Pub Date : 2021-01-01DOI: 10.30795/jfootankle.2021.v15.1552
J. V. Sanhudo, Giorgio Marin Canuto
Shortening of the triceps surae is evaluated using the Silfverskiöld test. The increase in dorsiflexion with the knee in flexion compared to the knee in extension makes the test positive. To perform the test, the examiner uses both hands and is not able to hold any device for objective measurement while assessing the magnitude of dorsiflexion. In view of this obstacle, this paper aims to describe a tip of a physical examination technique for evaluating the shortening of the triceps surae through the evaluation of the anterior wrinkle of the ankle. We performed the technique in a patient with shortening of the gastrocnemius and recorded the test, showing an increase in the anterior skinfold of the ankle. The test is simple, reproducible, requires no additional apparatus and shows variety in the severity of shortening. Level of Evidence V; Therapeutic Studies; Expert Opinion.
{"title":"Wrinkle sign for the Silfverskiöld test","authors":"J. V. Sanhudo, Giorgio Marin Canuto","doi":"10.30795/jfootankle.2021.v15.1552","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1552","url":null,"abstract":"Shortening of the triceps surae is evaluated using the Silfverskiöld test. The increase in dorsiflexion with the knee in flexion compared to the knee in extension makes the test positive. To perform the test, the examiner uses both hands and is not able to hold any device for objective measurement while assessing the magnitude of dorsiflexion. In view of this obstacle, this paper aims to describe a tip of a physical examination technique for evaluating the shortening of the triceps surae through the evaluation of the anterior wrinkle of the ankle. We performed the technique in a patient with shortening of the gastrocnemius and recorded the test, showing an increase in the anterior skinfold of the ankle. The test is simple, reproducible, requires no additional apparatus and shows variety in the severity of shortening. Level of Evidence V; Therapeutic Studies; Expert Opinion.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"216 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88361210","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}
Pub Date : 2021-01-01DOI: 10.30795/jfootankle.2021.v15.1557
R. Villar, P. C. Benevides, C. Nery, M. Prado, J. Alloza, R. Masagão, A. Godoy-Santos
Chronic tendon ruptures can be difficult to manage as end-to-end repair can be challenging. In this scenario, reconstruction techniques with tendon grafts may be useful. The ideal tendon graft would be one that has similar biomechanical properties, low donor-site morbidity and length compatible with the tendon gap. We describe a safe technique for the reconstruction of a chronic extensor hallucis longus tendon rupture using a plantaris tendon graft. Level of Evidence V, Therapeutic Studies; Expert Opinion.
{"title":"Reconstruction of chronic extensor hallucis longus tendon rupture using plantaris tendon graft","authors":"R. Villar, P. C. Benevides, C. Nery, M. Prado, J. Alloza, R. Masagão, A. Godoy-Santos","doi":"10.30795/jfootankle.2021.v15.1557","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1557","url":null,"abstract":"Chronic tendon ruptures can be difficult to manage as end-to-end repair can be challenging. In this scenario, reconstruction techniques with tendon grafts may be useful. The ideal tendon graft would be one that has similar biomechanical properties, low donor-site morbidity and length compatible with the tendon gap. We describe a safe technique for the reconstruction of a chronic extensor hallucis longus tendon rupture using a plantaris tendon graft. Level of Evidence V, Therapeutic Studies; Expert Opinion.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82931396","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}
Pub Date : 2021-01-01DOI: 10.30795/jfootankle.2021.v15.1536
Tércio Manoel de Vasconcelos Silva, M. Moreno, J. Guimarães, Túlio Eduardo Vieira Marçal, Thiago Batista Faleiro, Marilton Jorge Torres Gomes, M. Risi
Objective: To present initial radiographic results of surgical correction of the hallux valgus angle (HVA) and the intermetatarsal angle (IMA) using the percutaneous Bianchi system (PBS) technique. Methods: Seventeen patients with moderate to severe hallux valgus (HV) were exclusively treated with the PBS technique and assessed radiographically preoperatively and during the postoperative period, from January 2019 to January 2020. The degree of deformity correction was recorded, based on the HVA and the IMA. Stata (v. 14.0) software was used for statistical analyses. Pre-surgical and post-surgical mean HVA and IMA were compared using Student’s t test for paired samples and the McNemar test was used to compare HVA and IMA categories. Statistical significance was set at 5% and 95% confidence intervals were estimated. Results: Both HVA and IMA were reduced significantly during the assessment period. Mean radiographic correction of the HVA was 15.1° and mean radiographic correction of the IMA was 7.3. Conclusions: According to the results presented, use of the PBS technique achieved adequate correction of the radiographic parameters of the patients who underwent the treatment as proposed, although it is necessary to conduct additional studies with longer follow-up to achieve a higher recommendation level. Level of Evidence IV; Therapeutic Studies; Case Series.
