Journal of Foot & Ankle Surgery最新文献

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IF 1.3 4区医学 Q2 Medicine

Journal of Foot & Ankle Surgery

Pub Date : 2026-01-01

引用次数: 0

IF 1.3 4区医学 Q2 Medicine

Journal of Foot & Ankle Surgery

Pub Date : 2026-01-01

引用次数: 0

Joint preservation in hallux rigidus: evaluating the efficacy of modified chevron osteotomy with extensive cheilectomy 拇僵直的关节保护：评估改良的Chevron截骨术与广泛的截骨术的疗效。

IF 1.3 4区医学 Q2 Medicine

Journal of Foot & Ankle Surgery

Pub Date : 2026-01-01 DOI: 10.1053/j.jfas.2025.07.006

Héctor José Masaragian M.D. (Foot and Ankle Surgeon), Leonel Rega M.D. (Foot and ankle Surgeon) , Fernando Perin M.D. (Foot and ankle Surgeon) , Lucas de Allende M.D. (Foot and ankle Surgeon) , César Miguel Fabrego M.D. (Foot and ankle Surgeon) , Johann Luis Veizaga Velasco M.D. (Foot and ankle Surgeon)

Background

Hallux rigidus is a degenerative condition of the first metatarsophalangeal joint, more frequently affecting females and individuals over 40 years. Various surgical options exist, but no prior studies have reported outcomes for distal shortening chevron osteotomy combined with extensive dorsal cheilectomy.

Purpose

To evaluate the clinical and functional outcomes of patients with hallux rigidus treated with distal shortening chevron osteotomy and extensive dorsal cheilectomy.

Study Design

Retrospective case series.

Methods

A total of 50 patients (51 feet) underwent surgery between 2015 and 2022. One patient had bilateral involvement. The mean age was 49.37 years; 46 % were male and 54 % female. Mean follow-up was 46.57 months (range, 6–81 months). Patients were assessed preoperatively and after surgery using the American Orthopaedic Foot & Ankle Society (AOFAS) score, range of motion (ROM), Visual Analogue Scale (VAS), and Foot and Ankle Ability Measure (FAAM).

Results

Postoperative scores demonstrated statistically significant improvements across all measures. Patients reported decreased pain, improved joint mobility, and enhanced function. The majority expressed satisfaction and indicated a willingness to undergo the procedure again.

Conclusion

Distal shortening chevron osteotomy with extensive dorsal cheilectomy is a safe and effective surgical option for Coughlin grades I–III hallux rigidus. This technique yields consistent improvements in pain, mobility, and function, with high patient satisfaction.

背景：拇僵直是一种第一跖趾关节退行性疾病，多见于女性和40岁以上的个体。存在多种手术选择，但没有先前的研究报道远端短截骨联合广泛背侧颧骨切除术的结果。目的：评价拇趾远端短截骨联合大面积背侧颧骨切除术治疗拇趾僵直的临床和功能效果。研究设计:回顾性病例系列。方法：2015年至2022年间，共有50名患者（51英尺）接受了手术。1例患者双侧受累。平均年龄49.37岁；其中男性占46%，女性占54%。平均随访46.57个月（范围6 ~ 81个月）。术前和术后采用美国骨科足踝协会（AOFAS）评分、活动范围（ROM）、视觉模拟量表（VAS）和足踝能力量表（FAAM）对患者进行评估。结果：术后评分在所有指标上均有统计学上的显著改善。患者报告疼痛减轻，关节活动度改善，功能增强。大多数人表示满意，并表示愿意再次接受手术。结论：远端短缩趾截骨联合广泛背趾切除术是治疗1 - 3级拇趾僵硬的一种安全有效的手术选择。该技术在疼痛、活动和功能方面持续改善，患者满意度高。

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引用次数: 0

Research on the treatment of chronic lateral ankle instability combined with grade 1 inferior tibiofibular syndesmosis injury 慢性外侧踝关节不稳合并1级下胫腓联合损伤的治疗研究。

IF 1.3 4区医学 Q2 Medicine

Journal of Foot & Ankle Surgery

Pub Date : 2026-01-01 DOI: 10.1053/j.jfas.2025.09.005

Lijun Shi MD , Jun Wu MD , Ruihong Cao BD , Dong Chen MD , Yang Zhang MD , Yan Huang MD

Background

Chronic lateral ankle instability (CLAI) with concomitant Grade I inferior tibiofibular syndesmosis injury (ITSI) is frequently overlooked, leading to residual symptoms after isolated ligament repair.

