Description and Results of a Fully Arthroscopic Anatomic Broström Repair and Gould Modification
We present the results in 15 consecutive cases performed with this entirely arthroscopic technique. We believe that this technique gives better visualization of the structures than an open technique and that as a result a more anatomic reconstruction can be performed. Level of Evidence: Diagnostic Level 5. 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 15, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

Use of CT Scan-derived Patient-specific Instrumentation in Total Ankle Arthroplasty
This article will provide a brief review of the technique and our early results of utilizing patient-specific instrumentation in total ankle arthroplasty. Level of Evidence: Diagnostic Level IV. 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 15, 2017 Category: Orthopaedics Tags: Special Focus Source Type: research

Intraoperative Mulitplanar Alignment System to Guide Triplanar Correction of Hallux Valgus Deformity
Hallux valgus surgery or “bunion surgery” is one of the most common surgical procedures for the foot and ankle surgeon. As we continue to gain understanding of this complex deformity, it has become clear that our understanding may be incomplete. The Lapidus procedure was described over 80 years ago and still offers many challenges. Often the choice of a Lapidus procedure is not considered due to the complexity or perceived complications. As the traditional Lapidus procedure relied on multiple freehand steps that can be fraught with error, it was often relegated to be used as a last resort. As our understanding of the h...
Source: Techniques in Foot and Ankle Surgery - November 15, 2017 Category: Orthopaedics Tags: Special Focus Source Type: research

Achilles Tendon Repair With the PARS: Innovative Double Locking Techniques and Device Positioning Based on MRI Study
This article presents techniques using double locking or 2 locked repair sutures in each tendon, along with the standard repair technique. An important component of these techniques is anatomic positioning of the PARS, keeping the arms parallel to the Achilles tendon and properly externally rotated using the results of a magnetic resonance imaging study to improve tendon capture. Early studies have shown good clinical outcomes and suggest that minimally invasive techniques such as the PARS are clinically and biomechanically suitable alternatives to open repair for Achilles tendon ruptures. Level of Evidence: Diagnostic Le...
Source: Techniques in Foot and Ankle Surgery - November 15, 2017 Category: Orthopaedics Tags: Special Focus Source Type: research

Stage IIB Flatfoot Reconstruction Using Literature-based Equations for Heel Slide and Lateral Column Lengthening
Adult acquired flatfoot deformity (AAFD) is a disease characterized by insufficiency of the medial longitudinal arch of the foot. Stage IIB AAFD occurs when there is a passively correctible collapse of the arch, increased abduction at the talonavicular joint, and hindfoot valgus. In the mid-1990s, a flatfoot reconstruction was proposed that combined the use of a medializing calcaneal osteotomy (MCO), a lateral column lengthening (LCL), and soft-tissue procedures for the treatment of stage IIB AAFD. More recent literature has suggested guidelines for the amount of correction necessary for each of these procedures based on i...
Source: Techniques in Foot and Ankle Surgery - November 15, 2017 Category: Orthopaedics Tags: CME Aricle Source Type: research

Guest Editorial: Techniques With Guidance
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 15, 2017 Category: Orthopaedics Tags: Special Focus: Techniques With Guidance Source Type: research

Reaching Full Potential
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 15, 2017 Category: Orthopaedics Tags: Editorial Source Type: research

Chronic Syndesmotic Injuries and Reconstruction
This article presents an algorithmic approach using a double limb allograft reconstruction for symptomatic patients with persistent radiographic widening and either subtle syndesmotic instability or significant disruption and lateral talar shift due to attenuated or disrupted syndesmotic ligaments. The technique primarily reconstructs the interosseous ligament and does not attempt to individually recreate each ligament of the syndesmosis to preserve physiological fibula rotation and translation. Early outcomes have been excellent. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete descripti...
Source: Techniques in Foot and Ankle Surgery - August 24, 2017 Category: Orthopaedics Tags: Special Focus: Soft Tissue Reconstruction in the Foot and Ankle Source Type: research

