Abstract:
BACKGROUND:Tibiotalocalcaneal fusion with a straight rod has a risk of damaging the lateral plantar neurovascular structures and may interfere with maintaining normal heel valgus position.We report the results of a prospective study of tibiotalocalcaneal (TTC) arthrodesis with a short, anatomically curved interlocking, intramedullary nail. MATERIAL AND METHODS:Forty-five arthrodesis in 42 patients, performed between Jan 2003 and Oct 2008, were prospectively followed. The mean followup was 48 (range, 10 to 74) months. The main indications for the procedure were failed ankle arthrodesis with progressive subtalar arthritis, failed ankle arthroplasty and complex hindfoot deformity. The outcome was measured by a combination of pre and postoperative clinical examination, AOFAS hindfoot scores, SF-12 scores and radiological assessment. RESULTS:Union rate was 89% (40/45). Eighty-two percent (37/45) reported improvement in pain and 73% (33/45) had improved foot function. Satisfactory hindfoot alignment was achieved in 84% (38/45). Postoperatively there was a mean improvement in the AOFAS score of 37. Complications included a below knee amputation for persistent deep infection, five nonunions, and three delayed unions. Four nails, six proximal and six distal locking screws were removed for various causes. Other complications included two perioperative fractures, four superficial wound infections and one case of lateral plantar nerve irritation. CONCLUSION:With a short, anatomically curved intramedullary nail, we had a high rate of tibiotalocalcaneal fusion with minimal plantar neurovascular complications. We believe a short, curved intramedullary nail, with its more lateral entry point, helped maintain hindfoot alignment.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Budnar VM,Hepple S,Harries WG,Livingstone JA,Winson Idoi
10.3113/FAI.2010.1085subject
Has Abstractpub_date
2010-12-01 00:00:00pages
1085-92issue
12eissn
1071-1007issn
1944-7876pii
50046497journal_volume
31pub_type
杂志文章abstract:BACKGROUND:We aimed to define reference lines on standard lateral ankle radiographs that could be used intraoperatively to minimize iatrogenic nerve injury risk in medial displacement calcaneal osteotomy. METHODS:Forty cadaveric specimens were used. In 20 specimens, the sural, medial plantar (MP), and lateral plantar ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715595696
更新日期:2015-12-01 00:00:00
abstract::The purpose of this study was to quantify tibiotalar translation and rotation under various stages of fibular displacement and injury to the syndesmotic and deltoid ligaments. Ten unpaired specimens amputated below the knee were studied using an unconstrained testing apparatus. The specimens were moved through a dorsi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902001110
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:Identifying the optimal starting point for intramedullary fixation of tibia and femur fractures is well described in the literature using a retrograde or anterograde technique. This technique has not been applied to the fifth metatarsal, where screw trajectory can cause iatrogenic malreduction. The generally...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717702688
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Flexible suture-button devices are used to stabilize the distal tibiofibular joint after syndesmotic rupture, but little is known about how they affect fibular motion during cyclic physiological loading. This study examined how much fibular motion occurs during cyclic loading of ankles repaired with suture-b...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0346
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:A recent clinical study suggested that restrictive tenosynovitis of the flexor hallucis longus (FHL) may play an important causative role in hallux rigidus. The goals of this research were to assess normal function of the FHL and the effect of restricted FHL gliding on the loading of the hallux metatarsophal...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0367
更新日期:2008-04-01 00:00:00
abstract::The "anchovy" interpositional arthroplasty technique can be used as a salvage option for failed hallux rigidus procedures. The operative technique utilized by the senior author is described. Careful soft-tissue handling, meticulous joint space and graft preparation, and interposition graft stabilization using a bone t...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/1071100718807738
更新日期:2019-01-01 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:BACKGROUND:Although early accelerated rehabilitation is recommended for the treatment of acute Achilles tendon rupture, most traditional rehabilitation techniques require some type of brace. METHODS:We retrospectively analyzed 44 feet of 44 patients (25 male and 19 female) with a mean age of 31.8 years who had an acut...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716673589
更新日期:2017-02-01 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:The time at which patients typically present with surgical site infections (SSI) following foot and ankle surgery has not been characterized. The primary aim of this study was to quantify the time to definitive treatment of SSIs. METHODS:We performed a retrospective review of 1933 foot and ankle procedures ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718777468
