16 results match your criteria: "Footbridge clinic[Affiliation]"

Preoperative and Postoperative Imaging and Outcome Scores for Osteochondral Lesion Repair of the Ankle.

Foot Ankle Clin

June 2024

Division of Distal Extremities, Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada; Footbridge Clinic for Integrated Orthopaedic Care, 221 Keefer Place, Vancouver, British Columbia, V6B 6C1, Canada; University of British Columbia, Adult Foot and Ankle Reconstructive Surgery, Department of Orthopaedics, Vancouver, British Columbia, Canada.

Cartilage lesions to the ankle joint are common and can result in pain and functional limitations. Surgical treatment aims to restore the damaged cartilage's integrity and quality. However, the current evidence for establishing best practices in ankle cartilage repair is characterized by limited quality and a low level of evidence.

View Article and Find Full Text PDF

A Novel Update on the Management of Müller-Weiss Disease: Presentation of a Treatment Algorithm.

Cartilage

March 2024

Foot and Ankle Reconstruction/Minimally Invasive Foot and Ankle Surgery, Division of Distal Extremities, Department of Orthopedics, St. Paul's Hospital, The University of British Columbia, Vancouver, BC, Canada.

Objective: Müller-Weiss disease (MWD) is a challenging condition involving the perinavicular region in the initial stages and subsequently the entire foot in the later stages. The goal of this article is to describe the pathomechanics, clinical evaluation, and nonoperative and operative treatment, including a treatment algorithm, based on current evidence and the combined authors' experience.

Design: We review the related articles and summarize the information about this condition.

View Article and Find Full Text PDF

Assessment and Management of Atraumatic First Metatarsophalangeal Joint Pain.

J Am Acad Orthop Surg

July 2023

From the Universidad de los Andes, facultad de medicina, Santiago, Chile (Drago), Department of Orthopedic Surgery, Hospital Félix Bulnes, Santiago, Chile (Drago), Faculty of Medicine, University of British Columbia, Kelowna, BC (Nazaroff, Britton, and Veljkovic), Footbridge clinic, Vancouver, BC (Veljkovic).

Nontraumatic pain in the first metatarsophalangeal joint is frequent and can be debilitating. The metatarsophalangeal joint complex comprises four articulating surfaces including the first metatarsal, the proximal phalanx, and tibial and fibular sesamoids, which are all contained within a synovial capsule. The most common causes of pain are hallux valgus and hallux rigidus.

View Article and Find Full Text PDF

Background: The Trabecular Metal (Zimmer Biomet, Warsaw, IN) total ankle arthroplasty (TAA) system uses a lateral approach with a fibular osteotomy to gain access to the tibiotalar joint and a sagittally curved tibial component. This is the first TAA system to laterally approach the ankle, and few studies have explored outcomes associated with this implant. This study aimed to report the 5-year clinical and radiographic outcomes as well as the survivorship of the implant.

View Article and Find Full Text PDF

Arthroscopic Ankle Arthrodesis.

Foot Ankle Clin

March 2022

Department of Orthopaedics, University of British, Footbridge Center for Integrated Foot and Ankle Care, Footbridge Clinic, Unit 221, 181 Keefer Place, Vancouver, British Columbia V6B6C1, Canada. Electronic address:

End-stage ankle arthritis typically affects an active younger patient population as compared with hip and knee arthritis. The optimal surgical treatment depends on several patient-specific factors. Open ankle arthrodesis has achieved reliable outcomes for this condition over years; however, arthroscopic techniques seem to be advantageous and feasible even in cases with significant intraarticular deformity.

View Article and Find Full Text PDF

Background: We investigated the influence of sex on patient-reported outcomes preoperatively and following total ankle replacement and ankle arthrodesis.

Methods: Patients who had undergone total ankle replacement or ankle arthrodesis for the treatment of end-stage ankle arthritis and who had ≥2 years of follow-up were identified from the Canadian Orthopaedic Foot and Ankle Society Prospective Ankle Reconstruction Database. Standard surgical techniques and implantation methods were followed, and STAR, Hintegra, Mobility, and Agility prostheses were used.

View Article and Find Full Text PDF

Surgical Results of Chronic Distal Biceps Ruptures: A Systematic Review.

Orthop J Sports Med

January 2022

Department of Orthopaedics, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Background: Distal biceps tendon tears can cause weakness and fatigue with activities requiring elbow flexion and supination. Surgical management of chronic tears (>21 days) is not well described in the literature.

