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Not an Assembly Line
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 28, 2020 Category: Orthopaedics Tags: Editorial Source Type: research

Stepcut Calcaneal Lengthening Osteotomy in the Management of Stage IIB Adult-acquired Flatfoot Deformity: Surgical Technique and Review of Literature
We describe stepcut calcaneal lengthening osteotomy with a “Z” design, which is essentially a combination of the above techniques with an additional full-thickness transverse cut made along the long axis of calcaneus that has the ability to obtain deformity correction of forefoot and hindfoot through a single incision. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - May 19, 2020 Category: Orthopaedics Tags: CME Article Source Type: research

Continuous Loop Double Cortical Button Technique for Distal Tibiofibular Syndesmosis Stabilization: A Technical Note and Case Series
Injury to the distal tibiofibular syndesmosis is common and failure to correct instability may lead to inferior outcomes. Recently, suture-button devices have garnered increasing attention for dynamic syndesmotic fixation. However, current constructs and techniques have been consistently associated with complications such as lateral knot irritation and wound breakdown. In addition, knot slippage, loosening, and osteolysis have been described leading to recurrent syndesmotic diastasis. To address these shortcomings, a continuous loop double cortical button technique has been developed for dynamic syndesmotic stabilization. ...
Source: Techniques in Foot and Ankle Surgery - May 19, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Syndesmotic Injuries Treated With an Aperture Fixation Device
Syndesmotic injuries commonly occur in rotation injuries to the ankle. Suspensory suture button devices have become commonplace but are known to have several drawbacks. The aperture fixation device composed of a threaded tibia anchor, fixed length suture bridge, and telescoping fibular anchor. It preserves the concept of retaining physiological motion of the syndesmosis but provides several potential advantages over suspensory suture button devices. The most important and unique is it provides aperture fixation. This concept is significant in that it provides more strength and stiffness and less stretch and creep compared ...
Source: Techniques in Foot and Ankle Surgery - May 19, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Lapidus Arthrodesis by an Anatomic Dorsomedial Plate
Background: Arthrodesis of the first tarsometatarsal joint (Lapidus arthrodesis) is a powerful modality for correction of a bunion deformity because it both addresses the instability of the first tarsometatarsal joint and fuses the base of first and second metatarsal. The Lapidus arthrodesis can be modified to fuse only the first tarsometatarsal joint. A comprehensive clinical evaluation and appropriate imaging modalities are essential to ensure the right indications for Lapidus arthrodesis and to provide an excellent surgical outcome. Objectives: The purpose of our study was to present an anatomic dorsomedial low-pro...
Source: Techniques in Foot and Ankle Surgery - May 19, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Flexor to Extensor Tendon Transfer and Weil Osteotomy to Treat Grade IV Plantar Plate Tears
Conclusions: The GTP technique associated with the Weil osteotomy is a reliable option for treating grade IV PP tears. The limitations of our study were the small number of patients analyzed, the absence of a control group, and the minimum follow-up period of 12 months. 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 - May 19, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Percutaneous Surgery for Mild to Severe Hallux Valgus
Percutaneous surgery for hallux valgus correction is increasing in popularity. Third generation techniques under image intensifier control, with rigid internal fixation have improved the reproducibility and reliability of this technique. Percutaneous hallux valgus surgery has been shown to decrease immediate and early postoperative pain compared with open distal osteotomies, with comparable patient reported outcome scores. The transverse osteotomy, under image intensifier guidance gives complete control of metatarsal head correction in all planes of movement. The stability relies on rigid fixation of the first screw in bot...
Source: Techniques in Foot and Ankle Surgery - May 19, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Lesser Toes Deformities: A Percutaneous Approach
Not all toe deformities are identical, and yet our classic procedures offer very few options. The typical open bone procedures result in the creation of a stiff joint where it was previously mobile. The main advantage of percutaneous surgical techniques is to afford the surgeon an expanded variety of treatment options to correct both rigid and flexible deformities. Percutaneous techniques increase our armamentarium for better adaption to the individual deformity of each patient. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - May 19, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Minimally Invasive Revision Forefoot Surgery
This article examines forefoot minimally invasive surgery principles and techniques in the revision situation. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - May 19, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Minimally Invasive Foot Surgery
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - May 19, 2020 Category: Orthopaedics Tags: Guest Editorial Source Type: research

Osteoid Osteoma in Talus: Our Experience in Radioguided Surgery
We present a retrospective cohort study of 4 patients with clinical and radiologic findings suspicious OO with at least 1 year of follow-up. We used radioguided surgery for surgical resection after the injection of a dose of 99mTc-hydroxydiphosphonate. The nidus was located with the help of a portable gamma camera and gamma detection probe, concluding the surgical resection when its activity decreased to the levels present in healthy tissues. Samples were sent for pathologic anatomy for further examination. Lesions were localized in all patients. The cure rate, based on the absence of relapse of symptoms, was 100%. On the ...
Source: Techniques in Foot and Ankle Surgery - February 19, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Revision of Synthetic Cartilage Implant Hemiarthroplasty of the Great Toe to Metatarsophalangeal Joint Arthrodesis: Technique and Indications
This study describes the surgical technique used to convert synthetic cartilage implant hemiarthroplasty of the first metatarsophalangeal joint to arthrodesis and the 3 cases that underwent revision at a single center in the United Kingdom. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 19, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

INBONE Revision Total Ankle Arthroplasty
The INBONE total ankle replacement is both a primary and a revision total ankle replacement. It is a modular tibial ankle with the ability to increase the length of the stem as necessary for stability. It also has available an enlarged baseplate for the tibia and a modular talar extension component for use when the talar bone is insufficient for the standard prosthesis. Its flexibility in use makes it an ideal ankle replacement for revision ankle replacement surgery. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 19, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Arthroscopic Tibiotalocalcaneal Arthrodesis
Introduction: Arthrodesis is still the gold standard for severe ankle and hindfoot osteoarthritis. The arthroscopic tibiotalocalcaneal arthrodesis technique has been described and developed in the past decade. Tibiotalocalcaneal arthrodesis (TTCA) is the election procedure for combined severe ankle and subtalar osteoarthritis after failure of conservative treatment. The arthroscopic technique is more respectful to the surrounding soft tissues and the vascular supply; hence, it provides a theoretical benefit in terms of consolidation, and it is suitable for cases in which the open surgery is not desirable. We perform the ...
Source: Techniques in Foot and Ankle Surgery - February 19, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Open Ankle Arthrodesis: Transfibular Approach
Ankle arthrodesis is a well-established surgical treatment for patients suffering from end-stage ankle osteoarthritis. This procedure can be executed by surgeons through various techniques. Among these methods is the open transfibular approach, which is utilized by the senior author as a routine procedure to treat the degenerative articulation. Outcomes of primary open ankle arthrodesis operations and cases necessitating a revision following a primary procedure were assessed through retrospective data and collective experience and were found to be similar to comparable postoperative complication rates. (Source: Techniques ...
Source: Techniques in Foot and Ankle Surgery - February 19, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research