Pub Date : 2018-01-01DOI: 10.4172/2329-910X.1000273
Hamdi Mf, H. Msek
Mirror foot is an uncommon abnormality and considered as a form of congenital duplication. Only few cases are published. We report a case of a 6-month-old patient with preaxial mirror left foot. The wedge surgical resection of the three duplicated rays was performed. After four years of follow-up, the cosmetic and functional result was good. Surgical treatment must be required before walking age and has both functional and aesthetic implications and gives fewer complications than that of the equivalent of upper limb.
{"title":"A Case Report of a Nine Toes Mirror Foot and Literature Review","authors":"Hamdi Mf, H. Msek","doi":"10.4172/2329-910X.1000273","DOIUrl":"https://doi.org/10.4172/2329-910X.1000273","url":null,"abstract":"Mirror foot is an uncommon abnormality and considered as a form of congenital duplication. Only few cases are published. We report a case of a 6-month-old patient with preaxial mirror left foot. The wedge surgical resection of the three duplicated rays was performed. After four years of follow-up, the cosmetic and functional result was good. Surgical treatment must be required before walking age and has both functional and aesthetic implications and gives fewer complications than that of the equivalent of upper limb.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"6 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000273","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70282256","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.1000262
Ashish Batra, J. O’Sullivan
Isolated fracture dislocation of navicular bone is rare. It is due to a plantar flexion compressive injury, which crushes the bone. Sometimes it may displace a part of the fractured bone from the naviculocuneiform and the talonavicular joints. We present a case report of a 37 year old male who presented with isolated fracture dislocation of navicular. Open reduction and Internal Fixation was done on the dorsal surface using Navicular plate and screws. There is always a possibility of ischaemic necrosis and post-traumatic arthritis in such cases.
{"title":"Isolated Fracture Dislocation of Navicular Bone: A Case Report","authors":"Ashish Batra, J. O’Sullivan","doi":"10.4172/2329-910X.1000262","DOIUrl":"https://doi.org/10.4172/2329-910X.1000262","url":null,"abstract":"Isolated fracture dislocation of navicular bone is rare. It is due to a plantar flexion compressive injury, which crushes the bone. Sometimes it may displace a part of the fractured bone from the naviculocuneiform and the talonavicular joints. We present a case report of a 37 year old male who presented with isolated fracture dislocation of navicular. Open reduction and Internal Fixation was done on the dorsal surface using Navicular plate and screws. There is always a possibility of ischaemic necrosis and post-traumatic arthritis in such cases.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"6 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000262","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281605","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.1000279
Attilio B, Maria Lf, Alberto F, Carboni L, Carmine Z, Jacopo B
{"title":"Osteoid Osteoma of the Proximal Phalanx of the Hallux: A Case Report of a Challenging Diagnosis","authors":"Attilio B, Maria Lf, Alberto F, Carboni L, Carmine Z, Jacopo B","doi":"10.4172/2329-910x.1000279","DOIUrl":"https://doi.org/10.4172/2329-910x.1000279","url":null,"abstract":"","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910x.1000279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70282477","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.1000283
S. Moniz, D. McCurdy, P. Yates, S. Seresti, C. Albers
Method: A prospective study was conducted including 370 patients (mean age: 42, range 18-88 years) undergoing ORIF for ankle fractures. Wound closure was performed according to a standardized protocol (layered with vicryl and nylon), and dressings were applied via randomisation with with chlorhexidine 0.5% in alcohol 70% (n=185), or normal opsite® dressing (n=185) and left covered for 14 days. Follow up was performed at two and six weeks in clinic with Southampton scoring sheet filled and normal dressing applied. Statisical analysis comprised Fisher’s exact test for comparison of binominal data, and multivariate logistic regression analyses with impaired wound healing or wound infection as the dependent