Managing Acute Ankle and Hindfoot Fracture in Diabetic Patients
The management of ankle fractures in the diabetic population requires special attention as the risks of injury or treatment-related complications are high. Thorough review of clinical history and detailed assessment provide the treating surgeons with key information to guide treatment pathway. Vigilance is required when opting for nonoperative treatment in undisplaced stable ankle fractures in patients with peripheral neuropathy. The presence of critical ischemia in injured limb demands vascular consultation and ultimately, an intervention before surgical fixation of ankle fracture. An extended period of immobilization is ...
Source: Foot and Ankle Clinics - August 6, 2022 Category: Orthopaedics Authors: Ngwe Phyo, Alexander Wee Source Type: research
Distal Metatarsal Osteotomies for Chronic Plantar Diabetic Foot Ulcers
In more than 30 years of scientific literature (1986–2021), the few published studies on the management of CPDFUs by DMOs showed satisfactory clinical and radiographic outcomes. Although these reports were all case series, their data suggest that DMOs, performed at a different level of the distal metatarsal bon es, are an effective surgical treatment option for achieving rapid healing of CPDFUs and preventing their recurrence after balancing the pressures in diabetic forefeet. Hence, DMOs can be a valid alternative treatment method also for CPDFUs with chronic infection, ulcers penetrating deep structures, and even ulc...
Source: Foot and Ankle Clinics - August 6, 2022 Category: Orthopaedics Authors: Carlo Biz, Pietro Ruggieri Source Type: research
Management of Peroneal Tendon Complications
Peroneal tendon injuries are commonly seen in the foot and ankle clinic. These are often related to sporting injuries and twisting injuries of the ankle. These will often be seen in a younger, athletic population. They can take our patients out of their activities and can often be lingering. There are numerous different pathologies that fall within the category of peroneal tendon and lateral ankle injuries including tenosynovitis, tendinopathy, tendon tears, subluxation, or dislocation of the peroneal tendons and often even ankle instability. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - June 1, 2022 Category: Orthopaedics Authors: James P. Davies, W. Bret Smith Source Type: research
Managing Complications of Foot and Ankle Surgery
FOOT AND ANKLE CLINICS (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - June 1, 2022 Category: Orthopaedics Authors: Scott J. Ellis Source Type: research
Copyright
ELSEVIER (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - June 1, 2022 Category: Orthopaedics Source Type: research
Contributors
CESAR DE CESAR NETTO, MD, PhD (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - June 1, 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 - June 1, 2022 Category: Orthopaedics Source Type: research
Contents
Scott J. Ellis (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - June 1, 2022 Category: Orthopaedics Source Type: research
Forthcoming Issues
Managing Challenging Deformities with Arthrodesis of the Foot and Ankle (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - June 1, 2022 Category: Orthopaedics Source Type: research
Managing Complications of Foot and Ankle Surgery
Hallux valgus deformity is nowadays one of the most common and symptomatic disorders affecting the foot. Surgical corrections of hallux valgus deformity are among the most common orthopedic procedures. Despite the general high success rate complications can occur. The treatment of complications start before the first incision has been performed by thorough preoperative planning and choice of the right procedure. Once the complication is evident, thorough planning is necessary to address the patient ’s individual needs. In this paper the treatment of recurrent hallux valgus, hallux varus, malunion, and avascular necrosis ...
Source: Foot and Ankle Clinics - May 11, 2022 Category: Orthopaedics Authors: Hans-J örg Trnka Source Type: research
Complications of Hallux Rigidus Surgery
Hallux rigidus can be treated with a variety of surgical procedures, including joint preserving techniques, arthrodesis, and arthroplasty. The most commonly reported complications for joint preserving techniques consist of progression of arthritis, continued pain, and transfer metatarsalgia. Although good outcomes have been reported for arthrodesis overall, careful attention must be paid to technique and positioning of the toe to avoid nonunion or malunion. Arthroplasty preserves motion but in the case of failure can present the additional challenge of bone loss. In these scenarios, the authors recommend distraction bone b...
Source: Foot and Ankle Clinics - May 11, 2022 Category: Orthopaedics Authors: MAJ Patrick D. Grimm, Todd A. Irwin Source Type: research
Salvage of Failed Lisfranc/Midfoot Injuries
Salvage of Lisfranc, or tarsometatarsal injuries, may be necessary because of a variety of clinical scenarios. Although rare, these injuries represent a broad spectrum of injury to the midfoot ranging from low-energy ligamentous injuries to high-energy injuries with significant displacement and associated fractures. Poor outcomes and complications may occur including posttraumatic arthritis, instability, pain, infection, and loss of function. Strategies and technical considerations for salvage of these complex injuries are provided. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - May 11, 2022 Category: Orthopaedics Authors: Michael Swords, Arthur Manoli, Arthur Manoli Source Type: research
Managing Complications of Foot and Ankle Surgery
Our understanding of the cause and principles of treatment of progressive collapsing foot deformity (PCFD) has significantly evolved in recent decades. The goals of treatment remain improvement in symptoms, correction of deformity, maintenance of joint motion, and return of function. Although notable advancements in understanding the deformity have been made, complications still occur and typically result from (1) poor decision making, (2) technical errors, and (3) patient-related conditions. In this article, we discuss common surgical modalities used in the treatment of PCFD and further highlight the common complications ...
Source: Foot and Ankle Clinics - May 11, 2022 Category: Orthopaedics Authors: Mitchel R. Obey, Jeffrey E. Johnson, Jonathon D. Backus Source Type: research
Persistent Pain After Hindfoot Fusion
One of the most challenging problems facing orthopedic surgeons is persistent pain after surgery and certainly is just as frustrating following hindfoot fusion. The hindfoot joints consist of the subtalar, talonavicular, and calcaneocuboid (CC) joints. These joints are commonly fused for degenerative changes, deformity correction, inflammatory or neuropathic arthropathy, tarsal coalition, or primarily after trauma. Goals of hindfoot fusion are a painless plantigrade foot capable of fitting in shoes without orthotics or a brace. Many believe that deformity correction is achievable without inclusion of the CC joint. Managing...
Source: Foot and Ankle Clinics - May 11, 2022 Category: Orthopaedics Authors: David Vier, John Kent Ellington Source Type: research
Complications of Lesser Toe Surgery
Complications following lesser toe surgery are challenging to manage. The keys to treatment of any of these conditions are, first, to try to avoid them through identification of patient- and surgeon-related variables that contribute to their development and, second, following the occurance of a complication, to understand what can and cannot be corrected with surgical and nonsurgical management. This review provides a comprehensive assessment of current literature, demonstrates best practices and approaches to lesser toe complications, and provides an illustration of clinical examples. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - May 11, 2022 Category: Orthopaedics Authors: Wesley J. Manz, Jason T. Bariteau Source Type: research
