Foot最新文献

{"title":"Opposing flanks vs parallel flanks – The influence of screw design on compression and pull-out strength","authors":"Alexander Beer ,&nbsp;Rachel Tan ,&nbsp;Alba Morillo-Paterson ,&nbsp;Danae Morell-Cheng ,&nbsp;Mingshu Zhang ,&nbsp;Stephen Taylor ,&nbsp;Alessio Bernasconi ,&nbsp;Shelain Patel ,&nbsp;Karan Malhotra","doi":"10.1016/j.foot.2025.102172","DOIUrl":"10.1016/j.foot.2025.102172","url":null,"abstract":"<div><h3>Background</h3><div>Screws generate and maintain compression against distracting forces when performing osteotomy or fusion surgery. Headless screws have been recently designed with opposing flank angles (OFA) between the proximal and shaft threads and are purported to achieve better compression. The aim of this study was to compare OFA designs against traditional parallel flank angle (PFA) headless screws, and headed screws, to determine differences in compression and pull-out strength (POS).</div></div><div><h3>Methods</h3><div>This was a biomechanical, in-vitro sawbone study comparing four screw designs: two opposing flank headless designs (Screw A_O, Screw B_O), one parallel flank headless design (Screw C_P) and one headed design (Screw D_H). All screws were 4.0 mm diameter x 50 mm length, partially threaded, cannulated screws typically used in foot and ankle surgery (five screws tested for each design). Screw B_O had a shorter and narrower proximal threaded portion than Screws A_O and C_P. A custom apparatus was designed for measuring compression and POS. An osteotomy was created in sawbone blocks of 0.32 g/cm ³ density which simulated cancellous bone. The divided segments were apposed with four strain-gauged load cells in between. Screws were inserted per manufacture recommendations, perpendicular to the osteotomy and maximum compression was measured. To measure POS, block segments were distracted in increasing increments until the construct failed.</div></div><div><h3>Results</h3><div>There was a significant difference in compression between all screws: Screw A_O, 311.0 ± 4.2 N; Screw C_P, 201.4 ± 28.6 N; Screw B_O, 168.6 ± 15.9 N; Screw D_H, 119.8 ± 13.2 N (p &lt; 0.001). There was no significant difference in POS between Screw A_O (466.0 ± 29.0 N) and Screw C_p (399.0 ± 46.0 N, p = 0.089), but the other screws had significantly lower POS: Screw B_O, 310.0 ± 22.0 N; Screw D_H, 183.0 ± 12.9 N (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div><strong>One of the OFA designs exhibited the highest compression</strong> and POS in this sawbone model. However, the variable results between designs suggests other screw design features may have a greater influence than the opposing of flank angles.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"63 ","pages":"Article 102172"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difficulties experienced by podiatrists when performing neurological tests on paediatric patients","authors":"Gillian Jenkins ,&nbsp;Yaasirah Mohomed Choonara","doi":"10.1016/j.foot.2025.102173","DOIUrl":"10.1016/j.foot.2025.102173","url":null,"abstract":"<div><div>There is limited research supporting the existence of a standardized assessment tool in South Africa that aids podiatrists in the early diagnosis of developmental delays, including neurological delays, in paediatric patients. The Gait and Lower Limb Observation Proforma (GALLOP) Assessment Tool is a potential solution for South African podiatrists to enhance their assessments.</div></div><div><h3>Aim</h3><div>This study aimed to evaluate the \"ease of use\" and \"usefulness\" of the GALLOP Assessment Tool for podiatrists when performing paediatric neurological assessments.</div></div><div><h3>Methods</h3><div>A mixed-methods descriptive study was conducted with all Health Professions Council of South Africa (HPCSA)-registered podiatrists in the Johannesburg Metropolitan Municipality. Participants used the GALLOP Assessment Tool for three months before completing a survey assessing its ease of use and effectiveness.</div></div><div><h3>Results</h3><div>The findings revealed that all participants found the neurological assessment section of the GALLOP Assessment Tool difficult to use. Major barriers included a lack of knowledge, confidence, and time required for proper implementation.</div></div><div><h3>Conclusion</h3><div>The study highlights a critical gap in podiatrists' ability to conduct neurological assessments due to inadequate training and a lack of standardized tools. Addressing these issues through improved education, structured neurological training, and the refinement of the GALLOP Assessment Tool could enhance the early detection and management of paediatric neurological conditions.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"63 ","pages":"Article 102173"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the gap between custom foot orthoses research and clinical practice","authors":"Gabriel Moisan,&nbsp;Dominic Chicoine,&nbsp;Ian Griffiths,&nbsp;Kelly Robb","doi":"10.1016/j.foot.2025.102177","DOIUrl":"10.1016/j.foot.2025.102177","url":null,"abstract":"<div><div>Clinicians often argue that research fails to capture the individualised nature of their custom foot orthoses prescriptions, resulting in inaccuracies in reported outcomes. Conversely, researchers prioritise standardisation but may inadvertently underestimate the true potential of foot orthoses in achieving positive clinical outcomes. To bridge these gaps, we advocate for various strategies.