Abstract:
BACKGROUND:Nonunion or delayed union of fractures in the proximal aspect of metatarsals 1 to 4 and Zone 2 of the fifth metatarsal were treated by high energy extracorporeal shock wave treatment (ESWT) to study the safety and efficacy of this method of treatment in a FDA study of the Ossatron device. MATERIALS AND METHODS:In a prospective single-arm, multi-center study, 34 fractures were treated in 32 patients (two subjects had two independent fractures) with ESWT. All fractures were at least 10 (range, 10 to 833) weeks after injury, with a median of 23 weeks. ESWT application was conducted using a protocol totaling 2,000 shocks for a total energy application of approximately 0.22 to 0.51 mJ/mm2 per treatment. The mean ESWT application time for each of the treatments was 24.6 +/- 16.6 minutes, and anesthesia time averaged 27.1 +/- 10.4 minutes. All subjects were followed for 1 year after treatment at intervals of 12 weeks, 6, 9, and 12 months. RESULTS:The overall success rate at the 12-week visit was 71% with low complications, significant pain improvement as well as improvement on the SF-36. The success/fail criteria was evaluated again at the 6- and 12-month followup, showing treatment success rates of 89% (23/26) and 90% (18/20), respectively. The most common adverse event was swelling in the foot, reported by five subjects (15.6%). CONCLUSION:High-energy ESWT appears to be effective and safe in patients for treatment of nonunion or a delayed healing of a proximal metatarsal, and in fifth metatarsal fractures in Zone 2.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Alvarez RG,Cincere B,Channappa C,Langerman R,Schulte R,Jaakkola J,Melancon K,Shereff M,Cross GL 3rddoi
10.3113/FAI.2011.0746subject
Has Abstractpub_date
2011-08-01 00:00:00pages
746-54issue
8eissn
1071-1007issn
1944-7876journal_volume
32pub_type
杂志文章abstract:BACKGROUND:Semiautomatic 3-dimensional (3D) biometric weightbearing computed tomography (WBCT) tools have been shown to adequately demonstrate the relationship between the center of the ankle joint and the tripod of the foot. The measurement of the foot and ankle offset (FAO) represents an optimized biomechanical asses...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720920274
更新日期:2020-07-01 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::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: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:Proximal chevron osteotomy with a distal soft tissue procedure has been widely used to treat moderate to severe hallux valgus deformities. However, there have been no studies comparing the results of proximal chevron osteotomy between patients with moderate and severe hallux valgus. We compared the results o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0637
更新日期:2012-08-01 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 aim of this study was to evaluate the incidence and morphologic characteristics of osteochondral lesions of the distal tibial plafond (OLTP) by location and morphologic characteristics on MRI. MATERIAL AND METHODS:We assigned 9 zones to the distal tibial plafond articular surface in an equal 3 x 3 grid ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0524
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Conventional treatment for tibiotalar joint arthritis relies on arthrodesis or prosthetic arthroplasty. Fresh osteochondral allografting is an alternative procedure to replace diseased articular cartilage. METHODS:Eleven patients (average age 43 years; range 18 to 65 years) had fresh osteochondral grafting ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502601002
更新日期:2005-10-01 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::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:BACKGROUND:Numerous operative procedures around the foot and ankle use bone graft to augment healing. Autologous bone graft remains the preferred type for these procedures. This can be harvested from the iliac crest, but complications are frequent. The purpose of our study was to investigate the option of harvesting th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600604
更新日期:2005-06-01 00:00:00
abstract::The purpose of this study was to compare the results of hallux valgus correction using a proximal metatarsal osteotomy with or without a lateral distal metatarsophalangeal soft tissue procedure. This procedure included release of the lateral joint capsule and transfer of the adductor tendon into the neck of the metata...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110079501600305
更新日期:1995-03-01 00:00:00
abstract:BACKGROUND:Syndesmosis disruptions in the ankle joint are typically treated with anatomic reduction followed by transfixing screw and/or suture button fixation. The purpose of our study was to analyze the effects of the removal of transfixing screws on syndesmosis integrity using plain radiographs and computed tomograp...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717745526
更新日期:2018-03-01 00:00:00
