Article
Medicine, General & Internal
Laura Soldevila-Boixader, Arnd Viehofer, Stephan Wirth, Felix Waibel, Inci Yildiz, Mike Stock, Peter Jans, Ilker Uckay
Summary: This study aimed to investigate risk factors for surgical site infection (SSI) in elective orthopedic foot surgery and the microbiological results of SSI in diabetic and non-diabetic patients. The study found that the overall SSI risk was 1.88%. Independent risk factors for SSI included an ASA score of 3-4, presence of internal and external material, and more than two previous surgeries. Diabetes mellitus was associated with increased risk of SSI, especially in patients with diabetic foot ulcers. Gram-positive cocci were the predominant pathogens in SSI, while contaminated foot surgeries had more polymicrobial infections with gram-negative bacilli. The study highlights the need for further research on optimal perioperative antibiotic prophylactic measures.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Dermatology
Wouter Brekelmans, Wilbert van Laar, Nicole J. J. Tolen, Rigo Hoencamp, Boudewijn L. S. Borger van der Brug
Summary: This case series describes the outcomes of treating patients with recurrent DFU and CN using a multidisciplinary protocol that includes reconstructive foot and ankle surgery. In 24 out of 35 patients, wound closure was achieved after an average of 75 days postoperatively. The mean ulcer-free period was 358 days.
INTERNATIONAL WOUND JOURNAL
(2023)
Review
Chemistry, Analytical
Taylor P. Stauffer, Billy I. Kim, Caitlin Grant, Samuel B. Adams, Albert T. Anastasio
Summary: Recent developments in robotic technologies in the orthopaedic surgery field have mainly focused on high-volume arthroplasty procedures, neglecting the potential for robotic applications in foot and ankle surgery. This paper summarizes past and current developments in foot and ankle robotics and discusses the outcomes associated with these interventions. The future direction should be to incorporate robotics specifically into surgical procedures and personalize machinery to individual patients in order to improve perioperative and post-operative outcomes.
Review
Biochemistry & Molecular Biology
Christian Zanza, Tatsiana Romenskaya, Fabrizio Racca, Eduardo Rocca, Fabio Piccolella, Andrea Piccioni, Angela Saviano, George Formenti-Ujlaki, Gabriele Savioli, Francesco Franceschi, Yaroslava Longhitano
Summary: Despite preventive measures and innovations in trauma systems, trauma still remains a leading cause of death in adults. Trauma-induced coagulopathy (TIC) is a multifactorial condition resulting from dysregulated coagulation, altered fibrinolysis, endothelial dysfunction, platelet dysfunction, and inflammatory responses. This review focuses on the pathophysiology, early diagnosis, and treatment of TIC, including the use of pharmaceutical hemostatic agents. While our understanding of TIC has increased, ongoing studies are needed to answer remaining questions and improve outcomes for trauma patients.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Article
Biotechnology & Applied Microbiology
Andrew C. Peterson, Karen M. Kruger, Amy L. Lenz
Summary: This article introduces an automatic toolbox for calculating anatomical coordinate systems for foot and ankle studies, and evaluates its reliability and consistency. The evaluation results demonstrate that the toolbox is robust and consistent, providing a practical solution for foot and ankle research.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2023)
Article
Orthopedics
Seung Yeol Lee
Summary: This study investigated glove perforation during foot and ankle procedures and its relationship with factors such as surgery type and duration. The results showed that the overall glove perforation rate was approximately 19%. The use of a colored indicator under glove was found to increase the surgeon's perception of glove perforation.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2022)
Article
Orthopedics
T. Jennison, O. Ukoumunne, S. Lamb, I. Sharpe, A. J. Goldberg
Summary: This study aims to determine the failure rates of primary ankle arthroplasties commonly used in the UK. The study found a five-year survival rate of 90.2% for ankle arthroplasties, with fixed-bearing implants demonstrating higher survivorship than mobile-bearing implants.
