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Outcomes of a Nontraditional Dual Incision Approach for Lisfranc Trauma, Fractures, and Osteoarthritis
Conclusions: This nontraditional dual incision dorsal approach for Lisfranc surgery has a low wound healing complication rate, in fact none were reported in this sample size of 68 patients. This approach is reproducible for either traumatic or elective procedures of the Lisfranc complex allowing excellent visualization of the medial and central tarsometatarsal joints while removing risk to the neurovascular structures inherent in the more traditional incisions. 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 - December 1, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Supramalleolar Osteotomy for Asymmetric Ankle Arthritis
Supramalleolar osteotomy is a common procedure for treating patients with asymmetric, focal ankle arthritis, and distal tibia deformities. This paper discusses the history, indications, preoperative planning, surgical techniques, complications, and outcomes in relation to the supramalleolar osteotomy. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - December 1, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Treatment of Osteochondral Lesions of the Talus: An Evidence-based Opinionated Review
Osteochondral lesions of the talus (OLTs) are a much-discussed topic in foot and ankle surgery due to their refractive nature to therapy. OLTs include fractures of the talar osteochondral surface from acute trauma or chronic repetitive injury, and their chronic subset in young patients conventionally referred to as osteochondritis dessicans. OLTs do not tend to heal well, and their treatments remain only moderately successful without an obvious superior method. The purpose of this review is to summarize the treatment of OLTs using current available literature and provide an opinionated preferred treatment algorithm. (Sourc...
Source: Techniques in Foot and Ankle Surgery - December 1, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Talar Osteochondral Autograft Transplant
Osteochondral lesions of the talus vary both in terms of patient symptoms and treatment options. Patient presentation is variable, commons symptoms include minor previous trauma with persistent pain, recurrent ankle swelling, and mechanical symptoms. Treatment often depends on the stability of the cartilage fragment and typically includes a course of conservative treatment. Surgical options include simple arthroscopy with loose body removal with or without microfracture, open reduction and internal fixation of the lesion, autologous chondrocyte implantation with structural allograft, or an osteochondral autograft transplan...
Source: Techniques in Foot and Ankle Surgery - December 1, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Treatment of Osteochondral Lesions of the Talus With Matrix-induced Autologous Chondrocyte Implantation (MACI)
This article reviews the matrix-induced autologous chondrocyte implantation technique and the evidence supporting its use. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - December 1, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Guest Editorial
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - December 1, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Technique Tip: Combined Suspensory and Aperture Fixation of Posterior Tibialis Tendon Anterior Transfer for Dropfoot
We present a new way of tendon docking which enables patients to weight-bear immediately after surgery, thus significantly reducing the above mentioned risks. This modification addresses the weakest point of the fixation—the tendon/screw interface, by utilizing a tension slide bicortical biceps button. Our initial case series of 8 patients (9 feet) has shown good results with no patients showing late radiologic or clinical loss of fixation of the construct at 6 months follow-up. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 28, 2020 Category: Orthopaedics Tags: CME Article Source Type: research

An Alternative Surgical Approach to the Jones Fracture
We describe a corrective osteotomy which addresses the underlying predisposing biomechanics and which aids in achieving fracture union and reducing recurrence. The technique is relatively simple, easy to explain, and is reproducible, requiring no specialised instrumentation. The author’s experience demonstrates the technique to be effective in the general population, and in high demand athletic groups without significant or procedure specific complication. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 28, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Noninsertional Tibialis Anterior Tendon Rupture Managed With Midsubstance SpeedBridge Repair
Tibialis anterior tendon rupture is uncommon but can lead to substantial functional impairment and persisting pain. Operative repair of the ruptured tendon is warranted in most cases, but little data exist on outcomes and surgical techniques for repair. To date, the literature contains only small retrospective review series and case reports on the management of this injury. We introduce a new technique for repair of lacerated tibialis anterior tendons using the Midsubstance SpeedBridge. This method is an adaptation of a previously described technique for treating Achilles tendon ruptures. The benefits of this construct are...
Source: Techniques in Foot and Ankle Surgery - August 28, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Varied Surgical Approach to the Retrocalcaneal Spur and Haglund Deformity: A Technique Guide
An enlargement of the posterosuperior aspect of the calcaneus, also known as Haglund deformity, is often associated with Achilles tendonitis/tendinosis and retrocalcaneal bursitis. A retrocalcaneal spur is associated with chronic pain from activity and shoe pressure. Both of these conditions are treated with conservative therapy, which provides reliable results. However, surgical intervention may be required for recalcitrant or severe cases and has the opportunity to provide relief when nonoperative measures fail. Many surgeons address both conditions through similar surgical dissection. The posterior heel has relatively l...
Source: Techniques in Foot and Ankle Surgery - August 28, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Extreme Chevron
Diaphyseal osteotomies have been successfully used in the treatment of moderate to severe hallux valgus owing to their high correction potential without the typical instability of proximal osteotomies. The author describes the extreme chevron technique, which has an excellent correction potential. The technique also provides great intrinsic stability, resulting from the osteotomy shape and extensive contact area between fragments, and extrinsic stability, resulting from the possibility of multiple fixation. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 28, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Fifth Metatarsal Osteotomy
This article will discuss the pathoanatomy of the bunionette, its classification and our surgical approach to the varying degrees of this entity. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 28, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Minimally Invasive Chevron Akin (MICA) for Correction of Hallux Valgus
This article provides an update of surgical techniques as described by the originators and review of current literature on the topic. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 28, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Scarf and Akin Osteotomy for Hallux Valgus
Surgical treatment of hallux valgus by scarf and akin osteotomy has dramatically changed the outcomes since its introduction few decades ago. These procedures provide a stable construct and pain relief, significantly improving the patient journey. Despite the advent of newer options, the scarf osteotomy is continuing to be a popular procedure, especially among European foot and ankle surgeons. The authors describe this versatile procedure in details with a review of 39 patients with a minimum of 6 months follow-up. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 28, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Guest Editorial
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 28, 2020 Category: Orthopaedics Tags: Guest Editorial Source Type: research