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.Rotational Osteotomy for Hallux Valgus. A New Technique for Primary and Revision Cases
We describe a new technique which simultaneously corrects the metatarsal internal rotation and varus deformity by rotating the metatarsal through an oblique plane osteotomy. This is performed with no bone wedge resection. Also, there is a broader bone surface contact than on a transverse proximal osteotomy. This technique is easy to remember and relatively simple to perform in primary and revision cases. The authors results show that it is as safe and effective as other procedures, with some advantages to be discussed.
Levels of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of level...
Source: Techniques in Foot and Ankle Surgery - February 22, 2017 Category: Orthopaedics Tags: Special Focus: Revision Forefoot Surgery - How to Improve? Source Type: research
Guest Editorial: Revision Forefoot Surgery: How to Improve
No abstract available (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
Controversial to Noncontroversial
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 22, 2017 Category: Orthopaedics Tags: Editorial Source Type: research
Dual Semitendinosus Allograft Reconstruction of Large Achilles Tendon Defects
This article describes a novel technique using 2 semitendinosus allografts to reconstruct Achilles tendinopathy with large defects. There are 2 options for distal fixation depending upon the residual amount of Achilles tendon that remains distally on the heel. This technique offers another option for the surgeon in the face of a difficult reconstructive procedure. Early outcomes have been excellent.
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 16, 2016 Category: Orthopaedics Tags: CME Article Source Type: research
Interpositional Arthroplasty Technique for Hallux Rigidus Using Amniotic Membrane and Regenerative Tissue Matrix
Hallux rigidus is a painful osteoarthritic condition of the first metatarsophalangeal joint. It is the most prevalent arthritic condition of the foot, affecting up to 1 in 40 adults over 50 years of age. Mild cases of hallux rigidus are frequently treated with cheilectomy, whereas severe cases are often treated with arthrodesis. Interposition arthroplasty is a joint-sparing alternative to fusion that has been used effectively in moderate to severe cases of hallux rigidus. This paper discusses a novel modification of interpositional arthroplasty technique using amniotic membrane graft and regenerative tissue matrix to succe...
Source: Techniques in Foot and Ankle Surgery - November 16, 2016 Category: Orthopaedics Tags: Technique Source Type: research
The Infected Pilon: Assessment and Treatment Strategies
Fractures of the distal tibial plafond (pilon) occur across broad ranges of injury mechanism, severity, and patient demographics. Patients often present with considerably comminuted fracture patterns and significant soft tissue compromise. Surgical intervention must be performed with respect for the exceedingly vulnerable soft tissue envelope and a properly established technical expertise. However, even in the presence of proper timing, favorable host factors, and expert surgical technique, restoration of function and the avoidance of complications may not be achievable. Infection is a relatively common sequela of operativ...
Source: Techniques in Foot and Ankle Surgery - November 16, 2016 Category: Orthopaedics Tags: Special Focus: Current Concepts in Management of Pilon Fractures Source Type: research
Complications in Tibial Pilon Fractures: Avoiding Errors in Judgment
Pilon fracture surgery is fraught with many potential complications. Careful preoperative evaluation is required. Techniques for preoperative soft tissue management include compression dressings, stable ankle spanning external fixation, and compression foot pumps. Errors in judgment regarding the timing of surgery and over aggressive surgical exposure can lead to soft tissue complications. Postoperative wound management techniques include negative-pressure wound therapy to reduce incisional edema. Wound complications can be handled with a number of newer local pedicled rotational flaps, as well as biomaterials. These inclu...
Source: Techniques in Foot and Ankle Surgery - November 16, 2016 Category: Orthopaedics Tags: Special Focus: Current Concepts in Management of Pilon Fractures Source Type: research
Surgical Approach Options for Pilon Fractures
Pilon fractures are often caused by high-energy axial loads that create complex articular fracture patterns and significant soft tissue damage. This constellation of injuries in an anatomic region with limited soft tissue coverage and tenuous perfusion creates a surgical challenge with the potential for high rates of complications. The goals in surgically treating pilon fractures include achieving an anatomic articular reduction with stable fixation while minimizing disruption to the soft tissue envelope. Even after achieving anatomic reductions, clinical outcomes after surgical treatment of high-energy pilon fractures are...
