Abstract:
BACKGROUND:Hallux valgus deformities with large intermetatarsal angles require a more proximal metatarsal procedure to adequately correct the deformity. Due to the relative ease of a closing wedge osteotomy, this technique was adopted but with concern over first metatarsal shortening. In this study, we primarily evaluated angular correction and first metatarsal shortening. MATERIALS AND METHODS:We evaluated 70 feet in 57 patients (average age, 54 years) with 52 female and five male. The average followup was 14 (range, 6 to 45) months. The charts were reviewed for the presence of metatarsalgia. Digital radiographic measurements were made for pre- and postoperative hallux valgus and intermetatarsal angles, dorsiflexion angle of the first metatarsal, and absolute and relative shortening of the first metatarsal. RESULTS:The average hallux valgus angle improved from 31 to 11 degrees (p < 0.0001) and intermetatarsal angle from 13.2 to 4.4 angles (p < 0.0001). The absolute shortening of the first metatarsal was 2.2 mm and relative shortening was 0.6 mm. There was 1.3 degrees of dorsiflexion on average. CONCLUSION:Excellent correction of the deformity with minimal dorsiflexion or new complaints of metatarsalgia was found with this technique. The new method of assessing the relative shortening found to be less than the absolute shortening, which we feel more accurately reflects the functional length of the first metatarsal.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Day T,Charlton TP,Thordarson DBdoi
10.3113/FAI.2011.0513subject
Has Abstractpub_date
2011-05-01 00:00:00pages
S513-8issue
5eissn
1071-1007issn
1944-7876pii
50051789journal_volume
32pub_type
杂志文章abstract::This study examined stance phase foot kinematics, kinetics and electromyographic (EMG) activity of extrinsic muscles of 18 healthy males. Three-dimensional kinematic and kinetic data were obtained via video analysis of surface markers and a force plate. Ankle joint moments are described about orthogonal axes in a segm...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110070102200105
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:The tendo Achilles (TA) is a tendon very susceptible to injury. Biomechanical methodologies for exploring tendon strain are limited, however, as they are typically performed in vitro or by indirectly measuring the displacement of reference markers. By using panoramic ultrasound, this study reports a novel ap...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0905
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Both the percutaneous technique with arthroscopic assistance, also known as arthroscopic Broström (AB), and the arthroscopic all-inside ligament repair (AI) are widely used to treat chronic lateral ankle instability. The aim of this study was to compare the clinical outcomes of these 2 arthroscopic stabilizi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720938672
更新日期:2020-11-01 00:00:00
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
更新日期:1994-05-01 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: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
更新日期:2020-10-01 00:00:00
abstract::The mobility and stability of the ankle joint have been extensively investigated, but many critical important issues still need to be elucidated. However, there seems to be a general agreement on several important observations. A more isometric pattern of rotation for the calcaneofibular and the tibiocalcaneal ligamen...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110070002100715
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:The distal attachment of the flexor hallucis longus (FHL) tendon with the flexor digitorum longus (FDL) tendon varies antomically. The presence of a strong link between the two tendons can preserve distal function if one of the tendons is used for transfer. METHODS:Twenty-four cadaver legs were dissected, a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700708
更新日期:2006-07-01 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:BACKGROUND:The surgical management of brachymetatarsia remains controversial, and choice is based on potential complications. We report a classification of complications based on severity, and we hypothesized that use of a semicircular external fixator would minimize severe complications in lateral metatarsal lengtheni...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715593373
更新日期:2015-11-01 00:00:00
abstract::The strain changes of the central part of the anterior talofibular ligament (ATFL), the posterior talofibular ligament (PTFL), the calcaneofibular ligament (CFL), and the tibiocalcaneal ligament (TCL) were measured simultaneously for a full range of ankle motion. Twelve fresh frozen amputated ankles were used. To meas...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300909
更新日期:2002-09-01 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::The purpose of the study was to investigate effects of adhesive ankle taping. Using electromyographic, goniometric, and thermologic methods, different ankle tapes were tested before and after athletic exercise in simulated inversion trauma. Twelve subjects with stable ankle joints performed five trials: with two diffe...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110079902000406
