Abstract:
BACKGROUND::Operative management of chronic Achilles tendon ruptures is challenging, and numerous techniques have been described. Risk of infection and wound breakdown have been described after open techniques, and minimally invasive methods have been proposed to avoid them. The aim of this study was to describe the clinical and radiological results obtained after endoscopic flexor hallucis longus (FHL) tendon transfer in patients with chronic Achilles tendon rupture. METHODS::Between 2012 and 2015, a total of 22 patients were endoscopically treated for chronic Achilles tendon rupture. Mean age was 69 years (range, 59-84 years). Mean follow-up was 30.5 months (range, 18-46 months). Preoperative magnetic resonance imaging (MRI) was obtained and tendon gap measured. An MRI was obtained at 9 to 12 months following surgery to evaluate Achilles tendon changes. RESULTS::Preoperative MRI examination showed a mean tendon gap of 6.3 cm (range, 3-10.7 cm). The MRI control was obtained only in 12 patients, and a normal or close to normal Achilles tendon was observed in all but 1 patient. The mean American Orthopaedic Foot & Ankle Society score increased from 55 preoperatively (range, 26-75) to 91 (range, 74-100) at final follow-up. All patients returned to their daily activities without difficulties. No patients reported complaints or symptomatic deficits of great toe flexion strength. No major complications were encountered. CONCLUSION::Chronic Achilles tendon ruptures were successfully treated by an all-endoscopic procedure. The endoscopically assisted FHL transfer provided excellent results while benefiting from the minimally invasive procedure advantages. However, it entailed some technical challenges and may not be suitable for less experienced surgeons. LEVEL OF EVIDENCE::Level IV, retrospective case series.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Vega J,Vilá J,Batista J,Malagelada F,Dalmau-Pastor Mdoi
10.1177/1071100718793172subject
Has Abstractpub_date
2018-12-01 00:00:00pages
1464-1472issue
12eissn
1071-1007issn
1944-7876journal_volume
39pub_type
杂志文章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::The purpose of this study was to analyze long-term costs for foot ulcers in diabetic patients. Patients were treated and followed prospectively by a foot care team. A retrospective economic analysis was performed of costs for 274 patients during 3 years from healing of an initial foot ulcer, with or without amputation...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501600702
更新日期:1995-07-01 00:00:00
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
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abstract::The use of locking plate technology in foot and ankle surgery has increased over the last decade. Reported applications include fracture repair, deformity correction, and arthrodesis. There is limited evidence, however, to guide clinicians with regard to the appropriate and optimal use of this technology. This work ai...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/1071100714523274
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:The aim of this study was to determine whether tightness of the posterior muscles of the lower extremity was associated with plantar fasciitis. METHODS:A total of 100 lower limbs of 100 subjects, 50 with plantar fasciitis and 50 matching controls were recruited. Hamstring and calf muscles were evaluated thr...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100712459173
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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::Proximal chevron first metatarsal osteotomy with lateral capsulotomy, adductor tenotomy, and binding of the first and second metatarsals was reviewed in 88 consecutive cases. Seventy-two cases in 55 patients are reported, with an average clinical follow-up of 41 months. The hallux valgus angle improved an average of 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900703
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Subtalar instability, which may cause persistent symptoms after severe inversion ankle sprains, often involves failure of the interosseous talocalcaneal ligament (ITCL). While several clinicians have reported surgical treatment for this pathology, nonsurgical management policy has not been well considered. P...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400811
更新日期:2003-08-01 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::A prospective case-control study was performed comparing axial and coronal CT scan images of 11 patients (14 ankles) with chronic lateral instability and 12 controls. Scans were performed in a standardized fashion to simulate weight-bearing. Nine measurements to evaluate the alignment of the hindfoot and forefoot were...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300107
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:The aims of this study were to determine the severity of metatarsalgia of the second through fifth rays after shortening of the first ray for correction of hallux valgus deformity and patient satisfaction of the cosmetic results. METHODS:Two hundred and forty metatarsal osteotomies (Wilson osteotomy as modi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0011
更新日期:2007-01-01 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
doi:10.1177/1071100717695508
更新日期:2017-06-01 00:00:00
abstract::The effect of a simulated leg length discrepancy on foot loading patterns and gait cycle times in normal individuals was investigated. Thirty feet of 15 normal volunteers were evaluated. Leg length discrepancy was simulated using flexible polyurethane soles. As leg length discrepancy increased, the total loading incre...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400310
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate the incidence and morphologic characteristics of osteochondral lesions of the distal tibial plafond (OLTP) by location and morphologic characteristics on MRI. MATERIAL AND METHODS:We assigned 9 zones to the distal tibial plafond articular surface in an equal 3 x 3 grid ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0524
更新日期:2009-06-01 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::Dislocation of the interphalangeal joints of the lesser toes is an uncommon injury, and complex (irreducible) dislocation has rarely been reported. All previous reports note that, during open reduction, the volar plate is interposed within the joint, thereby blocking reduction. In this case, the medial collateral liga...
journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:1994-11-01 00:00:00
abstract:BACKGROUND:Increased surgeon volume may be associated with improved outcomes following operative procedures. However, there is a lack of information on the effect of surgeon volume on inpatient adverse events and resource utilization following total ankle arthroplasty (TAA). METHODS:A retrospective cohort study of TAA...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716664871
更新日期:2016-10-01 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::Congenital coalition of the middle and distal phalanges in the fifth toe are common. They have been reported to occur in up to 50% of American and European populations and in up to 73% of people of Japanese descent. Congenital interphalangeal coalition of the other toes is less common. We report two cases of fracture ...
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
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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:10.1177/107110079501601107
更新日期:1995-11-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
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doi:10.1177/107110070502600402
更新日期:2005-04-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713496770
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:External rotation stress (ERS) identifies ankle instability after fibular reduction of rotational ankle injuries. Combined hindfoot and ankle motions and an inconsistent starting position could mask differing degrees of instability resulting from syndesmotic and/or deltoid ligament disruption. The goal of th...
journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2019-07-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502601201
更新日期:2005-12-01 00:00:00
abstract::The outcome of surgically treated mucous cysts of the foot is poorly documented in the orthopaedic literature. This study reports on the treatment of mucous cysts of the toes by simple excision and joint debridement. This is in contrast to treatment of similar lesions in the fingers which is often treated by excision ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400607
更新日期:2003-06-01 00:00:00
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journal_title:Foot & ankle international
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doi:10.1177/107110070302400206
更新日期:2003-02-01 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:2007-04-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700804
更新日期:2006-08-01 00:00:00