The purpose of the study was to evaluate outcome flexor digitorum longus (FDL) transfer dorsum and identify a possible continued role for this in conjunction with additional surgeries second metatarsophalangeal joint (MTPJ) instability.We carried out retrospective analysis on patients MTPJ instability which FDL done as primary procedure between 1996 2001. were examined functional status, residual pain, satisfaction.A total 64 feet (59 patients) evaluated, an average followup period 45.2 (16...

Background: Lateral ankle instability is one of the most common musculoskeletal disorders and can result in damage. This study reports on results anatomical reconstruction ligaments using semitendinosus tendon allograft bioabsorbable tenodesis screws for chronic lateral instability, as well functional radiological this procedure. Methods: From February 2007 to January 2013, 70 patients (72 ankles) underwent Six were lost follow-up, ultimately 64 (66 evaluated. Visual Analog Scale (VAS) pain...

Background: Studies regarding magnetic resonance imaging (MRI) findings of the lateral ankle ligaments in chronic instability and their clinical relevance for surgery are lacking. This study classified ligament MRI anterior talofibular (ATFL) calcaneofibular (CFL) (CLAI) correlated these with stress radiographs. Methods: We included 132 ankles CLAI that underwent reconstructions from 2006 to 2013. The distributions ATFL CFL morphologies were evaluated using following categories: (1) amount...

MRI analysis of subtalar ligaments in the tarsal sinus has not been well performed. We retrospectively investigated appearance using 3D isotropic and compared imaging findings between patients with instability (STI) controls. Preoperative MRIs 23 STI treated arthroscopic reconstruction were to age- sex-matched control subjects without STI. Thickness width anterior capsular ligament (ACL) interosseous talocalcaneal (ITCL) as thickness calcaneofibular (CFL) talofibular (ATFL) measured....

Background: The premise of this study was that after the correction hallux-metatarsophalangeal pronation, intraoperative interphalangeal angle (HIA) increases significantly, and an additional Akin osteotomy (AO) is often needed. Therefore, purpose to evaluate whether HIAs in hallux valgus (HV) feet were underestimated, assess need for AO during HV correction. Method: This conducted on 54 with moderate severe treated from June 2007 December 2008. medial sesamoid subluxations (MSS) measured...

Background: Tibiotalar arthrodesis is the most common treatment of end-stage symptomatic ankle arthritis, but concerns exist about late findings adjacent tarsal joint osteoarthritis. The purpose this study was to evaluate changes pressure in talonavicular, subtalar, and calcaneocuboid joints before after rigid tibiotalar immobilization at different levels tibiopedal dorsiflexion. Methods: Twelve cadaver foot specimens were cyclically loaded on a servohydraulic test frame 700 N. Joint contact...

Scarring on the dorsal first web space after lateral soft tissue release can be a major contributor to patient dissatisfaction following hallux valgus surgery. We hypothesized that performing distal procedure (DSTP), proximal reverse chevron metatarsal osteotomy (PCMO), and Akin through single medial incision would provide better clinical radiographic results with improved satisfaction compared bunion corrections performed 2 incisions.The study included 117 feet (of 98 patients) moderate...

Background: The effect of supramalleolar osteotomy without a bone marrow-stimulating procedure for articular cartilage regeneration in the ankle joint remains unknown. We investigated whether yielded favorable clinical and radiographic outcomes. also evaluated tissue appearance after with use second-look arthroscopy its correlation outcome. Methods: Twenty-nine ankles were retrospectively reviewed at mean 2.9 years procedure. All 29 had to evaluate tibiotalar minimum 1 year postoperatively....

Background: Total ankle arthroplasty (TAA) with the use of third generation implants has demonstrated favorable clinical results and improved survival. However, few studies have compared different types implants. The purpose this study was to perform a retrospective evaluation patient outcomes complications by comparing TAA procedures performed HINTEGRA versus MOBILITY systems. Methods: Fifty-two consecutively enrolled patients (28 men 24 women; mean age 64.8 years) underwent using (21...

The purpose of this study was to assess the differences between subtalar instability (STI) and lateral ankle (LAI) focusing on ligaments using 3-dimensional (3D) isotropic magnetic resonance imaging (MRI).Preoperative MRIs 10 patients with STI who failed nonoperative treatment consequently underwent arthroscopic reconstruction were compared preoperative 23 LAI ligament repair or reconstruction. Dimensions anterior capsular (ACL), interosseous talocalcaneal (ITCL), calcaneofibular (CFL),...

Background: The aim of this study was to evaluate the clinical and radiologic outcomes medial compartment ankle osteoarthritis after supramalleolar osteotomy (SMO) without bone marrow stimulation procedure confirm cartilage recovery by second-look arthroscopy. Methods: Twenty-two ankles that were followed for more than 1 year SMO retrospectively reviewed. Visual analog scale pain scores American Orthopaedic Foot & Ankle Society ankle-hindfoot used functional evaluations. tibial anterior...

Background: Recently, as total ankle arthroplasty (TAA) has been widely performed, its outcomes and complications have reported. Heterotopic ossification (HO) after TAA reported in the posterior compartment of ankle. We report on a series HOs that developed anterior at talar neck region TAA. Methods: was performed using Hintegra Mobility 54 ankles (Hintegra, 21 ankles; Mobility, 33 ankles) from 2004 to 2012. The outcome assessed by visual analog scale (VAS), American Orthopaedic Foot &...

Syndesmosis nonunion with the Agility total ankle system has been associated adverse radiographic findings such as radiolucency and migration. We analyzed radiographs biomechanical data to determine whether addition of a fibular plate was improved related syndesmosis union compared results when two screws alone were used. Radiographs for 40 consecutive ankles subsequent replacements an added plate. When all considered, nonconsolidation at 6–10 weeks significantly 5–7 months. in higher than...

Our study evaluated the short-term clinical and radiographic results of total ankle arthroplasty (TAA) with combined bony reconstructions for treatment end-stage osteoarthritis accompanying cavovarus/hindfoot varus deformities.This included 8 patients (10 ankles) (OA) who were treated by TAA calcaneal metatarsal osteotomies between September 2004 June 2010 followed an average 17.9 months (12-43 months). Visual analogue scale (VAS) score, American Orthopaedic Foot Ankle Society (AOFAS)...

The indications and clinical necessity for routine hardware removal after treating ankle or distal tibia fracture with open reduction internal fixation are disputed even when hardware-related pain is insignificant. Thus, we determined the effects of irrespective degree pain, especially in perspective patients' daily activities. This study was conducted on 80 consecutive cases (78 patients) treated by surgery bony union. There were 56 24 fractures. joint stiffness, discomfort ambulation,...