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Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy of the Lesser Toes: Clinical, Radiologic, and Pedobarographic Outcomes
Elena Neunteufel, MD1, Sabine Krenn, MD2, Michel Chraim, MD3, Pascal Amann, MD1, Fabian Greiner, MD4, Andreas Kranzl, PhD2, Peter Bock, MD, PhD1
doi : 10.1177/10711007211034849
Volume: 43 issue: 2, page(s): 153-163
The minimally invasive distal metatarsal metaphyseal osteotomy (DMMO) is a percutaneous operative technique with the aim to relieve the symptoms of metatarsalgia. To our knowledge, no previous research has analyzed both pre- and postoperative pedobarographic data including the changes in plantar pressure.
Endoscopic Flexor Hallucis Longus Transfer for the Management of Acute Achilles Tendon Ruptures in Professional Soccer Players
Nasef Mohamed N. Abdelatif, MD, PhD1, Jorge Pablo Batista, MD2, 3
doi : 10.1177/10711007211036439
Volume: 43 issue: 2, page(s): 164-175
Acute Achilles tendon ruptures (AATRs) that occur in athletes can be a career-ending injury. The aim of this study was to describe return to play and clinical outcomes of isolated endoscopic flexor hallucis longus (FHL) transfer in active soccer players with AATR.
Revision Rates After Total Ankle Replacement: A Comparison of Clinical Studies and Arthroplasty Registers
Georg Hauer, MD, PhD1, Reinhard Hofer, MD1, Markus Kessler, MD1, Jan Lewis, MD1, Lukas Leitner, MD, PhD1, Roman Radl, MD, MBA1, Andreas Leithner, MD1, Patrick Sadoghi, MD, PhD, MBA1
doi : 10.1177/10711007211053862
Volume: 43 issue: 2, page(s): 176-185
The aim of this study was to assess the outcome of total ankle replacement (TAR) regarding revision rates by comparing clinical studies of the last decade to data displayed in arthroplasty registers. The secondary aim was to evaluate whether dependent clinical studies show a superior outcome to independent publications. Additionally, revision rates of mobile bearing implants (MB-TARs) were compared to those of fixed bearing implants (FB-TARs).
Articular Cartilage of the Syndesmosis: Avoiding Iatrogenic Cartilage Injury During Syndesmotic Fixation
Jeffrey A. Gilbertson, MD1, Matthew C. Sweet, MD1, Joseph K. Weistroffer, MD1, James R. Jastifer, MD2
doi : 10.1177/10711007211041325
Volume: 43 issue: 2, page(s): 186-192
The optimal surgical management of syndesmosis injuries consists of internal fixation between the distal fibula and tibia. Much of the available data on this joint details the anatomy of the syndesmotic ligaments. Little is published evaluating the distribution of articular cartilage of the syndesmosis, which is of importance to minimize the risk of iatrogenic damage during surgical treatment. The purpose of this study is to describe the articular cartilage of the syndesmosis.
Interdigital vs Transarticular Lateral Release With Scarf Osteotomy
Florian Hartenbach, MD1, 2, Brigitta Höger, MSc3, Karl-Heinz Kristen, MD1, Hans-Jörg Trnka, MD1
doi : 10.1177/10711007211035374
Volume: 43 issue: 2, page(s): 193-202
We compare the clinical and radiographic outcomes of the interdigital approach vs the medial transarticular approach for lateral release combined with scarf osteotomy.
Repositional Subtalar Arthrodesis Combined With Supramalleolar Osteotomy for Late-Stage Varus Ankle Arthritis With Hindfoot Valgus
Chul Hyun Park, MD1, Jaeyoung Kim, MD2, Ji Beom Kim, MD3, Woo-Chun Lee, MD3
doi : 10.1177/10711007211036699
Volume: 43 issue: 2, page(s): 203-210
Late-stage varus ankle arthritis is thought to be associated with varus of the tibial plafond and hindfoot. However, some late-stage varus arthritis show hindfoot valgus, which can be explained by subtalar subluxation with opposite directional motion between the talus and calcaneus. We hypothesized that late-stage varus ankle arthritis with hindfoot valgus could improve with repositional subtalar arthrodesis and supramalleolar osteotomy (SMO). The purpose of this study was to investigate the clinical and radiographic results of the repositional subtalar arthrodesis combined with SMO for late-stage varus ankle arthritis with hindfoot valgus.
Radiographic Outcomes of Proximal vs Distal Syndesmotic Low Tibial Osteotomy
Jun Young Choi, MD1, Jin Ho Cho, MD, PhD1, Tae Hun Song, MD1, Jin Soo Suh, MD, PhD1
doi : 10.1177/10711007211035784
Volume: 43 issue: 2, page(s): 211-222
We aimed to determine whether the location of tibial osteotomy affects the outcome during low tibial osteotomy (LTO) with fibular osteotomy for varus ankle arthritis by comparing proximal syndesmotic (PS) and distal syndesmotic (DS) tibial osteotomy.
Talar Dome Access Through Posteromedial Surgical Intervals for Fracture Care
Graham J. DeKeyser, MD1, Dillon C. O’Neill, MD1, Yantarat Sripanich, MD1, 2, Amy L. Lenz, PhD1, Charles L. Saltzman, MD1, Justin M. Haller, MD1, Alexej Barg, MD1, 3
doi : 10.1177/10711007211036720
Volume: 43 issue: 2, page(s): 223-232
Posterior talar body fractures are rare injuries without a consensus surgical approach. This study evaluates the accessible area of the talar dome through 2 posteromedial approach intervals (posteromedial [PM] and modified posteromedial [mPM]) both with and without distraction.
