Journal of Foot and Ankle Surgery




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Cover 1 -- cover prints black and PMS 261

doi : 10.1053/S1067-2516(22)00341-6

Volume 62, Issue 1, January–February 2023, Page CO1

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Subscription Information

doi : 10.1053/S1067-2516(22)00343-X

Volume 62, Issue 1, January–February 2023, Page A2

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Editorial Board

doi : 10.1053/S1067-2516(22)00344-1

Volume 62, Issue 1, January–February 2023, Page A4

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Table of Contents

doi : 10.1053/S1067-2516(22)00345-3

Volume 62, Issue 1, January–February 2023, Pages A7-A12

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JFAS 2023

Naohiro Shibuya, DPM, MS, FACFAS

doi : 10.1053/j.jfas.2022.11.011

Volume 62, Issue 1, January–February 2023, Page 1

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Are Radiographs Associated With Patient Satisfaction After Scarf Bunionectomy?

Rachel Albright, DPM, MPH 1 , Erin Klein, DPM, MS 2 , Jeffrey Baker, DPM3 , Matthew Sorensen, DPM4 , Lowell Weil, Jr. DPM 5 , Adam Fleischer, DPM, MPH

doi : 10.1053/j.jfas.2022.05.001

Volume 62, Issue 1, January–February 2023, Pages 2-6

There are over 350,000 bunion surgeries performed in the USA annually, making it one of the most common elective forefoot surgeries. Studies have suggested that as many as 10% of patients remain dissatisfied after bunion surgery.

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Effect of Simulated Bone Resorption on the Biomechanical Performance of Intramedullary Devices for Foot and Ankle Arthrodesis

Caitlyn J. Beals 1 , Gabriella A.S. Wong 2 , Kenneth M. Dupont, PhD 3 , David L. Safranski, PhD

doi : 10.1053/j.jfas.2022.03.001

Volume 62, Issue 1, January–February 2023, Pages 7-13

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Effects of Hyaluronic Acid With Intra-articular Corticosteroid Injections in the Management of Subtalar Post-traumatic Osteoarthritis – Randomized Comparative Trial

Fernanda Ferreira Gomes, MD, MsC 1 , Daniel Augusto Maranho, MD, PhD 2 , Mariana Silva Gomes, RN1 , Isnar Moreira de Castro, Jr. MD 3 , Henrique Mansur, M

doi : 10.1053/j.jfas.2022.03.003

Volume 62, Issue 1, January–February 2023, Pages 14-20

We investigated the potential of exogenous hyaluronic acid (HA) associated with corticosteroid injections to improve pain and function for the treatment of post-traumatic subtalar osteoarthritis, in comparison with isolated intra-articular corticosteroid.

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Can 3-Dimensional Printing for Calcaneal Fracture Surgery Decrease Operation Time and Improve Quality of Fracture Reduction?

Hyun-Jin Park, MD, PhD1 , Ki-Han You, MD 1 , Bingzhe Huang, MD, PhD 2 , Joon Hyeok Yoon, MD 1 , Hyong Nyun Kim, MD, PhD

doi : 10.1053/j.jfas.2022.03.004

Volume 62, Issue 1, January–February 2023, Pages 21-26

We investigated whether 3-dimensional (3D) printed models can decrease operation time and improve the quality of reduction for calcaneal fractures.

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Predictors of Foot Acute Compartment Syndrome: Big Data analysis

Carl Laverdiere, MD 1 , Julien Montreuil, MD 1 , Yasser Bouklouch, MD 2 , Justin-Pierre Lorange, MDCM 2 , Charles-Antoine Dion, MD 1 , Edward J. Harvey, MD

doi : 10.1053/j.jfas.2022.03.006

Volume 62, Issue 1, January–February 2023, Pages 27-30

Acute compartment syndrome (ACS) in the foot is a challenging diagnosis and can lead to significant disabilities to patients. The present study aims to investigate the incidence, risk factors, demographics and association in the analysis of acute compartment syndrome (ACS) of the foot.

