Foot and Ankle Surgery最新文献

{"title":"Mid-term biomechanical gait analysis of osteosynthesis in bony Lisfranc injuries.","authors":"Raimund H Lülsdorff, Charlotte Cibura, Tim Ramczykowski, Alexis Brinkemper, Thomas A Schildhauer, Valentin Rausch","doi":"10.1016/j.fas.2026.01.004","DOIUrl":"https://doi.org/10.1016/j.fas.2026.01.004","url":null,"abstract":"<p><strong>Background: </strong>Injuries to the tarsometatarsal joint (Lisfranc injuries) significantly affect foot biomechanics and gait. Surgical treatment is often necessary for fractures or unstable ligamentous Lisfranc injuries. However, data on midterm outcomes regarding gait and function remain limited. We hypothesized that operative treatment restores biomechanical function and gait.</p><p><strong>Methods: </strong>We retrospectively analyzed patients treated with osteosynthesis for Lisfranc injuries at our institution. Outcomes were assessed using subjective and objective measures (AOFAS, FAAM-G). Gait analysis included joint angle measurements, EMG, and pedobarography, comparing affected feet to the unaffected side and a matched group of healthy controls.</p><p><strong>Results: </strong>Twelve patients (4 female, 8 male; mean age 44.3 years, range 25-64) were included. Gait analysis after osteosynthesis of Lisfranc injuries showed promising outcomes, with no significant differences in key pedobarometry parameters compared to the unaffected side and healthy individuals.</p><p><strong>Conclusions: </strong>Osteosynthesis for Lisfranc injuries enables restoration of normal gait patterns and good midterm clinical outcomes.</p><p><strong>Level of evidence: </strong>Level III - Retrospective Comparative Study.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145949238","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":"The fibular groove deep and its relationship with the superior peroneal retinaculum morphology in peroneal tendon stability: A cadaveric study.","authors":"Milán F Zárate Leal, Diego A Belling Segovia, Jacobo Triviño-Arias, María Camila Gómez, Tania Díaz, Xavier Martin Oliva","doi":"10.1016/j.fas.2026.01.002","DOIUrl":"https://doi.org/10.1016/j.fas.2026.01.002","url":null,"abstract":"<p><strong>Background: </strong>Peroneal tendons dislocation is an infrequent and misdiagnosed pathology. The aim of this study was to establish the relevance of the anatomic characteristics of fibular groove and the superior peroneal retinaculum, and its relationship with peroneal tendon stability.</p><p><strong>Methods: </strong>The present study was conducted on 14 lower extremities of fresh defrosted cadavers. Anatomical parameters of the fibula, peroneal tendons, superior peroneal retinaculum and minimal deep required to achieve peroneal tendon stability in the peroneal groove were done.</p><p><strong>Results: </strong>A statistically significant difference in the minimum depth required to achieve peroneal sulcus stability was found between groups with superior peroneal retinaculum type I and V (p = 0.015).</p><p><strong>Conclusions: </strong>Our findings provide novel anatomical and morphometric evidence supporting the relevance of superior peroneal retinaculum morphology, particularly type I, in promoting peroneal tendon groove stability.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953507","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":"Outpatient versus inpatient surgery for ankle fractures: A randomized controlled non-inferiority trial","authors":"Christian Rasmussen ,&nbsp;Peter Larsen ,&nbsp;Christian Pedersen ,&nbsp;Rasmus Elsoe","doi":"10.1016/j.fas.2025.06.005","DOIUrl":"10.1016/j.fas.2025.06.005","url":null,"abstract":"<div><h3>Background</h3><div>Growing evidence supports a shift from inpatient to outpatient surgical treatment for ankle fractures. The primary aim of this study was to investigate the effect of inpatient versus outpatient surgery of ankle fractures on patient-reported outcome utilizing the Foot and Ankle Outcome Score (FAOS) at 12 weeks following surgery. Secondary aims were to report patients’ satisfaction, adverse events, pain, physical function, and bone healing between inpatient and outpatient treatment.</div></div><div><h3>Patients and Methods</h3><div>The study design was a non-inferiority randomized controlled, non-blinded trial with a two-groups. Patients were randomized 1:1 to outpatient or inpatient surgical treatment. The primary outcome was the FAOS at 12 weeks. Secondary outcomes included patients’ satisfaction, health-related quality of life, intensity of pain, bone union, and adverse events.