Foot & ankle international
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Multiplanar Stability After Syndesmotic Screw Fixation vs Deltoid Ligament Repair in a Cadaveric Weber B/SER4b Ankle Fracture Model With Fibular Plate Fixation

Jun 11, 2026

This study investigates the stability of syndesmotic screw fixation compared to deltoid ligament repair in cadaveric models of Weber B/SER4b ankle fractures with fibular plate fixation. The results indicate that while both fixation methods restore lateral translational stability, deltoid ligament repair provides superior rotational and valgus stability, suggesting it is a more comprehensive approach for joint stabilization in these injuries. The findings highlight the importance of considering deltoid ligament repair in surgical treatment strategies for SER4b fractures.

Long-term Outcomes After First Metatarsophalangeal Joint Arthrodesis: With Focus on Degenerative Changes on Adjacent Joints

Jun 11, 2026

This study investigates the long-term outcomes of first metatarsophalangeal joint arthrodesis, specifically examining the incidence of degenerative changes in adjacent joints. The findings reveal significant radiographic progression of osteoarthritis in these adjacent joints, particularly the interphalangeal joint, yet this degeneration does not adversely affect clinical outcomes or patient satisfaction. Overall, the procedure demonstrates excellent long-term functional results and high patient satisfaction despite the observed degenerative changes.

Patient acceptable symptom state for European Foot & Ankle Society Score After Hallux Valgus Surgery

Jun 9, 2026

This study aimed to determine the patient acceptable symptom state (PASS) for the European Foot & Ankle Society (EFAS) Score following hallux valgus surgery, as there is limited literature on this topic compared to the American Orthopaedic Foot & Ankle Society (AOFAS) score. The authors found that the PASS for EFAS was 20.5 at 6 months and 23.5 at 2 years post-surgery, providing a benchmark for interpreting clinical outcomes in future studies. Additionally, the study noted a potential ceiling effect of the EFAS and suggested that the AOFAS PASS thresholds may need to be reconsidered.

Serum Titanium Following Total Ankle Arthroplasty

Jun 2, 2026

This study investigates postoperative serum metal levels, specifically titanium, cobalt, and chromium, in patients who underwent total ankle arthroplasty (TAA) and examines the impact of tibial component design (modular vs. nonmodular). The findings reveal that both modular and nonmodular tibial implants are associated with elevated serum titanium levels compared to controls, with modular implants showing significantly higher levels. The authors suggest that these differences may be due to the design of the implants, highlighting the need for further research into the implications of implant modularity on metal release.

Early Surgical Complication Rates Following Elective Minimally Invasive Surgery Hallux Valgus in Diabetic Patients: A Matched Cohort Analysis

May 30, 2026

The study aimed to compare early complication rates following elective minimally invasive surgery for hallux valgus in diabetic patients versus non-diabetic patients. An analysis of 75 patients revealed no statistically significant differences in overall complication rates between the two groups, although diabetic patients exhibited greater postoperative radiographic correction. The authors suggest that these exploratory findings warrant further investigation in larger studies to confirm the results.

Weightbearing CT Reveals No Anatomical Features Associated With Ligamentous Lisfranc Injuries: A Matched Case-Control Study

May 28, 2026

This study aimed to determine whether specific anatomical features of the Lisfranc joint complex, previously suggested to be associated with ligamentous Lisfranc injuries, could be identified using weightbearing computed tomography (WBCT). The authors found no significant differences in the anatomical measurements of the second metatarsal or overall foot alignment between patients with ligamentous injuries and matched controls, challenging earlier assumptions based on 2D imaging. These results highlight the importance of utilizing standardized 3D imaging techniques for a more accurate assessment of midfoot anatomy.

Long-term Clinical and Radiographic Outcomes After Salto Talaris Total Ankle Arthroplasty: Long-term Follow-up of a Previously Published Cohort

May 19, 2026

The study aimed to evaluate the long-term clinical outcomes and implant survivorship of the Salto Talaris total ankle arthroplasty (TAA) performed by a single surgeon. Findings indicated a high implant survival rate over 15 years and significant improvements in patient-reported outcomes, including pain reduction and enhanced functional scores, suggesting that Salto Talaris TAA is a durable option for patients with ankle arthritis.

Functional, Radiological, and Biomechanical Outcomes Following Deformity-Driven Multilevel Surgical Correction for Fixed Cavovarus Foot Deformity

May 19, 2026

The authors aimed to evaluate the outcomes of a deformity-driven multilevel surgical correction for fixed cavovarus foot deformity, particularly its impact on functional, radiological, and biomechanical parameters. The study found significant improvements in patient-reported function, radiologic alignment, and objective gait metrics following the surgical intervention, supporting the effectiveness of this approach in selected patients. Complications were minimal, indicating a favorable safety profile for the procedure.

Complications, Reoperations, and Healthcare Costs Following Total Ankle Arthroplasty vs Ankle Arthrodesis

May 19, 2026

The authors aimed to compare the outcomes of total ankle arthroplasty (TAA) and ankle arthrodesis (AA) in terms of complications, reoperation rates, opioid utilization, and healthcare costs using a national administrative database. Their findings indicated that TAA had significantly lower reoperation rates and early complications, as well as lower cumulative costs over two years compared to AA, suggesting TAA as a more favorable treatment option for end-stage ankle arthritis.

Impact of Flexor Hallucis Longus Retrotalar Pulley Release on First Ray Joint Pressures in Functional Hallux Limitus: A Cadaveric Study

May 15, 2026

This cadaveric study aimed to investigate the biomechanical effects of functional hallux limitus (FHLim) on first metatarsophalangeal joint (MTP1) mobility and pressures, as well as the impact of sectioning the retrotalar pulley of the flexor hallucis longus tendon. The findings revealed that releasing the pulley significantly improved MTP1 dorsiflexion and reduced joint pressures, indicating that pulley impingement contributes to the biomechanical constraints seen in FHLim. This supports the rationale for considering retrotalar pulley release as a surgical intervention for patients with functional hallux limitus.