Abstract:
BACKGROUND:The mini-invasive Mitchell-Kramer procedure is a new method of operative correction of mild to moderate hallux valgus deformity. The aim of this study was to describe the technique and evaluate the results of the procedure. METHODS:We evaluated 54 patients who underwent mini-invasive distal metatarsal osteotomy of the first metatarsal with preservation of the lateral cortex of the distal fragment. We did percutaneous 2-mm K-wire stabilization of the osteotomy and did not use cast immobilization with postoperative offloading of the forefoot. We used anteroposterior and lateral foot standing X-rays, visual analog scale (VAS), and American Orthopaedic Foot and Ankle Society (AOFAS) hallux-metatarsophalangeal-interphalangeal scale for the clinical assessment at 18 months' follow-up. RESULTS:Preoperatively, mean hallux valgus angle was 33.9 degrees; intermetatarsal angle, 14.8 degrees; VAS, 8.9; and AOFAS, 37.0. At follow-up period, hallux valgus angle was 14.2; intermetatarsal angle, 9.7; VAS, 2.6; and AOFAS, 90.7. The average first metatarsal shortening was 2.7 mm. No transfer metatarsalgia was noted at 18 months' follow-up. We found 1 superficial infection, but all patients were satisfied. CONCLUSIONS:The mini-invasive Mitchell-Kramer method was indicated in mild to moderate hallux valgus deformity. Cast immobilization was unnecessary, and full weightbearing was allowed early. Using the minioscillating saw allowed for reduced surgical exposure. The technique of the osteotomy also allowed for rotational stability of the osteotomy. LEVEL OF EVIDENCE:Level IV, retrospective case series.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Gądek A,Liszka Hdoi
10.1177/1071100713475356subject
Has Abstractpub_date
2013-06-01 00:00:00pages
865-9issue
6eissn
1071-1007issn
1944-7876pii
1071100713475356journal_volume
34pub_type
杂志文章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::Bilateral weightbearing anteroposterior and lateral radiographs were analyzed in 43 patients with a clinical diagnosis of posterior tibial tendon insufficiency by two independent observers. The radiographs of each patient's asymptomatic foot was considered to serve as the control for the preexistance of pes planus. Th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800208
更新日期:1997-02-01 00:00:00
abstract:BACKGROUND:Isolated lateral calcaneocuboid joint instability rarely is described. Missed or delayed diagnosis resulting in inadequate treatment may lead to chronic instability, followed by sports inability and handicap in daily life. Besides arthrodesis, anatomic repair augmenting the elongated dorsal calcaneocuboid li...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0202
更新日期:2007-02-01 00:00:00
abstract::The purpose of this study was to determine whether modification of a surgical practice by using regional anesthesia and local bone grafting would yield the same surgical results as traditional anesthesia and iliac crest bone graft, with a cost reduction. All patients were matched by preoperative disease and were asses...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801901104
更新日期:1998-11-01 00:00:00
abstract:BACKGROUND:Patient-reported outcome measures are an increasingly important tool for assessing the impact of treatments orthopedic surgeons render. Despite their importance, they can present a burden. We examined the validity and utility of a computerized adaptive testing (CAT) method to reduce the number of questions o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720972663
更新日期:2021-01-01 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:Repeated elevation of intramuscular pressure (IMP) causes skeletal-muscles damage. The purpose of this paper was to investigate the regenerative effect of satellite cells autografted to the damaged muscle in a rabbit model. MATERIALS AND METHODS:Twenty-four adult rabbits were randomized into three groups: 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0706
更新日期:2010-08-01 00:00:00
abstract::Clinical and pedobarograph evaluation was performed on 16 patients following flexor hallucis longus (FHL) tendon transfers to determine the resulting morbidity due to the loss of FHL function. All patients underwent FHL tendon transfer for either chronic tendon Achilles rupture or chronic Achilles tendinosis. Clinical...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302401211
更新日期:2003-12-01 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::Three-phase bone scintigraphy diagnosis of Lisfranc injury in a patient after foot trauma is discussed. Early diagnosis of Lisfranc joint injury is frequently missed and radionuclide bone scintigraphy may show a specific pattern where the x-rays are inconclusive. ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501601107
更新日期:1995-11-01 00:00:00
abstract:BACKGROUND:Lateral column lengthening (LCL) has become an accepted procedure for the operative treatment of the flexible flatfoot deformity. Hindfoot arthrodesis via a calcaneocuboid distraction arthrodesis (CCDA) has been considered a less favourable surgical option than the anterior open wedge calcaneal distraction o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0386
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Hallux valgus surgery is associated with significant early postoperative pain. The aim of this study was to investigate the use of continuous wound infiltration (CWI) with ropivacaine for pain management after hallux valgus surgery. METHODS:In this prospective, randomized, double-blind, and placebo-controll...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717736292
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Over the past decade, total ankle arthroplasty (TAA) has become a mainstay in the treatment of end-stage ankle arthritis. Currently in its fourth generation, the Scandanavian Total Ankle Replacement (STAR) is the only 3-piece mobile bearing ankle prosthesis available in the United States. Our current study r...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717738747
