Pub Date : 2024-06-01DOI: 10.1016/j.fuspru.2024.04.003
{"title":"The role of the transverse arch in progressive collapsing foot deformity","authors":"","doi":"10.1016/j.fuspru.2024.04.003","DOIUrl":"10.1016/j.fuspru.2024.04.003","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Page 127"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141280273","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 : 2024-06-01DOI: 10.1016/j.fuspru.2024.05.005
Philipp Winter , Kajetan Klos , Klaus-Edgar Roth , Stefan Landgraeber , Joe Wagener
Acute injuries to the ankle joint can lead to chronic instability in up to 30% of cases in the long term. An anatomically restored distal tibiofibular joint is a significant factor in the clinical outcome of patients. Abnormalities in the clinical examination when a chronic syndesmosis injury is suspected should lead to further diagnostics. Stable lesions should be treated with conservative measures. A wide variety of treatment methods have been described in the literature for the surgical treatment of unstable chronic syndesmosis injuries. The published surgical methods range from arthroscopic debridement to complex surgical treatment using syndesmosis reconstruction or tibiofibular fusion. The evidence for the various treatment methods is limited and is largely based on expert recommendations. At the present time, no treatment regimen can be recommended without reservation (2023).
{"title":"Behandlung der chronischen Syndesmosenruptur— Was sagt die Evidenz?","authors":"Philipp Winter , Kajetan Klos , Klaus-Edgar Roth , Stefan Landgraeber , Joe Wagener","doi":"10.1016/j.fuspru.2024.05.005","DOIUrl":"10.1016/j.fuspru.2024.05.005","url":null,"abstract":"<div><p>Acute injuries to the ankle joint can lead to chronic instability in up to 30% of cases in the long term. An anatomically restored distal tibiofibular joint is a significant factor in the clinical outcome of patients. Abnormalities in the clinical examination when a chronic syndesmosis injury is suspected should lead to further diagnostics. Stable lesions should be treated with conservative measures. A wide variety of treatment methods have been described in the literature for the surgical treatment of unstable chronic syndesmosis injuries. The published surgical methods range from arthroscopic debridement to complex surgical treatment using syndesmosis reconstruction or tibiofibular fusion. The evidence for the various treatment methods is limited and is largely based on expert recommendations. At the present time, no treatment regimen can be recommended without reservation (2023).</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Pages 112-126"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S161999872400045X/pdfft?md5=26b78bc53a4fd2788701f25e6ca02c45&pid=1-s2.0-S161999872400045X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997733","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}
Pub Date : 2024-06-01DOI: 10.1016/j.fuspru.2024.06.002
Hans-Jörg Trnka, Christian Plaaß
{"title":"Bericht über den gemeinsamen Jahreskongress der D.A.F. und ÖGF in Wien","authors":"Hans-Jörg Trnka, Christian Plaaß","doi":"10.1016/j.fuspru.2024.06.002","DOIUrl":"10.1016/j.fuspru.2024.06.002","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Pages 133-139"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690910","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 : 2024-06-01DOI: 10.1016/j.fuspru.2024.05.002
{"title":"Neuaufnahmen (Stand 01.04.2024)","authors":"","doi":"10.1016/j.fuspru.2024.05.002","DOIUrl":"10.1016/j.fuspru.2024.05.002","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Page 143"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134120","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 : 2024-03-01DOI: 10.1016/j.fuspru.2024.02.008
{"title":"Einladung zur Mitgliederversammlung der Deutschen Assoziation für Fuß und Sprunggelenk e.V.","authors":"","doi":"10.1016/j.fuspru.2024.02.008","DOIUrl":"https://doi.org/10.1016/j.fuspru.2024.02.008","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Page 64"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000096/pdfft?md5=a4db0ed7944a5b54d4e259e6497e46e7&pid=1-s2.0-S1619998724000096-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140650094","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}
The operative treatment of tibial pilon fracture is a surgical challenge, especially the treatment of its complications. Among them, a non-union with bone loss at the ankle joint is a major complication and high surgical expertise is needed due to its complexity. Besides the option of a fusion, nowadays the option of a total ankle replacement (TAR) is also available. The meticulous analysis of the reasons that lead to the non-union and bone defect, the identification of the individual demands of each patient, as well as the biological and biomechanical characteristics of the micro-environment of the bone are prerequisites for the planning of a personalized treatment of the severe complication. The present paper focuses on the reasons that can lead to a non-union with defect after surgical treatment of tibial pilon fractures, as well as on the available treatment options in the form of either an ankle fusion or TAR.
