Cheilectomy for Hallux Rigidus
Hallux rigidus is a degenerative condition leading to arthritis of the first metatarsophalangeal joint. Cheilectomy is a surgical procedure that is used in the treatment of hallux rigidus. It removes dorsal and dorsomedial or dorsolateral osteophytes, primarily relieving the impingement at the first metatarsophalangeal joint, which causes patients pain. The minimally invasive technique has proven to be an excellent technique to remove bony spurs to relieve symptoms with minimal surgical complications and fast recovery time. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - May 23, 2016 Category: Orthopaedics Authors: Aisha Razik, A.H. Sott Source Type: research

Minimally Invasive Arthrodesis of 1st Metatarsophalangeal Joint for Hallux Rigidus
This article describes and discusses a percutaneous technique that has been successfully used to achieve a pain-free stable and functional 1st metatarsophalangeal joint. All aspects of surgical indication and operative technique and details of patient-reported outcomes are presented with a referenced discussion. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - May 23, 2016 Category: Orthopaedics Authors: A.H. Sott Source Type: research

Cheilectomy for Hallux Rigidus
Hallux rigidus is a degenerative condition leading to arthritis of the first metatarsophalangeal joint. Cheilectomy is a surgical procedure that is used in the treatment of hallux rigidus. It removes dorsal and dorsomedial or dorsolateral osteophytes, primarily relieving the impingement at the first metatarsophalangeal joint, which causes patients pain. The minimally invasive technique has proven to be an excellent technique to remove bony spurs to relieve symptoms with minimal surgical complications and fast recovery time. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - May 23, 2016 Category: Orthopaedics Authors: Aisha Razik, A.H. Sott Source Type: research

Minimally Invasive Arthrodesis of 1st Metatarsophalangeal Joint for Hallux Rigidus
This article describes and discusses a percutaneous technique that has been successfully used to achieve a pain-free stable and functional 1st metatarsophalangeal joint. All aspects of surgical indication and operative technique and details of patient-reported outcomes are presented with a referenced discussion. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - May 23, 2016 Category: Orthopaedics Authors: A.H. Sott Source Type: research

Controversies and Trends in United Kingdom Bunion Surgery
Current practice and controversies in UK bunion surgery are discussed. Patients tend to be offered a distally based metatarsal osteotomy, such as a chevron or scarf osteotomy, for mild to moderate symptomatic bunions. Greater deformities are managed with a more extreme scarf, supplemented with a proximal phalangeal osteotomy. A proximal fusion in the form of the Lapidus-type procedure is still reserved for the most severe, hypermobile, or arthritic cases. Minimally invasive techniques for bunions have failed to disseminate into common UK practice. The trends in the United Kingdom regarding litigation, venous thromboembolis...
Source: Foot and Ankle Clinics - April 5, 2016 Category: Orthopaedics Authors: William D. Harrison, Christopher R. Walker Source Type: research

Sports Medicine and Arthroscopic Treatment of the Foot and Ankle
Foot and ankle abnormalities are common in Singapore because of the compulsory conscription, the slipper-wearing culture, and the promotion of healthy living through exercise. The rapidly aging population, lack of elite sportsmen, and social and cultural norms pose unique challenges to foot and ankle surgery. Orthopedic surgery in Singapore has progressed because of the good infrastructure and modern practices executed by fellowship-trained surgeons. Evolving local practices are polarized by practice trends emulated from North America and Europe. The small community of foot and ankle surgeons currently practicing in Singap...
Source: Foot and Ankle Clinics - April 4, 2016 Category: Orthopaedics Authors: Sean Wei Loong HO, Gowreeson Thevendran Source Type: research

Current Swiss Techniques in Management of Lisfranc Injuries of the Foot
This article outlines current techniques in the management of Lisfranc injuries and resultant postoperative outcomes in a level I trauma center. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - April 4, 2016 Category: Orthopaedics Authors: Fabian Krause, Timo Schmid, Martin Weber Source Type: research

