Techniques in Foot and Ankle Surgery 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.

Complications of the Top 10 Foot and Ankle Procedures Cared for by Newly Trained Orthopedists in the United States
Quality perioperative management encompasses 2 primary goals: treatment efficacy and patient safety. Central to patient safety is protection from adverse outcome, and entails reduction of complications. The purpose of this study was to accurately identify the most common complications and characterize their incidence to better direct current practice improvement initiatives and preventative care. We searched the American Board of Orthopaedic Surgeons database from January 2006 to December 2010 for the most commonly performed foot and ankle procedures as indicated by CPT codes (27600-28899; 29893-29907). The 10 most frequen...
Source: Techniques in Foot and Ankle Surgery - May 23, 2017 Category: Orthopaedics Tags: Complications Source Type: research

A Comparative Analysis of the Most Common Complications for Patients Undergoing Traumatic Foot and Ankle Surgery
Patient safety is protection from adverse outcome through reduction of complications. The purpose of this study is to accurately identify the most common complications after foot and ankle (FA) and traumatic FA surgery and characterize their incidence compared with all other orthopedic procedures. The American Board of Orthopaedic Surgeons (ABOS) database was searched from 2006 to 2010 for all reported orthopedic and FA procedures. The incidence of complications was identified for the following groups: the 10 most common trauma FA procedures, and all FA procedures cumulatively. The incidence of complications for each group...
Source: Techniques in Foot and Ankle Surgery - May 23, 2017 Category: Orthopaedics Tags: Complications Source Type: research

Complications Rates of Recertification Applicants to Those Seeking Initial Orthopedic Board Certification
The American Board of Orthopaedic Surgeons (ABOS) has integrated Maintenance of Certification process to ensure continued physician education and improved clinical performance. The purpose of this study was to evaluate overall change in complication rates for foot and ankle (FA) procedures by surgeons seeking board recertification (BRC) to initial board certifiers (IBC) using ABOS case lists. The ABOS database and case list was reviewed from January, 2006 to December, 2010 for the most commonly performed FA procedures as indicated by current procedural terminology codes (27600-28899; 29893-29907) by 2 distinct groups: (1) ...
Source: Techniques in Foot and Ankle Surgery - May 23, 2017 Category: Orthopaedics Tags: Complications Source Type: research

Calcaneus Exostectomy and Achilles Tendon Reattachment for the Treatment of Haglund Deformity
Insertional Achilles tendinosis with Haglund deformity is a common cause of posterior heel pain and the diagnosis can be established by history, physical examination, and imaging. Operative treatment may be required if the conservative treatment has failed. A common surgical procedure usually includes open debridement of Achilles tendon and retrocalcaneal bursa, exostectomy of posterior superior aspect of the calcaneus, and reattachment of the Achilles tendon using a double-row suture anchors. The results of these procedures demonstrated significant improvement of functional outcomes and pain relief with minimal complicati...
Source: Techniques in Foot and Ankle Surgery - May 23, 2017 Category: Orthopaedics Tags: CME Article Source Type: research

Repair of Chronic Achilles Tendon Ruptures
The Achilles tendon is the thickest and strongest tendon in the body and is responsible for providing ankle plantar flexion strength and function. Rupture of the Achilles tendon is a common but serious injury, which results in difficulties with pain, weakness, and gait imbalance with loss of ankle plantar flexion strength and function. Delay in diagnosis and treatment is the most common reason for the development of a chronic Achilles tendon rupture. Nonoperative treatment options are appropriate in patients with partial tears, without any significant functional deficits, or patients with medical comorbidities preventing t...
Source: Techniques in Foot and Ankle Surgery - May 23, 2017 Category: Orthopaedics Tags: Special Focus: Achilles Tendon Disorders Source Type: research

Open Repair of Achilles Tendon Ruptures
Achilles tendon ruptures are commonly treated by foot and ankle surgeons. Optimal treatment remains controversial with good outcomes achieved with both operative and nonoperative methods. The traditional debate has focused on risk of rerupture following nonoperative care and risk of infection and wound complications after surgery. Using current treatment protocols both of these complications have decreased significantly. Traditional open surgical repair leads to excellent functional outcomes and, when performed with proper technique and layered closure, the risk of infection is minimal. This chapter discusses the authors�...
Source: Techniques in Foot and Ankle Surgery - May 23, 2017 Category: Orthopaedics Tags: Special Focus: Achilles Tendon Disorders Source Type: research