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"63 ","pages":"Article 102177"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delphi consensus on steps for scarf osteotomy: Establishing a standardized approach","authors":"Togay Koç ,&nbsp;Robin Elliot ,&nbsp;Robert Boyd ,&nbsp;Syed Neshat Anjum","doi":"10.1016/j.foot.2025.102163","DOIUrl":"10.1016/j.foot.2025.102163","url":null,"abstract":"<div><div>The scarf osteotomy is a popular procedure for hallux valgus correction, but variability exists in its execution. This Delphi consensus study aimed to establish a standardised sequence of key procedural steps to guide training, simulation and assessment. A three-round Delphi process was conducted with an expert panel of foot and ankle surgeons. Statements achieving predefined consensus thresholds were included in the final recommendations. The study provides a framework for procedural standardisation, which can be used to inform training curricula, design of simulation training and assessment criteria. The findings also contribute to the literature aimed at improving surgical consistency and reducing complications associated with technical variability.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"63 ","pages":"Article 102163"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel technique for deltoid spring complex reconstruction in progressive collapsing foot disorder","authors":"Ankit Jaiswal,&nbsp;Girish Motwani,&nbsp;Vivek Maurya","doi":"10.1016/j.foot.2025.102171","DOIUrl":"10.1016/j.foot.2025.102171","url":null,"abstract":"<div><h3>Introduction</h3><div>Adult Acquired Flatfoot Deformity (AAFD) is a progressive condition characterized by the collapse of the medial foot arch, often caused by posterior tibial tendon dysfunction or deltoid spring ligament incompetency. Flexible type 2 AAFD results in peritalar subluxation and instability. The deltoid and spring ligament complex plays a critical role in foot stability. Current surgical treatments include ligament reconstructions, tendon transfers, and osteotomies, but comprehensive approaches for advanced cases are limited. This study compares two novel techniques—Quadrangular and Triangular repairs—using fiber tape or wire for reconstruction of the deltoid spring complex, combined with medial displacement calcaneal osteotomy (MCDO) for Stage II AAFD.</div></div><div><h3>Materials and methods</h3><div>Forty patients (mean age 44.6 years) with Stage II AAFD, unresponsive to conservative treatment, were enrolled between December 2023 and 2024. Both surgical techniques, combined with MCDO (excluding lateral column lengthening), were performed. Clinical and radiological assessments were made preoperatively, at 3 months, and at 12 months. The AOFAS Ankle-Hindfoot scale assessed functional outcomes, while radiological parameters such as Meary's angle, talonavicular coverage, and tibial-calcaneal angle were evaluated.</div></div><div><h3>Results</h3><div>At 3 and 12 months post-surgery, both techniques showed significant improvements in clinical (AOFAS) and radiological outcomes, including Meary’s angle and hindfoot alignment (p &lt; 0.01). Triangular repair demonstrated slightly better functional outcomes, but both techniques effectively restored foot biomechanics and alignment. Complications included wound dehiscence, metal irritation, and persistent subtalar pain, which resolved with conservative treatment.</div></div><div><h3>Conclusion</h3><div>Quadrangular and Triangular repair techniques, augmented with fiber tape or wire and combined with MCDO, are effective for Stage II AAFD. Both methods improve clinical and radiological outcomes, with Quadrangular repair showing a slight advantage in functional recovery in severe deformity. These findings suggest that a personalized approach based on talonavicular coverage optimizes AAFD management.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"63 ","pages":"Article 102171"},"PeriodicalIF":0.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insertional Achilles tendinopathy: A novel link to shorter free tendons","authors":"Tiziana Mifsud ,&nbsp;Alfred Gatt ,&nbsp;Nachiappan Chockalingam ,&nbsp;Kirill Micallef Stafrace ,&nbsp;Nat Padhiar","doi":"10.1016/j.foot.2025.102164","DOIUrl":"10.1016/j.foot.2025.102164","url":null,"abstract":"<div><h3>Background</h3><div>Achilles tendinopathy is a common overuse injury among athletes, classified into mid-portion and insertional types. While existing literature primarily emphasizes mid-portion tendinopathy as the more prevalent form, emerging evidence highlights the significance of insertional tendinopathy. Variations in clinical presentation warrant further investigation, particularly regarding anatomical differences that could inform treatment strategies and rehabilitation protocols.</div></div><div><h3>Purpose</h3><div>This study aimed to assess the prevalence of Achilles tendon pathologies and explore anatomical differences in the length of the free tendon between insertional and mid-portion tendinopathy.</div></div><div><h3>Study design</h3><div>This study represents a cross-sectional analysis conducted as part of a larger longitudinal study on the mechanical properties of patients with Achilles tendinopathy.