Pub Date : 2018-01-01DOI: 10.4172/2329-910X.1000251
Olga Borao, A. Planas, A. Susín, F. Corbi
Background: The patterns of activation of the leg musculature can be altered after suffering from a sprained ankle, which can contribute negatively to the biomechanics of the leg. Ankle sprains can generate changes in muscle electromyographic activity in both the thigh and ankle regions, for which physiotherapy is the most common treatment. This study aimed to determine the effect of a low-intensity isometric contraction of the proximal thigh muscles (gluteus maximus (Gmax), gluteus medius (Gmed), tensor fasciae latae (TFL) on the electromyographic response of the tibialis anterior (TA), peroneus longus (PL), lateral gastrocnemius (LG), and soleus muscles (SL) in a sudden ankle supination. Methods: Fifteen healthy volunteers were subjected to 2 series of three trials on a sudden ankle supination platform (50°). This involved a multiple analysis of variance per trial and muscle for the dependent variables and an analysis of variance in the measures repeated under study for the different time windows evaluated, according to the intended factors and muscle studied. Results: No significant differences were observed in the variables concerning the time of activation, the moment of maximum EMG registration or registered peak value. Conclusion: Inducing a low-intensity isometric contraction of the abductor leg muscles did not generate changes in the muscular values studied.
{"title":"Effects of Carrying Out a Low-Intensity Isometric Contraction of the Proximal Thigh Muscles on the Electromyographic Activity of the Leg Muscles when Simulating an Ankle Sprain","authors":"Olga Borao, A. Planas, A. Susín, F. Corbi","doi":"10.4172/2329-910X.1000251","DOIUrl":"https://doi.org/10.4172/2329-910X.1000251","url":null,"abstract":"Background: The patterns of activation of the leg musculature can be altered after suffering from a sprained ankle, which can contribute negatively to the biomechanics of the leg. Ankle sprains can generate changes in muscle electromyographic activity in both the thigh and ankle regions, for which physiotherapy is the most common treatment. This study aimed to determine the effect of a low-intensity isometric contraction of the proximal thigh muscles (gluteus maximus (Gmax), gluteus medius (Gmed), tensor fasciae latae (TFL) on the electromyographic response of the tibialis anterior (TA), peroneus longus (PL), lateral gastrocnemius (LG), and soleus muscles (SL) in a sudden ankle supination. Methods: Fifteen healthy volunteers were subjected to 2 series of three trials on a sudden ankle supination platform (50°). This involved a multiple analysis of variance per trial and muscle for the dependent variables and an analysis of variance in the measures repeated under study for the different time windows evaluated, according to the intended factors and muscle studied. Results: No significant differences were observed in the variables concerning the time of activation, the moment of maximum EMG registration or registered peak value. Conclusion: Inducing a low-intensity isometric contraction of the abductor leg muscles did not generate changes in the muscular values studied.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000251","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-910X.1000266
Sahoo Pk, Sahoo Mm
Tibial hemimelia is an uncommon longitudinal limb deficiency disorder involving the osseous and soft tissue components of the medial part of the leg. It is a syndrome of partial to complete absence of tibia at birth. Because of wide spectrum of presentation of the condition, many authors have tried to classify but none of the classification covers all the variations of tibial hemimelia. The case report presented here is a case of tibial hemimelia with bifurcated ankle having separate skin cover distal end of tibia fibula. This type of tibial hemimelia cannot be classified into any of the category; so far existing classification system is available. Further research is needed to develop a classification system which can include this type of tibial hemimelia.