Soft Tissue Repair in Supination-External Rotation IV Ankle Fractures
Achieving optimal functional outcomes while preventing posttraumatic ankle arthritis in patients with unstable ankle fractures remains challenging for orthopedic surgeons. The rate of syndesmotic malreduction is alarmingly high after transsyndesmotic screw fixation. The senior author introduced an alternative to transsyndesmotic screw fixation with anatomic approach to bone and ligament repair. Here we review the development of this approach and present the technique of repairing soft tissue structures in unstable ankle fractures. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 24, 2017 Category: Orthopaedics Tags: Special Focus: Soft Tissue Reconstruction in the Foot and Ankle Source Type: research

Role of Spring and Deltoid Ligament Reconstruction for Adult Acquired Flatfoot Deformity
Failure of the spring ligament is a known pathologic process in the setting of adult acquired flatfoot deformity (AAFD). Many surgical techniques have been described to correct the deformity associated with adult acquired flatfoot deformity; however, there are limited techniques available to reconstruct the spring ligament. The goal of spring ligament reconstruction is to restore the primary ligamentous stabilizer of the talonavicular joint and restore the stability of the hindfoot without creating secondary deformity and hindfoot rigidity. Stage IV flatfoot deformity may result in ankle valgus that places asymmetric stres...
Source: Techniques in Foot and Ankle Surgery - August 24, 2017 Category: Orthopaedics Tags: Special Focus: Soft Tissue Reconstruction in the Foot and Ankle Source Type: research

Autograft Reconstruction for Chronic Achilles Tendon Disorders
We describe the use of 3 different minimally invasive tendon transfer techniques in the management of patients with a chronic rupture of the tendon Achilles, undertaking a free transfer of the semitendinosus tendon, or a transfer of the peroneus brevis or flexor hallucis longus tendons. All 3 techniques produce marked functional improvement, and return to sports is possible in most patients. The advantages of one technique over the others need to be explored. Level of Evidence: Diagnostic Level III. 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 - August 24, 2017 Category: Orthopaedics Tags: Special Focus: Soft Tissue Reconstruction in the Foot and Ankle Source Type: research

Evolution of Tendon Transfer to Allograft Reconstruction in Foot and Ankle Surgery
Over the past several years, tendon transfers have been used to help correct deformity in a variety of clinical situations. Commonly, transfers are often used for addressing diseased tendons, including the anterior tibialis tendon, the Achilles tendon, the peroneals or the posterior tibialis tendon. Although good clinical/functional outcomes have demonstrated after tendon transfers, there has been, increasing interest in using bulk allograft tendon tissue for reconstructing deficient soft tissues. Allograft tendons provide a more comparable size to the once healthy, native tendon and may potentially improve functional outc...
Source: Techniques in Foot and Ankle Surgery - August 24, 2017 Category: Orthopaedics Tags: Special Focus: Soft Tissue Reconstruction in the Foot and Ankle Source Type: research

Hallux Varus and Plantar Plate Repair
One of the most frequent problems encountered in foot and ankle are hallux valgus and lesser toes deformities. One of the complications after hallux valgus treatment is a iatrogenic hallux varus. This deformity can be solved at 2 levels, namely the skeletal level, through a metatarsal osteotomy to correct the varus component of the bone and at the soft tissue level, to compensate and rebalance soft tissue tension surrounding the metatarsophalangeal (MTP) joint. The soft tissue reconstruction may include capsular releases, capsulorraphies, tendon transfers, and augmentations such as nonreabsorbable suture reinforcement of s...
Source: Techniques in Foot and Ankle Surgery - August 24, 2017 Category: Orthopaedics Tags: Special Focus: Soft Tissue Reconstruction in the Foot and Ankle Source Type: research

Guest Editorial: Soft Tissue Reconstruction in the Foot and Ankle
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 24, 2017 Category: Orthopaedics Tags: Special Focus: Soft Tissue Reconstruction in the Foot and Ankle Source Type: research

Every Patient is a Teacher
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 24, 2017 Category: Orthopaedics Tags: Editorial Source Type: research