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Foot and Ankle Specialist最新文献

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Calendar for June 2022 2022年6月日历
Q2 ORTHOPEDICS Pub Date : 2022-06-01 DOI: 10.1177/19386400221105555
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引用次数: 0
Increased Arthrodesis Rates in Charcot Neuroarthropathy Utilizing Distal Tibial Distraction Osteogenesis Principles 利用胫骨远端牵引成骨原理提高Charcot神经关节病的关节固定率
Q2 ORTHOPEDICS Pub Date : 2022-05-03 DOI: 10.1177/19386400221087822
N. Siddiqui, Kelsey J. Millonig, B. Mayer, J. Fink, Philip K. McClure, C. Bibbo
Charcot neuroarthropathy of the hindfoot and ankle poses substantial challenges due to deformity, segmental bone loss, chronic infection, and difficulty with bracing. Hindfoot or ankle arthrodesis is often employed at high rates of complications and nonunion. This study reports 15 consecutive patients with Charcot neuroarthropathy who underwent tibiotalocalcaneal or tibiocalcaneal fusion with simultaneous distal tibial distraction osteogenesis with a mean follow-up period of 20.2 ± 5.66 months. Arthrodesis rate was 93.3% (14 patients) with mean time to fusion of 4.75 ± 3.4 months. One hypertrophic nonunion occurred at the arthrodesis site. Complete consolidation of 4 cortices was achieved at the distraction site in 93.3% of patients (14 patients) with a mean duration to consolidation of 9.8 ± 3.3 months. One patient experienced hypertrophic nonunion at the regeneration site. The authors report a technique to enhance arthrodesis rates in Charcot neuroarthropathy by combining distal tibial distraction osteogenesis with simultaneous tibiotalocalcaneal or tibiocalcaneal arthrodesis for hindfoot fusion and salvage. Distraction osteogenesis supports enhanced vascularity to the arthrodesis site. Level of Clinical Evidence: Level 4
后足和踝关节的Charcot神经关节病由于畸形、节段性骨丢失、慢性感染和支具困难而带来了巨大的挑战。后脚或踝关节融合术通常用于并发症和不愈合的高发生率。本研究报告了15例连续的Charcot神经关节病患者,他们接受胫骨距骨或胫骨跟骨融合同时胫骨远端牵张成骨,平均随访时间为20.2±5.66个月。关节融合率为93.3%(14例),平均融合期4.75±3.4个月。一例肥厚性骨不连发生在关节融合术部位。93.3%的患者(14例)在牵张部位实现了4个皮质的完全实变,平均实变时间为9.8±3.3个月。1例患者再生部位出现肥厚性骨不连。作者报告了一种提高Charcot神经关节病关节融合术的技术,该技术通过将胫骨远端牵张成骨与同时进行胫距跟骨或胫跟骨关节融合术相结合,以实现后足融合和保留。牵张成骨支持增强关节融合术部位的血管。临床证据等级:4级
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引用次数: 2
Three-Dimensional-Printed Lesser Metatarsal Replacement: The First Case Report. 三维打印小跖骨置换术:第一例报告。
Q2 ORTHOPEDICS Pub Date : 2022-04-19 DOI: 10.1177/19386400221088455
Naji S Madi, Aman Chopra, Selene G Parekh

Different procedures have been reported for severe and recurrent lesser toes deformity. These included DuVries metatarsophalangeal joint arthroplasty, resection arthroplasty, partial proximal phalangectomy, syndactylization, or lesser toe amputation. In the presence of a failed metatarsal head resection, the surgeon is faced with limited salvage options including Hoffman procedure or lesser toe amputation. The 3D printing technology has allowed orthopaedic surgeons to expand the therapeutic arsenal to address challenging situations. We herein present the first case of 3D-printed second lesser metatarsal replacement performed after a failed second metatarsal head resection.Level of Evidence: V.

对于严重和复发的小脚趾畸形,已经报道了不同的手术方法。其中包括DuVries跖趾关节置换术、截骨置换术、部分近节指骨切除术、并指化术或小脚趾截肢术。在跖骨头切除失败的情况下,外科医生面临着有限的抢救选择,包括霍夫曼手术或小脚趾截肢。3D打印技术使整形外科医生能够扩大治疗范围,以应对具有挑战性的情况。本文介绍了第一例3D打印的第二跖骨小置换术,该术是在第二跖骨头切除失败后进行的。证据级别:五。
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引用次数: 0
FAS Roundtable April 2022 FAS圆桌会议2022年4月
Q2 ORTHOPEDICS Pub Date : 2022-04-01 DOI: 10.1177/19386400221092499
P. Buerhaus, Jonathan Gleason, Susan Lee, Jeanne S Armentrout
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引用次数: 0
Calendar for FAS April FAS四月日历
Q2 ORTHOPEDICS Pub Date : 2022-04-01 DOI: 10.1177/19386400221092495
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引用次数: 0
Calendar for December 2021 2021年12月日历
Q2 ORTHOPEDICS Pub Date : 2021-11-30 DOI: 10.1177/19386400211064762
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引用次数: 0
Calendar for October 2021 2021年10月日历
Q2 ORTHOPEDICS Pub Date : 2021-10-01 DOI: 10.1177/19386400211059932
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引用次数: 0
Calendar for August 2021 2021年8月日历
Q2 ORTHOPEDICS Pub Date : 2021-08-01 DOI: 10.1177/19386400211045785
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引用次数: 0
Calendar for June 2021 2021年6月日历
Q2 ORTHOPEDICS Pub Date : 2021-06-01 DOI: 10.1177/19386400211027957
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引用次数: 0
Calendar for April 2021 2021年4月日历
Q2 ORTHOPEDICS Pub Date : 2021-04-01 DOI: 10.1177/19386400211005633
Superbones Superwounds
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引用次数: 0
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Foot and Ankle Specialist
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