Abstract:
BACKGROUND:Liposomal bupivacaine is increasingly being utilized in attempts to provide prolonged local analgesia in the immediate postoperative period. The purpose of this study was to quantify the reduction in opioid consumption as well as postoperative pain scores in the postoperative period when liposomal bupivacaine is used at the conclusion of forefoot surgery. METHODS:This was a prospective therapeutic cohort study with 20 patients receiving liposomal bupivacaine at the conclusion of their forefoot procedure in addition to our routine multimodal analgesic protocol and 20 patients as the control without the addition of liposomal bupivacaine. Pain scores, number of narcotic pills consumed on postoperative days 1 through 4, need for refill, time to first refill and wound complications were evaluated. RESULTS:Mean number of narcotic pills consumed on postoperative day 1 (1.4 vs 3.6, P = .002) and day 2 (1.8 vs 3.6, P = .021) was significantly lower for the liposomal bupivacaine group than the control group. Daily pain scores were lower for those patients who received liposomal bupivacaine on postoperative days 1 through 4, although this was not statistically significant. Fewer patients required medication refills in the liposomal bupivacaine group compared to the control group, however this was not statistically significant (3 vs 7, P = .273). There was no increase in wound complications in the liposomal bupivacaine group when compared to the control (1 vs 4). CONCLUSION:Liposomal bupivacaine appears to be a useful adjunct in the treatment of postoperative pain when used as a part of a multimodal analgesic regimen in patients undergoing forefoot surgery. LEVEL OF EVIDENCE:Level II, prospective comparative study.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Robbins J,Green CL,Parekh SGdoi
10.1177/1071100714568664subject
Has Abstractpub_date
2015-05-01 00:00:00pages
503-7issue
5eissn
1071-1007issn
1944-7876pii
1071100714568664journal_volume
36pub_type
杂志文章abstract::This article describes a patient with a 10-year history of persistent ankle pain. Differential diagnosis included osteoid osteoma and anterior ankle impingement. This patient subsequently underwent arthroscopic excision of a lesion on the talar neck following a complete radiographic work-up, which was nondiagnostic. T...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079501600409
更新日期:1995-04-01 00:00:00
abstract:BACKGROUND:There is scant literature regarding the treatment of myotendinous Achilles ruptures. The purpose of this study was to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. METHODS:Between November 2005 and May 2011, 30 patients presented with an acute, complete myot...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713483115
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Two common operative fixation techniques for insertional Achilles tendinopathy are the use of all-soft suture anchors vs synthetic anchors with a suture bridge. Despite increasing emphasis on early postoperative mobilization, the biomechanical profile of these repairs is not currently known. We hypothesized ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720959023
更新日期:2020-10-08 00:00:00
abstract:BACKGROUND:Crush injuries to the foot are a common workplace injury and a significant source of morbidity, disability and lost wages. Many regulatory bodies including the Occupational Safety and Health Administration (OSHA) recommend the use of safety shoes in certain occupations to help protect against these occupatio...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0443
更新日期:2011-04-01 00:00:00
abstract::Although most authors recommend either 3.5-mm or 4.5-mm cortical screws for syndesmosis fixation, the optimum screw size has yet to be defined. The present study was designed to biomechanically compare syndesmosis fixation with 3.5-mm and 4.5-mm stainless steel screws. Simulated pronation external rotation ankle injur...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100904
更新日期:2000-09-01 00:00:00
abstract::Twenty-two adult diabetic patients with clinical suspicion of foot and/or ankle infection were prospectively evaluated using radiography, technetium-99m methylene diphosphonate bone scanning (99mTc), indium-111-labeled leukocyte scanning (111In), and gallium-67 scanning (67Ga) to determine the presence of clinically s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601700103
更新日期:1996-01-01 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::Numerous reconstructive procedures are performed to correct both ankle and subtalar instability after trauma although the precise pathology which results in this chronic instability and pain is not yet known. This study examined the role of the calcaneofibular (CLFL) and cervical ligaments (CRVL) during physiologic lo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300608
更新日期:2002-06-01 00:00:00
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
更新日期:2012-08-01 00:00:00
