Use of a Locking Plate and Drill Sleeves to Guide Dome-Shaped Supramalleolar Osteotomy: Technique Tip

2021 ◽  
pp. 107110072110031
Author(s):  
Mark E. Easley ◽  
Young Uk Park ◽  
Jae Yong Park ◽  
Hyong Nyun Kim
Keyword(s):  
Expert Opinion ◽  
Locking Plate ◽  
Level Of Evidence ◽  
Supramalleolar Osteotomy ◽  
Evidence Level ◽  
Osteotomy Technique

Level of Evidence: Level V, expert opinion.

Use of Small-Pin Distraction and Low-Speed, High-Torque Burring for Talar Osteochondral Allografts: Technique Tip

2021 ◽  
pp. 107110072110031
Author(s):  
Ryan O’Leary ◽  
Ian M. Foran ◽  
David J. Dalstrom
Keyword(s):  
Expert Opinion ◽  
Level Of Evidence ◽  
Low Speed ◽  
Evidence Level ◽  
High Torque ◽  
Osteochondral Allografts

Level of Evidence: Level V, expert opinion.

scholarly journals The Virtual Foot and Ankle Physical Examination

2020 ◽  
Vol 41 (8) ◽  
pp. 1017-1026
Author(s):  
Stephanie K. Eble ◽  
Oliver B. Hansen ◽  
Scott J. Ellis ◽  
Mark C. Drakos
Keyword(s):  
Physical Examination ◽  
Expert Opinion ◽  
Orthopedic Surgery ◽  
Foot And Ankle ◽  
Level Of Evidence ◽  
Patient Instruction ◽  
Evidence Level ◽  
Virtual Visits ◽  
Routine Physical Examination

The COVID-19 pandemic has necessitated a rapid and drastic shift for clinicians and patients away from traditional in-person visits and toward internet-based virtual visits. The adoption of telehealth services is likely to persist in some capacity even as in-person visits resume, given the convenience and efficiency of telehealth consultations for patients and perhaps surgeons. A primary challenge of virtual visits, particularly in the field of orthopedic surgery, is the physical examination. However, for the foot and ankle, routine physical examination maneuvers can be completed virtually with little modification given proper patient instruction. We present a comprehensive virtual foot and ankle examination for telehealth visits, including instructions that can be provided to patients verbatim and a corresponding checklist for provider documentation. Level of Evidence: Level V, expert opinion.

Gunshot-Related Injuries to the Foot & Ankle: Review Article

2020 ◽  
Vol 41 (4) ◽  
pp. 486-496 ◽  
Author(s):  
Tyler Gonzalez ◽  
Jorge Briceno ◽  
Brian Velasco ◽  
Philip Kaiser ◽  
Derek Stenquist ◽  
...  
Keyword(s):  
Expert Opinion ◽  
Current Literature ◽  
Scientific Literature ◽  
Review Article ◽  
The Body ◽  
Foot And Ankle ◽  
Level Of Evidence ◽  
Evidence Level

Gunshot-related injuries remain a significant and important cause of global morbidity and cost. The foot and ankle has certain anatomic and functional considerations that make gunshot-related injuries challenging to manage. While the scientific literature regarding gunshot-related injuries is extensive, little of the existing literature focuses on the foot and ankle. While principles of management can be somewhat extrapolated from the current literature, an understanding of the body of work specific to the foot and ankle is valuable. Therefore, this review provides an overview of ballistic injuries to the foot and ankle as well as specific guidelines to aid surgeons in treating these difficult injuries. Level of Evidence: Level V, expert opinion.

Plantar Medial Avulsion Fracture of the Calcaneus With Acute Tarsal Tunnel: Case Report and Technique Tip

2020 ◽  
Vol 41 (8) ◽  
pp. 1002-1006
Author(s):  
Kempland C. Walley ◽  
William L. Johns ◽  
J. Benjamin Jackson ◽  
Tyler A. Gonzalez
Keyword(s):  
Case Report ◽  
Expert Opinion ◽  
Avulsion Fracture ◽  
Tarsal Tunnel ◽  
Level Of Evidence ◽  
Evidence Level ◽  
Fracture Of The Calcaneus

Level of Evidence: Level V, expert opinion.

scholarly journals Spontaneous Regeneration of Medial Cuneiform Following Gunshot Wound

2019 ◽  
Vol 4 (3) ◽  
pp. 247301141987626
Author(s):  
Ricardo Reyes ◽  
Tolga Türker ◽  
L. Daniel Latt
Keyword(s):  
Expert Opinion ◽  
Gunshot Wound ◽  
Level Of Evidence ◽  
Evidence Level ◽  
Medial Cuneiform ◽  
Spontaneous Regeneration

Level of Evidence: Level V, expert opinion.

Minimal Incision/Minimally Invasive Medializing Displacement Calcaneal Osteotomy

2017 ◽  
Vol 39 (1) ◽  
pp. 119-128 ◽  
Author(s):  
Thomas I. Sherman ◽  
Gregory P. Guyton
Keyword(s):  
Minimally Invasive ◽  
Expert Opinion ◽  
Special Care ◽  
Minimally Invasive Techniques ◽  
Level Of Evidence ◽  
Neurovascular Injury ◽  
Evidence Level ◽  
Calcaneal Osteotomy ◽  
Minimal Incision ◽  
Invasive Techniques

Minimally invasive techniques are readily applicable to calcaneal osteotomies and have the potential to accomplish hindfoot correction equivalent to open procedures with less morbidity and pain. Use of a guidance jig makes the procedure more predictable. While most anatomic features of the procedure are the same as those with open techniques, special care must be taken to avoid neurovascular injury because there is no open exposure. Anatomic guidelines have been established for appropriately localizing the osteotomy. Level of Evidence: Level V, expert opinion.

