JournalTOCs

International Journal of Orthopaedics
Number of Followers: 2

This is an Open Access Journal

Open Access journal
ISSN (Print) 2311-5106 - ISSN (Online) 2313-1462
Published by ACT Publishing Group Ltd

[11 journals]

Lisfranc Injuries: Anatomy, Diagnosis, Treatment, and Outcomes
- Authors: Daniel T. DeGenova, Scott S. Hyland Jr., John B. Schrock, J. Tucker Peabody, Jia Bao Lin, Benjamin C. Taylor
  Abstract: Lisfranc injuries refer to a bony or ligamentous injury to the first and second tarsometatarsal and intercuneiform joint complex of the foot. Injuries can be due to low or high energy mechanisms and range from stable injuries to complex fracture dislocations. Additionally, there is a large spectrum of fixation methods from nonoperative management to open reduction and internal fixation or primary arthrodesis. The purpose of this article is to review the anatomy, presentation, diagnosis, treatment, and outcomes of Lisfranc injuries.
  PubDate: 2022-05-06
  Issue No: Vol. 9 (2022)
Overview and Treatment for A Flatfoot in Children
- Authors: Nguyen Ngoc Hung
  Abstract: Although the exact incidence of flatfoot in children is unknown, it is a common finding. All children have only minimal arch at birth, and more than 30% of infants have calcaneovalgus deformities in both feet. The condition is painless and usually clears up on its own without treatment; It is very rarely necessary to cast correction. Most children who visit an orthopedist for an evaluation for flatfoot will have flexible flatfoot without treatment. However, the examining physician must rule out other conditions that require treatment, such as congenital longitudinal defects, dorsal alignment, and misaligned feet. Left untreated, congenital vertical nails can lead to an awkward gait; Manipulation and casting have been tried, but most authors now agree that surgical treatment is necessary. Although dorsal alignment may be asymptomatic in adulthood, the anatomy will never be normal. Excision and interlacing of the digital extender or perforation is the treatment of choice for pelvic fusions; The outcome of talocalcaneal union treatment is less predictable. Skewfoot should be treated with manipulation and serial casting as soon as discovered. In older children, it may be necessary to stabilize the hindfoot and realign the midfoot. Surgical management is rarely indicated for true soft flat feet. Many tendon transfer methods and reconstructive procedures have been advocated, but none have been shown to be equally successful. Nor is there any kind of support that has been shown to alter arch architecture. Although parents are often concerned about flat feet in their children, children often have no symptoms and no indication for treatment. In most cases, the best treatment is simply taking enough time to convince the family that no treatment is needed.
  PubDate: 2022-05-06
  Issue No: Vol. 9 (2022)
Results of Medial Open Wedge High Tibial Osteotomy With 5 Years Follow-Up:
A Prospective Multicenter Cohort Study
- Authors: Takeshi Sawaguchi, Sabine Goldhahn, Ryohei Takeuchi, Ryuichi Nakamura
  Abstract: Aim: The purpose was to assess whether open wedge high tibial osteotomy (OWHTO) achieves good functional and radiological results until 5 years follow-up.Materials and Methods: A prospective multicenter study in 118 patients 40 years of age and older with osteoarthritis (OA) or osteonecrosis evaluated the outcome after OWHTO using locking plate fixation (TomoFix Medial High Tibial Plate (MHT)® small plate: Synthes GmbH, Oberdorf, Switzerland). This paper discusses patient-reported and functional outcomes, radiological results and adverse events after 5 years follow-up. Adverse events (AEs) were evaluated by a complication review board and classified according to a standard classification system, and radiographs were analyzed by study-independent surgeons.Results: Significant improvement from baseline was observed in the Knee Injury and Osteoarthritis Outcome Score (KOOS), Oxford Knee Score (OKS), Japanese Orthopaedic Association knee score, range of motion, and SF-36 Physical Component Summary (PCS). The anatomical alignment achieved after the OWHTO remained stable over the 5-year follow-up period. The radiologically assessed status of OA (Kellgren-Lawrence) and joint space width narrowing progressed significantly between baseline and five years. The estimated risk of developing at least one local postoperative implant/surgery, bone, or soft tissue AE was 5.1% (95%CI: 1.9; 10.7), 15.3% (95% CI: 9.3; 23.0), and 12.7% (95%CI: 7.3; 20.1), respectively.Conclusion: Function, pain and quality of life can improve during the period of five years despite a structural progression of OA in patients after medial OWHTO.
  PubDate: 2022-05-06
  Issue No: Vol. 9 (2022)
Treatment of osteochondral lesions in the ankle with a particulated
juvenile cartilage allograft: Four-year outcomes
- Authors: Aida Sarcon, Christopher Kreulen, J Chris Coetzee, Steven Neufeld, Gregory Berlet, Thomas Dowd, Paul Ryan, Justin Robbins, Robert Neher, Karim Boukhemis, Lew Schon, Eric Giza
  Abstract: AIM: reports mid-term clinical outcomes after treating osteochondral lesions of the talus with a particulated juvenile cartilage allograft or cartilage-allograft.MATERIALS AND METHODS: multicenter prospective case series. Lesions were treated with cartilage-allograft. Primary outcomes were pain, function, and activity levels. Clinical outcomes for 24 prospective subjects over 4-years are presented. The overall clinical outcomes were analyzed using repeated measures modelsRESULTS: There was significant pre to postoperative improvement in the overall pain, Short-form 12 Health survey physical, Foot and Ankle Ability Measure activities of daily living, and Foot and Ankle Ability Measure sport (n=22) scores at 12, 24, 36, and 48-months (P<.05). There were no significant pre to postoperative changes in the overall Short-form mental health scores (P>.05). Lesions less than 150mm² predominantly achieved significant pre to postoperative improvement in scores over 48-months. Except for the sport scores at select visits, there were no differences in outcomes among postoperative visits(P>.05). When the variables of lesion sizes, operative technique, and prior ankle operation were compared, repeated measures did not reveal any differences between these variables in effect on outcomes.CONCLUSION: Four-year outcomes suggest that treatment with a cartilage-allograft led to improved function and pain levels without symptom worsening, and it is an effective operative intervention for symptomatic lesions irrespective of lesion size.
  PubDate: 2022-05-06
  Issue No: Vol. 9 (2022)