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Foreword
When I first started as Consulting Editor in 2018, one of the first topics I selected was a “Trauma Update 2018.” Dr Justin Fleming was the Guest Editor on that particular issue, and I gave well-deserved recognition to Drs Jack Schuberth and George Gumann, who paved the way for many of our podiatric colleagues managing lower-extremity trauma in their communities. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - April 4, 2024 Category: Podiatry Authors: Thomas J. Chang Tags: Foreword Source Type: research

Pediatric Trauma
Pediatric foot and ankle trauma includes a range of injuries affecting the lower extremities in children, typically aged from infancy to adolescence. These incidents can arise from various causes, including sports-related accidents, falls, and high-velocity injuries. Due to the dynamic growth and development of bones and soft tissues in pediatric patients, managing these injuries requires specialized knowledge and care. Early diagnosis and appropriate treatment are crucial to ensure optimal recovery and prevent potential long-term consequences. Treatment depends on severity and type of injury but may involve a combination ...
Source: Clinics in Podiatric Medicine and Surgery - March 21, 2024 Category: Podiatry Authors: Mark H. Hofbauer, Sriya S. Babu, Crystal-Dawn L. Bradshaw Source Type: research

Preface
Over 20 years ago, both of us entered the operating room with a completely different landscape. There was an improved understanding of anatomic fixation of fractures and a widespread acceptance of open reduction and internal fixation principles. However, the superior results achieved by these techniques faced appropriate skepticism, which forced the orthopedic and podiatric community to continue to advance technology, research, and training. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - March 9, 2024 Category: Podiatry Authors: J. Randolph Clements, Mark H. Hofbauer Source Type: research

Lisfranc Injuries
Lisfranc injuries were thought to primarily occur during high-energy events, leading to a preference for fusion treatment; however, recent data have shifted this perspective by highlighting a greater occurrence of low-energy injuries and reshaping the focus on open reduction internal fixation. This multifaceted process is guided by various factors, including the nature of the injury, specific anatomic considerations, and the involved joints. Our overarching goal remains to achieve anatomic reduction, with flexibility in hardware fixation methods. In cases of comminution, bridge plating may be warranted, potentially followe...
Source: Clinics in Podiatric Medicine and Surgery - March 5, 2024 Category: Podiatry Authors: Mark H. Hofbauer, Sriya S. Babu, Austin Vonasek Source Type: research

Management of Pilon Fractures
This article discusses various ways to manage pilon fractures. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - February 28, 2024 Category: Podiatry Authors: Kelly A. Kugach, Wesley Maurice Leong, John Randolph Clements Source Type: research

Rearfoot and Ankle Dislocations
Subtalar dislocations, ankle dislocations, and total talar dislocations are high-energy injuries. As such, there may be associated osseous or soft tissue injuries that can be diagnosed with advanced imaging such as computed tomography (CT) or MRI. With closed injuries, closed reduction may require sedation or general anesthesia, flexion of the knee to release the tension of the gastrocnemius-soleus complex, distraction is applied, the deformity is accentuated, then the deformity is corrected. Open injuries are usually associated with a higher level of energy and a higher rate of infection. It is important to thoroughly irr...
Source: Clinics in Podiatric Medicine and Surgery - February 28, 2024 Category: Podiatry Authors: Travis Motley Source Type: research

Soft Tissue Coverage for Foot and Ankle Trauma
Lower extremity trauma can result in extensive soft tissue loss, which can require a staged multispecialty approach. Flaps can be an excellent choice for significant soft tissue loss. A variety of variables goes into the selection of a flap including understanding what the recipient site needs, available donor sites, nature of trauma, and utilization of indices to predict limb salvageability in order to strategically select the correct flap option. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - February 27, 2024 Category: Podiatry Authors: Kelly Kugach, Peter J. Apel Source Type: research

Syndesmotic Injuries
Syndesmotic ankle injuries, though rare in isolation, are complex destabilizing injuries often accompanied by fractures. Misdiagnoses, particularly overlooking posterior malleolus fractures, are common in ankle sprains. Thorough physical examinations, emphasizing high fibular pain and anterior tibia palpation, aid in accurate diagnosis. Grading helps assess injury severity and guiding treatment. Initial imaging involves three ankle views, with stress radiographs enhancing accuracy. If conservative care fails, MRI reveals ligament and tendon damage. Physical therapy may suffice for functional instability; surgical intervent...
Source: Clinics in Podiatric Medicine and Surgery - February 27, 2024 Category: Podiatry Authors: Mark H. Hofbauer, Sriya S. Babu Source Type: research

Venous Thromboembolism in Foot and Ankle Trauma
Every surgeon may have experienced a tragic event associated with death or debilitation secondary to deep vein thrombosis (DVT) or pulmonary embolism (PE) after foot and ankle trauma and surgery. Nevertheless, the prevention of such a tragic event needs to be carefully evaluated rationally with currently available epidemiologic data. With great postoperative protocols and access to care, most PE events can be prevented. There are modifiable risk factors, such as length/type of immobilization and operative trauma/time that can lower the incidence of DVT/PE. In addition, chemical prophylaxis may be warranted in certain peopl...
Source: Clinics in Podiatric Medicine and Surgery - February 23, 2024 Category: Podiatry Authors: Naohiro Shibuya, Christopher Zimmer, Danial C. Jupiter Source Type: research

The State Of Podiatric Science
CLINICS IN PODIATRIC MEDICINE AND SURGERY (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - February 21, 2024 Category: Podiatry Authors: Andrew J. Meyr Source Type: research

Copyright
ELSEVIER (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - February 21, 2024 Category: Podiatry Source Type: research

Contributors
THOMAS J. CHANG, DPM (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - February 21, 2024 Category: Podiatry Source Type: research

Contents
Thomas J. Chang (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - February 21, 2024 Category: Podiatry Source Type: research

Forthcoming Issues
Current Concepts in Foot and Ankle Trauma (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - February 21, 2024 Category: Podiatry Source Type: research

Fifth Metatarsal Fractures
Fifth metatarsal features are the most common fractures in the foot. They have a long history that has resulted in many classification systems and little consensus on appropriate treatment. Although there is some agreement among experts, there are also many questions yet to be answered. There is a general consensus that dancer ’s fractures and zone 1 fractures can generally be treated nonoperatively. There is much more debate about zone 2 and 3 fractures and appropriate treatment guidelines. The authors review the current literature and give the recommendation for treatment based on their experience in a community-based ...
Source: Clinics in Podiatric Medicine and Surgery - February 20, 2024 Category: Podiatry Authors: Michael Keller, Brett Saltrick, Logan Gull, Brian Reade Source Type: research