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Grants and Funding in Podiatric Science
Evidence-based research is essential to improving podiatric medicine and surgery; however, there are many barriers to conducting research, with a major limitation being lack of research funding. There are various grants and funding sources available to podiatric surgeon scientists, but navigating through the resources can be daunting. In this article, we provide a framework for grant writing and funding opportunities for podiatric surgeons to consider. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - August 2, 2023 Category: Podiatry Authors: Aksone Nouvong, Jessica Jaswal, David Aungst Source Type: research

Epilogue
In this article I reflect on almost 40 years of clinical practice. I remember the first day like it was yesterday, and I remember the last day, but the in between represents my soul, a soul that has been shaped by countless experiences. Some of these experiences were immediately impactful and left an indelible mark on my soul, but most of them were memorable only for a fleeting moment, soon to be forgotten. Yet the cumulation of these seemingly trivial experiences, in retrospect, served as the foundation of my career at Kaiser Permanente. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - July 26, 2023 Category: Podiatry Authors: John M. Schuberth Source Type: research

Management of High-Risk Ankle Fractures
We present the principles of treatment in high-risk ankle fractures, operative treatment philosophy illustrating techniques frequently used at our institution, and a review of current literature. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - July 25, 2023 Category: Podiatry Authors: Craig Krcal, David R. Collman Source Type: research

The Lapidus Bunionectomy Revolution
Hallux valgus is a common foot deformity in which many surgical techniques have been introduced. Originally, Paul Lapidus detailed a midfoot arthrodesis technique to address the deformity and medial column instability that served as the foundation for the modified Lapidus bunionectomy. The appreciation of the multiplanar nature of hallux valgus deformity continues to evolve and helps to guide the investigation of the ideal surgical correction to yield more predictable results and reduced complications. Various fixation constructs have been used over the years for the Lapidus bunionectomy without a clear superior fixation t...
Source: Clinics in Podiatric Medicine and Surgery - July 19, 2023 Category: Podiatry Authors: Christy M. King, Francesca M. Castellucci-Garza Source Type: research

Considerations in Charcot Reconstruction
This article discusses the authors ’ approach to Charcot reconstruction in a large integrated health care system. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - July 18, 2023 Category: Podiatry Authors: Luke J. McCann, Joseph D. Dickinson Source Type: research

Clubfoot
The Ponseti method has proven to be successful in the treatment of both isolated and non-isolated clubfoot. The method should be executed prior to any pediatric invasive procedures and likewise should be attempted with any pediatric recurrence. A thorough neurologic examination and attention to clinical signs will help distinguish the atypical clubfoot. Despite this approach some children do require return to serial casting, physical therapy, and or surgery to achieve a plantigrade functional foot. Bracing strategies at a time of growth remain key. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - July 18, 2023 Category: Podiatry Authors: Mitzi L. Williams, Matthew B. Dobbs Source Type: research

Batting Cleanup
Surgical complications are a part of every surgeon ’s practice. Managing your own complications or one from another provider requires carefully reviewing your patient’s previous experience and surgery along with balancing their expectations. In order to provide the best treatment plan, a thorough analysis of the pre and postoperative period that contributed to the patient’s outcome must be considered. Identifying what revision options are available and weighing the potential future complications that could arise from another surgery must be reviewed. Honest conversations regarding revision options and if revision sur...
Source: Clinics in Podiatric Medicine and Surgery - July 17, 2023 Category: Podiatry Authors: Jessica Lickiss, Glenn Weinraub Source Type: research

The Navicular Cuneiform Joint
Naviculocuneiform arthrodesis, while often used to support the medial column during management of primary/post-traumatic arthritis, deformity correction, or in the surgical treatment of progressive collapsing foot deformity, can develop nonunion. Addressing this condition hinges on the assessment of various parameters such as patient/host factors and recognition of the etiology of the nonunion. In this article, methods of optimizing this surgical intervention through anatomic and physiologic considerations are highlighted. Further, information is provided to assist foot and ankle surgeons in performing a comprehensive work...
Source: Clinics in Podiatric Medicine and Surgery - July 7, 2023 Category: Podiatry Authors: Dominick Casciato, Jacob Wynes Source Type: research