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Translation and Validation of ‘Foot Health Status Questionnaire’ in Dutch

H.A. Martijn, MSc 1 , I.N. Sierevelt, MSc 2 , S. Wassink, MSc 1 , P.A. Nolte, MD

doi : 10.1053/j.jfas.2022.03.007

Volume 62, Issue 1, January–February 2023, Pages 31-34

The aim of our study was to develop a Dutch version of the Foot Health Status Questionnaire (FHSQ-NL) and evaluate its measurement properties according to the COSMIN definition (COnsensus�based Standards for the selection of health Measurement INstruments).

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Incidence of Venous Thromboembolism in Patients Receiving Anticoagulation for Foot and Ankle Surgery

Tyler Claveau, DPM 1 , Damian Hilbert, DPM2 , Romesh Dhaduk, DPM, AACFAS3 , Pamela Morrison, DPM4 , Lawrence Fallat, DPM, FACFAS 5 , Robert Jarski, PhD, PA

doi : 10.1053/j.jfas.2022.03.008

Volume 62, Issue 1, January–February 2023, Pages 35-38

Venous thromboembolism (VTE) is a serious medical condition that can be an unfortunate complication arising from foot and ankle surgery.

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Subjective and Objective Outcomes of Ankle Joint Arthrodesis with Either Ilizarov or Internal Fixation

Piotr Morasiewicz, MD, PhD 1,2 , Maciej Dejnek, MD 2,3 , Wiktor Orzechowski, MD, PhD2 , ºukasz Szelerski, MD

doi : 10.1053/j.jfas.2022.03.009

Volume 62, Issue 1, January–February 2023, Pages 39-44

After arthroplasty, arthrodesis of the ankle joint is the most common method to treat advanced ankle osteoarthritis. The goal of the study was to assess the subjective and objective outcomes in 2 different types of fixation for ankle joint arthrodesis.

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Biomechanical Comparison of Knotless Suture Anchor Versus Percutaneous End-to-End Technique for Mid-Substance Achilles Tendon Rupture Repair

Colin P. Murphy 1,2,3 , Tyler J. Safgren 2,3 , Eric T. Piatt 3 , Alexander C.M. Chong 1,2 , Bruce E. Piatt

doi : 10.1053/j.jfas.2022.03.010

Volume 62, Issue 1, January–February 2023, Pages 45-49

Percutaneous Achilles tendon repairs can be performed with 2 distal fixation techniques: knotless suture anchor repair (KL) or percutaneous end-to-end repair (ETE).

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Risk of Infection Following Gunshot Wound Fractures to the Foot and Ankle: A Multicenter Retrospective Study

William L. Shelton, MD 1 , Peter C. Krause, MD 1 , Rabun Fox, MD 1 , Mallory Lowe, MD 1 , Laura DeLatin, MD1 , Claudia Leonardi, PhD1 , Anna N. Miller, MD2 , Clay Spitler, MD3 , Brian Mullis, MD 4 , Jonathan Savakus, MD 5 , Kevin Purcell, MD 3 , Justin Tilan, MD 2 , Heather Vallier, MD 5 , Emily Wichern, MD

doi : 10.1053/j.jfas.2022.03.011

Volume 62, Issue 1, January–February 2023, Pages 50-54

The purpose of this multicenter retrospective chart review was to describe demographics, fracture and wound characteristics, and treatments for foot and/or ankle fractures caused by gunshot wounds (GSWs) and identify factors that increase risk of infection in adults treated at 5 urban level 1 trauma centers in South and Midwest regions of the United States.

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Mechanical Axis Method to Determine First Intermetatarsal Angle and Tibial Sesamoid Position

Noman A. Siddiqui, DPM, MHA, FACFAS 1,2,3 , Jessica N. Fink, DPM, AACFAS4 , Prianka Sharma, DPM 5 , Alison D’Andelet, DPM, MHA 6 , Guido A. LaPorta, DPM, MS, FACFAS

doi : 10.1053/j.jfas.2022.03.013

Volume 62, Issue 1, January–February 2023, Pages 55-60

Utilizing the mechanical axis can decrease load on the joint and be beneficial when analyzing bony deformities and planning surgical correction with osteotomies.

