Abstract:
BACKGROUND:Procedures utilized to address the flatfoot in this study included medializing calcaneal osteotomy, posterior tibial tendon reconstruction with flexor digitorum longus tendon transfer, and in patients with more severe deformity, lateral column lengthening. We evaluated patients age 50 and less at the time of surgery, who underwent surgical reconstruction for Stage 2 posterior tibial tendon dysfunction. Pre- and postoperative activity levels were evaluated to assess the effect of surgical reconstruction in the younger patient. MATERIALS AND METHOD:Thirty-four feet in 30 patients (11 male, 19 female) with an average age of 41.2 (range, 17 to 50) years had surgery between 1997 and 2004. All feet were examined at an average followup of 44.5 (range, 24 to 65) months and were evaluated with the American-Orthopaedic-Foot and Ankle Society (AOFAS) Hindfoot-Score and SF-36 score. RESULTS:The average preoperative AOFAS-Score was 53.1 +/- 14.5 points and 83.2 +/- 12.2 points at final postoperative followup. The mean improvement was 29.5. The difference between the preoperative and postoperative AOFAS score was significant (p < 0.0001) using a two-tailed t-test. The difference in the AOFAS pain and alignment subscales was also significant (p < 0.0001). The function subscale improvement was also significant (p = 0.018). The mean physical function component of the postoperative SF-36 score was 79.2. A correlation was found between the SF-36 physical component score and the post operative AOFAS score (r(2) = 0.754). CONCLUSION:While some lateral discomfort or pain occurred in patients with or without a lateral column lengthening, the posterior tibial tendon reconstruction utilizing medial calcaneal displacement osteotomy with flexor digitorum longus transfer and a lateral column lengthening with more deformity was successful in the higher-functioning, younger patients.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Tellisi N,Lobo M,O'Malley M,Kennedy JG,Elliott AJ,Deland JTdoi
10.3113/FAI.2008.1179subject
Has Abstractpub_date
2008-12-01 00:00:00pages
1179-83issue
12eissn
1071-1007issn
1944-7876pii
50018677journal_volume
29pub_type
杂志文章abstract:BACKGROUND:The aim of this study was to examine the influence of age, body mass index (BMI) and leg dominance on the PRT, balance control and foot position sense. MATERIALS AND METHODS:The proprioception of the ankle was investigated in 210 participants. All participants completed a questionnaire. The PRT was measured...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0423
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:The goal of this study was to discuss the outcomes of treating calcaneal fracture malunion by restoring the subtalar joint with a reconstructive osteotomy. METHODS:From May 2005 to November 2008, 24 patients (26 feet) with calcaneal malunions after a displaced intra-articular calcaneal fracture were treated...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713479766
更新日期:2013-05-01 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: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:Subtalar instability, which may cause persistent symptoms after severe inversion ankle sprains, often involves failure of the interosseous talocalcaneal ligament (ITCL). While several clinicians have reported surgical treatment for this pathology, nonsurgical management policy has not been well considered. P...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400811
更新日期:2003-08-01 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:Deep infection after open reduction internal fixation (ORIF) of ankle fractures represents a challenge to the orthopaedic surgeon, particularly in patients in whom conventional surgical treatments have failed. The aim of this study was to assess the results of a modified technique of tibiotalocalcaneal fusio...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720939884
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Extra-articular dorsal closing wedge osteotomy has been used with successful results for Freiberg disease; however, there has been concern regarding the technical difficulty. The purpose of this study was to address technical tips and report on the clinical and radiographic outcome using Kirchner wire-assist...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100712460185
更新日期:2013-01-01 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:BACKGROUND:The hyperplantarflexion variant ankle fracture is composed of a posterior tibial lip fracture with posterolateral and posteromedial fracture fragments separated by a vertical fracture line. This infrequently reported injury pattern often includes an associated "spur sign" or double cortical density at the in...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714553470
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:The traditional operative management of Haglund deformity and retrocalcaneal bursitis consists of an open excision of the inflamed bursa, resection of the posterosuperior calcaneal tuberosity, and debridement of the Achilles tendinopathy. In an effort to reduce morbidity and recovery time, an endoscopic tech...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0149
