Abstract:
BACKGROUND:The reported fusion rates of revision arthrodesis for hindfoot nonunions are relatively low compared to primary procedures. Exogenous ultrasound has been shown to accelerate the healing process of acute fractures and fracture nonunions but has not been previously evaluated for the treatment of hindfoot pseudarthroses. The purpose of this study was to evaluate the clinical and radiographic outcomes of revision hindfoot arthrodeses treated with postoperative low-intensity ultrasound. METHODS:Thirteen patients (13 feet) with established hindfoot nonunions were treated with revision arthrodesis and adjunctive postoperative low-intensity ultrasound. The patients were prospectively evaluated with hindfoot American Orthopaedic Foot Ankle Society (AOFAS) and pain visual analog scores, subjective satisfaction surveys, and serial radiographs. All patients underwent postoperative CT to evaluate the fusion mass, which was quantitated using a novel system. The mean follow-up from revision surgery was 16.3 (range 12 to 25) months. The 10 subtalar and three triple revision arthrodeses comprised a total of 19 joints. RESULTS:Based on the CT scans and the grading system devised, there was one nonunion (isolated subtalar revision), five partial unions, and 13 complete unions. The 10 isolated subtalar revision arthrodeses demonstrated a mean fusion ratio of 65.1% (range 14% to 100%). Excluding the one nonunion, the average fusion ratio for the subtalar revisions was 77.3%. The mean hindfoot AOFAS score improved significantly (p < 0.005) from 45.3 (range 18 to 65) preoperatively to 72.3 (range 47 to 92) postoperatively out of 94 possible points. There was a significant (p < 0.005) decrease in the pain visual analog scale (VAS) from a preoperative value of 7.7 (range 4 to 10) to a postoperative value of 2.5 (range 0 to 6). There was a weak inverse correlation between the fusion percentages and the pain VAS scores (r = -0.26) and a weak correlation (r = 0.29) between the fusion percentages and the final AOFAS scores. CONCLUSIONS:When used to evaluate hindfoot arthrodeses, plain radiographs may be misleading. CT provides a more accurate assessment of the healing, and we have devised a new system to quantitate the fusion mass. Postoperative low-intensity ultrasound is easy to apply and administer, with no identifiable risks or contraindications. Although this modality may facilitate the fusion process, we cannot definitely conclude the specific relative value of low-intensity ultrasound because this was not a controlled series.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Jones CP,Coughlin MJ,Shurnas PSdoi
10.1177/107110070602700401subject
Has Abstractpub_date
2006-04-01 00:00:00pages
229-35issue
4eissn
1071-1007issn
1944-7876pii
922311journal_volume
27pub_type
杂志文章abstract::Numerous reconstructive procedures are performed to correct both ankle and subtalar instability after trauma although the precise pathology which results in this chronic instability and pain is not yet known. This study examined the role of the calcaneofibular (CLFL) and cervical ligaments (CRVL) during physiologic lo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300608
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:The purpose was to compare the clinical outcome scores after additional use of intraoperative pedobarography (IP) in comparison with patients treated without IP. MATERIALS AND METHODS:Patients with arthrodesis and/or correction of the foot and/or ankle were randomized for use of IP or no IP. American Orthop...
journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
doi:10.3113/FAI.2009.1029
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:The Salto Talaris is a fixed-bearing implant first approved in the US in 2006. While early surgical outcomes have been promising, mid- to long-term survivorship data are limited. The aim of this study was to present the survivorship and causes of failure of the Salto Talaris implant, with functional and radi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720947030
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:Joint-preserving, realignment surgical procedures have gained increasing popularity as treatment of asymmetric early- and mid-stage ankle osteoarthritis. The aim of the present study was to quantify bilateral gait biomechanics in patients who underwent ankle realignment surgery by supramalleolar osteotomies....
