Abstract:
BACKGROUND:Despite multiple techniques to improve syndesmotic reduction accuracy, syndesmotic malreduction in unstable ankle fractures remains prevalent. We performed a prospective, observational study to assess the ability of intraoperative multidimensional fluoroscopy to lead a surgeon to change the syndesmotic reduction obtained by conventional fluoroscopic techniques with the goal of achieving an accurate reduction. METHODS:Thirty patients with unilateral malleolar ankle fractures and syndesmotic instability were enrolled. Following fixation of the malleollar fractures, the syndesmosis was provisionally reduced. Once the surgeon believed acceptable reduction was obtained by comparison with the contralateral, uninjured ankle mortise and lateral fluoroscopic images, provisional fixation was used to maintain reduction. Intraoperative, multidimensional fluoroscopy was used to generate cross-sectional images to assess the reduction. The surgeon then decided if a change in the reduction was needed, and fixation proceeded per surgeon preference. Postoperative bilateral computed tomography (CT) scans of the ankles were used to assess the reduction. RESULTS:The main outcome recorded was syndesmotic reduction change by the attending surgeon following 3-dimensional (3D) fluoroscopic imaging. The secondary outcome was syndesmotic reduction accuracy on postoperative CT scan. Fourteen of 30 patients had intraoperative reduction change following 3D fluoroscopic imaging. Three of 30 patients had residual malreduction compared with the contralateral ankle on bilateral postoperative CT scan. CONCLUSION:Intraoperative 3D fluoroscopy frequently led the surgeon to change the syndesmotic reduction obtained by conventional techniques and provided additional information not available with 2-dimensional fluoroscopy. A 10% syndesmotic malreduction rate was obtained with this technique. LEVEL OF EVIDENCE:Diagnostic level II, prospective comparative study.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Cunningham BA,Warner S,Berkes M,Achor T,Choo A,Munz J,Chip Routt ML Jr,Gary JLdoi
10.1177/1071100720959025subject
Has Abstractpub_date
2020-09-18 00:00:00pages
1071100720959025eissn
1071-1007issn
1944-7876pub_type
杂志文章abstract::Improved designs and surgical technique has led to much better mid-term and longer term outcomes than the first generation ankle replacements of the 1970's. However, there remains multiple recent papers discussing the many potential complications with total ankle replacement surgery. As we proceed into the future, one...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0267
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:The fibula is commonly used for bone grafts. Previous clinical and biomechanical studies have suggested that the length of the residual portion of the distal part of the fibula has an important effect on the long-term stability of the ankle joint. However, we cannot find clear-cut guidelines for the amount o...
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
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
更新日期:2020-07-01 00:00:00
abstract::The "anchovy" interpositional arthroplasty technique can be used as a salvage option for failed hallux rigidus procedures. The operative technique utilized by the senior author is described. Careful soft-tissue handling, meticulous joint space and graft preparation, and interposition graft stabilization using a bone t...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/1071100718807738
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Identifying the optimal starting point for intramedullary fixation of tibia and femur fractures is well described in the literature using a retrograde or anterograde technique. This technique has not been applied to the fifth metatarsal, where screw trajectory can cause iatrogenic malreduction. The generally...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717702688
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:The modified Broström procedure is commonly used for anatomic repair of chronic lateral ankle instability. However, no studies have compared outcomes of gender-based differences after the modified Broström procedure. We compared outcomes of the modified Broström procedure in men and women. METHODS:A total o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715603372
更新日期:2016-01-01 00:00:00
abstract::Fluoroquinolone antibiotics (such as olprofloxacin, pefloxacin, ofloxacin, norfloxacin, temafloxacin, etc.) have recently been implicated in the etiology of Achilles tendinitis and subsequent tendon rupture. We report on a patient with bilateral partial Achilles tendon ruptures associated with ciprofloxacin therapy an...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079601700811
更新日期:1996-08-01 00:00:00
abstract::Foot and ankle operations are being performed with greater frequency as outpatient procedures. Although the surgical procedure remains the same whether the operation is done in an inpatient or an outpatient setting, the anesthesia and postoperative analgesia are greatly affected when patients must be discharged soon a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100107
更新日期:2000-01-01 00:00:00
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
doi:10.3113/FAI.2012.0612
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:Patients undergoing ankle arthrodesis often have coronal or sagittal plane malalignment. Correction of this deformity can be technically challenging. This retrospective review examines the use of an augmented interposition wedge allograft for deformity correction in ankle arthrodesis. MATERIALS AND METHODS:...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0380
更新日期:2011-04-01 00:00:00
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::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::There are few reports in the literature documenting the efficacy of isolated arthrodesis for inflammatory arthritis of the talonavicular joint. Accordingly, we reviewed a single surgeon's experience with this procedure in twenty consecutive cases from this patient population. A technique using indirect joint distracti...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100406