{"title":"Unclassified Tibial Hemimelia-A Case Report","authors":"Sahoo Pk, Sahoo Mm","doi":"10.4172/2329-910X.1000266","DOIUrl":"https://doi.org/10.4172/2329-910X.1000266","url":null,"abstract":"Tibial hemimelia is an uncommon longitudinal limb deficiency disorder involving the osseous and soft tissue components of the medial part of the leg. It is a syndrome of partial to complete absence of tibia at birth. Because of wide spectrum of presentation of the condition, many authors have tried to classify but none of the classification covers all the variations of tibial hemimelia. The case report presented here is a case of tibial hemimelia with bifurcated ankle having separate skin cover distal end of tibia fibula. This type of tibial hemimelia cannot be classified into any of the category; so far existing classification system is available. Further research is needed to develop a classification system which can include this type of tibial hemimelia.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000266","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-910X.1000254
Maaty Mt, Khalek Ma
Introduction: Calcaneus injuries account for 2% of all fractures. The surgical treatment of calcaneal fractures with skin problems is a challenge to the surgeon. Many operative techniques described for management of fractures calcaneus, ranging from minimally invasive percutaneous fixation to extensive open techniques. Material and methods: Between February 2012 and December 2015, this prospective study included forty five patients (38 male and 7 female) presented with 50 displaced calcaneal fractures associated with skin problems underwent a minimally invasive surgery by closed reduction and percutaneous k-wires fixation. Results: According to American Orthopedics Foot and Ankle Society (AOFAS) ankle hindfoot scale 37 patients had excellent, 9 patients were good and 4 patients had fair results. According to skin, the bad skin condition improved within 2 to 3 weeks postoperatively and there were no serious skin complications. Conclusion: Calcaneal fractures associated with bad skin conditions are best treated by a minimally invasive surgery by closed reduction and percutaneous k-wires fixation as there is no delay in surgery time like open procedures and there is a marvelous improvement of skin conditions.
{"title":"The Overcoming of Calcaneal Fractures Associated with Skin Problems through a Minimally Invasive Surgery by Closed Reduction and Percutaneous K-wires Fixation","authors":"Maaty Mt, Khalek Ma","doi":"10.4172/2329-910X.1000254","DOIUrl":"https://doi.org/10.4172/2329-910X.1000254","url":null,"abstract":"Introduction: Calcaneus injuries account for 2% of all fractures. The surgical treatment of calcaneal fractures with skin problems is a challenge to the surgeon. Many operative techniques described for management of fractures calcaneus, ranging from minimally invasive percutaneous fixation to extensive open techniques. Material and methods: Between February 2012 and December 2015, this prospective study included forty five patients (38 male and 7 female) presented with 50 displaced calcaneal fractures associated with skin problems underwent a minimally invasive surgery by closed reduction and percutaneous k-wires fixation. Results: According to American Orthopedics Foot and Ankle Society (AOFAS) ankle hindfoot scale 37 patients had excellent, 9 patients were good and 4 patients had fair results. According to skin, the bad skin condition improved within 2 to 3 weeks postoperatively and there were no serious skin complications. Conclusion: Calcaneal fractures associated with bad skin conditions are best treated by a minimally invasive surgery by closed reduction and percutaneous k-wires fixation as there is no delay in surgery time like open procedures and there is a marvelous improvement of skin conditions.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-910X.1000272
D. Dodelin, C. Tourny, C. Menez, J. Coquart, M. L’hermette
Introduction: Foot overpronation is commonly associated with injuries in runners, and may contribute to iliotibial band syndrome, although to date, the effect of overpronation on this injury has been little studied. The aim of this study was to assess the effect of anti-pronation orthotic insoles on pain and hip and knee kinematics in runners with overpronation and iliotibial band syndrome. Case description: Three runners with iliotibial band syndrome underwent repeated kinematic analysis during a three-week period of training with bilateral orthotic insoles. Pain during running (visual analogue scale) and peak hip and knee internal rotation and hip adduction were analyzed. Results: After three weeks of training with the orthotic insoles, mean pain during running decreased from 10 points on the visual analogue scale to 1.6 ± 1.5. Mean peak internal hip rotation decreased by -7.6 ± 0.3 degree (S1=-7.4 degree; S2=-7.9 degree and S3=-7.3 degree) and mean peak internal knee rotation decreased by -6.9 ± 6.4 degree (S1=-4.2 degree, S2=-14.3 degree and S3= 2.5 degree). The results for hip adduction were not consistent. Discussion: Reduction of overpronation using orthotic insole may be an effective treatment for iliotibial band syndrome in some runners. The reduction in peak hip and knee internal rotation may have reduced strain on the iliotibial band during running, reducing pain. Kinematic analysis of running should be carried out in individuals with iliotibial band syndrome to determine the cause of the injury.
