sustain an ankle fracture are at increased risk for complications including higher rates of in hospital mortality, in-hospital postoperative complications, length of stay and non-routine discharges. The purpose of this study was to retrospectively compare the complications associat...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0120
更新日期:2011-02-01 00:00:00
abstract::Twenty-two adult diabetic patients with clinical suspicion of foot and/or ankle infection were prospectively evaluated using radiography, technetium-99m methylene diphosphonate bone scanning (99mTc), indium-111-labeled leukocyte scanning (111In), and gallium-67 scanning (67Ga) to determine the presence of clinically s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601700103
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Transfer of the flexor hallucis longus (FHL) tendon is an established method to replace a dysfunctional Achilles tendon. When using a single incision, the FHL tendon has to be transferred as a single stranded graft into the calcaneus and the distal FHL stump cannot be directly attached to the flexor digitoru...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0007
更新日期:2012-01-01 00:00:00
abstract::The tibial nerve trunk and its branches were dissected in 20 embalmed cadaver legs and the relative topographic anatomy was defined at 3-cm intervals up to 15 cm proximal to the medial malleolar-calcaneal (MMC) axis. Each nerve branch was found in various locations. The calcaneal nerve was found to descend from medial...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400908
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:Little has been reported about the biologic effect of shock waves on human normal or pathologic tendon tissue. We hypothesized that inflammatory cytokine and MMP production would be down-regulated by shock wave stimulation. MATERIALS AND METHODS:Diseased Achilles tendon tissue and healthy flexor hallucis lo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI-2009-0093
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Nonanatomic tenodesis reconstruction procedures have been used for lateral ankle ligament reconstruction. However, there has been no comparison of Watson-Jones, Evans, and Chrisman-Snook procedures with respect to biomechanical characteristics such as kinematics, ligaments and grafts stresses using finite el...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.1000
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:The incidence of non union following a first tarsometatarsal arthrodesis (Lapidus procedure) has decreased significantly with modern techniques of minimal bone resection, meticulous bone surface preparation and rigid internal fixation. We evaluated whether a postoperative wedge shoe would increase our non-un...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0746
更新日期:2009-08-01 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: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:BACKGROUND:Lateral column lengthening is used to correct abduction deformity at the midfoot and improve talar head coverage in patients with flatfoot deformity. It was our hypothesis that following a stepcut lengthening calcaneal osteotomy (SLCO), patients would have adequate correction of the deformity, a high union r...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715574933
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Semiautomatic 3-dimensional (3D) biometric weightbearing computed tomography (WBCT) tools have been shown to adequately demonstrate the relationship between the center of the ankle joint and the tripod of the foot. The measurement of the foot and ankle offset (FAO) represents an optimized biomechanical asses...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720920274
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Isolated lateral calcaneocuboid joint instability rarely is described. Missed or delayed diagnosis resulting in inadequate treatment may lead to chronic instability, followed by sports inability and handicap in daily life. Besides arthrodesis, anatomic repair augmenting the elongated dorsal calcaneocuboid li...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0202
更新日期:2007-02-01 00:00:00
abstract::Light and electron microscopy was used for a histologic examination of normal heel fat pads and atrophic heel fat pads from patients with peripheral neuropathies. Histomorphometric analysis revealed an average 30% smaller mean cell area and 16% smaller mean cell diameters in the atrophic pads compared with the normal ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501600502
更新日期:1995-05-01 00:00:00
abstract::The intrachondral microvasculature of the growing talus of human was studied in 16 fetuses aged from 15 to 44 weeks of gestation, using interrupted serial sections and vascular injection of ink. The cartilage model of the talus was shown to be well vascularized throughout by cartilage canals. The cartilage canal conta...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800604
更新日期:1997-06-01 00:00:00
abstract::Proximal chevron first metatarsal osteotomy with lateral capsulotomy, adductor tenotomy, and binding of the first and second metatarsals was reviewed in 88 consecutive cases. Seventy-two cases in 55 patients are reported, with an average clinical follow-up of 41 months. The hallux valgus angle improved an average of 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900703
更新日期:1998-07-01 00:00:00
abstract:UNLABELLED:We developed a continuous lateral sciatic nerve infusion technique for postoperative analgesia. METHODS:A 10-cm insulated Tuohy needle connected to a nerve stimulator was introduced posteriorly between the biceps femoris and vastus lateralis groove 10 cm cephalad from the tip of the patella. After proper po...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300812
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:Two common operative fixation techniques for insertional Achilles tendinopathy are the use of all-soft suture anchors vs synthetic anchors with a suture bridge. Despite increasing emphasis on early postoperative mobilization, the biomechanical profile of these repairs is not currently known. We hypothesized ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720959023
更新日期:2020-10-08 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