胫骨皮隆骨折的手术治疗是一项外科挑战，尤其是并发症的治疗。其中，踝关节处骨缺损导致的不愈合是主要并发症，由于其复杂性，需要高超的手术技巧。除了融合术，如今还可以选择全踝关节置换术（TAR）。对导致骨不愈合和骨缺损的原因进行细致分析，确定每位患者的个体需求，以及骨微环境的生物和生物力学特征，是针对这一严重并发症制定个性化治疗方案的先决条件。本文重点介绍了胫骨皮隆骨折手术治疗后可能导致不愈合和骨缺损的原因，以及踝关节融合术或 TAR 的可用治疗方案。
{"title":"Die Defektpseudarthrose des Pilon tibiale: Möglichkeiten der Defektrekonstruktion und Endoprothetik","authors":"Serafeim Tsitsilonis , Dominik Adl Amini , Tobias Gehlen","doi":"10.1016/j.fuspru.2024.03.001","DOIUrl":"10.1016/j.fuspru.2024.03.001","url":null,"abstract":"<div><p>The operative treatment of tibial pilon fracture is a surgical challenge, especially the treatment of its complications. Among them, a non-union with bone loss at the ankle joint is a major complication and high surgical expertise is needed due to its complexity. Besides the option of a fusion, nowadays the option of a total ankle replacement (TAR) is also available. The meticulous analysis of the reasons that lead to the non-union and bone defect, the identification of the individual demands of each patient, as well as the biological and biomechanical characteristics of the micro-environment of the bone are prerequisites for the planning of a personalized treatment of the severe complication. The present paper focuses on the reasons that can lead to a non-union with defect after surgical treatment of tibial pilon fractures, as well as on the available treatment options in the form of either an ankle fusion or TAR.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Pages 50-59"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000102/pdfft?md5=3c3aa66626885ccb2e44d484bc44730c&pid=1-s2.0-S1619998724000102-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140272480","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}
Pub Date : 2024-03-01DOI: 10.1016/j.fuspru.2024.02.007
Sebastian Felix Baumbach, Hans Polzer
Fractures of the base of the fifth metatarsal bone are among the most common fractures of the foot. Some of these fractures heal quickly and without complications with non-operative therapy, while others often lead to symptomatic non-unions. Accordingly, proper classification is critical for a successful treatment. The best therapy for a non-union is to prevent it. Fractures at the distal end of articulation of fourth and fifth metatarsal (meta-diaphyseal fractures) have a high risk for non-unions when treated non-operatively. Operative treatment using intramedullary screw fixation on the other hand, leads to reproducibly good results. Accordingly, operative treatment should be recommended. If a non-union develops, it is result of non-operative treatment in most cases. Only symptomatic non-unions necessitate further treatment. Initially, shock wave therapy should be considered. Most authors recommend isolated intramedullary screw osteosynthesis. An open curettage of the non-union or even a bone grafting do not seem to be necessary.
{"title":"Pseudarthrosen des Metatarsale 5: Welche Fraktur ist „at risk“? Behandlungsstrategie der Pseudarthrose","authors":"Sebastian Felix Baumbach, Hans Polzer","doi":"10.1016/j.fuspru.2024.02.007","DOIUrl":"10.1016/j.fuspru.2024.02.007","url":null,"abstract":"<div><p>Fractures of the base of the fifth metatarsal bone are among the most common fractures of the foot. Some of these fractures heal quickly and without complications with non-operative therapy, while others often lead to symptomatic non-unions. Accordingly, proper classification is critical for a successful treatment. The best therapy for a non-union is to prevent it. Fractures at the distal end of articulation of fourth and fifth metatarsal (meta-diaphyseal fractures) have a high risk for non-unions when treated non-operatively. Operative treatment using intramedullary screw fixation on the other hand, leads to reproducibly good results. Accordingly, operative treatment should be recommended. If a non-union develops, it is result of non-operative treatment in most cases. Only symptomatic non-unions necessitate further treatment. Initially, shock wave therapy should be considered. Most authors recommend isolated intramedullary screw osteosynthesis. An open curettage of the non-union or even a bone grafting do not seem to be necessary.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Pages 20-28"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000084/pdfft?md5=f334558fc7367b382c6258861841c029&pid=1-s2.0-S1619998724000084-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278484","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}
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