Foot and Ankle Surgery最新文献

{"title":"The effect of preoperative osteoporosis on postoperative outcomes following total ankle arthroplasty","authors":"Grace Bennfors,&nbsp;Ronit Kulkarni,&nbsp;Joshua Morningstar,&nbsp;Richard J. Friedman,&nbsp;Christopher E. Gross,&nbsp;Daniel J. Scott","doi":"10.1016/j.fas.2025.06.002","DOIUrl":"10.1016/j.fas.2025.06.002","url":null,"abstract":"<div><h3>Introduction</h3><div><span>Recent literature, particularly in the fields of total joint arthroplasty, has raised concern for increased </span>perioperative complications<span> following joint arthroplasty in patients with osteoporosis<span>. The purpose of this study is to evaluate the influence of preoperative osteoporosis on 6-month postoperative outcomes following total ankle arthroplasty (TAA).</span></span></div></div><div><h3>Methods</h3><div>The Nationwide Readmissions Database (NRD) was queried from 2015 to 2020 to identify 29,705 patients undergoing primary elective TAA. Patients were divided into two cohorts based on the presence of preoperative osteoporosis, with 943 (3.2 %) having this diagnosis. Preoperative demographics, comorbidities, postoperative outcomes, cost of admission, and total length of stay (LOS) were analyzed between cohorts. Multivariate regression analyses were conducted to control for predictors of adverse postoperative outcomes other than preoperative osteoporosis.</div></div><div><h3>Results</h3><div>The overall cohort was majority male (54.2 %) with mean age of 64.15 (range 17–90) years, and Charlson-Deyo Comorbidity Index (CCI) score of 0.65 (range 0–12). When stratifying by preoperative osteoporosis, it was found that osteoporosis patients were statistically significantly older (Osteoporosis=68.72 years; Non-osteoporosis=65.03 years; <em>p</em> &lt; .001), more likely to have Medicare insurance (<em>p</em><span> &lt; .001), and had a higher CCI score (Osteoporosis=0.98; Non-Osteoporosis=0.64; </span><em>p</em> &lt; .001). Multivariate regression analysis of 180-day postoperative outcomes found that preoperative osteoporosis was significantly predictive of increased risk of any complication (OR=1.428; <em>p</em> &lt; .001)<em>,</em> transfusion (OR=3.370; <em>p</em><span> &lt; .001), pulmonary embolism (OR=5.625; </span><em>p</em> = .016), Pneumonia (OR=3.872; <em>p</em> &lt; .001), non-routine discharge <em>(</em>OR=1.445; <em>p</em> &lt; .001), and extended stay greater than 4 days (OR=1.310<em>; p</em> &lt; .001). Further, preoperative presence of osteoporosis is predictive of nearly a $3000 increase in total cost of procedure (β= 2980.22; <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>The presence of osteoporosis was significantly predictive of higher rates of postoperative complications, LOS, and a substantially higher cost of procedure following TAA. Physicians and patients alike should consider this comorbidity when stratifying risk for outcomes following total ankle arthroplasty.</div></div><div><h3>Level of evidence</h3><div>Level III, Retrospective Cohort Study</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 1","pages":"Pages 40-44"},"PeriodicalIF":2.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568016","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":"2025-07-01","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":"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":"2025-07-01","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":"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":"2025-06-27","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":"Z-type shortening osteotomy of the proximal phalanx: A novel and safe joint sparing intervention to shorten lesser toes with good short-term outcome","authors":"Philipp Friederichsen ,&nbsp;Melissa Wilhelmi ,&nbsp;Pascal Rippstein","doi":"10.1016/j.fas.2025.06.004","DOIUrl":"10.1016/j.fas.2025.06.004","url":null,"abstract":"<div><h3>Background</h3><div><span>Overlength of the lesser toes can lead to pain at the distal </span>toe<span><span> end and painful hammer and claw deformities. Fusion or resection of proximal interphalangeal joints are commonly used to address overlength, while sacrificing joint mobility. A Z-type shortening </span>osteotomy<span> of the proximal phalanx (SOPP) was developed as a joint-sparing alternative.</span></span></div></div><div><h3>Methods</h3><div>We outline this novel technique and retrospectively analyzed preliminary data from 13 patients (including 9 women) with a mean age of 42 years who underwent Z-type SOPP. Patients rated their postoperative satisfaction and assessments of radiographs and complications were made up to 1-year post-SOPP.</div></div><div><h3>Results</h3><div>Of 29 toes in total, mean postoperative shortening was 6.4 mm (range, 4–11 mm) and all showed complete union at 1 year. All patients were satisfied with the surgery and only two reported limited joint mobility. There were no reports of infection and delayed wound healing.</div></div><div><h3>Conclusion</h3><div>Z-type SOPP appears to be an effective and safe joint sparing treatment for lesser toe overlength in the short term.