Steven M. Raikin, MD1, Ryan G. Rogero, BS1, 2, Jared Raikin, BS3, Daniel O. Corr, BS1, Justin Tsai, MD1
doi : 10.1177/10711007211027270
Volume: 42 issue: 12, page(s): 1517-1524
It is currently unclear how injury to the spring ligament (SL) affects the preoperative presentation of adult acquired flatfoot deformity (AAFD) or the outcome of operative reconstruction. The purposes of this study were to assess the preoperative features and pre- or postoperative function of patients who underwent direct operative repair of an SL tear compared to those without a tear.
Patricio Fuentes, MD1, Natalio Cuchacovich, MD2, Paulina Gutierrez, MD3, Maximiliano Hube, MD4, Gonzalo F. Bastías, MD5
doi : 10.1177/10711007211018201
Volume: 42 issue: 12, page(s): 1525-1535
Posttraumatic ankle equinus is associated with rigid deformity, poor skin condition, and multiple prior surgeries. Open acute correction has been described using osteotomies, talectomy, and arthrodesis, but concerns exist about skin complications, neurologic alterations, secondary limb discrepancy, and bone loss. Gradual correction using a multiplanar ring fixator and arthroscopic ankle arthrodesis (AAA) may decrease these complications.
Yaxing Li, PhD1, 2, Yu Chen, PhD1, Xi Liu, PhD1, Jun Chen, PhD1, Tingjiang Gan, MD1, Hui Zhang, PhD1, 2
doi : 10.1177/10711007211017831
Volume: 42 issue: 12, page(s): 1536-1546
The management of an ankle malunion involving the posterior malleolus remains challenging, and only a few published studies described the operative treatment of complex posterior malleolar malunion. A transfibular approach allows for direct visualization of the articular reduction of the posterior malleolus, but the reports of its use for correcting posterior malleolar malunion are rare. This study aims to evaluate the results of the intra-articular osteotomy via a transfibular approach for correcting an ankle malunion involving the posterior malleolus.
Daniel Saraiva, MD1, 2, Markus Knupp, MD, PhD3, 4, André Sá Rodrigues, MD1, Tiago Mota Gomes, MD, PhD2, Xavier Martin Oliva, MD, PhD2
doi : 10.1177/10711007211027289
Volume: 42 issue: 12, page(s): 1547-1553
Medial facet talocalcaneal coalition can be a painful condition. This study aimed to determine clinical and radiographic outcomes of posterior arthroscopic subtalar arthrodesis (PASTA) for adult patients presenting with symptomatic medial facet talocalcaneal coalition and normal hindfoot alignment, with a minimal follow-up of 18 months.
Chul Hyun Park, MD1, Ji Beom Kim, MD2, Jaeyoung Kim, MD3, Young Yi, MD4, Woo-Chun Lee, MD2
doi : 10.1177/10711007211027290
Volume: 42 issue: 12, page(s): 1554-1564
Varus ankle arthritis with large talar tilt (TT) is a challenging condition when considering joint preservation surgery. Three-dimensional deformity of the talus has been demonstrated with weightbearing computed tomography in varus ankle arthritis with large TT. The aim of this study was to investigate the clinical and radiographic results of posterior tibial tendon (PTT) transfer generally combined with bony realignment for varus ankle arthritis with large TT in nonparalytic ankle arthritis and to determine the indications for PTT transfer.
Hubert Hörterer, MD1, 2, Sonja Oppelt, MD2, Wolfgang Böcker, MD2, Oliver Gottschalk, MD1, 2, Norbert Harrasser, MD3, Markus Walther, MD1, 4, Hans Polzer, MD2, Sebastian Felix Baumbach, MD2
doi : 10.1177/10711007211023060
Volume: 42 issue: 12, page(s): 1565-1569
The aim of this study was to assess the patient-reported outcome measures (PROMs) in patients with insertional Achilles tendinopathy (IAT) treated surgically by debridement of all pathologies through a midline-incision trans-achillary approach (MITA).
Mohamad Aizat Rosli, MBChB1, 2, Wan Faisham Wan Ismail, MMed(Ortho)1, 3, Wan Azman Wan Sulaiman, MS(Plastic)1, 2, Nor Azman Mat Zin, MMed(Ortho)1, 3, Syurahbil Abdul Halim, MMed(Ortho)1, 3, Fatimah Mat Johar, MS(Plastic)1, 2, Arman Zaharil Mat Saad, MS(Plastic)2, 4, Ahmad Sukari Halim, MD1, 2
doi : 10.1177/10711007211025280
Volume: 42 issue: 12, page(s): 1570-1578
Advances in limb-salvage techniques have made total calcanectomy and primary reconstruction possible in managing calcaneal aggressive benign tumors and selected cases of intraosseous malignant tumors. However, there is still no consensus on the operative approach, oncologic margin, and the best reconstruction method to date. These 2 cases describe our experience in calcaneal reconstruction with the free deep circumflex iliac artery (DCIA) osseocutaneous flap in benign aggressive calcaneal tumors.
