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.

Arthroscopic Ankle Arthrodesis: A Review of Current Concepts and Technique
Background: Open ankle arthrodesis (OAA) has traditionally been the gold standard for improving pain and function in ankle osteoarthritis patients. With advances in arthroscopic technology and improved instrumentation, arthroscopic ankle arthrodesis (AAA) has become more popular among orthopedic surgeons with equivalent or better outcomes compared with OAA. Recent studies have shown that, with increasing experience, AAA can even be suitable for large deformities, which has been traditional viewed as a relative contraindication. A review of literature and concepts with expert opinion. AAA has been shown in the literature ...
Source: Techniques in Foot and Ankle Surgery - February 19, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Hinged Motion Distraction Surgery for Ankle Osteoarthritis
We describe, in this article, the hinged joint distraction technique. A total of 50 patients with posttraumatic ankle osteoarthritis with a mean age of 40.0±8.5 years were included in a prospective randomized study: 25 patients in ankle debridement alone group and 25 patients in debridement and hinged ankle distraction group. The mean follow-up was 46±12 months (range: 36 to 78 mo). The clinical and radiographic outcomes were evaluated at the 6-month and 3-year follow-up using the Visual Analog Scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, SF-36 quality of life score, and Takakura ank...
Source: Techniques in Foot and Ankle Surgery - February 19, 2020 Category: Orthopaedics Tags: Special Focus Source Type: research

Arthroscopic Treatment of Ankle Impingement
The current article briefly discusses the impingement pathologies around the ankle joint and provides a short overview of the surgical technique. (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

Surgical Technique of the VANTAGE Total Ankle Arthroplasty
The VANTAGE total ankle arthroplasty is a novel anatomic mobile or fixed-bearing total ankle arthroplasty with a good and simple instrumentation giving to surgeons a safe implantation ventral approach technique. Our first cases report a successful functional outcome for patients, with or without additional surgeries, and without very early complications. (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

Surgical Techniques for Ankle Osteoarthritis
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 19, 2020 Category: Orthopaedics Tags: Guest Editorial Source Type: research

Keep the Change
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - February 19, 2020 Category: Orthopaedics Tags: Editorial Source Type: research

It All Fell Apart … Now How Do I Reconstruct My End-stage Flatfoot?
We present our diagnostic algorithm, surgical techniques, and pearls for the treatment of the failed extra-articular flatfoot reconstruction. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 21, 2019 Category: Orthopaedics Tags: Special Focus Source Type: research

Deltoid Insufficiency and Flatfoot—Oh Gosh, I’m Losing the Ankle! What Now?
Adult acquired flatfoot deformity is a severe condition in which the ankle is markedly affected by medial instability and valgus deformity. Unbalanced forces pose high stress on the tibiotalar joint, and different levels of arthritis may develop. Correcting valgus tilt in the ankle, at the time of flatfoot reconstruction, is imperative to prevent future collapse and the need for ankle arthrodesis or arthroplasty. Unfortunately, there has been no universal procedure adapted by foot and ankle surgeons for repair or augmentation of the deltoid ligament. We recommend a technique of reconstruction of the superficial and deep de...
Source: Techniques in Foot and Ankle Surgery - November 21, 2019 Category: Orthopaedics Tags: Special Focus Source Type: research

The Flatfoot in Collapse Needs Stability and That is Why I Fuse It
The pathophysiology and treatment of the adult-acquired flatfoot is still quite controversial. Soft tissue reconstruction and tendon transfer surgery combined with corrective osteotomy for flexible deformities are well established in the literature. However, patients with signs of hindfoot osteoarthritis, rheumatological or neurological diseases, and obesity can benefit from surgical correction with arthrodesis because of greater outcome predictability. Various types of arthrodesis, including isolated, triple, double, or segmental procedures, have been described to treat this deformity. We will discuss the events leading t...
Source: Techniques in Foot and Ankle Surgery - November 21, 2019 Category: Orthopaedics Tags: Special Focus Source Type: research