{"title":"Reduction of Foot Overpronation to Improve Iliotibial Band Syndrome in Runners: A Case Series","authors":"D. Dodelin, C. Tourny, C. Menez, J. Coquart, M. L’hermette","doi":"10.4172/2329-910X.1000272","DOIUrl":"https://doi.org/10.4172/2329-910X.1000272","url":null,"abstract":"Introduction: Foot overpronation is commonly associated with injuries in runners, and may contribute to iliotibial band syndrome, although to date, the effect of overpronation on this injury has been little studied. The aim of this study was to assess the effect of anti-pronation orthotic insoles on pain and hip and knee kinematics in runners with overpronation and iliotibial band syndrome. Case description: Three runners with iliotibial band syndrome underwent repeated kinematic analysis during a three-week period of training with bilateral orthotic insoles. Pain during running (visual analogue scale) and peak hip and knee internal rotation and hip adduction were analyzed. Results: After three weeks of training with the orthotic insoles, mean pain during running decreased from 10 points on the visual analogue scale to 1.6 ± 1.5. Mean peak internal hip rotation decreased by -7.6 ± 0.3 degree (S1=-7.4 degree; S2=-7.9 degree and S3=-7.3 degree) and mean peak internal knee rotation decreased by -6.9 ± 6.4 degree (S1=-4.2 degree, S2=-14.3 degree and S3= 2.5 degree). The results for hip adduction were not consistent. Discussion: Reduction of overpronation using orthotic insole may be an effective treatment for iliotibial band syndrome in some runners. The reduction in peak hip and knee internal rotation may have reduced strain on the iliotibial band during running, reducing pain. Kinematic analysis of running should be carried out in individuals with iliotibial band syndrome to determine the cause of the injury.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000272","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70282079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-910x.1000275
Brigido Sa, Riniker Ml, Protzman Nm, Constant Dd
{"title":"Application of Acellular Amniotic Scaffold Following Total Ankle Replacement: A Retrospective Comparison","authors":"Brigido Sa, Riniker Ml, Protzman Nm, Constant Dd","doi":"10.4172/2329-910x.1000275","DOIUrl":"https://doi.org/10.4172/2329-910x.1000275","url":null,"abstract":"","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910x.1000275","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70282380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-910x.1000276
Stephen A. Brigido, S. Carrington, Nicole M. Protzman, Yong Mao, E. ThomasPashuck, J. Kohn, M. Bhatia
{"title":"The Use of an Acellular Connective Tissue Matrix in Hindfoot and Ankle Fusions: Understanding the Cellular Bench Top Data with a Consecutive Patient Series: A Pilot Study","authors":"Stephen A. Brigido, S. Carrington, Nicole M. Protzman, Yong Mao, E. ThomasPashuck, J. Kohn, M. Bhatia","doi":"10.4172/2329-910x.1000276","DOIUrl":"https://doi.org/10.4172/2329-910x.1000276","url":null,"abstract":"","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910x.1000276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70282413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-910X.1000253
Perianayagam Gr, Patel Ms, J. Mangwani
Introduction: The use of locking plates over other conventional methods in fusion and reconstructive foot surgery has become popular. We report our experience with the use of Variable Angle SynthesTM plates in reconstructive and joint fusion procedures. Methods: Seventy one foot reconstructive and fusion procedures in 48 consecutive patients were performed between June 2012 and September 2014. Data was sourced from theatre log, ORMIS, PACS and Dictate IT. An independent observer carried out retrospective analysis of prospectively collected data on patient demographics, indication for surgery, co-morbidities, type of surgical procedure, radiological outcome of union rates and time to union, pre and post-op patient reported outcome scores (MOXFQ score and EQ-5D) and complication rates. Results: The mean age was 59 (range 32-78) years with a 2:1 female predominance. Indication for surgery was degenerative arthritis (55 procedures) in most cases. The overall union rate was 93% with time to union being 6 to 16 weeks in osteotomies and 12 to 32 weeks in fusion procedures. Amongst the 8 delayed unions (3 smokers, 1 Diabetic) and 5 non-unions (2 Diabetics, 2 rheumatoid arthritis on Anti-TNF treatment). There was 1 peri-implant fracture, 2 superficial wound infections, 3 metalwork failures. There was a significant improvement in MOXFQ and EQ-5D scores. Conclusion: This series reports a high union rate, a low number of fixation-related complications, and significant improvement in the patient reported outcome measures with the use of Variable Angle SynthesTM foot plates. There was an association between delayed/non-union and smoking, diabetes and inflammatory Arthritis.
