Fuss und Sprunggelenk最新文献

Aim

We investigated the inter- and intra-observer reliability of the novel Column Involvement Severity System (CISS) in comparison to the commonly used Myerson classification for Lisfranc injuries.

Methods

Sixteen observers (orthopedic or trauma surgeons with experience in foot and ankle trauma) rated radiographs and computed tomography videos of 31 cases of patients treated at our level 1 trauma center between 2010 and 2020. Four weeks after completing the first rating session, eight observers (50%) rated the cases again. The inter- and intra-observer reliability for both classifications were assessed using intraclass correlation coefficients (ICC).

Results

ICC for Myerson classification was 0,277 (0,056–0,944) for interobserver and 0,505 (0,390–0,604) for intra-observer reliability. However, the Myerson classification was found to be non-applicable by at least 25% of observers in 48,4% of cases (range 0–63%). For the CISS classification, overall ICC was 0,455 (moderate) and 0,676 (substantial) for interobserver and intra-observer reliability respectively.

Conclusion

The Myerson classification was found to be non-applicable by a large number of observers. The CISS classification demonstrated better interobserver and intra-observer reliability. It may thus provide better communication about the injury severity and involvement of the three midfoot columns in Lisfranc injuries.

Purpose of the study

The retrospective study aimed at assessment of donor site morbidity of tricortical iliac crest graft harvest for foot and ankle indications in a single-surgeon, single-technique group of patients.

Materials and methods

Consecutive patients undergoing procedures in foot and ankle requiring grafting from iliac crest were contacted with telephoned questionnaire within a second year post surgery.

Results

Among the group of 37 patients, 100% follow-up has been achieved. One patient reported continued pain at the donor site, one case of hyperesthesia around the approach and one case of hypoesthesia of lateral cutaneous nerve of the thigh were reported.

Discussion

Data regarding complications of tricortical bone graft harvest from iliac crest is varied. Long term pain has been reported in up to 29% of cases. Variability of information negatively influences informed consent process. We report the results of homogeneous cohort of patients operated for foot and ankle indications.

Conclusion

Harvesting of tricortical anterior iliac graft for foot and ankle indications carries minimal risk of long term pain at the donor site.

This study aimed to evaluate whether there was a variation in foot size between generations. This is a general population survey study conducted in Turkey between January and July 2022. The questionnaire consisted of five questions, including age, gender, height, weight, and shoe size. Survey questions were prepared on a digital platform, and participants completed the survey online via their computers or smartphones. The European shoe sizing system was used for shoe sizes. Four groups were formed (1^st generation 18–25 years old, 2^nd generation >25–50 old, 3^rd generation, >50–75 years old and 4^th generation >75 years old), from the new generation to the old generation. A total of 3196 subjects, 1425 (44.6%) women and 1771 (55.4%) men, were included in this study. The mean age of women was 41.6 ± 14.3 (range 18 to 97) years, and the mean age of men was 42.9 ± 13.2 (range 18 to 99) years. While height-weight adjusted foot size did not differ between generations in the female gender (p = 0.412), adjusted foot sizes were found to differ between generations in men (ANCOVA test p < 0.001). The youngest generation had larger foot sizes than the 2^nd, 3^rd, and 4^th generations (p < 0.001, p < 0.001, and p = 0.009, respectively).The male foot size in the new generation is getting bigger independent of height and weight.

Level of Clinical Evidence: 3