Is routine implant removal necessary after open reduction internal fixation of Lisfranc injuries? Comparing functional outcomes of routine and on-demand removal: A multicenter study.

Introduction: Lisfranc joint injuries are a severe cause of disruption of foot stability and function, often requiring surgical intervention such as open reduction and internal fixation (ORIF). The necessity of routine implant removal after healing remains controversial. This study aimed to compare functional recovery and postoperative complications among patients undergoing routine, on-demand, or no implant removal following ORIF for Lisfranc fracture-dislocations.

Successful management of a rare intraorbital wooden foreign body extending to the orbital apex in a paediatric patient.

Intraorbital foreign bodies (IOFBs) are a recognised complication of orbital trauma, but intraorbital wooden foreign bodies are rare and pose significant diagnostic and management challenges due to their radiolucency, high risk of infection and potential for severe inflammation. This case describes a rare presentation of a young boy who sustained orbital trauma after an 8-foot fall, resulting in a 5 cm × 3 cm wooden IOFB extending to the orbital apex with an associated sphenoid fracture. He presented with proptosis, an inferotemporal scleral indentation mimicking retinal detachment and a lateral infraorbital laceration.

Bilateral Lower Limb Injuries and the Need for Two Free Flaps: Simultaneous or Sequential.

  To determine the choice of flap cover for patients presenting with bilateral lower limb trauma requiring free flap cover and to derive a step-wise guide to the planning of bilateral lower limb free flaps.  This was a retrospective study of patients over a 20 year period from 2000 to 2020 who presented with bilateral lower limb defects following trauma and were managed with two free flaps for wound cover, done either simultaneously or sequentially in the same admission.  Of the 11 cases with 22 defects, there were 3 re-explorations with 1 flap loss managed with delayed fasciocutaneous flap cover.

Results of Lisfranc Injuries Treated With Interosseous Suture Button Fixation With a Minimum 5-Year Follow-Up.

Background: Open reduction and internal fixation or primary arthrodesis are considered gold standards for treating Lisfranc injuries. However, several drawbacks are associated with these procedures, such as joint motion loss and potential cartilage damage. More recently, the suture button emerged as an alternative treatment for ligamentous Lisfranc injuries, which can be used either alone or in combination with traditional techniques, with the potential to mitigate some of these potential disadvantages.

Foot Malalignment and Proximal Fifth Metatarsal Fractures.

Background: Proximal fifth metatarsal fractures are common injuries that are classified into 3 zones according to their anatomical localization. While zone 1 and 2 fractures typically are traumatic, zone 3 fractures may be linked to foot alignment abnormalities, such as hindfoot varus and metatarsus adductus. The aim of the study was to explore the association between hindfoot alignment and different fracture zones, as well as the relationship between traumatic and atraumatic fracture origin and foot alignment.

Subtalar joint arthroscopic-assisted reduction and cannulated screw fixation versus open reduction and internal fixation for treating displaced intra-articular calcaneal fractures.

Background: The treatment of calcaneal fractures is not uniform. This study aimed to compare the functional and imaging results of subtalar joint arthroscopic reduction combined with cannulated screw fixation (SJACF) and the extended lateral approach (ELA) for the treatment of Sanders type II and III displaced intra-articular calcaneal fractures (DIACFs).

Methods: From January 2020 to January 2023, 60 patients with calcaneal fractures were treated with SJACF or ELA for foot and ankle surgery at the Second Affiliated Hospital of Anhui Medical University.

Efficacy of Comprehensive Foot Strengthening Program on Foot Biomechanics and Plantar Pressure to Reduce Lower Limb Injury Risk in Male Bhangra Dancers: A Randomized Controlled Trial Protocol.

Background: Bhangra dance is vibrant and energy demanding art form involving dynamic footwork, jumps, kicks and rapid movements. Poor biomechanics and uneven plantar pressure is a crucial factor for injury among dancers thus, this study protocol aimed at evaluating the efficacy of comprehensive foot strengthening program in improving faulty foot biomechanics and plantar pressure distribution to reduce the risk of lower limb injuries among male Bhangra dancers.

Methods: A single-blinded randomized controlled trial (RCT) will be performed.

Comparing the Clinical Effects of Free and Pedicled Flap in Repairing Small Area of Distal Lower Limb Soft Tissue Defects: A Retrospective Comparative Study.

