In Pursuit of a SARS-CoV-2 Vaccine
Recently, some of our patients have inquired about the availability of a vaccine for the prevention of COVID-19 disease. Currently, everyone wants to know when a safe and effective vaccine for the SARS-CoV-2 coronavirus will be ready to administer to the world's citizenry. In an effort to provide foot and ankle surgeons with information that they can use to accurately respond to their anxious patients, we are providing a synopsis of the current status or coronavirus vaccine development. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 29, 2020 Category: Orthopaedics Authors: Alton R. Johnson, Adam R. McDonald, D. Scot Malay Tags: Editorial Source Type: research

Cover 1 -- cover prints black and PMS 261
(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 29, 2020 Category: Orthopaedics Source Type: research

Sub Info
(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 29, 2020 Category: Orthopaedics Source Type: research

Editorial Board
(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 29, 2020 Category: Orthopaedics Source Type: research

Table of Contents
(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 29, 2020 Category: Orthopaedics Source Type: research

Surgical Management of Arteriovenous Malformation in the Foot: A Case Study
Arteriovenous malformations are frequently found in the head and neck, and are occasionally associated with congenital syndromes. They are rarely reported in the foot and ankle; however, when encountered in these particular locations, they may become painful and interfere with ambulation. Because of the lack of literature on pedal arteriovenous malformations, they remain enigmatic when encountered clinically. They form as a result of atypical development of the vascular system during embryogenesis. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 28, 2020 Category: Orthopaedics Authors: Elizabeth M. Bonarigo, Raymond G. Cavaliere Tags: Case Reports and Series Source Type: research

Epidemiological Survey of the Impact of COVID-19 on Telemedicine in the Practice of Foot and Ankle Surgery in the United States
In response to loosened telehealth regulations and local restrictions on elective procedures during the COVID-19 pandemic, telemedicine use has dramatically increased. The goal of this study was to analyze patterns in telemedicine use among podiatric physicians during the COVID-19 crisis on a national level. Anonymous responses to a survey of practice metrics as well as subjective impressions of telemedicine efficacy were collected from 246 respondents, representing>1% of practicing podiatrists in the United States. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 22, 2020 Category: Orthopaedics Authors: Kayla Neville, Alexandra Black, Robert Fridman Tags: Original Research Source Type: research

Effect of the 1st Tarsometatarsal (Modified Lapidus) Arthrodesis on Hindfoot Alignment
The purpose of this study is to demonstrate the effect of 1st tarsometatarsal (modified Lapidus) arthrodesis on hindfoot alignment. We reviewed the radiographs of 39 patients, 40 feet (16 right feet and 24 left feet in 6 males and 34 females; mean age 43 years) who underwent hallux valgus reconstruction and isolated 1st tarsometatarsal arthrodesis. Patients who had ancillary osseous procedures were excluded from the study, with the exception of proximal phalangeal osteotomy to address hallux interphalangeus. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 17, 2020 Category: Orthopaedics Authors: Travis M. Johnson, Matthew J. Hentges, Ryan L. McMillen, Karl R. Saltrick, Alan R. Catanzariti Tags: Original Research Source Type: research

Combined Achilles Tendon-Bone Block Allograft and Flexor Hallucis Longus Tendon Transfer for Long Segment Defects Involving the Insertional Region
Long-segment disease involving the insertional region of the Achilles tendon can be a challenging problem. These patients often have significant disability and functional problems. Surgical management requires some type of tissue replacement, regional tissue rearrangement or tendon transfer. Various types of allograft tissue as well as synthetic materials have been described. Patient's often have residual weakness and functional deficits following surgery. We have utilized an Achilles tendon-bone block allograft in combination with a flexor hallucis longus (FHL) tendon transfer for long-segment Achilles tendon deficits inv...
Source: Journal of Foot and Ankle Surgery - October 16, 2020 Category: Orthopaedics Authors: Darrick R. Dominick, Timothy P. McConn, Alan R. Catanzariti Source Type: research