Preoperative Gait Analysis of Peroneal Tendon Tears
Noah Chinitz, MD1, Daniel D. Bohl, MD, MPH1, Manoj Reddy, BA1, Shay Tenenbaum, MD2, Scott Coleman, MS, MBA1, James W. Brodsky, MD1
doi : 10.1177/10711007211036876
Volume: 43 issue: 2, page(s): 233-243
Little is known regarding the impact of peroneal tendon tears on function. This study quantifies gait changes associated with operatively-confirmed peroneal tendon tears.
Slowed-Down Rehabilitation Following Percutaneous Repair of Achilles Tendon Rupture
Nicola Maffulli, MD, MS, PhD1, 2, 3, Nikolaos Gougoulias, MD, PhD4, 5, Gayle D. Maffulli, BA6, Francesco Oliva, MD, PhD1, Filippo Migliorini, MD7
doi : 10.1177/10711007211038594
Volume: 43 issue: 2, page(s): 244-252
Following percutaneous repair of acute Achilles tendon (AT) ruptures, early postoperative weightbearing is advocated; however, it is debatable how aggressive rehabilitation should be. We compared the clinical and functional outcomes in 2 groups of patients who followed either our “traditional” or a “slowed down” rehabilitation after percutaneous surgical repair.
Ultimate Load Measuring System for Fixation of Soft Tissue to Bone
Tatsuya Fujii, MD1, Makoto Tateura, MD1, Masato Ogawa, MD1, Satoru Ozeki, MD, PhD1
doi : 10.1177/10711007211040504
Volume: 43 issue: 2, page(s): 253-259
The initial ultimate load for graft fixation is one of the essential factors in the reconstruction of lateral ankle ligaments. Several anchoring devices have been developed to fix the substitute ligament into the bone. A fair comparison of these fixation methods warrant a reproducible examination system. The purpose of this study was to make an experimental animal model and to compare the initial ultimate loads of 3 graft fixation methods, including the use of EndoButton (EB), interference screw (IFS), and a novel socket anchoring (SA) technique.
Repeatability of Weightbearing Computed Tomography Measurement of First Metatarsal Alignment and Rotation
Ali-Asgar Najefi, FRCS (Tr&Orth)1, Mohammad Khalid Alsafi, BMBCh1, Karan Malhotra, FRCS (Tr&Orth)1, Shelain Patel, FRCS (Tr&Orth)1, Nicholas Cullen, FRCS (Tr&Orth)1, Matthew Welck, FRCS (Tr&Orth)1
doi : 10.1177/10711007211035387
Volume: 43 issue: 2, page(s): 260-266
Weightbearing computed tomography (WBCT) can be used to assess alignment and rotation of the first metatarsal. It is unknown whether these measures remain consistent on sequential WBCTs in the same patient when a patient’s standing position may be different. The aim of this study was to establish the repeatability (test-retest) of measurements of first metatarsal alignment and rotation in patients without forefoot pathology on WBCT.
Oblique Opening Wedge Osteotomy for Distal Tibial Varus Secondary to Physeal Arrest
Stewart G. Morrison, MBBS1, 2, Andrew G. Georgiadis, MD3, 4, Mark T. Dahl, MD3, 4
doi : 10.1177/10711007211041324
Volume: 43 issue: 2, page(s): 267-273
One-Stage Lengthening and Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Brachymetatarsia
Felipe Chaparro, MD1, Raul Espinoza, MD1, Manuel J. Pellegrini, MD1, Giovanni Carcuro, MD1, Cristian Ortiz, MD1
doi : 10.1177/10711007211039526
Volume: 43 issue: 2, page(s): 274-279
Operative Fixation of Lateral Malleolus Fractures With Locking Plates vs Nonlocking Plates: A Systematic Review and Meta-analysis
Nesar Ahmad Hasami, BSc1, Diederik Pieter Johan Smeeing, MD, PhD1, Albert Frederik Pull ter Gunne, MD, PhD2, Michael John Richard Edwards, MD, PhD1, Stijn Diederik Nelen, MD, PhD1, 3
doi : 10.1177/10711007211040508
Volume: 43 issue: 2, page(s): 280-290
The exact benefit of locking plates over nonlocking plates in patients with lateral malleolus fractures remains unclear. The primary aim of this study was to compare the functional outcome of locking plates vs nonlocking plates in patients with a lateral malleolus fracture. The secondary aims were to compare the number of complications and hardware removals and to compare whether results differed for older patients and for patients treated with anatomical locking plates.
Avascular Osteonecrosis of the Talus: Current Treatment Strategies
Hanci Zhang, MD1, Amanda N. Fletcher, MD, MS1, Daniel J. Scott, MD, MBA2, James Nunley, MD1
doi : 10.1177/10711007211051013
Volume: 43 issue: 2, page(s): 291-302
Avascular osteonecrosis (AVN) of the talus (AVNT) is a painful and challenging clinical diagnosis. AVNT has multiple known risk factors and etiologies and presents at different stages in severity. Given these unique factors, the optimal treatment solution has yet to be determined. Both joint-preserving and joint-sacrificing procedures are available, including core decompression and arthrodeses. Recently, new salvage and replacement techniques have been described including vascularized pedicle bone grafts and total talus replacement using patient-specific prosthesis; however, evidence remains limited. This review examines the current trends AVNT treatment and the emerging data behind these novel techniques.
Obituary: Frederick G. Lippert, III, MD, PhD
Lew Schon, MD
doi : 10.1177/10711007211072524
Volume: 43 issue: 2, page(s): 303-304
Thank You to Foot & Ankle International Reviewers
doi : 10.1177/10711007221075680
Volume: 43 issue: 2, page(s): 306-307