The Collapsing Flatfoot: Bone Alignment, Bone Alignment, Bone Alignment!
Stage II adult acquired flatfoot deformity involves a loss of the medial longitudinal arch and an increase in hindfoot valgus due to both soft tissue dysfunction and attenuation with subsequent collapse of the foot’s inherent bony architecture. Although there is an important role for soft tissue reconstruction in the majority of cases of adult acquired flatfoot deformity, any soft tissue procedure in the absence of correction of the underlying bony alignment will be prone to failure so these soft tissue procedures should only be performed after maximal bony realignment has been obtained. In this article, we discuss our a...
Source: Techniques in Foot and Ankle Surgery - November 21, 2019 Category: Orthopaedics Tags: Special Focus Source Type: research

The Collapsing Foot: It’s All About the Ligaments!
There are many surgical techniques described for the deltoid ligament and spring ligament reconstruction in the treatment of a collapsing flatfoot. In some cases, addressing these ligaments may offer a way to treat a collapsing flatfoot that preserves the talonavicular and subtalar joints. Preservation of these joints may lead to better outcomes for patients, as their functionality is not limited by hindfoot fusions. Preliminary evidence suggests that patients, when properly selected for, show good long-term outcomes after undergoing surgical reconstruction of those ligaments. The technique for spring ligament and deltoid ...
Source: Techniques in Foot and Ankle Surgery - November 21, 2019 Category: Orthopaedics Tags: CME Article Source Type: research

Should it Stay or Should it Go? Thinking Critically About Posterior Tibial Tendon Excision in Flatfoot Correction
Stage II adult acquired flatfoot deformity is characterized by painful, progressive collapse long thought to be driven by posterior tibialis tendon (PTT) deficiency or insufficiency. In this article, we discuss the history of our understanding the role of the PTT in the development of adult acquired flatfoot deformity, and considerations in tendon excision in flatfoot correction. We argue that routine excision of the PTT should be rethought and instead the tendon should be critically assessed in each case and debridement with repair should be attempted when appropriate. Technique for flexor digitorum longus transfer is det...
Source: Techniques in Foot and Ankle Surgery - November 21, 2019 Category: Orthopaedics Tags: Special Focus: Adult Acquired Flatfoot Deformity (AAFD): To the Infinity and Beyond! Source Type: research

The Role of Biologics in the Treatment of Flatfoot
Symptomatic adult-acquired flatfoot deformity (AAFD) is traditionally treated by realignment osteotomy and a tendon transfer. Despite high success rates for this procedure, prolonged recovery time and associated morbidities may lead many patients to shy away from having this type of surgery performed on them. Over the past decade, the use of biologics such as platelet-rich plasma and concentrated bone marrow aspirate concentrate has been gaining much popularity. The efficacy of these biologics to treat tendon pathologies is currently well supported in the literature. Therefore, when treating early AAFD with a functioning p...
Source: Techniques in Foot and Ankle Surgery - November 21, 2019 Category: Orthopaedics Tags: Special Focus: Adult Acquired Flatfoot Deformity (AAFD): To the Infinity and Beyond! Source Type: research

The Flatfoot Through a Pinhole: Do It Percutaneously!
Surgical treatment of adult-acquired flatfoot deformity typically requires multiple soft tissue and bony procedures, many of which can be effectively performed with minimally invasive surgery techniques. Use of minimal skin incisions helps limit the morbidity of surgery, reducing postoperative pain and the incidence of wound complications. This chapter will focus primarily on the bony procedures which can be accomplished through minimally invasive surgery, including the medializing calcaneal osteotomy and the first tarsometatarsal fusion. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete d...
Source: Techniques in Foot and Ankle Surgery - November 21, 2019 Category: Orthopaedics Tags: Special Focus: Adult Acquired Flatfoot Deformity (AAFD): To the Infinity and Beyond! Source Type: research

Using the Scope in the Treatment of Flatfoot? Are You Kidding?
Flatfoot surgery is evolving. As in other areas, less invasive techniques result in fewer wound complications, less postoperative pain, less bleeding, shorter hospital stays, and potentially shorter recovery times. In this article, we outline how the arthroscope can be used in flatfoot surgery to reduce the invasiveness of surgery. The article outlines how to perform a percutaneous gastrocnemius slide for the associated tight heel cord, and how to perform tibialis posterior tendoscopy. A percutaneous medializing calcaneal osteotomy can be performed as an arthroscopic guided procedure to confirm the placement of the saw, an...
Source: Techniques in Foot and Ankle Surgery - November 21, 2019 Category: Orthopaedics Tags: Special Focus: Adult Acquired Flatfoot Deformity (AAFD): To the Infinity and Beyond! Source Type: research