Foot and Ankle Surgery

Items from 1 to 18 out of 18 results

article

Subtalar arthroscopic arthrodesis: Technique and outcomes

Jesús Vilá-Rico, María Angeles Mellado-Romero, Beatriz Bravo-Giménez, Verónica Jiménez-Díaz, more

Foot and Ankle Surgery > 2017 > 23 > 1 > 9-15

The goal of this study was to describe the surgical technique and our results with arthroscopic posterior subtalar arthrodesis.Retrospective case series of 65 patients (38 men and 27 women) averaging 50 years of age (range 21–72 years) undergoing posterior arthroscopic subtalar arthrodesis using one or two percutaneous 6.5–7.3mm screws between May 2004 and February 2011, with a mean follow-up of 57...

article

A radiographic analysis of the contribution of hallux valgus interphalangeus to the total valgus deformity of the hallux

Andrew Strydom, Nikiforos Pandelis Saragas, Paulo Norberto Faria Ferrao

Foot and Ankle Surgery > 2017 > 23 > 1 > 27-31

The hallux valgus interphalangeus (HVI) deformity is described as rare, but improved outcomes in hallux valgus (HV) surgery is associated with its surgical correction via an Akin osteotomy. The hypothesis of this study is that HVI is common and makes a significant contribution to the total valgus deformity of the hallux (TVDH).285 pre-operative foot radiographs (193 with HV, 92 non-HV), utilising...

article

Technique tip: Simultaneous first metatarsal lengthening and metatarsophalangeal joint fusion for failed hallux valgus surgery with transfer metatarsalgia

Ashwin Chowdhary, Lisca Drittenbass, Richard Stern, Mathieu Assal

Foot and Ankle Surgery > 2017 > 23 > 1 > e8-e11

Failed hallux valgus surgery may result in residual or recurrent hallux valgus, and as well transfer metatarsalgia. The present technical tip concerns the combination of fusion of the first metatarsophalangeal (MTP) joint and lengthening of the first metatarsal (MT) through a scarf osteotomy.Six patients underwent the presented technique, all for the indication of failed hallux valgus surgery with...

article

Response to the editor on “Does the use of high-heeled shoes lead to fore-foot pathology? A controlled cohort study comprising 197 women”

Grethe Elisabeth Borchgrevink

Foot and Ankle Surgery > 2017 > 23 > 1 > 74

article

Use of locking barbed sutures in foot and ankle surgery. A case series

Ziyaad Mayet, Hooman Eshraghi, Paulo N.F. Ferrao, Nikiforos P. Saragas

Foot and Ankle Surgery > 2017 > 23 > 1 > 57-61

Barbed sutures represent a novel technique for wound closure. By distributing tension forces across the length of a wound, it results in better wound healing. A recent article from Chowdhry et al. cautioned against the use of barbed sutures in foot and ankle surgery. Our experience with the Quill^® (Angiotech, Vancouver, BC) barbed suture, showed a more positive outcome.123 surgical wounds were prospectively...

article

An uncommon case of irreducible ankle fracture-dislocation: the “Bosworth-like” tibio-fibular fracture

Michele Cappuccio, Danilo Leonetti, Berardo Di Matteo, Domenico Tigani

Foot and Ankle Surgery > 2017 > 23 > 1 > e1-e4

An irreducible ankle-fracture dislocation characterized by the dislocation of the proximal fragment of the fibula posteriorly to the tibial tubercle is defined as “Bosworth injury”. In the present report it is described, for the first time in literature, a complex case where the Bosworth injury was associated to a tibial plafond fracture: the proximal fibular fragment was entrapped between the tibial...

article

Letter to the editor on “Does the use of high-heeled shoes lead to fore-foot pathology? A controlled cohort study comprising 197 women”

Wahid Rezaie, Ian Winson

Foot and Ankle Surgery > 2017 > 23 > 1 > 73

article

Complex ankle arthrodesis with step-cut osteotomy in Charcot arthropathy with bone loss

Sean Booth, Moez Ballal, Anand Pillai

Foot and Ankle Surgery > 2017 > 23 > 1 > e5-e7

We report a case of a complex limb salvage ankle arthrodesis in a patient with Charcot arthropathy. A step-cut osteotomy was performed in order to tackle the issues of anterior tibial bone loss; worsening leg length discrepancy; soft tissue contraction; joint instability and high risk of non-union. The construct formed by the step-cut allowed for the preservation of good bone stock; avoidance of further...

