The Role of Distraction Arthroplasty in Managing Ankle Osteoarthritis
Ankle distraction arthroplasty (DA) is a joint-preserving option for the treatment of ankle osteoarthritis. The ideal patient is a young, active person who is compliant with follow-up and understands that clinical improvements may not be fully evident until 1 year after surgery. The procedure promotes cartilage healing and regeneration by removing mechanical stress at the joint surface through the application of a joint-spanning external fixator. There is an array of adjuvant procedures commonly performed to optimize healing potential —including microfracture, osteophyte removal, osteotomies, and soft tissue balancing pr...
Source: Foot and Ankle Clinics - January 27, 2022 Category: Orthopaedics Authors: Alirio J. deMeireles, Ettore Vulcano Source Type: research
The Role of Anterior Ankle Arthroscopy in the Management of Ankle Arthritis
The current body of literature regarding anterior ankle arthroscopic debridement for anterior ankle impingement (AAI) cases with ankle osteoarthritis (OA) has significant limitations. The reported poor outcomes lack the necessary rigor in patient selection, preoperative evaluations and in most reports, the use of a systematic operative approach. Furthermore, the lack of postoperative evaluation by authors using physical examination and radiologic studies to determine the etiology of ongoing pain leaves open the possibility that treatment of impingement was incomplete. For these reasons, it would be inappropriate to conclud...
Source: Foot and Ankle Clinics - January 27, 2022 Category: Orthopaedics Authors: John E. Femino, Alan Shamrock Source Type: research
Correction of Sagittal Plane Deformity of the Distal Tibia
Distal tibia sagittal plane deformities are a frequent finding in tibial malunions (antecurvatum or recurvatum) or ankle posttraumatic arthritis (anterior or posterior ankle arthritis). They should be evaluated in all deformities using long leg and tibia radiographs. Measuring the anterior distal tibia angle is necessary to evaluate the deformity severity. To evaluate the magnitude of secondary talar anterior or posterior displacement, the tibial axis to talus ratio and/or the talar lateral process position relative to the tibia axis should be measured. Anterior closing or opening wedge osteotomies are the recommended trea...
Source: Foot and Ankle Clinics - January 27, 2022 Category: Orthopaedics Authors: Emilio Wagner, Pablo Wagner Source Type: research
Deciding Between Ankle and Tibiotalocalcaneal Arthrodesis for Isolated Ankle Arthritis
After isolated ankle (tibiotalar) arthrodesis, the triceps progressively shifts the subtalar joint into varus thus blocking compensatory motion from the midtarsal joints. In a tibiotalocalcaneal arthrodesis, the subtalar may be fixed with the correct valgus. Comparison between ankle and tibiotalocalcaneal arthrodesis does not clearly favor one over another for pain relief, satisfaction, and gait analysis. Compensatory sagittal plane motion through the midtarsal joints when the subtalar is fixed in valgus may be responsible for these results. Tibiotalocalcaneal arthrodesis has become our procedure of choice over isolated ti...
Source: Foot and Ankle Clinics - January 27, 2022 Category: Orthopaedics Authors: Manuel Monteagudo, Pilar Mart ínez-de-Albornoz Source Type: research
Arthroscopic Ankle Arthrodesis
This article describes the surgical technique of arthroscopic ankle arthrodesis and discusses the outcome compared with that of open ankle fusion and total ankle replacement. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - January 3, 2022 Category: Orthopaedics Authors: Anna-Kathrin Leucht, Andrea Veljkovic Source Type: research
Joint Preservation Surgery for Varus and Posterior Ankle Arthritis Associated with Flatfoot Deformity
This article introduces novel types of ankle arthritis related to a flatfoot deformity. There has been a long-held belief that severe unmanaged flatfoot deformity leads to valgus ankle arthritis, due to deltoid ligament insufficiency. However, flatfoot deformity can also give rise to varus ankle arthritis as the talus and calcaneus subluxate into opposite directions. Plantarflexion and posterior translation of the talus in the sagittal plane contributes to the eccentric narrowing of the posterior aspect of the tibiotalar joint, which the authors termed posterior ankle arthritis. Subtalar arthrodesis was performed to addres...
Source: Foot and Ankle Clinics - January 3, 2022 Category: Orthopaedics Authors: Jaeyoung Kim, Woo-Chun Lee Source Type: research
Alternatives to Ankle Joint Replacement
The gradual and continuous increase in frequency of total ankle replacement (TAR) implies its favorable results compared with other options for management of end-stage ankle arthritis. However, long-term results following TAR are not known, and comparisons with conventional treatments, such as ankle arthrodesis, do not show a definitive advantage of TAR over ankle arthrodesis. Considering the relatively young age of patients with ankle arthritis coupled with the uncertainty of TAR longevity, it would seem that preventing or halting the progression of ankle arthritis in its earlier stages is of utmost importance. (Source: F...
Source: Foot and Ankle Clinics - December 2, 2021 Category: Orthopaedics Authors: Woo-Chun Lee Tags: Preface Source Type: research
The Pediatric Foot in Neurologic Disorders
Every child with a neuromotor disorder is at risk for the development or a deterioration of foot deformities. This relates to central and peripheral diseases. Almost any kind of deformity may occur. As the basic problems mostly remain, a multidisciplinary team care program is necessary in addition to surgical management of the feet. Surgery must respect any muscle imbalance as well as joint deformities and instabilities. Postoperative orthotic support supplements most treatments. Long-term follow-ups are strongly advised to detect any recurrences or overcorrections. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 29, 2021 Category: Orthopaedics Authors: Leonard Doederlein Source Type: research
Getting My Feet Wet!
Dear Foot and Ankle Community Friends, (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 29, 2021 Category: Orthopaedics Authors: Cesar de Cesar Netto Tags: Foreword Source Type: research
Foot Ankle Deformity in the Child
FOOT AND ANKLE CLINICS (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 29, 2021 Category: Orthopaedics Authors: Maurizio De Pellegrin Source Type: research
Copyright
ELSEVIER (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 29, 2021 Category: Orthopaedics Source Type: research
Contributors
CESAR DE CESAR NETTO, MD, PhD (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 29, 2021 Category: Orthopaedics Source Type: research
Editorial Advisory Board
J. Kent Ellington, MD, MS, FAAOS (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 29, 2021 Category: Orthopaedics Source Type: research
Contents
Cesar de Cesar Netto (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 29, 2021 Category: Orthopaedics Source Type: research
Forthcoming Issues
Alternatives to Ankle Joint Replacement (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 29, 2021 Category: Orthopaedics Source Type: research