Foot and Ankle Injuries in Professional Soccer Players
Soccer is one of the most popular sports in the world. It has undergone many changes in recent years, mainly because of increased physical demands, and this has led to an increased injury risk. Direct contact accounts for half of all injuries in both indoor and outdoor soccer and ankle sprains are the most common foot and ankle injury. There is a spectrum of foot and ankle injuries and their treatment should be individualized in these high-demand patients. An injury prevention program is also important and should the players, the trainer, responsible physician, and physical therapists. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - April 1, 2016 Category: Orthopaedics Authors: Caio Nery, Fernando Raduan, Daniel Baumfeld Source Type: research

What ’s New in Severe Deformity Correction
This article presents some basic principles for evaluating the deformity and a toolkit of procedures to deal with these complex cases. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - March 30, 2016 Category: Orthopaedics Authors: Sebastian Schmitt, Anna C. Peak, Gregor Berrsche, Wolfram Wenz Source Type: research

What’s New in Severe Deformity Correction
This article presents some basic principles for evaluating the deformity and a toolkit of procedures to deal with these complex cases. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - March 30, 2016 Category: Orthopaedics Authors: Sebastian Schmitt, Anna C. Peak, Gregor Berrsche, Wolfram Wenz Source Type: research

Recent Advances in Foot and Ankle Surgery in Mainland China
Foot and ankle physicians in China encounter quite a large amount of severe and complex deformities. The main cause of severe ankle and foot deformity is trauma, while the other causes may be neuromuscular diseases, improper reduction and fixation and so on. Staged procedure may sometimes be a safer way to correct deformities in the presence of severe soft tissue contracture. Periarticular osteotomy combined with soft tissue balancing can be used in treating severe varus ankle arthritis, including stage IIIb cases and patients with talar tilt of more than 10 degrees. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - March 30, 2016 Category: Orthopaedics Authors: Yuan Zhu, Xiang-yang Xu, Bi-bo Wang Source Type: research

Supramalleolar Osteotomies for Posttraumatic Malalignment of the Distal Tibia
Supramalleolar osteotomies of the tibia (SMOT) for posttraumatic distal tibial malalignment has shown to reduce pain, improve function and radiographic signs of osteoarthritis, and delay ankle arthrodesis or total joint replacement. The procedure also protects the articular cartilage from further degenerative processes by shifting and redistributing loads in the ankle joint. It is technically demanding and requires extensive preoperative planning. The type of osteotomy (opening vs closing wedge) does not influence the final outcome. However, based on the limited evidence, a grade I treatment recommendation has been given f...
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: Fabian Krause, Andrea Veljkovic, Timo Schmid Source Type: research

Corrective Osteotomies for Malunited Malleolar Fractures
Ankle fractures are common and may be treated nonoperatively or by reduction and internal fixation. Both treatments may lead to nonanatomic healing, called malunions. Malunions lead to joint instability and pathologic load transfer. Arthritic joint destruction may be the consequence. Corrective osteotomies for malunited malleolar fractures have to restore anatomic conditions. Osteotomies of the medial malleolus, lateral malleolus, posterior malleolus (Volkmann’s triangle), and the posteromedial corner or combinations thereof described. Corrective osteotomies for malleolar malunions show good results in the majority o...
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: Daniel Weber, Martin Weber Source Type: research

Treatment of Nonunions After Malleolar Fractures
Ankle fracture nonunion is a rare occurrence following closed or operative intervention. When it does occur, patients can experience debilitating symptoms that limit daily function. Malleolar nonunion can be caused by patient factors, such as smoking, malnutrition, or vascular insufficiency. Surgeon factors, such as insufficient or inappropriate operative fixation, also play a role. Several adjuncts, such as bone grafting, bone morphogenic protein, and bone stimulation, are useful in treating nonunions. Through a multimodal approach, malleolar nonunions are reliably treated with operative fixation leading to good patient o...
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: Brian M. Capogna, Kenneth A. Egol Source Type: research