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Jigless Knotless Internal Brace Versus Other Minimal Invasive Achilles Tendon Repair Techniques in Biomechanical Testing Simulating the Progressive Rehabilitation Protocol

Po-Yen Ko, MD 1,2 , Chieh-Hsiang Hsu, MSc 1 , Chih-Kai Hong, MD 2 , Ming-Tung Hung, MD 4 , Wei-Ren Su, MSc 1 , I-Ming Jou, MD, PhD3,4 , Po-Ting Wu, MD, PhD 1,2,# , Fong-Chin Su, PhD

doi : 10.1053/j.jfas.2022.03.014

Volume 62, Issue 1, January–February 2023, Pages 61-67

The jigless knotless internal brace surgery (JKIB), an alternative method for minimal invasive surgery (MIS) repair of acute Achilles tendon rupture, has advantages of preventing sural-nerve injury in MIS and superficial wound infection in open surgery, as previous clinical research demonstrates.

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Short-Term Risk Factors for Subtalar Arthrodesis After Primary Tibiotalar Arthrodesis

Song Ho Chang, MD, PhD 1,2,3 , Noortje C. Hagemeijer, MD, PhD 1,4 , Jirawat Saengsin, MD1,5 , Escar Kusema, MD1 , Brandon L. Morris, MD 6,7 , Christopher W. DiGiovanni, MD, FAOA6,7 , Daniel Guss, MD, MBA

doi : 10.1053/j.jfas.2022.04.001

Volume 62, Issue 1, January–February 2023, Pages 68-74

While adjacent joint arthritis is a recognized long-term downside of primary tibiotalar arthrodesis (TTA), few studies have identified risk factors for early subtalar arthrodesis (STA) after TTA.

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Gender Differences May Exist in the Presentation, Mechanism of Injury and Outcomes Following Bone Marrow Stimulation for Osteochondral Lesions of the Talus

Arianna L. Gianakos, DO 1,3,4,5 , Emilie R.C. Williamson, MD 2 , Nathaniel Mercer, BS 2 , Gino M. Kerkhoffs, MD, PhD, FRCS 3,4,5 , John G. Kennedy, MD, MCh, MMSc, FRCS (Orth)

doi : 10.1053/j.jfas.2022.04.010

Volume 62, Issue 1, January–February 2023, Pages 75-79

Bone marrow stimulation (BMS) is indicated for patients who have symptomatic osteochondral lesions of the talus (OLT). Despite differences in ankle biomechanics and cartilage morphology between men and women, there is scant evidence examining whether these differences affect surgical outcomes.

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Bone Density by Specific Anatomic Location Using Hounsfield Samples of the Lower Extremity: A Multi-center Retrospective Analysis

Jered M. Stowers, DPM1 , Alexandra T. Black, DPM1 , Amber M. Kavanagh, DPM2 , Karla De La Mata, DPM 3 , Tefera Eshetu, PhD, MS

doi : 10.1053/j.jfas.2022.05.002

Volume 62, Issue 1, January–February 2023, Pages 80-84

Understanding bone mineral density and its effects on patient outcomes is a useful tool for lower extremity surgeons.

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Quality and Content Analysis of Hallux Valgus Videos on YouTube®

Sezgin Bahadır Tekin, MD 1 , Bahri Bozgeyik, MD

doi : 10.1053/j.jfas.2022.05.003

Volume 62, Issue 1, January–February 2023, Pages 85-90

Our aim in this study is to analyze the content and quality of the videos about hallux valgus on YouTube®. The first 50 videos published by typing “hallux valgus� in the search engine on the YouTube® site were analyzed.

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Union Rates With the Use of Structural Allograft in Lapidus Arthrodesis: A Comparison Between Two Fixation Constructs

John J. Heifner, MD, MS 1 , Solangel Rodriguez Materon, MD 2 , Linglin Zhang, PhD 3 , Thomas P. San Giovanni, MD

doi : 10.1053/j.jfas.2022.05.004

Volume 62, Issue 1, January–February 2023, Pages 91-95

Although structural allograft has been previously described as acceptable practice for reconstructive foot and ankle surgery, results for an allograft bone wedge in Lapidus arthrodesis are unknown.