Source: Techniques in Foot and Ankle Surgery - November 16, 2016 Category: Orthopaedics Tags: Special Focus: Current Concepts in Management of Pilon Fractures Source Type: research
Fracture Pattern Assessment of Tibial Pilon Fractures
Tibial plafond fractures are difficult to treat successfully because of the many factors that must be addressed accurately for a patient to have an optimal outcome. A thorough understanding of the fracture patterns requires careful evaluation of the injury and traction radiographs and the traction CT scan. Recognizing the consistent fracture patterns and fragments will assist with choosing a surgical approach, affecting a fracture reduction, and optimizing patient outcomes.
Level of Evidence: Diagnostic Level V, expert opinion. See Instructions for Authors for a complete description of levels of evidence. (Source: Techniq...
Source: Techniques in Foot and Ankle Surgery - November 16, 2016 Category: Orthopaedics Tags: Special Focus: Current Concepts in Management of Pilon Fractures Source Type: research
Do We Really Need That Many Years?
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 16, 2016 Category: Orthopaedics Tags: Editorial Source Type: research
Alternative Method to Remove Polyethylene Liner from INBONE Total Ankle Arthroplasty: Operative Technique
Total ankle arthroplasty (TAA) is an evolving treatment indicated in end-stage idiopathic, posttraumatic, or inflammatory ankle arthrosis. Currently, there are 4 Food and Drug Administration approved TAAs systems available in the United States, one of which is the INBONE TAA. The INBONE TAA is a third generation ankle implant that has been approved by the Food and Drug Administration since 2005. It is a modular, fixed-bearing system that utilizes a drill hole through the calcaneus and talus to align the components. Over the past 10 years, there has been a steady increase in the number of TAAs performed in the United States...
Source: Techniques in Foot and Ankle Surgery - August 19, 2016 Category: Orthopaedics Tags: Technique Source Type: research
Techniques for Primary and Revision First Metatarsophalangeal Joint Arthrodesis
A first metatarsophalangeal (MTP) joint arthrodesis is often used for the treatment of MTP arthritis as well as severe angular deformities. While many techniques for achieving solid arthrodesis have been used, this paper will present the senior author's technique for a standard first MTP arthrodesis. This paper will also discuss techniques for revision and salvage procedures and review the evolution of current first MTP arthrodesis techniques.
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 - August 19, 2016 Category: Orthopaedics Tags: Special Focus: Revision Forefoot Surgery Source Type: research
Techniques for First Metatarsophalangeal Joint Salvage Associated With Failed Hallux Valgus Surgery
The surgical correction of hallux valgus (HV) is one of the most common procedures performed by orthopedic foot and ankle surgeons. There are>100 different operations described in the literature for the management of HV, yet patient dissatisfaction following HV surgery can occur in 4% to 41% of cases. The most common outcomes leading to patient complaints include recurrence of HV, hallux varus, malunion, nonunion, osteonecrosis of the first metatarsal head, first metatarsophalangeal joint stiffness, and pain. This manuscript will present and discuss 4 cases of failed HV treated with joint-sparing secondary procedures. The ...
Source: Techniques in Foot and Ankle Surgery - August 19, 2016 Category: Orthopaedics Tags: Special Focus: Revision Forefoot Surgery Source Type: research
The Lapidus for a Failed Hallux Valgus Surgery
Recurrent hallux valgus (HV) can be a difficult complication for both the patient and the surgeon. There are many options to correct the recurring deformity including osteotomies and proximal or distal arthrodesis. More recently the Lapidus procedure or its modifications has been shown to be an effective method of treating various complications of HV. In this manuscript we present the considerations for treatment of recurrent HV with the Lapidus procedure. We note that the Lapidus procedure and its modifications can reliably correct recurrent HV deformity with or without instability of the first tarsometatarsal joint with ...
Source: Techniques in Foot and Ankle Surgery - August 19, 2016 Category: Orthopaedics Tags: Special Focus: Revision Forefoot Surgery Source Type: research
Revision Forefoot: Technique for Salvage After First Metatarsophalangeal Joint Arthroplasty With Arthrodesis
Failure of a first metatarsophalangeal joint arthroplasty can be a debilitating condition for the patient and a challenging condition for the treating surgeon. This technique article highlights 2 techniques: the use of a tricortical iliac crest bone block allograft and also distal tibia autograft for metatarsophalangeal joint arthrodesis and management of the bony defect.
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 - August 19, 2016 Category: Orthopaedics Tags: Special Focus: Revision Forefoot Surgery Source Type: research
