Abstract:
BACKGROUND:Standard treatment of plantar first metatarsal head neuropathic ulceration with underlying osteomyelitis consists of extensive debridement of infected soft tissues and bone and often first ray amputation. The purpose of this study was to present a previously unreported, one stage, alternative to first ray amputation in patients with chronic first metatarsal head ulceration and associated chronic osteomyelitis. MATERIALS AND METHODS:A retrospective review was conducted of all patients that underwent one stage resection of the first metatarsophalangeal joint with pin stabilization for treatment of chronic plantar first metatarsal head ulceration with associated chronic osteomyelitis. The study included 15 patients (18 feet) who underwent 18 resections and stabilizations. All patients had a diagnosis of diabetic peripheral neuropathy, chronic plantar first metatarsal head ulceration of at least 3 months duration with exposed bone, and no gross purulence or acute cellulitis. Nine patients (60%) (11 feet) were available for followup telephone interviews. Four of the 15 (27%) (four feet) were deceased so they had medical record review only. The average followup was 48.8 months. RESULTS:All ulcers healed with the exception of one foot (5%) who required a transmetatarsal amputation for worsening infection and wound complications. Three feet (17%) developed recurrent ulcerations. No foot had amputation of only the hallux or first ray. CONCLUSION:This study presents a previously unreported, relatively simple, one stage treatment option for chronic first metatarsal head ulceration with underlying chronic osteomyelitis. This procedure allowed for successful healing of the ulcer while retaining the first ray.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Johnson JE,Anderson SAdoi
10.3113/FAI.2010.0973subject
Has Abstractpub_date
2010-11-01 00:00:00pages
973-9issue
11eissn
1071-1007issn
1944-7876pii
50045564journal_volume
31pub_type
杂志文章abstract:BACKGROUND:The nature of the sesamoid complex in the development of hallux rigidus or limitus (HL) has been poorly characterized and the role of the sesamoids in the surgical management of this condition has not been explored. Previous surgical approaches in younger active patients unsuited to destructive procedures ha...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0640
更新日期:2009-07-01 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:BACKGROUND:Fixed equinovarus deformities can be challenging to treat especially in medically debilitated patients. The purpose of this study was to evaluate Achilles lengthening with posterior tibial tenotomy and immediate weightbearing in this difficult group of patients. MATERIALS AND METHODS:Thirteen extremities in...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0325
更新日期:2008-03-01 00:00:00
abstract::Three hundred and eleven patients have been enrolled in a multi-center prospective study evaluating the outcome of hallux valgus surgery by the members of the American Orthopaedic Foot and Ankle Society. One hundred seventy-nine of these patients have completed six-month follow-up questionnaires, and 195 have complete...
journal_title:Foot & ankle international
pub_type: 杂志文章,多中心研究
doi:10.1177/107110070102201205
更新日期:2001-12-01 00:00:00
abstract::This article describes a patient with a 10-year history of persistent ankle pain. Differential diagnosis included osteoid osteoma and anterior ankle impingement. This patient subsequently underwent arthroscopic excision of a lesion on the talar neck following a complete radiographic work-up, which was nondiagnostic. T...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079501600409
更新日期:1995-04-01 00:00:00
abstract:BACKGROUND:The adult drop-foot is one of the most disabling disorders that affects gait and quality of life. Despite orthoses and orthopaedic shoes, the disability often progresses. We have used the Lambrinudi arthrodesis to correct the bony component of drop-foot in association with a posterior tibial tendon transfer ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0030
更新日期:2010-01-01 00:00:00
abstract::Contemporary methods of bone grafting osteochondral defects, in which the remaining overlying cartilage is relatively well preserved, have inherent problems. The bony defects are often saucer-shaped and the cylindrical graft may not fill the void, leaving areas of cartilage with no underlying scaffold and obviating ea...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0616
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Total hip and knee arthroplasty (THA and TKA) are accessible to patients with end-stage hip and knee arthritis in most health care systems. The availability of total ankle arthroplasty (TAA) to patients with end-stage ankle arthritis is often restricted because of prosthesis cost. Ankle fusion (AF) is often ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714558844
更新日期:2015-03-01 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:BACKGROUND:Tarsal tunnel pressure is increased when the foot and ankle are positioned in eversion or inversion from neutral, aggravating symptoms of tarsal tunnel syndrome in some patients. Space-occupying lesions may cause tarsal tunnel syndrome. We hypothesized that positional change of the foot and ankle from neutra...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700608
更新日期:2006-06-01 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:BACKGROUND:The structural importance of the spring ligament complex in arch stability has been described. Furthermore, the pathology of this complex is often noted in patients with posterior tibial tendon dysfunction. The purpose of this biomechanical study was to evaluate spring ligament repair alone versus augmentati...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719828373
