Osteoblastoma of the talus is a rare and challenging pathology both to diagnose and treat success... more Osteoblastoma of the talus is a rare and challenging pathology both to diagnose and treat successfully. Treatment of an inadequate osteoblastoma resection is usually a wide resection, however, achieving the desired margins in the foot and ankle bones can lead to complications such as fractures or joint loss. We present a case of an incomplete talar neck Osteoblastoma resection and a novel technique that was followed for 3 years after surgery. Level of Evidence: Diagnostic Level V—technique description. See Instructions for Authors for a complete description of levels of evidence.
An ankle sprain is one of the most common orthopedic injuries, frequently associated with sportin... more An ankle sprain is one of the most common orthopedic injuries, frequently associated with sporting activities. Acute treatment has a traditional standard protocol, but even after undergoing a good rehabilitation program, up to 20% to 40% of patients develop chronic ankle instability. Arthroscopy is a rapidly evolving surgical procedure indicated for the management of this pathology as a diagnostic and therapeutic tool. The objective of this study was to describe an arthroscopically assisted technique for combined medial and lateral ligament repair in patients with multidirectional ankle instability. Clinical and functional results were described in 14 cases (8 female, 6 male) with a minimum 12-month follow-up. The average age was 35.8 years (range: 20 to 57 y), only 1 case of neuritis was reported and resolved without invasive procedures. At the final follow-up, 13 cases had good-excellent results with AOFAS (American Orthopedic Foot and Ankle Score) >80 points. We believe that the arthroscopic technique described is as a viable treatment option in patients with multidirectional ankle instability, with similar or better results than open techniques. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.
An ankle sprain is one of the most common orthopedic injuries, frequently associated with sportin... more An ankle sprain is one of the most common orthopedic injuries, frequently associated with sporting activities. Acute treatment has a traditional standard protocol, but even after undergoing a good rehabilitation program, up to 20% to 40% of patients develop chronic ankle instability. Arthroscopy is a rapidly evolving surgical procedure indicated for the management of this pathology as a diagnostic and therapeutic tool. The objective of this study was to describe an arthroscopically assisted technique for combined medial and lateral ligament repair in patients with multidirectional ankle instability. Clinical and functional results were described in 14 cases (8 female, 6 male) with a minimum 12-month follow-up. The average age was 35.8 years (range: 20 to 57 y), only 1 case of neuritis was reported and resolved without invasive procedures. At the final follow-up, 13 cases had good-excellent results with AOFAS (American Orthopedic Foot and Ankle Score) >80 points. We believe that t...
Introduccion: la tendinosis del Aquiles es una condicion dolorosa que puede presentarse en pacien... more Introduccion: la tendinosis del Aquiles es una condicion dolorosa que puede presentarse en pacientes activos e inactivos. Los sintomas pueden ser clasificados segun el tiempo de evolucion en agudos o cronicos y de acuerdo al sitio anatomico afectado en: intrasubstancia (no insercional) o insercional. La etiologia de la tendinosis es multifactorial; las causas que se han postulado son: sobreuso, mala vascularidad, desequilibrio muscular, retracciones del complejo gastrosoleo y mal alineamiento del retropie. El proposito de este estudio es mostrar los resultados obtenidos de una serie de pacientes con tendinosis del Aquiles manejados con la tecnica de transferencia del flexor hallucis longus (FHL). Materiales y metodos: un total de 26 pacientes con tendinosis del Aquiles fueron manejados quirurgicamente mediante transferencia del FHL entre los anos 2006 y 2011 en el Centro Medico Imbanaco de la ciudad de Cali. El promedio de edad al momento de la cirugia fue de 53,2 anos y el seguimie...
The Manchester-Oxford Foot Questionnaire (MOXFQ) has been validated in Spanish for use in patient... more The Manchester-Oxford Foot Questionnaire (MOXFQ) has been validated in Spanish for use in patients undergoing foot and ankle surgery. 120 patients completed the MOXFQ and the SF-36 before surgery and 6 and 12 months postoperative. Surgeons completed the American Orthopaedic Foot and Ankle Society (AOFAS) Clinical Rating System. Psychometric properties were assessed for all three MOXFQ dimensions, and for the MOXFQ Index. The Spanish MOXFQ demonstrated consistency with Cronbach's alpha values between 0.65 and 0.90, and reliability ([ICCs] >0.95). It shows a moderate to strong correlation between the Walking/standing dimension and the related domains of the SF-36 (|r|>0.6), the AOFAS Ankle-Hindfoot Scale (|r|>0.47) and Hallux-MTP-IP Scale (|r|>0.64). Responsiveness was excellent, (effect sizes >2.1). The respective minimal detectable change (MDC90) was 14.18 for the MOXFQ Index. The Spanish version of the MOXFQ showed good psychometric properties in patients with foot and ankle disorders.