outcome variable and type of dressing, age, gender, smoking and diabetes as independent variables. Results: The mean age was 43 ± 18.3 years (range 18-88) with 254 females (139 vs. 115) and 116 males (46 vs. 70) recruited for the ordinary and alcohol groups respectively. At two weeks post-operatively the ordinary vs. alcohol dressings group had 24 patients (10 vs. 14 p=0.89) with impaired healing, 2 patients (0 vs.2 p=0.995) with delayed healing and no patients with deep infections. At six weeks post-operatively 18 patients (9 vs. 9 p=0.97) had impaired healing, 11 patients (5 vs. 6 p=0.82) had delayed healing and 5 patients (3 vs. 2 p=0.73) had deep infections requiring further orthopaedic intervention. Conclusions: There is no significant difference in wound outcome scores at two or six weeks between using an alcohol based or ordinary dressing for surgical management of closed ankle fractures
方法:对370例接受ORIF治疗踝关节骨折的患者(平均年龄42岁，18-88岁)进行前瞻性研究。根据标准化方案(用维氏树脂和尼龙分层)进行伤口闭合，随机使用0.5%含70%酒精的氯己定(n=185)或正常的相反®敷料(n=185)敷料，并覆盖14天。随访时间分别为2周和6周，使用南安普顿记分单和正常敷料。统计分析采用Fisher精确检验对二项数据进行比较，并以伤口愈合受损或伤口感染为因变量，以敷料类型、年龄、性别、吸烟和糖尿病为自变量进行多变量logistic回归分析。结果:平均年龄为43±18.3岁(18-88岁)，女性254人(139人对115人)，男性116人(46人对70人)。术后2周，普通与酒精敷料组有24例(10 vs. 14 p=0.89)愈合受损，2例(0 vs.2 p=0.995)愈合延迟，无深部感染。术后6周，18例患者(9 vs. 9 p=0.97)愈合受损，11例患者(5 vs. 6 p=0.82)愈合延迟，5例患者(3 vs. 2 p=0.73)发生深部感染，需要进一步矫形干预。结论:在闭合性踝关节骨折的手术治疗中，使用酒精基敷料和普通敷料在2周或6周的伤口结局评分上没有显著差异
{"title":"Comparison of the Rate of Wound Infection Post Ankle Open Reduction and Internal Fixation: A Prospective Randomized Control Trial","authors":"S. Moniz, D. McCurdy, P. Yates, S. Seresti, C. Albers","doi":"10.4172/2329-910X.1000283","DOIUrl":"https://doi.org/10.4172/2329-910X.1000283","url":null,"abstract":"Method: A prospective study was conducted including 370 patients (mean age: 42, range 18-88 years) undergoing ORIF for ankle fractures. Wound closure was performed according to a standardized protocol (layered with vicryl and nylon), and dressings were applied via randomisation with with chlorhexidine 0.5% in alcohol 70% (n=185), or normal opsite® dressing (n=185) and left covered for 14 days. Follow up was performed at two and six weeks in clinic with Southampton scoring sheet filled and normal dressing applied. Statisical analysis comprised Fisher’s exact test for comparison of binominal data, and multivariate logistic regression analyses with impaired wound healing or wound infection as the dependent outcome variable and type of dressing, age, gender, smoking and diabetes as independent variables. Results: The mean age was 43 ± 18.3 years (range 18-88) with 254 females (139 vs. 115) and 116 males (46 vs. 70) recruited for the ordinary and alcohol groups respectively. At two weeks post-operatively the ordinary vs. alcohol dressings group had 24 patients (10 vs. 14 p=0.89) with impaired healing, 2 patients (0 vs.2 p=0.995) with delayed healing and no patients with deep infections. At six weeks post-operatively 18 patients (9 vs. 9 p=0.97) had impaired healing, 11 patients (5 vs. 6 p=0.82) had delayed healing and 5 patients (3 vs. 2 p=0.73) had deep infections requiring further orthopaedic intervention. Conclusions: There is no significant difference in wound outcome scores at two or six weeks between using an alcohol based or ordinary dressing for surgical management of closed ankle fractures","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000283","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70282529","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.1000261
Maaty Mt, Khalek Ma
Background: Diabetes mellitus (DM) is a well recognized risk factor for infection. The Infection rates in diabetic patients undergoing open reduction and internal fixation of ankle fracture can be as high as 60%. Methods: Between February 2011 and June 2013, this prospective study was performed in 20 patients presented by bimalleolar pott's fracture in diabetic patients with comminuted fracture of the lateral malleolus. The patients underwent internal fixation through minimal incisions. Results: Out of twenty cases with pott's fractures treated with a minimal invasive surgery, 19 lateral malleolus united and 20 medial malleolus. According to skin condition, only two patients had superficial early postoperative infection. Conclusions: The advantage of this surgery is the avoidance of soft tissue complications through minimal incisions with minimal risk of infection with high rate of bony union and more cosmetic.
