Pub Date : 2025-05-16DOI: 10.1016/j.fas.2025.05.007
Yoon-Chung (Sophie) Kim
{"title":"Response to the letter to the editor to comment on “Preoperative increased pronation angle of the first metatarsus associated with correction loss after hallux valgus surgery: A semi-weight-bearing computed tomography study”","authors":"Yoon-Chung (Sophie) Kim","doi":"10.1016/j.fas.2025.05.007","DOIUrl":"10.1016/j.fas.2025.05.007","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 5","pages":"Pages 470-471"},"PeriodicalIF":1.9,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163155","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}
Pub Date : 2025-05-15DOI: 10.1016/j.fas.2025.05.003
Rodrigo Encinas , Sarah Hall , Chase Gauthier , Anthony Cantrell , Yuqing Zhang , J. Benjamin Jackson III , Daniel Scott , Christopher Gross , Tyler Gonzalez
Background
Plantar fasciitis is one of the most common causes of foot pain among the population. This study aimed to review outcomes in patients undergoing Minimally invasive surgery (MIS) ultrasound-guided percutaneous plantar fasciotomy for the treatment of chronic plantar fasciitis.
Methods
A multicenter retrospective chart review of patients undergoing MIS using the Tenex device from January 2020 to December 2022. The main data points collected were Patient-Reported Outcomes Measurement Information System (PROMIS), follow-up times, revision surgery, and complications.
Results
56 patients underwent 60 surgeries. The average age and BMI were 48.6 years (19–80), and 33.2 kg/m2 (19.7–58.6). The average follow-up was 27 months (13.3–48.6). The average improvement in pain, physical function, and mobility PROMIS scores were 5.2 (P < 0.01), 3.6 (P = 0.01), and 3.1 (P = 0.01).
Conclusion
MIS ultrasound-guided plantar fasciotomy appears to be a reliable surgical treatment option for chronic plantar fasciitis with high patient satisfaction and safety profile.
{"title":"Minimally invasive ultrasound-guided percutaneous plantar fasciotomy on chronic plantar fasciitis: A retrospective analysis","authors":"Rodrigo Encinas , Sarah Hall , Chase Gauthier , Anthony Cantrell , Yuqing Zhang , J. Benjamin Jackson III , Daniel Scott , Christopher Gross , Tyler Gonzalez","doi":"10.1016/j.fas.2025.05.003","DOIUrl":"10.1016/j.fas.2025.05.003","url":null,"abstract":"<div><h3>Background</h3><div><span><span>Plantar fasciitis is one of the most common causes of foot pain among the population. This study aimed to review outcomes in patients undergoing </span>Minimally invasive surgery (MIS) ultrasound-guided percutaneous plantar </span>fasciotomy for the treatment of chronic plantar fasciitis.</div></div><div><h3>Methods</h3><div>A multicenter retrospective chart review of patients undergoing MIS using the Tenex device from January 2020 to December 2022. The main data points collected were Patient-Reported Outcomes Measurement Information System (PROMIS), follow-up times, revision surgery, and complications.</div></div><div><h3>Results</h3><div>56 patients underwent 60 surgeries. The average age and BMI were 48.6 years (19–80), and 33.2 kg/m2 (19.7–58.6). The average follow-up was 27 months (13.3–48.6). The average improvement in pain, physical function, and mobility PROMIS scores were 5.2 (P < 0.01), 3.6 (P = 0.01), and 3.1 (P = 0.01).</div></div><div><h3>Conclusion</h3><div>MIS ultrasound-guided plantar fasciotomy appears to be a reliable surgical treatment option for chronic plantar fasciitis with high patient satisfaction and safety profile.</div></div><div><h3>Level of Evidence</h3><div>IV</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 8","pages":"Pages 737-741"},"PeriodicalIF":2.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121125","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}
Pub Date : 2025-05-14DOI: 10.1016/j.fas.2025.01.015
Hineptch Daungsupawong, Viroj Wiwanitkit
{"title":"Letter to the editor to comment on ‘Traditional postero-medial ankle approach for Bartonicek type III in Volkmann Fractures: Is it useful?’","authors":"Hineptch Daungsupawong, Viroj Wiwanitkit","doi":"10.1016/j.fas.2025.01.015","DOIUrl":"10.1016/j.fas.2025.01.015","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 5","pages":"Pages 466-467"},"PeriodicalIF":1.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086533","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}
Pub Date : 2025-05-14DOI: 10.1016/j.fas.2025.05.006
Antonio Izzo , Claudia Carbone , Vincenzo De Matteo , François Lintz , Enrico Festa , Giovanni Balato , Alessio Bernasconi
Objective
The management of periprosthetic joint infection (PJI) after total ankle replacement (TAR) may be challenging. Our aim was to define the eradication rate and limits of some of the surgical procedures commonly performed to treat acute and chronic PJI after TAR.
