Computer Assisted Surgery (CAS) guided arthrodesis of the foot and ankle: an analysis of accuracy in 100 cases.

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, Brainlab). Patients with unilateral foot and/or ankle correction arthrodesis from January 1st, 2005 to March 31st, 2008 were included. The correction was planned on the basis of clinical findings, radiographs and computer tomography. Time spent, accuracy, and problems that occurred with CAS guidance were analyzed. The accuracy was assessed by intraoperative three-dimensional imaging with ISO-C 3D or ARCADIS-3D (Siemens). The deviation from the achieved correction in comparison with the planned correction was analyzed. RESULTS:One hundred patients were included (ankle, n = 19; subtalar, n = 23; ankle and subtalar, n = 12; midfoot/tarsometatarsal (TMT), n = 28, others, n = 18). The average time needed for preparation was 356 seconds (5 minutes, 56 seconds) (range, 4 to 30 minutes), the correction took an average of 28 (range, 12 to 140) seconds. The CAS system encountered malfunctions in 3 procedures (3%). In the remaining cases, all the achieved corrections were within a maximum deviation of 2 degrees/mm when compared to the planned correction (p < 0.05). CONCLUSION:With CAS guidance for the correction of deformities of the foot and ankle, a surgeon can achieve a high degree of accuracy with a rapid correction. The high accuracy may lead to improved clinical outcomes.

journal_name

Foot Ankle Int

authors

Richter M,Zech S

doi

10.3113/FAI.2008.1235

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

1235-42

issue

12

eissn

1071-1007

issn

1944-7876

pii

50018688

journal_volume

29

pub_type

杂志文章
  • Three-dimensional analysis of foot motion after uphill walking with mobilization with movement using tape applied to the talocrural joint in women with limited ankle dorsiflexion.

    abstract:BACKGROUND:Previous studies that investigated mobilization with movement (MWM) treatment assessed only improvements in passive range of motion (ROM). No information is currently available regarding the efficacy of modified MWM by application of tape. Therefore, we investigated the effect of uphill walking with modified...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714543797

    authors: Yoon JY,Oh JS,An DH

    更新日期:2014-11-01 00:00:00

  • Surgical anatomy of the proximal release of the gastrocnemius: a cadaveric study.

    abstract:BACKGROUND:The importance of isolated gastrocnemius contracture in disorders of the foot and ankle has been established in recent years. The aim of this study was to describe the proximal anatomical approach to the medial and lateral heads of gastrocnemius and to compare the sizes of the medial and lateral heads of the...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2009.1202

    authors: Hamilton PD,Brown M,Ferguson N,Adebibe M,Maggs J,Solan M

    更新日期:2009-12-01 00:00:00

  • Ankle fracture spur sign is pathognomonic for a variant ankle fracture.

    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

    authors: Hinds RM,Garner MR,Lazaro LE,Warner SJ,Loftus ML,Birnbaum JF,Burket JC,Lorich DG

    更新日期:2015-02-01 00:00:00

  • Operative treatment for hallux valgus in children with cerebral palsy.

    abstract::All patients with cerebral palsy who had hallux valgus and bunion deformities surgically corrected between 1986 and 1995 were reviewed to determine whether techniques other than arthrodesis of the first metatarsophalangeal joint would adequately correct these deformities. Twenty-six feet of 17 patients were surgically...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079801901207

    authors: Jenter M,Lipton GE,Miller F

    更新日期:1998-12-01 00:00:00

  • Thromboembolic disease after foot and ankle surgery.

    abstract:BACKGROUND:The incidence and potential life-threatening complications of thromboembolic disease after major orthopaedic surgery has been extensively studied. However, there are two studies pertaining to the incidence of thromboembolic disease after foot and ankle surgery, the findings of which suggest that the incidenc...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070602700907

    authors: Hanslow SS,Grujic L,Slater HK,Chen D

    更新日期:2006-09-01 00:00:00

  • Comparison of results of retrocalcaneal decompression for retrocalcaneal bursitis and insertional achilles tendinosis with calcific spur.