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715577371
更新日期:2015-08-01 00:00:00
abstract::Traumatic injuries to the midtarsal joint are quite uncommon and usually involve fractures of adjacent bones. Pure dislocations without fracture are very rare. A patient sustained a pure dislocation that was treated with a nonweight-bearing cast for six weeks, but she went on to present with chronic subluxation at the...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300312
更新日期:2002-03-01 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:Tibiotalocalcaneal (TTC) arthrodesis is a proven solution for severe hindfoot arthropathy that reestablishes stability for plantigrade gait and alleviates pain, while correcting deformity. Intramedullary nailing is an effective option for fixation. The aim of this study was to determine clinical outcome, ana...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714565900
更新日期:2015-05-01 00:00:00
abstract::This is a case report of a 52-year-old woman who sustained a medial subtalar dislocation with fracture of the posterior process of the talus in a traffic accident. After closed reduction of the subtalar dislocation, tomography demonstrated that the talus fracture involved the entire posterior process and the posterior...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601700408
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:Subchondral cysts are a type of osteochondral defect of the talus and can be a source of chronic ankle pain. The treatment modality of this cystic lesion is similar to that of other osteochondral defects, but results from previous reports are controversial. Therefore, we compared the clinical results and rad...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701218
更新日期:2006-12-01 00:00:00
abstract::Eight transtibial amputees had localized unremitting discomfort and pain in the distal anterior residual limb during prosthetic wear while weightbearing. Modification of the prosthetic socket did not change this pain. It was not consistent with "phantom limb" or causalgia/reflex sympathetic dystrophy-type etiologies. ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601700905
更新日期:1996-09-01 00:00:00
abstract::Tarsal coalition is a bridging between the tarsal bones of the foot. The bridge may be composed of bone, cartilage, fibrous tissue, or a combination of these. When symptomatic, patients usually present with hindfoot pain and frequent sprains as children, adolescents, or young adults. The classical appearance is a rigi...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079601700509
更新日期:1996-05-01 00:00:00
abstract:BACKGROUND:Liposomal bupivacaine is increasingly being utilized in attempts to provide prolonged local analgesia in the immediate postoperative period. The purpose of this study was to quantify the reduction in opioid consumption as well as postoperative pain scores in the postoperative period when liposomal bupivacain...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714568664
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Displaced lateral malleolar fractures are often treated with reduction and surgical stabilization. However, there has not been a comprehensive laboratory comparison to determine the most appropriate device for treating these patients. This study subjected a range of contemporary lateral fibular plates to a s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713496223
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:Both the percutaneous technique with arthroscopic assistance, also known as arthroscopic Broström (AB), and the arthroscopic all-inside ligament repair (AI) are widely used to treat chronic lateral ankle instability. The aim of this study was to compare the clinical outcomes of these 2 arthroscopic stabilizi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720938672
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Most studies on Achilles tendon ruptures involved US military or European populations, which may not translate to the general US population. The current study reviews 406 consecutive Achilles tendon ruptures occurring in the general US population for patterns in a tertiary care subspecialty referral setting....
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713477621
更新日期:2013-04-01 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:The fibula is commonly used for bone grafts. Previous clinical and biomechanical studies have suggested that the length of the residual portion of the distal part of the fibula has an important effect on the long-term stability of the ankle joint. However, we cannot find clear-cut guidelines for the amount o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700306
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:The majority of lateral ankle instability can be treated successfully with conservative method. However, if such treatments fail, surgical treatment should be considered. A wide variety of procedures have been introduced to treat chronic lateral ankle instability. The percutaneous method avoids dissection wh...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0099
更新日期:2012-02-01 00:00:00
abstract::An intramedullary fixation device was devised by the senior author (K.A.J.) to use in conjunction with a previously described method for tibiotalocalcaneal arthrodesis. Satisfactory results were obtained in approximately 87% of the initial 30 patients; union was radiographically or clinically evident in all but two pa...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401501208
更新日期:1994-12-01 00:00:00
abstract:BACKGROUND:Little data exist regarding the adverse effects of Achilles tendon (AT) elongation after rupture repair on plantarflexion strength. This study aimed to investigate the effect of AT elongation measured using AT resting angle (ATRA) on the plantarflexion strength in patients with surgically treated acute AT ru...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719879659
更新日期:2020-02-01 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:The authors have performed more than 1500 cases of a Mitchell osteotomy and traditionally used two crossed pins for fixation. The previous series showed some complications related to pin tract infection, pin migration, and transfer metatarsalgia. Since 2009, the authors have used a compression screw for fixa...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.1098
更新日期:2012-12-01 00:00:00
abstract::Thirteen patients presenting with symptomatic pathologic variations or congenital deformities of the subtalar joint are presented. These variations included: four abnormal posterior talar processes, five patients with asymmetric subtalar joint development, and four congenital complete subtalar coalitions with a second...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800803
更新日期:1997-08-01 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::From 1963 to 1990, the senior authors (R.E.M. and K.G.H.) performed eight triple arthrodeses in seven patients with diabetes mellitus with sensory loss in the lower extremities. By clinical and roentgenographic examination, all patients were diagnosed with peritalar neuroarthropathy before surgery. All patients underw...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501600604
更新日期:1995-06-01 00:00:00
abstract:BACKGROUND:Crush injuries to the foot are a common workplace injury and a significant source of morbidity, disability and lost wages. Many regulatory bodies including the Occupational Safety and Health Administration (OSHA) recommend the use of safety shoes in certain occupations to help protect against these occupatio...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0443
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Computer Assisted Surgery (CAS) has shown the potential to increase the accuracy of surgical procedures in different fields of orthopedic surgery. The clinical experiences of 100 cases with CAS guided arthrodeses were evaluated. MATERIALS AND METHODS:Two navigation systems were used (VectorVision/Navivision...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.1235
更新日期:2008-12-01 00:00:00
abstract::Compartment syndrome of the newly discovered calcaneal compartment of the foot is a theoretical possibility following tibial fracture due to the communication with the deep posterior compartment of the calf. Forty-nine patients were reviewed at least 18 months after open or closed tibial shaft fractures treated with t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200206
更新日期:2001-02-01 00:00:00
abstract::Twenty-three biopsies from patients with the typical symptoms of intermetatarsal neuroma (so-called Morton's metatarsalgia) were compared histologically and semi-quantitatively with 25 plantar nerves from the intermetatarsal space III/IV gained at autopsies from cases where no problems in the forefoot had been recorde...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100705
更新日期:2000-07-01 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