Methods
For this PRISMA-compliant systematic review multiple databases were searched including clinical studies in which acute or chronic PJI after TAR was diagnosed and treated. Data were harvested regarding the cohort, the study design, the diagnostic criteria adopted and the surgical treatment for PJI. The methodological index for nonrandomized studies (MINORS) was used to assess the methodological quality of studies. Three groups were built based on the surgical procedure performed in the studies: Group 1 for debridement, antibiotics, and implant retention (DAIR), Group 2 for 1.5-stage revision (1.5-stage) and Group 3 for 2-stage revision procedures (2-stage).
Results
Thirteen cohorts from seven studies (138 infected TARs; 40 % females, mean age 61.3 years) published between 2012 and 2023 were included. The definition of eradication of the infection was heterogenous among studies (reported as ‘no more surgery’ in 3 studies, normal clinical and serological markers in 2 studies and negative intraoperative cultures in 2 studies). The pooled eradication rate in DAIR, 1.5-stage and 2-stage revision groups was 89 % (95 %CI, 79–100), 95 % (95 %CI, 70–100) and 92 % (95 %CI, 80–99), respectively. The proportion of below-knee amputation was 7.2 % (10/138) at a mean 39.3-month follow-up. MINORS score (7.6/16 and 14.6/24 for noncomparative and comparative studies, respectively) revealed a poor quality of studies.
Conclusions
In this review, the estimated effectiveness of DAIR, 1.5 and 2-stage exchange procedures to eradicate PJI after TAR was 89 %, 95 % and 92 %, respectively. Decision-making in this setting is based on small-sample retrospective studies of poor quality. Below-knee amputation rate after a diagnosis of PJI was 7.2 %.
{"title":"Eradication rate after debridement, antibiotics, and implant retention (DAIR), 1.5-stage revision or 2-stage revision in periprosthetic ankle joint infection: A systematic review","authors":"Antonio Izzo , Claudia Carbone , Vincenzo De Matteo , François Lintz , Enrico Festa , Giovanni Balato , Alessio Bernasconi","doi":"10.1016/j.fas.2025.05.006","DOIUrl":"10.1016/j.fas.2025.05.006","url":null,"abstract":"<div><h3>Objective</h3><div>The management of periprosthetic joint infection (PJI) after total ankle replacement (TAR) may be challenging. Our aim was to define the eradication rate and limits of some of the surgical procedures commonly performed to treat acute and chronic PJI after TAR.</div></div><div><h3>Methods</h3><div>For this PRISMA-compliant systematic review multiple databases were searched including clinical studies in which acute or chronic PJI after TAR was diagnosed and treated. Data were harvested regarding the cohort, the study design, the diagnostic criteria adopted and the surgical treatment for PJI. The methodological index for nonrandomized studies (MINORS) was used to assess the methodological quality of studies. Three groups were built based on the surgical procedure performed in the studies: Group 1 for debridement, antibiotics, and implant retention (DAIR), Group 2 for 1.5-stage revision (1.5-stage) and Group 3 for 2-stage revision procedures (2-stage).