Corrective Osteotomies for Malunited Extra-Articular Calcaneal Fractures
The most effective way to treat calcaneal malunions is avoidance. With any articular fracture, progressive arthrosis and dysfunction are common. By restoring the anatomy initially through reduction, late reconstructive options become less complicated. Numerous studies have shown that restoration of the anatomic alignment either through percutaneous or open techniques is effective. In patients with no or minimal articular degeneration, extrarticular joint-sparing procedures can be performed. This represents a small select group who may benefit from simple osteotomy procedures with associated soft tissue reconstruction, if n...
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: John Ketz, Michael Clare, Roy Sanders Source Type: research

Joint-sparing Corrections in Malunited Lisfranc Joint Injuries
Lisfranc fracture–dislocations are very serious and potentially disabling injuries. Unfortunately, they are often misdiagnosed. Multiplanar midfoot deformities that result from these fracture–dislocations are precursors of joint degeneration and significant functional disabilities. Anatomic reduction with different types of internal fixation is an efficient method to reconstruct midfoot alignment and stability. Joint-preserving reconstruction techniques emerge as a viable alternative to corrective fusion as they achieve stable joint realignment with preserved motion. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: Caio Nery, Fernando Raduan, Daniel Baumfeld Source Type: research

Intra-articular Osteotomy for Correction of Malunions and Nonunions of the Tibial Pilon
Malunions of the tibial pilon lead to painful posttraumatic ankle arthritis and malposition of the hindfoot with severe functional disability. Most will need corrective ankle fusion as a salvage procedure. Joint-preserving correction with secondary anatomic reconstruction for intra-articular malunions is possible only in carefully selected patients with intact cartilage, sufficient bone quality, residual function, and good compliance. Osteotomies of solid malunions are planned according to preoperative computed tomography scans. Bone grafting is needed after resection of a fibrous nonunion or sclerotic or necrotic bone. Es...
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: Stefan Rammelt, Hans Zwipp Source Type: research

The Use of Tibial Osteotomy (Ankle Plafondplasty) for Joint Preservation of Ankle Deformity and Early Arthritis
Asymmetric ankle osteoarthritis (OA) is an increasingly recognized condition. It is imperative to differentiate between extraarticular and intraarticular deformity and to address these appropriately. Any associated instability and multilevel deformity must be recognized and addressed. Patients with intraarticular varus or valgus asymmetric OA have poorer outcomes and higher rates of recurrence when treated with standard techniques targeted at correction with traditional supramalleolar or inframalleolar techniques. Plafondplasty aims to correct the deformity at its center of rotation and angulation and is associated with lo...
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: Shafic Said Al-Nammari, Mark S. Myerson Source Type: research

Secondary Reconstruction for Malunions and Nonunions of the Talar Body
Malunions and nonunions after central or peripheral fractures of the talar body frequently lead to pain and disability. In properly selected, compliant patients without symptomatic arthritis or total avascular necrosis leading to collapse of the talar dome, and sufficient bone stock, secondary anatomic reconstruction with osteotomy along the former fracture plane and preservation of the essential peritalar joints may lead to considerable functional improvement. Bone grafting is needed after resection of a fibrous pseudarthrosis, sclerotic, or necrotic bone. Malunions and nonunions of the lateral or posterior process are tr...
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: Hans Zwipp, Stefan Rammelt Source Type: research

Joint-Sparing Corrections of Malunited Chopart Joint Injuries
Treatment of malunion and nonunion at the Chopart joint aims at axial realignment of the midfoot to the hindfoot and restoration of the normal relationship of the lateral and medial columns of the foot. In carefully selected patients with intact cartilage, joint-preserving osteotomies are feasible at all 4 bony components of the Chopart joint to restore near-normal function. Priority should be given to the anatomic reconstruction of the talonavicular joint because it is essential for global foot function. Patients must be counseled about the risk of progressive arthritis or osteonecrosis necessitating late fusion. (Source:...
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: Wolfgang Schneiders, Stefan Rammelt Source Type: research