    abstract::Sixteen feet with retrocalcaneal bursitis (RB) and twenty-two feet with calcific Achilles insertional tendinosis (IAT-CS) underwent retrocalcaneal decompression after failure of nonoperative treatment. Follow-up evaluation at least two years after surgery included AOFAS Ankle-Hindfoot subscale scores, satisfaction, ti...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110070002100802

    authors: Watson AD,Anderson RB,Davis WH

    更新日期:2000-08-01 00:00:00

  • Distal linear osteotomy compared to oblique diaphyseal osteotomy in moderate to severe hallux valgus.

    abstract:BACKGROUND:There are no comparative studies of proximal and distal osteotomy for treatment of moderate to severe hallux valgus. Our purpose was to compare the surgical outcomes of modified proximal Ludloff (oblique diaphyseal) osteotomy with modified distal Bösch (distal linear) osteotomy by a single surgeon in moderat...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0479

    authors: Chiang CC,Lin CF,Tzeng YH,Huang CK,Chen WM,Liu CL

    更新日期:2012-06-01 00:00:00

  • Three-dimensional computer analysis of the modified Ludloff osteotomy.

    abstract:BACKGROUND:The Ludloff first metatarsal osteotomy is used to correct the increased 1-2 intermetatarsal angle associated with hallux valgus deformity. We studied the spatial geometry of this osteotomy to determine the ideal parameters of the osteotomy saw cut and its rotation to give an optimal correction. METHODS:Thre...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070502600809

    authors: Beischer AD,Ammon P,Corniou A,Myerson M

    更新日期:2005-08-01 00:00:00

  • Outcomes of NCAA Defensive Football Players Following Achilles Tendon Repair.

    abstract:BACKGROUND:The incidence of Achilles ruptures has been on the rise in National Collegiate Athletic Association (NCAA) football players, but the career impact of this injury is not fully understood. In this study, we analyzed a large series of Achilles tendon injuries in NCAA Football Bowl Subdivision (FBS) defensive fo...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719899072

    authors: Wise PM,King JL,Stauch CM,Walley KC,Aynardi MC,Gallo RA

    更新日期:2020-04-01 00:00:00

  • Operative repair of the fixed hammertoe deformity.

    abstract::Sixty-three patients (118 toes) were evaluated at an average 61 month follow-up following PIP resection arthroplasty for a fixed hammertoe deformity. The deformity involved the second toe in 35%, the third toe in 21%, the fourth toe in 24%, and the fifth toe in 20%. The involved toe averaged 2 mm. greater length than ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070002100202

    authors: Coughlin MJ,Dorris J,Polk E

    更新日期:2000-02-01 00:00:00

  • Flexor hallucis longus tendon transfer: evaluation of postoperative morbidity.

    abstract::Clinical and pedobarograph evaluation was performed on 16 patients following flexor hallucis longus (FHL) tendon transfers to determine the resulting morbidity due to the loss of FHL function. All patients underwent FHL tendon transfer for either chronic tendon Achilles rupture or chronic Achilles tendinosis. Clinical...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070302401211

    authors: Coull R,Flavin R,Stephens MM

    更新日期:2003-12-01 00:00:00

  • Midterm results and complications after minimally invasive distal metatarsal osteotomy for treatment of hallux valgus.

    abstract:BACKGROUND:Minimally invasive distal metatarsal osteotomy (MIDMO) is a common technique used to correct the hallux valgus deformity, but controversy remains regarding the expected outcomes of this surgery. METHODS:Seventy-two patients (85 feet) suffering from hallux valgus underwent MIDMO with a modified Bösch techniq...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100713481453

    authors: Iannò B,Familiari F,De Gori M,Galasso O,Ranuccio F,Gasparini G

    更新日期:2013-07-01 00:00:00

  • Consensus for the Use of Weightbearing CT in the Assessment of Progressive Collapsing Foot Deformity.