</div></div><div><h3>Results</h3><div>A total of 44 patients were randomized to inpatient surgery and 42 patients to outpatient surgery. The final follow-up at 12 weeks following surgery was completed by 69 patients (80 %). The mean age of patients was 49.2 (SD 16.9), ranging from 18 to 80. Female sex represented 44 % of patients. The primary analysis revealed no statistically significant difference in FAOS subscale scores between inpatient and outpatient surgery at the 12-week follow-up Adjusted mean difference: Pain: −0.8 (95 % CI −10.7–9.0); Symptoms: 2.7 (95 % CI −6.9–12.5); ADL: −4.7 (95 % CI −13.6–4.3); Sport/Rec: 2.9 (95 % CI −15.2–9.3); and QOL: −0.7 (95 % CI −11.8–10.3). Comparable results were observed for secondary outcomes.</div></div><div><h3>Conclusion</h3><div>This study showed no statistical nor clinically significant difference in FAOS subscale scores between inpatient and outpatient surgery for ankle fractures 12 weeks following surgery. Furthermore, patients’ satisfaction and adverse events were comparable between inpatient and outpatient surgery 12 weeks following treatment. Results indicated that outpatient surgery for ankle fractures is highly feasible for selected patients and may be considered as routine for clinical practice.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 1","pages":"Pages 59-65"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555464","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":"Plantar fascia thickness and fat-pad measurement at target points: A cost-beneficial and fast method in the diagnosis of plantar fasciitis","authors":"Tevfik Çatal ,&nbsp;İbrahim Esad Sapmaz ,&nbsp;Mustafa Görkem Kaya ,&nbsp;Alkan Bayrak ,&nbsp;Murat Tıngır ,&nbsp;Cemal Kural ,&nbsp;Altuğ Duramaz","doi":"10.1016/j.fas.2025.06.001","DOIUrl":"10.1016/j.fas.2025.06.001","url":null,"abstract":"<div><h3>Purpose</h3><div><span>This study aimed to evaluate the diagnostic importance of ultrasonic imaging by assessing the thickness of the plantar </span>fascia<span><span> (F) and fat pad (FP) at different locations in the plantar region for the diagnosis of plantar fasciitis. Furthermore, the study sought to determine the correlation between angular measurements derived from direct radiography and measurements obtained via </span>ultrasound imaging.</span></div></div><div><h3>Methods</h3><div><span><span>The study measured the intermetatarsal angle(IMA), 1st metatarsophalangeal angle(MTPA), 1st interphalangeal angle(IPA), and medial longitudinal arch angle(MLAA) in weight-bearing foot radiographs of 94 patients (23 males and 71 females) with unilateral </span>plantar fasciitis. The control group comprised asymptomatic feet from the same individuals. Fat pad and plantar </span>fascia thicknesses were assessed with ultrasonic imaging(USG) at three different points. A proportion was established between fascia(F) and fat pad(FP) thicknesses. The study examined the correlations between USG and direct radiography measurements, both within and between groups.</div></div><div><h3>Results</h3><div>A statistically significant difference was observed between the study group and the control group in various measurements. These include IMA measurements, plantar fascia thickness, and F/FP ratio measured at the calcaneal tubercle, as well as fascia thickness, fat pad thickness, and F/FP ratio measured in the midpoint of the medial arch (p = 0.024; p = 0.001; p = 0.001; p = 0.001; p = 0.008; p = 0.001 p&lt;0.05 respectively). A significant correlation was discovered in the study group between F/FP measures in the calcaneal tubercle and MLAA.</div></div><div><h3>Conclusion</h3><div>Our study revealed a noteworthy correlation between plantar fasciitis and an increase in plantar fascia thickness, an increase in the plantar fascia/fat pad ratio, and a decrease in the fat pad thickness measured at three distinct points. In our study, it was seen that the diagnosis of plantar fasciitis can be made with USG alone, which is a fast, cost-effective and easy-to-apply method by evaluating the thickening of the plantar fascia, the reduction in fat pad thickness, and their relative proportions.</div></div><div><h3>Level of evidence</h3><div>Level III, Cross-Sectional Prospective Observational Study.