Stephan Wirth
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View article: The Importance of the Entry Point and Osteotomy Direction in Calcaneal Lengthening Osteotomy
The Importance of the Entry Point and Osteotomy Direction in Calcaneal Lengthening Osteotomy Open
Background: The Hintermann osteotomy (HOT) is one type of calcaneal lengthening osteotomy during progressive collapsing foot deformity surgery. The entry point on the lateral wall of the calcaneus is critical because it affects the directi…
View article: No Routine Control Measurements of C-Reactive Protein in Uneventful Postoperative Evolution After Debridement for Infected (Diabetic) Foot Surgery
No Routine Control Measurements of C-Reactive Protein in Uneventful Postoperative Evolution After Debridement for Infected (Diabetic) Foot Surgery Open
Background/Objectives: In orthopedic (diabetic) foot surgery, the serum C-reactive protein (CRP) level is frequently measured not only as a diagnostic tool, but also as a control inflammatory marker in the follow-up of postoperative surgic…
View article: UltraBones100k: A reliable automated labeling method and large-scale dataset for ultrasound-based bone surface extraction
UltraBones100k: A reliable automated labeling method and large-scale dataset for ultrasound-based bone surface extraction Open
We collected UltraBones100k, the largest known dataset comprising 100k ex-vivo ultrasound images of human lower limbs with bone annotations, specifically targeting the fibula, tibia, and foot bones. A Wilcoxon signed-rank test with Bonferr…
View article: Severity of Bone Marrow Edema on MRI Predicts the Diagnostic Potential of Foot Joint Injections
Severity of Bone Marrow Edema on MRI Predicts the Diagnostic Potential of Foot Joint Injections Open
Background: Intraarticular steroid and local anesthetic injections are often performed for foot pain. Localizing the exact joint acting as a pain generator in foot pain is eminent for optimal and cost-effective treatment. Because of the co…
View article: No Routine Control Measurements of C-Reactive Protein in Uneventful Postoperative Evolution After Debridement for Infected (Diabetic) Foot Surgery
No Routine Control Measurements of C-Reactive Protein in Uneventful Postoperative Evolution After Debridement for Infected (Diabetic) Foot Surgery Open
Background/Objectives: In orthopedic (diabetic) foot surgery, the serum C-reactive protein (CRP) is frequently measured not only as a diagnostic tool, but also as a control inflammatory marker in the follow-up of operated surgical site inf…
View article: UltraBones100k: A reliable automated labeling method and large-scale dataset for ultrasound-based bone surface extraction
UltraBones100k: A reliable automated labeling method and large-scale dataset for ultrasound-based bone surface extraction Open
Ultrasound-based bone surface segmentation is crucial in computer-assisted orthopedic surgery. However, ultrasound images have limitations, including a low signal-to-noise ratio, and acoustic shadowing, which make interpretation difficult.…
View article: New Insights Into the Production and Exchange of Late Bronze Age Kam Axes: Application of 3d View Technologies
New Insights Into the Production and Exchange of Late Bronze Age Kam Axes: Application of 3d View Technologies Open
The production and distribution of the so-called KAM axes has been the subject of much discussion in Bronze Age research. The origins and technological sources of KAM axe production remain still unknown. KAM axes are characterized by long …
View article: Assessment of calf muscle constitution in chronic Achilles tendon disease using Dixon-based MRI
Assessment of calf muscle constitution in chronic Achilles tendon disease using Dixon-based MRI Open
View article: The local molecular signature of human peripheral neuropathic pain
The local molecular signature of human peripheral neuropathic pain Open
Focal nerve injuries are often associated with neuropathic pain. Preclinical research suggests altered neuroimmune signalling underlies such neuropathic pain; however, its cause remains poorly understood in humans. In this multicentre coho…
View article: Therapy for Non-Diabetic Foot Infections After Orthopedic Foot and Ankle Surgery: The Duration of Post-Debridement Antibiotic Treatment Does Not Alter Failure Risk
Therapy for Non-Diabetic Foot Infections After Orthopedic Foot and Ankle Surgery: The Duration of Post-Debridement Antibiotic Treatment Does Not Alter Failure Risk Open
Despite growing numbers of scientific publications on the optimal antibiotic treatment for diabetic foot infections, the data on the adult population with non-diabetic (postsurgical) foot infections is limited. Therefore, one of the larges…
View article: A Smaller Tibiotalar Sector is a Risk Factor for Recurrent Anterolateral Ankle Instability after Modified Broström-Gould Procedure
A Smaller Tibiotalar Sector is a Risk Factor for Recurrent Anterolateral Ankle Instability after Modified Broström-Gould Procedure Open
Category: Ankle; Sports Introduction/Purpose: Several demographical and clinical risk factors for recurrent ankle instability have been described. The main objective of this study was to investigate the potential influence of morphological…
View article: Long-term Results after Hallux Valgus Correction with Distal Metatarsal Reversed-L (ReveL) Osteotomy: Which Factors Influence Recurrence and the Clinical Outcome?