    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

    authors: de Cesar Netto C,Myerson MS,Day J,Ellis SJ,Hintermann B,Johnson JE,Sangeorzan BJ,Schon LC,Thordarson DB,Deland JT

    更新日期:2020-10-01 00:00:00

  • Comparison of radiographic and anatomic distal metatarsal articular angle in cadaver feet.

    abstract:BACKGROUND:A few studies report correlations between radiographic and anatomic measurements of the distal metatarsal articular angle (DMAA). However, little is known about how the DMAA correlates with the hallux valgus angle (HVA) and with anatomic and clinical radiographic measurements. METHODS:We dissected, measured...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714522027

    authors: Jastifer JR,Coughlin MJ,Schutt S,Hirose C,Kennedy M,Grebing B,Smith B,Cooper T,Golano P,Viladot R,Doty JF

    更新日期:2014-04-01 00:00:00

  • Application of Computerized Adaptive Testing to the Foot and Ankle Ability Measure.

    abstract:BACKGROUND:Patient-reported outcome measures are an increasingly important tool for assessing the impact of treatments orthopedic surgeons render. Despite their importance, they can present a burden. We examined the validity and utility of a computerized adaptive testing (CAT) method to reduce the number of questions o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720972663

    authors: O'Neil JT,Plummer OR,Raikin SM

    更新日期:2021-01-01 00:00:00

  • Treatment of os calcis fractures by open reduction and internal fixation.

    abstract::Over a 3-year period, 47 displaced intra-articular fractures of the os calcis in 43 patients underwent open reduction and internal fixation. A significant feature of this series is that computed tomography was used to assess all fractures both before and after surgery. Seventy-seven percent demonstrated a consistent f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079401500501

    authors: Hutchinson F 3rd,Huebner MK

    更新日期:1994-05-01 00:00:00

  • Long-term results of arthroscopic ankle arthrodesis.

    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

    authors: Ferkel RD,Hewitt M

    更新日期:2005-04-01 00:00:00

  • Use of implantable bone growth stimulation in Charcot ankle arthrodesis.

    abstract:BACKGROUND:The purpose of this study was to review the results of arthrodesis of the Charcot hindfoot when an implantable bone growth stimulator was added to the procedure. Arthrodesis of the Charcot hindfoot has a high nonunion and complication rate. METHODS:Ten patients (ages 50 to 69 years) with Charcot neuroarthro...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2007.0971

    authors: Hockenbury RT,Gruttadauria M,McKinney I

    更新日期:2007-09-01 00:00:00

  • Successes and pitfalls in the healing of neuropathic forefoot ulcerations with the IPOS postoperative shoe.

    abstract::Unnecessary amputations can be avoided with the healing of foot ulcerations in neuropathic feet. Traditional approaches have relied on relieving plantar and other extrinsic foot pressures. A retrospective review was performed of the office records of patients with Wagner grade 1 and 2 neuropathic forefoot ulcerations ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800707

    authors: Needleman RL

    更新日期:1997-07-01 00:00:00

  • Metastatic skeletal disease of the foot: case reports and literature review.

    abstract:BACKGROUND:Metastatic disease of the skeleton occurs in at least 20% to 30% of patients with malignancy, but metastasis to the foot and hand (acrometastasis) is extremely rare (0.007% to 0.3%). Metastases to the feet are even rarer and have been reported in half to one-third the rate for hand metastases. Failure to rec...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审

    doi:10.3113/FAI.2008.0699

    authors: Maheshwari AV,Chiappetta G,Kugler CD,Pitcher JD Jr,Temple HT

    更新日期:2008-07-01 00:00:00

  • Biomechanical Comparison of Achilles Tendon Pullout Strength Following Midline Tendon-Splitting and Endoscopic Approaches for Calcaneoplasty.

    abstract:BACKGROUND:Calcaneoplasty is a common procedure performed for the management of Haglund's syndrome when nonoperative management fails. Midline tendon-splitting and endoscopy are 2 common approaches to calcaneoplasty. Studies have suggested that an endoscopic approach may allow earlier return to activity and superior ou...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719856939

    authors: Michalski MP,Gonzalez TA,Metzger MF,Nelson TJ,Eberlein S,Pfeffer GB

    更新日期:2019-10-01 00:00:00

  • Imaging of the Tibionavicular Ligament, and Its Potential Role in Adult Acquired Flatfoot Deformity.