Purpose

To compare outcomes of arthroscopic modified Broström procedure (AMBP) alone versus AMBP plus syndesmotic fixation for CLAI with Grade I ITSI.

Study Design

Retrospective comparative cohort study.

Methods

From January 2021 to December 2022, 24 patients with chronic lateral ankle instability concomitant with Grade I inferior tibiofibular syndesmosis injury were assigned to either isolated AMBP (Group A, n = 13) or AMBP with elastic syndesmotic fixation (Group B, n = 11).Functional outcomes including the American Orthopedic Foot and Ankle Society score, Karlsson ankle joint function score, and pain visual analog scale score were assessed at final follow-up. Comparative analysis was conducted and the incidence of residual instability or recurrence was statistically analyzed.

Results

All patients in groups A and B were followed up until the last visit, with an average follow-up time of 25.7 ± 5 months (range: 18–37 months). There was a significant difference in functional scores between pre- and post-surgery for more than 1 year (P < 0.05). Arthroscopic modified Broström procedure combined with inferior tibiofibular syndesmosis fixation achieved higher scores compared with the two different treatment methods, and the difference was statistically significant (P < 0.05).

Conclusion

When lateral ankle instability and Grade I inferior tibiofibular syndesmosis injury coexist, simultaneous repair of both injuries is more effective than isolated repair of the ATFL.

背景：慢性外侧踝关节不稳（CLAI）合并I级下胫腓联合损伤（ITSI）经常被忽视，导致孤立韧带修复后残留症状。目的：比较关节镜下改良Broström手术（AMBP）单独与AMBP联合联合固定治疗伴有I级ITSI的CLAI的结果。研究设计：回顾性比较队列研究。方法：从2021年1月至2022年12月，24例慢性踝关节外侧不稳合并I级下胫腓联合损伤的患者被分配到单独的AMBP （A组，n=13）或AMBP合并弹性韧带联合固定（B组，n=11）。功能结果包括美国骨科足踝协会评分、Karlsson踝关节功能评分和疼痛视觉模拟量表评分。进行对比分析，统计分析残余不稳定或复发的发生率。结果：A、B组患者均随访至最后一次访视，平均随访时间25.7±5个月（18 ~ 37个月）。术后1年以上功能评分与术前比较差异有统计学意义（P < 0.05）。关节镜下改良Broström手术联合下胫腓联合固定两种不同治疗方法得分较高，差异有统计学意义（P < 0.05）。结论：当踝关节外侧不稳定和I级胫腓下联合损伤共存时，同时修复两种损伤比单独修复ATFL更有效。临床证据等级：3。

{"title":"Research on the treatment of chronic lateral ankle instability combined with grade 1 inferior tibiofibular syndesmosis injury","authors":"Lijun Shi MD , Jun Wu MD , Ruihong Cao BD , Dong Chen MD , Yang Zhang MD , Yan Huang MD","doi":"10.1053/j.jfas.2025.09.005","DOIUrl":"10.1053/j.jfas.2025.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Chronic lateral ankle instability (CLAI) with concomitant Grade I inferior tibiofibular syndesmosis injury (ITSI) is frequently overlooked, leading to residual symptoms after isolated ligament repair.</div></div><div><h3>Purpose</h3><div>To compare outcomes of arthroscopic modified Broström procedure (AMBP) alone versus AMBP plus syndesmotic fixation for CLAI with Grade I ITSI.</div></div><div><h3>Study Design</h3><div>Retrospective comparative cohort study.</div></div><div><h3>Methods</h3><div>From January 2021 to December 2022, 24 patients with chronic lateral ankle instability concomitant with Grade I inferior tibiofibular syndesmosis injury were assigned to either isolated AMBP (Group A, <em>n</em> = 13) or AMBP with elastic syndesmotic fixation (Group B, <em>n</em> = 11).Functional outcomes including the American Orthopedic Foot and Ankle Society score, Karlsson ankle joint function score, and pain visual analog scale score were assessed at final follow-up. Comparative analysis was conducted and the incidence of residual instability or recurrence was statistically analyzed.</div></div><div><h3>Results</h3><div>All patients in groups A and B were followed up until the last visit, with an average follow-up time of 25.7 ± 5 months (range: 18–37 months). There was a significant difference in functional scores between pre- and post-surgery for more than 1 year (<em>P</em> < 0.05). Arthroscopic modified Broström procedure combined with inferior tibiofibular syndesmosis fixation achieved higher scores compared with the two different treatment methods, and the difference was statistically significant (<em>P</em> < 0.05).</div></div><div><h3>Conclusion</h3><div>When lateral ankle instability and Grade I inferior tibiofibular syndesmosis injury coexist, simultaneous repair of both injuries is more effective than isolated repair of the ATFL.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"65 1","pages":"Pages 30.e1-30.e4"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can an isolated modified Lapidus procedure alter hindfoot alignment? a retrospective radiographic study 分离改良Lapidus手术能改变后足对中吗？回顾性影像学研究。