</div></div><div><h3>Results</h3><div>Thirteen cohorts from seven studies (138 infected TARs; 40 % females, mean age 61.3 years) published between 2012 and 2023 were included. The definition of eradication of the infection was heterogenous among studies (reported as ‘no more surgery’ in 3 studies, normal clinical and serological markers in 2 studies and negative intraoperative cultures in 2 studies). The pooled eradication rate in DAIR, 1.5-stage and 2-stage revision groups was 89 % (95 %CI, 79–100), 95 % (95 %CI, 70–100) and 92 % (95 %CI, 80–99), respectively. The proportion of below-knee amputation was 7.2 % (10/138) at a mean 39.3-month follow-up. MINORS score (7.6/16 and 14.6/24 for noncomparative and comparative studies, respectively) revealed a poor quality of studies.</div></div><div><h3>Conclusions</h3><div>In this review, the estimated effectiveness of DAIR, 1.5 and 2-stage exchange procedures to eradicate PJI after TAR was 89 %, 95 % and 92 %, respectively. Decision-making in this setting is based on small-sample retrospective studies of poor quality. Below-knee amputation rate after a diagnosis of PJI was 7.2 %.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level IV studies</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 8","pages":"Pages 695-702"},"PeriodicalIF":2.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163154","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}
Pub Date : 2025-05-13DOI: 10.1016/j.fas.2025.04.010
Alessandro Civinini, Matthieu Lalevée, Philippe Beaudet
{"title":"Letter to the editor to comment on “Preoperative increased pronation angle of the first metatarsus associated with correction loss after hallux valgus surgery: A semi-weight-bearing computed tomography study”","authors":"Alessandro Civinini, Matthieu Lalevée, Philippe Beaudet","doi":"10.1016/j.fas.2025.04.010","DOIUrl":"10.1016/j.fas.2025.04.010","url":null,"abstract":"","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 5","pages":"Pages 468-469"},"PeriodicalIF":1.9,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095381","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}
Pub Date : 2025-05-13DOI: 10.1016/j.fas.2025.05.005
R. Geleit , G. Nunes , P. Lam , R. Ray , G.F. Ferreira , T.L. Lewis
Background
Hallux valgus (HV) is a common foot deformity affecting around 19 % of adults. Finite element analysis (FEA) is a valuable computational tool for investigating the complex biomechanics of foot deformities. This systematic review evaluates FEA studies investigating HV biomechanics, surgical correction techniques and fixation methods.
Methods
Medline, EMBASE, PubMed, and Cochrane Library databases were searched from inception to 2025. Included studies employed FEA to investigate HV biomechanics, with or without surgical intervention. An adaption of the ROBFEAD tool was used to assess bias.
Results
19 studies met inclusion criteria (12 surgical, 7 biomechanical). All studies demonstrated moderate to high risk of bias. Biomechanical analyses revealed increased lateral metatarsal loading (40–55 % higher stress) and medial shift of peak pressures at the MTPJ. Surgical technique analyses demonstrated metatarsal shortening up to 6 mm could be accommodated before significantly altering foot loading patterns. Fixation studies showed superiority of dual fixation methods in minimally invasive surgery.
Conclusions
FEA provides valuable insights into HV biomechanics and surgical optimization. The data supports dual fixation approaches, precise osteotomy parameters, and caution regarding post-operative protocols.
