Abstract:
BACKGROUND:The surgical management of brachymetatarsia remains controversial, and choice is based on potential complications. We report a classification of complications based on severity, and we hypothesized that use of a semicircular external fixator would minimize severe complications in lateral metatarsal lengthening. METHODS:We retrospectively reviewed 30 patients (10 to 46 years old) with single or multiple brachymetatarsia and performed 54 metatarsal lengthenings with a mean follow-up of 7 months. RESULTS:The mean gain in length was 15 mm (33.7%), and the mean healing index was 67 d/cm. No further procedure was performed. No dislocations or subluxations were reported, but 26 complications (48.1%) occurred, classified as 1 severe (1.8% of the metatarsals), 5 intermediate (9.3%), and 20 benign (37%): 4 incomplete osteotomies, 8 adjacent metatarsal osteotomies, 2 involuntary adjacent metatarsal fixations due to the lack of fluoroscopy use, 6 early consolidations, 2 metatarsal fractures, 2 skin complications, 1 superficial infection, and 1 metatarsophalangeal clinodactyly. CONCLUSION:A classification of complications based on severity was developed. Gradual lengthening of the lateral metatarsals by semicircular external fixation reduced the risk of severe complications because of stability without donor site morbidity. Thin wires were an advantage in the pediatric population. LEVEL OF EVIDENCE:Level IV, retrospective case series.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Barbier D,Neretin A,Journeau P,Popkov Ddoi
10.1177/1071100715593373subject
Has Abstractpub_date
2015-11-01 00:00:00pages
1369-77issue
11eissn
1071-1007issn
1944-7876pii
1071100715593373journal_volume
36pub_type
杂志文章abstract:BACKGROUND:Polydactyly of the fifth toe is the most common congenital malformation of the forefoot, and no consensus has been reached as to which toe component should be excised or by which surgical technique. The purpose of this study was to evaluate the results of the operative treatment of postaxial polydactyly and ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713477608
更新日期:2013-04-01 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:BACKGROUND:Tibiotalocalcaneal arthrodesis is a salvage option for severe ankle and hindfoot deformities, arthritis of the ankle and subtalar joints, avascular necrosis of the talus, failed total ankle arthroplasty, and Charcot arthropathy. This multicenter study reports clinical experience with the hindfoot arthrodesis...
journal_title:Foot & ankle international
pub_type: 杂志文章,多中心研究
doi:10.1177/1071100713487526
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abstract:BACKGROUND:This study evaluated an acellular dermal matrix allograft augmentation for chronic mid-substance peroneous longus and brevis tendon tears. The hypothesis was that acellular dermal matrix allograft augmentation of chronic longitudinal mid-substance or complete tears of both peroneal tendons provides sufficien...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0136
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Hallux valgus is a multiplanar deformity of the first ray. Traditional correction methods prioritize the transverse plane, a potential factor resulting in high recurrence rates. Triplanar first tarsometatarsal (TMT) arthrodesis uses a multiplanar approach to correct hallux valgus in all 3 anatomical planes a...
journal_title:Foot & ankle international
pub_type: 杂志文章,多中心研究
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abstract:BACKGROUND:Endoscopic release of the plantar fascia is becoming an increasingly popular alternative to open procedures for the treatment of chronic plantar fasciitis. Although most patients can be successfully treated with Achilles tendon stretching, orthoses, physical therapy and corticosteroid injections, a small per...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402501206
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:This retrospective comparative study reports the practical function in daily and sports activities after tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy. METHODS:Seventeen patients were followed for a minimum of 3 years after tibialis posterior tendon transfer for foot dro...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:Bone marrow edema syndrome (BMOS) is a phenomenon primarily affecting the lower extremity. It is characterized by a sudden onset of pain and an ill-defined osseous hyperintense signal in magnetic resonance imaging. The main cause of BMOS is still largely unknown. Its pathophysiology is presumably multifactor...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717697427
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Supramalleolar osteotomies are increasingly popular for addressing asymmetric arthritis of the ankle joint. Still, recommendations for the indication and the use of additional procedures remain arbitrary. We preoperatively grouped different types of asymmetric arthritis into several classes and assessed the ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.1023
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:The authors have performed more than 1500 cases of a Mitchell osteotomy and traditionally used two crossed pins for fixation. The previous series showed some complications related to pin tract infection, pin migration, and transfer metatarsalgia. Since 2009, the authors have used a compression screw for fixa...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.1098
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Semiautomatic 3-dimensional (3D) biometric weightbearing computed tomography (WBCT) tools have been shown to adequately demonstrate the relationship between the center of the ankle joint and the tripod of the foot. The measurement of the foot and ankle offset (FAO) represents an optimized biomechanical asses...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720920274
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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
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abstract:BACKGROUND:Static footprints have been widely used clinically. However, since this measure provides only indirect information about the medial longitudinal arch height, it is not clear if it can be indicative of dynamic foot function especially in obese children. This study aimed to verify whether static footprints can...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.1141
更新日期:2008-11-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100812
更新日期:2000-08-01 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
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abstract:BACKGROUND:Ankle fractures in patients with diabetes mellitus (DM) can be difficult to manage, especially in the presence of peripheral neuropathy. In patients who fail initial operative management, attempts at limb salvage can be challenging, and no clear treatment algorithm exists. This study examined outcomes of dif...
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pub_type: 杂志文章
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200509
更新日期:2001-05-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2005-09-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110079401500104
更新日期:1994-01-01 00:00:00
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journal_title:Foot & ankle international
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doi:10.1177/107110070502601201
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2004-10-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:1997-12-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2002-08-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.1000
更新日期:2011-10-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2013-11-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700306
更新日期:2006-03-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714558506
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journal_title:Foot & ankle international
pub_type: 杂志文章,评审
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abstract::The records of 104 patients who underwent reconstructive foot and ankle surgery for deformities secondary to rheumatoid arthritis were reviewed. The use of rheumatoid chemotherapeutic agents, age, sex, rheumatoid nodule status, and the number of concurrent surgical procedures performed was analyzed to determine any as...
journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2003-01-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700608
更新日期:2006-06-01 00:00:00