Integrating weightbearing CT findings into evaluation of conventional radiographs in progressive collapsing foot deformity
Progressive collapsing foot deformity (PCFD) remains challenging to treat. Surgical planning depends on the amount and complexity of the deformity, which requires accurate differentiation through precise imaging. Weightbearing CT (WBCT) imaging has enhanced the three-dimensional (3D) assessment of PCFD. However, it remains unclear how PCFD findings on WBCT are related to the evaluation of conventional weightbearing radiographs. Therefore, we aimed to (1) compare specific X-ray measurements to corresponding WBCT measurements; (2) evaluate the reliability of X-ray measurements of interest; and (3) investigate whether X-ray measurements can infer osseous impingement in the subtalar joint region identified through WBCT.
Poor adherence rates to the minimum information for studies evaluating biologics in orthopaedics (MIBO) guidelines for clinical studies on platelet-rich plasma for osteochondral lesions of the talus: A systematic review
The Minimum Information for Studies Evaluating Biologics in Orthopaedics (MIBO) guidelines were developed in 2017 in order to establish a standardized approach for reporting key characteristics in platelet rich plasma (PRP)-based studies. However, the adherence to the guidelines from authors publishing data on studies related to the use of PPR in the management of osteochondral lesions of the talus (OLTs) has not yet been determined. The purpose of this study was to analyze how well clinical trials on PRP interventions for OLTs adhered to the MIBO guidelines.
Impact of dorsal closing wedge calcaneal osteotomy on hindfoot alignment and biomechanics of patients with insertional achilles tendinopathy; A weightbearing CT-based simulation study
Dorsal closing wedge calcaneal osteotomy (DCWCO) is purported to enhance both the biological and mechanical aspects of insertional Achilles tendinopathy (IAT) by altering its insertional anatomy. The biomechanical impacts of shifting the Achilles insertion, however, are not fully understood. This study aimed to analyze the effect of DCWCO on hindfoot alignment and gastrocnemius-soleus (G-S) power.
A systematic review of outcomes of total ankle arthroplasty with INBONE II
This study systematically reviews the literature and reports on outcomes of total ankle arthroplasty (TAA) with the INBONE II fixed-bearing implant.
Open and all-inside arthroscopic Brostrom-Gould for chronic lateral ankle instability: A comparative analysis of surgical outcomes and learning curves
The purpose of this study was to investigate and compare the learning curve and clinical outcomes of all-inside arthroscopic and open techniques in the treatment of chronic lateral ankle instability (CLAI).
Extracorporeal shock wave therapy shows comparative results with other modalities for the management of plantar fasciitis: A systematic review and meta-analysis
Plantar fasciitis (PF) is one of the most common causes of heel pain. With its treatment being mainly conservative, a lot of controversy surrounds the choice of the best conservative management for this entity. The purpose of this meta-analysis was to compare the effectiveness of extracorporeal shock wave therapy (ESWT) to other conservative treatment options for the management of plantar fasciitis PF.
Calcaneus fractures, epidemiology and treatment - Data on 3 949 fractures from the Swedish Fracture Register
Due to changing population demographics and evolving treatment strategies updated epidemiological data are needed. This study aims to provide nationwide epidemiology data regarding calcaneus fractures of all types and treatment.
Percutaneous inferior extensor retinaculum augmentation produces similar functional outcomes compared with modified Broström procedure for lateral ankle instability
In patients with lateral ankle instability (LAI) and attenuated ligament tissue quality, the stability of lateral ankle can be achieved through percutaneous inferior extensor retinaculum augmentation (PIERA). This study is aimed to compare the functional outcomes of PIERA with gold standard Modified Broström Procedure (MBP) for patients with LAI.
Reliability analysis of WBCT-derived 3D models for comparing preoperative and postoperative alignment in total ankle arthroplasty
Traditional imaging techniques for total ankle arthroplasty (TAA) evaluation are limited by rotational bias and bone superimposition, highlighting the necessity for more precise assessment methods. The advent of weight-bearing computed tomography (WBCT) generated 3D enhance the visualization of foot and ankle alignment, offering unmatched detail. This study aims to assess the accuracy of preoperative and postoperative measurements in TAA across all three planes using WBCT-generated 3D models. We hypothesize that these models can be reliably used to compare preoperative and postoperative alignment.