Risk Factors for Early Failure of 4th Generation Total Ankle Arthroplasty Prostheses
A number of two-component, 4th generation total ankle arthroplasty (TAA) prostheses have been introduced to the market in the past few years, as the popularity and indications for TAA have continued to expand. The purpose of the present study was to identify independent risk factors for the early failure of 4th generation TAA prostheses. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 15, 2020 Category: Orthopaedics Authors: Calvin J. Rushing, Emily Zuluaf, Christopher F. Hyer, Gregory C Berlet Tags: Original Research Source Type: research

Lisfranc Fixation Techniques and Postoperative Functional Outcomes: A Systematic Review
The optimal method of fixation of acute Lisfranc injuries is yet to be established. We aim to systematically review the literature to identify the impact of fixation method on postoperative functional outcomes. A systematic review was undertaken using the PRISMA framework to identify all studies reporting postoperative functional outcomes in patients who underwent open-reduction internal fixation of acute Lisfranc injuries. Studies reporting outcomes of numerous fixation methods were divided into fixation subcohorts. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 8, 2020 Category: Orthopaedics Authors: Andrew Philpott, Daniel J. Epstein, Simon C. Lau, George Mnatzaganian, Jack Pang Tags: Review Article Source Type: research

Metallic 3D Printed Total Talus Replacement: A Case Study
We present a single case study of a 73-year-old female with idiopathic necrosis of the talar which was treated with a total talar replacement prosthesis. A patient specific custom talar prosthesis was created using the mirror image of the contralateral healthy talus obtained using a CT scan of the contralateral limb. The patient underwent surgical resection of the pathologic talus with implantation of the custom talar prosthesis. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 8, 2020 Category: Orthopaedics Authors: Raafae M Hussain Tags: Case Reports and Series Source Type: research

A global bibliometric analysis of hallux valgus research (1999 – 2019)
: Hallux valgus (HV) is a very common deformity among foot disorders, therefore attracting strong interest from orthopedic surgeons. We investigated publication trends on HV in the literature. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 7, 2020 Category: Orthopaedics Authors: Gabriel Ferraz Ferreira, Kelly Cristina St éfani Source Type: research

Clinical Outcomes of Open versus Arthroscopic Brostr öm Procedure for Lateral Ankle Instability: A Meta-Analysis
Arthroscopic repair of the anterior talofibular ligament (ATFL) is becoming increasingly popular as a surgical option for lateral ankle instability. However, studies directly comparing outcomes of open and arthroscopic ATFL repair continue to present conflicting conclusions. This review aims to compare the clinical outcomes of arthroscopic and open Brostr öm procedure. A systematic literature review was performed using MEDLINE, Cochrane Library, and EMBASE from 2010 to March 2020 to identify all clinical studies (level of evidence I to III) comparing outcomes of arthroscopic versus open Broström procedure for chr...
Source: Journal of Foot and Ankle Surgery - October 6, 2020 Category: Orthopaedics Authors: Vikaesh Moorthy, Andrew Arjun Sayampanathan, Nicholas Eng Meng Yeo, Kae Sian Tay Tags: Review Article Source Type: research

Ankle Fracture in Hereditary Sensory Neuropathy Type 1
We present a case involving a Hereditary sensory autonomic neuropathy type I patient with unexpected significant soft tissue injury on the background of a low energy ankle fracture. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Jeremy Loh, Kayla Cyr, Roderick Martin Tags: Case Reports and Series Source Type: research

Bone Mineral Density Testing in Patients Undergoing Total Ankle Arthroplasty: Should We Pay More Attention to the Bone Quality?
Total ankle arthroplasty (TAA) has become one of the standard treatments for end-stage ankle arthritis. Long-term TAA survivorship is reported from 63-95%, with aseptic loosening being the most common mode of failure. Several studies have shown that low bone mineral density (BMD) of the hip affects the longevity of prosthetic implants. The role of DEXA for TAA has not been established. The purpose of this review was to define the role of BMD in TAA outcomes and the role of DEXA in measuring periprosthetic BMD. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Eric So, Calvin J. Rushing, Mark A. Prissel, Gregory C. Berlet Tags: Commentary Source Type: research