{"title":"A systematic review of biomechanical studies utilising finite element analysis in hallux valgus deformity","authors":"R. Geleit , G. Nunes , P. Lam , R. Ray , G.F. Ferreira , T.L. Lewis","doi":"10.1016/j.fas.2025.05.005","DOIUrl":"10.1016/j.fas.2025.05.005","url":null,"abstract":"<div><h3>Background</h3><div>Hallux valgus<span><span> (HV) is a common foot deformity affecting around 19 % of adults. </span>Finite element analysis<span> (FEA) is a valuable computational tool for investigating the complex biomechanics of foot deformities. This systematic review evaluates FEA studies investigating HV biomechanics, surgical correction techniques and fixation methods.</span></span></div></div><div><h3>Methods</h3><div>Medline, EMBASE, PubMed, and Cochrane Library databases were searched from inception to 2025. Included studies employed FEA to investigate HV biomechanics, with or without surgical intervention. An adaption of the ROBFEAD tool was used to assess bias.</div></div><div><h3>Results</h3><div>19 studies met inclusion criteria (12 surgical, 7 biomechanical). All studies demonstrated moderate to high risk of bias. Biomechanical analyses revealed increased lateral metatarsal loading (40–55 % higher stress) and medial shift of peak pressures at the MTPJ. Surgical technique analyses demonstrated metatarsal shortening up to 6 mm could be accommodated before significantly altering foot loading patterns. Fixation studies showed superiority of dual fixation methods in minimally invasive surgery.</div></div><div><h3>Conclusions</h3><div>FEA provides valuable insights into HV biomechanics and surgical optimization. The data supports dual fixation approaches, precise osteotomy parameters, and caution regarding post-operative protocols.</div></div><div><h3>Level of Evidence</h3><div>1</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 8","pages":"Pages 684-694"},"PeriodicalIF":2.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112476","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}
Pub Date : 2025-05-08DOI: 10.1016/j.fas.2025.05.001
Mahmut Kalem , Kamil Balaban , Hakan Kocaoğlu , Peri Kından , Ercan Şahin
Background
The study assessed the quality and readability of responses given by ChatGPT to common patient questions about ankle fusion.
Methods
Twenty-five frequently asked questions about ankle fusion were queried to ChatGPT 4.0 individually, and responses were assessed using the accuracy score developed by Mika et al. and the DISCERN tool. Readability was evaluated using the Flesch-Kincaid grade level, Gunning Fog, Coleman-Liau, and Simple Measure of Gobbledygook indexes.
Results
ChatGPT's responses were generally of acceptable quality, with a mean accuracy score of 2, indicating that the overall responses were satisfactory and required minimal clarification, along with a DISCERN score of 49.78, which is considered fair. However, the readability level was high, with a mean of 11.6 grade level.
Conclusions
ChatGPT showed promise as a resource for answering common patient questions about ankle fusion, providing mostly valid information. However, a high reading level was necessary to understand the response given.
{"title":"Evaluation of ChatGPT responses to common patient questions on ankle fusion","authors":"Mahmut Kalem , Kamil Balaban , Hakan Kocaoğlu , Peri Kından , Ercan Şahin","doi":"10.1016/j.fas.2025.05.001","DOIUrl":"10.1016/j.fas.2025.05.001","url":null,"abstract":"<div><h3>Background</h3><div>The study assessed the quality and readability of responses given by ChatGPT to common patient questions about ankle fusion.</div></div><div><h3>Methods</h3><div>Twenty-five frequently asked questions about ankle fusion were queried to ChatGPT 4.0 individually, and responses were assessed using the accuracy score developed by Mika et al. and the DISCERN tool. Readability was evaluated using the Flesch-Kincaid grade level, Gunning Fog, Coleman-Liau, and Simple Measure of Gobbledygook indexes.</div></div><div><h3>Results</h3><div>ChatGPT's responses were generally of acceptable quality, with a mean accuracy score of 2, indicating that the overall responses were satisfactory and required minimal clarification, along with a DISCERN score of 49.78, which is considered fair. However, the readability level was high, with a mean of 11.6 grade level.</div></div><div><h3>Conclusions</h3><div>ChatGPT showed promise as a resource for answering common patient questions about ankle fusion, providing mostly valid information. However, a high reading level was necessary to understand the response given.</div></div><div><h3>Levels of Evidence</h3><div>N/A</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 8","pages":"Pages 708-731"},"PeriodicalIF":2.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054917","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}
Hallux valgus (HV) has been reported to impair postural stability. However, whether comorbid hammer toe affects postural stability in patients with HV remains unclear.
Methods
This study assessed static and dynamic postural stability in 45 patients with HV, divided into two groups: those with (H(+)) and without (H(-)) comorbid hammer toe. Static stability was evaluated using stabilometer, whereas dynamic stability was assessed with the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and Falls Efficacy Scale-International (FES-I).
Results
Static stability parameters showed no significant differences between groups H(-) and H(+). The BBS score was lower in group H(+) than in group H(-) (P = .002), whereas the TUG and FES-I scores were higher in group H(+) than in group H(-) (P = .033 and.017, respectively).