IF 1.3 4区医学 Q2 Medicine

Journal of Foot & Ankle Surgery

Pub Date : 2026-01-01 DOI: 10.1053/j.jfas.2025.09.002

Ramy Samargandi , Aimery Sabelle , Jean Brilhault , Julien Berhouet , Rayane Benhenneda

Purpose

The study aimed to evaluate the effect of first tarsometatarsal joint (TMT-1) arthrodesis using the modified Lapidus procedure on coronal hindfoot alignment, given the potential influence of medial column stabilization on talar positioning.

Study Design

A retrospective radiographic analysis was performed.

Methods

We reviewed 54 feet in 40 patients (mean age 60.6 ± 9.78 years) who underwent an isolated modified Lapidus procedure with an average follow-up of 29.6 ± 13.9 months. Fixation was achieved using a compression screw and plantar plate. Preoperative and 12-month postoperative weight-bearing dorsoplantar, lateral, and Méary views were analyzed. Radiographic measurements were independently performed by two senior surgeons and assessed for inter-observer reliability. Importantly, only radiographic outcomes were evaluated.

Results

On Méary view, hindfoot valgus decreased significantly using the Méary’s circle angle method (-2.0 ± 2.0° for observer 1 and -2.44 ± 1.84° for observer 2; p < 0.001 for both). Djian’s hindfoot valgus angle also decreased significantly (-1.44 ± 0.98°, p < 0.001 for observer 1; -1.67 ± 4.09°, p = 0.004 for observer 2). Inter-observer reliability was good (ICC = 0.87 and 0.80, respectively).

Conclusion

The modified Lapidus procedure resulted in a significant radiographic reduction in hindfoot valgus, suggesting a stabilizing effect on the medial column and hindfoot. These radiographic findings may inform surgical planning in patients with hallux valgus and concomitant flatfoot, although further clinical validation is required.

目的：考虑到内侧柱稳定对距骨定位的潜在影响，本研究旨在评估采用改良Lapidus手术进行第一跗跖关节（TMT-1）融合术对后足冠状位的影响。研究设计：进行回顾性影像学分析。方法：我们回顾了40例54英尺的患者（平均年龄60.6±9.78岁），他们接受了孤立的改良Lapidus手术，平均随访29.6±13.9个月。使用加压螺钉和足底钢板进行固定。术前和术后12个月的负重足底背、侧位和体表视图进行分析。影像学测量由两名资深外科医生独立完成，并评估了观察者间的可靠性。重要的是，仅评估了影像学结果。结果：采用m诈骗犯的圆角法，m诈骗犯的后足外翻明显减小（观察者1为-2.0±2.0°，观察者2为-2.44±1.84°，p均< 0.001）。Djian的后足外翻角也显著减小（观察者1为-1.44±0.98°，p < 0.001；观察者2为-1.67±4.09°，p = 0.004）。观察者间信度良好（ICC = 分别为0.87和0.80）。结论：改良Lapidus手术可显著减少后足外翻，表明其对内侧柱和后足有稳定作用。尽管需要进一步的临床验证，但这些影像学结果可以为拇外翻合并平足患者的手术计划提供参考。

