Techniques in Foot and Ankle Surgery 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.New Option for Achilles Tendon Ruptures, Combining the Best of All: The PARS-Dresden
Surgical treatment remains the standard of care for active patients with acute midsubstance Achilles tendon ruptures. Minimal invasive surgery, rupture’s site hematoma preservation, strong fixation, avoidance of sural nerve entrapment, and early rehabilitation are essential concepts desirable for any Achilles tendon repair. Hereby, we present a technique modification that incorporates all these advantages in one single procedure. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - May 23, 2019 Category: Orthopaedics Tags: Special Focus: Innovations in Foot and Ankle Sports Injury Treatment Source Type: research
Guest Editorial: Innovations in Foot and Ankle Sports Injury Treatment
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - May 23, 2019 Category: Orthopaedics Tags: Special Focus: Innovations in Foot and Ankle Sports Injury Treatment Source Type: research
Asymmetric Z-Tendon Shortening to Maximize Excision of Abnormal Tendon Tissue: A Technique Tip to Treat Elongated Tendons With Pathology
Operative treatment for a diseased or elongated Achilles tendon often involves resection of diseased tissue and Achilles tendon shortening. If the amount of diseased tissue is minimal, a traditional Z-shortening technique can be used to achieve appropriate tendon repair and function, which involves making an incision along the longitudinal axis mid-substance of the Achilles tendon. This technique is limited in its ability to resect abnormal tissue due to the placement of the incision traditionally along the midline of the tendon. In this chapter we describe an original modification of the Z-shortening technique to allow fo...
Source: Techniques in Foot and Ankle Surgery - February 21, 2019 Category: Orthopaedics Tags: CME Article Source Type: research
Sliding Distal Metatarsal Minimally Invasive Osteotomy (S-DMMO) for the Treatment of Tailor’s Bunion
We present a surgical technique consisting in a distal osteotomy of the fifth metatarsal, which resembles DMMO, but requires a lateral displacement. We retrospectively investigated 38 feet from 32 patients with symptomatic bunionette deformity and showed good to excellent functional and clinical results. The S-DMMO proved to be a safe (low complication rate) and effective (adequate clinical results and powerful radiologic correction) procedure for the treatment of bunionette deformity.
Level of Evidence: Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence. (Source: Techniques ...
Source: Techniques in Foot and Ankle Surgery - February 21, 2019 Category: Orthopaedics Tags: Technique Source Type: research
Appropriate MRI Evaluation of Lisfranc Ligaments: How to Avoid Missing Ligamentous Lisfranc Injuries
Knowledge of injuries at the tarsal metatarsal joints continues to evolve. Fractures and ligamentous injuries at the tarsal metatarsal joints, also known as the Lisfranc joint complex, are uncommon yet can be of great clinical significance. The initial radiographic findings, suspected mechanism of injury, and physical examination findings can result in varying diagnoses and recommendations. Subtle or ligamentous injuries can be missed and result in the potential of midfoot instability and rapid progression to posttraumatic osteoarthritis. The imaging features of injury at the Lisfranc joint are reviewed, and guidance is pr...
Source: Techniques in Foot and Ankle Surgery - February 21, 2019 Category: Orthopaedics Tags: Special Focus: Acute Lisfranc Injuries Source Type: research
Flexible Fixation Treatment Strategies for Low-energy Lisfranc Injuries
This article will focus on the technique of using a suture button device, and also introduce the technique of Lisfranc InternalBrace fixation. The internal brace technique allows for less bone loss from drilling, allows for collagen ingrowth, and can be used in conjunction with bridge plating techniques.
Level of Evidence: Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 21, 2019 Category: Orthopaedics Tags: Special Focus: Acute Lisfranc Injuries Source Type: research
Transarticular Screw Technique for Stabilization of Lisfranc Injuries
Injuries to the tarsometatarsal joint complex are known as Lisfranc injuries. Although relatively rare when considered with all other injuries about the foot and ankle, they are frequently seen in the orthopedic clinic. These injuries are often missed and can lead to long-standing pain and disability. Therefore, a high index of suspicion must be maintained by the evaluating orthopedic surgeon. Studies have shown that anatomic reduction is critical to obtain a good result. Transarticular screw fixation has the ability to obtain and maintain an anatomic reduction. This technique has historically been the most common method o...
