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.Nitinol Compression Screws in Foot and Ankle Surgery
Fracture fixation and joint arthrodesis are among the most common procedures in foot and ankle surgery. Successful outcomes rely on union between bony interfaces. With a thin and relatively delicate soft tissue envelope, the foot and ankle require implants and techniques that generate compression to achieve bony union while respecting local soft tissue anatomy. Recently, orthopedic implants comprised of nitinol metal have been demonstrated to have a unique advantage in achieving compression through the alloy’s unique inherent properties of shape memory and super elasticity. Nitinol implants offer the surgeon a tool to ap...
Source: Techniques in Foot and Ankle Surgery - August 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
The Evans Calcaneal Osteotomy Using a Buried K-Wire Technique
We describe a less common operative technique using a buried K-wire to fixate the osteotomy to prevent dorsal subluxation of the distal fragment. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
Dressing Techniques in Percutaneous Toe Surgery
Percutaneous techniques are becoming increasingly popular in forefoot surgery. In percutaneous toe corrections, usually, no hardware is used. The hardware-free technique avoids any hardware-related complications, but relies highly on the effect of the dressing to keep the foot in the desirable corrected position while healing occurs. The first postoperative dressing is applied by the surgeon. A combination of adhesive taping, sterile gauzes, and an elastic cohesive bandage is used for the first 10 to 14 days. The technique is tailored to the surgical procedure performed and aimed at correcting the preoperative deformity. F...
Source: Techniques in Foot and Ankle Surgery - August 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
Open Ankle Reconstruction of Lateral Ligaments (O-Anti-RoLL)
Ankle instability is a disabling condition that severely affects people’s quality of life. Nonoperative options have been suggested however a surgical procedure is often required to improve symptomatology and function of the ankle joint. In the current paper we describe a surgical technique of an open ankle reconstruction of the lateral ligaments (O-Anti-RoLL), which is a simple and safe surgical technique that utilizes an anatomic Y-graft. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - May 31, 2022 Category: Orthopaedics Tags: CME Article Source Type: research
Conversion of Tibiotalocalcaneal Arthrodesis to Total Ankle Arthroplasty in the Setting of Fibular Deficiency
Conversion of symptomatic ankle arthrodesis to total ankle arthroplasty is becoming more common. Lateral fibula insufficiency has historically been considered a contraindication for arthrodesis takedown and conversion arthroplasty. Studies have described several methods for restoring an adequate lateral buttress but reported mixed results. The authors describe a novel technique tip for a single-procedure conversion of tibiotalocalcaneal arthrodesis to total ankle arthroplasty in the setting of fibular deficiency. The described technique uses unique templating and bone cuts and can be successfully replicated in these challe...
Source: Techniques in Foot and Ankle Surgery - May 31, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
Osteotomy Guides Created Through 3D Tomographic Model for Talus Osteotomies in Massive Allograft Technology Presentation for Massive Fresh Talus Allograft Transplant
This study aims to present 3D printing for the creation of more precise osteotomy guides, in the treatment of massive talus osteochondral lesions; and proving its use in the transplant of fresh osteochondral allografts. We present the planning and the surgery performed on a patient, using this 3D printing method with specific osteotomy guides designed for the massive osteochondral defect in zones 1, 4, and 5 (Raikin) with 2570 mm3 volume and symptomatic. At 3 months and 1 year postoperation it was evaluated with a computerized axial tomography scan, objectifying a good articular reduction and congruence of the allograft ...
Source: Techniques in Foot and Ankle Surgery - May 31, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
The Modified Posteromedial Approach to Posterior Malleolar Fractures
We describe a posteromedial modified approach, as an alternative to treat posterior pilon malleolar fractures. This approach can be performed safely, with low complication rates and generally with favorable outcomes. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - May 31, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
Fractures of the Great Toe Proximal Phalanx: A Case Series and Review of the Literature
Phalangeal fractures are the most common fractures seen in the foot, especially in the great toe. Acceptable angulations for fractures of the proximal phalanx are not known. To determine practice trends, a retrospective review of consecutive patients treated at a single institution from January 2011 to August 2014 was performed. All patients were skeletally mature with fractures to the diaphysis of the proximal phalanx with or without intra-articular extension. Outcomes from the medical record review included the type of treatment, radiographic alignment, and visual analog pain scores. Of the 12 patients reviewed, 4 sustai...