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Autologous Osteochondral Transplantation for Osteochondral Lesions of the Talus—Does Sex Play a Role?

Arianna L. Gianakos, DO 1,2,3,4 , Olasumnbo Okedele, BS 5 , Mary K. Mulcahey, MD6 , Gino M. Kerkhoffs, MD, PhD, FRCS 2,3,4 , John G. Kennedy, MD, MCh, MMSc, FRCS (Orth)

doi : 10.1053/j.jfas.2022.05.005

Volume 62, Issue 1, January–February 2023, Pages 96-101

Autologous osteochondral transplantation (AOT) is used in the treatment of osteochondral lesions (OCL) of the talus.

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Use of a Lightweight Portable Fluoroscopy Device for Obtaining Weightbearing Ankle Images

Haggai Schermann, MD, MPH1,2,3 , Soheil Ashkani-Esfahani, MD 1,2 , John Zhao, MD 1,2 , Bart Lubberts, MD, PhD1 , Philip Kaiser, MD 1,2 , Gregory Waryasz, MD

doi : 10.1053/j.jfas.2022.05.006

Volume 62, Issue 1, January–February 2023, Pages 102-106

Portable fluoroscopy devices provide point-of-care imaging in emergency and out-patient clinics.

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Biomechanical Analysis of Tibiofibular Syndesmosis Injury Fixation Methods: A Finite Element Analysis

Numan Mercan, MD1 , Ahmet Yıldırım, MD 2 , Yunus Dere, PhD

doi : 10.1053/j.jfas.2022.05.007

Volume 62, Issue 1, January–February 2023, Pages 107-114

The optimal treatment strategy after syndesmotic injuries is still controversial. In our study, we aimed to evaluate ideal fixation method in syndesmotic injury by using finite element analysis method.

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Outcome of Turf Toe Injuries in NFL Players

Naji S. Madi, MD 1 , Tejas J. Parekh 2 , Selene G. Parekh, MD, MBA

doi : 10.1053/j.jfas.2022.05.008

Volume 62, Issue 1, January–February 2023, Pages 115-119

The increase in artificial turf in the 1970s was thought to have contributed to increased incidence of turf toe injury in National Football League (NFL) players. To our knowledge, there are no publications that have analyzed the impact of this injury on performance.

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Assessment of Bone Mineral Density in the Distal Tibia Using Quantitative Hounsfield Samples From Computer Tomography

Keegan Duelfer, DPM1 , Chloe Sakow, DPM1 , Howard Chang, DPM 1 , Troy Boffeli, DPM, FACFAS

doi : 10.1053/j.jfas.2022.05.009

Volume 62, Issue 1, January–February 2023, Pages 120-124

The distal tibia bone quality is of paramount importance for ankle fractures, total ankle implants, ankle fusions, and osteotomy procedures. Despite this fact relatively little is known regarding the overall bone quality for this section of the tibia.

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Effect of Age and BMI on Sonographic Findings of Plantar Fascia

Daman Kumar Jha, MS 1,2 , Jirasak Wongkaewpotong, MD 3 , Bavornrit Chuckpaiwong, MD

doi : 10.1053/j.jfas.2022.05.010

Volume 62, Issue 1, January–February 2023, Pages 125-128

Biomechanical dysfunction of the foot is most common cause of plantar fascia disorder and obesity and increasing age are well-known risk factors.

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The Role of the Shortened Proximal Phalanx in the Setting of Brachymetatarsia

Michael A. Thomas, DPM, MS, AACFAS, Noman A. Siddiqui, DPM, MHA, FACFAS, Kelsey J. Millonig, DPM, MPH, AACFAS, Yumna Siddiqui, DPM, Cassandre Charles, DPM, Bilal M. Khan, DPM

doi : 10.1053/j.jfas.2022.06.001

Volume 62, Issue 1, January–February 2023, Pages 129-131

Brachymetatarsia is a condition in which a metatarsal bone does not grow out to full length. This is caused by premature physeal closure. The proximal phalanx associated with the shortened metatarsal helps achieve the natural parabola of the foot.

