Foot & Ankle International - 2017 FAI Supplement - 16S
closure in Type 1 diabetic rats.These data suggest that blockade of the OGF-OGFr axis, utilizing 0.03% Naltrexone is a
safe and effective alternative for treatment for diabetic
wounds by targeting several phases of wound repair
Foot & Ankle International, 38(S1)
DOI: 10.1177/1071100717S00012
©The Author(s) 2017
HV Patients Show Greater Pronation
of the First Metatarsal Than Normals
Bradley Campbell, MS, Stephen Conti, MD
between normal and HV patients were 22° and 7° respectively. The regression analysis of the pronation and intermetatarsal angle was not found to be significant, with a weak
correlation (r2 = 0.26).
Conclusion: The pronation of the first metatarsal relative to
the second metatarsal between normal and HV patients is significantly different. While the first metatarsal had measurable
pronation in patients with hallux valgus but that value was
not predicted by the IMA. The findings of this study indicate
pronation should be considered in any surgical technique that
seeks to restore native configurations.
Foot & Ankle International, 38(S1)
DOI: 10.1177/1071100717S00013
©The Author(s) 2017
Category: Basic Sciences/Biologics, Bunion, Midfoot/
Forefoot
Keywords: Hallux Valgus, Pronation
Introduction/Purpose: The progression of the hallux valgus
(HV) deformity demonstrates dorsiflexion and abduction;
concomitant pronation has not received adequate documentation and the extent of pronation in the pathology is unknown
even though correction of the deformity may need to address
all three angles. To overcome the inability of standard radiographs to capture pronation, we have developed a means to
assess the three dimensional deformity using CT scans. Our
goal was to document the extent of pronation/supination both
of the first phalanx with respect to the first metatarsal and of
the first metatarsal with respect to the second metatarsal.
Furthermore, we wanted to regress pronation against the
intermetatarsal (IMA) angle of hallux valgus patients.
Methods: Three-dimensional models were reconstructed
from loaded and unloaded CT files of patients (10 HV, 10
normal). The orientations of specific bones, in anatomic
directions, were determined by selecting landmarks on the
surface of the phalanx and of the first and second metatarsals.
The resulting calculations output a set of angles to determine
the pronation/supination of the first metatarsal relative to the
second and of the first phalanx relative to the first metatarsal.
A regression analysis was conducted to extrapolate any relationship between adduction and pronation (known intermetatarsal and pronation).
Results: The average pronation of the first metatarsal relative
to the second metatarsal was 19.8 ± 7.1 and 28.3 ± 10.8 in the
normal and HV groups respectively (p < 0.05). The influence
of weightbearing demonstrated pronation angle differences
that were greater in the normal group than in the HV group
for both the IM pronation and the HV pronation (p < 0.05)
(Figure 1). The differences in HV angles and IM angles
16S
Lower Complication Rate
Following Ankle Fracture Fixation
by Orthopaedic Surgeons Versus
Podiatrists
Jeremy Chan, MD, Jeremy Truntzer, MD, Michael
Gardner, MD, Julius Bishop, MD
Category: Ankle, Trauma
Keywords: Ankle
Malunion; Podiatry
Fracture;
Trauma;
Complication;
Introduction/Purpose: Although the scope of practice for
orthopaedic surgeons and podiatrists have considerable overlap in many foot and ankle pathologies, there are significant
differences between the training for each surgical specialty
that may affect patient outcomes. The purpose of this study
was to evaluate complication rates following fixation of
ankle fractures based on provider type. Our hypothesis was
that patients with ankle fractures treated by orthopaedic surgeons would have lower complication rates compared to
patients treated by podiatrists.
Methods: This was a retrospective cohort study of data
extracted from the Humana Claims database for 15,067
patients who underwent ankle fracture fixation between
2007 and 2015. Procedure type was identified by Current
Procedural Terminology (CPT) codes. Patient data was subcategorized by surgeon type (orthopaedic surgeon versus
podiatrist) and whether the patient underwent operative
treatment for a single malleolus fracture (CPT 27766,
27792) versus a bimalleolar or a trimalleolar fracture (CPT
27814, 27822, 27823). The primary outcome was postoperative complications within 3 months including malunion,
Foot & Ankle International 38(1S)
Table of Contents for the Digital Edition of Foot & Ankle International - 2017 FAI Supplement
TOC 1
TOC 2
TOC 3
TOC Page 4 + Verso
Editorial Board
President's Introduction
AOFAS Annual Meeting Abstracts 2017
AOFAS Annual Meeting Abstracts 2017
Foot & Ankle International - 2017 FAI Supplement - CT1
Foot & Ankle International - 2017 FAI Supplement - CT2
Foot & Ankle International - 2017 FAI Supplement - Cover1
Foot & Ankle International - 2017 FAI Supplement - Cover2
Foot & Ankle International - 2017 FAI Supplement - i
Foot & Ankle International - 2017 FAI Supplement - TOC 1
Foot & Ankle International - 2017 FAI Supplement - iii
Foot & Ankle International - 2017 FAI Supplement - TOC 2
Foot & Ankle International - 2017 FAI Supplement - 1A
Foot & Ankle International - 2017 FAI Supplement - 1B
Foot & Ankle International - 2017 FAI Supplement - v
Foot & Ankle International - 2017 FAI Supplement - TOC 3
Foot & Ankle International - 2017 FAI Supplement - vii
Foot & Ankle International - 2017 FAI Supplement - TOC Page 4 + Verso
Foot & Ankle International - 2017 FAI Supplement - Editorial Board
Foot & Ankle International - 2017 FAI Supplement - x
Foot & Ankle International - 2017 FAI Supplement - President's Introduction
Foot & Ankle International - 2017 FAI Supplement - AOFAS Annual Meeting Abstracts 2017
Foot & Ankle International - 2017 FAI Supplement - 3S
Foot & Ankle International - 2017 FAI Supplement - 4S
Foot & Ankle International - 2017 FAI Supplement - 5S
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Foot & Ankle International - 2017 FAI Supplement - 45S
Foot & Ankle International - 2017 FAI Supplement - 46S
Foot & Ankle International - 2017 FAI Supplement - AOFAS Annual Meeting Abstracts 2017
Foot & Ankle International - 2017 FAI Supplement - 48S
Foot & Ankle International - 2017 FAI Supplement - 49S
Foot & Ankle International - 2017 FAI Supplement - 50S
Foot & Ankle International - 2017 FAI Supplement - 51S
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Foot & Ankle International - 2017 FAI Supplement - Cover3
Foot & Ankle International - 2017 FAI Supplement - Cover4
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