Showing 1 - 12 of 216
More shock wave impulses better than less for plantar fasciitis
More shock wave impulses better than less for plantar fasciitis
  • 2
Level II - Randomized Trial
Synopsis:
112 patients with chronic plantar fasciitis that was unresponsive to conservative treatment for at least 6 months were randomized to assess whether 3 applications of 1000 impulses of low-energy shock waves (Group I) led to improved clinical outcomes in comparison to 3 applications of 10 impulses of low-energy shock waves (Group II).Patient satisfaction was the main outcome measure, in addition to pain severity and the ability to walk without pain. With follow-up through... read more
Nonoperative treatment of displaced calcaneal fractures can be as effective as surgery
Nonoperative treatment of displaced calcaneal fractures can be as effective as surgery
  • 2
Level II - Randomized Trial
Synopsis:
424 patients with a calcaneal fracture were randomized to operative or nonoperative management.Operative care involved a lateral approach and rigid internal fixation, and nonoperative care was treatment only with ice, elevation, and rest.Patients were assessed between 2 and 8 years with the SF-36 and for pain with the visual analog scale.The two groups did not significantly differ in these outcome measures, though patients managed operatively and not receiving Workers’ Compensation had significantly higher satisfaction scores. Women managed operatively... read more
Achilles tendon lengthening effective in reducing neuropathic plantar ulcers
Achilles tendon lengthening effective in reducing neuropathic plantar ulcers
  • 2
Level II - Randomized Trial
Synopsis:
64 patients with diabetes mellitus and a neuropathic plantar ulcer were randomized to immobilization in a total-contact cast alone or in combination with percutaneous Achilles tendon lengthening to determine the effects on ulcer recurrence.The mean follow-up period was 2.1 years.In the first 7 months of follow-up, significantly more patients in the total-contact group had an ulcer recurrence compared to the Achilles lengthening group.This trend continued through 2 years. All ulcers healed... read more
Improved outcomes with primary arthrodesis in treating ligamentous Lisfranc joint injuries
Improved outcomes with primary arthrodesis in treating ligamentous Lisfranc joint injuries
  • 2
Level II - Randomized Trial
Synopsis:
41 patients with isolated acute or subacute primary ligamentous Lisfranc injuries were randomised to undergo either a primary open reduction and internal fixation procedure or a primary partial arthrodesis procedure.Short- and long-term functional and clinical outcomes were examined. The results indicated... read more
Plantar fasciitis: Shockwave therapy more effective than conservative treatment
Plantar fasciitis: Shockwave therapy more effective than conservative treatment
  • 2
Level II - Randomized Trial
Synopsis:
149 patients (168 heels) with chronic plantar fasciitis were randomized to receive extracorporeal shockwave treatment or conservative treatment consisting of non-steroidal anti-inflammatory drugs, orthotics, physical therapy, an exercise program and/or a local cortisone injection.Over 5 to 6 years, patients in the shockwave group had significantly greater improvements in pain and function than the conservative treatment group.The patients who received shockwave therapy were also significantly less likely to experience a recurrence of symptoms compared to the conservative treatment group. The results therefore... read more
Calcaneal taping is more effective in reducing plantar heel pain than stretching
Calcaneal taping is more effective in reducing plantar heel pain than stretching
  • 2
Level II - Randomized Trial
Synopsis:
41 patients with plantar heel pain were randomized to receive treatment involving stretching of the plantar fascia, calcaneal taping, sham taping, or no treatment.After 1 week, patients were scored on pain and level of functioning.Results indicated that the calcaneal taping group experienced significantly less pain than any other group. There was no... read more
Mayo resection equally as effective for rheumatoid forefoot reconstruction
Mayo resection equally as effective for rheumatoid forefoot reconstruction
  • 2
Level II - Randomized Trial
Synopsis:
31 patients with rheumatoid arthritis of the forefoot were randomized to undergo either a Mayo resection or an arthrodesis.The main outcomes measured were pain, incapacity, deformity of the foot and functional outcomes examining load distribution. By the end... read more
Similar reduction in plantar heel pain with autologous blood, peppering, or corticosteroid
Similar reduction in plantar heel pain with autologous blood, peppering, or corticosteroid
  • 2
Level II - Randomized Trial
Synopsis:
45 patients suffering from plantar heel pain randomly received corticosteroid injections, autologous blood injections, or treatment using the peppering technique.Pain and functional outcomes (assessed using VAS and the American Orthopaedic Foot and Ankle Society's rear foot score) were assessed at a 6 month follow-up. Results indicated a... read more
Bupivacaine provides effective pain relief after arthroscopy of the ankle
Bupivacaine provides effective pain relief after arthroscopy of the ankle
  • 2
Level II - Randomized Trial
Synopsis:
35 patients undergoing arthroscopy of the ankle were randomized to receive intra-articular saline or bupivacaine 0,5%.Over 2 hours post-surgery, the bupivacaine group experienced significantly less pain than the saline group.At all follow up periods after 2 hours, the patients who received bupivacaine displayed a trend toward lower pain scores than those who received saline; however, this difference was not significant.In addition, the bupivacaine group also required less IV tramadol than the saline group for the purpose of pain relief. Intra-articular bupivacaine therefore... read more
Allograft for pes planus lateral column lengthening viable alternative to autograft
Allograft for pes planus lateral column lengthening viable alternative to autograft
  • 2
Level II - Randomized Trial
Synopsis:
31 patients (33 feet) with acquired pes planus were randomized to undergo operative treatment for stage II posterior tibial tendon insufficiency (PTTI).Lateral column lengthening was performed with a bone graft from the iliac crest obtained either through allograft or autograft procedures.Results showed that at the 12-week follow-up, union was achieved in both groups. Allograft of the... read more
Improved function when undergoing early mobilization regimen after ankle fracture surgery
Improved function when undergoing early mobilization regimen after ankle fracture surgery
  • 2
Level II - Randomized Trial
Synopsis:
66 patients with ankle fractures requiring surgery were randomly assigned to two postoperative regimens: early mobilization in a removable cast and immobilization in a non-weight bearing below-knee cast.Results showed that there were short-term benefits for early mobilized patients such improved subjective and objective functional outcomes compared to the immobilized patients. However, there was... read more
Nonsteroidal anti-inflammatory medication may help manage plantar fasciitis pain
Nonsteroidal anti-inflammatory medication may help manage plantar fasciitis pain
  • 2
Level II - Randomized Trial
Synopsis:
29 patients with plantar fasciitis were randomized to receive oral nonsteroidal anti-inflammatory medications (NSAIDs) or a placebo in combination with conservative therapies (night-splinting, visioelastic heel cups and heel-cord stretching) over the course of 6 months.Results demonstrated that the use of NSAIDs in combination with conservative therapies may provide pain relief and decrease disability in patients with plantar fasciitis. Further studies with... read more