Foot and Ankle Surgery最新文献

{"title":"Letter to the editor to comment on “Diagnosis, treatment, and prevention of ankle sprains: Comparing free chatbot recommendations with clinical guidelines”","authors":"Gongtao Jiang, Wei Fan, Qishui Xia","doi":"10.1016/j.fas.2025.09.001","DOIUrl":"10.1016/j.fas.2025.09.001","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Page 193"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to sport after osteotomy in patients with hallux rigidus","authors":"P. Ceccarini,&nbsp;M. Donantoni ,&nbsp;G. Nuzzo,&nbsp;B. Carriero,&nbsp;G. Ancillai,&nbsp;G. Rinonapoli,&nbsp;A. Caraffa","doi":"10.1016/j.fas.2025.08.001","DOIUrl":"10.1016/j.fas.2025.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Hallux rigidus (HR) is a common degenerative condition of the first metatarsophalangeal joint (MTPJ), particularly limiting in active adults and athletes. While joint-sacrificing procedures such as arthrodesis are effective, joint-preserving techniques remain preferable in patients wishing to maintain function and mobility. The modified Youngswick osteotomy offers such an option by decompressing and realigning the joint.</div></div><div><h3>Methods</h3><div>This retrospective observational study included 55 physically active patients (mean age: 42.8 ± 8.5 anni years) with grade II HR who underwent modified Youngswick osteotomy between 2015 and 2022. Inclusion criteria included active engagement in sports, age under 60 years, and a minimum follow-up of 24 months. Clinical outcomes were assessed using the Visual Analog Scale (VAS), the European Foot and Ankle Society (EFAS) score, and return to sports (RTS) rates.</div></div><div><h3>Results</h3><div>At a mean follow-up of 79.3 months, 49 of 52 patients (94.2 %) resumed sports activities. Significant improvements were observed in VAS scores (from 5.04 to 0.9, <em>p</em> &lt; .001) and EFAS general (22.7 ± 6.1–37.1 ± 5.4, <em>p</em> &lt; .001) and sport-specific scores (9.3–14.3, <em>p</em> &lt; .001). Postoperative dorsiflexion improved from a mean of 24.5° to 52.5° (<em>p</em> &lt; .001). Complications were rare and mild, including two cases of transfer metatarsalgia and one hardware intolerance.</div></div><div><h3>Conclusion</h3><div>Modified Youngswick osteotomy is an effective joint-preserving surgical option for moderate HR in active adults. It provides excellent pain relief, improves function and range of motion, and allows for a high rate of return to sports. This technique represents a valid alternative to arthrodesis in patients wishing to maintain MTPJ mobility and an active lifestyle.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Pages 145-151"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous anterior to posterior screw fixation via lateral malleolus incision window for Bartoníček-Rammelt type 4 posterior malleolus fractures","authors":"Chunguang Sun ,&nbsp;Mu Han ,&nbsp;Hongjin Qi ,&nbsp;Wenshu Li ,&nbsp;Youhua Wang ,&nbsp;Cheng Li","doi":"10.1016/j.fas.2025.08.006","DOIUrl":"10.1016/j.fas.2025.08.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The presence of a posterior malleolar (PM) fragment has a negative prognostic impact in ankle fractures. Percutaneous anterior to posterior screw fixation has been advocated for the treatment of ankle fractures involving the posterior malleolus and satisfactory results were demonstrated in several studies. The aim of this retrospective study was to evaluate the clinical effect of percutaneous anterior to posterior screw fixation via lateral malleolus incision window approach (APSF-LMA) for the treatment of posterior malleolus fracture (PMF) and present outcomes of patients with type 4 of Bartoníček-Rammelt classification in comparison to using the dorsiflexion ankle anterior posterior screw fixation (APSF-DA) and posterior plate fixation through posterolateral approach (PPF-PLA).</div></div><div><h3>Methods</h3><div>We retrospectively reviewed the clinical outcomes of 58 patients with ankle fractures involving Bartoníček-Rammelt type 4 PMF from January 2019 to December 2023. Comparisons were conducted between the groups regarding operative time, union time, the Olerud-Molander Ankle Score (OMAS), the EuroQol-5 Dimensions (EQ-5D), the American Orthopedic Foot and Ankle Society score (AOFAS), Kellgren-Lawrence (KL) osteoarthritis classification and clinical findings.