Conclusions
Comorbid hammer toe affects dynamic postural stability and increases the risk of falls in patients with moderate-to-severe bilateral HV.
Level of evidence
Level 3.
背景：有报道称拇外翻（HV）会损害体位稳定性。然而，合病锤状趾是否影响HV患者的姿势稳定性仍不清楚。方法：本研究评估了45例HV患者的静态和动态姿势稳定性，分为两组：有（H(+)）和没有（H(-)）合并症的锤状趾。静态稳定性采用稳定计进行评估，动态稳定性采用Berg平衡量表（BBS）、Timed Up and Go （TUG）测试和国际跌倒效能量表（FES-I）进行评估。结果：H（-）组和H（+）组的静态稳定性参数差异无统计学意义。H（+）组BBS评分低于H（-）组（P = .002），H（+）组TUG和FES-I评分高于H（-）组（P = ）。033年,。017年,分别)。结论：合并症锤状趾影响中重度双侧HV患者动态姿势稳定性，增加跌倒风险。证据等级：三级。
{"title":"Postural stability in patients with bilateral hallux valgus—Does the comorbid hammer toe affect stability?","authors":"Ken Tanaka , Hiroaki Shima , Kosho Togei , Yoshihiro Hirai , Toshito Yasuda , Shuhei Otsuki","doi":"10.1016/j.fas.2025.05.002","DOIUrl":"10.1016/j.fas.2025.05.002","url":null,"abstract":"<div><h3>Background</h3><div>Hallux valgus (HV) has been reported to impair postural stability. However, whether comorbid hammer toe affects postural stability in patients with HV remains unclear.</div></div><div><h3>Methods</h3><div>This study assessed static and dynamic postural stability in 45 patients with HV, divided into two groups: those with (H(+)) and without (H(-)) comorbid hammer toe. Static stability was evaluated using stabilometer, whereas dynamic stability was assessed with the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and Falls Efficacy Scale-International (FES-I).</div></div><div><h3>Results</h3><div>Static stability parameters showed no significant differences between groups H(-) and H(+). The BBS score was lower in group H(+) than in group H(-) (<em>P</em> = .002), whereas the TUG and FES-I scores were higher in group H(+) than in group H(-) (<em>P</em> = .033 and.017, respectively).</div></div><div><h3>Conclusions</h3><div>Comorbid hammer toe affects dynamic postural stability and increases the risk of falls in patients with moderate-to-severe bilateral HV.</div></div><div><h3>Level of evidence</h3><div>Level 3.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 8","pages":"Pages 732-736"},"PeriodicalIF":2.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022925","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}
Pub Date : 2025-05-01DOI: 10.1016/j.fas.2025.04.009
Stefan Møller , Jonas Ammundsen Ipsen , Henriette Jahn Aunass , Per Aagaard , Bjarke Viberg , Ane Simony , Henrik Riel
Background
Due to advances in minimally invasive surgical treatments (MIST), this systematic review with a narrative synthesis aimed to investigate the effectiveness of MIST in improving pain compared with non-surgical treatment or placebo in patients with plantar fasciopathy (PF).
Methods
We systematically searched relevant databases for peer-reviewed studies comparing MIST to non-surgical treatments or placebo.
Results
Eight studies were included. The results demonstrated statistically significant superiority in pain reduction for percutaneous needle treatments compared to non-surgical treatments or placebo in five studies. One study compared endoscopic plantar fascia release to exercise and corticosteroid injections and found a statistically significant superiority of endoscopic plantar fascia release.
Conclusions
This systematic review found promising effects of needle treatments to reduce pain among patients with PF. Endoscopic plantar fascia release was superior to the comparator in one of three studies. High risks of bias and methodological heterogeneity limit the strength of the available evidence.