Overnight admission after total ankle replacement – is it safe?
To evaluate readmission, complication and non-scheduled contact rates to the out-patient clinic within the first three months following total ankle replacement in patients planned for overnight admission.Data was collected retrospectively on all patients treated during the period the 11th of December 2015 to the 1th of December 2019 with three months of follow-up for all patients.In the study 116 patients were included. No difference in patient characteristics, readmission rates, complication rates or number of non-scheduled contacts to the outpatient clinic was found between patients discharged after one day when compared...
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Christopher Jantzen, Lars Bo Ebskov, Kim Hegnet Andersen, Mostafa Benyahia, Peter Bro Rasmussen, Jens Kurt Johansen Tags: Original Research Source Type: research

Talectomy for The Management of Resistant Talipes Equinovarus Deformity; Does Adding Ilizarov External Fixator Provide Extra-Advantages?
This study was conducted to evaluate the effectiveness of talectomy in the management of arthrogrypotic TEV and to investigate the value of adding a simplified Ilizarov fixator (SIF). (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Ashraf Atef, Mahmoud El-Rosasy, Ahmad El Tantawy Tags: Original Research Source Type: research

A Systematic Review of Angular Deformities in Charcot Neuroarthropathy
Charcot neuroarthropathy of the foot and ankle is associated with peri-articular deformities and progressive radiographic changes. There have been studies analyzing the radiographic angulations and deformity progression in Charcot neuroarthropathy deformity. The aim of this paper is to provide systematic review of studies that evaluate foot and ankle radiographic parameters in patients with Charcot neuroarthropathy. A multi-database search including, medline, EMBASE, Google Scholar, Cochrane Library, Clinicaltrials.gov and reference lists of included studies, was performed from 1980 to 2020. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Nicole K. Cates, Jonathan Tenley, Helene R. Cook, Paul J. Kim Tags: Review Article Source Type: research

Reconciliation Between Lateral X-ray and Axial Computed Tomography Regarding Posterior Malleolus Fracture Anatomy and Medial Malleolus Involvement: A Pilot Study
Configuration of a posterior malleolus fracture has significant variation based on mechanism of injury and concomitant ankle injuries. Radiographs obtained during early workup of ankle trauma play a pivotal role in closed reduction, surgical planning and pre-operative management. Preoperative computed tomography helps distinguish fracture pathoanatomy. The purpose of this study is to relate measurements from traditional lateral radiographs with measurements on axial computed tomography. Imaging from a total of 22 patients treated at our institution from January 2008-2018 were evaluated. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Alexandra T. Black, Jered M. Stowers, Andrew R. Bohm, Stuart Katchis, William Spielfogel, Lon Weiner Tags: Original Research Source Type: research

Evaluating Short Term Outcomes Post Intra-Articular Calcaneal Fracture Fixation via a Sinus Tarsi Approach in a Non-Exclusively Selected Cohort
Management of intra-articular calcaneal fractures remains a debated topic in orthopaedics, with operative fixation often held in reserve due to concerns regarding perioperative morbidity and potential complications. The purpose of this study was to identify the characteristics of patients who developed surgical complications to inform the future stratification of patients best suited to operative treatment for intra-articular calcaneal fractures. All patients who underwent open reduction and internal fixation of calcaneal fractures utilizing the Sinus Tarsi approach between March 2014 and July 2018 were identified using th...
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Martin S Davey, Peter Staunton, Laura Ann Lambert, Matthew G Davey, James C Walsh Tags: Original Research Source Type: research

Adipose-derived stromal vascular fraction injection in a competitive high-level athlete affected by insertional Achilles tendinopathy
We report a case of an insertional Achilles tendinopathy in a high-level professional athlete, who was treated avoiding surgical treatment in favor of this innovative biological approach. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Mirco Lo Presti, Giuseppe Gianluca Costa, Giuseppe Agr ò, Cosimo Vasco, Pierpaolo Zunarelli, Stefano Zaffagnini Tags: Case Reports and Series Source Type: research