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Brachymetatarsia: A Classification for Surgical Treatment

Bradley M. Lamm, DPM, FACFAS 1,2 , Tyler B. Lamm

doi : 10.1053/j.jfas.2022.06.002

Volume 62, Issue 1, January–February 2023, Pages 132-149

Brachymetatarsia is a congenital osseous and soft tissue deformity of a ray(s) of the foot. Because there is no particular consensus of methodology of lengthening for brachymetatarsia, the authors introduce a comprehensive anatomic classification and a surgical guide to treatment of each classification type.

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Dual-Perforator Flap With Wide Pedicle Versus Sural Neurocutaneous Flap With Peroneal Artery Perforator in the Treatment of Soft Tissue Defects of Foot and Ankle

Qiang Huang, MD # , Qian Wang, MM# , YiBo Xu, MM # , Cheng Ren, MM, Hua Lin, MM, ChengCheng Zhang, MM, Lu Liu, MM, Ming Li, MM, Yao Lu, MM, Zhong Li, MM, Kun Zhang, MM, Teng Ma, MM

doi : 10.1053/j.jfas.2022.06.003

Volume 62, Issue 1, January–February 2023, Pages 150-155

How to deal with large soft tissue defects around the foot and ankle is still controversial. The aim of this study was: (1) to display a new pedicled flap, also named the dual-perforator flap with wide pedicle (DPFWP), and (2) to compare it with the sural neurovascular flap with peroneal artery perforator (SNFPAP) in foot and ankle reconstruction.

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The Impact of Time and State Opioid Legislation on Opioid Prescription Filling in Total Ankle Arthroplasty

Daniel J. Cunningham, MD, MHSc1 , Colleen M. Wixted, BS 2 , Nicholas B. Allen, BS3 , Andrew E. Hanselman, MD 4 , Samuel B. Adams, MD

doi : 10.1053/j.jfas.2022.06.004

Volume 62, Issue 1, January–February 2023, Pages 156-161

Total ankle arthroplasty (TAA) is an increasingly utilized treatment for ankle arthritis, and opioids are commonly used as part of perioperative pain control. However, many states have enacted opioid-limiting legislation to reduce perioperative opioid prescribing.

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The Learning Curve of Third-Generation Percutaneous Chevron and Akin Osteotomy (PECA) for Hallux Valgus

T.L. Lewis, MBChB (Hons), BSc (Hons), MRCS, MFSTEd 1 , P.W. Robinson, BSc (Hons), MBChB, FRCS (Tr & Orth) 2 , R. Ray, MBChB, ChM (T&O), FRCSed (Tr & Orth), FEBOT 1 , T.A.J. Goff, MB ChB, FRCS (Tr & Orth), PGDip 3 , P.M.C. Dearden, BMBS, BMedSci, FRCS (Tr & Orth) 4 , M.R. Whitehouse, BSc, MBChB, MSc, PhD, FRCS (Tr&Orth), PGCert, FHEA 5,6 , P. Lam, MBBS (Hons), FRACS 7 , G. Dracopoulos, MBBS, FRACS

doi : 10.1053/j.jfas.2022.06.005

Volume 62, Issue 1, January–February 2023, Pages 162-167

The learning curve to reach technical proficiency for third-generation percutaneous or minimally invasive chevron and Akin osteotomies (PECA/MICA) is recognized to be steep however it is poorly defined in the literature.

