Comparison of Patient Demographics and Risk of Surgical Site Infections Following Open Reduction and Internal Fixation of Trimalleolar Ankle Fractures: A Nationwide Analysis of a Private Payor
Surgical site infections (SSIs) are a notable complication following open reduction and internal fixation (ORIF) for ankle fractures. The purpose of this study was to (1) compare baseline demographics of patients who did and did not develop SSIs within 90 days following ORIF for trimalleolar ankle fractures and (2) identify risk factors associated with SSIs in this setting. A retrospective analysis from 2010 to 2020 was completed using a national administrative database. The study group consisted of patients who underwent ORIF for trimalleolar ankle fractures and developed SSIs within 90 days postoperatively. (Source: Jour...
Source: Journal of Foot and Ankle Surgery - April 26, 2024 Category: Orthopaedics Authors: Patrick Nian, Faisal Elali, Lucas C. Voyvodic, Ariel Rodriguez, Mitchell K. Ng, Amr A. Abdelgawad, Afshin E. Razi Tags: Original Research Source Type: research

Skeletal features of talus in Hepple V lesion
The present study was to determine the characteristics of the ankle skeletal structure in patients with talus Hepple V type. We conducted a retrospective study on the skeletal structure of the talus in 110 patients with Hepple V osteochondral lesions of the talus and in control participants. The radiographic measurements taken include the following: in the coronal plane - depth of talus frontal curvature, length of the lateral and medial malleolus; in the sagittal plane - radius and height of talus, angle of tibial lateral surface, tibiotalar sector, and vertical neck angle. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 26, 2024 Category: Orthopaedics Authors: Lei Huang, Wangyu Wu, Nan Wang, Xin Zhou, Wanlin Peng, Songtao Jiang, Xu Chen, Bin Xiong, Jiarui Wang, Guoyou Wang, Lei Zhang Source Type: research

Authors ’ Reply to Letter to the Editor
We concur that there are several different ways to objectively measure the concept of "agreement," and that this is an important point for critical readers of the medical literature to appreciate and understand. The big picture concept of this discussion relates to the possibility of "chance." In other words, if 2 people are asked to identify the "presence" or "absence" of a specific trait (essentially a 50/50 choice), then there is a distinct possibility that the 2 people will agree or disagree simply as a result of chance, completely independent of the actual presence/absence of the trait (1,2). (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 25, 2024 Category: Orthopaedics Authors: Andrew J. Meyr Source Type: research

Level of Agreement With a Multi-Test Approach to the Diagnosis of Diabetic Foot Osteomyelitis: Methodological Issue
We were interested when we read an article that was recently published online in the journal named Foot and Ankle Surgery entitled “Level of Agreement With a Multi-Test Approach to the Diagnosis of Diabetic Foot Osteomyelitis” (Meyr AJ, Kyung S, Khurana JS, Rachana C, Baidarbhi C. Level of Agreement With a Multi-Test Approach to the Diagnosis of Diabetic Foot Osteomyelitis. J Foot Ankle Surg 57(6):1137-9, 2018). The authors described the level of agreement between several of the commonly forms of diagnostic testing for diabetic foot osteomyelitis using percent agreement and Cohen's standard kappa (κ) coefficients (1)....
Source: Journal of Foot and Ankle Surgery - April 25, 2024 Category: Orthopaedics Authors: Meisam Shahsavari, Masoumeh Abbasi Tags: Letters to the Editor Source Type: research

Re: The Triplanar Hallux Abducto Valgus Classification System: Is it Valid? (Article in Press)
I would like to give congratulations and appreciation for the authors undertaking this task. While I certainly agree with the authors that 2-dimensional radiographs can sometimes present challenges when assessing the triplanar nature of hallux valgus, I however, disagree with their conclusion that the classification system is not valid and lacks prognostic value. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 25, 2024 Category: Orthopaedics Authors: Daniel J Hatch Source Type: research

Cover 1 -- cover prints black and PMS 261
(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 25, 2024 Category: Orthopaedics Source Type: research

Subscription Information
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Source: Journal of Foot and Ankle Surgery - April 25, 2024 Category: Orthopaedics Source Type: research

Editorial Board
(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 25, 2024 Category: Orthopaedics Source Type: research

Table of Contents
(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 25, 2024 Category: Orthopaedics Source Type: research