</div></div><div><h3>Results</h3><div>The demographic characteristics were comparable between the groups. Fewer operative time was performed in the APSF-LMA (79(75–84.5) mins) and APSF-DA (78(70−85) mins) groups than in the PPF-PLA group (105(98−112) mins; <em>P</em> &lt; 0.0001). When compared with the other two approaches, the APSF-LMA approach was associated with higher AOFAS scores (<em>P</em> &lt; 0.05) and lower grade of KL (<em>P</em> &lt; 0.0001) at the last follow-up. No significant intergroup differences were detected in the incidence of complications (<em>P</em> &gt; 0.999), OMAS scores (<em>P</em> = 0.921) and EQ-5D (<em>P</em> = 0.806). Radiological and clinical findings demonstrated that fixation of the distal fibula (<em>P</em> = 0.727), the time of bony union and postoperative angulation (<em>P</em> = 0.846) were similar between the groups.</div></div><div><h3>Conclusions</h3><div>The APSF-LMA approach can serve as a safe and effective option for posterior malleolus fractures, as it offers favorable outcomes in ankle operation time and ankle functional recovery in the early postoperative period and is equivalent to the other two approaches in terms of the incidence of complications, fracture healing and postoperative angulation for patients with posterior malleolus fractures.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Pages 176-182"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"No difference in outcomes between golfers and non-golfers undergoing total ankle replacements","authors":"Jun Min Leow ,&nbsp;Nicholas Clement ,&nbsp;Andrew Murray ,&nbsp;Hisham Shalaby ,&nbsp;John Mckinley","doi":"10.1016/j.fas.2025.08.002","DOIUrl":"10.1016/j.fas.2025.08.002","url":null,"abstract":"<div><h3>Background</h3><div>The outcomes of total ankle replacements (TAR) in golfers are not known. The primary aim was to assess whether golfers experience similar improvements using the Manchester-Oxford Foot Questionnaire (MOXFQ) compared to the wider population. Secondary aims were to assess difference in demographics, health-related quality of life, and return to golf.</div></div><div><h3>Methods</h3><div>This was a retrospective review of prospectively collected data. Nineteen golfers and 144 non-golfers were included. Outcomes measured were MOXFQ, EQ5D3L and patient satisfaction.</div></div><div><h3>Results</h3><div>Golfers had significantly better MOXFQ scores preoperatively (p = 0.02) and postoperatively (p = 0.03), but there was no significant difference in mean change. Postoperative EQ5D3L scores were similar between groups. 52 % returned to golf within 6 months and 79 % within one year, similar to hip, knee and shoulder arthroplasty.</div></div><div><h3>Conclusion</h3><div>Golfers experience comparable improvements following TAR, with high rates of return to play. These findings may be used to counsel patients and manage expectations preoperatively.</div></div><div><h3>Level of evidence</h3><div>II</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Pages 152-155"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A game changing tool in the assessment of foot first ray laxity. A clinical reliability study","authors":"Filippo Pierobon ,&nbsp;Quentin Praz ,&nbsp;Spyridon Schoinas ,&nbsp;Elisabeth Schauer ,&nbsp;Laura Peurière ,&nbsp;Antoine Acker ,&nbsp;Maximilian Schindler ,&nbsp;Jeremy Olivier ,&nbsp;Nils Reymond ,&nbsp;Victor Dubois-Ferrière ,&nbsp;Mathieu Assal","doi":"10.1016/j.fas.2025.07.003","DOIUrl":"10.1016/j.fas.2025.07.003","url":null,"abstract":"<div><h3>Background</h3><div>Excessive laxity of the first ray has been implicated in various foot disorders. Accurate assessment is critical to define the most appropriate treatment. However, assessment currently depends largely on clinical examination and lacks objectivity. We evaluated the performance of an automated electromechanical tool developed to measure the relative dorsal mobility of the medial column compared to the lateral rays, and assessed the intra- and inter-examiner reliability of this device.</div></div><div><h3>Methods</h3><div>Two examiners assessed 30 feet of 17 volunteers. Data were collected 15 times on each foot. The intraclass correlation coefficient (ICC), Bland-Altman (B&amp;A) graphical analysis, and the standard error of measurement (SEM) were calculated.</div></div><div><h3>Results</h3><div>Inter-rater and intra-rater ICC values (&gt;0.9) were excellent. The Bland-Altman analysis revealed a mean bias of 0.07 mm between examiners.