</div></div><div><h3>Methods</h3><div>A total of 103 patients (38.8 % males, 61.2 % females, age: 53 ± 12.8 years, body Mass Index (BMI): 30 ± 7.4 kg/m², 60 % sedentary while 40 % active) diagnosed with Achilles tendon pathologies from across the Maltese islands were recruited for ultrasound assessments to measure tendon length and evaluate associated anatomical characteristics. Participants were categorised based on the type of tendinopathy.</div></div><div><h3>Results</h3><div>A higher prevalence of insertional tendinopathy (67.9 %) was identified compared to mid-portion tendinopathy (20.3 %). Notably, participants with insertional tendinopathy presented with short tendons (3.8 ± 1.4 cm, p = &lt;0.001) compared to those with longer free tendon length in mid-portion tendinopathy (5.9 ± 1.3 cm, p = &lt;0.001). This anatomical distinction, along with the lower attachment of the soleus muscle, may contribute to differing biomechanical properties, influencing the risk of specific tendon pathologies.</div></div><div><h3>Conclusions</h3><div>This study is the first to report a higher prevalence of insertional tendinopathy and to highlight the link between short free tendon length and insertional tendinopathy. This emphasizes the importance of monitoring short free tendons, as they are likely pivotal in the development of insertional tendinopathy.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"63 ","pages":"Article 102164"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimising rigid ankle foot orthoses design: A quantitative evaluation of trimlines on stiffness","authors":"Sara Behforootan ,&nbsp;Panagiotis E. Chatzistergos ,&nbsp;Nicola Eddison ,&nbsp;Nachiappan Chockalingam","doi":"10.1016/j.foot.2025.102158","DOIUrl":"10.1016/j.foot.2025.102158","url":null,"abstract":"<div><div>Ankle-foot orthoses (AFOs) are of important in the management of gait deformities in most neurological conditions through stabilising and supporting the ankle and foot. Despite its importance, there is a lack of knowledge about how some design parameters, particularly trimline geometry, affect AFO stiffness. This study employs a parametric finite element (FE) model to quantify the impact of trimline design on rigidity to improve standardisation of AFO prescription manufacture, and quality control. A parametric model was developed to systematically modify trimline placement and analyse its effect on AFO stiffness. A dorsiflexion moment of 30 Nm was employed to simulate loading conditions, with experimentally determined material properties of polypropylene. The parametric model was developed and validated against experimental results. Trimline positions were manipulated systematically by 1 mm in the proximal and 10 mm in the distal direction of ankle to investigate their impact on stiffness. Thickness, loading, and constraints were controlled for in the analysis. The results of this study verify that the model accurately predicts ankle dorsiflexion, and there are small discrepancies between calculation and experiment. Having more than five transverse plates proximal to the footplate and distal to the ankle does not significantly impact stiffness. Furthermore, trimline position has significant effect in AFO rigidity, that even small changes affect stiffness. Change in trimline posterior to the ankle produced a linear decrease in stiffness, while trimline adjustments distal to the ankle had a nonlinear effect. These findings emphasise the importance of precise prescription and quality control of trimlines to optimise the AFO function.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"62 ","pages":"Article 102158"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of plantar sensory exercises on balance and fall risk in nursing home elderly","authors":"Müyesser Cavlak ,&nbsp;Emre Ata ,&nbsp;Z. Candan Algun","doi":"10.1016/j.foot.2025.102156","DOIUrl":"10.1016/j.foot.2025.102156","url":null,"abstract":"<div><h3>Background</h3><div>Loss of balance and consequent falls are leading causes of mortality and morbidity in the geriatric population. In terms of ease of application, plantar sensory-based exercises seem to be superior to other balance development exercises. Our study's objective is to examine the effects of plantar sensation education-based exercises on balance and falls.</div></div><div><h3>Materials and methods</h3><div>16 healthy, voluntary nursing home residents with the average age 77.50 ± 5.5. Individuals had plantar sensory exercises 40 min sessions for 3 days/week during eight weeks. The study was planned as a self-controlled prospective study. Functional balance was evaluated using Berg Balance Scale, dynamic balance was evaluated using 30 Second Chair Stand Test, static balance and fall risk were assessed using Biodex Balnce System.</div></div><div><h3>Results</h3><div>The measurements of static balance and fall tests with the Biodex balance device after 8 weeks of plantar sensation exercises program showed significant improvement compared to the results before the treatment (p &lt; 0.05). The measurements of the Biodex balance device before the treatment were 3.45 ± 2.41, whereas the ones after the treatment showed 2.61 ± 2.18. The result of the fall <strong>risk</strong> measured by the Biodex balance device was 3.43 ± 3.11 before the treatment, whereas it came out as 2.46 ± 2.02 after the treatment. (p &lt; 0.05)</div></div><div><h3>Conclusion</h3><div>Static balance and fall risc play a significant role in the well-being of nursing home residents through exercise programs designed for plantar sensation. According to these outcomes, we believe that exercises intended for plantar sensation will be an effective treatment approach in terms of increasing the static balance and decreasing the fall risk with nursing home residents<strong>.