{"title":"Radiographic assessment of the percutaneous Bianchi system technique for treatment of hallux valgus","authors":"Tércio Manoel de Vasconcelos Silva, M. Moreno, J. Guimarães, Túlio Eduardo Vieira Marçal, Thiago Batista Faleiro, Marilton Jorge Torres Gomes, M. Risi","doi":"10.30795/jfootankle.2021.v15.1536","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1536","url":null,"abstract":"Objective: To present initial radiographic results of surgical correction of the hallux valgus angle (HVA) and the intermetatarsal angle (IMA) using the percutaneous Bianchi system (PBS) technique. Methods: Seventeen patients with moderate to severe hallux valgus (HV) were exclusively treated with the PBS technique and assessed radiographically preoperatively and during the postoperative period, from January 2019 to January 2020. The degree of deformity correction was recorded, based on the HVA and the IMA. Stata (v. 14.0) software was used for statistical analyses. Pre-surgical and post-surgical mean HVA and IMA were compared using Student’s t test for paired samples and the McNemar test was used to compare HVA and IMA categories. Statistical significance was set at 5% and 95% confidence intervals were estimated. Results: Both HVA and IMA were reduced significantly during the assessment period. Mean radiographic correction of the HVA was 15.1° and mean radiographic correction of the IMA was 7.3. Conclusions: According to the results presented, use of the PBS technique achieved adequate correction of the radiographic parameters of the patients who underwent the treatment as proposed, although it is necessary to conduct additional studies with longer follow-up to achieve a higher recommendation level. Level of Evidence IV; Therapeutic Studies; Case Series.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83173038","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}
Pub Date : 2021-01-01DOI: 10.30795/jfootankle.2021.v15.1465
Alberto Macklin Vadell, Enzo Sperone, Martín Rofrano, A. Bigatti, M. Iglesias, Ivan Torterola
Objective: The aim of this study is to present a series of 8 patients, describing their clinical picture and assessing their treatment using plantar approach. Methods: We retrospectively assessed 8 patients, all of which had a history of trauma. The clinical characteristics of these cases and postoperative results were investigated. Results: Seven men and 1 woman with a mean age of 29 years were included. The follow-up period ranged from 6 to 28 months (mean 22 months). The deformity manifested from 5 to 24 months after the triggering injuries (mean 9.8 months). The hallux was the only digit affected in 1 patient, while the others presented with involvement of 1 or more small toes. There were no postoperative complications, and patients showed to be satisfied with functional outcomes. Conclusion: Post-traumatic digital flexion contracture is an infrequent disease of unknown etiology. Lengthening of the flexor hallucis longus using a plantar approach, whether at the level of the midfoot or the toe, represents an alternative with satisfactory outcomes. Level of Evidence IV; Therapeutic Study; Case Series.
