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 factors may relate to residual pronation of the first metatarsal following surgery. A novel technique of a proximal supination osteotomy, in which varus and pronation of the first metatarsal can be corrected simultaneously, can achieve significant correction in moderate or severe hallux valgus deformity and a low rate of hallux valgus recurrence.
journal_name
Foot Ankle Clinjournal_title
Foot and ankle clinicsauthors
Okuda Rdoi
10.1016/j.fcl.2018.01.006subject
Has Abstractpub_date
2018-06-01 00:00:00pages
257-269issue
2eissn
1083-7515issn
1558-1934pii
S1083-7515(18)30011-1journal_volume
23pub_type
杂志文章,评审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
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::The treatment of the congruent hallux valgus deformity requires special consideration for a successful outcome to be obtained. The distal metatarsal articular angle is of critical importance in this deformity. The goal of correction is to achieve a realigned first ray and preserve the congruent first metatarsophalange...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2009.03.005
更新日期:2009-09-01 00:00:00
abstract::Triple arthrodesis is largely used to restore painful hindfoot deformity. However, the procedure has been connected to several postoperative complications. Therefore, an isolated fusion of the talonavicular and the subtalar joint through a single medial approach has gained popularity. This "diple" arthrodesis provides...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2010.11.006
更新日期:2011-03-01 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 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::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::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::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::Hallux valgus is an extremely common and often disabling deformity. In addition to valgus deformity of the hallux, varying degrees of varus and supination of the first metatarsal and instability in the metatarsophalangeal and metatarsocuneiform joints are frequently present. Because of the complexity and multiplicity ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2019.10.006
更新日期:2020-03-01 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::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::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::Walking function may be enhanced by correcting equinus and equinovarus deformities in CP. Nonoperative management should be used in young children. Muscle balancing procedures, such as gastrocnemius aponeurosis lengthening, Achilles' tendon lengthening, and SPLATT, are particularly useful in correcting these deformiti...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:
更新日期:2000-06-01 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::Accessory tarsal navicular is a common anomaly in the human foot. It should be in the differential of medial foot pain. A proper history and physical, along with imaging modalities, can lead to the diagnosis. Often, classification of the ossicle and amount of morbidity guide treatment. Nonsurgical measures can provide...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2010.02.004
更新日期:2010-06-01 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::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::Using radiographs culled over a 33-month period, the treatment, complications, revision, and rehabilitation of complicated Jones fractures and stress fractures involving the proximal diaphysis are examined. Although the non-operative approach remains viable, the exigencies and desires of the athletic and leg-based wor...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2009.04.001
更新日期:2009-06-01 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::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::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::Injuries to the ankle, foot, and toes of injured workers are common. Although the workers' compensation system attempts to collect information about these injuries and report them in a meaningful way, the process is somewhat inconsistent, inaccurate, and provides information relevant to government agencies but not to ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(02)00028-1
更新日期:2002-06-01 00:00:00
abstract::Partial joint denervation or surgical neuroma therapy are alternative concepts to treat pain around the ankle joint that preserve joint function and relieve pain by interrupting neural pathways that transmit pain impulses from the joint to the brain. This review article summarizes the indication, anatomic background, ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2013.06.007
更新日期:2013-09-01 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::This article summarizes the various alternatives for direct gastrocnemius lengthening and elucidates the relative strengths and tradeoffs of each as a means of providing balanced perspective in selecting the appropriate procedure for any given patient. ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2014.08.007
更新日期:2014-12-01 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::There are numerous options for imaging talar pathology. Of these, radiography, CT, scintigraphy, and MRI are used most commonly. Advantages and limitations of these techniques should be considered when formulating an imaging algorithm for evaluation of the patient's clinical problem. ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2004.06.002
更新日期:2004-12-01 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