</strong></div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"62 ","pages":"Article 102156"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Displaced, intra-articular fractures of the calcaneus: Review of non-operative management, open reduction internal fixation and novel minimally invasive techniques","authors":"Adrian J. Talia ,&nbsp;David W. Shepherd ,&nbsp;Sasha Roshan-Zamir","doi":"10.1016/j.foot.2025.102160","DOIUrl":"10.1016/j.foot.2025.102160","url":null,"abstract":"<div><div>Calcaneal fractures comprise 1–2 % of all fractures and typically occur in younger, working age male patients. These injuries result in a significant burden to the patient in terms of residual pain, inability to work or participate in sports, difficulty with shoe wear and secondary reconstructive surgery such as subtalar arthrodesis. They also result in a significant burden to the healthcare system. Calcaneal fractures can be sub-classified into extra-articular and intra-articular, two-thirds of calcaneal fractures involve the articular facets of the subtalar joint. The treatment of displaced intra-articular calcaneal fractures is controversial, with many authors recommending non-operative treatment. The concerns with this approach include painful malunion, articular surface disruption, heel varus and increased calcaneal width, with a significant rate of secondary reconstructive surgery. Traditional operative approaches for calcaneal fractures allowed the surgeon to restore anatomic parameters, but have been associated with high rates of soft tissue complications, up to 40 % in some series. Newer, less invasive techniques for fixation allow the surgeon to obtain a similar anatomic reduction with reduced tissue compromise. We performed a systematic literature search which identifed forty articles on which this review is based. In this review article we discuss the background of displaced, intra-articular calcaneal fractures and compare the current knowledge base of operative vs. non-operative management. We then compare and contrast the three common surgical approaches used for treatment of these injuries: the extensile lateral approach, the sinus tarsi approach and newer percutaneous/minimally invasive techniques. At the current time, the sinus tarsi approach is the mainstay for treating these fractures, with most authors favouring this over the extensile lateral approach. There is momentum for adoption of newer minimally invasive techniques which show promising results, with reduced soft tissue complications and satisfactory functional outcomes.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"62 ","pages":"Article 102160"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implants for proximal interphalangeal joint arthrodesis of the lesser toes: Where are we? A systematic review","authors":"Vinodh Arumugam ,&nbsp;Shreyas Sanjeev Chitnis ,&nbsp;Esha Singh ,&nbsp;Alba Morillo Paterson ,&nbsp;Matthew Welck","doi":"10.1016/j.foot.2025.102157","DOIUrl":"10.1016/j.foot.2025.102157","url":null,"abstract":"<div><h3>Introduction</h3><div>Proximal interphalangeal joint (PIPJ) arthrodesis is indicated for the treatment of lesser toe deformities. K-wires have traditionally been the standard of care for PIPJ arthrodesis, however intramedullary implants may be superior. This systematic review evaluates the union rate and outcomes of implants for PIPJ arthrodesis.</div></div><div><h3>Methods</h3><div>MEDLINE, CENTRAL, EMBASE and Google Scholar databases were reviewed for studies reporting on outcomes of intramedullary implants for PIPJ arthrodesis in hammer or claw toe. The primary outcome measure was union rate. Secondary outcome measures included pain scores, functional improvement, patient satisfaction, quality of life and complications.</div></div><div><h3>Results</h3><div>12 studies comparing 12 different implants in 797 patients with 1118 treated toes were reviewed. Fusion rates ranged from 22.2 % to 96 % with the highest fusion rates demonstrated with Ossiofiber (96 %, n = 24), Smart toe (43.6–93.8 %, n = 217) and Nextra (84.44 %, n = 47) respectively. 4 studies compared 3 implants to K-wire (Smart toe, Tenfuse and Nextra) with improved union rates demonstrated compared to K-wire (p &lt; 0.05). Function, pain relief, patient satisfaction and quality of life all improved following PIPJ arthrodesis with implants, however these outcomes were equivocal to K-wire. All studies were rated as high or critical risk of bias.</div></div><div><h3>Conclusion</h3><div>A definitive judgement on the best implant for PIPJ arthrodesis is currently unobtainable due to the high risk of bias in the reviewed studies. Given the high cost of intramedullary implants and equivocal functional outcomes to K-wire, further comparative study with randomised control trials is advised to establish the standard of care for PIPJ arthrodesis.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"62 ","pages":"Article 102157"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}