{"title":"Post-traumatic digital flexion contracture (checkrein deformity)","authors":"Alberto Macklin Vadell, Enzo Sperone, Martín Rofrano, A. Bigatti, M. Iglesias, Ivan Torterola","doi":"10.30795/jfootankle.2021.v15.1465","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1465","url":null,"abstract":"Objective: The aim of this study is to present a series of 8 patients, describing their clinical picture and assessing their treatment using plantar approach. Methods: We retrospectively assessed 8 patients, all of which had a history of trauma. The clinical characteristics of these cases and postoperative results were investigated. Results: Seven men and 1 woman with a mean age of 29 years were included. The follow-up period ranged from 6 to 28 months (mean 22 months). The deformity manifested from 5 to 24 months after the triggering injuries (mean 9.8 months). The hallux was the only digit affected in 1 patient, while the others presented with involvement of 1 or more small toes. There were no postoperative complications, and patients showed to be satisfied with functional outcomes. Conclusion: Post-traumatic digital flexion contracture is an infrequent disease of unknown etiology. Lengthening of the flexor hallucis longus using a plantar approach, whether at the level of the midfoot or the toe, represents an alternative with satisfactory outcomes. Level of Evidence IV; Therapeutic Study; Case Series.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76841400","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}
Pub Date : 2021-01-01DOI: 10.30795/jfootankle.2021.v15.1563
K. Carvalho, Fernando Garnica Torrico, David Satiro Borges Pereira de Oliveira, A. Baptista
Objective: To evaluate radiographic outcomes in patients undergoing minimally invasive Chevron/Akin osteotomy (MICA) for hallux valgus correction. Methods: We have treated 31 patients (40 feet). Preoperative and postoperative hallux metatarsophalangeal angles (hallux valgus angles, HVA), intermetatarsal angles (IMA) between the first and second metatarsals, and distal metatarsal articular angles (DMAA) were followed up for 12 months. Results: The mean age of the patients was 53.2 years. Mean preoperative HVA, IMA, and DMAA values were 28.85°, 15.38°, and 14.35°, respectively. The mean postoperative angles measured after 1 year were 10.60°, 7.95°, and 7.48°. Improvements in HVA, IMA, and DMAA values showed statistical relevance. There were no losses in angular parameters during follow-up. Conclusion: The radiographic outcomes in patients undergoing MICA osteotomy for hallux valgus correction followed up for 12 months showed significant improvements and no recurrence of the deformity. Our results suggest that this technique is effective for correcting hallux valgus. Level of Evidence III; Therapeutic Studies; Comparative Retrospective Study.
{"title":"Minimally invasive chevron/akin osteotomy: radiographic outcomes","authors":"K. Carvalho, Fernando Garnica Torrico, David Satiro Borges Pereira de Oliveira, A. Baptista","doi":"10.30795/jfootankle.2021.v15.1563","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1563","url":null,"abstract":"Objective: To evaluate radiographic outcomes in patients undergoing minimally invasive Chevron/Akin osteotomy (MICA) for hallux valgus correction. Methods: We have treated 31 patients (40 feet). Preoperative and postoperative hallux metatarsophalangeal angles (hallux valgus angles, HVA), intermetatarsal angles (IMA) between the first and second metatarsals, and distal metatarsal articular angles (DMAA) were followed up for 12 months. Results: The mean age of the patients was 53.2 years. Mean preoperative HVA, IMA, and DMAA values were 28.85°, 15.38°, and 14.35°, respectively. The mean postoperative angles measured after 1 year were 10.60°, 7.95°, and 7.48°. Improvements in HVA, IMA, and DMAA values showed statistical relevance. There were no losses in angular parameters during follow-up. Conclusion: The radiographic outcomes in patients undergoing MICA osteotomy for hallux valgus correction followed up for 12 months showed significant improvements and no recurrence of the deformity. Our results suggest that this technique is effective for correcting hallux valgus. Level of Evidence III; Therapeutic Studies; Comparative Retrospective Study.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76347570","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}
Pub Date : 2021-01-01DOI: 10.30795/jfootankle.2021.v15.1564
H. D. Bertelli, Bruno Arvatti Michelin, Isabela Ferreira Perucci, M. Cillo, Carlos Daniel Candido Castro Filho, Rodrigo Guimarães Huyer
Objective: To analyze the functional outcomes of patients undergoing endoscopic calcaneoplasty for the treatment of Haglund deformity. Methods: This study consists of a case series of patients undergoing endoscopic calcaneoplasty. The American Orthopaedic Foot and Ankle Society ankle-hindfoot scale, was used to evaluate patients before and 12 months after the procedure, providing preoperative and postoperative scores. Results: Nineteen patients were evaluated for a total of 24 endoscopic calcaneoplasties. The American Orthopaedic Foot and Ankle Society scale provided a mean preoperative score of 31.4 and a mean postoperative score of 93.3, which shows a significantly increased score after surgery. The mean patient age was 52 years, and the youngest patient was 25 years old and the oldest patient was 73 years old. However, no significant relationship was found between age and change in the American Orthopaedic Foot and Ankle Society score. No complications were observed in the immediate or late postoperative periods. Conclusion: Arthroscopic resection is efficient in the treatment of Haglund deformity given the significant improvement in the American Orthopaedic Foot and Ankle Society score observed after the procedure. Also, no postoperative complications were seen in patients who underwent endoscopic calcaneoplasty. Level of Evidence: IV; Therapeutic Studies; Case series.