{"title":"The Avoidance of Soft Tissue Complications Following Treatment of Pott's Fractures with Comminuted Lateral Malleolus in Diabetic Patients through a Minimal Invasive Surgery","authors":"Maaty Mt, Khalek Ma","doi":"10.4172/2329-910X.1000261","DOIUrl":"https://doi.org/10.4172/2329-910X.1000261","url":null,"abstract":"Background: Diabetes mellitus (DM) is a well recognized risk factor for infection. The Infection rates in diabetic patients undergoing open reduction and internal fixation of ankle fracture can be as high as 60%. Methods: Between February 2011 and June 2013, this prospective study was performed in 20 patients presented by bimalleolar pott's fracture in diabetic patients with comminuted fracture of the lateral malleolus. The patients underwent internal fixation through minimal incisions. Results: Out of twenty cases with pott's fractures treated with a minimal invasive surgery, 19 lateral malleolus united and 20 medial malleolus. According to skin condition, only two patients had superficial early postoperative infection. Conclusions: The advantage of this surgery is the avoidance of soft tissue complications through minimal incisions with minimal risk of infection with high rate of bony union and more cosmetic.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"15 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000261","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70282039","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.1000282
Roukis Ts
{"title":"Use of Living Cellular Bone Matrix for Treating a Failed Ankle Arthroplasty: An Abbreviated Technique and Case Study","authors":"Roukis Ts","doi":"10.4172/2329-910X.1000282","DOIUrl":"https://doi.org/10.4172/2329-910X.1000282","url":null,"abstract":"","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70282487","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.1000278
C. Roll, K. Zwicker, B. Kinner
Methods: Preoperative computed tomography scans with axial, coronal and sagittal reformations of 100 displaced intraarticular calcaneal fractures (87 patients) were evaluated for: Bohler’s angle, Sanders, Zwipp and Eastwood/Atkins classifications, and calcaneocuboid, anterior, or middle subtalar articular involvement. Primary fracture line location and extension into the CCJ was measured on axial, coronal and sagittal computed tomography views. Number and orientation of fracture lines were analyzed. A classification of CCJ involvement is proposed.
{"title":"Calcaneocuboid Joint Involvement in Calcaneal Fractures-CT Based Analysis and Classification","authors":"C. Roll, K. Zwicker, B. Kinner","doi":"10.4172/2329-910X.1000278","DOIUrl":"https://doi.org/10.4172/2329-910X.1000278","url":null,"abstract":"Methods: Preoperative computed tomography scans with axial, coronal and sagittal reformations of 100 displaced intraarticular calcaneal fractures (87 patients) were evaluated for: Bohler’s angle, Sanders, Zwipp and Eastwood/Atkins classifications, and calcaneocuboid, anterior, or middle subtalar articular involvement. Primary fracture line location and extension into the CCJ was measured on axial, coronal and sagittal computed tomography views. Number and orientation of fracture lines were analyzed. A classification of CCJ involvement is proposed.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000278","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70282467","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.1000271
C. Pasapula, A. Memarzadeh, A. Devany, D. Parmar, J. West, N. Modi, Gill Df, C. Constant
Background: Chronic lateral ankle instability describes multiple pathologies affecting the tibiotalar or talocalcaneal articulations of the foot. One quarter of cases are caused by isolated or concomitant subtalar instability. The standard anterior drawer test (ADT) is used in routine clinical practice to assess abnormal movement at the tibiotalar joint. However, a positive test does not discriminate whether excessive translation is at the tibiotalar or subtalar joint. We suggest a modification to the standard ADT which separates the ankle joint translation by manually immobilising the tibiotalar joint in order isolate anterior translation at the subtalar joint. In the presence of a positive ADT, the modified anterior drawer test (MADT) would help discriminate if the pathological translation is at the tibiotalar or the subtalar joint or both. Methods: Our clinical study was an observational analysis of a cohort of 12 patients who had presented to an outpatient foot clinic in east of England. In addition, a cadaveric study was used to assess subtalar anterior translation. Results: In 50% of patients who had a clinically positive ADT, the MADT was negative which correlated 100% with Stress Broden radiographic views. Cadaveric analysis was done to show an increase in anterior translation with sequential sectioning of supporting ligaments. We demonstrated an absolute reduction in anterior translation in subtalar instability with the additional posterior force (MADT). Conclusion: The clinical and cadaveric data supports the use of the MADT as a valuable adjunct in the diagnosis and exclusion of subtalar instability as a cause of symptoms in addition to stress radiography.