</div></div><div><h3>Level of Evidence</h3><div>Retrospective case series, Level IV</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 1","pages":"Pages 53-58"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512595","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":"2025-06-14","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":"Radiographic evaluation of ankle alignment using the hip-to-calcaneus view in patients with end-stage ankle arthritis","authors":"Min Gyu Kyung ,&nbsp;Jahyung Kim ,&nbsp;Joonhee Kim ,&nbsp;Kyoung Min Lee ,&nbsp;Dong Yeon Lee","doi":"10.1016/j.fas.2025.06.003","DOIUrl":"10.1016/j.fas.2025.06.003","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to compare various ankle alignment parameters in the hip-to-calcaneus (H-C) view and conventional whole-leg standing radiographs.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed 61 patients with end-stage ankle arthritis (Takakura stage 3b/4) who underwent ankle arthrodesis. Preoperative H-C views and conventional radiographs were used to measure the hip-knee-ankle angle, weight-bearing line percentage, talar tilt, and medial distal tibial angle. The percentage of the H-C axis crossing the talus was also analyzed for asymmetry and correlated with the tibiocalcaneal angle, talar tilt, and hip-knee-ankle angle.</div></div><div><h3>Results</h3><div>Strong correlations were observed between the H-C view and conventional radiographs for the hip-knee-ankle angle (<em>r</em> = 0.88), weight-bearing line percentage (<em>r</em> = 0.90), and talar tilt (<em>r</em> = 0.87). The H-C axis asymmetry showed a strong correlation with tibiocalcaneal angle (<em>r</em> = -0.96).</div></div><div><h3>Conclusions</h3><div>The H-C view is a reliable tool for assessing hindfoot and lower limb alignment in end-stage ankle arthritis.</div></div><div><h3>Level of Evidence</h3><div>III</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"32 1","pages":"Pages 45-52"},"PeriodicalIF":2.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318411","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":"Endoscopic flexor hallucis longus transfer for acute Achilles tendon ruptures is associated with a high re-rupture rate: A prospective case series","authors":"Tiago Soares Baumfeld ,&nbsp;Victor Roberto Borges Barbosa ,&nbsp;Breno Souza dos Santos ,&nbsp;Daniel Soares Baumfeld ,&nbsp;Alexandre Leme Godoy-Santos ,&nbsp;Stefan Rammelt","doi":"10.1016/j.fas.2025.05.009","DOIUrl":"10.1016/j.fas.2025.05.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Achilles tendon rupture<span><span> (ATR) is one of the most common injuries to the </span>musculoskeletal system<span>. Recently, endoscopic FHL transfer has been successfully used to treat acute injuries in soccer players, with good return to play rates and good functional outcomes. The aim of this study is to analyze patient-reported questionnaires, functional capacity assessment (FCA), and re-rupture rates following endoscopic FHL transfer for acute ATR.</span></span></div></div><div><h3>Methods</h3><div><span>This is a prospective case series with 26 patients (15 men, 11 women, mean age 47.7 years) who suffered an ATR and underwent surgical reconstruction<span> with a FHL endoscopic transfer, between March 2022 and December 2023. The minimum follow-up was 12 months. Postoperative assessments included the visual analogue pain scale (VAS), Victorian Institute of Sports Assessment – Achilles (VISA-A) score, Achilles total tendon rupture score (ATRS), </span></span>AOFAS<span><span>, EVA, as well as plantar flexion strength, hallux flexion strength, ankle mobility, single heel rise test and Lunge test and </span>Achilles tendon resting angle.</span></div></div><div><h3>Results</h3><div>Five out of 26 patients (19,2 %) had a re-rupture of the Achilles tendon between the second and the fourth postoperative week. Twelve months postoperatively, the pain measured by VAS was 0.5, the mean VISA-A score was 94.4 (95 % CI: 90.8–100), and the mean ATRS was 5.1. The plantar flexion strength and ankle mobility were significantly lower in the affected side when compared to the formerly unaffected side (p = 0.015 and p &lt; 0.001, respectively). No wound healing problems or neurovascular or complications were observed.</div></div><div><h3>Discussion</h3><div>Despite a cautious rehabilitation program, we observed an unacceptably re-rupture rate of 19.2 % in our sample when compared to other techniques. We therefore believe that this technique should not be used in very active patients who desire fast recovery after acute ATR because the risks may be too high.</div></div><div><h3>Conclusion</h3><div>Endoscopic FHL transfer appears to be associated with a high re-rupture rate when used to treat acute Achilles tendon ruptures.</div></div><div><h3>Evidence level</h3><div>IV, Case Series.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 8","pages":"Pages 755-760"},"PeriodicalIF":2.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295086","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":"2025-06-02","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":"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":"2025-05-31","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}