Introduction: Leonardo da Vinci (1452-1519), world-renowned Italian renaissance master, is known for his contributions to, and broad interests in science and art. The objective of this work is to demonstrate the extent of his science by applying the use of his concepts to current models of foot and ankle mechanics.
Methods: The art and science of Leonardo Da Vinci were extensively analyzed by reviewing his original drawings and hand written notebooks as well as their English translation. Current medical journals including the topics of foot, ankle, and biomechanics were reviewed for modern evidence and application of his concepts. The library of Michigan State University and the electronic library of the Royal Library at Windsor Castle were extensively utilized.
Results: From the depths of Santa Maria Nuova Hospital in Florence and Santo Spirito Hospital in Rome, through his commentary and anatomical drawings of around 30 cadaver dissections he performed, Leonardo da Vinci expressed his concept of foot and ankle anatomy and mechanics. He laid forth concepts, which vary little from current theories including those of proportion, statics and joint stability, sesamoid biomechanics, and structural support of the foot.
Discussion: Leonardo da Vinci, by combining an interest in anatomy and a gift of genius and artistic ability laid a foundation of foot and ankle anatomy and mechanics that have been applied in modern clinical sciences. Leonardo in this way made important contributions to the practice of foot and ankle orthopedics.
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http://dx.doi.org/10.3109/08941939.2012.725011 | DOI Listing |
J Am Podiatr Med Assoc
March 2025
*Department Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, Spain.
Background: The Foot and Ankle Ability Measure is frequently used by clinicians and researchers to assess the effectiveness of therapeutic interventions for patients with foot and ankle pathologies. To review different versions of the FAAM and to evaluate the methodological quality of studies published in this respect.
Methods: Systematic review.
J Pediatr Orthop B
March 2025
Shriners Hospitals for Children® - Greenville, Greenville, South Carolina.
Surgical options for relapsed clubfoot include repeat heel cord lengthening or posterior release for recurrent equinus, and anterior tibialis tendon transfer (ATT) for residual dynamic supination deformity. Some studies have suggested that these procedures be performed in isolation to allow for early range of motion after intra-articular surgery. This study was performed to examine clinical and radiographic outcomes comparing two surgical methods, simultaneous ATT with posterior release (ATT/PR) vs ATT performed in isolation (ATT(i)), for the management of recurrent clubfoot deformity.
View Article and Find Full Text PDFCartilage
March 2025
University Hospital for Orthopaedic and Trauma Surgery, Pius Hospital Oldenburg, Oldenburg, Germany.
ObjectiveAim of this study was to evaluate the 24 months follow-up data of the German Cartilage Registry (KnorpelRegister DGOU, GCR) regarding the influence of body mass index (BMI) on clinical outcomes after surgical osteochondral lesions of the talus (OCT) treatment.DesignA total of 303 patients met the inclusion criteria. Pre- and post-operative Foot and Ankle Outcome Score (FAOS) total scores, subscores, and ΔFAOS were analyzed for most frequent surgical techniques (bone marrow stimulation [BMS], matrix-augmented BMS, matrix-augmented BMS with additional bone grafting) in normal weight group (NW, BMI <30 kg/m, = 228) and obese weight group (OW, BMI ≥30 kg/m, = 75).
View Article and Find Full Text PDFNucl Med Commun
March 2025
Department of Nuclear Medicine and Radiology, Lucerne University Teaching and Research Hospital, Lucerne, Switzerland.
Purpose: To compare the performance of pseudoplanar (PP) images reprojected from bone single photon emission computed tomography/computed tomography (SPECT/CT) against 'real' planar bone scintigraphy for the assessment of localization and grading of radiotracer uptake of active osteoarthritic joints in the foot and ankle. Noninferiority of PP images would shorten the protocol substantially.
Methods: Late-phase real planar (RP) and SPECT/CT reconstructed PP images of 96 feet in 48 patients (22 women, 26 men, median age: 49 years, interquartile range: 34-67 years) with foot and ankle osteoarthritis were independently evaluated by three different readers.
Foot Ankle Surg
March 2025
Hospital Particular do Algarve, Portugal; Hospital da Luz Lisboa, Portugal.
Background: Morton's interdigital neuroma, caused by compression of the interdigital nerve, often requires surgery when conservative treatment fail. This study compared open neurectomy and percutaneous intermetatarsal ligament release (PILR), focusing on various predictive factors.
Methods: A retrospective study, comprising 46 patients (58 feet) with Morton's neuroma who underwent either open excision (n = 24) or PILR (n = 22) from 2012 to 2022.
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