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  • 1
    In: Foot & Ankle International, SAGE Publications, Vol. 21, No. 10 ( 2000-10), p. 804-808
    Abstract: The purpose of this multicenter retrospective study of 55 patients (56 ankles) who underwent simultaneous tibiotalocalcaneal arthrodesis with severe disease involving the ankle and subtalar joints was to determine improvement of pain and function. The surgical indications included osteoarthritis, posttraumatic injury, failed previous surgery, talar avascular necrosis, osteoarthritis, and rheumatoid arthritis involving the ankle and subtalar joints. The average age at the time of the operation was 53 years. The average time of follow-up was 26 months after the operation. Fusion was achieved in 48 ankles, with an average time of fusion of 19 weeks. Forty-eight of the 55 patients were satisfied with the procedure. The average leg length discrepancy was 1.4 cm. The average amount of dorsiflexion was 2 degrees and plantar flexion was 5 degrees. Following surgery, 42 patients complained of pain, 40 patients required shoe modification or an orthotic device, and 34 patients had a limp. Fourteen patients described their activity as unlimited. Based on the AOFAS evaluation, the patients scored an average of 66 on the ankle-hind foot scale following surgery. The most common complications were nonunion (8 ankles) and wound infection (6 ankles). This study demonstrates that tibiotalocalcaneal arthrodesis is an effective salvage procedure for patients with disease both involving the ankle and subtalar joints.
    Type of Medium: Online Resource
    ISSN: 1071-1007 , 1944-7876
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2000
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 1989
    In:  Foot & Ankle Vol. 10, No. 1 ( 1989-08), p. 8-11
    In: Foot & Ankle, SAGE Publications, Vol. 10, No. 1 ( 1989-08), p. 8-11
    Abstract: To evaluate the effect of fusion of the first metatarsophalangeal joint on the first intermetatarsal angle, a series of 62 consecutive first metatarsophalangeal fusions was reviewed. Of these, 47 had sufficient data to be included in this study. The results of this study showed that the change in the first intermetatarsal angle following a first metatarsophalangeal joint arthrodesis is directly proportional to the preoperative first intermetatarsal angle. Therefore, when a first metatarsophalangeal joint arthrodesis is performed on a patient with a wide intermetatarsal angle, a concomitant proximal first metatarsal osteotomy is usually not indicated.
    Type of Medium: Online Resource
    ISSN: 0198-0211
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1989
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  • 3
    Online Resource
    Online Resource
    SAGE Publications ; 2015
    In:  Foot & Ankle International Vol. 36, No. 11 ( 2015-11), p. 1378-1383
    In: Foot & Ankle International, SAGE Publications, Vol. 36, No. 11 ( 2015-11), p. 1378-1383
    Type of Medium: Online Resource
    ISSN: 1071-1007 , 1944-7876
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
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  • 4
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 1998
    In:  Clinical Orthopaedics and Related Research Vol. 349 ( 1998-04), p. 48-57
    In: Clinical Orthopaedics and Related Research, Ovid Technologies (Wolters Kluwer Health), Vol. 349 ( 1998-04), p. 48-57
    Type of Medium: Online Resource
    ISSN: 0009-921X
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 1998
    detail.hit.zdb_id: 2018318-5
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  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 1994
    In:  Foot & Ankle International Vol. 15, No. 12 ( 1994-12), p. 661-665
    In: Foot & Ankle International, SAGE Publications, Vol. 15, No. 12 ( 1994-12), p. 661-665
    Abstract: Fifty standing dorsoplantar and lateral foot radiographs were obtained on a consecutive series of patients seen in an orthopaedic foot and ankle clinic. These radiographs were duplicated, and eight common foot measurements were made on each pair by six experienced examiners. Measurements were made in two ways: first by a subjective visual assessment, and second by quantitative evaluation made according to strictly defined criteria. All measurements were made under controlled, ideal conditions with similar high quality goniometers. The results demonstrated overall greater reliability in the quantitative methods than the non-quantitative methods. For each of the quantitative techniques, a cumulated frequency distribution of differences between examiners was calculated. The approximate 95% bounds for these measures were: hallux-metatarsophalangeal angle = 6°, first intermetatarsal angle = 4°, metatarsophalangeal-5 angle = 11°, fourth intermetatarsal angle = 4°, AP talocalcaneal angle = 20°, lateral talocalcaneal angle = 12°, sesamoid station = 2 grades, and forefoot width = 5 mm. Physicians using these parameters to make decisions regarding patient care and clinical outcomes need to keep in mind these potential errors in making foot radiographic measurements.