{"title":"The Use of Variable Angle Locking SynthesTM Plates in Foot Reconstructive and Fusion Procedures-A Non-Inventor Centre Report","authors":"Perianayagam Gr, Patel Ms, J. Mangwani","doi":"10.4172/2329-910X.1000253","DOIUrl":"https://doi.org/10.4172/2329-910X.1000253","url":null,"abstract":"Introduction: The use of locking plates over other conventional methods in fusion and reconstructive foot surgery has become popular. We report our experience with the use of Variable Angle SynthesTM plates in reconstructive and joint fusion procedures. Methods: Seventy one foot reconstructive and fusion procedures in 48 consecutive patients were performed between June 2012 and September 2014. Data was sourced from theatre log, ORMIS, PACS and Dictate IT. An independent observer carried out retrospective analysis of prospectively collected data on patient demographics, indication for surgery, co-morbidities, type of surgical procedure, radiological outcome of union rates and time to union, pre and post-op patient reported outcome scores (MOXFQ score and EQ-5D) and complication rates. Results: The mean age was 59 (range 32-78) years with a 2:1 female predominance. Indication for surgery was degenerative arthritis (55 procedures) in most cases. The overall union rate was 93% with time to union being 6 to 16 weeks in osteotomies and 12 to 32 weeks in fusion procedures. Amongst the 8 delayed unions (3 smokers, 1 Diabetic) and 5 non-unions (2 Diabetics, 2 rheumatoid arthritis on Anti-TNF treatment). There was 1 peri-implant fracture, 2 superficial wound infections, 3 metalwork failures. There was a significant improvement in MOXFQ and EQ-5D scores. Conclusion: This series reports a high union rate, a low number of fixation-related complications, and significant improvement in the patient reported outcome measures with the use of Variable Angle SynthesTM foot plates. There was an association between delayed/non-union and smoking, diabetes and inflammatory Arthritis.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000253","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There are no standardized criteria for the diagnosis and management of syndesmotic injuries, creating great ambiguity regarding optimal treatment. Traditionally, individuals with clinical and/or radiological suspicion of syndesmotic instability warrant an examination under anaesthesia and/or diagnostic arthroscopy to confirm and treat. Our purpose was to identify clinical syndesmotic instability without the need of invasive arthroscopic procedures. However, the invasive process of this has inherent risks to the patient. We developed a device to dynamically evaluate the distal tibiofibular stability during external rotation of the ankle as an extension to the available clinical tests. We compared the results of this device with intra-operative arthroscopic findings in 15 athlete cases with isolated grade 2 syndesmotic instability and found very good correlation, especially when tested in dorsiflexion. We consider this syndhoo device very helpful as part of the available options in the clinical diagnosis of syndesmotic instability.
{"title":"Stable versus Unstable Grade 2 High Ankle Sprains in Athletes: A Noninvasive Tool to Predict the Need for Surgical Fixation","authors":"DHooghe P, Bouhdida S, Whiteley R, Rosenbaum A, Khelaifi K, Kaux Jf","doi":"10.4172/2329-910X.1000252","DOIUrl":"https://doi.org/10.4172/2329-910X.1000252","url":null,"abstract":"There are no standardized criteria for the diagnosis and management of syndesmotic injuries, creating great ambiguity regarding optimal treatment. Traditionally, individuals with clinical and/or radiological suspicion of syndesmotic instability warrant an examination under anaesthesia and/or diagnostic arthroscopy to confirm and treat. Our purpose was to identify clinical syndesmotic instability without the need of invasive arthroscopic procedures. However, the invasive process of this has inherent risks to the patient. We developed a device to dynamically evaluate the distal tibiofibular stability during external rotation of the ankle as an extension to the available clinical tests. We compared the results of this device with intra-operative arthroscopic findings in 15 athlete cases with isolated grade 2 syndesmotic instability and found very good correlation, especially when tested in dorsiflexion. We consider this syndhoo device very helpful as part of the available options in the clinical diagnosis of syndesmotic instability.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000252","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-910X.1000259
Gurumoorthy Pg, Dinkar Rai Bk, Arvind Kumar Sm, Chaitra
Chondrosarcoma is a relatively common primary malignant bone lesion. It is a malignant, relatively slow growing cartilage producing tumor. It forms approximately 10% of malignant primary bone tumors. However, it usually arises in long bones and truncal bones, whereas these tumors are uncommon in the hands and feet. The type are (A) Primary chondrosarcomas arises denovo from bone without any preexisting lesion. (B) Secondary chondrosarcomas when tumor arises from preexisting benign lesions of bone. Primary tumor is generally seen between 40 to 60 years of age. Secondary chondrosarcomas are more common in young adults.