Joint-Preserving Osteotomies for Malaligned Intraarticular Calcaneal Fractures
Intraarticular calcaneal fracture treatments that result in malalignment often require reconstructive surgery. Seven cases are used to demonstrate the intricacies of reconstructive case management. Reestablishment of calcaneal height, length, orientation, and position relative to the other tarsals is necessary to reestablish appropriate foot function. Inherent or acquired gastrocnemius equinus should be treated with recession to reduce destructive forces on the reconstruction. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: Stephen K. Benirschke, Patricia A. Kramer Source Type: research

Anatomical Reconstruction for Malunited Foot and Ankle Fractures
Malunions and nonunions after foot and ankle fractures regularly result in painful deformities and severe functional restrictions in the affected patients. The mainstay of treatment for most of these conditions is a corrective fusion with the aim of reducing pain and achieving a stable, plantigrade foot. For most of the joints, there is no feasible prosthetic replacement option. Joint-sparing corrections aim at anatomic realignment of bones and joints in order to regain a maximum of foot function. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: Stefan Rammelt Tags: Preface Source Type: research

Joint-Preserving Osteotomies for Malunited Foot & Ankle Fractures
FOOT AND ANKLE CLINICS (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Authors: Stefan Rammelt Source Type: research

Copyright
ELSEVIER (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Source Type: research

Contributors
MARK S. MYERSON, MD (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Source Type: research

Contents
Stefan Rammelt (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Source Type: research

Forthcoming Issues
New Ideas and Techniques in Foot and Ankle Surgery: A Global Perspective (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Source Type: research

Index
Note: Page numbers of article titles are in boldface type. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - February 24, 2016 Category: Orthopaedics Source Type: research

The Ponseti Method in Low and Middle Income Countries
Diffusing a health care innovation like the Ponseti method in low and middle income countries requires more than the application of the traditional continuing medical education approach of providing lectures on the topic. Challenges include limited personnel, competing priorities, inadequate medical supplies, and limited resources. Experience has indicated that the best chances of success in establishing such a program include identifying and advising in-country “champions” to provide the leadership, energy, and direction to build the program. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 19, 2015 Category: Orthopaedics Authors: Jose A. Morcuende, Thomas M. Cook Source Type: research

Tarsal Coalitions – Calcaneonavicular Coalitions
Calcaneonavicular coalitions are an important cause of adolescent foot pain and deformity. The congenital condition is characterized by an aberrant osseous, cartilaginous, or fibrinous union of the calcaneal and navicular bones. Calcaneonavicular coalitions are the most common form of tarsal coalitions identified within epidemiologic studies. A thorough understanding of this clinically significant entity is important for restoring joint motion and preventing long-term disability. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 19, 2015 Category: Orthopaedics Authors: Stephanie J. Swensen, Norman Y. Otsuka Source Type: research

Managing Pediatric Foot and Ankle Deformity
This special issue of Foot and Ankle Clinics of North America brings together a talented and diverse group of pediatric foot surgeons. I hope that you will find their insights to be helpful to your practice. The topics have been chosen to be those that are either rarely discussed in textbooks, or are relevant enough to require an up-to-date review. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 19, 2015 Category: Orthopaedics Authors: Alice Chu Tags: Preface Source Type: research

Managing Pediatric Foot and Ankle Deformity
FOOT AND ANKLE CLINICS (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 19, 2015 Category: Orthopaedics Authors: Alice Chu Source Type: research

Copyright
ELSEVIER (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 19, 2015 Category: Orthopaedics Source Type: research

Contributors
MARK S. MYERSON, MD (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 19, 2015 Category: Orthopaedics Source Type: research

Contents
Alice Chu (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 19, 2015 Category: Orthopaedics Source Type: research

Forthcoming Issues
Joint-preserving Osteotomies for Malunited Foot & Ankle Fractures (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 19, 2015 Category: Orthopaedics Source Type: research

Index
Note: Page numbers of article titles are in boldface type. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - November 19, 2015 Category: Orthopaedics Source Type: research

