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 a successful outcome as is the hinged ankle joint distraction technique itself. The authors reviewed 32 patients who underwent this ankle joint distraction technique and found 78% of patients had maintained their ankle range of motion and have no pain to occasional moderate pain that can be managed generally with nonsteroidal anti-inflammatory drugs alone. Only one has required an ankle fusion, and only one has been converted to an ankle joint replacement. The longevity of these results and the higher percent of good or excellent results when compared with other studies suggest that combining adjunctive procedures and articulation with ankle distraction improves the results of this procedure.
journal_name
Foot Ankle Clinjournal_title
Foot and ankle clinicsauthors
Paley D,Lamm BM,Purohit RM,Specht SCdoi
10.1016/j.fcl.2008.05.001subject
Has Abstractpub_date
2008-09-01 00:00:00pages
471-84, ixissue
3eissn
1083-7515issn
1558-1934pii
S1083-7515(08)00046-6journal_volume
13pub_type
杂志文章,评审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：:These two morbidly obese patients with severe Charcot foot arthropathy were treated successfully with percutaneous correction of their deformity followed by a stepwise application of a pre-assembled neutrally aligned multiplane ring external fixator. This technique transfers well to the trauma environment in which ali...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2006.06.006
更新日期：2006-12-01 00:00:00
abstract：:Interdigital neuralgia affects a significant number of individuals, with an average age of presentation in the sixth decade and a 4- to 15-fold increased prevalence in women. Historical descriptions date back to the 19th century. Nonoperative treatment with shoe modifications, metatarsal pads, and injections provides ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2011.01.010
更新日期：2011-06-01 00:00:00
abstract：:Tibialis anterior (TA) tendon rupture is a rare injury that has been described and studied in orthopedic literature through case reports and low-volume case studies. This article reviews the current literature on TA tendinosis and acute and chronic ruptures. It discusses the patient presentation, physical examination,...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2017.07.009
更新日期：2017-12-01 00:00:00
abstract：:The orthopedic foot and ankle surgeon needs bone grafts in the clinical situation of fracture healing and in bone-fusion procedures. This article briefly outlines thought processes and techniques for 2 recent options for the surgeon. The Trinity product is a unique combination of allograft bone and allograft stem cell...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2010.09.003
更新日期：2010-12-01 00:00:00
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：: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：:Brachymetatarsia is a rare clinical entity that presents a complicated case to the treating surgeon. One-stage lengthening procedures with a variety of biologic and synthetic implants are preferred for metatarsals that only need to be lengthened up to 15 mm, whereas gradual lengthening allows for greater length gain a...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2004.05.002
更新日期：2004-09-01 00:00:00
abstract：:In athletes, foot injuries present with a variety of mechanisms, severity, and implications for return to play. Although potentially given less attention than knee and shoulder injuries by the team physician, foot injuries are common and thus require knowledgeable consideration. In this article, we review the anatomy,...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2020.12.001
更新日期：2021-03-01 00:00:00
abstract：:Considerable recent orthopedic literature is dedicated to either the surgical management of OLTs and correction of varus ankle alignment, but little is published on the combination of these 2 problems. We anticipate that future clinical and biomechanical research will address their simultaneous treatment; until then, ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2011.11.011
更新日期：2012-03-01 00:00:00
abstract：:A bunionette deformity is a painful prominence on the lateral aspect of the fifth metatarsal head. Surgical treatment can be considered if conservative treatment has failed to relieve the symptoms. The percutaneous approach consists of 2 steps: a condylectomy and an osteotomy of the fifth metatarsal. The learning curv...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2020.05.004
更新日期：2020-09-01 00:00:00
abstract：:The success of cartilage repair in the ankle and other joints rests on multiple factors. Because native cartilage healing fails to produce hyaline, organized cartilage, the challenge lies in activating an appropriate healing response. The combination of an optimal structural matrix, infusion of pleuripotent cells, and...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：
更新日期：2000-12-01 00:00:00
abstract：:The hallux valgus is one of the most challenging foot and ankle deformities to correct. The current concept is to consider the hallux valgus as a triplane deformity, and the parameters in transverse, sagittal, and frontal planes must be considered. The hallux valgus angle, intermetatarsal angle, tibial sesamoid positi...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2019.10.007
更新日期：2020-03-01 00:00:00
abstract：:The tendons that cross the ankle are complex and sophisticated structures that enable standing and forward propulsion and the ability to accommodate uneven ground. Understanding the biomechanics and local anatomy of these tendons is essential to the treatment of disorders of the foot and ankle, whether it be in formul...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2017.07.001
更新日期：2017-12-01 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：:Clubfoot is a complex 4-dimensional deformity involving the hindfoot, midfoot, and forefoot. The fourth dimension is time. Treatment aims at achieving a pain-free, plantigrade, and mobile foot but, over time, flexible deformities become fixed and more difficult to manage. The Ponseti method of serial manipulation and ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2020.02.008
更新日期：2020-06-01 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：:This article reviews the indications and the operative technique for the medial calcaneal slide osteotomy for the treatment of posterior tibial insufficiency. Patient selection, expected results, and complications of this technique are discussed. When used in combination with flexor digitorum longus transfer, the medi...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/s1083-7515(03)00081-0
更新日期：2001-03-01 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：: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 a...
journal_title：Foot and ankle clinics
pub_type： 历史文章,杂志文章,评审
doi：10.1016/s1083-7515(02)00002-5
更新日期：2002-03-01 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：: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：:Joint replacement of the hallux metatarsophalangeal joint has not enjoyed the same success as hip and knee arthroplasties. Silastic implants have achieved a high patient satisfactory rate but have caused many complications, including silicone synovitis and lymph node inflammation. Metal and polyethylene hemiarthroplas...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2004.09.002
更新日期：2005-03-01 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：: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：: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：: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：:Opinions differ regarding the surgical treatment of posterior calcaneal exostosis. After failure of conservative treatment, open surgical bursectomy and resection of the calcaneal prominence is indicated by many investigators. Clinical studies have shown high rates of unsatisfactory results and complications. Endoscop...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2014.10.004
更新日期：2015-03-01 00:00:00
abstract：:Posteromedial ankle complaints are most often caused by a disorder of the posterior tibial tendon. Two predominant groups of patients can be distinguished: the first involves younger patients who have some form of systemic inflammatory disease; the second involves older patients whose dysfunction is caused by chronic ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章
doi：10.1016/j.fcl.2006.03.001
更新日期：2006-06-01 00:00:00
abstract：:Cavovarus foot deformity is a result of a dysbalance of the extrinsic musculature about the foot. Because of the multi-articular bony structure of the foot and ankle, the slightest imbalance of muscular forces causes osteo-articular malalignment and consequent gross deformities. This article discusses hindfoot issues ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2008.02.005
更新日期：2008-06-01 00:00:00