Technical Tip Kerfing for Lapidus Arthrodesis: Deformity Correction with Minimal Bone Resection
The Lapidus arthrodesis can be a powerful but technically challenging procedure. Common pitfalls include gapping at the arthrodesis site, shortening, and residual malalignment. Herein is described a simple and reproducible technique to obtain a congruent arthrodesis site with excellent deformity correction and minimal bone loss by the use of joint kerfing. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Ian M. Foran, Johnny Lin, Kamran S. Hamid, Simon Lee Tags: Tips, Quips, and Pearls Source Type: research

Osteochondritis Dissecans of the Lateral Process of Talus Involving the Subtalar Joint: An Unusual Case
We report a case of a 34-year-old male with osteochondritis dissecans of lateral process talus which was missed on imaging studies and identified intra-operatively. The patient was treated with curettage of the subchondral cyst at talus, followed by bone grafting and fixation of the osteochondral lesion with a 4-mm partially threaded cancellous screw. At the 1-year follow up evaluation, there were no signs of recurrence and the patient resumed his complete activities including sports. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Moonot Pradeep, Sharma Gaurav Tags: Case Reports and Series Source Type: research

Biomechanics Following Anatomic Lateral Ligament Repair of Chronic Ankle Instability: A Systematic Review
One of the most common orthopaedic injuries in the general population, particularly amongst athletes, is ankle sprain. We investigated the literature to evaluate the known pre- and postoperative biomechanical changes of the ankle after anatomic lateral ligament repair in patients suffering from chronic ankle instability. In this systematic review, studies published till January 2020 were identified by using synonyms for “kinetic outcomes," "kinematic outcomes," “Broström procedure" and “lateral ligament repair”. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Elaheh Ziaei Ziabari, Bart Lubberts, Daniel Chiou, Mohammad Razi, Mohammad Haghpanahi, Soheil Ashkani-Esfahani, Christopher W. DiGiovanni Tags: Review Article Source Type: research

Does Insurance Status Affect Access to Care Among Ankle Fracture Patients?: An Institutional Retrospective Study
Delayed access to care for patients with ankle fractures may increase risk of complications, particularly if surgical management is warranted. Medicaid is a state and federal insurance program in place for those with low income, which has previously been associated with delayed access to care among patients with ACL tears and total hip arthroplasties. The purpose of this study is to assess whether patient insurance status affects access to care for ankle fracture patients, using data from a single institution. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Haley M. McKissack, Gean C. Viner, James T. McMurtrie, Bradley K. Alexander, Aaradhana J. Jha, John T. Wilson, Ashish B. Shah Tags: Original Research Source Type: research

Bone Marrow Edema Syndrome of the Foot Treated with Extracorporeal Shock Wave Therapy: A Retrospective Case Study
To determine the validity and safety of extracorporeal shock wave therapy (ESWT) in the treatment of bone marrow edema syndrome (BME) of the foot.Patients diagnosed as foot BMES in our Center were followed and treated by ESWT for 1 to 2 courses. The target of the ESWT treatment was the most obvious foot tenderness, or the most obvious part of bone edema on magnetic resonance imaging (MRI). One course of ESWT was 1 time/week, 5 times in total, with the shock wave energy flow density 0.18 mJ/mm2. The visual analog scale (VAS) and the American Orthopedic Foot and Ankle Society (AOFAS) scores of the foot were recorded before t...
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Jin Cao, Changgui Zhang, Heqin Huang, Liu Yang, Xiaojun Duan Tags: Original Research Source Type: research

A Pilon Fracture with Fibular Head Dislocation Treated with the Use of 3D preoperative planning: a Case Report and Literature Review
Pilon fractures with intact fibula have been associated with low-energy trauma. However, the compression force onto the ankle joint can damage the tibiofibular linkage as in a Maisonneuve fracture. Herein, we describe a case of a patient who had a pilon fracture (AO type 43 C3.2) without a fibular fracture. Three-dimensional preoperative simulation by reduction with the surface registration technique was performed as the fibular length was intact and there was no reference for the tibial length. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 5, 2020 Category: Orthopaedics Authors: Satoshi Oki, Hiroki Kobayashi, Hidejiro Kubota, Taro Umezu, Minoru Nagasaki, Shohei Iwabu Tags: Case Reports and Series Source Type: research