更新日期:2019-05-01 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::Factors making runners more susceptible to injuries were identified with a comparative study between a healthy control group (216) and runners (66) suffering from overuse pathology. On static and dynamic footprint, the angles alpha0 (static) and alpha1 (dynamic) between heel and forefoot have been measured. Analysis s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900106
更新日期:1998-01-01 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: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 superficial peroneal nerve (SPN) and its branches are at risk during surgical exposures. Our study aimed to demonstrate the distribution of the SPN on the dorsum of the foot to aid in surgical procedures close to this nerve. METHODS:The SPN was dissected in 30 cadaver lower limbs (13 male and two female...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700609
更新日期:2006-06-01 00:00:00
abstract::The records of 104 patients who underwent reconstructive foot and ankle surgery for deformities secondary to rheumatoid arthritis were reviewed. The use of rheumatoid chemotherapeutic agents, age, sex, rheumatoid nodule status, and the number of concurrent surgical procedures performed was analyzed to determine any as...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400106
更新日期:2003-01-01 00:00:00
abstract::The subtalar, talonavicular, and calcaneocuboid joints were internally fixed to simulate triple arthrodesis was performed on eight matched pairs of human cadaver feet. Feet were randomly assigned such that one specimen in each pair was internally fixed with cobalt-chrome staples and one specimen with stainless steel s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601701209
更新日期:1996-12-01 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::Morbus Ledderhose is a rare hyperproliferative disease of the plantar fascia, leading to the formation of nodules. Its origin is unknown. No causal therapy is available, and treatment remains symptomatic. Various therapeutic strategies to alleviate symptoms are available and are adapted to the severity of the disease....
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/1071100713505535
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:The aim of this study was to determine whether tightness of the posterior muscles of the lower extremity was associated with plantar fasciitis. METHODS:A total of 100 lower limbs of 100 subjects, 50 with plantar fasciitis and 50 matching controls were recruited. Hamstring and calf muscles were evaluated thr...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100712459173
更新日期:2013-01-01 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::Light and electron microscopy was used for a histologic examination of normal heel fat pads and atrophic heel fat pads from patients with peripheral neuropathies. Histomorphometric analysis revealed an average 30% smaller mean cell area and 16% smaller mean cell diameters in the atrophic pads compared with the normal ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501600502
更新日期:1995-05-01 00:00:00
abstract:BACKGROUND:AES mobile-bearing total ankle replacement is evolved from the Buechel Pappas model. We report medium-term results of a prospective study with AES. MATERIALS AND METHODS:All patients who underwent AES TAR for ankle arthritis, by a single surgeon, from 2003 to 2006 were included, excluding neurologic disease...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0964
更新日期:2009-10-01 00:00:00
abstract::Proximal chevron first metatarsal osteotomy with lateral capsulotomy, adductor tenotomy, and binding of the first and second metatarsals was reviewed in 88 consecutive cases. Seventy-two cases in 55 patients are reported, with an average clinical follow-up of 41 months. The hallux valgus angle improved an average of 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900703
更新日期:1998-07-01 00:00:00
abstract::Dislocation of the interphalangeal joints of the lesser toes is an uncommon injury, and complex (irreducible) dislocation has rarely been reported. All previous reports note that, during open reduction, the volar plate is interposed within the joint, thereby blocking reduction. In this case, the medial collateral liga...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401501110
更新日期:1994-11-01 00:00:00
abstract:BACKGROUND:Supramalleolar osteotomies are increasingly popular for addressing asymmetric arthritis of the ankle joint. Still, recommendations for the indication and the use of additional procedures remain arbitrary. We preoperatively grouped different types of asymmetric arthritis into several classes and assessed the ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.1023
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Squamous cell carcinoma arising from chronic osteomyelitis is uncommon, and although most occur in the lower extremities, occurrence in the foot and ankle is rare. METHODS:Between February, 1991, and May, 2003, we treated 14 patients (13 men and one woman) with squamous cell carcinomas arising in chronic os...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110070402501109
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Along with the recent advances in the pharmacological management of rheumatoid arthritis, there is a trend toward the use of joint-preserving surgery in the treatment of rheumatoid forefoot deformities. However, the clinical outcomes of joint-preserving surgery for rheumatoid forefoot deformities have not be...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715609981
更新日期:2016-03-01 00:00:00