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.

Orthogonal Locked Plating for Tibiotalocalcaneal Arthrodesis
This study describes the technique of orthogonal plating, using an anatomic precontoured plating system, for tibiotalocalcaneal arthrodesis, with and without bulk allograft. We feel this technique provides increased construct stability and good outcomes, and 2 of our cases are presented that underwent arthrodesis using this construct at a single academic center. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 22, 2022 Category: Orthopaedics Tags: Techniques Source Type: research

First Metatarsophalangeal Joint Polyvinyl Alcohol Hydrogel Implant Hemiarthroplasty: Current Operative Technique
Polyvinyl alcohol hydrogel implant hemiarthroplasty for the first metatarsophalangeal joint has been shown to be an effective, safe, motion-preserving, surgical treatment alternative to fusion for hallux rigidus in a level I, randomized controlled trial. To obtain optimal results, however, surgeons must be sure to perform the appropriate surgical technique as well as educate patients regarding pertinent risks, benefits, and the associated recovery process. Achievement of results commensurate with those published in the randomized controlled trial is predicated on an understanding of the various technical aspects of the sur...
Source: Techniques in Foot and Ankle Surgery - February 22, 2022 Category: Orthopaedics Tags: Techniques Source Type: research

The Lapidus Procedure: The Evolution From Suture Fixation to Rigid Multiplanar Correction
We describe our preferred use of the modified Lapidus procedure for treating hallux valgus deformity, and discuss surgical indications, techniques, and complications. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 22, 2022 Category: Orthopaedics Tags: Special Focus Source Type: research

Minimally Invasive Technique for Hallux Valgus Correction
The evolution of minimally invasive surgery has led to techniques that can achieve comparable results to that of traditional open methods of surgery. For hallux valgus correction of the foot, several studies have demonstrated the equivalency between open procedures and current minimally invasive procedures in terms of stability and final outcomes. The authors present a detailed technique for minimally invasive hallux valgus correction. Early clinical and radiographic outcomes are reported, including a comparison of chevron and transverse osteotomies. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 22, 2022 Category: Orthopaedics Tags: Special Focus Source Type: research

Proximal Rotational Metatarsal Osteotomy for Treatment of Hallux Valgus: A Technique Guide
This article provides a technique guide for the proximal rotational metatarsal osteotomy technique, which corrects both the intermetatarsal angle and the rotational deformity with a single oblique osteotomy. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 22, 2022 Category: Orthopaedics Tags: Special Focus Source Type: research

Arthroscopically Assisted Technique for Combined Medial and Lateral Ligament Repair in Multidirectional Ankle Instability
The objective of this study was to describe an arthroscopically assisted technique for combined medial and lateral ligament repair in patients with multidirectional ankle instability. Clinical and functional results were described in 14 cases (8 female, 6 male) with a minimum 12-month follow-up. The average age was 35.8 years (range: 20 to 57 y), only 1 case of neuritis was reported and resolved without invasive procedures. At the final follow-up, 13 cases had good-excellent results with AOFAS (American Orthopedic Foot and Ankle Score)>80 points. We believe that the arthroscopic technique described is as a viable treatme...
Source: Techniques in Foot and Ankle Surgery - November 26, 2021 Category: Orthopaedics Tags: CME Article Source Type: research

“Don’t Make the Gap” Surgical Technique and Case Series for Chronic Achilles Rupture
This study describes a technique that avoids resection of this scar tissue that allows for maximum final tendon length without the risk of gap formation. In addition, this study reports a case series of 7 patients who underwent the described technique at an average of 30 weeks after injury. These patients were followed-up for an average of 36 months, with similar outcome scores as shown in previous literature. This series demonstrates that good surgical outcomes are attainable while avoiding scar excision for patients with chronic Achilles tendon ruptures. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 26, 2021 Category: Orthopaedics Tags: Techniques Source Type: research

