Extracorporeal shock wave treatment of non- or delayed union of proximal metatarsal fractures.

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 Int

authors

Alvarez RG,Cincere B,Channappa C,Langerman R,Schulte R,Jaakkola J,Melancon K,Shereff M,Cross GL 3rd

doi

10.3113/FAI.2011.0746

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

746-54

issue

8

eissn

1071-1007

issn

1944-7876

journal_volume

32

pub_type

杂志文章
  • Multiplanar Semiautomatic Assessment of Foot and Ankle Offset in Adult Acquired Flatfoot Deformity.

    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

    authors: de Cesar Netto C,Bang K,Mansur NS,Garfinkel JH,Bernasconi A,Lintz F,Deland JT,Ellis SJ

    更新日期:2020-07-01 00:00:00

  • Initial hospital-related cost comparison of total ankle replacement and ankle fusion with hip and knee joint replacement.

    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

    authors: Younger AS,MacLean S,Daniels TR,Penner MJ,Wing KJ,Dunbar M,Glazebrook M

    更新日期:2015-03-01 00:00:00

  • Functional properties of adhesive ankle taping: neuromuscular and mechanical effects before and after exercise.

    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

    authors: Alt W,Lohrer H,Gollhofer A

    更新日期:1999-04-01 00:00:00

  • Correlation of 3D Joint Space Width From Weightbearing CT With Outcomes After Intra-articular Calcaneal Fracture.

    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

    authors: Day MA,Ho M,Dibbern K,Rao K,An Q,Anderson DD,Marsh JL

    更新日期:2020-09-01 00:00:00

  • Outcomes of proximal chevron osteotomy for moderate versus severe hallux valgus deformities.

    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

    authors: Moon JY,Lee KB,Seon JK,Moon ES,Jung ST

    更新日期:2012-08-01 00:00:00

  • Rearfoot-forefoot orientation and traumatic risk for runners.

    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

    authors: Busseuil C,Freychat P,Guedj EB,Lacour JR

    更新日期:1998-01-01 00:00:00

  • Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid.

    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

    authors: Elias I,Raikin SM,Schweitzer ME,Besser MP,Morrison WB,Zoga AC

    更新日期:2009-06-01 00:00:00

  • Fresh ankle osteochondral allograft transplantation for tibiotalar joint arthritis.

    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

    authors: Meehan R,McFarlin S,Bugbee W,Brage M

    更新日期:2005-10-01 00:00:00

  • High Variability of Observed Weight Bearing During Standing Foot and Ankle Radiographs.

    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

    authors: Miller CP,Ghorbanhoseini M,Ehrlichman LK,Walley KC,Ghaheri A,Kwon JY

    更新日期:2017-06-01 00:00:00

  • Triple arthrodesis: a biomechanical evaluation of screw versus staple fixation.

    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

    authors: Meyer MS,Alvarez BE,Njus GO,Bennett GL

    更新日期:1996-12-01 00:00:00

  • Local bone graft harvested from the distal tibia or calcaneus for surgery of the foot and ankle.

    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

    authors: Raikin SM,Brislin K

    更新日期:2005-06-01 00:00:00

  • Hallux valgus correction with metatarsal osteotomy: effect of a lateral distal soft tissue procedure.

    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

    authors: Granberry WM,Hickey CH

    更新日期:1995-03-01 00:00:00

  • Radiographic Change of the Distal Tibiofibular Joint Following Removal of Transfixing Screw Fixation.

    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

    authors: Baek JH,Kim TY,Kwon YB,Jeong BO

    更新日期:2018-03-01 00:00:00

  • Effect of calcaneal osteotomy and plantar fasciotomy on arch configuration in a flatfoot model.

    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

    authors: Thordarson DB,Hedman T,Lundquist D,Reisch R

    更新日期:1998-06-01 00:00:00

  • Functional outcome and gait analysis after triple or double arthrodesis.

    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

    authors: Beischer AD,Brodsky JW,Pollo FE,Peereboom J

    更新日期:1999-09-01 00:00:00

  • Subtalar distraction bone block fusion: an assessment of outcome.

    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

    authors: Bednarz PA,Beals TC,Manoli A 2nd

    更新日期:1997-12-01 00:00:00

  • Dorsal neuroma of the feet: a case report.

    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

    authors: Samimi S,Enyati A

    更新日期:1996-07-01 00:00:00

  • Distal anatomical relationship of the flexor hallucis longus and flexor digitorum longus tendons.

    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

    authors: LaRue BG,Anctil EP

    更新日期:2006-07-01 00:00:00

  • Trends in treatment of advanced ankle arthropathy by total ankle replacement or ankle fusion.

    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

    authors: Raikin SM,Rasouli MR,Espandar R,Maltenfort MG

    更新日期:2014-03-01 00:00:00

  • Optimal Starting Point for Fifth Metatarsal Zone II Fractures: A Cadaveric Study.

    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

    authors: Watson GI,Karnovsky SC,Konin G,Drakos MC

    更新日期:2017-07-01 00:00:00

  • Association of Metatarsalgia After Hallux Valgus Correction With Relative First Metatarsal Length.

    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

    authors: Nakagawa S,Fukushi J,Nakagawa T,Mizu-Uchi H,Iwamoto Y

    更新日期:2016-06-01 00:00:00

  • Outcomes of NCAA Defensive Football Players Following Achilles Tendon Repair.

    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

    authors: Wise PM,King JL,Stauch CM,Walley KC,Aynardi MC,Gallo RA

    更新日期:2020-04-01 00:00:00

  • Paradoxical transcutaneous oxygen response to cutaneous warming on the plantar foot surface: a caution for interpretation of plantar foot TcPO2 measurements.

    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

    authors: Smith DG,Boyko EJ,Ahroni JH,Stensel VL,Davignon DR,Pecoraro RE

    更新日期:1995-12-01 00:00:00

  • Return to Sports and Activity After Total Ankle Arthroplasty and Arthrodesis: A Systematic Review.

    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

    authors: Johns WL,Sowers CB,Walley KC,Ross D,Thordarson DB,Jackson JB,Gonzalez TA

    更新日期:2020-08-01 00:00:00

  • Radiographic changes and clinical results of osteochondral defects of the talus with and without subchondral cysts.

    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

    authors: Han SH,Lee JW,Lee DY,Kang ES

    更新日期:2006-12-01 00:00:00

  • Tarsal coalition.

    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

    authors: Kulik SA Jr,Clanton TO

    更新日期:1996-05-01 00:00:00

  • Isolated dislocation of the middle cuneiform in a farmer: a case report and review of the literature.

    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

    authors: Maitra R,DeGnore LT

    更新日期:1997-11-01 00:00:00

  • Forefoot Reconstruction Following Metatarsal Head Resection Arthroplasty With a Plantar Approach-A 20-Year Follow-Up.

    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

    authors: Simon MJK,Strahl A,Mussawy H,Rolvien T,Schumacher RF,Seller M,Rüther W

    更新日期:2019-07-01 00:00:00

  • Reconstruction of calcaneal fracture malunion with osteotomy and subtalar joint salvage: technique and outcomes.

    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

    authors: Yu GR,Hu SJ,Yang YF,Zhao HM,Zhang SM

    更新日期:2013-05-01 00:00:00

  • Relationship between tightness of the posterior muscles of the lower limb and plantar fasciitis.

    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

    authors: Bolívar YA,Munuera PV,Padillo JP

    更新日期:2013-01-01 00:00:00