Early Results of Immediate Weightbearing following First Tarsometatarsal Joint Arthrodesis with Plantar Locking Plate and Dorsal Compression Screw
Arthrodesis of the first tarsometatarsal joint (TMT1) reduces pathologic angles in the anatomic center of rotation of angulation and presents a substantial correction potential in all three planes. The optimal fixation method remains unclear since prevailing dorsomedial locking plates and/or compression screws depict elevated implant-associated complications. Medical records of 49 patients that underwent 53 TMT1 arthrodeses in HAV interventions were included. Median average visual analog scale scores decreased (p (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 28, 2020 Category: Orthopaedics Authors: Nicholas Brissey, Adam Buffington, William Bush Tags: Original Research Source Type: research

Comparison of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury: a meta -analysis
Traditionally screw fixation is an effective surgical procedure for the treatment of unstable syndesmosis injuries. However, it is still a controversy whether suture-button (SB) device can achieve better clinical outcomes and decrease the risk of complications compared with syndesmotic screw (SS). The present meta-analysis was conducted to figure out whether SB fixation was superior to traditionally screw fixation. Twelve clinical studies were identified, involving 320 patients in the SB group and 334 patients in the SS group. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 22, 2020 Category: Orthopaedics Authors: Keteng Xu, Jiale Zhang, Pei Zhang, Yuan Liang, Jin-Long Hu, Xu Wang, Jingcheng Wang Tags: Review Article Source Type: research

Frontal Plane Rotation of the First Ray in Hallux Valgus using Standing CT
The purpose of the present study was to analyze the difference in frontal plane rotation of the entire first ray in patients with and without hallux valgus using standing weightbearing computed tomography (CT). 10 feet of 10 patients with hallux valgus and 36 feet of 36 patients without hallux valgus were examined. Standing weightbearing CT scans and radiographs were taken for all subjects. Frontal plane measurements of the sesamoid apparatus, first metatarsal head, first metatarsal base, and medial cuneiform were performed. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 19, 2020 Category: Orthopaedics Authors: Jacob R Randich, Kelly J John, Kay éromi Gomez, William J Bush Tags: Original Research Source Type: research

Closed Internal Degloving of the Toes: A Case Report
Closed degloving injuries are uncommon, high-energy injuries that separate the bony structures from the soft tissue and frequently result in amputation. Because the epidermis is often intact, it is difficult to visualize the extent of the soft tissue damage. Although there is no gold standard of treatment for closed degloving injuries at present, previous cases have reported that neurovascular presentation is a key predictor of amputation Herein, we report a closed degloving injury involving the second through fifth phalanges of the left foot following a crushing injury with a forklift. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 19, 2020 Category: Orthopaedics Authors: Colin McDonald, Chelsea Bush, Eric Jackson, Christopher Rashidifard, Paul Muccino, Christian Hall Tags: Case Reports and Series Source Type: research

Long-Term Natural Course of the Osteochondral Lesion of the Talus in a Child: A Case Report
We report the long-term course of medial OLT in a 12-year-old girl who was treated non-operatively for 10 years. Radiographically, no osteoarthritic changes were observed at the first examination. She initially returned to her basketball club after non-operative treatment. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 19, 2020 Category: Orthopaedics Authors: Yasunari Ikuta, Tomoyuki Nakasa, Junichi Sumii, Akinori Nekomoto, Nobuo Adachi Tags: Case Reports and Series Source Type: research

Comparison of Ligament-Repair Techniques for the Syndesmosis: A Simulated Cadaveric Weight-Bearing Computed Tomography Analysis
Although the literature describes a variety of reconstructive techniques for the syndesmosis, only few studies offer comparative data. Therefore, the authors compared 2 different ligament repair techniques for the syndesmosis. Sixteen paired fresh-frozen human cadaveric lower limbs were embedded in polymethyl methacrylate mid-calf and placed in a custom-made weightbearing simulation frame. Computed tomography scans of each limb were obtained in a simulated foot-flat loading (75N) and single-leg stance (700N) in 5 different foot positions (previously reported data). (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 18, 2020 Category: Orthopaedics Authors: Jennifer E. Hagen, Sascha Rausch, Paul Simons, Mark Lenz, Matthias Knobe, Klaus Edgar Roth, Boyko Gueorguiev, R. Geoff Richards, Kajetan Klos Tags: Original Research Source Type: research