{"title":"Functional evaluation of patients undergoing endoscopic calcaneoplasty for Haglund deformity","authors":"H. D. Bertelli, Bruno Arvatti Michelin, Isabela Ferreira Perucci, M. Cillo, Carlos Daniel Candido Castro Filho, Rodrigo Guimarães Huyer","doi":"10.30795/jfootankle.2021.v15.1564","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1564","url":null,"abstract":"Objective: To analyze the functional outcomes of patients undergoing endoscopic calcaneoplasty for the treatment of Haglund deformity. Methods: This study consists of a case series of patients undergoing endoscopic calcaneoplasty. The American Orthopaedic Foot and Ankle Society ankle-hindfoot scale, was used to evaluate patients before and 12 months after the procedure, providing preoperative and postoperative scores. Results: Nineteen patients were evaluated for a total of 24 endoscopic calcaneoplasties. The American Orthopaedic Foot and Ankle Society scale provided a mean preoperative score of 31.4 and a mean postoperative score of 93.3, which shows a significantly increased score after surgery. The mean patient age was 52 years, and the youngest patient was 25 years old and the oldest patient was 73 years old. However, no significant relationship was found between age and change in the American Orthopaedic Foot and Ankle Society score. No complications were observed in the immediate or late postoperative periods. Conclusion: Arthroscopic resection is efficient in the treatment of Haglund deformity given the significant improvement in the American Orthopaedic Foot and Ankle Society score observed after the procedure. Also, no postoperative complications were seen in patients who underwent endoscopic calcaneoplasty. Level of Evidence: IV; Therapeutic Studies; Case series.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73366014","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}
Pub Date : 2021-01-01DOI: 10.30795/jfootankle.2021.v15.1549
J. Mizusaki, Sérgio Damião Santos Prata, M. Rizzo, Luiz Augusto Sampaio Gonzaga Filho, L. Carneiro
Objective: To evaluate the epidemiological characteristics of patients with fractures in the ankle region. Methods: This prospective, observational, descriptive, and epidemiological study included ankle fractures treated at our service from March 1, 2017 to March 1, 2018. Data were obtained from 150 patients through a detailed questionnaire. Results: The sample, which included 61.33% men, aged mainly between 20 to 30 years; 46.68% were of mixed race, and 41.33% had only completed elementary school. A total of 33.66% of the ankle fractures occurred in the afternoon. According to the Weber classification system, 46.66% were type B fractures.Conclusion: Ankle fractures were more common in men of working age, and were mostly closed fractures in the right lower limb. Level of Evidence IV; Prognostic Studies; Case Series.
{"title":"Epidemiological study of ankle fractures","authors":"J. Mizusaki, Sérgio Damião Santos Prata, M. Rizzo, Luiz Augusto Sampaio Gonzaga Filho, L. Carneiro","doi":"10.30795/jfootankle.2021.v15.1549","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1549","url":null,"abstract":"Objective: To evaluate the epidemiological characteristics of patients with fractures in the ankle region. Methods: This prospective, observational, descriptive, and epidemiological study included ankle fractures treated at our service from March 1, 2017 to March 1, 2018. Data were obtained from 150 patients through a detailed questionnaire. Results: The sample, which included 61.33% men, aged mainly between 20 to 30 years; 46.68% were of mixed race, and 41.33% had only completed elementary school. A total of 33.66% of the ankle fractures occurred in the afternoon. According to the Weber classification system, 46.66% were type B fractures.Conclusion: Ankle fractures were more common in men of working age, and were mostly closed fractures in the right lower limb. Level of Evidence IV; Prognostic Studies; Case Series.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78410597","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}
Pub Date : 2021-01-01DOI: 10.30795/jfootankle.2021.v15.1531
Rodrigo Guimarães Huyer, M. Cillo, Carlos Daniel Cândido de Castro Filho, H. D. Bertelli, Renato Morelli Berg
Objective: To assess postoperative clinical functional outcomes, based on the American Orthopaedic Foot & Ankle Society (AOFAS) score, of tendoscopies performed in the treatment of foot and ankle pathologies. Methods: Our comparative assessment used AOFAS scores obtained preoperatively and at early and late postoperative stages - 1 month and 6 to 12 months after surgery - of 14 patients with foot and ankle tendinopathies. These included peroneal tendon dislocation, peroneal tendonitis, and tearing of the peroneus longus or brevis, all treated with tendoscopy for peroneal reconstruction and tenorrhaphy. The AOFAS score was obtained by functional assessment during outpatient physical examination. We presented a descriptive analysis of cases, comparing scores over time through the Friedman test followed by Dunn’s test. The relationship between score variations and sex was assessed using the Mann-Whitney test; their comparison with age used Spearman’s linear correlation coefficient. Significance levels were 5%.Results: The AOFAS score showed important improvements such as preoperative scores of 56 and 67 followed by postoperative scores of 100 both in the early and late stages, supporting the efficacy and persistence of this treatment strategy. The p-value obtained after statistical analysis was <0.0001. Conclusion: We concluded that the treatment of foot and ankle comorbidities with tendoscopy, in addition to being less invasive, shows consistency and efficacy as demonstrated by the AOFAS score and functional assessment via postoperative physical examinations. AOFAS scores were increased and maintained at high levels in the postoperative period, demonstrating the efficacy of this procedure and the duration of treatment results. Level of Evidence IV; Case Series; Therapeutic Studies - Investigation of Treatment Results.