Extraarticular Supramalleolar Osteotomy for Managing Varus Ankle Osteoarthritis, Alternatives for Osteotomy
The supramalleolar osteotomy has been reported to be a joint preserving surgery with good clinical outcome for asymmetric ankle osteoarthritis, especially varus ankle osteoarthritis. Conventional supramalleolar osteotomy of the tibia and fibula creates angulation and translation of the ankle joint without changing the width of the ankle mortise. Distal tibial oblique osteotomy improved the preoperative clinical and radiological parameters; however, mean talar tilt angle did not decrease. Assessment of the ankle arthritis in sagittal, axial, and coronal planes may be helpful to achieve a decrease of the talar tilt in ankle ...
Source: Foot and Ankle Clinics - November 13, 2015 Category: Orthopaedics Authors: Woo-Chun Lee Source Type: research

Corrective Osteotomies for Malunited Tongue-Type Calcaneal Fractures
Displaced tongue-type fractures of the calcaneus can lead to severe pain and disability if not treated appropriately. Failure to reduce articular displacement may require subtalar joint arthrodesis with subsequent loss of function. The subtalar joint is crucial for normal foot and ankle function. In selected cases, if the malunited joint is still in good condition, it is preserved by corrective osteotomy. A joint-preserving osteotomy with axial realignment is a treatment option for malunited tongue-type calcaneal fractures encountered early on, before the development of subtalar arthrosis in carefully selected patients. (S...
Source: Foot and Ankle Clinics - November 13, 2015 Category: Orthopaedics Authors: Guang-Rong Yu, Ming-Zhu Zhang, Yun-Feng Yang Source Type: research

Osteotomies of the Talar Neck for Posttraumatic Malalignment
A talar neck malunion is one of the major complications following operative or nonoperative treatment of talar neck fractures. The most common posttraumatic talar malunion results in varus malalignment of the talar neck and can lead to painful overload of the lateral foot and substantial impairment of hindfoot function. Secondary procedures in patients with painful malunited talar neck fracture include salvage procedures and anatomic reconstruction procedures. Anatomic reconstruction of the talar neck is a reliable surgical treatment to regain function, decrease pain, and restore hindfoot alignment and range of motion. (So...
Source: Foot and Ankle Clinics - November 13, 2015 Category: Orthopaedics Authors: Alexej Barg, Thomas Suter, Florian Nickisch, Nicholas J. Wegner, Beat Hintermann Source Type: research

Pediatric Ankle Fractures
Current clinical concepts are reviewed regarding the epidemiology, anatomy, evaluation, and treatment of pediatric ankle fractures. Correct diagnosis and management relies on appropriate examination, imaging, and knowledge of fracture patterns specific to children. Treatment is guided by patient history, physical examination, plain film radiographs and, in some instances, computed tomography. Treatment goals are to restore acceptable limb alignment, physeal anatomy, and joint congruency. For high-risk physeal fractures, patients should be monitored for growth disturbance as needed until skeletal maturity. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 16, 2015 Category: Orthopaedics Authors: Alvin W. Su, A. Noelle Larson Source Type: research

Neuromuscular Foot
Foot and ankle deformities in cerebral palsy can be effectively treated with surgery. Surgery should be considered in patients with significant deformity and those who have pain or difficulty with orthotic and shoe wear. Equinus contracture of both gastrocnemius and soleus can be treated with open tendoachilles lengthening; ankle valgus with medial epiphysiodesis. Equinovarus is more commonly seen in hemiplegic patients and this deformity can usually be treated with tendon transfers. Triple arthrodesis is an option in children with severe degenerative changes. It is important to address all aspects of the child’s pat...
Source: Foot and Ankle Clinics - October 16, 2015 Category: Orthopaedics Authors: Mara S. Karamitopoulos, Lana Nirenstein Source Type: research

Painful Flexible Flatfoot
Flatfoot is commonly encountered by pediatric orthopedic surgeons and pediatricians. A paucity of literature exists on how to define a flatfoot. The absence of the medial arch with a valgus hindfoot is the hallmark of this pathology. Flatfoot can be flexible or rigid. This review focuses on the diagnosis and treatment of the flexible flatfoot. Most flatfeet are flexible and clinically asymptomatic, and warrant little intervention. If feet are symptomatic, treatment is needed. Most patients who require treatment improve with foot orthotics and exercises. Only feet resistant to conservative modalities are deemed surgical can...
Source: Foot and Ankle Clinics - October 16, 2015 Category: Orthopaedics Authors: Abdel Majid Sheikh Taha, David S. Feldman Source Type: research

