{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T03:03:48Z","timestamp":1791515028978,"version":"4.3.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T00:00:00Z","timestamp":1722211200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Sesamoid pathology can lead to significant pain and disability both with activities of daily living and high-impact athletic movements. Sesamoidectomy is a widely used procedure for patients who fail conservative treatment measures. Traditional dorsal or plantar approaches for sesamoidectomy have shown to successfully alleviate pain, but complications were reported. A proposed alternative medial approach using a burr may provide many advantages compared with traditional approaches. This study presents patient outcomes and complications for this technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a retrospective chart review of patients undergoing sesamoidectomy (tibial, peroneal, or both) using a burr through a medial approach to the sesamoid metatarsal articulation. Data collected included patient demographics, radiographic analysis, and outcomes: Veterans Rand 12 Item Health Survey (VR-12), Foot and Ankle Ability Measure (FAAM), visual analog scale (VAS), patient satisfaction, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-seven patients (29\u2009feet) were included. The mean age was 38.4\u2009years followed up for a mean of 30.9\u2009months. VR-12 physical component improved from 35.98\u2009\u00b1\u20097.86 to 51.34\u2009\u00b1\u20098.01 ( P\u2009&lt;\u2009.001), FAAM ADL and sport improved from 58.33\u2009\u00b1\u200916.61 to 83.27\u2009\u00b1\u200918.28 ( P\u2009&lt;\u2009.001) and 26.37\u2009\u00b1\u200920.31 to 63.75\u2009\u00b1\u200929.74 ( P\u2009&lt;\u2009.001), respectively. Patient satisfaction with the treatment was 80.59%\u2009\u00b1\u200927.06%. The overall complication rate was 11 (37.9%) whereas the overall reoperation rate was 4 (13.7%) of 29\u2009feet. Complications included 1 arthrofibrosis, 1 flexor hallucis longus subacute rupture, and 1 asymptomatic hallux valgus. There were no sesamoid excision revisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Sesamoidectomy using a medial approach with a burr provided significantly improved short-term functional outcomes, 80% patient satisfaction rate, with a relatively acceptable complications rate including 20% persistent pain. The medial approach is familiar to orthopaedic foot and ankle surgeons, provides adequate exposure, and eliminates the possibility of a painful plantar scar while avoiding disruption of the plantar plate, flexor hallucis brevis tendon, and ligamentous structures attached to the sesamoids. Larger studies with long-term follow-up from other centers are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007241264239","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T01:07:41Z","timestamp":1722301661000},"page":"1070-1075","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Early Functional Outcomes and Complications of Tibial and\/or Peroneal Sesamoidectomy Utilizing a Burr Through a Medial Approach"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7230-3356","authenticated-orcid":false,"given":"William M.","family":"Engasser","sequence":"first","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6822-9512","authenticated-orcid":false,"given":"J. Chris","family":"Coetzee","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey D.","family":"Seybold","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carissa C.","family":"Dock","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla J.","family":"Seiffert","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9614-5383","authenticated-orcid":false,"given":"Rebecca","family":"Stone McGaver","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0762-8434","authenticated-orcid":false,"given":"Ahmed Khalil","family":"Attia","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5146-3107","authenticated-orcid":false,"given":"Bryan D.","family":"Den Hartog","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,29]]},"reference":[{"key":"bibr1-10711007241264239","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0704"},{"key":"bibr2-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302400207"},{"key":"bibr3-10711007241264239","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200612000-00006"},{"key":"bibr4-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718800304"},{"key":"bibr5-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1933.01170090041002"},{"key":"bibr6-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717717265"},{"key":"bibr7-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502601003"},{"key":"bibr8-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(20)30958-3"},{"key":"bibr9-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2006.09.002"},{"key":"bibr10-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302400507"},{"key":"bibr11-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1177\/107110078100100604"},{"key":"bibr12-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.03.044"},{"key":"bibr13-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719834539"},{"key":"bibr14-10711007241264239","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2014.06.014"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007241264239","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10711007241264239","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007241264239","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:22:29Z","timestamp":1777411349000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10711007241264239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,29]]},"references-count":14,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1177\/10711007241264239"],"URL":"https:\/\/doi.org\/10.1177\/10711007241264239","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,29]]}}}