Source: Techniques in Foot and Ankle Surgery - February 21, 2019 Category: Orthopaedics Tags: Special Focus: Acute Lisfranc Injuries Source Type: research
Acute Arthrodesis of Lisfranc Injuries
We describe our technique for surgical management of acute Lisfranc injuries, both high-energy and low-energy variants, with primary arthrodesis. Satisfactory outcomes and complications of this treatment have been shown to be equivocal, if not better, than ORIF for the treatment of acute injuries.
Level of Evidence: Treatment Benefits. Level V. See Instructions for Authors for a complete description of levels of evidence. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 21, 2019 Category: Orthopaedics Tags: Special Focus: Acute Lisfranc Injuries Source Type: research
Dorsal Plating for Low and High-energy Lisfranc Injuries
Lisfranc injuries are uncommon but destabilizing injuries of the tarsometatarsal joint that are often missed on initial evaluation and have a high incidence of posttraumatic arthritis. These injuries can occur from low or high-energy mechanisms and feature unique characteristics. Open reduction and internal fixation is indicated in Lisfranc injuries that include a fracture component and different methods of fixation have been described. In this article, we present our operative techniques for open reduction and internal fixation of Lisfranc fractures using dorsal plating for both low and high-energy injuries.
Level of Evi...
Source: Techniques in Foot and Ankle Surgery - February 21, 2019 Category: Orthopaedics Tags: Special Focus: Acute Lisfranc Injuries Source Type: research
Guest Editorial: Acute Lisfranc Injuries
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 21, 2019 Category: Orthopaedics Tags: Special Focus: Acute Lisfranc Injuries Source Type: research
Learn to Teach to Learn
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 21, 2019 Category: Orthopaedics Tags: Editorial Source Type: research
Arthroscopically Assisted Percutaneous Fixation of a Talar Neck Fracture Via Posterior Approach: A Case Study
We present a case study of a patient with a type 1 talar neck fracture that was successfully treated with arthroscopically guided percutaneous screw fixation from a posterior arthroscopic approach.
Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 20, 2018 Category: Orthopaedics Tags: Technique Source Type: research
A Minimally Invasive, Dual-incision (Medial and Lateral) Approach: An Alternative Technique for Reduction and Fixation of Intra-Articular Calcaneus Fractures
Calcaneus fractures are severe injuries that historically have been associated with poor outcomes and debilitating consequences. To maximize functional outcome, the literature in favor of operative management encourages anatomic reduction and alignment of displaced, intra-articular calcaneus fractures, while minimizing risk to soft tissues. Because of the increased risk of soft tissue complications with extensile approaches, minimally invasive techniques have continued to gain popularity. The current technique aims to describe a minimally invasive approach to calcaneus fractures through a dual-incision, lateral (sinus tars...
Source: Techniques in Foot and Ankle Surgery - November 20, 2018 Category: Orthopaedics Tags: CME Article Source Type: research
Operative Treatment of Syndesmotic Injuries With Assisted Arthroscopic Reduction
There continues to be a lack of consensus on the proper treatment of syndesmotic injuries in the literature. Currently, much of the operative debate lies between using a suture-button technique or transsyndesmotic screw fixation to treat the injury. There are further arguments surrounding screw fixation involving the size and number of the screws, the number of cortices, and whether or not the hardware is to be removed. For patients presenting with a syndesmotic injury, it is important to properly diagnose and address the type of injury in order to prevent long-term morbidity and ultimately, degenerative arthritis. In the ...
Source: Techniques in Foot and Ankle Surgery - November 20, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fracture Management Source Type: research
The Posterior Approaches to the Posterior Pilon Fracture
Between simple malleolar fractures and more complex pilon injuries, is the posterior pilon fracture. Involving a variable amount of posterior tibial articular surface, these injuries may benefit from a posterior approach to reduce and stabilize the fragments. The posterolateral approach can be considered the “workhorse,” and allows good access to the tibia and fibula. The posteromedial approach may be helpful for more complex patterns, but is closer to the tibial neurovascular bundle. These approaches can be performed safely, with low complication rates and generally favorable outcomes.
Level of Evidence: Diagnostic L...
Source: Techniques in Foot and Ankle Surgery - November 20, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fracture Management Source Type: research
