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Foot/Ankle News
Lateral tibiocalcaneal angle seen as better indicator than dorsiflexion angle for Achilles tenotomy
Recently published data indicate the lateral tibiocalcaneal angle as viewed on radiograph was a better prognostic indicator than the ankle dorsiflexion angle analyzed via physical examination in determining the need for percutaneous Achilles tenotomy in patients with idiopathic clubfoot.
Integra completes acquisition of multiple lower extremity offerings from Tornier
Integra LifeSciences Holding Corporation recently announced it has completed its acquisition of the domestic rights to Tornier’s Salto Talaris and Salto Talaris XT ankle replacement offerings and Tornier’s Futura silastic toe replacement line.
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Study identifies predictors of infection after open ankle fracture
SAN DIEGO — Results of a retrospective review presented here cited diabetes and the use of immunosuppressant medications among the patient, injury and treatment risk factors for infection following open ankle fracture.
DePuy Synthes launches biologic implant for extremity fixation
DePuy Synthes Trauma recently announced the U.S. launch of CONFORM Flex with Q-PACK technology, the company’s new trauma-related offering for fixation of the foot and ankle and hand and wrist.
Close contact casting, ORIF for unstable ankle fractures equivalent at 6 months
SAN DIEGO — Treatment of unstable malleolar fractures with close contact casting showed equivalent outcomes to those of open reduction internal fixation among elderly patients, as well as a cost reduction, according to results of a multicenter study presented at the Orthopaedic Trauma Association Annual Meeting.
Lesser metatarsophalangeal joint instability: Diagnosis and treatment of plantar plate tears
Historically, the term metatarsalgia has been used to describe generalized forefoot pain. However, this term shines no light on the exact pathology causing pain. A plantar plate tear, leading to lesser metatarsophalangeal joint instability, is a common cause of metatarsalgia. Disruption of the plantar plate is most often attritional, but may occasionally be acute in origin. Multiplanar deformity of the metatarsophalangeal joint may develop, leading to the classic “crossover toe.”
Continuous spectrum in Haraguchi fracture types seen in malleolar fracture mapping
The mapping of posterior malleolar fractures demonstrated a continuous spectrum between Haraguchi I and Haraguchi III fractures and the Haraguchi II fracture type was identified in this study as a separate pattern.
No measurable clinical benefit likely in aspiration for ankle fractures
Results of this randomized, double-blinded placebo controlled trial indicated aspiration of acute ankle fractures did lead to decreased patient pain or daily pain medicine use within 3 days after injury.
Lower pain scores seen with continuous peripheral nerve block vs single injection block
Results of this prospective randomized controlled trial showed patients who underwent surgery for an ankle fracture and had perioperative analgesia by way of a continuous peripheral nerve block experienced lower pain scores and took fewer pain pills than patients who had single-shot peripheral nerve block.
Greater patient perception of pain relief found with nerve blocks used in fracture repair
Patients who received peripheral nerve blocks as part of their postoperative analgesia protocol following surgical repair of tibia and ankle fractures reported a better quality of recovery at 24 hours postoperatively and were more satisfied compared with patients who only received systemic analgesia, according to study results.