Updates in the Orthopedic Management of Foot Disorders: 2nd Edition

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 20 September 2025 | Viewed by 696

Special Issue Editors


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Guest Editor
Orthopedics and Orthopedic Oncology, Department of Surgery, Oncology and Gastroenterology (DiSCOG), University of Padova, 35128 Padova, Italy
Interests: foot and ankle surgery; arthroscopic surgery; diabetic foot; anatomy of the foot and ankles; trauma surgery; fracture; muscle precursor cells of human skeletal muscle
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Special Issue Information

Dear Colleagues,

We are pleased to invite you to contribute to this Special Issue, entitled “Updates in the Orthopedic Management of Foot Disorders: 2nd Edition”. For more details on our first edition, in which we published 27 papers, please visit https://www.mdpi.com/journal/jcm/special_issues/orthopedic_foot_disorders.

Foot disorders continue to be a significant cause of hospitalization and one of the most frequent health reasons for orthopedic surgical interventions, affecting patients’ quality of life, modifying daily habits, and limiting their mobility and autonomy with major complications.

At the present, minimally invasive surgery (MIS) performed with minimal skin incisions, an intraoperative image intensifier, and without internal fixation represents one of the most innovative approaches in forefoot surgery. This percutaneous dynamic management combines different procedures, most arising from the traditional open ones, in a mixed surgical strategy, according to the complexity of the foot pathology to be treated.

Despite the advances in traditional and MIS, as well as the innovation and application of new technologies, foot disorders—particularly oncological and diabetic foot diseases—represent serious global health issues. Hence, there is a need to improve the current global knowledge of the orthopedic management of these challenging pathologies.

In this Special Issue, we would like to offer researchers a platform to share recent scientific findings in these contexts by inviting original clinical and research articles, meta-analyses, and systematic and narrative reviews focusing on the global aspects of the best potential orthopedic management of foot disorders.

Dr. Carlo Biz
Prof. Dr. Pietro Ruggieri
Guest Editors

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Keywords

  • foot pathologies
  • diabetic feet
  • forefoot deformities
  • oncology surgery
  • foot tumors
  • minimally invasive surgery
  • percutaneous surgery
  • foot joint arthroscopy
  • stress fractures

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Published Papers (1 paper)

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Research

14 pages, 1878 KiB  
Article
The Learning Curve of Reverdin–Isham and Akin Percutaneous Osteotomies for Hallux Valgus Correction: A Bayesian Approach
by Carlo Biz, Elisa Belluzzi, Alberto Crimì, Giovanni Sciarretta, Elena Bortolato and Pietro Ruggieri
J. Clin. Med. 2025, 14(6), 1921; https://doi.org/10.3390/jcm14061921 - 12 Mar 2025
Viewed by 205
Abstract
Background/Objectives: Assessing the learning curve is essential for surgical techniques that require precision and technical adaptation. Although modified Reverdin–Isham and Akin percutaneous osteotomies (RIAOs) are well-established procedures for the treatment of hallux valgus (HV), their percutaneous nature and specific technical demands justify [...] Read more.
Background/Objectives: Assessing the learning curve is essential for surgical techniques that require precision and technical adaptation. Although modified Reverdin–Isham and Akin percutaneous osteotomies (RIAOs) are well-established procedures for the treatment of hallux valgus (HV), their percutaneous nature and specific technical demands justify the evaluation of the learning curve. Therefore, this study aimed to assess the learning curve of RIAOs for the HV correction, using for the first time a Bayesian approach. Methods: Modified RIAOs were applied to treat mild-to-moderate HV in patients who were prospectively enrolled. The hallux valgus angle (HVA), inter-metatarsal angle (IMA), distal metatarsal articular angle (DMAA) and tibial sesamoid position were assessed. Clinical outcomes were evaluated with the American Orthopaedic Foot & Ankle Society (AOFAS) Scale, Visual Analog Scale (VAS) and Numerical Rating Scale (NRS). Surgery and fluoroscopy times were recorded. To evaluate the learning curve, a Bayesian analysis using a change point model was performed. Results: Analysis of 142 patients revealed three distinct phases in the learning curve, with a plateau reached after 112 procedures. Over time, the mean operation duration decreased from 55 to 27 min, and fluoroscopy time decreased from 60 to 28 s. Conclusions: A flexible change point model was used to model a learning curve, guaranteeing a robust interpretation of the data. The correction of the HV angles showed similar results in the three phases of the curve, demonstrating that the surgeon achieved positive results from the beginning of the surgery. Full article
(This article belongs to the Special Issue Updates in the Orthopedic Management of Foot Disorders: 2nd Edition)
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