Journal: Foot & Ankle International

Abbreviation

Foot Ankle Int

Publisher

SAGE

Journal Volumes

ISSN

1071-1007
1944-7876

Description

Filters

Reset filters

Search Results

Publications 1 - 8 of 8
  • Metatarsophalangeal joint arthrodesis after failed Keller-Brandes procedure
    Item type: Journal Article
    Vienne, Patrick; Sukthankar, Atul; Favre, Philippe; et al. (2006)
    Foot & Ankle International
  • Comparative mechanical testing of different geometric designs of distal first metatarsal osteotomies
    Item type: Journal Article
    Vienne, Patrick; Favre, Phillipe; Meyer, Dominik; et al. (2007)
    Foot & Ankle International
  • Second Metatarsal Length and Transfer Ulcers After First Metatarsal Amputation in Diabetic Foot Infections
    Item type: Journal Article
    Cavalcanti, Nicola A.; Martini, Katharina; Götschi, Tobias; et al. (2024)
    Foot & Ankle International
    Background:Plantar transfer ulcers (TUs) underneath the second metatarsal head are frequent after first metatarsal ray amputations due to diabetic foot infections. Whether the second metatarsal length (2ML) is associated with TU occurrence in these patients is unclear. This study evaluated whether 2ML is associated with TU occurrence after first-ray amputations and whether ulcer-free survival is shorter in patients with “excess” 2ML.Methods:Forty-two patients with a mean age of 67 (range 33-93) years, diabetes, and first metatarsal ray amputation (first amputation at the affected foot) were included. Two independent readers measured the 2ML using the Coughlin method. A protrusion of more than 4.0 mm of the second metatarsal was defined as “excess” 2ML. The effect of 2ML on ulcer occurrence was analyzed using a multivariate Cox regression model. A Kaplan-Meier curve for TU-free survival was constructed comparing the 2 groups of “normal” (n = 21) and “excess” 2ML (n = 21).Results:Interrater reliability was excellent. TUs underneath the second metatarsal occurred in 15 (36%) patients. In agreement with our hypothesis, 2ML was nonsignificantly different in patients with TUs, recording a mean of 5.3 (SD 2.5) mm, compared to patients without 4.0 (SD 2.3) mm (hazard ratio [HR] 1.12, 95% CI 0.89-1.41), whereas insulin dependence was associated with ulcer occurrence (HR 0.33, 95% CI 0.11-0.99).Conclusion:In our relatively small study population with a cutoff level of 4 mm for excess 2ML, ulcer-free survival was similar in patients with “normal” and “excess” 2ML.
  • The Contralateral Ankle Joint Is a Reliable Reference for Testing Syndesmotic Stability Using Bilateral External Torque CT
    Item type: Journal Article
    Calek, Anna-Katharina; Ongini, Esteban; Hochreiter, Bettina; et al. (2024)
    Foot & Ankle International
    Background: Subtle chronic or latent instabilities are difficult to delineate with currently available diagnostic modalities and do not allow assessment of ligamentous functionality. The noninvasive bilateral external torque computed tomography (CT) was able to reliably detect syndesmotic lesions in a cadaveric study. The aim of the study was to test the external torque device in young, healthy subjects at 3 different torque levels and to demonstrate comparability with the contralateral side. Methods: Ten healthy subjects without history of injury or surgery to the ankle joint were enrolled in this cross-sectional study. Four CT scans were performed. During the scans, the lower legs and feet were placed in an external torque device with predefined external rotation torques of 0, 2.5, 5, and 7.5 Nm. Five different radiographic measures of syndesmotic stability were measured: anterior distance (AD), tibiofibular clear space (TCS), posterior distance (PD), external rotation (ER), and beta angle. Results: With increasing external torque, slight increases in AD, ER, and beta angle were observed, whereas TCS and PD decreased slightly. Large absolute differences were found between the healthy subjects for all measured parameters, regardless of the external torque applied. Differences from the contralateral side using the same external torque were minimal for all parameters, but smallest for AD with a maximum difference of 0.5 mm. Conclusion: Using the healthy contralateral ankle joint is appropriate for assessing syndesmotic stability based on minimal intraindividual side differences using the external torque device. Side differences >0.5 mm in AD and >0.9 mm in PD may be considered abnormal and may indicate significant instability of the syndesmosis. However, future studies are needed to define definitive cutoff values for relevant side differences in acute and chronic syndesmotic instability to guide clinicians in their treatment decisions.
  • Shockwave Treatment vs Surgery for Proximal Fifth Metatarsal Stress Fractures in Soccer Players: A Pilot Study
    Item type: Journal Article
    Ramon, Silvia; Lucenteforte, Giacomo; Alentorn-Geli, Eduard; et al. (2023)
    Foot & Ankle International
    Background: To compare the clinical, radiologic, and functional outcomes between shockwave and operative treatments for proximal fifth metatarsal stress fractures in soccer players in a pilot study. Methods: Between 2017 and 2019, 18 soccer players with fifth metatarsal stress fractures attended at Mutualidad de Futbolistas Españoles–Delegación Catalana were included. Patients were randomly assigned into 2 groups receiving either surgery with an intramedullary screw (group 1) or high-energy focused extracorporeal shockwave treatment (group 2 performed once a week for 3 weeks using 2000 impulses at an energy flux density of 0.21 mJ/mm2 and 4 Hz frequency). Clinical (pain), radiologic (bone healing), and functional (Tegner Activity Scale and American Orthopaedic Foot & Ankle Society [AOFAS] ankle-hindfoot scales) outcomes before and after receiving the treatment were compared between both groups. In addition, ability and time to return to play was also compared between groups. Results: No patients were lost to follow-up. There were no statistically significant differences at last follow-up between surgery and extracorporeal shockwave treatment for bone healing, pain relief, AOFAS ankle-hindfoot score, Tegner score, and time return to play. No complications were reported in either of the 2 groups. Conclusion: In this pilot study, extracorporeal shockwave treatment and operative treatment were found to be equally effective at reducing pain, achieving bone healing, and allowing the soccer players to return to play after proximal fifth metatarsal stress fractures. This study suggests that ESWT may be a good option for the management of proximal fifth metatarsal stress fractures in soccer players. If this approach proves successful in larger trials, the shockwave approach might help avoid known complications of the surgical treatment like wound problems, nerve injury, and hardware intolerance. Further investigations with larger sample size should be conducted in order to confirm the present conclusions. Level of Evidence: Level II, therapeutic, pilot randomized controlled trial.
  • Primary isolated subtalar arthrodesis
    Item type: Journal Article
    Diezi, Christian; Favre, Philippe; Vienne, Patrick (2008)
    Foot & Ankle International
  • Outcome After Surgical Treatment of Calcaneal Osteomyelitis
    Item type: Journal Article
    Waibel, Felix W.A.; Klammer, Alexander; Götschi, Tobias; et al. (2019)
    Foot & Ankle International
  • Movement Coupling at the Ankle During the Stance Phase of Running
    Item type: Journal Article
    Stacoff, Alex; Nigg, Benno M.; Reinschmidt, Christoph; et al. (2000)
    Foot & Ankle International
Publications 1 - 8 of 8