Mini-Open Achilles Tendon Rupture Repair
Acute midsubstance Achilles tendon ruptures are an increasingly common athletic injury that can result in significant pain, functional limitation, and decreased quality of life. In recent years, mini-open Achilles tendon repair techniques have been developed to optimize the functional benefits of surgery while reducing the incidence of postoperative complications associated with traditional open repair. The percutaneous Achilles repair system is a modern mini-open technique that has been shown to help improve time to return to baseline activities and lower the rate of postoperative wound complications compared with traditi...
Source: Techniques in Foot and Ankle Surgery - May 23, 2017 Category: Orthopaedics Tags: Special Focus: Achilles Tendon Disorders Source Type: research

Guest Editorial: Achilles Tendon Disorders
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - May 23, 2017 Category: Orthopaedics Tags: Special Focus: Achilles Tendon Disorders Source Type: research

Soul is Neither Created Nor Destroyed
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - May 23, 2017 Category: Orthopaedics Tags: Editorial Source Type: research

Multidirectional Instability of the Ankle: Surgical Reconstruction
We describe a surgical technique for managing patients with multidirectional instability of the ankle using hamstring autograft and readily available surgical instruments. 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 - February 22, 2017 Category: Orthopaedics Tags: CME Article Source Type: research

Anterior Plating With Retention of Nail for Ankle Nonunion After Tibiotalocalcaneal Arthrodesis
This report describes a technique of anterior plating with retention of nail as a salvage option for patients with this problem. In addition, outcomes are reported for 6 patients who underwent anterior plating with retention of nail for isolated ankle nonunion after attempted TTCA by RIMN. All 6 patients achieved tibiotalar fusion at an average of 9.3 weeks (range, 5.4 to 16.1 wk) postoperatively and average pain scores significantly improved (7.8 to 5.3, P=0.019) postoperatively. One major complication and 1 minor complication occurred. Anterior plating with retention of nail appears to be a viable option for salvage ankl...
Source: Techniques in Foot and Ankle Surgery - February 22, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

Lateral Column of the Foot Arthroplasty With Interpositional Fascia Lata Graft: A New Technique
We present a review of the literature pertaining to lateral column arthroplasty as well as a technique performed by the authors utilizing a tensor fascia lata allograft as an interpositional spacer after joint resection. The senior author has used this technique with great success for many years. 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 22, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

Lesser Metatarsal Complications After MIS Surgery
Minimally invasive surgery (MIS) for lesser metatarsals is performed through percutaneous incisions, with minimal scar formation. Nevertheless, MIS can have significant complications that may result in poor outcomes, forefoot pain, and metatarsalgia requiring further complex open revision surgery. These complications occur after inappropriate or poor surgical technique, lack of surgeon’s experience, and poor patient selection. The most frequent complication is metatarsalgia that occurs secondary to metatarsal malunion or nonunion. MIS is a technique that has to be carefully chosen for specific morbidities and performed o...
Source: Techniques in Foot and Ankle Surgery - February 22, 2017 Category: Orthopaedics Tags: Special Focus: Revision Forefoot Surgery - How to Improve? Source Type: research

Salvage of Lesser Toes Deformities: “Revision Forefoot”
Deformity of the digits and lesser metatarsals is a common surgical problem presenting to the foot and ankle surgeon. Although elective operative management is usually straightforward, even the most routine cases carry the risk of surgical complication, spanning from the simple to the devastating. Most often, it is difficult to determine the exact cause of failure in surgical treatment of lesser toe deformities. Some possibilities are: inadequate surgical procedure; choosing inadequate surgical technique; complications related to the surgical procedure; underestimation of the inherent risks and unrealistic expectations. Th...
Source: Techniques in Foot and Ankle Surgery - February 22, 2017 Category: Orthopaedics Tags: Special Focus: Revision Forefoot Surgery - How to Improve? Source Type: research

Treatment of Minimally Invasive Hallux Valgus Surgery Complications
We describe some of the most frequent complications in minimally invasive surgery of the hallux valgus, and how to correct it. 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 - February 22, 2017 Category: Orthopaedics Tags: Special Focus: Revision Forefoot Surgery - How to Improve? Source Type: research