</div></div><div><h3>Conclusion</h3><div>This novel electromechanical device has demonstrated reliability in measuring first ray laxity, supporting its use in future studies aimed at quantifying first ray hyperlaxity.</div></div><div><h3>Level of evidence</h3><div>Level II, Prospective Reliability Study.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Pages 125-130"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing proximal and distal chevron osteotomy for moderate to severe hallux valgus: A meta-analysis of clinical and radiological outcomes, focusing on hallux valgus angle and intermetatarsal angle","authors":"Zakhira Maye R. Zipagan ,&nbsp;Adrian Joseph C. Tablante ,&nbsp;Daveric T. De Jesus ,&nbsp;Carlos Miguel I. Azucena ,&nbsp;Emiliano B. Tablante","doi":"10.1016/j.fas.2025.07.004","DOIUrl":"10.1016/j.fas.2025.07.004","url":null,"abstract":"<div><h3>Background</h3><div>Moderate to severe hallux valgus deformities are traditionally managed with proximal chevron osteotomy (PCO) due to its ability to correct significant angular deviations. However, distal chevron osteotomy (DCO), either alone or in combination with other interventions, has demonstrated promising radiological outcomes. This meta-analysis is the first to compare PCO and DCO in the treatment of moderate to severe hallux valgus.</div></div><div><h3>Methods</h3><div>Four studies, including 294 cases, compared PCO and DCO. Primary outcomes were Hallux Valgus Angle (HVA) and Intermetatarsal Angle (IMA). Secondary outcomes included AOFAS scores and postoperative complications.</div></div><div><h3>Results</h3><div>No significant differences were observed between PCO and DCO for HVA (P = 0.41) or IMA (P = 0.10). Similarly, AOFAS scores showed no statistical difference (P = 0.23).</div></div><div><h3>Conclusion</h3><div>Based on data from non-randomized studies, this meta-analysis found no significant clinical and radiological differences between PCO and DCO for moderate to severe hallux valgus. These findings suggest that DCO can be reliably used as an alternative to PCO, but further high-quality, randomized trials are needed to confirm long-term efficacy. Both techniques have low complication rates. The rehabilitation protocols across all studies included similar early mobilization and K-wire removal timing, but differences in weight-bearing, footwear, and post-operative exercise regimens highlight variability.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Pages 101-109"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimal placement of metatarsal pads for patients with hallux valgus based on plantar pressure measurement","authors":"Satoshi Hakukawa ,&nbsp;Takeshi Hashimoto ,&nbsp;Hiroki Okawara ,&nbsp;Tomonori Sawada ,&nbsp;Kohei Nishizawa ,&nbsp;Masahiro Okuno ,&nbsp;Takashi Koube ,&nbsp;Takeo Nagura","doi":"10.1016/j.fas.2025.07.005","DOIUrl":"10.1016/j.fas.2025.07.005","url":null,"abstract":"<div><h3>Background</h3><div>Increased plantar pressure is common in patients with hallux valgus (HV), and metatarsal pads are often used conservatively, though optimal placement remains unclear.</div></div><div><h3>Methods</h3><div>A crossover trial with 22 female HV patients was conducted. Plantar pressure was measured during a six-meter walk under four conditions: no pad and pad placements at 68 %, 72 %, and 76 % of foot length. Foot alignment was assessed via radiography. The main outcome was the percentage of total plantar pressure in the central metatarsal region.</div></div><div><h3>Results</h3><div>Pad placement at 76 % of foot length significantly reduced central metatarsal pressure compared to the no-pad condition (<em>p</em> &lt; 0.05). A positive correlation was found between the first and fifth metatarsal angle and central pressure (<em>p</em> &lt; 0.05). A cutoff angle of 38.5° predicted effective pressure reduction.</div></div><div><h3>Conclusions</h3><div>Placing a metatarsal pad at 76 % of foot length effectively reduces plantar pressure in HV patients and may offer a beneficial conservative approach.