    Type of Medium: Online Resource
    ISSN: 1071-1007 , 1944-7876
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1994
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  • 6
    Online Resource
    Online Resource
    SAGE Publications ; 1996
    In:  Foot & Ankle International Vol. 17, No. 9 ( 1996-09), p. 555-558
    In: Foot & Ankle International, SAGE Publications, Vol. 17, No. 9 ( 1996-09), p. 555-558
    Abstract: We retrospectively evaluated the effectiveness of ultrasonography as a diagnostic tool for investigating pathology in the posterior tibial tendon by comparing the preoperative ultrasonograms for 17 patients with their recorded surgical findings. In all cases, the surgical findings confirmed the ultrasonographic diagnoses: 3 inflammations, 4 partial tears, and 10 ruptures. Interestingly, two ruptures had been undiagnosed by magnetic resonance imaging. Ultrasonography, which seems to be a reliable means of visualizing the extent of pathology of the symptomatic posterior tibial tendon, may be a valuable tool in surgical planning.
    Type of Medium: Online Resource
    ISSN: 1071-1007 , 1944-7876
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1996
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  • 7
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 1988
    In:  Journal of Pediatric Orthopaedics Vol. 8, No. 3 ( 1988-05), p. 278-284
    In: Journal of Pediatric Orthopaedics, Ovid Technologies (Wolters Kluwer Health), Vol. 8, No. 3 ( 1988-05), p. 278-284
    Type of Medium: Online Resource
    ISSN: 0271-6798
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 1988
    detail.hit.zdb_id: 2049057-4
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  • 8
    Online Resource
    Online Resource
    Elsevier BV ; 1994
    In:  Orthopedic Clinics of North America Vol. 25, No. 1 ( 1994-01), p. 69-81
    In: Orthopedic Clinics of North America, Elsevier BV, Vol. 25, No. 1 ( 1994-01), p. 69-81
    Type of Medium: Online Resource
    ISSN: 0030-5898
    Language: English
    Publisher: Elsevier BV
    Publication Date: 1994
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  • 9
    Online Resource
    Online Resource
    SAGE Publications ; 1995
    In:  Foot & Ankle International Vol. 16, No. 8 ( 1995-08), p. 504-509
    In: Foot & Ankle International, SAGE Publications, Vol. 16, No. 8 ( 1995-08), p. 504-509
    Abstract: A retrospective review was made of all patients operated on by the two senior authors from January 1985 to January 1993 for problems with Kirschner wire breakage following forefoot surgery. Thirty-three broken K-wires in 27 patients were encountered. All of these were 0.045-inch K-wires that had been placed across the metatarsophalangeal (MTP) joint of the lesser toes. In no case was there breakage of a K-wire that was larger than 0.045 inches or that did not cross the MTP joint. The medical records and radiographs of 565 consecutive patients having fixation with 0.045-inch K-wires that crossed the MTP joints of the lesser toes were then reviewed. A total of 1002 K-wires were used with an overall failure rate of 3.2% (4.8% of the patients). All of these K-wires failed just proximal to the point of entry into the metatarsal head. No intra-articular retained fragments were noted. Twenty-five of the retained fragments were completely within the metatarsal head and shaft, and eight of these fragments pierced the cortex of the metatarsal proximally. Twenty-three patients with retained fragments were examined in follow-up and in no case could the retained fragment be palpated or directly related to postoperative symptoms. Of the three patients who complained of persistent pain, two had mild pain with persistent MTP synovitis and one had severe pain due to lateral deviation of the toe after surgery. Patients with rheumatoid arthritis who underwent metatarsal head excision were noted to have a higher rate of failure (10.3% of patients, 4.0% of K-wires) than those without rheumatoid arthritis or metatarsal head excision (3.3% of patients, 2.3% of K-wires). Also four of the six cases with multiple K-wire breakage in the same foot had rheumatoid arthritis.
    Type of Medium: Online Resource
    ISSN: 1071-1007 , 1944-7876
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1995
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