更新日期:2007-02-01 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::Congenital coalition of the middle and distal phalanges in the fifth toe are common. They have been reported to occur in up to 50% of American and European populations and in up to 73% of people of Japanese descent. Congenital interphalangeal coalition of the other toes is less common. We report two cases of fracture ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100812
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND:The etiology of navicular stress fractures is a topic of interest due to the implications in high-level athletes. Previous studies suggest an avascular zone in the central one-third of the bone as a potential causative factor. This study investigated the extraosseous and intraosseous arterial anatomy of the ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0857
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Lateral release (LR) for the treatment of hallux valgus is a routinely performed technique, either by means of open or minimally invasive (MI) surgery. Despite this, there is no available evidence of the efficacy and safety of MI lateral release. Our aim was to study 2 popular techniques for MI LR in cadaver...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720920863
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Surgical treatment of multiplanar (varus and dorsal angulation) second toe deformities due to degenerative instability can lead to recurrence, stiffness, and pain. The goal of this study was to evaluate the short-term outcomes associated with a new technique using an extensor digitorum brevis (EDB) tendon re...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713475433
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Osteonecrosis of the talar body is a challenging problem for both patient and surgeon. One reconstruction option is an arthrodesis of the tibia to the talar neck, as described by Blair, which has the theoretical advantages of salvaging some hindfoot height and motion of the subtalar joint. A few case series ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302401005
更新日期:2003-10-01 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::The effect of bone mineral density (BMD) on outcomes from total ankle arthroplasty (TAA) has not been studied. BMD can be estimated by measuring Hounsfield units (HU) on standard computed tomography (CT), which is frequently performed prior to TAA. We aimed to identify whether tibial and talar HU measured f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718799102
更新日期:2019-01-01 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: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 modalities currently available to clinicians to confirm the clinical suspicion of posterior tibial tendinitis include MRI, CT, sonography, tenography, and local anesthetic tendon sheath injections. There are no reports in the literature comparing local anesthetic tendon sheath injection to MRI as tools f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.1124
更新日期:2007-11-01 00:00:00
abstract::The study was conducted to test the hypothesis that alterations in shoe gear can affect tibial strains in the human during dynamic loading. Rosette strain gauges were mounted on the medial border of the mid-diaphysis in two human subjects with a new strain gauge bonding technique using methyl methacrylate. Strain meas...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601701104
更新日期:1996-11-01 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::We report a very rare case of anterior dislocation of the subtalar joint. Forceful supination of the foot and dorsiflexion of the ankle was considered the cause of the injury in this case. Closed reduction was successful for the talocalcaneal component of subtalar joint, although surgery was subsequently performed bec...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200715
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Little is known about functional outcomes of ankle arthroplasty compared with arthrodesis. This study compared pre-surgical and post-surgical gait measures in both patient groups. METHODS:Eighteen patients with end-stage ankle arthritis participated in an ongoing longitudinal study (pre-surgery, 12 months p...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0282
更新日期:2012-04-01 00:00:00
abstract::Solitary calcaneal bone cysts are uncommon. Usually they measure 1/3 to 1/2 of the calcaneal length. Symptomatic calcaneal bone cysts are generally treated with open debridement and autologous bone grafting. We report a case of a patient with a displaced intra-articular calcaneal fracture who presents with a large ben...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200610
更新日期:2001-06-01 00:00:00
abstract::The American Orthopaedic Foot and Ankle Society "Diabetic Foot Care" patient education leaflet was revised to improve the layout and emphasis of key concepts of preventive care. This included review of daily foot and shoe examination, danger signs, daily washing and foot care, shoe fitting, medical care, and avoidance...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600110
更新日期:2005-01-01 00:00:00
abstract::The purpose of this study is to report our experience with the Vacuum Assisted Closure (VAC) negative pressure technique in patients with non-healing wounds of the foot, ankle, and lower limb. We retrospectively reviewed 17 patients with non-healing wounds of the lower extremity who underwent treatment using the Vacuu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202301002
更新日期:2002-10-01 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