Abstract:
BACKGROUND:The prevalence of obesity in the United States is staggering. Currently, the effect of obesity on third-generation total ankle replacement (TAR) is unknown. METHODS:We prospectively identified a consecutive series of 455 primary TARs operated between May 2007 and September 2013 who had a minimum follow-up of 2 years. We identified 266 patients with a body mass index (BMI) <30 (control), 116 with a BMI between 30 and 35 (Obese I), and 73 with a BMI >35 (Obese II). Clinical outcomes including wound issues, infection rate, complications, and failure rates were compared. Functional outcomes including American Orthopaedic Foot & Ankle Society hindfoot score, Short Form-36 (SF-36), Short Musculoskeletal Function Assessment (SMFA), Foot and Ankle Disability Index (FADI), and Foot and Ankle Outcome Score (FAOS) were compared. Average patient follow-up in the Obese I group was 44.7 ± 17.3 months, Obese II was 42.7 ± 16.4 months, and 45.2 ± 17.4 months in the control group. RESULTS:Age, race, and smoking history in the obese group were not significantly higher than the control group; however, sex was significantly related to BMI. There was no difference in complication, infection, or failure rates between the groups. Preoperatively, the Obese II group had significantly lower SF-36 scores and higher SMFA function, FADI, and FAOS Symptoms scores. For each of the Obese I, Obese II, and control groups, all functional outcome scores 1 year postoperatively and at most recent follow-up were significantly improved. However, at most recent follow-up, Obese II patients had lower FAOS Pain and SF-36 scores and higher FADI and SMFA Functional scores. CONCLUSION:Total ankle arthroplasty in obese patients was a relatively safe procedure. Although obese patients after TAR had lower functional outcome scores compared to their nonobese counterpart, they did experience significant functional and pain improvements at most recent follow-up. LEVEL OF EVIDENCE:Level III, comparative series.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Gross CE,Lampley A,Green CL,DeOrio JK,Easley M,Adams S,Nunley JA 2nddoi
10.1177/1071100715606477subject
Has Abstractpub_date
2016-02-01 00:00:00pages
137-41issue
2eissn
1071-1007issn
1944-7876pii
1071100715606477journal_volume
37pub_type
杂志文章abstract::In this study, 29 patients were hospitalized with a diabetic foot infection and were treated with piperacillin/tazobactam. Of these 23 patients who were evaluated for efficacy of treatment, 22 patients improved or were clinically cured. In seven patients (30%), there was persistence of one of the baseline pathogens. A...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900311
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND::Lesser toe proximal interphalangeal (PIP) joint arthrodesis is one of the most common foot and ankle elective procedures often using K-wires for fixation. K-wire associated complications led to development of intramedullary fixation devices. We hypothesized that X Fuse (Stryker) and Smart Toe (Stryker) woul...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718805066
更新日期:2019-02-01 00:00:00
abstract::The purpose of this study was to compare the results of hallux valgus correction using a proximal metatarsal osteotomy with or without a lateral distal metatarsophalangeal soft tissue procedure. This procedure included release of the lateral joint capsule and transfer of the adductor tendon into the neck of the metata...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110079501600305
更新日期:1995-03-01 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: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
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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:The superficial peroneal nerve (SPN) and its branches are at risk during surgical exposures. Our study aimed to demonstrate the distribution of the SPN on the dorsum of the foot to aid in surgical procedures close to this nerve. METHODS:The SPN was dissected in 30 cadaver lower limbs (13 male and two female...
journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Aseptic component loosening is a leading cause of revision for total ankle replacement. Different operative approaches for resecting the tibia and talus impact the bony support for the prostheses due to variations in both bone density and resection area, and may therefore impact loosening performance. METHO...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:Rheumatoid arthritis (RA) can cause significant forefoot disorders. If forefoot deformity and pain are severe, surgical treatment can be considered. The aim of this study was to analyze the long-term outcomes of surgical forefoot correction per Tillmann, which involves resection of the metatarsal heads throu...
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: 杂志文章
doi:10.1177/1071100715606488
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abstract:BACKGROUND:Wide variations in definitions of lesser toe deformities exist. In addition, a general consensus regarding treatment of lesser toe deformities is lacking. The objective of this study was to evaluate of the definitions, current concepts, and treatment protocols for lesser toe deformities among orthopaedic dep...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.1265
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:The Weil osteotomy for treatment of central metatarsalgia is an oblique osteotomy of the metatarsal neck and shaft parallel to the ground that provides controlled shortening of the metatarsal without additional depression. It offers many advantages over more traditional osteotomies, including stability and a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500902
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abstract:BACKGROUND:Joint-preserving, realignment surgical procedures have gained increasing popularity as treatment of asymmetric early- and mid-stage ankle osteoarthritis. The aim of the present study was to quantify bilateral gait biomechanics in patients who underwent ankle realignment surgery by supramalleolar osteotomies....
journal_title:Foot & ankle international
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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
doi:10.1177/1071100717695508
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abstract::There are numerous cutaneous disorders that affect the foot, but of these conditions skin infections have the most significant impact on overall patient morbidity and clinical outcome. Skin infections in foot and ankle patients are common, with often devastating consequences if left unrecognized and untreated in both ...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
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更新日期:2012-07-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0479
更新日期:2012-06-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501601208
更新日期:1995-12-01 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
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:Coronal plane deformity is common in patients who undergo total ankle arthroplasty. The correction of this deformity is paramount to the long-term survival of the implant. Coronal plane correction is achieved with soft tissue balancing and, in some part, is maintained through articular geometry constraint. T...
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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,多中心研究
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更新日期:2001-12-01 00:00:00
abstract::Tibiotalar arthrodesis remains the gold standard reconstructive procedure for the treatment of disabling ankle arthritis. The purpose of this study was to review the clinical results of tibiotalar arthrodesis utilizing the chevron fusion technique. The results of 46 consecutive patients who underwent ankle arthrodesis...
journal_title:Foot & ankle international
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pub_type: 临床试验,杂志文章
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更新日期:2010-12-01 00:00:00