Abstract:
BACKGROUND:Osteochondral lesions of the tibia are much less frequent than those of the talus, and treatment guidelines have not been established. We hypothesized that arthroscopic treatment methods used for osteochondral lesion of the talus would also be effective for those of the distal tibia. METHODS:A review of 880 consecutive ankle arthroscopies identified 23 patients (2.6%) with osteochondral lesions of the distal tibia. Four patients were excluded because of concomitant acute ankle fractures requiring open reduction and internal fixation and two were lost to followup, leaving 17 in the study. The mean age was 38 (19 to 71) years. Six (35%) had osteochondral lesions of the tibia and talus; 11 had isolated lesions of the distal tibia. Treatment included excision, curettage, and abrasion arthroplasty in all patients. Five patients had transmalleolar drilling of the lesion, two had microfracture, and two had iliac bone grafting. At last followup, patients were evaluated with a questionnaire, physical examination, and ankle radiographs. RESULTS:Mean followup was 44 (24 to 99) months. Preoperatively, the median American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot score was 52; postoperatively, it was 87. Using the Wilcoxon signed-rank test to compare preoperative and postoperative scores, there was significant improvement in the ankle-hindfoot score postoperatively (p < 0.001). Seven patients had excellent results, seven had good results, one had a fair result, and two had poor results. CONCLUSIONS:Osteochondral lesions of the distal tibia present a challenge to the orthopedic surgeon. Arthroscopic treatment by means of debridement, curettage, abrasion arthroplasty, and, in some patients, transmalleolar drilling, microfracture, or iliac crest bone grafting, resulted in excellent and good results in 14 of 17 patients at medium-term followup.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Mologne TS,Ferkel RDdoi
10.3113/FAI.2007.0865subject
Has Abstractpub_date
2007-08-01 00:00:00pages
865-72issue
8eissn
1071-1007issn
1944-7876pii
959927journal_volume
28pub_type
杂志文章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:BACKGROUND:The aim of this study was to determine the ability of the Harris heel view to confirm placement of the sustentacular screw during calcaneal fixation. METHODS:A 4.0 cancellous screw was placed in a cadaveric specimen, from lateral to medial in 5 configurations: (1) within the sustentaculum, (2) misdirected i...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100712467617
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND:The Weil osteotomy for treatment of central metatarsalgia is an oblique osteotomy of the metatarsal neck and shaft parallel to the ground that provides controlled shortening of the metatarsal without additional depression. It offers many advantages over more traditional osteotomies, including stability and a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500902
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:The training of elite infantry recruits takes a year or more. Stress fractures are known to be endemic in their basic training and the clinical presentation of tibial, femoral, and metatarsal stress fractures are different. Stress fracture incidence during the subsequent progressively more demanding training...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0016
更新日期:2011-01-01 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::This prospective, randomized study compares the treatment of an interdigital neuroma (IDN) by the standard resection operation with a technique in which the IDN is transposed into the inter-muscular space between the adductor hallucis and the interossei muscles after division of the digital nerves distal to the IDN. T...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110070002100304
更新日期:2000-03-01 00:00:00
abstract:BACKGROUND:Chronic ankle instability has a well-known association with intra- and extraarticular ankle pathologies, including peroneal tendonitis and subluxation. Patients with peroneal pathology are at risk for failure of conservative treatment for their ankle instability, thus identifying these patients is important ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714556759
更新日期:2015-03-01 00:00:00
abstract::Unlike the Achilles tendon, the posterior tibial tendon does not typically undergo acute rupture. We report two cases of posterior tibial tendon tears occurring in young, athletic individuals (<30 years old) that required operative intervention before the patients could return to competitive sports. We believe that th...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079801900911
更新日期:1998-09-01 00:00:00
abstract::Bilateral symmetrical Achilles tendon ossification is presented, with a fracture on one side. A 57 year old male patient was conservatively treated for bilateral clubfeet in his childhood. Part of his Achilles tendons were replaced by ectopic bony mass and on the left it fractured without any trauma. The fracture was ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002101206
更新日期:2000-12-01 00:00:00
abstract:BACKGROUND:Ankle fractures in patients with diabetes mellitus (DM) can be difficult to manage, especially in the presence of peripheral neuropathy. In patients who fail initial operative management, attempts at limb salvage can be challenging, and no clear treatment algorithm exists. This study examined outcomes of dif...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716676063
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Medial ankle joint pain with localized cartilage degeneration due to medial joint overload in varus malalignment of the hindfoot lends itself to treatment by lateral closing wedge supramalleolar osteotomy. METHODS:From 1998 to 2003, nine patients between the ages of 21 to 59 years were operated. The etiolog...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0542