更新日期:2018-09-01 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 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::Tibiotalar arthrodesis remains the gold standard reconstructive procedure for the treatment of disabling ankle arthritis. The purpose of this study was to review the clinical results of tibiotalar arthrodesis utilizing the chevron fusion technique. The results of 46 consecutive patients who underwent ankle arthrodesis...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500406
更新日期:2004-04-01 00:00:00
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
更新日期:2003-12-01 00:00:00
abstract::Research by our group and others indicates that many amputations of the lower limb occur after foot ulceration in patients with diabetes. It has been proposed that diabetic foot ulcers are mainly caused by repetitive trauma in areas of high plantar pressure during walking. Recent technology permits in-shoe measurement...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801901004
更新日期:1998-10-01 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: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
更新日期:2006-09-01 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: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
更新日期:2014-11-01 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
abstract:BACKGROUND:The moment, a force applied at a distance, is responsible for movement and balance. A key component of the moment is the moment arm. The moment arms of nine muscles surrounding the ankle complex during motion in three planes, were studied. MATERIALS AND METHODS:Five cadaveric feet were mounted in a testing ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0300
更新日期:2011-03-01 00:00:00
abstract::Pes planus is a term frequently used in describing flatfoot; however, no study has objectively defined flatfoot. We evaluated the single leg stance footprint of 40 feet in 21 people with no history of foot problems, using pressure-sensitive film and a Harris mat. The medial and lateral aspects of the forefoot, midfoot...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000711
更新日期:1999-07-01 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:External rotation stress (ERS) identifies ankle instability after fibular reduction of rotational ankle injuries. Combined hindfoot and ankle motions and an inconsistent starting position could mask differing degrees of instability resulting from syndesmotic and/or deltoid ligament disruption. The goal of th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719840993
更新日期:2019-07-01 00:00:00
abstract::In triple arthrodesis performed for severe deformity and neuroarthropathy in poorly compliant patients with osteoporotic bone, fixation of the arthrodesis is critical. We biomechanically tested an alternative means of stabilization for calcaneocuboid fusions. In seven matched pairs of fresh-frozen cadaver feet, we rem...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000107
更新日期:1999-01-01 00:00:00
abstract::We first performed autogenous bone grafting for lesions of the hallux sesamoid in 1984. During the next 9 years, 21 patients (11 men and 10 women with an average age of 34 and 32 years, respectively) underwent this surgical procedure for symptomatic tibial hallux sesamoid non-unions. Successful bony union was achieved...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800509
更新日期:1997-05-01 00:00:00
abstract:BACKGROUND:Microsurgical reconstruction has improved limb salvage in patients who because of many etiologies have soft-tissue loss from the lower extremities. Free-tissue transfer to the foot and ankle often interferes with postoperative function and footwear because of the bulk of a muscle flap. The foot and ankle oft...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600302
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to establish the range of anatomic variations of the first metatarsal bone, including both the angulations of the articular surfaces and the dimensions of the bone in a large sample. METHODS:Four hundred and seventy-eight first metatarsal bones of 239 cadaver specimens were stu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701208
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:Highly comminuted pilon fractures, especially with a compromised soft tissue envelope, present a challenging treatment scenario. This study presents our results for patients managed with ankle fusion rather than ORIF. MATERIALS AND METHODS:Fourteen patients with ankle joint incongruence after non-reconstruc...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0914
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Ankle sprains are the most common injury among physically active people, with common sequelae including repeated episodes of giving way, termed functional ankle instability. Copers are a cohort in ankle research comprised of those who have sprained their ankle but have not suffered any further dysfunction. T...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713491076
更新日期:2013-10-01 00:00:00