article

Localized pigmented villonodular synovitis of the ankle: Expect the unexpected

Ozren Kubat, Ivan Bojanić, Tomislav Smoljanović

Foot and Ankle Surgery > 2017 > 23 > 1 > 68-72

We present the technique, results and discuss arthroscopic treatment of the localized form of pigmented villonodular synovitis (LPVNS) of the ankle.Medical records of five patients diagnosed and treated for ankle LPVNS with a minimum five-year followup were retrospectively reviewed. All patients were treated arthroscopically, altered synovial tissue was resected and a sample of tissue was sent for...

article

Clinical and radiological outcomes after distal oblique osteotomy for the treatment of stage II hallux rigidus: Mid-term results

Antonio Viladot Voegeli, Lorenzo Marcellini, Luca Sodano, Ramon Viladot Perice

Foot and Ankle Surgery > 2017 > 23 > 1 > 21-26

The aim of this retrospective study was to evaluate the mid-term outcomes of the distal oblique osteotomy in the correction of stage II hallux rigidus.We evaluated 31 patients (32ft.) treated from March 2009 to April 2013 for hallux rigidus. The subjective evaluation was based on AOFAS score and self-evaluation of patient satisfaction. Radiographic analysis included: HVA, IMA, first metatarsophalangeal...

article

Influence of lower limb rotation on hindfoot alignment using a conventional two-dimensional radiographic technique

L. Baverel, J. Brilhault, G. Odri, M. Boissard, more

Foot and Ankle Surgery > 2017 > 23 > 1 > 44-49

Rotation is one of the variables explaining lack of reproducibility in assessing hindfoot alignment. The hypothesis for this study was that a mathematical model predicts how this modifies radiographic hindfoot alignment measurements.A cadaveric lower limb, disjointed at knee level, was used. Sagittal and coronal planes were fixed using a custom clamp. Standard AP views were shot every five degrees...

article

Modified double plantar plate tenodesis

T.H. Lui, L.L. LiYeung

Foot and Ankle Surgery > 2017 > 23 > 1 > 62-67

Metatarsophalangeal joint instability of the lesser toe can cause acquired toe deformity. Plantar plate deficiency is the major pathology. Plantar plate repair can stabilize the joint but may result in iatrogenic transverse plane toe deformity in correction of claw toe deformity. Limited toe extension can be resulted after correction of crossover toe deformity by plantar plate tenodesis and extensor...

article

Role of prophylactic antibiotics in lesser toe fusion surgery: A prospective randomised controlled trial

J. Mangwani, A. Gulati, R. Benson, M. Cichero, more

Foot and Ankle Surgery > 2017 > 23 > 1 > 50-52

This prospective randomised controlled trial was performed to determine whether the incidence of local infection is reduced in patients who are administered prophylactic antibiotics for lesser toe fusion surgery.100 adult patients undergoing toe fusion surgery that required K-wires to be left in situ for 4–6 weeks were randomly allocated into those who received prophylactic antibiotics (Group 1, n=48)...

article

A simplified, validated protocol for measuring fibular reduction on ankle CT

Christopher Patrick Prior, James Christopher Widnall, Amer Kemall Rehman, David Marc Weller, more

Foot and Ankle Surgery > 2017 > 23 > 1 > 53-56

Inadequate ankle syndesmotic reduction is a common and important cause of poor outcome after surgery. It is not clear what magnitude or planes of displacement impact most. Many computerised tomography (CT) measurement techniques rely on landmarks that are difficult to reproduce, and none measure all types of mal-positioning in a single protocol. The purpose of this study was to design and validate...

article

Current concepts review: Arthroscopic treatment of anterior ankle impingement

Keir A. Ross, Christopher D. Murawski, Niall A. Smyth, Ruben Zwiers, more

Foot and Ankle Surgery > 2017 > 23 > 1 > 1-8

Anterior ankle impingement is a common cause of chronic ankle pain, particularly in athletic populations. Morris and McMurray provided the earliest descriptions of anterior impingement, coining the condition as “athlete's ankle” or “footballer's ankle”. The pathology has since been a topic of considerable investigation and has been re-termed “anterior ankle impingement syndrome”. Treatment with open...