‘Bamboo Hut Technique’ to Bridge Large Defects During Tibiotalocalcaneal Fusion
Tibiotalocalcaneal arthrodesis is a salvage procedure for severe ankle and hindfoot deformities, cases with bone loss, arthritis, and failed previous surgeries. Complex situations leave the surgeon apprehensive over large bone defects. Several options to bridge the bone gap have been described; however, the easy availability of allografts and cages poses a significant challenge for the less privileged surgeon. Here we describe a simple indigenous technique of utilizing autologous fibula to bridge large bone defects between the tibia and calcaneus during tibiotalocalcaneal fusion. The technique has advantages like the gener...
Source: Techniques in Foot and Ankle Surgery - November 26, 2021 Category: Orthopaedics Tags: Techniques Source Type: research

First Dorsal Metatarsal Artery Flap for Coverage of Distal Foot Wounds: A Case Discussion and Narrative Review
We present a case study of our patient who underwent FDMA flap coverage of a big toe dorsum wound, and we also present a review of the literature. Of the 13 papers and 46 cases in the published literature, all flaps survived. Authors report good functional outcomes, with patients regaining ambulation and fitting footwear owing to the flap’s thin and pliable contour. Complications reported include 5 cases of superficial distal tip necrosis, all of which healed spontaneously. We conclude that the FDMA flap is a reliable, reproducible, and suitable coverage option for small distal foot, webspaces, and toe defects. They are ...
Source: Techniques in Foot and Ankle Surgery - November 26, 2021 Category: Orthopaedics Tags: Techniques Source Type: research

The Proximal Opening Wedge Osteotomy: A Review of the Evidence and Technique
The treatment of symptomatic, moderate-to-severe hallux valgus deformities offers numerous challenges to the foot and ankle surgeon. Many surgical procedures have been described for the correction of metatarsus primus varus with moderate-to-severe hallux valgus deformity. For the larger deformity, surgeons typically turn toward a shaft or basilar osteotomy or opt for a Lapidus-type procedure. The proximal opening wedge osteotomy has become popular with the recent development of specifically designed, low-profile, opening wedge, proximal metatarsal systems. Despite initial success and popularity, a reported 3% to 11% recurr...
Source: Techniques in Foot and Ankle Surgery - November 26, 2021 Category: Orthopaedics Tags: Special Focus Source Type: research

The Scarf Osteotomy
We present a literature review on the evolution of this technique and our results with a specific remark to flat foot deformity as a risk factor for the recurrence of hallux valgus deformity. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 26, 2021 Category: Orthopaedics Tags: Special Focus Source Type: research

The Open Distal Chevron Osteotomy
Abstract: Hallux valgus is one of the more common complaints for patients presenting to a foot and ankle clinic. The open distal chevron osteotomy has been a successful and widely used treatment option for symptomatic patients with a mild to moderate deformity. In this paper we will review the evidence with a focus on recent publications, our indications and contraindications, technique, results, and potential complications of the procedure. Levels of Evidence: Level V. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 26, 2021 Category: Orthopaedics Tags: Special Focus Source Type: research

Bunion Surgery: An Evolution
While correction of hallux valgus deformities has been a subject of interest in the medical literature for over 2 centuries, the major contributions and published evidence has occurred over the last 75 years. Mc Bride, Keller, Mitchell, Mann, and Lapidus are names which reference techniques but they also present principles of treatment that establish the basis for current bunion surgery. Many components of these methods are used today and incorporated into modern bunion surgery. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 26, 2021 Category: Orthopaedics Tags: Special Focus Source Type: research

Hallux Valgus Treatment: An Evolution
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 26, 2021 Category: Orthopaedics Tags: Special Focus Source Type: research

Fracture of the Posteromedial Tubercle of the Talus: Surgical Approach With Case Examples
Ten to 21% of talus fractures involve the posteromedial tubercle. A search query of the institutional database was performed for all adult patients that sustained talar fractures over an 8-year period. Fifteen of these patients had isolated fractures of the posteromedial tubercle. Seventy-three percent of the patients had an associated subtalar dislocation; in all of these, the fracture of the posteromedial tubercle was comminuted. Plain radiographs have been shown to lack sensitivity in detecting posterior process fractures, which includes posteromedial and posterolateral tubercles. In this group, 86% had initial plain ra...
Source: Techniques in Foot and Ankle Surgery - August 21, 2021 Category: Orthopaedics Tags: CME Article Source Type: research