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 1","pages":"Pages 33-39"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334190","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":"Mayo versus ankle block in minimally invasive hallux valgus surgery: A comparative study","authors":"Gabriel Ferraz Ferreira ,&nbsp;Caio Rafael Ebram de Miranda ,&nbsp;Marcos Vinícius de Paula Matarézio ,&nbsp;Davy Sevilla ,&nbsp;Vitor Alves Patriarcha ,&nbsp;Thomas Lorchan Lewis ,&nbsp;Robbie Ray ,&nbsp;Gustavo Araujo Nunes ,&nbsp;Miguel Viana Pereira Filho","doi":"10.1016/j.fas.2025.06.007","DOIUrl":"10.1016/j.fas.2025.06.007","url":null,"abstract":"<div><h3>Background</h3><div><span>Postoperative pain in foot surgeries can be significant, making </span>regional anesthesia<span> the preferred approach. Regional anesthesia enhances pain control, reduces sedative and opioid needs, shortens hospital stays, and improves patient satisfaction. The aim of this study is to compare the Ankle Block (AB) and the Mayo Block (MB) as a measure of postoperative analgesia<span> for hallux valgus (HV) surgery.</span></span></div></div><div><h3>Methods</h3><div>This retrospective comparative study included patients with HV who underwent correction between November 2023 and July 2024. Patients received either an AB or MB with ropivacaine<span><span> (7.5 mg/mL) for postoperative pain. The primary outcome was pain assessment at 12 and 24 h postoperatively using the Visual Analog Scale (VAS). Secondary outcomes were </span>analgesic and opioid use, anesthesia duration in hours, and patient comfort on the first postoperative night. Statistical analysis was performed with a 5 % significance level, using R software.</span></div></div><div><h3>Results</h3><div>A total of 39 patients (57 feet) were included, with 20 receiving AB and 19 receiving MB. No statistically significant differences in primary outcome VAS scores were observed between groups at 12 or 24 h (p &gt; 0.05). Analgesic and opioid use, as well as comfort on the first postoperative night, were similar between groups.</div></div><div><h3>Conclusion</h3><div>The Ankle Block and Mayo Block each proved effective in controlling postoperative pain following HV surgery. We recommend the use of the Mayo Block for percutaneous hallux valgus correction surgery, as it requires a smaller anesthetic volume, preserves plantar sensation, and may thus facilitate earlier mobilization and reduce the risk of falls.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective comparative study.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 1","pages":"Pages 78-84"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568015","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":"Clinical and biomechanical outcomes of orthotic devices for progressive collapsing foot deformity: a systematic review and meta-analysis","authors":"Hanieh Khaliliyan ,&nbsp;Amir Reza Vosoughi ,&nbsp;Mahmood Bahramizadeh ,&nbsp;Amirhossein Zare ,&nbsp;Majid Ansari ,&nbsp;Farhad Ghaffari ,&nbsp;Arash Sharafatvaziri","doi":"10.1016/j.fas.2025.05.012","DOIUrl":"10.1016/j.fas.2025.05.012","url":null,"abstract":"<div><h3>Background</h3><div><span>Progressive collapsing foot deformity (PCFD) represents a progressive medial longitudinal arch collapse of the foot. This study reviewed the clinical and biomechanical efficacy of </span>orthotic interventions for PCFD.</div></div><div><h3>Methods</h3><div>A systematic search was performed on Web of Science, PubMed, and Scopus, resulting in 14 studies. We used the ROBINS-I tool to evaluate the methodological quality. For the narrative synthesis, we summarized the results in a textual format, while for the meta-analysis, Standardized Mean Differences were computed from the results whenever feasible.</div></div><div><h3>Results</h3><div><span>Major improvements were recorded in disability scores, pain intensity, and patient satisfaction. Orthotics decreased hindfoot eversion by 3–5° and increased forefoot<span> plantarflexion by 6–9°. An ankle-foot orthosis with lateral extensions or an articulated design enhanced forefoot adduction and hindfoot inversion. Meta-analysis results indicate a 56.84 % improvement in the Foot Functional Index (95 % CI: 41.1–72.58) alongside a 28.53-point increase in the American </span></span>Orthopedic Foot and Ankle Society Ankle/Hindfoot Scale (95 % CI: 22.66–34.4).</div></div><div><h3>Conclusions</h3><div>Orthotic interventions are effective treatments for PCFD, reducing pain, improving function, and correcting pathological kinematics.</div></div><div><h3>Level of evidence</h3><div>2</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 1","pages":"Pages 1-10"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250444","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":"Revision and reoperation in total ankle arthroplasty, a multicenter study of different prosthetic models","authors":"Carlos A. Sánchez-Correa ,&nbsp;Daniel Poggio-Cano ,&nbsp;Albert Ginés-Cespedosa ,&nbsp;Fernando Álvarez-Goenaga","doi":"10.1016/j.fas.2025.06.006","DOIUrl":"10.1016/j.fas.2025.06.006","url":null,"abstract":"<div><h3>Background</h3><div>Long term survival of different ankle prosthesis implanted by non-designer surgeons has not been reported.