{"title":"Functional assessment of foot and ankle tendinopathies treated with tendoscopy","authors":"Rodrigo Guimarães Huyer, M. Cillo, Carlos Daniel Cândido de Castro Filho, H. D. Bertelli, Renato Morelli Berg","doi":"10.30795/jfootankle.2021.v15.1531","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1531","url":null,"abstract":"Objective: To assess postoperative clinical functional outcomes, based on the American Orthopaedic Foot & Ankle Society (AOFAS) score, of tendoscopies performed in the treatment of foot and ankle pathologies. Methods: Our comparative assessment used AOFAS scores obtained preoperatively and at early and late postoperative stages - 1 month and 6 to 12 months after surgery - of 14 patients with foot and ankle tendinopathies. These included peroneal tendon dislocation, peroneal tendonitis, and tearing of the peroneus longus or brevis, all treated with tendoscopy for peroneal reconstruction and tenorrhaphy. The AOFAS score was obtained by functional assessment during outpatient physical examination. We presented a descriptive analysis of cases, comparing scores over time through the Friedman test followed by Dunn’s test. The relationship between score variations and sex was assessed using the Mann-Whitney test; their comparison with age used Spearman’s linear correlation coefficient. Significance levels were 5%.Results: The AOFAS score showed important improvements such as preoperative scores of 56 and 67 followed by postoperative scores of 100 both in the early and late stages, supporting the efficacy and persistence of this treatment strategy. The p-value obtained after statistical analysis was <0.0001. Conclusion: We concluded that the treatment of foot and ankle comorbidities with tendoscopy, in addition to being less invasive, shows consistency and efficacy as demonstrated by the AOFAS score and functional assessment via postoperative physical examinations. AOFAS scores were increased and maintained at high levels in the postoperative period, demonstrating the efficacy of this procedure and the duration of treatment results. Level of Evidence IV; Case Series; Therapeutic Studies - Investigation of Treatment Results.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"2013 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87728086","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}
Pub Date : 2021-01-01DOI: 10.30795/jfootankle.2021.v15.1535
R. Barroco, B. R. Miranda, Herbert Amantéa Fernandes, Gregory Bittar Pessoa, D. R. Nishikawa, Letícia Zaccaria Prates de Oliveira, Á. D. D. De Freitas, Caio Ivo de Almeida
Objective: To evaluate the inter-rater reliability and intra-class correlation coefficients (ICC) of Böhler’s angle and the critical angle of Gissane in calcaneal fractures, stratified by severity and by the Essex-Lopresti and Sanders classifications. Methods: Retrospective study of radiographs obtained from 97 patients: 67 with calcaneal fractures and 30 with normal lateral radiographs (used as a control group). Böhler’s angle and the angle of Gissane were measured by six raters: two orthopedic surgery residents, two musculoskeletal radiologists, a foot and ankle surgery fellow, and a senior consultant in foot surgery. Statistical analysis of inter-rater reliability was performed for the two angles, in the sample overall and stratified by the different radiographic and CT subtypes of calcaneal fractures. Results: For the angle of Gissane, the ICC was at best 0.400 (95% CI: 0.250 to 0.581) for normal radiographs, with poor agreement across all classifications and severity stratifications. For Böhler’s angle, the ICC values indicated weak to moderate agreement, with the best reproducibility obtained for the overall sample (0.740; 95% CI: 0.673 to 0.801). In Sanders type 1 fractures, the ICC was 0.704 (95% CI: 0.397 to 0.940), and in Sanders type 2 fractures, 0.762 (95% CI: 0.634 to 0.870). Conclusion: Böhler’s angle is more reproducible than the critical angle of Gissane, with greater inter-rater reliability among fractures deemed less severe on the Sanders classification, although the overall ICC ranged from weak to moderate at best. Level of Evidence III; Case Control Study; Diagnostic Studies.
