Reducing Instrumentation for the Dorsal Approach to Plantar Plate Repair With a FiberLoop Suture Technique
We present a novel method for dorsal repair of the plantar plate structures utilizing a straight needle FiberLoop suture and standard operative instrumentation. This technique greatly reduces the instrumentation and “fiddle factor” required for the repair. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 25, 2022 Category: Orthopaedics Tags: CME Article Source Type: research

A Novel Operative Approach to the Treatment of Posterior Malleolus Fractures
We describe a novel operative approach for visualizing and treating these fractures and report on our results. Method: This was a retrospective review of prospectively collected data. Data from 2 orthopedic trauma units where this technique is used was analyzed. Demographic and radiographic data was recorded, and a chart review was conducted to identify any noted complications. Results: On analysis of medical records, 50 patients were identified who had been operated on using this technique. When classified using the Bartonicek classification, 46% were type II, 36% were type III and 18% were type IV. Analysis...
Source: Techniques in Foot and Ankle Surgery - November 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research

Arthroscopic Reduction and Internal Fixation of Talus Fractures: An All-inside Soft-tissue Preserving Technique
We present an alternative technique for talus fracture management that may reduce soft-tissue stripping and further vascular compromise using a posterior talus arthroscopic reduction internal fixation technique. With this method, talus fractures are reduced arthroscopically and fixed percutaneously while preserving vascularity to the talus and limiting further stress to the soft-tissue envelope. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research

Endoscopic High-speed Curettage and Bone Grafting of Unicameral Bone Cyst in Young Children: A Case Report
We report a case report of a unicameral bone cyst of the calcaneus in a 9-year-old girl treated successfully with endoscopic high-speed curettage and bone grafting. Complete healing of the unicameral bone cyst of the calcaneus, according to the Modified Neer’s Classification Scale, was achieved 4.5 months postoperatively. Complete healing without recurrence, in 5 years follow-up, was evident. Endoscopic high-speed curettage allows a precise, thorough, and aggressive resection of the cyst’s tumor tissue, which is the key to successful and complete healing of the cysts. For the successful endoscopic bone cyst curettage, ...
Source: Techniques in Foot and Ankle Surgery - November 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research

Percutaneous Treatment With Bridge Plate and Extra-articular Screws in Low-Energy and High-Energy Lisfranc Injuries
Although there is no consensus regarding surgical treatment of unstable sprains and fractures dislocations of the Lisfranc complex, both anatomic reduction, proper alignment and adequate stabilization of the tarsometatarsal columns are essential when looking for good results. With the advent of minimally invasive surgery, and bearing in mind that the percentages of complications and sequelae despite the good results in reduction quality are still important, we aim to show the clinical and radiographic results over 1-year follow-up obtained by indirect reduction and percutaneous fixation with bridge plate and extra-articula...
Source: Techniques in Foot and Ankle Surgery - November 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research

Posterior Tibial Tendon Transfer for Drop Foot With an Accessory Navicular
Posterior tibial tendon transfer for chronic drop foot deformity can be performed to reduce a patient’s dependence on an ankle-foot orthosis. Obtaining adequate length of the posterior tibial tendon at harvest is critical for having a successful surgical outcome. The presence of an accessory navicular could limit the length of tendon available for transfer. The technique for performing a transfer of the posterior tibial tendon through the interosseous membrane in the setting of an accessory navicular is reported. Using the accessory bone to secure the transfer can lead to rapid transfer incorporation and a successful out...
Source: Techniques in Foot and Ankle Surgery - November 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research

Imaging Modalities to Diagnose, Follow, and Assess Treatment of Chronic Ankle Instability
Mechanical ankle instability can lead to isolated cartilage lesions or early osteoarthritis. Many of the signs and symptoms can be clinically elusive with the need to isolate and define primary and secondary injuries with imaging. Currently available imaging modalities to diagnose chronic ankle instability are presented here. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 25, 2022 Category: Orthopaedics Tags: Special Focus Source Type: research

Treatment of the Deltoid and Syndesmotic Ligaments in Chronic Ankle Instability
We describe historical perspectives as well as the current state of evidence and techniques for a more comprehensive approach to ankle instability. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 25, 2022 Category: Orthopaedics Tags: Special Focus Source Type: research

