Abstract:
BACKGROUND:Osteonecrosis and nonunions of the tarsal navicular remain a challenging clinical problem. This article presents a series of patients treated with local vascularized pedicle bone grafting to the navicular. The purpose of this study was to determine the early clinical and radiographic outcomes of this technique. METHODS:Patients who underwent local vascularized pedicle bone grafting for osteonecrosis of the navicular from 2002 to 2007 were included in this study. The Ankle Osteoarthritis Scale (AOS), the Revised Foot Function Index (FFI-R), and the Short-Form 36 (SF-36) outcomes questionnaires were administered at most recent followup. Postoperative imaging was reviewed for evidence of healing. Eight patients with a mean age of 47.5 (range, 18 to 68) years were included in this study. The mean followup time was 61 (range, 32 to 72) months. RESULTS:Two patients underwent concomitant talonavicular arthrodesis. Two patients underwent additional procedures to address continued nonunion of the navicular. Neither patient elected to complete the outcomes questionnaires. The mean postoperative FFI score was 35.2 (range, 16.6 to 59). SF-36 subscales were as follows: bodily pain, 53; general health, 55; mental health, 75; physical function, 56; role emotional, 61; role physical, 37.5; social function, 71; and vitality, 56. The mean postoperative AOS pain score was 27.9 (range, 0 to 46.2) and the average disability score was 31.4 (range, 0 to 78.2). Postoperative imaging revealed consolidation and full healing in six of eight patients. CONCLUSION:Vascularized pedicle bone grafting is a treatment option for patients with chronic nonunion or osteonecrosis of the navicular. Additionally, it may serve as an adjunct procedure to provide increased vascularity to talonavicular arthrodesis in cases of navicular osteonecrosis and talonavicular arthritis.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Fishman FG,Adams SB,Easley ME,Nunley JA 2nddoi
10.3113/FAI.2012.0734subject
Has Abstractpub_date
2012-09-01 00:00:00pages
734-9issue
9eissn
1071-1007issn
1944-7876pii
50064122journal_volume
33pub_type
杂志文章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:BACKGROUND:The first metatarsal bone can shorten after a distal chevron metatarsal osteotomy (DCMO). This shortening can result in a postoperative second metatarsal transfer lesion. The aim of the present study was to investigate the occurrence of second metatarsal transfer lesions after DCMO. METHODS:This study invol...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715627350
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Medial ankle joint pain with localized cartilage degeneration due to medial joint overload in varus malalignment of the hindfoot lends itself to treatment by lateral closing wedge supramalleolar osteotomy. METHODS:From 1998 to 2003, nine patients between the ages of 21 to 59 years were operated. The etiolog...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0542
更新日期:2007-05-01 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:Studies using footprint-based estimates of arch height have indicated that obesity results in a lowered medial longitudinal arch in children. However, the potentially confounding effect of body composition on indirect measures of arch height, such as the arch index, has not been investigated. METHODS:This s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500811
更新日期:2004-08-01 00:00:00
abstract::The capability for discrimination of vibratory stimuli of the sole of the foot was tested on 12 subjects (6 men, 6 women). Two vibratory stimuli (sinusoidal impulse: frequency, 200 Hz; amplitude, 0.1 mm; duration, 2 sec) were applied at different sites to the sole of the foot. Subjects were asked whether they detected...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601701008
更新日期:1996-10-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to evaluate the efficacy of corticosteroid injection and determine the duration of symptom-free period after treatment with a single ultrasound-guided injection for a painful Morton's neuroma. MATERIALS AND METHODS:From May 2002 to November 2003, 35 consecutive patients (7 male...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.3113/FAI-2008-0483
更新日期:2008-05-01 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::There are few reports in the literature documenting the efficacy of isolated arthrodesis for inflammatory arthritis of the talonavicular joint. Accordingly, we reviewed a single surgeon's experience with this procedure in twenty consecutive cases from this patient population. A technique using indirect joint distracti...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100406
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:Procedures utilized to address the flatfoot in this study included medializing calcaneal osteotomy, posterior tibial tendon reconstruction with flexor digitorum longus tendon transfer, and in patients with more severe deformity, lateral column lengthening. We evaluated patients age 50 and less at the time of...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.1179
更新日期:2008-12-01 00:00:00
abstract::We report a case of bilateral Achilles tendon xanthoma as the first clinical manifestation of familial hypercholesterolemia. We review the literature and stress the need for orthopaedic surgeons to be familiar with this disease. An early diagnosis of this metabolic disorder is important to institute medical therapy an...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079902000509
更新日期:1999-05-01 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:BACKGROUND:Triple arthrodesis through a 2-incision approach has been the primary salvage procedure for rigid hindfoot malalignment resulting from posterior tibialis dysfunction. However, complications like calcaneocuboid joint nonunion, lateral wound dehiscence, and adjacent joint arthritis have been reported after tri...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100712468564
更新日期:2013-03-01 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: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 METH...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0746
更新日期:2011-08-01 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
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: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::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::This is a case report of a 52-year-old woman who sustained a medial subtalar dislocation with fracture of the posterior process of the talus in a traffic accident. After closed reduction of the subtalar dislocation, tomography demonstrated that the talus fracture involved the entire posterior process and the posterior...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601700408
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:The hyperplantarflexion variant ankle fracture is composed of a posterior tibial lip fracture with posterolateral and posteromedial fracture fragments separated by a vertical fracture line. This infrequently reported injury pattern often includes an associated "spur sign" or double cortical density at the in...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714553470
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:The timing and strategy for operative treatment of flatfoot are still controversial. The purpose of this study was to evaluate clinical outcomes and radiographic changes following calcaneal Z osteotomy combined with subtalar arthroereisis for severe adolescent flexible flatfoot. METHODS:Data were analyzed f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716658975
更新日期:2016-11-01 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 structural importance of the spring ligament complex in arch stability has been described. Furthermore, the pathology of this complex is often noted in patients with posterior tibial tendon dysfunction. The purpose of this biomechanical study was to evaluate spring ligament repair alone versus augmentati...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719828373
更新日期:2019-05-01 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::The understanding of load transfer characteristics is the baseline for biomechanics of the ankle joint. Changes in contact patterns of the articular cartilage from the norm may indicate pathologic conditions. Measurement of the contact in human cadaver ankles provides a direct measurement for this understanding. The f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500307
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:This study is a retrospective review of prospectively gathered data determining the postoperative outcomes of patients who underwent operative treatment to address chronic syndesmotic instability. METHODS:The cohort is composed of 19 individuals who elected to undergo operative treatment of chronic syndesmo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715606488
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Plantar fasciitis is a relatively common disorder of the foot, yet little is known about its prevalence, what types of physicians see patients with the disorder, or how, on a national scale, patients are typically managed. The purpose of this study was to generate national estimates of the volume of patient ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500505
更新日期:2004-05-01 00:00:00
abstract::Unnecessary amputations can be avoided with the healing of foot ulcerations in neuropathic feet. Traditional approaches have relied on relieving plantar and other extrinsic foot pressures. A retrospective review was performed of the office records of patients with Wagner grade 1 and 2 neuropathic forefoot ulcerations ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800707
更新日期:1997-07-01 00:00:00
abstract::This study proposed to assess foot types and radiological examination of feet of individuals with hypermobility syndrome in comparison to healthy matched controls for age, sex, and body mass index. The relationship between foot angles and hypermobility scores of subjects in both groups were also~assessed. Twenty indiv...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500211
更新日期:2004-02-01 00:00:00