Foot and Ankle
Saam Hajialilo Sami; Mohammadhasan Nozaeim; Nima Naderi; Amir Mohammad Arefpour
Abstract
Background: Malignant soft tissue Tumours of the foot represent a unique subset of all soft tissue tumours, showing variance in type, location, age, prognosis, and treatment from tumours in the rest of the musculoskeletal system. The main objective was to describe the prevalence, demography and anatomical ...
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Background: Malignant soft tissue Tumours of the foot represent a unique subset of all soft tissue tumours, showing variance in type, location, age, prognosis, and treatment from tumours in the rest of the musculoskeletal system. The main objective was to describe the prevalence, demography and anatomical distribution of the malignant soft tissue tumours of the foot and subsequently, analyze the significance of operation, chemotherapy, and radiotherapy for local control and survival rate in patients with foot malignant tumours.Methods: The malignant soft-tissue foot tumours surgically treated by the author during a 6-years period (2010-2016) were retrospectively studied for their presenting symptomatology, treatment modalities and outcomes. The follow-up was considered for at least 5 years survival benchmark.Results: Only three of our patients under went amputation as a primary surgical plan. Others went under limb-salvage surgeries. Operation type had no significant effect on overall survival in our case series. The results of this study support the use of wide surgical excision and limb salvage surgery if obtainable, which is similar to previous reports.Conclusion: Our study focused exclusively on the presentation, treatments and outcomes of malignant soft-tissue tumours of the foot. By focusing solely on malignant soft-tissue tumours of the foot we hoped to better characterize the presentation, treatment and outcomes of this rare clinical entity.
Mohammad Karim Golnari, MS; Amir Hossein Kahlaee, PhD; Abbas Rahimi, PhD; Seyyed Mahdi Tabatabaee, Ms; Jandark Eghlidi, MS; Ali Asghar Jamehbozorgi, MS
Abstract
Background: Hallux valgus is one of the most prevalent deformities which causes changes in the center of pressure (COP) and standing balance. This paper looks at the mechanical changes of spacer pads used for such a deformity.
Methods: In this quasi experimental study, 24 people suffering from hallux ...
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Background: Hallux valgus is one of the most prevalent deformities which causes changes in the center of pressure (COP) and standing balance. This paper looks at the mechanical changes of spacer pads used for such a deformity.
Methods: In this quasi experimental study, 24 people suffering from hallux valgus were reffered to a trainig hospital in Tehran, Iran. A Bertec force plate was used to collect data related to COP parameters. The balance tests of TUG and FR were used to evaluate the changes in balance. The tests were done without and with toe spacers in a 15 second period of time and the COP displacement in anteroposterior and mediolateral directions and also the path length of COP displacement, velocity of COP displacement and confidence ellipse of the COP were measured. The data were analyzed using statistical tests.
Results: Using the toe spacers did not cause a significant change in displacement of COP in anteroposterior and mediolateral directions, confidence ellipse, velocity of COP displacement and the path length of COP displacement (p < /em>≥.05). But the change in the results of FR and TUG tests was significant (p < /em><.05).
Conclusions: Using the toe spacers in hallux valgus causes no significant changes in COP displacement, path length, velocity and confidence ellipse, but shows improvement in results of balance tests in elderly suffering from hallux valgus deformity.
Mohsen Movahedi Yeghaneh, MD
Abstract
Background: The aim of this study was to compare the results of percutaneous sub capital metatarsal osteotomy with open distal chevron osteotomy of first metatarsal in hallux valgus surgery. Methods: In a clinical trial study, 29 patients with bilateral hallux valgus (58 foot) were selected randomly. ...
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Background: The aim of this study was to compare the results of percutaneous sub capital metatarsal osteotomy with open distal chevron osteotomy of first metatarsal in hallux valgus surgery. Methods: In a clinical trial study, 29 patients with bilateral hallux valgus (58 foot) were selected randomly. All patients were female and the average age was 31 years old (17-55 yrs). The average time of follow-up was 13 months (6-20 months). Hallux valgus angle (HVA) up to 40° and intermetatarsal angle (IMA) up to 17° were included. For each patient, a percutaneous sub capital osteotomy on one foot and an open distal chevron osteotomy on the other foot were performed at the same time and by the same surgeon. Left or right side deformities were randomly selected for MIS or open procedure. Results: The average HVA correction was similar in both groups but the IMA correction was better in the open distal chevron osteotomy. In the chevron osteotomy, both patient's and surgeon's satisfaction level were in the similar range. In the MIS technique, the level of satisfaction varied between the surgeon and the patient. 86% of the patients were completely satisfied but the surgeon was fully satisfied in only 38% of the cases. Conclusions: Distal chevron osteotomy is recommended as a reliable corrective technique in mild to moderate hallux valgus but the percutaneous sub capital osteotomy can still be considered in selected patients with relatively low IMA.
Seyed Ali Marashinejad, MD; Nasser Sarrafan, MD
Abstract
Traumatic dislocation of lisfranc joint is relatively rare. There have been many different subtypes and variations in this injury. We would like to report a variation of this injury in a 40 years old man who had lisfranc dislocation with simultaneous dislocations of first and second metatorsophalangeal ...
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Traumatic dislocation of lisfranc joint is relatively rare. There have been many different subtypes and variations in this injury. We would like to report a variation of this injury in a 40 years old man who had lisfranc dislocation with simultaneous dislocations of first and second metatorsophalangeal joints. A two-year follow-up has been done.