</div></div><div><h3>Methods</h3><div>Cross-sectional study in three centers. Revision and reoperation were studied as markers of survival for different prosthetic models between 2002 and 2023. Primary outcomes were analyzed using Kaplan-Meier curves with variables associated with failure reported in literature.</div></div><div><h3>Results</h3><div>127 prostheses were identified. The revision and reoperation rates over 22 years were 13.4 % and 9.5 %, respectively. Aseptic loosening<span> (n = 14, p &lt; 0.01) and septic loosening (n = 3, p &lt; 0.01) were the most frequent causes associated with revision. Prosthetic failure was managed either with arthrodesis (n = 14, p &lt; 0.01) or with revision and implant replacement (n = 3, p &lt; 0.01). Female biological sex was associated higher risk of revision (PR = 6.7; 95 % CI 1.6 – 28.2; p-value &lt;0.01). Chronic pain was the only variable associated with increased risk of reoperation (PR = 8.2; 95 % CI 3.1 – 22.4; p-value = &lt;0.01).</span></div></div><div><h3>Conclusions</h3><div>Results are comparable to those reported in the literature regarding revision and reoperation. Different prosthetic models evaluated in this study provide a broader understanding of how prostheses perform when implanted by surgeons other than their creators.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 1","pages":"Pages 66-77"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576643","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":"Clinical efficacy of athletic taping-assisted physiotherapy for plantar fasciitis: A systematic evaluation and meta-analysis","authors":"Weijia Song,&nbsp;Qianting Huang,&nbsp;Zhuyu Jiang","doi":"10.1016/j.fas.2025.05.013","DOIUrl":"10.1016/j.fas.2025.05.013","url":null,"abstract":"<div><h3>Background</h3><div>Plantar fasciitis<span> is a common sports injury with long-term chronic pain in the heel as the main symptom, and athletic taping has achieved certain therapeutic effects to improve it, but the clinical efficacy of the problem is still controversial, which was evaluated by Meta-analysis to evaluate the clinical efficacy of the athletic taping technique on patients with plantar fasciitis.</span></div></div><div><h3>Methods</h3><div><span>The Cochrane Library<span>, Embase, PubMed, Web of Science, CNKI, Wanfang, and Vip databases were searched by computer for </span></span>randomized controlled trial<span> on the clinical efficacy of exercise taping in patients with PF from the time of construction to 1 September 2024, and the PRISMA<span> 2020 checklist was strictly followed. Quality was assessed using the cochrane 2.0 randomized controlled trials scale by two independent reviewers. Endings were meta-analysis using RevMan 5.4.1 analysis software to analyse the data.</span></span></div></div><div><h3>Results</h3><div><span>Eleven randomized controlled trial<span> with a total of 395 patients were included. On VAS scores, KT effectively reduced VAS pain scores (MD=-0.79,95 % CI −1.10,-0.48, P &lt; 0.00001); on AOFAS scores, KT improved AOFAS function scores (MD=6.58, 95 % CI 5.03,8.13, P &lt; 0.00001) and the results remained consistent across intervention durations; on plantar fascia thickness measurements, KT significantly reduced plantar fascia thickness (MD=-0.33, 95 % CI −0.56,-0.10, P = 0.005); on </span></span>BBS<span><span> scores, KT significantly improved BBS scores [MD= 4.75, 95 % CI (3.17, 6.32), P &lt; 0.00001]; on FFI-FPS scores, KT effectively improved FFI-FPS scores [MD = -2.59, 95 % CI (-3.50, −1.69), P &lt; 0.00001]; on FFI-FDS scores, there was a significant improvement on FFI-FDS scores; on FFI-ALS scores, KT had a significant improvement on the FFI-ALS score had a significant effect [MD= -11.03, 95 % CI (-14.79, −7.27), P &lt; 0.00001]; and on VAS scores after follow-up, the </span>pain relief effect was sustained (MD=-1.03, 95 % CI −1.21, −0.85, P &lt; 0.00001).</span></div></div><div><h3>Conclusion</h3><div>Based on the available evidence, preliminary analyses suggest that KT combined with conventional rehabilitation may have some advantages in improving pain, ankle-hindfoot function, and plantar fascia thickness in patients with plantar fasciitis, and some of the efficacy is short-term sustained. However, due to the heterogeneity and sample size of the included studies, the above conclusions need to be further validated by more high-quality studies.