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Effect of Arch Height Flexibility in Individuals With Flatfoot on Abductor Hallucis Muscle Activity and Medial Longitudinal Arch Angle During Short Foot Exercises

Haruki Ishiyama, BS 1 , Tomoya Takabayashi, PhD1,2 , Shiori Hiratsuka, BS1 , Wataru Ito, PhD1,2 , Takanori Kikumoto, PhD1,2 , Masayoshi Kubo, ScD

doi : 10.1053/j.jfas.2022.06.007

Volume 62, Issue 1, January–February 2023, Pages 168-172

Flatfoot presents decreased medial longitudinal arch (MLA), and such foot deformity involves intrinsic foot muscles dysfunction. Flatfoot can be classified into flexible and stiff types according to arch height flexibility (AHF).

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Correlation of Lisfranc Injuries With Regional Bone Density

Dominick J. Casciato, DPM1 , Amar Chandra, DPM1 , Kevin Nguyen, DPM 1 , Nathaniel Starcher, MS-II 2 , John Thompson, DPM, AACFAS 3 , Robert W. Mendicino, DPM, FACFAS 4 , Benjamin C Taylor, MD

doi : 10.1053/j.jfas.2022.06.008

Volume 62, Issue 1, January–February 2023, Pages 173-177

Lisfranc injuries present a challenge due to their ubiquity though frequent missed diagnoses. A paucity of data exists associating the contribution of bone density to injury type.

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Can Locked Fibula Nail Replace Plate Fixation for Treatment of Acute Ankle Fracture? A Systematic Review and Meta-Analysis

Wenxuan Guo, MD 1,# , Fan Wu, MD 1,# , Wenhuan Chen, MD 2,# , Kun Tian, MD 1 , Rujie Zhuang, MD1 , Yu Pan, MD

doi : 10.1053/j.jfas.2022.10.003

Volume 62, Issue 1, January–February 2023, Pages 178-185

The standard surgical treatment for unstable ankle fractures involves open reduction and internal fixation (ORIF) with plates. However, ORIF has been associated with several complications, such as soft tissue irritation, wound infection, and nerve injury.

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Time to Revision After Periprosthetic Joint Infection in Total Ankle Arthroplasty: A Systematic Review

Samantha A. Miner, DPM, AACFAS1 , John A. Martucci, DPM, AACFAS 2 , Stephen A. Brigido, DPM, FACFAS 1 , Lawrence DiDomenico, DPM, FACFAS

doi : 10.1053/j.jfas.2022.09.001

Volume 62, Issue 1, January–February 2023, Pages 186-190

While not a common complication after total ankle arthroplasty (TAA), periprosthetic joint infection (PJI) presents a significant risk of implant failure. The primary aim of this systematic review was to evaluate time to revision after PJI in patients who had undergone TAA.

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The Statistical Fragility of Foot and Ankle Surgery Randomized Controlled Trials

Anthony J. Milto, MD 1,2 , Cecily E. Negri, BS1 , Jeffrey Baker, BS 1 , Sowmyanarayanan Thuppal, MD, PhD

doi : 10.1053/j.jfas.2022.08.014

Volume 62, Issue 1, January–February 2023, Pages 191-196

Fragility index (FI) is a metric used to interpret the results of randomized controlled trials (RCTs), and describes the number of subjects that would need to be switched from event to non-event for a result to no longer be significant.

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Current Concept Review: State of Acute Lateral Ankle Injury Classification Systems

Diogo Lacerda, MD 1 , Dunio Pacheco, MD1 , Ana Teresa Rocha, MD1 , Pedro Diniz, MD 1,2 , In^es Pedro, MD 1 , Francisco Guerra Pinto, MD

doi : 10.1053/j.jfas.2022.08.005

Volume 62, Issue 1, January–February 2023, Pages 197-203

Acute lateral ankle sprain (ALAS) is one of the most frequent musculoskeletal injuries, with a great impact on health and socioeconomic factors. There are few consensuses on this subject and multiple therapeutic options that are difficult to compare due to the lack of a universally adopted classification system.

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Further Comments Regarding Zha et al. “A Bibliometric Analysis of Global Research Production Pertaining to Diabetic Foot Ulcers in the Past Ten Years�

John L. Frater, MD

doi : 10.1053/j.jfas.2022.07.009

Volume 62, Issue 1, January–February 2023, Pages 204-205

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