Abstract:
BACKGROUND:Little is known about functional outcomes of ankle arthroplasty compared with arthrodesis. This study compared pre-surgical and post-surgical gait measures in both patient groups. METHODS:Eighteen patients with end-stage ankle arthritis participated in an ongoing longitudinal study (pre-surgery, 12 months post-surgery) involving gait analysis, assessment of pain and physical function. Outcome measures included temporal-distance, kinematic and kinetic data, the Short Form 36 (SF-36) body pain score, and average daily step count. A mixed effects linear model was used to detect effects of surgical group (arthrodesis and arthroplasty, n = 9 each) with walking speed as a covariate (α = 0.05). RESULTS:Both groups were similar in demographics and anthropometrics. Followup time was the same for each group. There were no complications in either group. Pain decreased (p < 0.001) and gait function improved (gait velocity, p = 0.02; stride length, p = 0.035) in both groups. Neither group increased average daily step count. Joint range of motion (ROM) differences were observed between groups after surgery (increased hip ROM in arthrodesis, p = 0.001; increased ankle ROM in arthroplasty, p = 0.036). Peak plantar flexor moment increased in arthrodesis patients and decreased in arthroplasty patients (p = 0.042). CONCLUSION:Initial findings of this ongoing clinical study indicate pain reduction and improved gait function 12 months after surgery for both treatments. Arthroplasty appears to regain more natural ankle joint function, with increased ROM. Long-term follow up should may reveal more clinically meaningful differences.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Hahn ME,Wright ES,Segal AD,Orendurff MS,Ledoux WR,Sangeorzan BJdoi
10.3113/FAI.2012.0282subject
Has Abstractpub_date
2012-04-01 00:00:00pages
282-9issue
4eissn
1071-1007issn
1944-7876pii
50061541journal_volume
33pub_type
杂志文章abstract:BACKGROUND:Recurrent pain and deformity following forefoot surgery can cause significant patient disability. In patients with rheumatoid arthritis, first metatarsophalangeal (MTP) joint arthrodesis with lesser metatarsal head resections-termed the rheumatoid forefoot reconstruction-has been shown to be a reliable opera...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717696253
更新日期:2017-06-01 00:00:00
abstract:RECOMMENDATION:Several studies support the effect of peripheral vascular disease (PVD) on wound healing and surgical site infection (SSI). Despite this, there have been no specific studies proving the beneficial effect of revascularization on SSI prior to operative intervention in the setting of traumatic or elective f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719859343
更新日期:2019-07-01 00:00:00
abstract::Sixteen feet with retrocalcaneal bursitis (RB) and twenty-two feet with calcific Achilles insertional tendinosis (IAT-CS) underwent retrocalcaneal decompression after failure of nonoperative treatment. Follow-up evaluation at least two years after surgery included AOFAS Ankle-Hindfoot subscale scores, satisfaction, ti...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110070002100802
更新日期:2000-08-01 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:A previous study has shown an increased radiographic prevalence and severity of hallux valgus interphalangeus (HVIP) after surgical correction of hallux valgus (HV) due to correction of pronation deformity. The purpose of this study was to evaluate the change in pre- and postoperative HVIP deformity with cor...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715579905
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Morton's neuroma is a common primary diagnosis for referral to foot and ankle surgeons. On presentation, many patients have had an ultrasound reporting the presence of Morton's neuroma, which may not correlate with the clinical examination findings. The prevalence of such sonographic findings in the general ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0543
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:The objective of the study was evaluation of the clinical and radiologic outcomes and complications following the minimally invasive chevron procedure employing the Akin osteotomy with percutaneous transosseous suture as compared to screw fixation. METHODS:Between 2018 and 2019, the authors performed 103 mi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720935036
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:The Comprehensive Care for Joint Replacement (CJR) model includes total ankle arthroplasty (TAA), under which a target reimbursement is established. Whether this reimbursement is sufficient to cover average cost remains unknown. We hypothesized that a substantial number of TAAs still exceed cost targets, and...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719853494
更新日期:2019-09-01 00:00:00
abstract::The purpose of this study was to compare the compression effect of the 7.0-AO screw and the 6.5 mm Ideal Compression Screw (I.CO.S.) screw in an in vitro subtalar arthodesis model. Six fresh-frozen, human cadaver foot specimens were obtained for analysis. The subtalar joint was opened laterally without affecting the a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202301102
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Morton's neuroma is a common cause of metatarsalgia. This study evaluated the efficacy of ultrasound guided alcohol injection as a treatment for this condition. METHOD:Data from 87 treatment courses were included in this study with a mean follow of 14.3 months. RESULTS:Technical success was 100%. One patie...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0196