Background And Aims: The exposure of tendons, blood vessels, nerves, and bone due to soft tissue defects in the foot poses a significant challenge for microsurgeons. Free perforator flaps and pedicled perforator flaps are currently the most common methods used for repairing small areas of soft tissue defects in the distal lower limb.

Methods: A retrospective analysis was carried out on 124 patients with small soft tissue defects in the distal lower limb from January 2009 to December 2021.

EXPRESS: Loss and damage in large-diameter sensory neurons in the db/db diabetic mouse.

Diabetic peripheral neuropathy (DPN) is the most common complication of diabetes. Half of DPN patients experience sensory deficits including loss of sensation and pain. Loss of sensation increases the risk of unnoticed foot injuries which combined with poor circulation and healing lead to amputation.

Classification in 157 patients with Lisfranc injuries using three-dimensional fracture lines and heat map.

Background: Recently Lisfranc fractures have increased due to increased high-energy injuries from various causes. However, due to incomplete traditional classification, the pattern and distribution of fractures cannot be analyzed in three dimensions. This study examines a novel fracture pattern based on the fracture line and heat map for Lisfranc injuries.

Effectiveness of combining a proximal strengthening exercise program and foot orthosis on pain and performance among women with patellofemoral pain syndrome and a pronated foot: study protocol for a randomized clinical trial.

Backgrounds: Patellofemoral pain syndrome (PFPS) is one of the most frequent musculoskeletal disorders. Flatfoot and weakness of the hip and core muscles have been introduced as distal and proximal factors associated with this syndrome, respectively. The aim of this study is to investigate the effectiveness of a combination of a proximal strengthening exercise (PSE) program and a foot orthosis (PSEFO) on pain and function in women with PFPS and a pronated foot (PF).

The effects of running shoe stack height on running style and stability during level running at different running speeds.

The footwear market contains a wide variety of running shoe solutions aiming at optimizing performance and minimizing injuries. Stack height is one of the most highly discussed design features of running shoes, but its effects are not yet well understood. This study investigated the effects of different shoes differing mainly in their stack heights (High: 50 mm, Medium: 35 mm and Low: 27 mm) on running style and stability during treadmill running at 10 and 15 km/h.

Ultrasonography for diagnosing medial sided ankle instability in supination external rotation ankle fracture.

Background: Destabilizing injuries to the deltoid ligament have relied on radiographic stress examination for diagnosis, with a focus on medial clear space widening. Increasingly, Portable ultrasound has also been used in the clinical setting, allowing dynamic and non-invasive evaluation at the point of care. The aim of this study was to determine whether portable ultrasound can detect medial sided instability associated with supination-external rotation type ankle injuries during the gravity stress, weightbearing, and external rotation stress.

Fluoroscopic visualization in ankle surgery: Evaluating the effects of lateral malleolus fixation order.

Ankle fractures, particularly those involving the lateral and posterior malleolus, are complex injuries requiring careful surgical management. This study investigates how the sequence of lateral malleolus fixation affects the intraoperative visualization of the posterior malleolus fracture during fluoroscopy. A retrospective and prospective approach was used, comparing outcomes in patients who underwent surgery for combined lateral and posterior malleolar fractures.

Retrospective analysis of the effect of vaporous hyperoxia therapy as an adjunct to standard wound care in chronic wounds.

Background: Considering the rising incidence and cost associated with chronic wounds, further investigation of safe and effective treatments is needed.

Objective: To conduct a retrospective analysis of patients with chronic wounds in order to evaluate the healing effect of vaporous hyperoxia therapy (VHT) used adjunctively with standard wound care.

Materials And Methods: The data of patients with chronic wounds (≥4 weeks' duration) who received commercial treatment with VHT between February 28, 2020, and August 30, 2022, were reviewed.

Numerical Analysis of Pilot Neck Injury Risk During High-G Maneuvers in Air Combat.

Air force fighter jet pilots often face significant physiological challenges during high-acceleration maneuvers, where the neck is particularly vulnerable to injury from head inertia effects in high-G environments, making it crucial yet challenging to understand the mechanisms of these injuries. This paper employs a finite element model of the human head-neck structure to simulate its dynamic responses to high Gz (airplane pulling up causing body acceleration from head to foot) maneuvers and evaluate potential soft tissue injuries in the cervical spine. The model was validated in three biomechanical conditions most relevant to the injury analysis of this study using experimental data from a cervical spine torsion test, a dynamic cadaver head-neck sagittal loading experiment, and a human volunteer drop tower deceleration test.

