Contributors
CESAR DE CESAR NETTO, MD, PhD (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 19, 2023 Category: Orthopaedics Source Type: research
Editorial Advisory Board
Caio Augusto de Souza Nery, MD (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 19, 2023 Category: Orthopaedics Source Type: research
Contents
Alessio Bernasconi (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 19, 2023 Category: Orthopaedics Source Type: research
Forthcoming Issues
Updates on Total Ankle Replacement (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 19, 2023 Category: Orthopaedics Source Type: research
Challenges in Total Ankle Replacement in Post-Traumatic Ankle Osteoarthritis
A previous trauma is the most common origin of ankle osteoarthritis. Patients with post-traumatic osteoarthritis are generally younger. Due to the previous trauma and surgical treatment, the surrounding soft tissues are often scarred and inelastic. Structural changes of the osteoarthritic ankle are often significant, including deformity and instability, thus making the replacement surgery highly complex. Careful clinical examination and thorough radiographic assessment are mandatory to anticipate potential problems during TAR surgery and complications. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 12, 2023 Category: Orthopaedics Authors: Roxa Ruiz, Beat Hintermann Source Type: research
Outcomes of Total Ankle Arthroplasty After Reoperation due to Gutter Impingement
Gutter impingement is one of the most common causes of subsequent surgery after total ankle arthroplasty (TAA). Although gutter debridement has been reported to resolve preoperative symptoms early on, persistent pain after surgery, recurrence, and poor functional outcome scores have been described in patients who have undergone reoperation for gutter debridement. The cause of gutter impingement after TAA is multifactorial, and a better understanding of its causes and optimal surgical techniques for intervention is needed. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 10, 2023 Category: Orthopaedics Authors: Jaeyoung Kim, Constantine Demetracopoulos Source Type: research
What You Will Find in this Collection of Current Total Ankle Arthroplasty Articles
I am honored that Cesar asked me to serve as guest editor. My Duke colleagues and I continue to advance the practice and science of total ankle arthroplasty (TAA), and our original work is frequently enhanced through our review of the experience and research of other investigators dedicated to improving the lives of their patients with end-stage ankle arthritis. I am privileged to present this collection of articles written by a talented group of international experts in TAA. I am thankful to them for agreeing to participate in this meaningful educational endeavor, and I am humbled by their excellent contributions. (Source...
Source: Foot and Ankle Clinics - October 7, 2023 Category: Orthopaedics Authors: Mark E. Easley Tags: Preface Source Type: research
Posttraumatic Pathologies of the First Metatarsophalangeal Joint
Injuries to the first metatarsophalangeal joint are often missed and not adequately treated, resulting in secondary deformities and degenerative arthritis. The particular anatomy of the joint puts mainly soft tissue structures at risk, which is why conditions such as turf toe injury and valgus or varus deformities can occur. Because the sesamoid bones are receiving high pressures, fractures should be considered. Many conditions can be treated conservatively by offloading, immobilization, or taping. Surgical options for high instability, dislocated fractures, or advanced cartilage damage should be recommended. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 6, 2023 Category: Orthopaedics Authors: Kathrin Pfahl, Carla Weber, Markus Walther Source Type: research
Delayed Diagnosis of Syndesmotic Injury
This article presents a simple and reproducible algorithm with case examples for the management of syndesmotic injuries with delay in diagnosis to help guide surgeons when determining the best treatment strategies for this complex injury. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 5, 2023 Category: Orthopaedics Authors: Arianna L. Gianakos, Panagiotis D. Symeonidis Source Type: research
Diagnosing and Managing Infection in Total Ankle Replacement
Infections after total ankle replacement (TAR) within the first 4 weeks after implantation can be managed successfully with 1 or several debridements, irrigation, and a change of polyethylene inlay. Late infections require implant removal. Low-grade infections might be an underestimated problem so far. Although single-surgery revisions are reported in the litera ture, the authors’ experience with 2-stage revisions using an antibiotics-loaded bone cement spacer is better. Additional antibiotics are used to support the surgical treatment. After antibiotic therapy of 12 weeks, the final treatment includes ankle or tibio-...
Source: Foot and Ankle Clinics - October 3, 2023 Category: Orthopaedics Authors: Markus Walther, Veit Krenn, Kathrin Pfahl Source Type: research
Quality of Outcomes Research in Total Ankle Arthroplasty
Total ankle arthroplasty is a topic that has recently gained increasing interest, largely due to the improved outcomes, which have been demonstrated by short- and mid-term research studies on the newer, third-generation implant designs. The purpose of this review is to provide an updated assessment of the quality of outcomes research on total ankle arthroplasty. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - September 27, 2023 Category: Orthopaedics Authors: Kamran Hamid, Ryan LeDuc Source Type: research
Cartilage Injuries
The last several decades have brought about substantial development in our understanding of the biomolecular pathways associated with chondral disease and progression to arthritis. Within domains relevant to foot and ankle, genetic modification of stem cells, augmentation of bone marrow stimulation techniques, and improvement on existing scaffolds for delivery of orthobiologic agents hold promise in improving treatment of chondral injuries. This review summarizes novel developments in the understanding of the molecular pathways underlying chondral damage and some of the recent advancements within related therapeutics. (Sou...
Source: Foot and Ankle Clinics - September 21, 2023 Category: Orthopaedics Authors: Albert T. Anastasio, Samuel B. Adams Source Type: research
Bilateral Total Ankle Arthroplasty
Patients with bilateral ankle arthritis have higher rates of primary and secondary/inflammatory arthritis and a more debilitating condition than those with unilateral pathology. The limited bilateral total ankle arthroplasty (TAA) literature supports both 1-surgeon and 2-surgeon team bilateral TAAs as safe and effective with comparable improvements in patient-reported outcome measures (PROMs), complications, reoperations, and prosthesis survival as unilateral TAA and staged bilateral TAA. Additional benefits of bilateral arthroplasty supported in the hip and knee literature include cost reduction, noninferior and even supe...
Source: Foot and Ankle Clinics - September 21, 2023 Category: Orthopaedics Authors: Amanda N. Fletcher Source Type: research
Ankle Cartilage
The current concepts thoroughly highlight the ankle cartilage cascade focusing on the different stages and the different etiologic factors that can introduce a patient into the cascade. Moreover, the authors will provide the reader with a comprehensive overview of the types of lesions that may present as symptomatic, asymptomatic, and dangerous for progression into osteoarthritis, and the authors supply the reader with considerations and directions for future clinical implications and scientific endeavors. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - September 20, 2023 Category: Orthopaedics Authors: Jari Dahmen, Gino M.M.J. Kerkhoffs, Sjoerd A.S. Stufkens Source Type: research
Outcomes of Revision Total Ankle Replacement
The objective of this study is to provide an up-to-date review of the outcomes of revision total ankle arthroplasty (TAA). Relevant studies published over the last decade were reviewed. Twelve studies were included. At a median follow-up of 4 years, the median survival and reoperation rates were 86% and 16%, respectively. Significant postoperative improvements in patient-reported outcome measures were recorded in 6 studies. Significant improvement in alignment was documented in 1 study only. Revision TAA is a safe procedure that can pr oduce good outcomes. Nevertheless, data relating to long-term outcome are still limite...
Source: Foot and Ankle Clinics - September 20, 2023 Category: Orthopaedics Authors: Bakur A. Jamjoom, Sunil Dhar Source Type: research
