This week in Foot & Ankle

Oct 12–18, 2026 · 1 randomized trial, 10 new studies, 10 reviews · Foot & Ankle archive · All weeks

The new Foot & Ankle research The Reduction sent the week of Oct 12–18, 2026, with the week’s most recent reviews, each with a one-line summary.

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Randomized trials

  1. A Prospective Randomized Trial to Assess Early versus Delayed Weight Bearing Following Operatively Treated Ankle Fractures in the United States.RCT

    Journal of Orthopaedic Trauma · Oct 14 2026 · PubMed

    In this 418-patient randomized trial, weight bearing at 2 weeks after ankle fracture fixation was non-inferior to 6 weeks for reoperation, but did not significantly speed return to work.

New research

  1. Gout May Mimic Infection, Even Years After Achilles Tendon Repair.

    Clinical Orthopaedics and Related Research · Oct 16 2026 · PubMed

    In four men, gouty Achilles tendinopathy appeared 2 to 18 years after repair and mimicked infection; consider gout and crystal analysis early to avoid unnecessary debridement or antibiotics, even with normal uric acid.

  2. Trends in Orthopaedic Trauma Research: A 30-Year Analysis of Orthopaedic Trauma Association Annual Meeting Abstracts, 1996-2025.

    Journal of Orthopaedic Trauma · Oct 15 2026 · PubMed

    Across 5,213 OTA meeting abstracts from 1996 to 2025, hip/proximal femur, geriatric, health-systems and periprosthetic topics rose while spine, pediatric and midfoot/hindfoot topics fell; RCT share stayed flat.

  3. Maximal Outcome Improvements Predict Patient Satisfaction After Autologous Osteoperiosteal Transplantation for Cystic Osteochondral Lesions of the Talus, With Body Mass Index and Plug Number Associated With Threshold Achievement.

    Arthroscopy · Oct 12 2026 · PubMed

    In 124 patients after osteoperiosteal transplantation for cystic talar lesions, 81.5% were satisfied; FAOS best predicted satisfaction, while higher BMI and double plugs lowered odds of reaching the improvement threshold.

  4. Do Ankle-Foot Orthoses Reduce Cavovarus Deformity in Individuals With Charcot-Marie-Tooth Disease?

    Clinical Orthopaedics and Related Research · Oct 12 2026 · PubMed

    In 20 adults with Charcot-Marie-Tooth disease, weightbearing CT showed ankle-foot orthoses did not reduce cavovarus and slightly increased it, with custom footplates exacerbating deformity least, suggesting benefit comes from stabilization.

  5. Headless Compression Screws May Reduce Symptomatic Hardware After Medial Malleolus Fixation: A Comparative Cohort Study.

    Journal of Orthopaedic Trauma · Oct 09 2026 · PubMed

    In a 306-patient retrospective cohort, headless compression screws for medial malleolus fixation had less symptomatic hardware than headed screws (20.7% vs 34.8%) with no difference in union, infection, or removal rates.

  6. Health-related quality of life after calcaneus fractures in childhood and adolescence.

    Journal of Children's Orthopaedics · Oct 08 2026 · PubMed

    In 19 children and adolescents followed about 6 years after calcaneus fracture, quality-of-life and foot function scores were high overall, with somewhat lower scores after joint depression-type fractures.

  7. Modified radiographic classification for postaxial polydactyly of the foot: An analysis of 121 digits in 98 children.

    Journal of Children's Orthopaedics · Oct 07 2026 · PubMed

    A modified radiographic classification for postaxial foot polydactyly, tested on 121 digits, classified nearly all cases and showed excellent reliability, outperforming the Watanabe and Lee systems.

  8. Does flexor hallucis longus groove morphology have an effect on flexor hallucis longus tendon pathologies?

    Foot and Ankle Surgery · Oct 04 2026 · PubMed

    In posterior ankle arthroscopy patients, FHL tendon degeneration was more common with deeper, U- or L-shaped grooves and less common with shallow grooves or wider opening angles, suggesting groove morphology influences tendon pathology.

  9. Climbing is associated with tissue-specific mechanical adaptations of the plantar fascia and achilles tendon.

    Foot and Ankle Surgery · Oct 04 2026 · PubMed

    In 33 amateur climbers versus 32 controls, the distal plantar fascia and mid-Achilles tendon showed higher stiffness and frequency with lower creep and relaxation time, suggesting localized soft-tissue adaptation.

