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Related Articles

Foot and Ankle Function after Tibial Overlengthening.

J Foot Ankle Surg. 2013 Jul 13;

Authors: Emara KM, Diab RA, El Ghazali S, Farouk A, El Kersh MA

Abstract

Realignment Surgery for Severe Talar Tilt Secondary to Paralytic Cavovarus.

Foot Ankle Int. 2013 Jul 11;

Authors: Lee WC, Ahn JY, Cho JH, Park CH

Abstract
BACKGROUND: Realignment surgeries for mild to moderate ankle osteoarthritis with minimal talar tilt have been reported to be effective. However, there has been no report on joint-sparing surgery of ankle osteoarthritis in patients with paralytic disorders who have severe talar tilt. We therefore investigated whether ankle osteoarthritis with severe talar tilt caused by paralytic disorders can be improved after operative treatment.
METHODS: This study included 12 ankles (11 patients) with varus ankle osteoarthritis from paralytic disorders with cavovarus deformity of the foot. Mean follow-up period was 3.0 years (range, 2-4.5 years). Causes of paralysis were residual polio in 7 ankles (6 patients), cerebral palsy in 2 ankles, and idiopathic in 3 ankles. Preoperative and postoperative clinical assessments were performed using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score and a visual analogue scale (VAS). The Ankle Osteoarthritis Scale (AOS) was used for postoperative assessment. Pre- and postoperative radiographic parameters were compared.

Related Articles

Continuous Femoral Nerve Block Using 0.125% Bupivacaine Does Not Prevent Early Ambulation After Total Knee Arthroplasty.

Clin Orthop Relat Res. 2013 Jul 16;

Authors: Beebe MJ, Allen R, Anderson MB, Swenson JD, Peters CL

Abstract
BACKGROUND: Continuous femoral nerve block has been shown to decrease opioid use, improve postoperative pain scores, and decrease length of stay. However, several studies have raised the concern that continuous femoral nerve block may delay patient ambulation and increase the risk of falls during the postoperative period.
QUESTIONS/PURPOSES: This study sought to determine whether continuous femoral nerve block with a single-shot sciatic block prevented early ambulation after total knee arthroplasty (TKA) and whether the technique was associated with adverse effects.

Re: Inter- and intra-observer reliability of a smartphone application for measuring hallux valgus angles [Foot Ankle Surg. 19 (1) (2013) 18-21].

Foot Ankle Surg. 2013 Sep;19(3):206

Authors: Guler F, Kose O, Ozyurek S

PMID: 23830174 [PubMed - in process]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23830174?dopt=Abstract

Related Articles

Clinical features and outcomes of foot keloids treated using complete surgical excision and full thickness skin grafting followed by corticosteroid injections.

J Foot Ankle Res. 2013 Jul 15;6(1):26

Authors: Park TH, Park JH, Chang CH

Abstract
BACKGROUND: Keloids are often resistant to treatment and have high recurrence rates. To the best of the authors' knowledge, however, there have been very few case reports related to foot keloids. The purpose of this retrospective case-series was to summarize the baseline characteristics of a cohort of patients, introduce our treatment regimen for the successful treatment of foot keloids.
METHODS: Patients were treated with surgical excision followed by full thickness skin grafting combined with postoperative steroid injections combined with silicone gel sheeting over a period of eight years from December 2004 to November 2012 at our institution. Subjective outcome was evaluated using Patient Scar Assessment Scales. The final objective outcome was judged by two independent physicians at the time of 12 months after treatment as recurrence or non-recurrence.

Reply to letter to the editor by selahattin ozyurek et Al.

Foot Ankle Surg. 2013 Sep;19(3):206

Authors: Cove R, Walter R, Kosy JD

PMID: 23830173 [PubMed - in process]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23830173?dopt=Abstract

Related Articles

A comparison of the Doppler ultrasound interpretation by student and registered podiatrists.

J Foot Ankle Res. 2013;6(1):25

Authors: Young M, Birch I, Potter CA, Saunders R, Otter S, Hussain S, Pellett J, Reynolds N, Jenkin S, Wright W

Abstract
BACKGROUND: Hand held Doppler ultrasound machines are routinely used by podiatrists to assess the arterial perfusion of the lower limb. They are practical, painless and effective as a screening tool, and the available general evidence would suggest that interpretation by practitioners is reliable. This study compared the abilities of student and Health and Care Professions Council (HCPC) registered podiatrists to identify correctly Doppler ultrasound outputs.
METHOD: A prospective single blind comparative study design was utilised. Fifteen Doppler recordings of the blood flow in the posterior tibial artery, five each of monophasic, biphasic and triphasic blood flow, were used to compare the interpretation abilities of 30 undergraduate podiatry students and 30 HCPC registered podiatrists. Chi-squared analysis of the results was undertaken.
RESULTS: Chi-squared analysis found that there was no statistically significant difference between the overall abilities of student podiatrists

Correspondence: How many joints does the 5th toe have? A review of 606 patients of 655 foot radiographs.

Foot Ankle Surg. 2013 Sep;19(3):204-5

Authors: Schepers T, Goslings JC

PMID: 23830172 [PubMed - in process]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23830172?dopt=Abstract

An Analysis of the Use of the Kellgren and Lawrence Grading System to Evaluate Peritalar Arthritis Following Total Ankle Arthroplasty.

Foot Ankle Int. 2013 Jul 8;

Authors: Mayich DJ, Pinsker E, Mayich MS, Mak W, Daniels TR

Abstract
BACKGROUND: The Kellgren and Lawrence grading system (KLGS) has been used throughout the literature for the radiographic staging of osteoarthritis (OA) of the peritalar joints. Despite its widespread use, the KLGS has never been validated for use in this clinical circumstance. The purpose of this study was to determine the inter- and intrarater reliability of the KLGS in the assessment of radiographic progression of OA in the peritalar joints following total ankle replacement (TAR).
METHODS: One hundred twenty pre- and minimum 5-year postoperative weight-bearing lateral radiographs following 60 consecutive cases of TAR were utilized. Each individual film was considered separately for the purposes of this study. Of those films, 93 and 98 were found to have adequate visualization of the subtalar (STJ) and talonavicular (TNJ) joints, respectively. Three qualified reviewers graded the films according to the KLGS on 2 separate occasions, with 1 month separating the 2 readings. The results were analyzed for intra- and interobserver reliability. The degree of agreement was analyzed using the weighted kappa (κw) statistic, Fleiss's kappa (Fleiss's κ), and percentage agreement RESULTS: Interrater agreements were moderate (κw = 0.37 ± 0.06; Fleiss's κ = 0.21 ± 0.03) for the STJ to fair (κw = 0.43 ± 0.06; Fleiss's κ = 0.25 ± 0.03) for the TNJ. Intrarater agreements for the STJ were moderate (mean κw = 0.43 ± 0.07) and