Reid Davison, MSE1, Jean-Philippe A. Daniel, BS1, Alexander J. Idarraga, BA2, Kathryn M. Perticone, APN, MSW2, Johnny Lin, MD2, George B. Holmes, MD2, Simon Lee, MD2, Kamran S. Hamid, MD, MPH2, Daniel D. Bohl, MD, MPH2
doi : 10.1177/10711007211020346
Volume: 42 issue: 12, page(s): 1579-1583
The sudden and debilitating nature of lower extremity injuries can trigger mood disturbances, including major depressive disorder.
Hakan Bahar, MD, Kadir Ilker Yildiz, MD
doi : 10.1177/10711007211019940
Volume: 42 issue: 12, page(s): 1584-1588
In this study, our aim was to determine the effect of cosmetic improvement on patient satisfaction and functional scores in hallux valgus (HV) surgery.
Nasima Mehraban, MD1, Connor Wakefield, BS1, David Rossi, BS1, Johnny Lin, MD1, Simon Lee, MD1, Kamran S. Hamid, MD, MPH1, Daniel D. Bohl, MD, MPH1
doi : 10.1177/10711007211025263
Volume: 42 issue: 12, page(s): 1589-1597
There is no consensus as to which skin antiseptic solution is most effective at reducing infection following orthopaedic foot and ankle surgery. The purpose of this study is to determine if the addition of a dilute povidone-iodine soak and scrub to a standard preparation with alcohol and chlorhexidine decreases positive bacterial culture rates from the hallux nailfold.
Caroline Williams, BA1, 2*, Kaveh Momenzadeh, MD1, 3*, Max Michalski, MD4, John Y. Kwon, MD1, Ara Nazarian, PhD1, 3, 5, Christopher P. Miller, MD, MHS1
doi : 10.1177/10711007211022747
Volume: 42 issue: 12, page(s): 1598-1605
The most appropriate treatment and management of posterior malleolar fractures (PMFs) lacks consensus. Indirect reduction and fixation with posterior to anterior (PA) screw shows promise by avoiding the risks associated with direct reduction or indirect anterior to posterior approaches. Some authors have raised concerns about potential risk to nearby structures with the PA technique, including hardware prominence into the syndesmosis. This study highlights use of the posteromedial vertical syndesmotic line (PVSL) as a fluoroscopic landmark, helping surgeons avoid intrasyndesmotic placement. Study aims are to evaluate PVSL correspondence with posterior border of the incisura tibialis and to define a safe zone between this line and flexor hallucis longus tendon.
Fabian Krause, MD1, Ivan Zderic, MSc2, Boyko Gueorguiev, PhD, MSc2, Anandakumar Vellasamy, MD3, Timo Schmid, MD4
doi : 10.1177/10711007211027295
Volume: 42 issue: 12, page(s): 1606-1612
The mobile subtalar joint (STJ) may compensate for supra- and inframalleolar deformities and counteract the effect of realigning calcaneal or distal tibial osteotomies. The purpose of this study was to evaluate the compensatory effect of the mobile STJ after supramalleolar osteotomy (SMOT) and calcaneus osteotomy (COT) and whether the extent of the compensation correlates with STJ shape and orientation.
Oliver J. Morgan, PhD1, Rajshree Hillstrom, PhD, MBA2, 6, Robert Turner, PT2, Jonathan Day, MD3, Ibadet Thaqi, MBA2, Kristin Caolo, BS3, Jinsup Song, DPM4, Roland Russell, MB, BS5, Scott Ellis, MD3, Jonathan T. Deland, MD3, Howard J. Hillstrom, PhD2
doi : 10.1177/10711007211020345
Volume: 42 issue: 12, page(s): 1613-1623
Quantifying first ray mobility is crucial to understand aberrant foot biomechanics. A novel device (MAP1st) that can perform measurements of first ray mobility in different weightbearing conditions, foot alignments, and normalization was tested. The reliability of these measurement techniques was assessed in comparison to a handheld ruler considered representative of the common clinical examination.
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