</div></div><div><h3>Level of Evidence</h3><div>Level III</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Pages 131-138"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the soft tissue retraction pressures in total ankle arthroplasty: An in-vitro human cadaveric model","authors":"Julia A. McCann ,&nbsp;Kyle W. Zittel ,&nbsp;Patrick J. Burroughs ,&nbsp;Daina M. Brooks ,&nbsp;Lindsey Tully ,&nbsp;Alejandro Quinonez ,&nbsp;Paul S. Cooper ,&nbsp;Bryan W. Cunningham","doi":"10.1016/j.fas.2025.08.008","DOIUrl":"10.1016/j.fas.2025.08.008","url":null,"abstract":"<div><h3>Background</h3><div>Total ankle arthroplasty wound healing complications are likely influenced by intraoperative retraction. The current study compared contact pressures from various retractors at multiple incision lengths in an anterior approach to the ankle. We hypothesized Gelpis created higher contact pressures and longer incisions reduced pressures.</div></div><div><h3>Methods</h3><div>Twelve cadaveric lower extremities were dissected using 12 cm, 15 cm and 20 cm incisions. A TekScan sensor measuring contact pressure and surface area was placed between the Gelpi, Army-Navy (short and long), and Weitlaner retractors and exposed soft tissue structures.</div></div><div><h3>Results</h3><div>Average contact pressures reduced with increasing incision lengths except for Weitlaners. Army-Navy Long showed significantly lower pressures at 15 cm. Gelpis exhibited highest contact pressures except at 20 cm(p &lt; 0.05). No significant differences were observed between retractors at 12 cm(p &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>Army-Navy retractors produced the least contact pressure in 12 cm and 15 cm incisions and self-retainers created higher contact pressures. Contact pressures typically decreased as incision lengths increased.</div></div><div><h3>Level of Evidence</h3><div>Level V</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Pages 187-190"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor to comment on “Diagnostic accuracy of 99mTc-HDP SPECT/CT and MRI for foot and ankle osteoarthritis (ProSPECT-trial): Study protocol”","authors":"Parth Aphale ,&nbsp;Himanshu Shekhar ,&nbsp;Shashank Dokania","doi":"10.1016/j.fas.2025.07.007","DOIUrl":"10.1016/j.fas.2025.07.007","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Pages 191-192"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Achilles tendon rupture and chronic tendinopathy surgery: Same tendon, with sex and ethnicity differences","authors":"Tara Saxena ,&nbsp;Amol Saxena ,&nbsp;Miranda Royds ,&nbsp;Nicola Maffulli","doi":"10.1016/j.fas.2025.08.007","DOIUrl":"10.1016/j.fas.2025.08.007","url":null,"abstract":"<div><h3>Background</h3><div>Although differences in Achilles tendon injuries have been described based on sex and ethnicity, their impact on surgical presentation patterns and outcomes remains underreported. This study aims to compare demographics and complications between patients who underwent surgery for acute Achilles tendon rupture with those for chronic tendinopathy. All patients were operated by a single surgeon in a metropolitan region in the western United States between June 2016 and June 2022.</div></div><div><h3>Methods</h3><div>A retrospective review of a prospectively collected data was conducted. Data included age, sex, ethnicity, surgical indication, return to activity (RTA), and complications (re-rupture, infection, suture reaction, venous thromboembolism). Statistical analyses included Student’s t-test and Fisher’s exact/Chi-square test, with a significance set at P &lt; .05.</div></div><div><h3>Results</h3><div>A total of 186 patients (121 males, 65 females; mean age: 47.5 ± 14.6 years) were included. Males were significantly more likely to undergo surgery for acute Achilles tendon repair (93 males, 5 females; P &lt; .0001). Females were more likely to undergo surgery for chronic Achilles tendon pathology (76 %). There were no significant sex-based differences in complications or return to activity. There were variations in ethnicity, with Asian patients having a higher likelihood of acute tendon repair (87 %) whereas White patients were more likely to undergo surgical intervention for chronic tendinopathy (89 %; P &lt; .00001).</div></div><div><h3>Conclusion</h3><div>Males were significantly more likely to have operative intervention for acute Achilles rupture, while females more often underwent surgery for chronic tendinopathy. There were ethnic differences in presentation patterns. Complication rate postoperatively and return to activity following surgical intervention did not vary between sex or ethnicity.</div></div><div><h3>Level of evidence</h3><div>III; Retrospective comparative study</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 2","pages":"Pages 183-186"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}