abstract::Percutaneous axial extensometers were mounted on the medial cortex of the midtibial diaphysis in seven male volunteers and the effect of three different shoes on in vivo peak-to-peak axial compression-tension strains measured during dynamic loading. Zohar shoes had lower axial strains and strain rates during treadmill...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110079801900206
更新日期:1998-02-01 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:BACKGROUND:Over the past 20 years, ankle arthrodesis with use of screw augmentation has become a popular technique to gain fusion of the arthritic ankle. The objective of this cadaver study was to identify the risks to local neurovascular structures using standard operative practices for percutaneous guide pin placemen...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0614
更新日期:2007-05-01 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::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:BACKGROUND:More than 40 open procedures have been described for ankle arthrodesis, most with high complication rates. Since its description in 1983, arthroscopic ankle arthrodesis has become a viable option in selected patients. With one of the largest series in the literature, the purpose of the paper was to analyze t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600402
更新日期:2005-04-01 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:BACKGROUND:Minimally invasive distal metatarsal osteotomy (MIDMO) is a common technique used to correct the hallux valgus deformity, but controversy remains regarding the expected outcomes of this surgery. METHODS:Seventy-two patients (85 feet) suffering from hallux valgus underwent MIDMO with a modified Bösch techniq...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713481453
更新日期:2013-07-01 00:00:00
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
doi:10.3113/FAI.2012.0947
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to determine whether low-fidelity arthroscopic simulation training improves basic ankle arthroscopy performance and efficiency among orthopedic trainees. METHODS:Twenty-nine orthopedic surgery trainees with varying levels of experience in ankle arthroscopy were randomized into ...
journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
doi:10.1177/1071100715576369
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:We aimed to define reference lines on standard lateral ankle radiographs that could be used intraoperatively to minimize iatrogenic nerve injury risk in medial displacement calcaneal osteotomy. METHODS:Forty cadaveric specimens were used. In 20 specimens, the sural, medial plantar (MP), and lateral plantar ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715595696
更新日期:2015-12-01 00:00:00
abstract::Traumatic injuries to the midtarsal joint are quite uncommon and usually involve fractures of adjacent bones. Pure dislocations without fracture are very rare. A patient sustained a pure dislocation that was treated with a nonweight-bearing cast for six weeks, but she went on to present with chronic subluxation at the...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300312
更新日期:2002-03-01 00:00:00
abstract::Twelve patients underwent successful tibiotalocalcaneal arthrodesis using a locked intramedullary nail with posterior moldable bone grafting. Two of the patients developed a nondisplaced stress fracture around the proximal interlocking screws, which responded to immobilization at 8 and 15 months after surgery. In 7 of...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000806
更新日期:1999-08-01 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:Osteonecrosis of the talus is a well-recognized pathology, which can result in significant hindfoot collapse resulting in poor function and pain. Treatment with intramedullary tibiotalocalcaneal arthrodesis (IMTCA) using a retrograde intramedullary nail is widely utilized for severe concomitant tibiotalar an...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714558506
更新日期:2015-03-01 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: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: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:Suture anchors have been developed for the fixation of ligaments, capsules, or tendons to bone. These devices have led to improved fixation, smaller incisions, earlier limb mobility, and improved outcomes. They were originally developed for use in shoulder reconstructions but are now used in almost all extre...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600703
更新日期:2005-07-01 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::Autologous iliac crest graft has been a standard source of supplementary bone for treating bony defects, fractures and arthrodeses. Bone graft substitutes have recently become widely available. This paper reports on the use of bone graft substitute in 28 patients that otherwise would have required an iliac crest graft...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300802
更新日期:2002-08-01 00:00:00