Treatment of Idiopathic Clubfoot in the Ponseti Era and Beyond
The initial treatment of idiopathic clubfoot was mostly surgical for the 1980s/1990s. In the latter half of the 1990s, there was a surge of interest in the Ponseti method of casting after the publication of Dr Ponseti’s 30-year results. Many authors have since shown correction rates in the high 90th percentile, rendering posteromedial release surgery almost obsolete. The success of the Ponseti method has been brought internationally and extrapolated to more and more difficult cases, such as idiopathic or syndromic, primary or recurrence. This new trend will create a different subset of complications. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 16, 2015 Category: Orthopaedics Authors: Alice Chu, Wallace B. Lehman Source Type: research

Tendon Transfers Around the Foot
Tendon transfers are invaluable in the treatment of severe children’s foot deformities. They are often preferable to simple releases, lengthening, or fusion in surgical treatment because they provide an active motor function for deformity correction and, when properly selected, the procedures stabilize the foot against progressive deformity. The authors describe 4 commonly used tendon transfer procedures that are useful in children’s foot deformity surgeries. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 14, 2015 Category: Orthopaedics Authors: Ken N. Kuo, Kuan-Wen Wu, Joseph J. Krzak, Peter A. Smith Source Type: research

Cavus Foot
Cavus foot is usually related to neurologic abnormalities and then requires complete clinical and imaging evaluation. It is important to identify whether the deformity is flexible or rigid, and combine different soft tissue and bony techniques to accomplish the best lasting results. On rigid feet, it is crucial to determine the apex of the deformity to guide the bony procedures indicated for each specific case. Tarsectomies are preferred to arthrodesis in these rigid feet with the aim of achieve a plantigrade foot. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 14, 2015 Category: Orthopaedics Authors: Monica Paschoal Nogueira, Fernando Farcetta, Alexandre Zuccon Source Type: research

Talocalcaneal Coalitions
Talocalcaneal coalitions present with complaints of flatfeet, foot or ankle pain after minor injury, or recurrent ankle sprains. Physical examination findings include limited subtalar motion and prominence inferior to the medial malleolus. Use of computed topography (CT) scan is recommended for preoperative planning. Confirmation of resection with intraoperative CT. Resection of talocalcaneal coalitions with fat-graft interposition has superior results to primary arthrodesis. Improved outcomes have been reported after resection, with foot scores averaging 90/100 (AOFAS). (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 14, 2015 Category: Orthopaedics Authors: Joshua S. Murphy, Scott J. Mubarak Source Type: research

Syndromic Feet
Discussion includes appropriate circumstances for the use of presented procedures and the author’s preferred treatment for each deformity. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - October 13, 2015 Category: Orthopaedics Authors: Harold Jacob Pieter van Bosse Source Type: research

Treatment of Severe Recurrent Clubfoot
Understanding the pathoanatomy of severe recurrent clubfoot and its implication on treatment options is important for the successful treatment. A comprehensive clinical evaluation of the different components helps in selecting procedures. Individual needs and social and psychological factors influencing treatment and the impact of treatment on the child have to be considered. With increasing dissemination and improved understanding of the Ponseti method, a further decrease in the frequency of severe recurrent clubfoot can be hoped for and expected. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - September 13, 2015 Category: Orthopaedics Authors: Christof Radler, Gabriel T. Mindler Source Type: research

Evaluation and Surgical Management of the Overcorrected Clubfoot Deformity in the Adult Patient
This article details the diagnostic approach to the overcorrected clubfoot patient and options for management of the various components of the deformity. (Source: Foot and Ankle Clinics)
Source: Foot and Ankle Clinics - September 9, 2015 Category: Orthopaedics Authors: Dawid Burger, Amiethab Aiyer, Mark S. Myerson Source Type: research