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引用次数: 0

Comparative study of concurrent arthroscopic anterior talofibular ligament repair and posterior ankle debridement: Novel adjustable lateral floating position versus traditional repositioning with re-preparation 并发关节镜下距腓骨前韧带修复及踝关节后清创的比较研究：新型可调外侧浮动体位与传统重新定位与重新准备。

IF 1.3 4区医学 Q2 Medicine

Journal of Foot & Ankle Surgery

Pub Date : 2026-01-01 DOI: 10.1053/j.jfas.2025.08.015

Fan Ding , Kuankuan Yu , Jie Zhang , Sha Li , Yan Chen , Shijun Wei

Purpose

The goal of this study was to compare our novel adjustable lateral floating position with traditional repositioning and re-prepping for concurrent arthroscopic anterior talofibular ligament (ATFL) repair and posterior ankle debridement.

Study Design

Retrospective control study.

Methods

From 2019 to 2022, fifty-four cases underwent concurrent arthroscopic ATFL repair and posterior ankle debridement were retrospectively analyzed. According to the intraoperative position, 26 cases were assigned to group A (novel adjustable lateral floating position) and 28 to group B (traditional repositioning). The Foot and Ankle Ability Measure scales [FAAM, including activities of daily living (FAAM-ADL) and sports subscales (FAAM-SS)] and American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scores were compared. The surgical time and complications were also evaluated.

Results

The average follow-up time was 26.2 ± 2.5 months (range, 24-28 months) without significant differences between the groups. There was no significant difference between FAAM-ADL, FAAM-SS, and AOFAS scores at the final follow-ups. No significant difference in complication rates was found. However, there is a significant difference in median and interquartile range (IQR) of the surgical time between both groups [58.0 (50.0, 74.0) vs. 78.0 (68.5, 88.5)], with a large effects size (Cohen's d = -0.75). It is notable that the surgical times of patients with postoperative deep vein thrombosis exceeded 110 minutes in both groups.

Conclusion

For the concurrent arthroscopic ATFL repair and posterior ankle debridement, the novel adjustable lateral floating position is time-saving and reliable. This novel surgical positioning is also suitable for a younger or more junior surgeon.

目的：本研究的目的是比较我们的新型可调节的外侧浮动体位与传统的重新定位和重新准备进行关节镜下距腓骨前韧带（ATFL）修复和踝关节后清创。研究设计：回顾性对照研究。方法：回顾性分析2019年至2022年54例同时行关节镜下ATFL修复及踝关节后清创的病例。根据术中体位，将26例患者分为A组（新型可调节侧卧体位），28例患者分为B组（传统复位体位）。比较足踝能力量表[FAAM，包括日常生活活动量表（FAAM- adl）和运动量表（FAAM- ss）]和美国矫形足踝学会（AOFAS）踝关节-后足评分。评估手术时间及并发症。结果：两组患者平均随访时间为26.2±2.5个月（24 ~ 28个月），差异无统计学意义。FAAM-ADL、FAAM-SS和AOFAS评分在最后随访时无显著差异。并发症发生率无明显差异。然而，两组手术时间的中位数和四分位数范围（IQR）存在显著差异[58.0 (50.0,74.0)vs. 78.0(68.5, 88.5)]，且效应量较大（Cohen's d = -0.75）。值得注意的是，两组术后深静脉血栓患者手术时间均超过110分钟。结论：关节镜下并发ATFL修复及踝关节后清创，新型可调外侧浮动体位节省时间，可靠。这种新颖的手术体位也适用于较年轻或较初级的外科医生。证据等级：三级。

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引用次数: 0

Cover 1 -- cover prints black and PMS 261 封面1 -封面印刷黑色和PMS 261

IF 1.3 4区医学 Q2 Medicine

Journal of Foot & Ankle Surgery

Pub Date : 2026-01-01 DOI: 10.1053/S1067-2516(25)00345-X

引用次数: 0

IF 1.3 4区医学 Q2 Medicine

Journal of Foot & Ankle Surgery

Pub Date : 2026-01-01

引用次数: 0

IF 1.3 4区医学 Q2 Medicine

Journal of Foot & Ankle Surgery

Pub Date : 2026-01-01

引用次数: 0

IF 1.3 4区医学 Q2 Medicine

Journal of Foot & Ankle Surgery

Pub Date : 2026-01-01

引用次数: 0

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数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Journal of Foot & Ankle Surgery

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