Long-term Results after Hallux Valgus Correction with Distal Metatarsal Reversed-L (ReveL) Osteotomy: Which Factors Influence Recurrence and the Clinical Outcome? Open
Category: Bunion; Midfoot/Forefoot Introduction/Purpose: The study objective was to evaluate the long-term results of hallux valgus correction with a distal metatarsal reversed-L (ReveL) osteotomy. Moreover, potential risk factors leading …
View article: Bilateral External Torque CT Reliably Detects Syndesmotic Lesions in an Experimental Cadaveric Study
Bilateral External Torque CT Reliably Detects Syndesmotic Lesions in an Experimental Cadaveric Study Open
Category: Sports; Trauma Introduction/Purpose: If tibiofibular syndesmosis injury is missed, chronic instability may lead to persistent pain and osteoarthritis. So far, no reliable diagnostic method has been available. The primary objectiv…
View article: Therapy of Non-Diabetic Foot Infections after Orthopedic Foot and Ankle Surgery: The Duration Of Post-Debridement Antibiotic Treatment Does Not Alter Failure Risk
Therapy of Non-Diabetic Foot Infections after Orthopedic Foot and Ankle Surgery: The Duration Of Post-Debridement Antibiotic Treatment Does Not Alter Failure Risk Open
Whereas there is an increasing number of scientific publications investigating the optimal anti-biotic treatment for diabetic foot infections, we are lacking corresponding data in the adult non-diabetic (postsurgical) foot infection popula…
View article: The Contralateral Ankle Joint Is a Reliable Reference for Testing Syndesmotic Stability Using Bilateral External Torque CT
The Contralateral Ankle Joint Is a Reliable Reference for Testing Syndesmotic Stability Using Bilateral External Torque CT Open
Background: Subtle chronic or latent instabilities are difficult to delineate with currently available diagnostic modalities and do not allow assessment of ligamentous functionality. The noninvasive bilateral external torque computed tomog…
View article: Long-Term Results After Hallux Valgus Correction with Distal Metatarsal Reversed-L (ReveL) Osteotomy
Long-Term Results After Hallux Valgus Correction with Distal Metatarsal Reversed-L (ReveL) Osteotomy Open
Background: This study aimed to evaluate the long-term results of hallux valgus correction with a distal metatarsal reversed-L (ReveL) osteotomy. Methods: Eighty-eight patients (131 feet) were evaluated after a mean follow-up of 14.2 years…
View article: Conventional vs Augmented Reality–Guided Lateral Calcaneal Lengthening Simulated in a Foot Bone Model
Conventional vs Augmented Reality–Guided Lateral Calcaneal Lengthening Simulated in a Foot Bone Model Open
Background: Acquired adult flatfoot deformity (AAFD) results in a loss of the medial longitudinal arch of the foot and dysfunction of the posteromedial soft tissues. Hintermann osteotomy (H-O) is often used to treat stage II AAFD. The proc…
View article: A Smaller Tibiotalar Sector Is a Risk Factor for Recurrent Anterolateral Ankle Instability after a Modified Broström-Gould Procedure
A Smaller Tibiotalar Sector Is a Risk Factor for Recurrent Anterolateral Ankle Instability after a Modified Broström-Gould Procedure Open
Background: Several demographic and clinical risk factors for recurrent ankle instability have been described. The main objective of this study was to investigate the potential influence of morphologic characteristics of the ankle joint on…
View article: The Molecular Signature of Neuropathic Pain in a Human Model System
The Molecular Signature of Neuropathic Pain in a Human Model System Open
Peripheral neuropathic pain remains challenging to treat, partly due to our limited understanding of the molecular mechanisms at play in humans. In this multicentre cohort study, we describe the local molecular signature of neuropathic pai…
View article: Ten-Year Minimum Follow-up Study of First Metatarsophalangeal Joint Fusion in Young vs Old Patients
Ten-Year Minimum Follow-up Study of First Metatarsophalangeal Joint Fusion in Young vs Old Patients Open
Background: Painful degenerative joint disease (DJD) of the first metatarsophalangeal joint (MTP I), or hallux rigidus, mainly occurs in later stages of life. For end-stage hallux rigidus, MTP I arthrodesis is considered the gold standard.…
