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-union rate. MATERIALS AND METHODS:Nineteen adult female patients (27 feet; eight bilateral, five simultaneous) undergoing a first tarsometatarsal arthrodesis for hallux valgus associated with a hypermobile first ray or for recurrent hallux valgus were managed postoperatively by allowing them to bear weight in a wedge shoe instead of a cast. Radiographs were evaluated for signs of fusion. RESULTS:All 27 feet went on to successful union after 6 to 24 weeks. There was one superficial wound infection and one case of recurrence of the hallux valgus. CONCLUSION:Based on our results, we allow adult patients undergoing a Lapidus type procedure to be managed in a postoperative wedge shoe.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Kazzaz S,Singh Ddoi
10.3113/FAI.2009.0746subject
Has Abstractpub_date
2009-08-01 00:00:00pages
746-51issue
8eissn
1071-1007issn
1944-7876pii
50028215journal_volume
30pub_type
杂志文章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:BACKGROUND:Weight-bearing radiographs are a critical component of evaluating foot and ankle pathology. An underlying assumption is that patients are placing 50% of their body weight on the affected foot during image acquisition. The accuracy of weight bearing during radiographs is unknown and, presumably, variable, whi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717695361
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Residual supination of the midfoot during reconstruction of the stage II adult-acquired flatfoot deformity (AAFD) is often addressed with a medial cuneiform (Cotton) osteotomy after adequate correction of the hindfoot valgus deformity. The purpose of this study was to determine if there was a correlation bet...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718822839
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Achilles tendon lengthening is an important part of the operative management of numerous foot and ankle disorders. The most commonly used percutaneous technique involves three hemitenotomies: medial, lateral, and medial. The discovery that Achilles tendon fibers may undergo external torsion created concern t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701116
更新日期:2006-11-01 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::Six patients with ankle joint destruction and delayed metaphyseal union after tibial plafond fracture were surgically treated with tibiotalar arthrodesis and metaphyseal reconstruction, using a fixed-angle cannulated blade-plate. The procedure was performed through a posterior approach in five cases and a lateral appr...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000606
更新日期:1999-06-01 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: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::Pretibial myxedema is a well-known clinical feature of autoimmune thyroid malfunction and is classically associated with Graves' disease. Its clinical course is frequently not related to the clinical control of the underlying thyroid disease. Treatment is primarily medical, consisting of oral and topical corticosteroi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601700209
更新日期:1996-02-01 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::In an attempt to prevent migration of the heel pad, 11 patients underwent a combined Syme's amputation and Achilles tendon tenodesis between December 1989 and April 1992. Ten patients healed the Syme's amputation, and one patient failed to heal the surgical wounds and required a below-knee amputation. In all 10 succes...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110079401500104
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:Recently, it has been shown that avascular necrosis of the talus can occur in only a portion of the talar body. There is little information regarding the geographic location of the avascular segment and the clinical significance of an incomplete avascular process. METHODS:Seven patients with partial avascul...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0777
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Talonavicular fusion is performed for a variety of indications. This study examined the effects of fixation techniques on plantar pressures, construct stiffness, and strength. MATERIALS AND METHODS:Eight matched pairs of cadaveric lower extremities were axially loaded intact and after talonavicular fixation...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI-2009-0150
更新日期:2009-02-01 00:00:00
abstract::The purpose of this study was to evaluate the clinical results of Osteochondral Autograft Transfer System (OATS) for the treatment of symptomatic osteochondral defects of the talus using standardized outcome analysis. Nineteen patients with symptomatic osteochondral defect (OCD) of the talus were treated with autologo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300502
更新日期:2002-05-01 00:00:00
abstract::The understanding of load transfer characteristics is the baseline for biomechanics of the ankle joint. Changes in contact patterns of the articular cartilage from the norm may indicate pathologic conditions. Measurement of the contact in human cadaver ankles provides a direct measurement for this understanding. The f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500307
更新日期:1994-03-01 00:00:00
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
更新日期:2000-08-01 00:00:00
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
更新日期:1998-12-01 00:00:00
abstract::An approach to the treatment of dorsal foot pain of neuroma origin is described based upon principals demonstrated to be effective in the treatment of upper extremity dorsoradial neuromas: translocation of the appropriate nerves into a muscle environment away from the joint. In the lower extremity, this requires ident...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900506
更新日期:1998-05-01 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::Autologous iliac crest graft has been a standard source of supplementary bone for treating bony defects, fractures and arthrodeses. Bone graft substitutes have recently become widely available. This paper reports on the use of bone graft substitute in 28 patients that otherwise would have required an iliac crest graft...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300802
更新日期:2002-08-01 00:00:00
abstract::The "squeeze test" is a clinical test for detecting "stable" syndesmosis injuries. The test is positive when proximal compression of the calf produces pain in the area of the distal tibiofibular and interosseous ligaments. The purpose of this study was to examine what fibular movement, if any, occurs at the level of t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900713
更新日期:1998-07-01 00:00:00
abstract::Forty-three patients (47 heels) underwent decompression of the nerve to abductor digiti minimi with partial plantar fascia release for intractable plantar fasciitis over a 4-year period. Forty-one patients (45 heels) were available for follow-up. All of the patients had failed to respond to nonoperative treatment. The...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902001209
更新日期:1999-12-01 00:00:00
abstract::Ruptures of tibialis anterior tendon can be caused by open, closed, direct, or indirect trauma, as well as spontaneously. Sixty-three cases of tibialis anterior tendon ruptures have been reported in the international literature. The treatment of choice is the surgical end-to-end or side-to-side anastomosis after previ...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079501600712
更新日期:1995-07-01 00:00:00
abstract:BACKGROUND:Posttraumatic osteoarthritis (PTOA) of the subtalar joint is a serious, disabling, and frequent complication following intra-articular calcaneal fractures (IACFs). Using plain radiographs to assess the subtalar joint for PTOA is imprecise and insensitive, hindering progress toward improving treatment and ass...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720933891
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Evans showed that lengthening the lateral column by inserting structural bone graft into the anterior calcaneus could correct abduction and valgus deformity in flatfoot. To better understand the mechanism of correction and the three-dimensional effect of this procedure a cadaver study was done. METHODS:Thre...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600209
更新日期:2005-02-01 00:00:00
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
更新日期:2016-06-01 00:00:00
abstract::Foot and ankle operations are being performed with greater frequency as outpatient procedures. Although the surgical procedure remains the same whether the operation is done in an inpatient or an outpatient setting, the anesthesia and postoperative analgesia are greatly affected when patients must be discharged soon a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100107
更新日期:2000-01-01 00:00:00
abstract::The purpose of this study was to compare the compression effect of the 7.0-AO screw and the 6.5 mm Ideal Compression Screw (I.CO.S.) screw in an in vitro subtalar arthodesis model. Six fresh-frozen, human cadaver foot specimens were obtained for analysis. The subtalar joint was opened laterally without affecting the a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202301102
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Recurrent pain and deformity following forefoot surgery can cause significant patient disability. In patients with rheumatoid arthritis, first metatarsophalangeal (MTP) joint arthrodesis with lesser metatarsal head resections-termed the rheumatoid forefoot reconstruction-has been shown to be a reliable opera...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717696253
更新日期:2017-06-01 00:00:00
abstract::For measurement of the first metatarsophalangeal angle and intermetatarsal angle I-II, five different methods for drawing the axis of the first metatarsal have been published. This study aimed to evaluate differences in the resulting angles that depend on the method of drawing this axis. Using pre- and postoperative r...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900805
更新日期:1998-08-01 00:00:00