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 1","pages":"Pages 11-25"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235678","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":"Efficacy of percutaneous surgery for digital deformities in older patients with comorbidities","authors":"A. Herrera-Rodríguez ,&nbsp;M. Uroz-de la Iglesia ,&nbsp;J. Ojeda-Jiménez ,&nbsp;D. Rendón-Díaz ,&nbsp;E. Morales-Pérez ,&nbsp;J.M. García-López ,&nbsp;R. Infante-Alonso ,&nbsp;L. Touray-Conteh ,&nbsp;M. Herrera-Pérez","doi":"10.1016/j.fas.2025.06.008","DOIUrl":"10.1016/j.fas.2025.06.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Percutaneous forefoot surgery is a minimally invasive surgical technique with the advantages of lower morbidity and earlier recovery by allowing immediate weight bearing. These benefits represent an ideal indication for older patients with high comorbidity. This study presents the functional outcomes of this surgical technique in a series of patients with these characteristics at a tertiary-level university hospital.</div></div><div><h3>Methodology</h3><div>A retrospective observational study of a case series of patients who underwent this minimally invasive technique between 2022 and 2023. Epidemiological variables were collected, and the outcomes were analysed based on three parameters: resolution of ulcers, disappearance of keratoses, and the ability to wear shoes. The complete resolution of all three parameters evaluated was considered satisfactory, two resolved was acceptable, and the persistence of two or more was unsatisfactory. Given the characteristics of the series collected, only clinical follow-up was performed, with no radiological follow-up in any case.</div></div><div><h3>Results</h3><div>The first 30 cases operated on were collected. They had a mean age of 82.8 years and an average follow-up of 6.57 months, sufficient to evaluate medium-term postoperative results. The results were satisfactory in 83 % of cases. Half of the patients had two or more comorbidities—type 2 diabetes mellitus being the most prevalent—and the higher the number of comorbidities, the greater the risk of an unsatisfactory outcome. Surgical complications were few and mostly mild, affecting only 33 % of patients (10 cases). Those with ulcers before surgery presented the worst outcomes.</div></div><div><h3>Conclusions</h3><div>Percutaneous forefoot surgery for severe digital deformities in older patients with high comorbidity is an ideal minimally invasive technique with good functional outcomes and an acceptable percentage of complications.</div></div><div><h3>Level of evidence</h3><div>IV. Type of study: Case series.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 1","pages":"Pages 85-93"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668731","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":"Factors associated with improvement in ankle dorsiflexion after transfibular total ankle arthroplasty","authors":"Song Ho Chang ,&nbsp;Yuichi Nagase ,&nbsp;Rikyo Kuhara ,&nbsp;Taro Kasai ,&nbsp;Jun Hirose ,&nbsp;Shinji Mishima ,&nbsp;Tetsuro Yasui","doi":"10.1016/j.fas.2025.07.002","DOIUrl":"10.1016/j.fas.2025.07.002","url":null,"abstract":"<div><h3>Background</h3><div>While transfibular total ankle arthroplasty (TAA) demonstrates favorable short-term outcomes, factors influencing postoperative ankle dorsiflexion remain underexplored. This is the first study aimed to identify factors influencing dorsiflexion range of motion after transfibular TAA.</div></div><div><h3>Methods</h3><div>Forty-nine patients undergoing transfibular TAA were classified into dorsiflexion-improved (DF-improved) group (≥5°,n = 26) and dorsiflexion-non-improved (DF-non-improved) group (&lt;5°, n = 23). Radiographic parameters, residual medial tibial osteophytes, and Achilles tendon lengthening were evaluated.</div></div><div><h3>Results</h3><div>The DF-improved group had smaller anterior talar implant depth (3.1 ± 2.0 mm vs. 5.5 ± 1.7 mm), greater γ angle (17.4 ± 4.3°vs. 14.4 ± 5.1°), smaller proportion of postoperative residual medial tibial osteophyte (2 vs. 10), and more Achilles tendon lengthening than the DF-non-improved group (9 vs. 2).</div></div><div><h3>Conclusions</h3><div>Close consideration of the depth and angle of talar implant placement, meticulous osteophyte resection of medial tibia, and Achilles tendon lengthening may improve the postoperative dorsiflexion following transfibular TAA.</div></div><div><h3>Levels of evidence</h3><div>Level III case-control study (retrospective comparative study).</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 1","pages":"Pages 94-99"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650980","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}