{"title":"The Modified Anterior Drawer Test (MADT): A New Clinical Test for Assessing Subtalar Instability a Cadaveric and Clinical Assessment","authors":"C. Pasapula, A. Memarzadeh, A. Devany, D. Parmar, J. West, N. Modi, Gill Df, C. Constant","doi":"10.4172/2329-910X.1000271","DOIUrl":"https://doi.org/10.4172/2329-910X.1000271","url":null,"abstract":"Background: Chronic lateral ankle instability describes multiple pathologies affecting the tibiotalar or talocalcaneal articulations of the foot. One quarter of cases are caused by isolated or concomitant subtalar instability. The standard anterior drawer test (ADT) is used in routine clinical practice to assess abnormal movement at the tibiotalar joint. However, a positive test does not discriminate whether excessive translation is at the tibiotalar or subtalar joint. We suggest a modification to the standard ADT which separates the ankle joint translation by manually immobilising the tibiotalar joint in order isolate anterior translation at the subtalar joint. In the presence of a positive ADT, the modified anterior drawer test (MADT) would help discriminate if the pathological translation is at the tibiotalar or the subtalar joint or both. Methods: Our clinical study was an observational analysis of a cohort of 12 patients who had presented to an outpatient foot clinic in east of England. In addition, a cadaveric study was used to assess subtalar anterior translation. Results: In 50% of patients who had a clinically positive ADT, the MADT was negative which correlated 100% with Stress Broden radiographic views. Cadaveric analysis was done to show an increase in anterior translation with sequential sectioning of supporting ligaments. We demonstrated an absolute reduction in anterior translation in subtalar instability with the additional posterior force (MADT). Conclusion: The clinical and cadaveric data supports the use of the MADT as a valuable adjunct in the diagnosis and exclusion of subtalar instability as a cause of symptoms in addition to stress radiography.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"6 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281998","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.1000267
Kavitha Kv, S. Tathare, Kumbhar, A. Bidaye, R. Panse, S. Maheshwari, A. Gavankar, Unnikrishnan Ag
Diabetes because of its diverse effects on the lower extremity via vascular, neural and immunological affects can mask the local and systemic signs of infection, potentially misleading and delaying the diagnosis of infection especially in those with foreign body injuries. Accurate and prompt diagnosis of these anomalies is vital in the early management thus preventing further complications. Careful clinical assessment and imaging modalities are central to the diagnosis, which will help identify radiopaque and radiolucent objects and infections. These help in the better management of foot complications and contribute to better outcomes.
{"title":"Role of Radiology in the Management of Diabetic Foot Infections: A Report of Three Cases","authors":"Kavitha Kv, S. Tathare, Kumbhar, A. Bidaye, R. Panse, S. Maheshwari, A. Gavankar, Unnikrishnan Ag","doi":"10.4172/2329-910X.1000267","DOIUrl":"https://doi.org/10.4172/2329-910X.1000267","url":null,"abstract":"Diabetes because of its diverse effects on the lower extremity via vascular, neural and immunological affects can mask the local and systemic signs of infection, potentially misleading and delaying the diagnosis of infection especially in those with foreign body injuries. Accurate and prompt diagnosis of these anomalies is vital in the early management thus preventing further complications. Careful clinical assessment and imaging modalities are central to the diagnosis, which will help identify radiopaque and radiolucent objects and infections. These help in the better management of foot complications and contribute to better outcomes.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"6 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000267","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281669","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.1000274
Roukis Ts, B. Samsell
{"title":"A New Approach to Ankle and Foot Arthrodesis Procedures Using a Living Cellular Bone Matrix: A Case Series","authors":"Roukis Ts, B. Samsell","doi":"10.4172/2329-910X.1000274","DOIUrl":"https://doi.org/10.4172/2329-910X.1000274","url":null,"abstract":"","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000274","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70282317","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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