Publications by authors named "Yousif Alkhalfan"

Article Synopsis
  • - This systematic review investigated the effectiveness of percutaneous or minimally invasive techniques for correcting bunionette deformities, analyzing clinical and radiographic outcomes from various studies.
  • - Out of 942 potential studies, 18 met the criteria, revealing significant improvements in pain and functional scores, as well as notable radiologic corrections, though no comparative studies were found.
  • - Despite a low to moderate risk of bias and some complications (like hypertrophic callus), the overall outcomes suggest these techniques are beneficial, though the findings need careful consideration due to methodological limitations.
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Background: The management of failed total ankle replacements, with significant loss of bone stock, is challenging with high rates of complications and associated morbidity. Recent technological advances have enabled the development of patient-customized 3D-printed titanium truss arthrodesis implants, which offer an alternative salvage option for failed total ankle replacements.

Methods: A prospective observational study was performed of 6 cases of failed total ankle replacements that were managed using custom patient-specific 3D-printed titanium truss arthrodesis implants.

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Article Synopsis
  • Hallux valgus (HV) is a common foot issue that sometimes requires surgery, particularly when combined with instability at the tarsometatarsal joint (TMTJ); a new surgical technique utilizing staples and a suture button was tested on patients to improve outcomes.
  • A retrospective study from February 2017 to May 2022 involved nine patients, showing significant improvement in foot alignment and reduced deformities at six months, with no cases of non-union found.
  • While some complications, like stiffness and pain, were observed, the overall results indicated that this evolved surgical approach could potentially provide better long-term outcomes for patients with severe HV and TMTJ instability.
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Article Synopsis
  • - Diabetic foot osteomyelitis (DFO) is a serious complication in diabetes management, requiring a team of specialists, including endocrinologists and surgeons, for effective treatment.
  • - Early diagnosis using advanced imaging techniques like MRI is crucial, and the treatment involves tailored antibiotic therapy along with surgical options when necessary.
  • - Prevention of DFO recurrence involves managing blood sugar levels, proper foot care, and educating patients, while ongoing research is needed to improve treatment strategies and outcomes.
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Triceps tendon avulsion is a rare but debilitating condition and the least frequent of all tendon injuries, but it is receiving increasing attention in the literature. The most common mechanism of injury is resisted extension, which is typically seen in a fall onto an extended hand. Such injuries are easily overlooked and should be considered a differential diagnosis in all patients who describe pain and swelling at the posterior aspect of the elbow following a traumatic event.

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Background: Fourth-generation minimally invasive surgery (MIS) includes the multiplanar rotational deformity correction achieved through manipulation of an extra-articular distal first metatarsal osteotomy that is held with rigid fixation using 2 fully threaded screws, of which one must be bicortical to provide rotational and biomechanical stability. The aim of this study is to report the clinical and radiologic outcomes of an evolved fourth-generation MIS hallux valgus technique.

Methods: A prospective single-surgeon series of consecutive patients undergoing fourth-generation MIS was performed using a distal transverse osteotomy with a minimum 12-month follow-up.

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Pectoralis major (PM) ruptures are relatively rare injuries occurring mostly in men 20 to 40 years of age. Weightlifting or bench pressing is the most common mechanism of injury. Although an uncommon injury, a high degree of clinical suspicion should be maintained since early surgical treatment has been shown to be beneficial.

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Background/aims: Ankle sprains are common injuries which can lead to chronic lateral ankle ligament instability (CAI).

Methods: The aim of this review is to provide a comprehensive overview of the epidemiology, pathophysiology, investigation, surgical management and rehabilitation of CAI.

Results: Investigation of CAI is based on history, clinical examination, and imaging.

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