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:We performed a laboratory-based study of the ankle-hindfoot complex in normal cadaveric ankles with simulated lateral ankle ligament injuries, utilizing an ankle stability testing device. The ankle stability testing device distinguished between intact, injury to anterior talofibular ligament (ATFL) and combi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0531
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Ankle replacement and ankle arthrodesis are standard treatments for treating end-stage ankle arthritis when conservative treatment fails. Comparing patient-reported outcome scores to the instrument's minimal important difference (MID) helps physicians and researchers infer whether a meaningful change in heal...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720977842
更新日期:2021-01-27 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::The purpose of this ex vivo biomechanical study was to determine the strength and stiffness of the anterior and posterior syndesmotic tibiofibular ligaments and the posterior tibiotalar component of the deltoid ligament. Injuries to these ligaments are a prevalent clinical problem, yet little is known about their mech...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400509
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:The flexor hallucis longus (FHL) and flexor digitorum longus (FDL) tendons are commonly used for tendon transfer in reconstructive foot and ankle procedures. Some patients experience great toe weakness and loss of push-off strength. The objective of this biomechanical study was to quantify plantarflexion for...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719875229
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Fixed equinovarus deformities can be challenging to treat especially in medically debilitated patients. The purpose of this study was to evaluate Achilles lengthening with posterior tibial tenotomy and immediate weightbearing in this difficult group of patients. MATERIALS AND METHODS:Thirteen extremities in...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0325
更新日期:2008-03-01 00:00:00
abstract::This study proposed to assess foot types and radiological examination of feet of individuals with hypermobility syndrome in comparison to healthy matched controls for age, sex, and body mass index. The relationship between foot angles and hypermobility scores of subjects in both groups were also~assessed. Twenty indiv...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500211
更新日期:2004-02-01 00:00:00
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...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719862744
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:The modalities currently available to clinicians to confirm the clinical suspicion of posterior tibial tendinitis include MRI, CT, sonography, tenography, and local anesthetic tendon sheath injections. There are no reports in the literature comparing local anesthetic tendon sheath injection to MRI as tools f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.1124
更新日期:2007-11-01 00:00:00
abstract::An approach to the treatment of dorsal foot pain of neuroma origin is described based upon principals demonstrated to be effective in the treatment of upper extremity dorsoradial neuromas: translocation of the appropriate nerves into a muscle environment away from the joint. In the lower extremity, this requires ident...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900506
更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:The timing and strategy for operative treatment of flatfoot are still controversial. The purpose of this study was to evaluate clinical outcomes and radiographic changes following calcaneal Z osteotomy combined with subtalar arthroereisis for severe adolescent flexible flatfoot. METHODS:Data were analyzed f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716658975
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Chronic calcaneal osteomyelitis is a difficult problem to eradicate. The infected bone and soft tissue can rarely be successfully treated conservatively. But after aggressive debridement, there is usually a large defect in the calcaneus and soft tissue. Free serratus anterior muscle flap can not only fill th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.1088
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Insufficiency fractures occur in bones with low elastic resistance. In contrast to stress fractures, which affect normal bones and have been extensively studied, insufficiency fractures of the foot and ankle have been the subject of little research. The objective of this study was to identify risk factors as...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720969654
更新日期:2020-11-17 00:00:00
abstract:BACKGROUND:The incidence of Achilles ruptures has been on the rise in National Collegiate Athletic Association (NCAA) football players, but the career impact of this injury is not fully understood. In this study, we analyzed a large series of Achilles tendon injuries in NCAA Football Bowl Subdivision (FBS) defensive fo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719899072
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:In this retrospective study, both the patients' and surgeons' satisfaction with resection of the first through fifth metatarsal heads for long-standing rheumatoid forefoot deformity was evaluated. METHODS:Thirty-four patients (56 feet) had first through fifth metatarsal head resection. After a mean time of ...
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
abstract:BACKGROUND:Recently, it has been shown that avascular necrosis of the talus can occur in only a portion of the talar body. There is little information regarding the geographic location of the avascular segment and the clinical significance of an incomplete avascular process. METHODS:Seven patients with partial avascul...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0777
更新日期:2010-09-01 00:00:00
abstract::This is a case report of a 52-year-old woman who sustained a medial subtalar dislocation with fracture of the posterior process of the talus in a traffic accident. After closed reduction of the subtalar dislocation, tomography demonstrated that the talus fracture involved the entire posterior process and the posterior...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601700408
更新日期:1996-04-01 00:00:00