Can We Release All Calcaneal Attachments of the Superior Peroneal Retinaculum during Extensile Lateral Approach to the Calcaneus?
During extensile lateral approach to the calcaneus, in order to see all fractured fragments and subtalar joint, all soft tissues including insertion site of superior peroneal retinaculum (SPR) on the calcaneus should be released. The aim of this study was to evaluate the probability of peroneal tendon dislocation by releasing all soft tissues attached to the calcaneus. In 10 fresh cadavers, after standard extensile lateral approach to the calcaneus in right side, all soft tissues attached to the lateral wall of the calcaneus were excised. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 18, 2020 Category: Orthopaedics Authors: Amir Reza Vosoughi, Afrasiab Tamadon, Saeid Gholamzadeh, Mehran Fereidooni Tags: Original Research Source Type: research

Reconstruction of Concomitant Ruptures of Peroneus Longus and Brevis Tendons: a Case Report and Literature Review
We describe the case of concomitant rupture of both peroneal tendons in a 50 year old male, diagnosed with Magnetic Resonance Imaging and treated with a flexor digitorum longus tendon transfer. The flexor digitorum longus tendon was mobilized, transferred laterally and anchored to the distal and proximal stubs of the peroneal tendons, acting like a bridge. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 18, 2020 Category: Orthopaedics Authors: drs. S. Kadir, drs. R. Rassir, drs. F. Joor, dr. P. Nolte, drs. D.A. Vergroesen Tags: Case Reports and Series Source Type: research

Unilateral, volume- expanding os subcalcis. Patient history and treatment. A case report
We present the case of a 72-year-old female that suffered with a volume expanding os subcalcis. Due to marked disability, the large os subcalcis was excised with a favorable outcome. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 18, 2020 Category: Orthopaedics Authors: Elisabeth Ellingsen Husebye, Are St ødle, Marius Lund-Iversen, Kjetil Hvaal Source Type: research

Ilizarov Gradual Distraction Correction for Distal Tibial Severe Varus Deformity Resulting from Epiphyseal Fracture: Case Report and Literature Review
We present a case of a 13-year-old female with severe varus deformity and limb discrepancy resulting from epiphyseal fracture. The preoperative tibial articular surface angle was 64.1 °, and the affected tibia was 14 mm shorter than the contralateral tibia. She underwent a medial open osteotomy and fibular osteotomy with gradual distraction correction using Ilizarov fixator. The deformity was corrected at 3 months, and the external fixator was removed when bony union was achieve d 6 months postoperatively. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 17, 2020 Category: Orthopaedics Authors: Xiao-Dong Wen, Xiao-Jun Liang, Yan Zhang, Jing-Qi Liang, Pei-Long Liu, Xin Chang, Xie-An Yang, Hong-Mou Zhao Tags: Case Reports and Series Source Type: research

Erratum
In regard to the article: “Transmetatarsal and Minor Amputation Versus Major Leg Amputation: 30-Day Readmissions, Reamputations, and Complications” published in The Journal of Foot& Ankle Surgery, May –June, Volume 59, Issue 3, pp 484−490, the second author was removed and the new author list is as follows: (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 16, 2020 Category: Orthopaedics Source Type: research

The Impact of Concomitant LOW Back Pain (LBP) on Functional Outcomes in Total Ankle Arthroplasty (TAA)
Although numerous studies have demonstrated that concomitant low back pain (LBP) is associated with worse functional outcomes in patients undergoing total hip and knee arthroplasty, no study has analysed its impact on patients undergoing total ankle arthroplasty (TAA). The aim of this study was to determine the prevalence of LBP in people undergoing TAA and analyse its impact on patient reported functional outcome measures (PROMs).A retrospective review was performed on data from the Vancouver End Stage Ankle Arthritis Database. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 16, 2020 Category: Orthopaedics Authors: Michael Symes, Alastair Younger, Mario Escudero, Murray J Penner, Kevin Wing, Christopher S Mulligan, Andrea Veljkovic Tags: Original Research Source Type: research