{"title":"Chondrosarcoma of Second Toe Distal Phalanx-A Case Report","authors":"Gurumoorthy Pg, Dinkar Rai Bk, Arvind Kumar Sm, Chaitra","doi":"10.4172/2329-910X.1000259","DOIUrl":"https://doi.org/10.4172/2329-910X.1000259","url":null,"abstract":"Chondrosarcoma is a relatively common primary malignant bone lesion. It is a malignant, relatively slow growing cartilage producing tumor. It forms approximately 10% of malignant primary bone tumors. However, it usually arises in long bones and truncal bones, whereas these tumors are uncommon in the hands and feet. The type are (A) Primary chondrosarcomas arises denovo from bone without any preexisting lesion. (B) Secondary chondrosarcomas when tumor arises from preexisting benign lesions of bone. Primary tumor is generally seen between 40 to 60 years of age. Secondary chondrosarcomas are more common in young adults.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-910X.1000269
W. Fssenich, R. Scholten, Rijnberg Wj, Somford Mp
Background: Non-union is a complication after arthrodesis of the first metatarsophalangeal joint (MTP-1). The reported incidence varies from 0 to 12%. However, we suspected the incidence might be higher in our clinic. The purpose of this study was to determine the incidence of non-union after MTP-1 arthrodesis.Methods: In a retrospective cohort study, all patients that underwent primary MTP-1 arthrodesis between January 2015 and December 2016 were analysed.Results: 89 toes were included among 84 patients. The cohort consisted of 63 females and 26 males with an average age of 60. The incidence of non-union was 23.5%. No significant differences in means of hallux valgus angle (HVA), age, smoking habits, ASA classification, gender, screw length, surgery duration, the number of bony cortices involved in the fixation, position of the screw intersection, fixation technique, articular surface preparation and the attending surgeon were found.Conclusion: The incidence of non-union following MTP-1 arthrodesis is substantially higher compared to previously reported numbers in literature. No cause regarding the latter was identified. In an attempt to reduce the incidence of non-union, we have recently adjusted our treatment protocol and surgery techniques.
{"title":"High Incidence of Non-Union Following Arthrodesis of the First Metatarsophalangeal Joint","authors":"W. Fssenich, R. Scholten, Rijnberg Wj, Somford Mp","doi":"10.4172/2329-910X.1000269","DOIUrl":"https://doi.org/10.4172/2329-910X.1000269","url":null,"abstract":"Background: Non-union is a complication after arthrodesis of the first metatarsophalangeal joint (MTP-1). The reported incidence varies from 0 to 12%. However, we suspected the incidence might be higher in our clinic. The purpose of this study was to determine the incidence of non-union after MTP-1 arthrodesis.Methods: In a retrospective cohort study, all patients that underwent primary MTP-1 arthrodesis between January 2015 and December 2016 were analysed.Results: 89 toes were included among 84 patients. The cohort consisted of 63 females and 26 males with an average age of 60. The incidence of non-union was 23.5%. No significant differences in means of hallux valgus angle (HVA), age, smoking habits, ASA classification, gender, screw length, surgery duration, the number of bony cortices involved in the fixation, position of the screw intersection, fixation technique, articular surface preparation and the attending surgeon were found.Conclusion: The incidence of non-union following MTP-1 arthrodesis is substantially higher compared to previously reported numbers in literature. No cause regarding the latter was identified. In an attempt to reduce the incidence of non-union, we have recently adjusted our treatment protocol and surgery techniques.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000269","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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