Abstract:
BACKGROUND:Extra-articular dorsal closing wedge osteotomy has been used with successful results for Freiberg disease; however, there has been concern regarding the technical difficulty. The purpose of this study was to address technical tips and report on the clinical and radiographic outcome using Kirchner wire-assisted dorsal closing wedge osteotomy. METHODS:A retrospective review of 13 patients with a mean age of 29.1 years was conducted. Extra-articular dorsal wedge osteotomy was performed after debridement of the joint. Two Kirschner wires were inserted and used as a joystick to manipulate the osteotomized bone. The osteotomy site was fixed with crossed pins. Clinical outcome was assessed according to American Orthopaedic Foot and Ankle Society score, range of motion of the metatarsophalangeal joint, and visual analogue scale. Head necrosis was classified according to Smillie stage; time to bone union and metatarsal shortening were reviewed. Patients were followed for a mean period of 44.2 months. RESULTS:Mean American Orthopaedic Foot and Ankle Society score at the latest follow-up was 92.2 (range, 92-100). The range of motion of the metatarsophalangeal joint showed a mean increase of 6.2 degrees (range, -10 to 25) at the latest follow-up. The mean visual analogue scale score decreased from 7.5 (range, 5-10) preoperatively to 1 (range, 0-4) at the latest follow-up (P < .01). All osteotomies healed on average after 7.0 weeks (range, 4-13.6) without nonunion. The average metatarsal shortening was 0.5 mm (range, -3.1 to 3.5). None of the patients showed progression of osteonecrosis or joint space narrowing. CONCLUSION:Extra-articular closing dorsal wedge osteotomy can yield good articular congruity with bone remodeling, with easy performance of the procedure with temporary Kirschner wires without complication. LEVEL OF EVIDENCE:Level IV, retrospective case series.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Lee HJ,Kim JW,Min WKdoi
10.1177/1071100712460185subject
Has Abstractpub_date
2013-01-01 00:00:00pages
111-6issue
1eissn
1071-1007issn
1944-7876pii
34/1/111journal_volume
34pub_type
杂志文章abstract:BACKGROUND:Charcot arthropathy is a chronic, progressive destructive process affecting bone architecture and joint alignment in people lacking protective sensation. The etiologic factors leading to progressive bone resorption have not been elucidated. The purpose of this study was to histologically examine surgical spe...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701007
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abstract:BACKGROUND:Failed total ankle arthroplasty (TAA) often results in significant bone loss and requires salvage arthrodesis. This study quantified the bone loss following failed TAA and reports the outcome of seven arthrodesis reconstructions using the Ilizarov method. METHODS:A retrospective review of ankle fusions was ...
journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 共识发展会议,杂志文章,实务指引
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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abstract:BACKGROUND:Although early accelerated rehabilitation is recommended for the treatment of acute Achilles tendon rupture, most traditional rehabilitation techniques require some type of brace. METHODS:We retrospectively analyzed 44 feet of 44 patients (25 male and 19 female) with a mean age of 31.8 years who had an acut...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:Nonunion risk factor identification and modification are subjective. We describe and validate a predictive nonunion risk factor model to identify foot and ankle operative patients at risk for nonunion. MATERIALS AND METHODS:One hundred international experts in foot and ankle surgery were surveyed. Nineteen ...
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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...
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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