更新日期:2007-05-01 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::Between 1986 and 1999, we surgically treated 41 patients (49 feet) with Tarsal Tunnel Syndrome (TTS) in whom seven (eight feet) were associated with an accessory muscle. An accessory flexor digitorum longus muscle was present in six patients, and an accessory soleus muscle was in one patient (both feet). Three of them...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400206
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND:A proximal spherical metatarsal osteotomy was devised to correct not only varus deviation of the first metatarsal, but also dorsiflexion. We expected to increase the medial longitudinal arch by adding plantar flexion at the osteotomy site. To investigate the limitations of this procedure for feet with severe...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.1025
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND:Insufficiency fractures occur in bones with low elastic resistance. In contrast to stress fractures, which affect normal bones and have been extensively studied, insufficiency fractures of the foot and ankle have been the subject of little research. The objective of this study was to identify risk factors as...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720969654
更新日期:2020-11-17 00:00:00
abstract:BACKGROUND:Although a variety of surgical techniques are available for the treatment of ankle degenerative disease, arthrodesis is a common treatment especially for unilateral posttraumatic arthritis in young patients. A clear trend toward internal fixation for ankle arthrodesis is evident, but fusion site compression ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713483097
更新日期:2013-06-01 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: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::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
abstract:RECOMMENDATION:There is evidence that the use of WEIGHTBEARING imaging aids in the assessment of progressive collapsing foot deformity (PCFD). The following WEIGHTBEARING conventional radiographs (CRs) are necessary in the assessment of PCFD patients: anteroposterior (AP) foot, AP or mortise ankle, and lateral foot. If...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720950734
更新日期:2020-10-01 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:One of the goals of the AOFAS website is to provide easily understandable information about orthopaedic foot and ankle conditions to the public. However, validation of this goal has not been conducted. Evaluation of text reading level is frequently performed using the Flesch-Kincaid formula (FKF). This study...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0287
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Subtalar bone-block distraction arthrodesis using structural autograft carries the risk of donor site morbidity. Recent reports suggest that structural allograft may be an attractive alternative to structural autograft in subtalar arthrodesis. This prospective study analyzes subtalar distraction arthrodesis ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0561
更新日期:2008-06-01 00:00:00
abstract::We present a case of isolated avulsion fracture at the plantar lateral base of the first metatarsal without injuries of the tarsometatarsal joint. Few case reports can be found in the literature and it has been reported only as a part of the tarsometatarsal joint injuries. The basis for the diagnosis is discussed, as ...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110070002101013
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Recently, peripheral nerve blocks have increasingly been used in orthopedic surgery. The foot block is an alternative for anesthesia in cases of forefoot and midfoot operations. We propose a modification of the block technique due to potential difficulties concerning the tibial nerve. MATERIALS AND METHODS:...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.3113/FAI.2010.0619
更新日期:2010-07-01 00:00:00
abstract::26 patients with 28 pes planovalgus feet secondary to Johnson stage 2 posterior tibial tendon insufficiency were treated with flexor digitorum longus tendon transfer, lateral column lengthening, medial displacement calcaneal osteotomy, and heel cord lengthening. The mean patient age at surgery was 48.5 years. The AOFA...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200403
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Treatment options for plantar fasciitis have resulted in varied patient outcomes. The aim of this study was to compare a novel treatment, cryopreserved human amniotic membrane (c-hAM), to a traditional treatment, corticosteroid. Our hypothesis was that c-hAM would be safe and comparable to corticosteroids fo...
journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
doi:10.1177/1071100714552824
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:It is still unknown how ankle range of motion changes following total ankle arthroplasty. This study was undertaken to more accurately address patient expectations, guide postoperative rehabilitation, and improve our understanding of how ankle range of motion changes with time. METHODS:119 total ankle repla...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713481433
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:The use of single-photon-emission computed tomography (SPECT) in identifying unexplained pain in the foot and ankle has been described, where other imaging modalities have failed. The investigation of a painful total ankle replacement (TAR) is difficult, often not delineating a definitive cause. Our aim in t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715573050
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:Chronic calcaneal osteomyelitis is a difficult problem to eradicate. The infected bone and soft tissue can rarely be successfully treated conservatively. But after aggressive debridement, there is usually a large defect in the calcaneus and soft tissue. Free serratus anterior muscle flap can not only fill th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.1088
更新日期:2009-11-01 00:00:00