Modern Surgical Techniques for Treatment of Chronic Lateral Ankle Instability
Abstract: Ankle sprains are among the most common injuries sustained during sports and physical activity. Around 2 million ankle sprains occur per year with ~85% of them being lateral ankle sprains. Lateral ankle sprains involve damage to the lateral ligamentous complex of the ankle. Patients with a history of lateral ankle sprains are at a 3.5× greater risk of re-injury than those who do not have a history of lateral ankle sprain. Repeated damage to the lateral ligamentous complex can result in the development of chronic lateral ankle instability (CLAI). CLAI can be managed conservatively or surgically. Given the fre...
Source: Techniques in Foot and Ankle Surgery - November 25, 2022 Category: Orthopaedics Tags: Special Focus Source Type: research

Chronic Ankle Instability: Updated Concepts and Modern Approaches to Treatment
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 25, 2022 Category: Orthopaedics Tags: Special Focus Source Type: research

Medial-Single-Incision Double Arthrodesis “Diple” for Adult-acquired Flatfoot Deformity
Adult-acquired flatfoot deformity is a progressive pathologic condition that results in a rigid, painful, arthritic flatfoot that is debilitating and affects daily function. Traditionally, the condition is treated with a Triple arthrodesis of the subtalar joint, talonavicular joint, and the calcaneocuboid joint through dual incisions. This approach is effective in restoring the medial arch and correcting excessive hindfoot valgus. However, the lateral incision is associated with wound-healing problems in up to one third of patients, while the calcaneocuboid joint is often asymptomatic and not arthritic. The medial-single-i...
Source: Techniques in Foot and Ankle Surgery - August 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research

Operative Treatment of Medial and Lateral Sesamoid AVN Through an Isolated Medial Approach
Hallucal avascular necrosis can impose a significant burden upon the affected individual. When nonoperative interventions fail, sesamoidectomy is indicated. In the rare case of both medial and lateral sesamoid avascular necrosis, previous literature recommends a staged procedure through a combination of plantar and dorsal based approaches. In this case, we present a technique for single-staged medial and lateral sesamoidectomy through a single medial approach with subsequent capsular repair, abductor tendon advancement, and flexor hallucis longus tenodesis. Preoperative and postoperative radiographic analysis as well as 1-...
Source: Techniques in Foot and Ankle Surgery - August 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research

No Tourniquet Technique of Surgery for Macrodactyly
The tourniquet technique in limb surgery has traditionally been performed to produce bloodless operative fields. Nevertheless, there are limitations derived from the tourniquet itself; either the complications that may occur because of the ischemic effects, or the constraint of time because of the ischemic time. As no surgeon expects dreadful adverse events in their practices, an alternative technique may fill up the demand. The implementation of epinephrine, which was previously believed to be dangerous, has been performed in end-artery organs such as toes and fingers. In this article, the authors apply the tumescent tech...
Source: Techniques in Foot and Ankle Surgery - August 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research

Percutaneous Arthroscopic Assisted Fixation of a Tibial Plafond Impaction Fracture Fixation: Surgical Technique and Case Report
We present a case of a tibial plafond fracture treated percutaneously with arthroscopic assisted reduction, bone grafting and fixation, without the requirement for an external fixator, and with a successful outcome at 1-year follow up. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research

Arthrodesis of the Distal Tibiofibular Joint: A Review of the Literature and Evidence-based Guidelines
Distal tibiofibular joint (DTFJ) arthrodesis has been proposed as a motion-preserving salvage option in cases of chronic syndesmotic disruption and degeneration. It is an uncommonly performed procedure with few cases reported in the literature. The aim of this study was to conduct a review of the literature in order to examine the appropriate indications, operative techniques, and outcomes. The authors’ also present a case for inclusion. Twenty cases of DTFJ arthrodesis were identified for inclusion. Nine operations were performed in males and 11 in females. The average patient age was 41.1 years. The indication for all ...
Source: Techniques in Foot and Ankle Surgery - August 25, 2022 Category: Orthopaedics Tags: Techniques Source Type: research