Double and Triple Tarsal Fusions in the Severe Rigid Flatfoot Deformity
A flatfoot deformity is a multiplanar foot deformity characterized by forefoot abduction and supination and hindfoot valgus. With progressive pathology, a rigid deformity may develop. In the setting of a rigid deformity, the appropriate procedure to use is not without controversy. The extent of joints to involve in the arthrodesis depends on the ability to obtain a plantigrade foot. Both double and triple arthrodesis have been suggested. Care must be taken to avoid lateral column shortening and loss of foot reduction when fusing the CC joint. The concerns about lateral skin breakdown led some surgeons to describe a single ...
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Authors: Naji S. Madi, Amanda N. Fletcher, Mark E. Easley Source Type: research
Double and Triple Tarsal Fusions in the Complex Cavovarus Foot
The cavovarus (cavus) foot is one of the most perplexing and challenging of all foot deformities and may prove to be one of the most difficult conditions to treat. This deformity is characterized by increased plantar flexion of the forefoot and midfoot in relation to the hindfoot resulting in high foot arch. Because cavus foot rarely occurs in an isolated form, the term “cavus foot” rather describes a part of a complex multiplanar foot deformity. Because the underlying disease is mostly neurogenic characterized by muscle imbalance in almost every case a combined bony and soft tissue surgery is inevitable. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Authors: Wolfram Wenz Source Type: research
Arthrodesis in the Deformed Charcot Foot
Charcot neuroarthropathy (CN) is a systemic disease that causes fractures, dislocations, and deformities involving the foot and ankle, resulting in substantial risk of ulceration, infection, and function loss. Early recognition and prevention of collapsing foot and ankle are still the best options for the management of patients with diabetic CN. For a successful arthrodesis procedure, the principles of adequate joint preparation, deformity correction, and soft tissue protection and care are essentials, associated with robust fixation (internal and/or external), use of different biological graft options in segmental losses,...
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Authors: Dov Lagus Rosemberg, Rafael Barban Sposeto, Alexandre Leme Godoy-Santos Source Type: research
General Considerations About Foot and Ankle Arthrodesis. Any Way to Improve Our Results?
Nonunion and adjacent joint osteoarthritis (OA) are known complications after a fusion procedure, and foot and ankle surgeons are commonly exposed to such disabling complications. Determining who is at risk of developing nonunion is essential to reducing nonunion rates and improving patient outcomes. Several evidenced-based modifiable risk factors related to adverse outcomes after foot and ankle arthrodesis have been identified. Patient-related risk factors that can be improved before surgery include smoking cessation, good diabetic control (HbAc1 (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Authors: Diogo Vieira Cardoso, Andrea Veljkovic Source Type: research
Tibiotalocalcaneal Arthrodesis in Severe Hindfoot Deformities
Tibiotalocalcaneal arthrodesis (TTCA) is the most common and reliable procedure in the treatment of patients with end-stage ankle arthritis combined with severe deformity. Many of these patients present with difficult previous sequelae that include nonunion, malunion, broken implants, vascular deficiencies, skin problems, or a combination of the previous. In that complex scenario, sometimes the only alternative treatment is a below-the-knee amputation. Image studies ––weightbearing X-rays, tomography, and magnetic resonance - are fundamental to evaluate alignment and bone stock. When all conservative treatments fail to...
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Authors: Pilar Mart ínez-de-Albornoz, Manuel Monteagudo Source Type: research
Learning Through Failure and the Way Forward
It is a big honor to be the guest editor for this issue of Foot and Ankle Clinics of North America. Being guest editor is harder than I ever thought and more rewarding than I could have ever imagined. Orthopedic Foot and Ankle Surgery has advanced dramatically over the last years, notably due to new procedures that have also given rise to new complex scenarios for revision surgery. The additional surgical demands presented by complex deformities after failed surgeries have stimulated the adage that “necessity is the mother of invention” Complex deformities are usually the result of complex cases with suboptimal results...
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Authors: Manuel Monteagudo Tags: Preface Source Type: research
Managing Challenging Deformities with Arthrodesis of the Foot and Ankle
FOOT AND ANKLE CLINICS (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Authors: Manuel Monteagudo Source Type: research
Copyright
ELSEVIER (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Source Type: research
Contributors
CESAR DE CESAR NETTO, MD, PhD (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Source Type: research
Editorial Advisory Board
J. Kent Ellington, MD, MS, FAAOS (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Source Type: research
Contents
Manuel Monteagudo (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Source Type: research
Forthcoming Issues
Applied Translational Research in Foot and Ankle Surgery (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 9, 2022 Category: Orthopaedics Source Type: research
Medial Column Fusions in Flatfoot Deformities
Progressive collapsing foot deformity (PCFD; commonly referred to as flatfoot deformity) is a complex condition classically characterized by hindfoot valgus, midfoot abduction, and forefoot varus. Medial column arthrodesis can be used to reliably correct severe, arthritic, and unstable PCFD involving the medial column. Although both naviculocuneiform arthrodesis and talonavicular arthrodesis have their own indications, patient selection and careful radiographic and clinical assessment are crucial for any medial column arthrodesis. Herein, the authors discuss the indications for medial column arthrodesis procedures, outcome...
Source: Foot and Ankle Clinics - October 25, 2022 Category: Orthopaedics Authors: James A. Lendrum, Kenneth J. Hunt Source Type: research
NEMISIS: Neuropathic Minimally Invasive Surgeries. Charcot Midfoot Reconstruction, Surgical Technique, Pearls and Pitfalls
The last decade has seen a significant development in early surgical intervention for patients with or at risk of ulceration owing to deformity resulting from the sequalae of diabetic foot disease. Midfoot Charcot neuroarthropathy is the most common deformity; its correction is enabled by specialized surgical implants designed to maintain surgical corrections. There has also been an increasing number of orthopedic foot and ankle surgeons, with a specific interest in diabetic foot disease who provide early surgical correction in patients identified as high risk. Minimally invasive surgery using percutaneous incisions comple...
Source: Foot and Ankle Clinics - September 1, 2022 Category: Orthopaedics Authors: Roslyn Miller Source Type: research
Minor Forefoot Amputations in Patients with Diabetic Foot Ulcers
The prevalence of diabetes mellitus, particularly type 2 diabetes, is increasing worldwide. Also, the incidence of both lower limb revascularizations and amputations is increasing. We have less transtibial amputations due to improved diabetes care, but also due to modern treatments, vascular surgery, and development of plastic surgery. With well-planned minor amputations, more limbs can be saved. Minor limb-saving amputations are preferred especially to older diabetes patients, because they have a high-risk contralateral amputations. Losing both limbs causes major problems for patients and their life, risk for lifetime war...
Source: Foot and Ankle Clinics - September 1, 2022 Category: Orthopaedics Authors: Oliver Michelsson, Erkki Tukiainen Source Type: research