Postoperative Stability in Displaced Ankle Fractures with Concomitant Ligamentous Injuries
This study aimed to assess postoperative ankle instability in patients with displaced ankle fractures. A total of 54 patients with displaced ankle fractures were included. Malleolar fractures were surgically reduced and fixated, and if necessary, the syndesmosis was stabilized. Concomitant deltoid injuries were left unrepaired. Ankle stress radiographs were taken approximately 25.4 months after surgery, with a standard deviation of 20.5 months. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 22, 2024 Category: Orthopaedics Authors: Ji Hye Choi, Yoon Hyo Choi, Jung Geul Kim, Seungbum Koo, Kyoung Min Lee Tags: Original Research Source Type: research

Prognostic Values of Clinical and Anthropometric Characteristics in Lateral Ankle Sprain Following Physiotherapy
Lateral Ankle Sprain (LAS) is a common injury in sports and daily activities. The present study aimed to determine the prognostic value of clinical and anthropometric parameters in predicting LAS recovery after physiotherapy. Twenty seven patients with acute LAS were included in this cohort study. First, prognostic factors and anthropometric variables were assessed, along with the time elapsed since the injury, pain score on a Visual Analogue Scale (VAS), navicular drop, ankle Range of Motion (ROM), and ambulation status. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 16, 2024 Category: Orthopaedics Authors: Farzaneh Khazaei, Sayyed-Hadi Sayyed-Hosseinian, Hamid Heidarian Miri, Afsaneh Zeinalzadeh, Salman Nazary-Moghadam Tags: Original Research Source Type: research

Diabetic Osteomyelitis: Oral versus Intravenous Antibiotics at a Single Level 1 Academic Medical Trauma Center
Residual osteomyelitis is a frequent problem following surgical intervention for diabetic foot infection. The Infectious Disease Society of America guidelines recommend a prolonged course of antibiotics for treatment of residual osteomyelitis. Recent literature suggests oral antibiotic therapy is not inferior to IV therapy. The primary aim of this study was to evaluate treatment success in 128 patients receiving oral versus IV antibiotics for residual osteomyelitis in the diabetic foot after amputation at a Level 1 academic medical trauma center. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 6, 2024 Category: Orthopaedics Authors: Jennifer A. Kipp, Lindsay K. LeSavage, Joni K. Evans, Travis A. Denmeade, Cody D. Blazek Tags: Original Research Source Type: research

Diabetic Osteomyelitis: Oral vs Intravenous Antibiotics at a Single Level 1 Academic Medical Trauma Center
Residual osteomyelitis is a frequent problem following surgical intervention for diabetic foot infection. The current Infectious Disease Society of America guidelines recommend 4-6 weeks of initial intravenous antibiotics for treatment of residual osteomyelitis. However, recent literature suggests oral antibiotic therapy is not inferior to intravenous therapy. The primary aim of this study was to evaluate treatment success in 128 patients receiving oral versus intravenous antibiotics for residual osteomyelitis in the diabetic foot after amputation at a Level 1 academic medical trauma center. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 6, 2024 Category: Orthopaedics Authors: Jennifer A. Kipp, Lindsay K. LeSavage, Joni K Evans, Travis A. Denmeade, Cody D. Blazek Tags: Original Research Source Type: research

A Randomized Comparison Between Anterior Talofibular Ligament Repair Using Brostr öm Operation with and without an Internal Brace.
The aim of the study was to compare the intermediate-term (>24 months) clinical outcomes between anterior talofibular ligament repair using Brostr öm operation with and without an internal brace. Nineteen patients underwent surgery using an arthroscopic traditional Broström repair with an internal brace technique (IB) and Eighteen patients underwent surgery using an arthroscopic traditional Broström repair without an internal brace techniqu e (TB) . All patients were evaluated clinically using the Foot and Ankle Outcome Score (FAOS) and Foot and Ankle Ability Measure (FAAM). (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - April 4, 2024 Category: Orthopaedics Authors: Yilong Dong, Gangyi Jiang, Min Liu, Chunyuan Cai, Lue Liu Tags: Original Research Source Type: research

Operative Time, Cost, and Union Rate of Power Rasp Joint Preparation Versus Traditional Preparation in Arthrodesis of the Foot and Rearfoot
Time spent in the operating room is valuable to both surgeons and patients. One of the biggest rate-limiting factors when it comes to arthrodesis procedures of the foot and ankle is cartilage removal and joint preparation. Power instrumentation in joint preparation provides an avenue to decrease joint preparation time, thus decreasing operating room time and costs. Arthrodesis of 47 joints (n) from 27 patients were included. Power rasp joint preparation in 26 joints was compared to traditional osteotome and curette joint preparation in 21 joints in both time (seconds), cost (total operating room time cost per minute), and ...
Source: Journal of Foot and Ankle Surgery - March 15, 2024 Category: Orthopaedics Authors: Jay S. Badell, James M. Cottom Tags: Original Research Source Type: research