Abstract：
:Fusion of the PIP joint of the lesser toes provides sound correction of deformity of that joint. Fusion is achieved reliably in most cases and fibrous ankylosis is well tolerated in those that fail. Patients at the extremes of the age scale are perhaps less tolerant of the procedure; complaints include poor cosmesis and subjective lack of control of the toes [18]. Although fusion of the DIPJ is a sound primary procedure, it would seem prudent to reserve PIP fusion as a revision procedure [7] or for the treatment of severe, fixed hammer toe deformities. For flexible or mild, fixed hammer toe deformities, consideration should be given to the use of tendon lengthening or transfer surgery in association with joint release as the primary approach to correct the deformity. Complete failure of surgery occurs when muscular imbalance or pre-existing deformity at another level is not properly addressed. This may result in patient complaints of persistent metatarsalgia or toe deformity despite a successful PIP fusion. The use of either sound fixation or a stable bony construct is recommended, as it is likely to reduce the incidence of mal-union and non-union.
journal_name
Foot Ankle Clinjournal_title
Foot and ankle clinicsauthors
Edwards WH,Beischer ADdoi
10.1016/s1083-7515(02)00002-5subject
Has Abstractpub_date
2002-03-01 00:00:00pages
43-8issue
1eissn
1083-7515issn
1558-1934pii
S1083-7515(02)00002-5journal_volume
7pub_type
历史文章,杂志文章,评审abstract：:This article reviews the role of cavus in foot and ankle injury and summarizes the current surgical and nonsurgical treatments. Recognition of foot position is crucial in the management of ankle instability associated with cavovarus. Correcting foot alignment with orthoses or surgery improves the mechanics of the ankl...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2013.08.005
更新日期：2013-12-01 00:00:00
abstract：:Lateral talar process fractures (LTPF) are uncommon injuries but have become more relevant with snowboarding. Currently the fractures are classified according to McCrory-Bladin into 3 types, with advice for treatment that is not ideal anymore. This article proposes modifying the existing classification by differentiat...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2018.04.009
更新日期：2018-09-01 00:00:00
abstract：:Osteochondral lesions of the talus can present a challenge to the orthopedic surgeon. Because of its avascular nature, articular cartilage has a poor capacity for self-repair and regeneration. A wide variety of strategies have been developed to restore the structure and function of injured cartilage. Surgical strategi...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2012.12.005
更新日期：2013-03-01 00:00:00
abstract：:Achilles tendinopathy is a painful condition that occurs commonly in both active and inactive individuals. It seems that this condition is painful as a result of ingrowth of neural structures and neovessels leading to poor healing, rather than from inflammatory mediators. Traditional conservative measures are often su...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2009.07.003
更新日期：2009-12-01 00:00:00
abstract：:The accessory navicular is a common presence in the human foot and must be included in the differential diagnosis of medial foot pain in patients who are of appropriate age. Imaging modalities aid in diagnosis of a symptomatic ossicle and guide classification and treatment. Often, a combination of studies is needed to...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/S1083-7515(03)00176-1
更新日期：2004-03-01 00:00:00
abstract：:Ankle joint distraction has been shown to be a viable alternative to ankle arthrodesis or ankle replacement. The à la carte approach to ankle joint preservation (resection of blocking osteophytes, release of muscle/joint contractures, and realignment osseous ankle procedures) presented in this article as important for...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2008.05.001
更新日期：2008-09-01 00:00:00
abstract：:Posterior tibial tendon dysfunction (PTTD) has been approached with a multitude of surgical techniques. This article outlines the current understanding of the flexor digitorum longus transfer and flexor hallucis longus transfer in the context of various osteotomy techniques for the correction of stage II PTTD. Pertine...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2007.03.001
更新日期：2007-06-01 00:00:00
abstract：:Foot and ankle reconstruction following blast trauma is particularly challenging based on the devastating soft tissue injuries associated with open comminuted fractures. Considering the difficulties encountered in reconstruction, the functional limitations associated with many salvaged limbs, and the superior performa...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2005.10.002
更新日期：2006-03-01 00:00:00
abstract：:Metatarsus adductus (MA) is a congenital condition resulting in adduction of the forefoot at the tarsometatarsal joint, medial metatarsal deviation, supination of the hindfoot through the subtalar joint, and plantarflexed first ray. The exact underlying pathophysiology remains elusive. There is increasing evidence hig...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2019.08.002
更新日期：2019-12-01 00:00:00
abstract：:Many techniques have been described for surgical management of lateral ankle instability. Anatomic repair and nonanatomic reconstruction have higher recurrence rates, and may be complicated by ankle stiffness. Anatomic reconstruction should be considered in stabilization for deficiencies of the lateral ankle ligament ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2006.06.017
更新日期：2006-09-01 00:00:00
abstract：:The understanding of the pathology and treatment of hallux sesamoid disorders has improved considerably over the last few decades. It is interesting to speculate what further improvements are on the horizon. Newer imaging methods and possibly an increased use of small joint arthroscopy may make it possible to better d...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：
更新日期：2000-09-01 00:00:00
abstract：:With advanced surgical techniques and orthotic, as well as prosthetic devices, partial foot amputations have become a viable alternative. Orthotics can help restore stability, maintain support, and protect function of the residual limb. The authors discuss orthotic and prosthetic management of patients who have underg...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/s1083-7515(03)00090-1
更新日期：2001-06-01 00:00:00
abstract：:Surgical decompression of peripheral nerves for the treatment of diabetic peripheral neuropathy has been studied and previously reported. These studies reported decreased pain and some studies showed improved sensory function. The role that this surgery can play remains controversial. ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2003.12.001
更新日期：2004-06-01 00:00:00