BONE & JOINT JOURNAL
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Shuda Xia, Prajwal Gowda, Flavio Duarte Silva, Mina Guirguis, Varun Ravi, Yin Xi, Avneesh Chhabra
Summary: ZOOMit DWI improves fat suppression and visualization of small bones in the foot compared to conventional DWI, with higher concordance with pathology findings for osteomyelitis. However, ZOOMit shows decreased contrast-to-noise ratio compared to conventional DWI.
EUROPEAN RADIOLOGY
(2023)
Review
Dermatology
Jiaguo Cheng, Luping Zhang, Jing Zhang, Kamran Asadi, Ramyar Farzan
Summary: The aim of this systematic review and meta-analysis was to determine the prevalence of surgical site infection (SSI) and related factors in patients after foot and ankle surgery. A total of 10,447 patients from nine studies were included in the analysis. The overall prevalence of SSI was found to be 4.2%, with higher rates among men and patients with diabetes, hypertension, and tobacco use.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Automation & Control Systems
Shiping Zuo, Jianfeng Li, Mingjie Dong, Ran Jiao, Shuang Wang, Jie Ju, Yu Wang
Summary: This article proposes a novel correction requirement-dominated design approach for composite parallel external fixator (PEF) to overcome the problems of existing PEFs in adapting to various deformity types. The approach introduces multisite frame mounting modes and multitype struts to form required PEF configurations. Clinical cases, composite PEF assembly simulations, and experiments on the mechanical prototype are conducted to verify the feasibility and effectiveness of the approach.
IEEE-ASME TRANSACTIONS ON MECHATRONICS
(2023)
Article
Engineering, Biomedical
Emily A. Rogers, Matthew E. Carney, Seong Ho Yeon, Tyler R. Clites, Dana Solav, Hugh M. Herr
Summary: This research introduces and evaluates a myoelectrically controlled 2-DOF ankle-foot prosthesis designed to enhance rock climbing ability in individuals with transtibial amputation. The device offers increased range of motion in ankle and subtalar positions compared to traditional passive prostheses, while also reducing knee and hip flexion angles during climbing.
IEEE TRANSACTIONS ON NEURAL SYSTEMS AND REHABILITATION ENGINEERING
(2021)
Article
Medicine, General & Internal
Jitendra Mangwani, Melinda Hau, Lauren Thomson
Summary: This study aims to identify the priorities of research in surgical interventions and aftercare in foot and ankle conditions in adults, from the perspectives of patients, carers, allied professionals, and clinicians. The results will guide national research and prioritize areas of research interest to improve patient care, which is of great significance.
Article
Medicine, General & Internal
Simone Santini, Andrea Marinozzi, Mario Herrera-Perez, Sergio Tejero, Martin Wiewiorski, Cesar de Cesar Netto, Alexandre Leme Godoy-Santos, Victor Valderrabano
Summary: The three-month post-operative adaptation phase (POAP) refers to the transitional period of inflammation, swelling, and pain that occurs when patients discontinue the use of walking aids and resume normal activities after surgery. It is important to differentiate this phase from other conditions such as immediate post-surgical inflammation, complex pain regional syndrome, or infection.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Chemistry, Medicinal
Aathira Pradeep, Jayakumar Rangasamy, Praveen Kerala Varma
Summary: Sternal wound infections, classified as superficial or deep, are common complications of cardiac surgery, mostly caused by staphylococcal organisms. Diagnosis involves characteristic symptoms and observation of infection during operation.
MEDICINAL RESEARCH REVIEWS
(2021)
Article
Engineering, Biomedical
Wonseok Shin, Dongwoo Nam, Bummo Ahn, Sangjoon J. Kim, Dong Yeon Lee, Suncheol Kwon, Jung Kim
Summary: This study developed a pneumatically powered ankle-foot orthosis (AFO) to improve the gait patterns of patients with foot drop. The results of the study indicate that providing unilateral ankle dorsiflexion assistance during the swing phase can temporarily improve gait asymmetry.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2023)