Aggressive Osteoblastoma Involving the Navicular Bone of Foot: A Rare Tumor in a Unique Location
Aggressive osteoblastoma (AO) is a rare variant of osteoblastoma characterized histologically by epithelioid osteoblasts and clinically by local recurrences if not excised completely. Aggressive osteoblastoma has been described in various unusual sites; however, based on our search of the literature, involvement of the tarsal navicular has not been previously described. Herein, we report what we believe to be the first case of aggressive osteoblastoma involving the tarsal navicular in a 35-year-old woman. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 15, 2020 Category: Orthopaedics Authors: Ashutosh Rath, Shramana Mandal, Sneha Goswami, Nita Khurana, Anil Dhal Tags: Case Reports and Series Source Type: research

Relationship between Hallux Valgus and Pes Planus in Adult Patients
This study aimed to determine whether the degree of pes planus was associated with hallux valgus severity and hallux valgus surgery outcomes. A total of 122 feet were retrospectively analyzed after hallux valgus surgery. The hallux valgus angle, inter-metatarsal angle, lateral talo-first metatarsal angle, calcaneal pitch, and talonavicular coverage angle were measured. The Foot and Ankle Outcome Score and Foot Function Index were evaluated. A significant correlation between radiographic parameters of pes planus and hallux valgus severity, radiographic outcomes, Foot and Ankle Outcome Score, and Foot Function Index were not...
Source: Journal of Foot and Ankle Surgery - September 11, 2020 Category: Orthopaedics Authors: Dong Hun Suh, Hak Jun Kim, Jung Ho Park, Young Hwan Park, Bong Mo Koo, Gi Won Choi Tags: Original Research Source Type: research

Atypical Presentation of Navicular Aneurysmal Bone Cyst in a Symptomatic Pediatric Flatfoot Deformity: A Case Report
This report's objective is to describe, to our knowledge, the first reported case of a pediatric navicular ABC in association with pediatric flatfoot deformity that was successfully treated with curettage and bone grafting. An additional goal of the report is to highlight how the diagnosis of these osseous tumors can easily be missed given the overlap in symptoms with pediatric flatfoot deformity. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 6, 2020 Category: Orthopaedics Authors: Paula Gangopadhyay, Cynthia Emory, John Bonvillian, Clark Brackney Tags: Case Reports and Series Source Type: research

Efficacy and safety of bioactive glass s53p4 as a treatment for diabetic foot osteomyelitis
The objective of the study was to test the efficacy and safety of BG in treating diabetic foot osteomyelitis.This was an observational, retrospective, single-center study involving subjects with diabetes affected by osteomyelitis of the foot who underwent surgical debridement from 01/2016 to 10/2018. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 4, 2020 Category: Orthopaedics Authors: R De Giglio, G Di Vieste, T Mondello, G Balduzzi, B Masserini, I Formenti, S Lodigiani, D Pallavicini, B Pintaudi, A Mazzone Tags: Original Research Source Type: research

Rehabilitation after surgical repair of acute Achilles tendon rupture: Functional outcome with a Follow-Up of 6 months.
The best treatment and rehabilitation of Achilles tendon ruptures remains controversial. Current literature focuses mainly on objective outcomes despite possible incongruity with patient-reported functional outcomes. Therefore, we aim to identify the course of patient-reported symptoms, function, and quality of life during the early rehabilitation period. In this prospective cohort study, 33 patients with an acute Achilles tendon rupture treated with minimally invasive tendon repair were included in this study. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 4, 2020 Category: Orthopaedics Authors: Anna E. R öell, Tim K. Timmers, Denise J.C. van der Ven, Ger D.J. van Olden Tags: Original Research Source Type: research