The health economics of orthopaedic foot and ankle surgery
The cost of healthcare spending in foot and ankle surgery continues to rise. Several recent studies about cost effectiveness have been published. These may be difficult to understand and analyze without a background in business and healthcare economics. The goal of this narrative review is to provide the fundamentals for understanding and interpreting healthcare economic studies by defining key terminology and providing examples in the field of foot and ankle surgery. Foot and ankle surgeons should be familiar with the elements that comprise cost-effectiveness for providers, clinicians, researchers, and economists in caring for patients and making healthcare-related decisions.
Automatic Hardy and Clapham's classification of hallux sesamoid position on foot radiographs using deep neural network
There is currently no deep neural network (DNN) capable of automatically classifying tibial sesamoid position (TSP) on foot radiographs.
AI discernment in foot and ankle surgery research: A survey investigation
This study evaluated the ability to differentiate between AI-generated and human-authored abstracts in foot and ankle surgery.
Factors influencing the speed of correction speed of distal tibial valgus deformity in children with percutaneous epiphyseodesis using transphyseal screw
The distal tibial valgus deformity in children mimics a hindfoot valgus and is observed in several conditions of both non-neurogenic and neurogenic origin. The deformity can only be detected with radiological examination and can be safely and effectively corrected in children with medial percutaneous epiphysiodesis using transphyseal screws (PETS). The aims of the study are: 1. to determine the correction rates of the distal tibial valgus deformity due to different pathologies, 2. to examine the correction rate in relation to the age at implantation, severity of the initial deformity and the duration of implantation, 3. and types of foot deformities associated with the deformity.
Comparative study of subtalar arthroereisis, medializing calcaneal osteotomy and the combination of both techniques for the treatment of symptomatic adult flatfeet
Symptomatic adult flatfeet are a common problem that is treated with various therapeutic approaches. In this study, three different surgical approaches, subtalar arthroereisis (SA), medializing calcaneal osteotomy (MDCO) and a combination of both techniques (SA+MDCO) were analyzed.
Favorable change in patient-reported outcomes following peroneus longus to brevis tendon transfer and lateral ankle ligament reconstruction
A peroneus longus to brevis tendon transfer is recommended for a severely torn peroneus tendon, but there is little research on the outcome. We conducted a prospective cohort study to examine patient-reported outcomes after this procedure.
Innovative surgical treatment of tarsal coalition in flatfoot: Resection and interposition of synthetic membrane, flexible bioresorbable polymers film, as adhesion barrier and subtalar arthroeresis. Up to nine years follow-up
Tarsal coalition can be a long term severely disabling condition. For symptomatic cases with flatfoot surgical resection of coalition and subtalar arthroeresis represents the most common treatment. Literature reports variable outcomes and recurrence. The aim was to achieve optimal correction with no recurrence. This retrospective study presents, reporting results, an innovative technique that provides numerous advantages and improved outcomes. Nineteen patients suffering from painful flatfoot from tarsal coalition were, consecutively, surgically treated by resection of tarsal coalition with interposition of a synthetic flexible bioresorbable polymers membrane as an adhesion barrier and by subtalar arthroeresis. AOFAS scores were used to rate the clinical severity and X-ray/ CT to evaluate the extent of tarsal coalition. Patient's age at time of surgery ranged from 12 to 21. The period examined runs from November 2010 to November 2019. Results were evaluated (up to 9 years follow-up) clinically by AFOAS scores and radiologically by X-ray/CT. AOFAS scores improved in all patients with significant (p < 0.01) pain reduction or disappearance, corrected alignment and increased function, biomechanics of the foot and mobility. X-ray showed no recurrence of coalition in all but one case. There were no complications and patients reported a significant improvement in quality of life. Our study shows that surgical resection of coalition, and correction of flatfoot by subtalar arthroeresis, with the innovative use of a flexible bioresorbable polymers membrane as an adhesion barrier, obtained excellent overall results and importantly prevented recurrence. We believe this technique represents a great option. LEVEL OF CLINICAL EVIDENCE: 4.
Prediction model for lower limb amputation in hospitalized diabetic foot patients using classification and regression trees
Re:Are large language models a useful resource to address common patient concerns on Hallux Valgus? A readability analysis
Hallux valgus and pes planus: Correlation analysis using deep learning-assisted radiographic angle measurements
The relationship between hallux valgus (HV) and pes planus remains unresolved. This study aims to determine the correlation between HV and pes planus using a deep learning (DL) model to measure radiographic angle parameters.
Prevalence and risk factors of ankle osteoarthritis in a population-based study: Comment
Longitudinal observation of distal tibial degeneration in varus ankle osteoarthritis using plain radiograph
This study aimed to explore the natural history of distal tibial deformity in varus ankle osteoarthritis and to identify risk factors for its progression.