Purpose: To determine the clinical outcomes of chronic distal biceps repairs and reconstructions.

View Article and Find Full Text PDF

Arthroscopic rotator cuff repair without antibiotic prophylaxis does not increase the infection rate.

Knee Surg Sports Traumatol Arthrosc

December 2021

Department of Orthopaedics, Division of Arthroscopy, Footbridge Clinic for Integrated Orthopaedic Care Footbridge Clinic for Integrated Orthopaedic Care, University of British Columbia, 221-181 Keefer Pl, Vancouver, BC, V6B 6C1, Canada.

Purpose: Rotator cuff repair is a commonly performed shoulder procedure. In the past 20 years, there has been a shift from mini-open towards arthroscopic repair, and many units exclusively use arthroscopic techniques for rotator cuff surgery. The aim of this study was to find out whether withholding antibiotics had any effect on the infection rate in patients undergoing arthroscopic rotator cuff repair.

View Article and Find Full Text PDF

Foot and ankle sports injuries encompass a wide spectrum of conditions from simple contusions or sprains that resolve within days to more severe injuries that change the trajectory of an athlete's sporting career. If missed, severe injuries could lead to prolonged absence from the sport and therefore a catastrophic impact on future performance. In this article, we discuss the presentation of the commonest foot and ankle sports injuries and share recent evidence to support an accurate diagnosis and best management practice.

View Article and Find Full Text PDF

Orthopedic Versus Podiatric Care of the Foot and Ankle: A Literature Review.

Orthop Clin North Am

April 2021

Dalhouse University, Queen Elizabeth II Hospital, 1796 Summer Street, Halifax, Nova Scotia, B3H 3A7, Canada.

As the scope of podiatric surgery expands, the relative roles and outcomes of orthopedic surgeons and podiatrists need to be defined. With growing demand for foot and ankle services, the roles of podiatrists and orthopedic surgeons are increasingly overlapping. Few studies have examined the overlapping scope of practice of each of the groups or compared the relative costs and outcomes associated with each.

View Article and Find Full Text PDF

Subtle Lisfranc Injuries: Fix It, Fuse It, or Bridge It?

Foot Ankle Clin

December 2020

Department of Orthopaedics, Division of Distal Extremities, University of British Columbia, Vancouver, British Columbia, Canada; Department of Orthopedics, St. Paul's Hospital, UBC, Vancouver, Canada; Footbridge Centre for Integrated Orthopaedic Care Inc., Footbridge Clinic, 221-181 Keefer Place, Vancouver, British Columbia V6B 6C1, Canada. Electronic address:

The management of Lisfranc injuries is challenging considering the broad spectrum of energy involved and highly variable clinical presentation. Despite the advances in surgical techniques, subtle Lisfranc injuries can lead to chronic pain and permanent disability. Surgical treatment is mandatory for all the unstable injuries; however, the best surgical technique remains controversial.

View Article and Find Full Text PDF

The Windswept Foot: Dealing with Metatarsus Adductus and Toe Valgus.

Foot Ankle Clin

September 2020

University Hospital of Wales Llandough, University Hospital of Wales Cardiff, Spire Cardiff Hospital, Croescadaran Road, Cardiff, Wales CF23 8XL, UK.

The windswept foot remains a reconstructive challenge. The hallux valgus associated with the medially displaced lesser metatarsal heads is hard to correct. Either the lesser metatarsal heads need to be displaced laterally or the deformity accepted.

View Article and Find Full Text PDF

Background: Little is known about differences in the size and morphology of the right and left human tali. The present study demonstrates differences between right and left talar morphometric geometric profiles as fluctuating asymmetry in matched pairs of cadaveric specimens.

Methods: In total, 24 tali were collected in this study.

View Article and Find Full Text PDF

Introduction: This study is to report the prevalence of osteochondral lesions in subtalar joint following intra-articular calcaneal fracture, including the relationship between fracture severity and lesion characteristics, using modified computed tomography (CT) mapping analysis.

Methods: Thirty patients with intra-articular calcaneal fracture who were preoperatively imaged with modified CT mapping analysis were recruited. The presence of talar-sided osteochondral lesions (OLTS) of subtalar joint was noted with lesion area defined by Akiyama's mapping classification.

View Article and Find Full Text PDF