Revision of Subtalar Joint Arthrodesis
Subtalar joint arthrodesis is a commonly used procedure for numerous pathologic conditions in the foot and ankle. Although rarely performed in isolation, this procedure can provide successful resolution of various lower-extremity complaints. There are traditional approaches to isolated subtalar joint arthrodesis; however, when these fail, the authors recommend alternatives to enhance the success of revisional surgery. These include the use of intramedullary nailing, larger harvest of autograft, and metallic wedge. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - July 7, 2023 Category: Podiatry Authors: Ryan J. Lerch, Amar Gulati, Peter D. Highlander Source Type: research

The Ankle Joint
Segmental bone loss of the distal tibia and/or talus presents a challenge to successful reconstruction for the foot and ankle surgeon. When conservative care has been exhausted, multiple surgical treatment options are available including bone transport, bulk allografts, bulk autografts, titanium cages, and external fixation techniques. The primary goals of surgical correction include restoration of limb length as well as a plantigrade, stable lower extremity. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - July 7, 2023 Category: Podiatry Authors: Helene R. Cook, Garret Strand, Collin Messerly, Jason Nowak Source Type: research

Management of Talar Avascular Necrosis with Total Talus
This article aims to review literature, surgical techniques, and pearls to better help foot and ankle surgeons treat cases of talar AVN. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - July 7, 2023 Category: Podiatry Authors: James M. Cottom, Jay S. Badell, Joseph R. Wolf Source Type: research

The Role of Supramalleolar Osteotomies in Ankle Arthritis
The supramalleolar osteotomy (SMO) is a joint-preserving surgical procedure that allows realignment of the ankle joint in severe deformity secondary to arthritis. This osteotomy realigns the mechanical axis to provide better weight distribution through the ankle joint. With an aligned mechanical axis, the overloaded asymmetric ankle joint will shift toward the preserved joint area in a valgus or varus ankle joint. The SMO also can be used via a staged approach to correct severe deformity in an end-stage arthritic ankle before total ankle arthroplasty to optimize the implant ’s longevity and improve overall functional out...
Source: Clinics in Podiatric Medicine and Surgery - July 7, 2023 Category: Podiatry Authors: Sara Mateen, Noman A. Siddiqui Source Type: research

The First Metatarsophalangeal Joint
This article reviews first MPJ arthrodesis as a procedure for revisional surgery of the first ray, and potential surgical options after failed primary first MPJ arthrodesis. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - July 6, 2023 Category: Podiatry Authors: Joshua A. Sebag, Robert C. Clements, Cody J. Togher, Elizabeth C. Connolly Source Type: research

The Ankle Joint
The vast majority of ankle arthritis is post-traumatic in nature, with rates of 60% to 80%. Symptoms include pain, decreased range of motion, and joint effusion. Diagnostic imaging is helpful in determining the degree of joint degeneration, with MRI and CT scan being the most sensitive. Conservative treatment modalities are targeted at reducing symptoms and improving function. Injectable therapy has gained popularity over the last few decades, with advancements in biologic treatments. Corticosteroids, hyaluronic acid, platelet-rich plasma, and amniotic tissue-derived products can be used to reduce inflammation in the joint...
Source: Clinics in Podiatric Medicine and Surgery - July 4, 2023 Category: Podiatry Authors: Kyle S. Peterson, Vincent Vacketta, Amber Kavanagh Source Type: research

Updates of Total Ankle Replacement Revision Options
This article discusses the considerations for revision total ankle replacement based on the current revision options and a treatment algorithm developed by the lead author. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - July 2, 2023 Category: Podiatry Authors: Vincent G. Vacketta, Jacob M. Perkins, Christoper F. Hyer Source Type: research