article

Suture fixation of an Akin osteotomy: A cost effective and clinically reliable technique

T. Sinnett, Y. Fang, E. Nattfogel, A. O’Gorman, more

Foot and Ankle Surgery > 2017 > 23 > 1 > 40-43

The Akin osteotomy is commonly performed as an adjunct to osteotomies of the first metatarsal for the correction of hallux valgus such as the scarf or chevron osteotomies. The Akin osteotomy is indicated for the correction of a hallux valgus interphalangeus and can be used supplementary in any first metatarsal osteotomy for a hallux valgus.Various techniques have been described for fixation of the...

article

Recombinant human platelet-derived growth factor-BB versus autologous bone graft in foot and ankle fusion: A systematic review and meta-analysis

Han Sun, Pei-Pei Lu, Ping-Hui Zhou, Si-Wei Sun, more

Foot and Ankle Surgery > 2017 > 23 > 1 > 32-39

Today, autogenous bone graft (ABG) is still considered as the gold standard for joint fusion. Recombinant human platelet-derived growth factor-BB (rhPDGF-BB) which is of chemotactic and mitogenic to mesenchymal stem cells and possesses outstanding osteogenetic potentials has been used for ankle and foot fusion in recent years. The goal of this article is to evaluate the safety and efficacy of rhPDGF-BB...

article

Percutaneous screw fixation of unstable ankle fractures in patients with poor soft tissues and significant co-morbidities

Matthew Smith, Gareth Medlock, Alan J. Johnstone

Foot and Ankle Surgery > 2017 > 23 > 1 > 16-20

We describe a minimally invasive technique to stabilise unstable ankle fractures by inserting a 100mm screw up the fibula medullary canal along with percutaneous screw fixation of the medial malleolus if required. This technique is utilised in patients with poor soft tissues and significant co-morbidities where the fracture cannot be adequately controlled by a cast alone.Retrospective review of 23...

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23
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2017

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Keywords

ANKLE (4)
ARTHROSCOPY (3)
FOOT (2)
HALLUX VALGUS (2)
AKIN (1)
AKIN OSTEOTOMY (1)
ALIGNMENT (1)
ANKLE ARTHRODESIS (1)
ANKLE FRACTURE (1)
ANKLE FUSION (1)
ANTERIOR ANKLE IMPINGEMENT SYNDROME (1)
ANTIBIOTICS (1)
AUTOGENOUS BONE GRAFT (1)
BARBED SUTURE (1)
BOSWORTH INJURY (1)
CHARCOT ARTHROATHY (1)
CLAW TOE (1)
COMPUTERISED TOMOGRAPHY (1)
CROSSOVER TOE (1)
DIASTASIS (1)
DISTAL OBLIQUE OSTEOTOMY (1)
FAILED HALLUX VALGUS SURGERY (1)
FIXATION (1)
FOREFOOT (1)
FRAGILITY FRACTURES (1)
HALLUX RIGIDUS (1)
HALLUX VALGUS INTERPHALANGEUS (1)
HEALTH ECONOMICS (1)
HINDFOOT (1)
HINDFOOT ARTRHROSCOPY (1)
IMPINGEMENT (1)
INFECTION (1)
IRREDUCIBLE ANKLE FRACTURE-DISLOCATION (1)
JOINT DECOMPRESSION (1)
K-WIRES (1)
MALREDUCTION (1)
MEARY (1)
META-ANALYSIS (1)
METATARSAL LENGTHENING (1)
METATARSOPHALANGEAL JOINT FUSION (1)
ORTHOPEDICS (1)
OSTEOTOMY (1)
PERCUTANEOUS SCREW FIXATION (1)
PIGMENTED VILLONODULAR SYNOVITIS (1)
PLANTAR FLEXION (1)
PLANTAR PLATE (1)
PLATELET DERIVED GROWTH FACTOR (1)
POOR SOFT TISSUES (1)
QUILL (1)
RADIOGRAPHY (1)
REPAIR (1)
STEP-CUT OSTEOTOMY (1)
SUBTALAR ARTHROSCOPIC ARTHRODESIS (1)
SURGERY (1)
SUTURE (1)
SYNDESMOSIS (1)
TIBIAL PILON (1)
TOE DEFORMITY (1)
TRANSFER METATARSALGIA (1)
UNSTABLE ANKLE FRACTURES (1)
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Foot and Ankle Surgery

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