Plaster immobilization versus anterior plating for dorsally displaced distal radial fractures in elderly patients in Pakistan

2021 ◽  
pp. 175319342097778
Author(s):  
Muhammad Tahir ◽  
Faridullah Khan Zimri ◽  
Nadeem Ahmed ◽  
Allah Rakhio Jamali ◽  
Ghulam Mehboob ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Randomized Trial ◽  
Closed Reduction ◽  
Primary Outcome ◽  
Locking Plate ◽  
Cast Immobilization ◽  
Distal Radial Fractures ◽  
Level Of Evidence ◽  
Anterior Plating ◽  
Plaster Immobilization

This prospective, multi-centred, randomized trial examined outcomes of 3- and 12-month follow-ups of 159 elderly participants aged more than 75 years with isolated distal radial fractures, treated by anterior locking plate or closed reduction and cast immobilization. The primary outcome was the patient-rated wrist evaluation (PRWE) score. The PRWE score at 12 months was not significantly different between the two groups; however, the radiological outcomes and complications rates were worse in the casting group. Level of evidence: III

scholarly journals Telemedicine Foot and Ankle Visits in the COVID-19 Era

2021 ◽  
Vol 6 (1) ◽  
pp. 247301142199406
Author(s):  
Sameh A. Labib ◽  
Rahul Goel ◽  
Wesley Manz ◽  
Jason Bariteau
Keyword(s):  
Patient Experience ◽  
Expert Opinion ◽  
Foot And Ankle ◽  
Office Visits ◽  
Level Of Evidence ◽  
Excellent Care ◽  
Musculoskeletal Care

Background: The COVID-19 pandemic created a difficult environment to provide musculoskeletal care to patients with foot and ankle pathology given the limitations placed on in-office visits. Telemedicine offered a unique avenue to reach these patients; however, the efficacy of telemedicine visits in patients with foot and ankle pathology is not well studied. We propose a telemedicine protocol that has allowed us to effectively see and treat patients with foot and ankle pathology. Methods: A 12-step standardized telemedicine protocol was created within the Foot and Ankle division that was used for seeing patients through telemedicine. Also included in this is previsit preparation and follow-up recommendations. Press Ganey surveys were retrospectively reviewed to understand patient experience with telemedicine. Results: 85.2% of patients surveyed responded with scores indicating excellent care. When comparing patients who were seen in-office and through telemedicine, 89.2% and 83.4% responded with scores indicating excellent care, respectively ( P = .37). Conclusion: Telemedicine offers an effective and convenient way to provide excellent musculoskeletal care to patients affected with foot and ankle pathology. This is the first study that evaluated a comprehensive protocol for telemedicine encounters and can be used to implement telemedicine by others using this approach. Level of Evidence: Level V, expert opinion.

Thrombosed Urethral Prolapse: a case series and review of the literature

2021 ◽  
pp. 205141582110328
Author(s):  
Abisola Oliyide ◽  
Ijeoma Chibuzo ◽  
Magda Kujawa
Keyword(s):  
Clinical Condition ◽  
Correct Diagnosis ◽  
Age Distribution ◽  
Case Series ◽  
Review Of The Literature ◽  
Level Of Evidence ◽  
Case Presentation ◽  
Urethral Prolapse ◽  
Evidence Level

Thrombosed urethral prolapse is a rare clinical condition. In this context, we describe our experience and compare our findings with the literature, following presentation of five consecutive cases over 2 years. This will hopefully improve awareness and appropriateness of specialty referrals as a correct diagnosis is rarely established prior to the patient being seen by a urologist. We also wish to highlight a case presentation of thrombosed urethral prolapse outside the bimodal age distribution which has been recorded in the literature. Level of Evidence: Level 4

Complications following volar locking plate fixation for distal radial fractures: a systematic review

2013 ◽  
Vol 39 (7) ◽  
pp. 745-754 ◽  
Author(s):  
A. Bentohami ◽  
K. de Burlet ◽  
N. de Korte ◽  
M. P. J. van den Bekerom ◽  
J. C. Goslings ◽  
...  
Keyword(s):  
Systematic Review ◽  
Quality Assessment ◽  
Locking Plate ◽  
Assessment Tool ◽  
Plate Fixation ◽  
Assessment Tools ◽  
Volar Locking Plate ◽  
Locking Plate Fixation ◽  
Distal Radial Fractures ◽  
Level Of Evidence

The purpose of this systematic review is to assess the prevalence of complications following volar locking plate fixation of distal radial fractures. A computer-based search was carried out using EMBASE and PUBMED/MEDLINE. Only prospective comparative and prospective cohort studies that presented data concerning complications after treatment of distal radial fractures with a volar locking plate in human adults with a minimal follow-up of 6 months were included. Two quality assessment tools were used to assess the methodological quality of the studies (level of evidence rating according to the Oxford Centre of Evidence Based Medicine and the modified version of the Cochrane Bone, Joint and Muscle Trauma Group’s former quality assessment tool). Thirty three studies were eligible for final assessment. Most complications were problems with nerve and tendon function as well as complex regional pain syndrome. With an overall complication rate of 16.5%, most of which were ‘minor’ complications and low rates of nonunion and malunion, volar locking plate fixation can be considered a reasonably safe treatment option for patients with distal radial fractures.

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