{"title":"Inter-rater reliability of Böhler and Gissane angles in different calcaneal fracture according to the Essex-Lopresti and Sanders classifications","authors":"R. Barroco, B. R. Miranda, Herbert Amantéa Fernandes, Gregory Bittar Pessoa, D. R. Nishikawa, Letícia Zaccaria Prates de Oliveira, Á. D. D. De Freitas, Caio Ivo de Almeida","doi":"10.30795/jfootankle.2021.v15.1535","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1535","url":null,"abstract":"Objective: To evaluate the inter-rater reliability and intra-class correlation coefficients (ICC) of Böhler’s angle and the critical angle of Gissane in calcaneal fractures, stratified by severity and by the Essex-Lopresti and Sanders classifications. Methods: Retrospective study of radiographs obtained from 97 patients: 67 with calcaneal fractures and 30 with normal lateral radiographs (used as a control group). Böhler’s angle and the angle of Gissane were measured by six raters: two orthopedic surgery residents, two musculoskeletal radiologists, a foot and ankle surgery fellow, and a senior consultant in foot surgery. Statistical analysis of inter-rater reliability was performed for the two angles, in the sample overall and stratified by the different radiographic and CT subtypes of calcaneal fractures. Results: For the angle of Gissane, the ICC was at best 0.400 (95% CI: 0.250 to 0.581) for normal radiographs, with poor agreement across all classifications and severity stratifications. For Böhler’s angle, the ICC values indicated weak to moderate agreement, with the best reproducibility obtained for the overall sample (0.740; 95% CI: 0.673 to 0.801). In Sanders type 1 fractures, the ICC was 0.704 (95% CI: 0.397 to 0.940), and in Sanders type 2 fractures, 0.762 (95% CI: 0.634 to 0.870). Conclusion: Böhler’s angle is more reproducible than the critical angle of Gissane, with greater inter-rater reliability among fractures deemed less severe on the Sanders classification, although the overall ICC ranged from weak to moderate at best. Level of Evidence III; Case Control Study; Diagnostic Studies.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85783382","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}
Pub Date : 2021-01-01DOI: 10.30795/jfootankle.2021.v15.1541
Andres Fuentealba Pooley, H. Henriquez Sazo, L. Lagos Sepulveda, C. Bastías Soto, F. Vargas Gallardo, S. Fernandez Comber
Avascular necrosis of the talus is a rare condition that can lead to important functional sequelae. There are few therapeutic alternatives for more advanced stages of this disease, the majority of which sacrifice the ankle joint. We report the case of a 50-year-old patient with nontraumatic avascular necrosis that compromised a large part of the talar surface. After non-structural autograft failed, it was reconstructed using fresh structural talar allograft. At one year of follow-up, the patient reported a considerable decrease in pain. To our knowledge, this is the first reported case in which fresh structural allograft was used in the treatment of nontraumatic avascular necrosis of the talus. Level of Evidence V; Therapeutic Studies; Expert Opinion.
{"title":"Talus reconstruction using fresh structural allograft after nontraumatic avascular necrosis: case report","authors":"Andres Fuentealba Pooley, H. Henriquez Sazo, L. Lagos Sepulveda, C. Bastías Soto, F. Vargas Gallardo, S. Fernandez Comber","doi":"10.30795/jfootankle.2021.v15.1541","DOIUrl":"https://doi.org/10.30795/jfootankle.2021.v15.1541","url":null,"abstract":"Avascular necrosis of the talus is a rare condition that can lead to important functional sequelae. There are few therapeutic alternatives for more advanced stages of this disease, the majority of which sacrifice the ankle joint. We report the case of a 50-year-old patient with nontraumatic avascular necrosis that compromised a large part of the talar surface. After non-structural autograft failed, it was reconstructed using fresh structural talar allograft. At one year of follow-up, the patient reported a considerable decrease in pain. To our knowledge, this is the first reported case in which fresh structural allograft was used in the treatment of nontraumatic avascular necrosis of the talus. Level of Evidence V; Therapeutic Studies; Expert Opinion.","PeriodicalId":21602,"journal":{"name":"Scientific Journal of the Foot & Ankle","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85375225","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}
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