Global, regional, and national prevalence of adult overweight and obesity, 1990-2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021.

Background: Overweight and obesity is a global epidemic. Forecasting future trajectories of the epidemic is crucial for providing an evidence base for policy change. In this study, we examine the historical trends of the global, regional, and national prevalence of adult overweight and obesity from 1990 to 2021 and forecast the future trajectories to 2050.

Global, regional, and national prevalence of child and adolescent overweight and obesity, 1990-2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021.

Background: Despite the well documented consequences of obesity during childhood and adolescence and future risks of excess body mass on non-communicable diseases in adulthood, coordinated global action on excess body mass in early life is still insufficient. Inconsistent measurement and reporting are a barrier to specific targets, resource allocation, and interventions. In this Article we report current estimates of overweight and obesity across childhood and adolescence, progress over time, and forecasts to inform specific actions.

Free vascularized fascia lata flap combined with skin grafting for reconstruction of complex defect of the foot dorsum - A case report.

Introduction: The dorsum of the foot has distinct characteristics, including thin skin and minimal subcutaneous tissue. Injuries in this area can expose deeper structures, complicating recovery and increasing the risk of infection and tissue necrosis. This article discusses using a free vascularized fascia lata (FL) flap combined with a skin graft to achieve effective skin coverage in a single stage.

Efficacy of partial toe and iliac bone transfer for reconstruction of grade I-III fingers' defects.

Objective: To evaluate the effectiveness of using dorsal toe fibula composite flaps and iliac bone in sequential transplantation for the comprehensive reconstruction of fingers with grade I to III defects.

Methods: Between December 2020 and March 2024, data were collected from 36 patients who received complete finger reconstruction for grade I to III defects using dorsal toe fibula composite flaps and iliac bone in sequential transplantation. Postoperative evaluations included Carroll's hand function test scores, hand mobility disability assessments, and overall postoperative conditions.

A prospective single center non randomized clinical trial of autologous skin cells with platelet rich plasma for diabetic ulcer and trauma injuries patients.

Split-thickness skin grafts (SSG) for wound treatment has drawbacks, including trauma during skin harvesting, limited availability of healthy skin, pain, scarring, and suitability concerns for certain patients. However, "skin cell drop" presents a promising solution. This fully autologous therapy eliminates rejection and contamination risks, while promoting wound healing with platelet-rich plasma (PRP).

Ottawa Ankle Rules: A Reliable Clinical Instrument to Detect Fractures in Children and Adolescents.

 To evaluate the accuracy of the Ottawa Ankle Rules (OARs) applied to the medical records of a high-complexity hospital and a private clinic and to analyze their clinical utility in subjects aged 16 or younger.  The present is a cross-sectional, analytical observational study with secondary data collected from an orthopedic emergency department and a private orthopedic clinic. The sample consisted of 144 subjects, including all patients with ankle torsion episodes who underwent ankle and/or foot radiographs upon admission.

Creation of a National Chronic Wound Registry-Challenges and Opportunities.

Chronic wounds pose an increasing burden on the healthcare system and data on wound outcomes and are needed to evaluate and address disparities and reform healthcare policies. In Singapore, data on chronic wounds are fragmented and to address this, we established a Chronic Wounds Registry (CWR) to collect harmonised data on chronic wounds and their outcomes over 6 months. This is a multi-centre prospective cohort study from Nov 2019 to Nov 2021.

Pneumatic Relaxation Oscillator with Passive Components for Continuous Toes Movement.

Continuous passive motion of the toes improves blood circulation and may help ankle injuries heal faster. Soft devices are more appropriate than rigid devices to accommodate a variety of foot shapes. Most conventional pneumatic soft robots are actuated cyclically by solenoid valves, which require large amounts of power for valves and controllers.

Validation of the estimated Effect of Ankle Foot Orthoses on Spinal Cord Injury Gait Using Subject-Adjusted Musculoskeletal Models.

Simulation of assistive devices on pathological gait through musculoskeletal models offers the potential and advantages of estimating the effect of the device in several biomechanical variables and the device characteristics ahead of manufacturing. In this study, we introduce a novel musculoskeletal modelling approach to simulate the biomechanical impact of ankle foot orthoses (AFO) on gait in individuals with spinal cord injury (SCI). Leveraging data from the Swiss Paraplegic Center, we constructed anatomically and muscularly scaled models for SCI-AFO users, aiming to predict changes in gait kinematics and kinetics.