abstract::Seven fresh-frozen cadaver specimens had a calcaneal osteotomy performed obliquely through the posterior portion of the calcaneus. Angular relationships between the first metatarsal and talus were recorded with the use of a motion-analysis system in the transverse, sagittal, and coronal planes. The specimen was mounte...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900606
更新日期:1998-06-01 00:00:00
abstract::Thirteen patients who had undergone unilateral triple or double arthrodesis were studied an average of 5.2 years after surgery. Patients with a neuromuscular disorder; inflammatory arthritis; or any other focus of lower extremity arthritis, deformity, or joint dysfunction were excluded from the study. Clinical and rad...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000902
更新日期:1999-09-01 00:00:00
abstract::Twenty-nine feet in 28 patients who underwent subtalar distraction bone block fusion for the treatment of subtalar deformities associated with symptomatic arthrosis were evaluated. All patients were assessed with the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale score. Eighteen men and 10 wo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701801206
更新日期:1997-12-01 00:00:00
abstract::A patient presented with bilateral neuromas of medial dorsal nerves of the great toes. She had a 3-year history of localized tenderness and an "electric" type of pain. At surgery, neuromas of the dorsal medial digital nerves were identified and removed. The patient's symptoms resolved completely. ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601700711
更新日期:1996-07-01 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:BACKGROUND:Total ankle replacement (TAR) and ankle fusion (AF) are the 2 major operative options for treatment of advanced ankle arthropathy; there is, however, no large epidemiologic study comparing nationwide trends of these 2 procedures. The current study used a nationwide database to compare epidemiologic profiles ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713517101
更新日期:2014-03-01 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:Metatarsalgia is frequently associated with hallux valgus. The aim of this study was to evaluate how the relative length and position of the first metatarsal head influenced metatarsalgia and plantar callosities beneath the lesser metatarsal heads. METHODS:A retrospective analysis of the clinical data and r...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716634792
更新日期:2016-06-01 00:00:00
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
更新日期:2020-04-01 00:00:00
abstract::We examined the effect of cutaneous warming on the transcutaneous oxygen measurement (TcPO2) at standard locations below the knee, on the dorsal foot, on the plantar right great toe, and on the plantar surface under the second metatarsal head of 656 diabetic and 16 nondiabetic subjects. All subjects underwent a direct...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501601208
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND:There is no consensus regarding participation in sports and recreational activities following total ankle replacement (TAR) and ankle arthrodesis (AA). This systematic review summarizes the evidence on return to sports and activity after operative management with either TAR or AA for ankle osteoarthritis (OA...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720927706
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Subchondral cysts are a type of osteochondral defect of the talus and can be a source of chronic ankle pain. The treatment modality of this cystic lesion is similar to that of other osteochondral defects, but results from previous reports are controversial. Therefore, we compared the clinical results and rad...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701218
更新日期:2006-12-01 00:00:00
abstract::Tarsal coalition is a bridging between the tarsal bones of the foot. The bridge may be composed of bone, cartilage, fibrous tissue, or a combination of these. When symptomatic, patients usually present with hindfoot pain and frequent sprains as children, adolescents, or young adults. The classical appearance is a rigi...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079601700509
更新日期:1996-05-01 00:00:00
abstract::Isolated dislocations of the middle cuneiform are uncommon. There have been four reported previously. Significant force is required to produce these injuries, and they can have serious neurovascular consequences. In this case report and review of the literature, we present an isolated middle cuneiform dislocation in a...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079701801110
更新日期:1997-11-01 00:00:00
abstract:BACKGROUND:Rheumatoid arthritis (RA) can cause significant forefoot disorders. If forefoot deformity and pain are severe, surgical treatment can be considered. The aim of this study was to analyze the long-term outcomes of surgical forefoot correction per Tillmann, which involves resection of the metatarsal heads throu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719840814
更新日期:2019-07-01 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 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