Abstract:
:Fifty embalmed human tibias were osteotomized to create a simulated vertical shear (supination-adduction) fracture of the medial malleolus and were stabilized using one of five internal fixation techniques. In offset axial testing, which simulated supination-adduction loading, the fixation strength of tibias stabilized with either cortical or cancellous lag screws placed perpendicular to the osteotomy was over five times greater than the strength of those treated with an antiglide plate and nearly two and a half times greater than those treated with cancellous lag screws placed oblique to the osteotomy. The tibias stabilized with cancellous lag screws placed perpendicular to the osteotomy exhibited twice the fixation strength of the tibias stabilized with an antiglide plate and distal lag screw. The tibias stabilized with an antiglide plate and distal lag screw and perpendicularly placed cortical or cancellous lag screws demonstrated three times greater resistance to displacement to the applied supination-adduction load than those stabilized with an antiglide plate alone. In offset transverse testing, to simulate loading in external rotation, the mean failure load of the tibias stabilized with cancellous lag screws placed perpendicular to the osteotomy was over two and a half times greater than those stabilized with an antiglide plate and distal lag screw. No significant differences were observed in the resistance to displacement for these tests. These results support the use of lag screws placed perpendicular to the fracture surface for stabilization of vertical shear fractures of the medial malleolus and indicate that the use of an antiglide plate, with or without a distal lag screw, does not offer any advantage over lag screw fixation.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Toolan BC,Koval KJ,Kummer FJ,Sanders R,Zuckerman JDdoi
10.1177/107110079401500905subject
Has Abstractpub_date
1994-09-01 00:00:00pages
483-9issue
9eissn
1071-1007issn
1944-7876journal_volume
15pub_type
杂志文章abstract:BACKGROUND:The Ludloff first metatarsal osteotomy is used to correct the increased 1-2 intermetatarsal angle associated with hallux valgus deformity. We studied the spatial geometry of this osteotomy to determine the ideal parameters of the osteotomy saw cut and its rotation to give an optimal correction. METHODS:Thre...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600809
更新日期:2005-08-01 00:00:00
abstract:RECOMMENDATION:The optimal antibiotic treatment after foot/ankle fractures or fusion should be determined based on the result of culture. In the absence of culture results, administered antibiotics should include coverage against common pathogens such as Staphylococcus aureus. LEVEL OF EVIDENCE:Strong. DELEGATE VOTE:...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719861644
更新日期:2019-07-01 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::In an attempt to prevent migration of the heel pad, 11 patients underwent a combined Syme's amputation and Achilles tendon tenodesis between December 1989 and April 1992. Ten patients healed the Syme's amputation, and one patient failed to heal the surgical wounds and required a below-knee amputation. In all 10 succes...
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
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 o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715606477
更新日期:2016-02-01 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:Total ankle replacement (TAR) and ankle fusion (AF) are the 2 major operative options for treatment of advanced ankle arthropathy; there is, however, no large epidemiologic study comparing nationwide trends of these 2 procedures. The current study used a nationwide database to compare epidemiologic profiles ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713517101
更新日期:2014-03-01 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:The purpose of this study was to establish the range of anatomic variations of the first metatarsal bone, including both the angulations of the articular surfaces and the dimensions of the bone in a large sample. METHODS:Four hundred and seventy-eight first metatarsal bones of 239 cadaver specimens were stu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701208
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:The spring ligament is an important medial arch stabilizer. However, when disrupted, it does not cause planovalgus deformity until the foot is cyclically loaded. We propose that the tibionavicular (TN) ligament plays an important role. However, this ligament is not imaged in routine magnetic resonance imagin...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718764680
更新日期:2018-05-01 00:00:00
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
doi:10.1177/107110070302400106
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:Evaluation and management of osteochondral lesions of the talus (OLTs) often warrant advanced imaging studies, especially in revision or cases with cystic defects. It is possible that orthopedic surgeons may overestimate the size and misinterpret the morphology of OLT from conventional computed tomography (C...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718771834
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:The adult drop-foot is one of the most disabling disorders that affects gait and quality of life. Despite orthoses and orthopaedic shoes, the disability often progresses. We have used the Lambrinudi arthrodesis to correct the bony component of drop-foot in association with a posterior tibial tendon transfer ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0030
更新日期:2010-01-01 00:00:00
abstract::Damage to the dorsomedial cutaneous nerve of the foot, which innervates the medial hallux, may occur with crush injury or iatrogenically with bunion surgery. Severe neuritic pain after bunion surgery may alert the surgeon that this small nerve has been damaged. The term "dorsomedial cutaneous nerve syndrome" is sugges...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200305
更新日期:2001-03-01 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::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::Unnecessary amputations can be avoided with the healing of foot ulcerations in neuropathic feet. Traditional approaches have relied on relieving plantar and other extrinsic foot pressures. A retrospective review was performed of the office records of patients with Wagner grade 1 and 2 neuropathic forefoot ulcerations ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800707
更新日期:1997-07-01 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
doi:10.1177/1071100717736292
更新日期:2018-02-01 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:Stress fractures at the base of the second metatarsal frequently occur in female classical dancers. There is a strong belief that a foot shape in which the first metatarsal or toe is shorter than the second metatarsal or toe increases the risk of this injury in dancers. However, there is a lack of empirical ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.1082
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:The current literature is not clear regarding the best method of determining medial longitudinal arch (MLA) height. Differences in MLA height can significantly alter lower extremity biomechanics; therefore, an accurate and reproducible assessment of arch height is essential for clinical evaluation and future...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0456
更新日期:2007-04-01 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:Osteochondral lesions of the tibia are much less frequent than those of the talus, and treatment guidelines have not been established. We hypothesized that arthroscopic treatment methods used for osteochondral lesion of the talus would also be effective for those of the distal tibia. METHODS:A review of 880...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0865
更新日期:2007-08-01 00:00:00
abstract::A retrospective review was performed on industrial patients who sustained calcaneal fractures within the State of Idaho during the years 1992 to 1994, and these patients were insured by the Idaho State Insurance Fund. Of 48 calcaneal fractures that occurred during this period, 18 were non-displaced extra-articular fra...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002101102
更新日期:2000-11-01 00:00:00
abstract::Bilateral symmetrical Achilles tendon ossification is presented, with a fracture on one side. A 57 year old male patient was conservatively treated for bilateral clubfeet in his childhood. Part of his Achilles tendons were replaced by ectopic bony mass and on the left it fractured without any trauma. The fracture was ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002101206
更新日期:2000-12-01 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: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:BACKGROUND:There are various ligament reattachment techniques for the modified Brostrom procedure. There have been few comparative studies on recently developed techniques. This prospective study was performed to compare the functional outcomes of 2 different ligament reattachment techniques using suture anchors. We fu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714552079
更新日期:2015-02-01 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
doi:10.1177/1071100717712508
更新日期:2017-09-01 00:00:00
abstract::Arthritis of the fourth and fifth tarsometatarsal joints, recalcitrant to nonoperative treatment, presents a difficult clinical situation. As part of the lateral rays, these joints have considerable motion, making fusion a very disabling operation. Between 1990 and 1998, 12 patients, who had failed nonoperative treatm...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300512
更新日期:2002-05-01 00:00:00