A Multicenter, Retrospective, Case Series of Patients with Charcot Neuroarthropathy Deformities Undergoing Arthrodesis Utilizing Recombinant Human Platelet-Derived Growth Factor with Beta-Tricalcium Phosphate
Charcot neuroarthropathy has traditionally been treated using both non-surgical and surgical strategies. Recently, orthobiologics have been used to promote arthrodesis in Charcot reconstructions, obviating the need for bone graft in some cases. Recombinant human platelet-derived growth factor BB homodimer (rhPDGF-BB) in combination with beta-tricalcium phosphate scaffold ( β-TCP) is a bone graft substitute shown to have comparable efficacy to autograft in incidence of foot and ankle fusion. This multicenter, consecutive case series analyzed patients undergoing Charcot reconstructions utilizing rhPDGF-BB/β-TCP for...
Source: Journal of Foot and Ankle Surgery - September 3, 2020 Category: Orthopaedics Authors: Jeffrey D. Loveland, Ryan L. McMillen, Mario A. Cala Source Type: research

Complex Osteochondral Lesions of the Talus Treated With a Novel Bi-Phasic Aragonite-Based Implant
To present initial results of a novel, bi-phasic, porous, biodegrade, and cell-free aragonite-based scaffold for treating complex osteochondral lesions of the talus (OLT). Four subjects (2 males and 2 females; 34 to 61 years old) were operated on their ankles due to chronic and deep OLT - Hepple grades 4 or 5 (1.8 to 2.2 cm2). Three subjects had OLT on the medial central trochlea, and one had a combined medial and lateral lesions. OLT were exposed through medial malleolus osteotomy, with an additional lateral arthrotomy in the combined lesions. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 3, 2020 Category: Orthopaedics Authors: Matej Drobni č, Matic Kolar, Peter Verdonk, Francesca Vannini, Dror Robinson, Nogah Shabshin, Elizaveta Kon Source Type: research

Innovative fixation technique for avulsion fractures of the calcaneal tuberosity
Avulsion fractures of the calcaneal tuberosity, although relatively uncommon, occur more frequently in patients with osteoporosis and in the elderly. The results of closed manipulation are poor in these fractures, usually requiring open reduction and internal fixation. However, it is difficult to fix the bone fragment rigidly, because the avulsed bone fragment is small and thin, and the bone quality of the calcaneal body in the elderly is poor. Hence, it is necessary to limit prolonged weight-bearing after the operation. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 3, 2020 Category: Orthopaedics Authors: Hiroshi Ninomiya, Makito Watanabe, Kazunari Kamimura Tags: Tips, Quips, and Pearls Source Type: research

Comparative Analysis of Dorsal Nerve Relocation versus Dorsal Neurectomy in the Surgical Management of Morton's Neuroma
This clinical study compares the use of dorsal nerve relocation (DNR; also known as dorsal nerve transfer) and dorsal neurectomy (DN) in the surgical management of Morton's neuroma within the surgical directorate of an NHS Hospital Trust (Princess Royal University Hospital) in the South East of England between 2002 and 2009. Approaches to the surgical management of Morton's neuroma are dependent on the views of individual surgeons, rather than empirical evidence and varied considerably, so this study was essentially all about checking whether best practice is being followed and making improvements. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 2, 2020 Category: Orthopaedics Authors: Manjunath Koti, Hemant Sharma, Mirant Parikh, Max Edwards, Jack McAllister Tags: Original Research Source Type: research

A Radiological Study for Assessing Syndesmosis Malreduction: Its Validity and Limitation
This study assessed the diagnostic utility of different X-ray radiological methods on syndesmosis malreduction. Thirteen fresh ankle specimens were used to make a syndesmotic separation model. The specimen was fixed in the anatomic position and in malreduction positions, including internal rotation 10 ° (IR10°), IR20°, external rotation 10° (ER10°), and ER20°. The tibiofibular clear space (TCS), tibiofibular overlap (TFO) on the anteroposterior view, and anteroposterior ratio (A/P ratio) on the lateral view were measured. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 2, 2020 Category: Orthopaedics Authors: Lu Bai, Wen Zhou, Zhe Cheng, Jianxin Liu, Pengjie Liu, Wentao Zhang Tags: Original Research Source Type: research