abstract：:Sonography of the foot and ankle is a quick, relatively inexpensive imaging modality that can be used to diagnose a variety of pathologic conditions. Sonography is particularly well suited for the assessment of tendons, soft-tissue masses, and suspected foreign bodies. Visualization of internal structural detail typic...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：
更新日期：2000-03-01 00:00:00
abstract：:Approximately 3% of osseous tumors occur in the foot and ankle. Solitary bone cysts, chondroblastoma, intraosseous lipoma, osteoid osteoma, chondrosarcoma, and Ewing's sarcoma seem to have a predilection for the calcaneus. Biopsy is often a crucial step in management. Tumor-like conditions, such as cysts, reactive les...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2005.05.002
更新日期：2005-09-01 00:00:00
abstract：:According with to International Labor Office, the European Union gave the directions to improve the life of workers not only by regulating care, but also safety and return to work. Each European country is conforming to this. In Italy, INAIL, an independent body under the control of the Department of Labor and the Min...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/s1083-7515(02)00032-3
更新日期：2002-06-01 00:00:00
abstract：:Plantar plate rupture is a common cause of forefoot pain, multiplanar malalignment, subluxation, or dislocation of the metatarsophalangeal joint (MTPJ). The treatments that have been described for MTPJ instability of lesser toes include amputation, lengthening and/or tendon transfer, periarticular soft-tissue release ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章
doi：10.1016/j.fcl.2012.06.004
更新日期：2012-09-01 00:00:00
abstract：:Although Achilles tendinopathy has been extensively studied, there is a clear lack of properly conducted scientific research to clarify its etiology, pathology and optimal management. Emerging non-operative management and heavy load eccentric strengthening protocols based on these theories have yielded encouraging ear...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2005.01.007
更新日期：2005-06-01 00:00:00
abstract：:This article reviews the anatomy of the spring ligament complex, the extent of ligament involvement in addition to the spring ligament, and implications for clinical reconstruction. ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/s1083-7515(03)00086-x
更新日期：2001-03-01 00:00:00
abstract：:The overcorrected flatfoot reconstruction is a less common but often difficult sequelae of surgical treatment of the adult acquired flatfoot deformity. Understanding the patient's symptoms and how they correlate to the procedures performed during the index surgery are paramount to determining the appropriate course of...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2017.04.004
更新日期：2017-09-01 00:00:00
abstract：:Electric and electromagnetic fields regulate extra-cellular matrix synthesis and stimulate repair of fractures and nonunions. Studies of electric and electromagnetic fields suggest they (1) regulate proteoglycan and collagen synthesis and increase bone formation in models of endochondral ossification, (2) accelerate b...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2005.06.006
更新日期：2005-12-01 00:00:00
abstract：:Hallux rigidus or osteoarthritis of the first metatarsophalangeal joint is characterized by pain, stiffness of the joint, and alterations of gait. The appeal of joint arthroplasty for hallux rigidus is similar to its benefits in other joints in the body. The ideal implant should relieve pain, restore motion, improve f...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2008.11.009
更新日期：2009-03-01 00:00:00
abstract：:Most nonoperative treatments for insertional Achilles tendinopathy (IAT) have insufficient evidence to support treatment recommendations. Exercise has the highest level of evidence supporting the ability of this treatment option to reduce IAT pain. The effects of exercise may be enhanced by a wide variety of other tre...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2019.04.004
更新日期：2019-09-01 00:00:00
abstract：:Ankle sprains are common in both sport and leisure activities. Despite the high success rates of conservative management, approximately 10% to 30% patients develop chronic instability. Surgery yields high success rates, but clinical problems such as functional and mechanical instability, persistent talar tilt, range o...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2006.06.001
更新日期：2006-09-01 00:00:00
abstract：:This article discusses the complications after open reduction and internal fixation of ankle fractures. Complications are classified as perioperative (malreduction, inadequate fixation, and intra-articular penetration of hardware), early postoperative (wound edge dehiscence, necrosis, infection and compartment syndrom...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/s1083-7515(02)00162-6
更新日期：2003-03-01 00:00:00
abstract：:Although a painful accessory navicula and a pes planus often coexist, they are not necessarily causally related, and each condition should be assessed and treated individually. A child or adolescent will notice the rubbing of an accessory navicula against footwear as the foot and boney swelling grows. The cause of per...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2014.06.010
更新日期：2014-09-01 00:00:00
abstract：:External fixators have been used effectively for a variety of traumatic, congenital, and neuromuscular conditions of the lower extremity for many decades. The transition to management of Charcot foot and ankle deformities in the diabetic neuropathic patient is a logical application. External fixation can address the u...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/s1083-7515(02)00019-0
更新日期：2002-03-01 00:00:00
abstract：:As our understanding of the underlying cause of flat foot progression improves so will our understanding of how best to catalog and treat the instabilities that are seen. Determining the failure of one type of treatment will be difficult until we can better define the varied pathology and give the treatment methods su...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/s1083-7515(03)00063-9
更新日期：2003-09-01 00:00:00
abstract：:Postoperative recurrence of hallux valgus is a relatively common complication and is associated with unsatisfactory surgical outcomes. Risk factors for postoperative recurrence include a round lateral edge of the first metatarsal head (a positive round sign) and incomplete reduction of the sesamoids. These risk factor...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2018.01.006
更新日期：2018-06-01 00:00:00
abstract：:Acute injuries to the lateral ankle complex remain common and account for 20% to 25% of musculoskeletal injuries. Initial assessment should use the Ottawa ankle rules, and grading should take into account degree of mechanical instability. Nonoperative measures are preferable for all grades of injury; however, mechanic...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2018.07.001
更新日期：2018-12-01 00:00:00