    abstract:BACKGROUND:The spring ligament is an important medial arch stabilizer. However, when disrupted, it does not cause planovalgus deformity until the foot is cyclically loaded. We propose that the tibionavicular (TN) ligament plays an important role. However, this ligament is not imaged in routine magnetic resonance imagin...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100718764680

    authors: Ormsby N,Jackson G,Evans P,Platt S

    更新日期:2018-05-01 00:00:00

  • Bunion surgery using locking-plate fixation of proximal metatarsal chevron osteotomies.

    abstract:BACKGROUND:Symptomatic large hallux valgus deformities commonly require surgical intervention with a proximal metatarsal osteotomy. A number of fixation methods have been described for proximal chevron osteotomies; one of the most recent is locking plates. METHODS:We retrospectively reviewed the records of 16 consecut...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2007.0361

    authors: Gallentine JW,Deorio JK,Deorio MJ

    更新日期:2007-03-01 00:00:00

  • A comparison of the effect of shoes on human tibial axial strains recorded during dynamic loading.

    abstract::Percutaneous axial extensometers were mounted on the medial cortex of the midtibial diaphysis in seven male volunteers and the effect of three different shoes on in vivo peak-to-peak axial compression-tension strains measured during dynamic loading. Zohar shoes had lower axial strains and strain rates during treadmill...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110079801900206

    authors: Milgrom C,Burr D,Fyhrie D,Hoshaw S,Finestone A,Nyska M,Davidson R,Mendelson S,Giladi M,Liebergall M,Lehnert B,Voloshin A,Simkin A

    更新日期:1998-02-01 00:00:00

  • Risk Factors Associated With Foot and Ankle Insufficiency Fractures in Postmenopausal Sedentary Women.

    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

    authors: Pereira Filho MV,Stéfani KC,Ferreira GF,Nogueira MP

    更新日期:2020-11-17 00:00:00

  • Operative treatment of syndesmotic disruptions without use of a syndesmotic screw: a prospective clinical study.

    abstract::A new protocol for the selected omission of transsyndesmotic fixation in Weber class C ankle fractures was prospectively evaluated in 21 consecutive patients. As proposed in a previous cadaveric study (J. Bone Joint Surg., 71A:1548-1555, 1989), the protocol suggested that transsyndesmotic fixation was not required if ...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110079401500801

    authors: Yamaguchi K,Martin CH,Boden SD,Labropoulos PA

    更新日期:1994-08-01 00:00:00

  • Correlation between subchondral bone plate thickness and cartilage degeneration in osteoarthritis of the ankle.

    abstract:BACKGROUND:Osteoarthritis (OA) is characterized not only by cartilage degeneration, but also subchondral bone changes. The subchondral bone plate (SBP) plays an important role in cartilage metabolism, and elucidation of the relationship between the SBP and cartilage degeneration would be helpful to determine the most a...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714548061

    authors: Nakasa T,Adachi N,Kato T,Ochi M

    更新日期:2014-12-01 00:00:00

  • Postoperative range of motion trends following total ankle arthroplasty.

    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

    authors: Ajis A,Henriquez H,Myerson M

    更新日期:2013-05-01 00:00:00

  • The "Giftbox" repair of the Achilles tendon: a modification of the Krackow technique.

    abstract:BACKGROUND:The Krackow locking loop technique has been used for Achilles tendon repair with documented success in allowing early range of motion with stable fixation. Previous studies documented failure at the rupture site by knot failure. We propose a modification of the traditional Krackow technique where the knots o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI-2009-0410

    authors: Labib SA,Rolf R,Dacus R,Hutton WC

    更新日期:2009-05-01 00:00:00

  • Second Metatarsal Transfer Lesions Due to First Metatarsal Shortening After Distal Chevron Metatarsal Osteotomy for Hallux Valgus.

    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

    authors: Ahn J,Lee HS,Seo JH,Kim JY

    更新日期:2016-06-01 00:00:00