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Deep infection after open reduction internal fixation (ORIF) of ankle fractures represents a challenge to the orthopaedic surgeon, particularly in patients in whom conventional surgical treatments have failed. The aim of this study was to assess the results of a modified technique of tibiotalocalcaneal fusio...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720939884
更新日期:2020-11-01 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: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:This study was performed to investigate anterior ankle impingement after tendo-Achilles lengthening for long-standing equinus deformity in patients with residual poliomyelitis and to investigate whether the severity of preoperative equinus deformity affected the occurrence of symptomatic anterior impingement...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713488092
更新日期:2013-09-01 00:00:00
abstract::Arthritis of the fourth and fifth tarsometatarsal joints, recalcitrant to nonoperative treatment, presents a difficult clinical situation. As part of the lateral rays, these joints have considerable motion, making fusion a very disabling operation. Between 1990 and 1998, 12 patients, who had failed nonoperative treatm...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300512
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:There are limited studies on the long term outcome of Mitchell's osteotomy for hallux valgus deformity. We present the long term results of 204 cases. MATERIALS AND METHODS:Postoperative clinical and radiological evaluation with a mean follow up of 12.9 years was performed on patients with preoperative hall...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0016
更新日期:2009-01-01 00:00:00
abstract::The Austin osteotomy is a widely accepted method for correction of mild and moderate hallux valgus. In view of publications by Kitaoka et al. in 1991 and by Mann and colleagues, a more radical lateral soft tissue procedure was added to the originally described procedure. From September 1992 to January 1994, 85 patient...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079701800302
更新日期:1997-03-01 00:00:00
abstract:BACKGROUND:Metatarsus adductus (MA) increases the risk of developing symptomatic hallux valgus (HV). This study aimed to determine the prevalence of MA in patients with symptomatic HV and to evaluate how it affected the functional outcome after scarf osteotomy. METHODS:Between January 2007 and June 2012, a total of 20...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715595618
更新日期:2015-11-01 00:00:00
abstract::Measurements of the vertical component of ground reaction force (ORF) and dynamic center of pressure (COP) were recorded for five subjects with midfoot level amputations and six with Syme's ankle disarticulation amputations. All of the subjects underwent amputation surgery as a consequence of peripheral vascular disea...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701801006
更新日期:1997-10-01 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: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 study was conducted to test the hypothesis that alterations in shoe gear can affect tibial strains in the human during dynamic loading. Rosette strain gauges were mounted on the medial border of the mid-diaphysis in two human subjects with a new strain gauge bonding technique using methyl methacrylate. Strain meas...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601701104
更新日期:1996-11-01 00:00:00
abstract:BACKGROUND:Arthroscopic arthrodesis has been used mainly for in situ fusion of arthritic ankles without deformity. This paper presents the application of arthroscopic arthrodesis of ankles with marked deformity. METHODS:The results of 78 consecutive cases of arthroscopic ankle arthrodeses, performed in 74 patients, we...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0695
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:The use of single-photon-emission computed tomography (SPECT) in identifying unexplained pain in the foot and ankle has been described, where other imaging modalities have failed. The investigation of a painful total ankle replacement (TAR) is difficult, often not delineating a definitive cause. Our aim in t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715573050
更新日期:2015-06-01 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::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::Heel cord advancement has been advocated for treatment of spastic equinus deformity. Transferring the gastrosoleus anteriorly weakens it by changing the lever arm rather than the resting length. A retrospective review of 90 children with 122 limbs undergoing heel cord advancement revealed 11% excellent, 53% good, and ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401501003
更新日期:1994-10-01 00:00:00
abstract:BACKGROUND:Insufficiency fractures occur in bones with low elastic resistance. In contrast to stress fractures, which affect normal bones and have been extensively studied, insufficiency fractures of the foot and ankle have been the subject of little research. The objective of this study was to identify risk factors as...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720969654
更新日期:2020-11-17 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::The intrachondral microvasculature of the growing talus of human was studied in 16 fetuses aged from 15 to 44 weeks of gestation, using interrupted serial sections and vascular injection of ink. The cartilage model of the talus was shown to be well vascularized throughout by cartilage canals. The cartilage canal conta...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800604
更新日期:1997-06-01 00:00:00