更新日期:1999-04-01 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::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:BACKGROUND:Among the various operative treatments of Morton's neuroma, deep transverse metatarsal ligament (DTML) release has been performed for decompression of neuroma. However, the main lesion of Morton's neuroma is located between the metatarsal head and the metatarsophalangeal (MTP) joint and more distal than the ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713499905
更新日期:2013-12-01 00:00:00
abstract::Thirteen patients presenting with symptomatic pathologic variations or congenital deformities of the subtalar joint are presented. These variations included: four abnormal posterior talar processes, five patients with asymmetric subtalar joint development, and four congenital complete subtalar coalitions with a second...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800803
更新日期:1997-08-01 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:Although metatarsophalangeal (MTP) arthrodesis has been advocated by many authors, implant arthroplasty appears to be successful option in advanced hallux rigidus (HR). The aim of our study was to evaluate the early results of the ToeFit-Plus prosthesis for the treatment of HR. METHODS:Between December 2007...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713496770
更新日期:2013-11-01 00:00:00
abstract::Numerous reconstructive procedures are performed to correct both ankle and subtalar instability after trauma although the precise pathology which results in this chronic instability and pain is not yet known. This study examined the role of the calcaneofibular (CLFL) and cervical ligaments (CRVL) during physiologic lo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300608
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:Polydactyly of the fifth toe is the most common congenital malformation of the forefoot, and no consensus has been reached as to which toe component should be excised or by which surgical technique. The purpose of this study was to evaluate the results of the operative treatment of postaxial polydactyly and ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713477608
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Dorsal pain from osteoarthritic midfoot joints is thought to be relayed by branches of the medial and lateral plantar, sural, saphenous, and deep peroneal nerves (DPN). However, there is no consensus on the actual number or pathways of the nervous branches for midfoot joint capsular innervation. This study e...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719858143
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to review consecutive fifth metatarsal fractures in the author's (KFK) practice from August, 1999, to November, 2003. METHODS:During this period 64 patients (66 fractures; 35 tuberosity fractures, 10 Jones fractures, three stress fractures, two segmental shaft fractures and 16 ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600907
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Displaced lateral malleolar fractures are often treated with reduction and surgical stabilization. However, there has not been a comprehensive laboratory comparison to determine the most appropriate device for treating these patients. This study subjected a range of contemporary lateral fibular plates to a s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713496223
更新日期:2013-11-01 00:00:00
abstract::Two commonly used techniques for tibiotalar fusion were quantitatively compared using instrumented testing of the strength of the construct. The tibiae and tali from 10 pairs of fresh-frozen cadaveric limbs were used. One joint of each pair was fused using two 6.5-mm crossed cancellous screws from proximal to distal w...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500604
更新日期:1994-06-01 00:00:00
abstract::We conducted magnetic resonance imaging of the posterior tibial (PT) and flexor digitorum longus (FDL) muscle bellies in 12 patients undergoing surgical treatment for unilateral posterior tibial tendon (PTT) dysfunction. All patients had atrophy of the PT muscle compared to the normal leg (mean 10.7%, p = 0.008). In t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400409
更新日期:2003-04-01 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::The OssaTron may be another alternative for management of plantar fasciitis (heel pain syndrome) after failure of non-operative management and prior to surgical management. This study evaluated primarily the safety and early preliminary efficacy of the OssaTron in treatment of patients with plantar fasciitis unrespons...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300302
更新日期:2002-03-01 00:00:00
abstract::The purpose of this study was to define the amount of lateral displacement of the chevron osteotomy to obtain a 50% displacement of the capital fragment. While mathematical analyses exist to predict the degree of correction of the intermetartarsal 1-2 angle with a distal metatarsal osteotomy, no guidelines exist regar...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800405
更新日期:1997-04-01 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