Osteoblastoma of the talus is a rare and challenging pathology both to diagnose and treat success... more Osteoblastoma of the talus is a rare and challenging pathology both to diagnose and treat successfully. Treatment of an inadequate osteoblastoma resection is usually a wide resection, however, achieving the desired margins in the foot and ankle bones can lead to complications such as fractures or joint loss. We present a case of an incomplete talar neck Osteoblastoma resection and a novel technique that was followed for 3 years after surgery. Level of Evidence: Diagnostic Level V—technique description. See Instructions for Authors for a complete description of levels of evidence.
An ankle sprain is one of the most common orthopedic injuries, frequently associated with sportin... more An ankle sprain is one of the most common orthopedic injuries, frequently associated with sporting activities. Acute treatment has a traditional standard protocol, but even after undergoing a good rehabilitation program, up to 20% to 40% of patients develop chronic ankle instability. Arthroscopy is a rapidly evolving surgical procedure indicated for the management of this pathology as a diagnostic and therapeutic tool. The objective of this study was to describe an arthroscopically assisted technique for combined medial and lateral ligament repair in patients with multidirectional ankle instability. Clinical and functional results were described in 14 cases (8 female, 6 male) with a minimum 12-month follow-up. The average age was 35.8 years (range: 20 to 57 y), only 1 case of neuritis was reported and resolved without invasive procedures. At the final follow-up, 13 cases had good-excellent results with AOFAS (American Orthopedic Foot and Ankle Score) >80 points. We believe that the arthroscopic technique described is as a viable treatment option in patients with multidirectional ankle instability, with similar or better results than open techniques. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.
An ankle sprain is one of the most common orthopedic injuries, frequently associated with sportin... more An ankle sprain is one of the most common orthopedic injuries, frequently associated with sporting activities. Acute treatment has a traditional standard protocol, but even after undergoing a good rehabilitation program, up to 20% to 40% of patients develop chronic ankle instability. Arthroscopy is a rapidly evolving surgical procedure indicated for the management of this pathology as a diagnostic and therapeutic tool. The objective of this study was to describe an arthroscopically assisted technique for combined medial and lateral ligament repair in patients with multidirectional ankle instability. Clinical and functional results were described in 14 cases (8 female, 6 male) with a minimum 12-month follow-up. The average age was 35.8 years (range: 20 to 57 y), only 1 case of neuritis was reported and resolved without invasive procedures. At the final follow-up, 13 cases had good-excellent results with AOFAS (American Orthopedic Foot and Ankle Score) >80 points. We believe that t...
Introduccion: la tendinosis del Aquiles es una condicion dolorosa que puede presentarse en pacien... more Introduccion: la tendinosis del Aquiles es una condicion dolorosa que puede presentarse en pacientes activos e inactivos. Los sintomas pueden ser clasificados segun el tiempo de evolucion en agudos o cronicos y de acuerdo al sitio anatomico afectado en: intrasubstancia (no insercional) o insercional. La etiologia de la tendinosis es multifactorial; las causas que se han postulado son: sobreuso, mala vascularidad, desequilibrio muscular, retracciones del complejo gastrosoleo y mal alineamiento del retropie. El proposito de este estudio es mostrar los resultados obtenidos de una serie de pacientes con tendinosis del Aquiles manejados con la tecnica de transferencia del flexor hallucis longus (FHL). Materiales y metodos: un total de 26 pacientes con tendinosis del Aquiles fueron manejados quirurgicamente mediante transferencia del FHL entre los anos 2006 y 2011 en el Centro Medico Imbanaco de la ciudad de Cali. El promedio de edad al momento de la cirugia fue de 53,2 anos y el seguimie...
The Manchester-Oxford Foot Questionnaire (MOXFQ) has been validated in Spanish for use in patient... more The Manchester-Oxford Foot Questionnaire (MOXFQ) has been validated in Spanish for use in patients undergoing foot and ankle surgery. 120 patients completed the MOXFQ and the SF-36 before surgery and 6 and 12 months postoperative. Surgeons completed the American Orthopaedic Foot and Ankle Society (AOFAS) Clinical Rating System. Psychometric properties were assessed for all three MOXFQ dimensions, and for the MOXFQ Index. The Spanish MOXFQ demonstrated consistency with Cronbach's alpha values between 0.65 and 0.90, and reliability ([ICCs] >0.95). It shows a moderate to strong correlation between the Walking/standing dimension and the related domains of the SF-36 (|r|>0.6), the AOFAS Ankle-Hindfoot Scale (|r|>0.47) and Hallux-MTP-IP Scale (|r|>0.64). Responsiveness was excellent, (effect sizes >2.1). The respective minimal detectable change (MDC90) was 14.18 for the MOXFQ Index. The Spanish version of the MOXFQ showed good psychometric properties in patients with foot and ankle disorders.
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