View article: Talocalcaneal Ligament Reconstruction Kinematic Simulation for Progressive Collapsing Foot Deformity
Talocalcaneal Ligament Reconstruction Kinematic Simulation for Progressive Collapsing Foot Deformity Open
Background: In progressive collapsing foot deformity (PCFD), an internal and plantar rotation of the talus relative to the calcaneus may result in painful peritalar subluxation. Medial soft tissue procedures (eg, spring ligament repair) ai…
View article: The Unloading Effect of Supramalleolar Versus Sliding Calcaneal Osteotomy for Treatment of Osteochondral Lesions of the Medial Talus: A Biomechanical Study
The Unloading Effect of Supramalleolar Versus Sliding Calcaneal Osteotomy for Treatment of Osteochondral Lesions of the Medial Talus: A Biomechanical Study Open
Background: In patients with osteochondral lesion, defects of the medial talus, or failed cartilage surgery, a periarticular osteotomy can unload the medial compartment. Purpose: To compare the effects of supramalleolar osteotomy (SMOT) ve…
View article: 3-D-Analyse von posttraumatischen Tibiaschaftfehlstellungen und deren Korrektur anhand der gesunden Gegenseite
3-D-Analyse von posttraumatischen Tibiaschaftfehlstellungen und deren Korrektur anhand der gesunden Gegenseite Open
View article: Study protocol: short against long antibiotic therapy for infected orthopedic sites — the randomized-controlled SALATIO trials
Study protocol: short against long antibiotic therapy for infected orthopedic sites — the randomized-controlled SALATIO trials Open
View article: Risk Factors for Surgical Site Infections in Elective Orthopedic Foot and Ankle Surgery: The Role of Diabetes Mellitus
Risk Factors for Surgical Site Infections in Elective Orthopedic Foot and Ankle Surgery: The Role of Diabetes Mellitus Open
Surgical site infection (SSI) after elective orthopedic foot and ankle surgery is uncommon and may be higher in selected patient groups. Our main aim was to investigate the risk factors for SSI in elective orthopedic foot surgery and the m…
View article: Ulcer occurrence on adjacent toes and hallux valgus deformity after amputation of the second toe in diabetic patients
Ulcer occurrence on adjacent toes and hallux valgus deformity after amputation of the second toe in diabetic patients Open
View article: Typical Complications After Cartilage Repair of the Ankle Using Autologous Matrix-Induced Chondrogenesis (AMIC)
Typical Complications After Cartilage Repair of the Ankle Using Autologous Matrix-Induced Chondrogenesis (AMIC) Open
Background: Autologous matrix-induced chondrogenesis (AMIC) for the treatment of osteochondral lesions of the talus (OLT) results in favorable clinical outcomes, yet high reoperation rates. The aim of this study was to report and analyze t…
View article: A novel approach for joint line restoration in revision total ankle arthroplasty based on the three‐dimensional registration of the contralateral tibia and fibula
A novel approach for joint line restoration in revision total ankle arthroplasty based on the three‐dimensional registration of the contralateral tibia and fibula Open
Purpose The use of total ankle arthroplasty (TAA) is increasing over time, as so will the need for revision TAAs in the future. Restoration of the ankle joint line (JL) in revision TAA is often difficult due to severe bone loss. This study…
View article: Study Protocol: Short Against Long Antibiotic Therapy for Infected Orthopaedic Sites - SALATIO Trials
Study Protocol: Short Against Long Antibiotic Therapy for Infected Orthopaedic Sites - SALATIO Trials Open
View article: The Relationship between Frontal, Axial Leg Alignment, and Ankle Joint Line Orientation—a Radiographic Analysis of Healthy Subjects
The Relationship between Frontal, Axial Leg Alignment, and Ankle Joint Line Orientation—a Radiographic Analysis of Healthy Subjects Open
Objective Ankle joint line orientation (AJLO) is influenced by the subtalar foot and frontal leg alignment. However, the influence of axial leg alignment on AJLO remains unclear. The study aimed to analyze the influence of frontal, axial l…