Failed Cavovarus Reconstruction
This article provides an overview of the techniques and strategies to address a failed cavovarus deformity correction. These problems pose significant challenges to the treating surgeons and should be accurately planned before embarking on surgery. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - May 5, 2022 Category: Orthopaedics Authors: Norman Espinosa, Georg Klammer Source Type: research
Ankle and Tibiotalocalcaneal Fusion
Arthrodesis of the ankle and/or tibiotalocalcaneal joints is a reliable treatment of arthritic conditions of the ankle and hindfoot. It may be complicated by infection, nonunion, malunion, fracture, wound complications, nerve injury, and adjacent joint degeneration. These complications may be addressed with a variety of techniques but should be done so carefully so as not to lead to more complex problems. A thorough work-up and discussion should take place prior to any surgical intervention and treatment. Several cases are presented to illustrate revision arthrodesis techniques and the management of these complications. (S...
Source: Foot and Ankle Clinics - May 4, 2022 Category: Orthopaedics Authors: Michael E. Brage, Chelsea S. Mathews Source Type: research
Joint Preservation Strategies for Managing Varus Ankle Deformities
Joint preserving strategies have evolved to a successful treatment option in early and midstage medial ankle OA caused by varus deformity. Though talar tilt can often not be fully corrected, it provides substantial postoperative pain relief, functional improvement, and slowing of the degenerative process. Osseous balancing with osteotomies is the main step for restoration of ankle mechanics and normalization of joint load. Overall, the key for success is to understand the underlying causes that have contributed to the varus OA in each case, and to use all treatment modalities necessary to restore appropriate alignment of t...
Source: Foot and Ankle Clinics - February 24, 2022 Category: Orthopaedics Authors: Beat Hintermann, Roxa Ruiz Source Type: research
Open Ankle Arthrodesis for Deformity Correction
Open ankle arthrodesis remains a reliable solution for ankle arthritis, especially in the setting of deformity. Careful preoperative evaluation needs to be performed, both clinically and radiographically. The specific deformity present helps determine the approach used and the fixation choices. Deformity is most commonly seen intraarticularly, though deformity can also be present anywhere along the lower extremity, including compensatory deformity in the foot. Multiple different techniques can be used to address both the deformity and achieve a successful ankle arthrodesis. Patient outcomes reported in the literature are g...
Source: Foot and Ankle Clinics - February 24, 2022 Category: Orthopaedics Authors: David Vier, Todd A. Irwin Source Type: research
Analysis of Whole Limb Alignment in Ankle Arthritis
A full-length standing posteroanterior radiograph that includes the calcaneus (hip-to-calcaneus radiograph) is obtained for evaluation of the mechanical axis of the entire lower limb in patients with a lower limb condition involving malalignment. Such evaluation clarifies several pathomechanical aspects of hindfoot disorders, facilitates surgical planning, and elucidates factors contributing to unsatisfactory results of a particular operation. Whole limb alignment is influenced not only by the knee joint but also by the ankle joint; thus, knee realignment influences hindfoot alignment and vice versa. It is essential to ana...
Source: Foot and Ankle Clinics - February 24, 2022 Category: Orthopaedics Authors: Naoki Haraguchi Source Type: research
Let ’s Get to Work!
Dear Foot and Ankle Clinics of North America Colleagues and Friends, (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2022 Category: Orthopaedics Authors: Cesar de Cesar Netto Tags: Foreword Source Type: research
Alternatives to Ankle Joint Replacement
FOOT AND ANKLE CLINICS (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2022 Category: Orthopaedics Authors: Woo-Chun Lee Source Type: research
Copyright
ELSEVIER (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 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 - February 24, 2022 Category: Orthopaedics Source Type: research
Contributors
CESAR DE CESAR NETTO, MD, PhD (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2022 Category: Orthopaedics Source Type: research
Contents
Cesar de Cesar Netto (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2022 Category: Orthopaedics Source Type: research
Forthcoming Issues
Managing Complications of Foot and Ankle Surgery (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2022 Category: Orthopaedics Source Type: research
Correction of the Valgus Ankle with a Joint Sparing Supra-Malleolar Osteotomy
The valgus ankle is a common cause of pain, deformity, and disability in patients. Addressing these deformities with extraarticular osteotomies is a valuable, joint-sparing treatment option. The modified Wiltse osteotomy provides correction of the mechanical alignment as well as allowing inherent stability. Accurate templating of the Wiltse triangle enables reproducible, accurate intraoperative results. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - January 31, 2022 Category: Orthopaedics Authors: Ignatius P.S. Terblanche, Jacques du Toit Source Type: research
The Assessment of Ankle Osteoarthritis with Weight-Bearing Computed Tomography
The standard for diagnostic radiographic imaging in foot and ankle surgery was until 2012 radiographs with full weight-bearing without any useful alternative. Weight-bearing cone-beam computed tomography (WBCT) was introduced 2012 for foot and ankle use as a new technology that allows 3D imaging with full weight-bearing which should be not influenced by projection and/or foot orientation. The assessment of ankle osteoarthritis with WBCT including the description of healthy status, effect of alignment and7or (in)stability is extensively illustrated in this review article. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - January 27, 2022 Category: Orthopaedics Authors: Martinus Richter, Cesar de Cesar Netto, Francois Lintz, Alexej Barg, Arne Burssens, Scott Ellis Source Type: research
Joint Preserving Surgery for Valgus Ankle Osteoarthritis
Valgus ankle OA is a complex problem with multiple etiologies that can either be isolated or superimposed on top of other medical or musculoskeletal disorders. Proper medical history, physical, and preoperative radiological examinations are crucial in deciding on surgery and planning the surgical approach. JPS, especially the varisating medial closing-wedge SMOT with solid plate fixation, has been consistently associated with good outcomes for patients with valgus ankle OA. To further improve JPS for valgus ankle OA, further clinical and biomechanical studies are required to address the long-term clinical and functional ou...
Source: Foot and Ankle Clinics - January 27, 2022 Category: Orthopaedics Authors: Ahmad Alajlan, Victor Valderrabano Source Type: research