  10. Preoperative clinical and imaging factors associated with arthroscopically confirmed occult syndesmotic instability in patients undergoing surgery for osteochondral lesions of the talus.

    The Bone & Joint Journal · Oct 01 2026 · PubMed

    In 175 patients with talar osteochondral lesions, about 21% had occult syndesmotic instability at arthroscopy, associated with BMI above 25.6, osteophytes, and Bassett's ligament hypertrophy; findings are exploratory and need validation.

Recent reviews

  1. The Management of Neurological Injuries Following Total Hip Arthroplasty.

    Journal of Bone and Joint Surgery (American) · Feb 04 2026 · PubMed

    Review of nerve injury after total hip arthroplasty covering risk factors, imaging and electrodiagnostic workup, and supportive management, noting femoral nerve injuries have a better prognosis than sciatic nerve injuries.

  2. Distinguishing Fractures in Posterior Distal Tibia and Ankle: A Review of Posterior Malleolar, Pilon, and Pilon-Variant Definitions and Treatments.

    JBJS Reviews · Oct 01 2025 · PubMed

    This review proposes clearer definitions for posterior malleolar, posterior pilon-variant, and posterior pilon fractures, linking each pattern to treatment urgency and surgical approach (posterolateral, posteromedial, or combined).

  3. Bioactive and Bioinductive Implants Are Increasingly Used in Orthopaedic Sports Medicine but Adequately Controlled Studies Are Needed: A Scoping Review.

    Arthroscopy · Feb 2025 · PubMed

    This scoping review of 145 studies found bioactive and bioinductive implants increasingly used in sports medicine, but the evidence is mostly small, level IV, and uncontrolled, so larger comparative long-term studies are needed.

  4. Patient-related risk factors associated with poorer outcomes following total ankle arthroplasty.

    The Bone & Joint Journal · Sep 01 2023 · PubMed

    This scoping review of 94 studies found the patient factors most often tied to poorer total ankle arthroplasty outcomes were younger age, rheumatoid arthritis, diabetes, and high BMI, which may inform patient selection.

  5. The Interdisciplinary Approach: Preventive and Therapeutic Strategies for Diabetic Foot Ulcers.

    Foot & Ankle Clinics · Sep 2022 · PubMed

    Interdisciplinary team clinics (vascular, endocrine, foot and ankle surgeons, plus allied specialists) optimize diabetic foot ulcer prevention and treatment, cutting hospital visits, amputation risk, length of stay, and mortality.

  6. Use of intramedullary locking nail for displaced intraarticular fractures of the calcaneus: what is the evidence?

    Archives of Orthopaedic and Trauma Surgery · Aug 2022 · PubMed

    Systematic review of 11 studies finds intramedullary nails for displaced calcaneal fractures give satisfactory short-term outcomes with fewer wound problems than open approaches, but evidence is moderate and conflict-of-interest bias is a concern.

  7. Maisonneuve Fractures of the Ankle: A Critical Analysis Review.

    JBJS Reviews · Feb 21 2022 · PubMed

    Maisonneuve fractures vary from stable to highly unstable, warrant preoperative CT, and are best treated with open anatomic reduction of the fibula into the notch to avoid malposition and poorer outcomes.

  8. Understanding Radiographic Measurements Used in Foot and Ankle Surgery.

    Journal of the American Academy of Orthopaedic Surgeons · Jan 15 2022 · PubMed

    Review defining the weight-bearing radiographic measurements used to evaluate common foot and ankle pathology and guide surgical decision making.

  9. Progressive Collapsing Foot Deformity. Is There Really a Johnson and Strom Stage I?

    Foot & Ankle Clinics · Sep 2021 · PubMed

    Reviews Johnson and Strom stage I posterior tibial tendon dysfunction, covering clinical diagnosis, causes, orthotic and surgical options, and possible prophylactic medializing calcaneal osteotomy in patients at high risk of progression.

  10. Adequate union rates for the treatment of acute proximal fifth metatarsal fractures.

    Knee Surgery, Sports Traumatology, Arthroscopy · Apr 2021 · PubMed

    Pooled analysis of 32 studies suggests zone 1 fifth metatarsal fractures can be treated conservatively with similar union rates, while zone 2 (Jones) fractures heal more often and faster with surgery.

← Week of Oct 5–11, 2026

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