Source: Techniques in Foot and Ankle Surgery - May 31, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
Traumatic Hallux Varus: Operative Technique Guide
Traumatic hallux varus, although rare in occurrence, requires thoughtful clinical attention due to its disabling nature and the natural progression of this deformity. Although there is abundant literature on capsuloligamentous injuries, the traumatic hallux varus variant of this injury type currently exists solely as isolated case reports. Because of its infrequent presentation and limited research on the pathology, there exists a paucity in management options and surgical techniques. Conventional treatment methods listed in management of traumatic hallux varus are limited to tenodesis of the adductor tendon using suture i...
Source: Techniques in Foot and Ankle Surgery - May 31, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
The Use of Modified Ollier Approach and Structural Allograft for Fixation of Intra-articular Calcaneal Fractures
We describe the combination of an Ollier approach and use of a structural allograft, for displaced intra-articular calcaneal fractures, that minimizes soft issue complications known to plague such fractures. The soft tissue envelope around the fracture fragments is maintained, facilitating fracture reduction. The mini-open incision is positioned such that critical elements of the subtalar joint are adequately visualized throughout the reduction and fixation. We have used this procedure for all grades of Sanders intra-articular fractures with no significant short-term complications thus far. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - May 31, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
A Novel Percutaneous Modified Brostrom-Gould Technique for Lateral Ankle Instability Using the Lasso Technique
We describe a percutaneous modification of the Brostrom-Gould procedure for lateral ankle instability. Our surgical technique involves making a stab incision at the anterior aspect of the distal fibula. Dissection is made down to bone and a double-loaded suture anchor is placed at the anterior talofibular ligament (ATFL) origin. The sutures are loaded individually onto a trocar needle and passed underneath the remnant ATFL and inferior extensor retinaculum at its distal extent. Percutaneous stab incisions are made to allow retrieval of the sutures which are passed subcutaneously back to the ATFL origin. The 2 sets of sutur...
Source: Techniques in Foot and Ankle Surgery - May 31, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
Ankle Fractures: Minimally Invasive Surgery
Many patients with ankle fractures present different comorbidities, like diabetes, peripheral vascular disease, tobacco use, fractures blisters, etc., and have a high risk of wound healing complications. The potential for wound dehiscence and infection with open reduction and internal fixation is higher in these patients. The minimally invasive technique allows for proper stabilization with a minimal approach and less soft tissue trauma. These percutaneous methods, allow to reduce the damage of the soft tissues, protect vascularization and, consequently, improve the outcomes with faster rehabilitation and faster return to ...
Source: Techniques in Foot and Ankle Surgery - May 31, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
Hindfoot Double Arthrodesis in Adults Using Cannulated Screws: How We Do It?
Hindfoot arthrodesis is a common orthopedic surgical procedure indicated for reconstructive surgery in patients with advanced osteoarthritis, rheumatoid arthritis, posterior tibial tendon insufficiency (stages III and IV), severe cases of tarsal coalition, advanced stages of cavovarus foot (eg, Charcot-Marie-tooth disease), or type 2 Brodsky Charcot hindfoot arthropathy. Triple arthrodesis utilizing solid (noncannulated) screws is a technically demanding procedure because accurate placement of these screws is complex. Cannulated screws have become popular because of their easier insertion than solid screws and because of a...
Source: Techniques in Foot and Ankle Surgery - May 31, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
Results in 7 Cases of Neurectomy With a Transverse Plantar Approach for Primary Morton’s Neuroma
This study aimed to describe the surgical results of Morton’s neuroma. Six patients (7 feet) underwent neurectomy via a transverse plantar incision in the forefoot. Changes in perceived pain, function, and patient satisfaction were measured with a Visual Analog Scale, the American Orthopaedic Foot and Ankle Surgery Scale, and the Coughlin score, respectively. Six feet had neuromas in the third intermetatarsal space and 1 foot had neuromas in the third and second spaces. The mean preoperative and postoperative Visual Analog Scale scores were 7.14±0.69 and 1.86±0.69, respectively. The mean preoperative and postoperative ...
Source: Techniques in Foot and Ankle Surgery - February 22, 2022 Category: Orthopaedics Tags: CME Article Source Type: research
Minimally Invasive All Arthroscopic Broström With InternalBrace Augmentation: A Technique Tip
We present an arthroscopic technique to incorporate the benefits of minimally invasive ligament repair with the inclusion of the suture tape augmentation. This allows for immediate postoperative weight bearing, accelerated rehabilitation, and rapid return to function while minimizing scarring and wound complications. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 22, 2022 Category: Orthopaedics Tags: Techniques Source Type: research