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:The published long-term follow-up of modern total ankle arthroplasty is limited. We report results after a minimum of 10-year follow-up in a cohort of patients who underwent the Scandinavian Total Ankle Replacement (STAR™) in the United States. METHODS:Between 1998 and 2003, 18 patients underwent total ankl...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714550654
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:The improving survivorship of ankle replacements is making this an increasingly popular option in the treatment of ankle arthritis, rather than the established option of ankle fusion. The potential benefits of restoring movement, improving gait and protecting adjacent joints are persuasive arguments in favor...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0003
更新日期:2008-01-01 00:00:00
abstract::Between 1986 and 1999, we surgically treated 41 patients (49 feet) with Tarsal Tunnel Syndrome (TTS) in whom seven (eight feet) were associated with an accessory muscle. An accessory flexor digitorum longus muscle was present in six patients, and an accessory soleus muscle was in one patient (both feet). Three of them...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400206
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND:Hallux valgus deformities with large intermetatarsal angles require a more proximal metatarsal procedure to adequately correct the deformity. Due to the relative ease of a closing wedge osteotomy, this technique was adopted but with concern over first metatarsal shortening. In this study, we primarily evalua...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0513
更新日期:2011-05-01 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::We report the a case of Nora's lesion (Bizarre Parosteal Osteochondromatous Proliferation) of the sesamoid. A 32-year-old woman presented with a painless, enlarging mass of two years duration on the plantar aspect of the first metatarsophalangeal joint of the left foot. Radiographs, Computerized Tomographs and Magneti...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100509
更新日期:2000-05-01 00:00:00
abstract::The plantar plate is a rarely seen, yet central structure to the lesser metatarsal phalangeal (MP) joint. Thirty cadaver lesser MP joints were studied to obtain a detailed description of the plate, including its dimensions, connections, and histology. The plate was found to be made of fibrocartilage with fiber orienta...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501600804
更新日期:1995-08-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to establish the range of anatomic variations of the first metatarsal bone, including both the angulations of the articular surfaces and the dimensions of the bone in a large sample. METHODS:Four hundred and seventy-eight first metatarsal bones of 239 cadaver specimens were stu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701208
更新日期:2006-12-01 00:00:00
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::Sixty-one patients underwent a primary ankle lateral ligament reconstruction for chronic instability between 1989 and 1996. In addition to the ligament reconstruction, all patients had evaluation of the peroneal retinaculum, peroneal tendon inspection by routine opening of the tendon sheath, and ankle joint inspection...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002101003
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:The Salto Talaris is a fixed-bearing implant first approved in the US in 2006. While early surgical outcomes have been promising, mid- to long-term survivorship data are limited. The aim of this study was to present the survivorship and causes of failure of the Salto Talaris implant, with functional and radi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720947030
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:Both the percutaneous technique with arthroscopic assistance, also known as arthroscopic Broström (AB), and the arthroscopic all-inside ligament repair (AI) are widely used to treat chronic lateral ankle instability. The aim of this study was to compare the clinical outcomes of these 2 arthroscopic stabilizi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720938672
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:A proximal spherical metatarsal osteotomy was devised to correct not only varus deviation of the first metatarsal, but also dorsiflexion. We expected to increase the medial longitudinal arch by adding plantar flexion at the osteotomy site. To investigate the limitations of this procedure for feet with severe...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.1025
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND:Following Achilles tendon rupture, tendon elongation leads to long term deficits in calf function. A surrogate measure of Achilles tendon length, Achilles tendon resting angle (ATRA), has been described but has not been validated against length measured using ultrasound. Therefore, the purpose of this study ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717742372
更新日期:2018-03-01 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:Concomitant chronic tears of both peroneal tendons rarely are reported. We present our experience in treating these injuries and suggest an algorithm for surgical treatment, determined by the presence of a functioning tendon or tendons, mobility of the remaining peroneal musculature, ankle stability, and pos...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402501002
更新日期:2004-10-01 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