{"title":"Minimally invasive surgical treatments versus non-surgical treatments or placebo for plantar fasciopathy: A systematic review","authors":"Stefan Møller , Jonas Ammundsen Ipsen , Henriette Jahn Aunass , Per Aagaard , Bjarke Viberg , Ane Simony , Henrik Riel","doi":"10.1016/j.fas.2025.04.009","DOIUrl":"10.1016/j.fas.2025.04.009","url":null,"abstract":"<div><h3>Background</h3><div>Due to advances in minimally invasive surgical treatments (MIST), this systematic review with a narrative synthesis aimed to investigate the effectiveness of MIST in improving pain compared with non-surgical treatment or placebo in patients with plantar fasciopathy (PF).</div></div><div><h3>Methods</h3><div>We systematically searched relevant databases for peer-reviewed studies comparing MIST to non-surgical treatments or placebo.</div></div><div><h3>Results</h3><div>Eight studies were included. The results demonstrated statistically significant superiority in pain reduction for percutaneous needle treatments compared to non-surgical treatments or placebo in five studies. One study compared endoscopic plantar fascia release to exercise and corticosteroid injections and found a statistically significant superiority of endoscopic plantar fascia release.</div></div><div><h3>Conclusions</h3><div>This systematic review found promising effects of needle treatments to reduce pain among patients with PF. Endoscopic plantar fascia release was superior to the comparator in one of three studies. High risks of bias and methodological heterogeneity limit the strength of the available evidence.</div></div><div><h3>Level of clinical evidence</h3><div>II</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 8","pages":"Pages 672-683"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027027","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}
Pub Date : 2025-04-26DOI: 10.1016/j.fas.2025.04.005
Alexander M. Wakker , Marisa Claassen , Michael H.J. Verhofstad , Theo van Walsum , Jacob J. Visser , Mark G. van Vledder , Hilco P. Theeuwes
Background
The sinus tarsi approach (STA) is a commonly used minimally invasive surgical approach for the fixation of joint depression-type calcaneus fractures. As the sural nerve (SN) is particularly at risk during the STA, understanding the SN’s course in relation to bony landmarks on fluoroscopic imaging is crucial.
Methods
Dissection of 19 post-mortem humans were performed to expose the SN. The SN’s course was mapped relative to radiographic bony landmarks, anatomical plates for fracture fixation, and the STA incision location.
Results
The SN typically enters the cranial part of the calcaneus midway between the posterior talocalcaneal (PTC) joint and the calcaneal tuberosity. The posterior tail of the calcaneal plates were always placed under the main branch of the SN.
Conclusion
The study highlighted that the SN is always at risk during minimally invasive plate fixation for calcaneal fractures. Intra-operative fluoroscopy could be beneficial for minimizing nerve damage and enhancing surgical outcomes.
{"title":"The sural nerve & the calcaneus: A radiographic and anatomical study","authors":"Alexander M. Wakker , Marisa Claassen , Michael H.J. Verhofstad , Theo van Walsum , Jacob J. Visser , Mark G. van Vledder , Hilco P. Theeuwes","doi":"10.1016/j.fas.2025.04.005","DOIUrl":"10.1016/j.fas.2025.04.005","url":null,"abstract":"<div><h3>Background</h3><div>The sinus tarsi approach (STA) is a commonly used minimally invasive surgical approach for the fixation of joint depression-type calcaneus fractures. As the sural nerve (SN) is particularly at risk during the STA, understanding the SN’s course in relation to bony landmarks on fluoroscopic imaging is crucial.</div></div><div><h3>Methods</h3><div>Dissection of 19 post-mortem humans were performed to expose the SN. The SN’s course was mapped relative to radiographic bony landmarks, anatomical plates for fracture fixation, and the STA incision location.</div></div><div><h3>Results</h3><div>The SN typically enters the cranial part of the calcaneus midway between the posterior talocalcaneal (PTC) joint and the calcaneal tuberosity. The posterior tail of the calcaneal plates were always placed under the main branch of the SN.</div></div><div><h3>Conclusion</h3><div>The study highlighted that the SN is always at risk during minimally invasive plate fixation for calcaneal fractures. Intra-operative fluoroscopy could be beneficial for minimizing nerve damage and enhancing surgical outcomes.</div></div><div><h3>Level of evidence</h3><div>IV</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 7","pages":"Pages 631-639"},"PeriodicalIF":2.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022927","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}
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