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Cover 1 -- cover prints black and PMS 261
doi : 10.1053/S1067-2516(20)30420-8
Volume 60, Issue 1, January–February 2021, Page CO1
Editorial Board
doi : 10.1053/S1067-2516(20)30423-3
Volume 60, Issue 1, January–February 2021, Page A4
Table of Contents
doi : 10.1053/S1067-2516(20)30424-5
Volume 60, Issue 1, January–February 2021, Pages A7-A12
Embracing Limitations
Andrew J. Meyr
doi : 10.1053/j.jfas.2020.10.009
Volume 60, Issue 1, January–February 2021, Page 1
Accuracy of Palpation to Identify the Medial Branch of the Medial Dorsal Cutaneous Nerve in Medial Column Surgery: Correlation of Preoperative Nerve Marking With Intraoperative Findings During Lapidus Fusion
Troy J. Boffeli,Samuel J. Gervais
doi : 10.1053/j.jfas.2019.07.010
Volume 60, Issue 1, January–February 2021, Pages 2-5
The medial branch of the medial dorsal cutaneous nerve is frequently encountered in medial column surgery. Postoperative sensory nerve symptoms can lead to dissatisfaction and suboptimal outcome. The purpose of this case series is to correlate intraoperative nerve location on direct viewing with preoperative nerve localization to assess the accuracy of a specific nerve palpation technique.
A Comparison Between X-ray Imaging and an Innovative Computer-aided Design Method Based on Weightbearing CT Scan Images for Assessing Hallux Valgus
Zongyu Zhong,Peng Zhang,Hao Duan,Hao Yang,Qing Li,Fei He
doi : 10.1053/j.jfas.2018.12.044
Volume 60, Issue 1, January–February 2021, Pages 6-10
With the development of recent technology, radiographs can be saved digitally, and angular measurements can be processed using various software packages. We developed an innovative computer-aided design method with Materialize Interactive Medical Image Control System software to measure hallux valgus angle (HVA), the intermetatarsal angle (IMA), and the distal metatarsal articular angle (DMAA) and assessed its concordance with traditional X-ray imaging methods.
Immediate Weightbearing After Operative Treatment of Bimalleolar and Trimalleolar Ankle Fractures: Faster Return to Work for Patients with Nonsedentary Occupations
Brian P. Cunningham,Anthony J. Dugarte,Dylan L. McCreary,...Benjamin R. Williams,Megan Reams,Fernando A. Pena
doi : 10.1053/j.jfas.2019.09.043
Volume 60, Issue 1, January–February 2021, Pages 11-16
The goal of this study was to compare immediate weightbearing (IWB) and traditional weightbearing (TWB) postoperative protocols in unstable ankle fractures, as this has not been compared in prior works.
Magnetic Resonance Imaging of Diabetic Foot Osteomyelitis: Imaging Accuracy in Biopsy-Proven Disease
Javier La Fontaine,Kavita Bhavan,Daniel Jupiter,Lawrence A. Lavery,Avneesh Chhabra
doi : 10.1053/j.jfas.2020.02.012
Volume 60, Issue 1, January–February 2021, Pages 17-20
Magnetic resonance imaging (MRI) is the recommended diagnostic imaging technique for diabetic foot osteomyelitis (DFO). The gold standard to diagnose osteomyelitis is bone biopsy with a positive culture and/or histopathology finding consistent with osteomyelitis.
Prevalence of Hallux Rigidus in Patients With End-Stage Ankle Arthritis
Lorena Bejarano-Pineda,Elizabeth A. Cody,James A. Nunley II
doi : 10.1053/j.jfas.2020.04.004
Volume 60, Issue 1, January–February 2021, Pages 21-24
Arthritis of the foot is a significant cause of pain and disability. The prevalence of foot arthritis in adults aged ?50 has been reported to be 17%. Of those, 25% are estimated to be radiographic arthritis of the first metatarsophalangeal joint.
Harassment in Residency: An Anonymous Survey of Podiatry Residents
Joel Ang,Harry Schneider
doi : 10.1053/j.jfas.2019.11.006
Volume 60, Issue 1, January–February 2021, Pages 25-29
Sexual discrimination and harassment have been shown to be a major problem in many industries in the United States, including entertainment, academia, and professional sports.
Assessment of Evertor Strength Following Inferior Extensor Retinaculum Flap Ligamentoplasty in Patients With Chronic Lateral Ankle Instability
Jean-Charles Giunta,Benjamin Toschi,Paul Moroney,Yves Tourné
doi : 10.1053/j.jfas.2020.04.010
Volume 60, Issue 1, January–February 2021, Pages 30-35
The primary aim of our study was to evaluate the strength of ankle evertor muscles in patients who have undergone a lateral ankle ligamentoplasty (which combined tensioning of the primary ligament group and reinforcing it with a pediculated extensor retinaculum flap), using 2 measurement systems (isokinetic and the functional weightbearing test [MyoLux). Our hypothesis was the strength of evertor muscles on the treated side was comparable to that of the contralateral healthy side.
Treatment of Distal Metaphyseal Tibial Fractures with Anterolateral Plates or with Anterolateral-Medial Plates: A Retrospective Series
Wenjuan Wang,Yanhui Zhu,Xiaopeng Hu,Chen Jin,Xiang Wang
doi : 10.1053/j.jfas.2019.11.007
Volume 60, Issue 1, January–February 2021, Pages 36-41
Distal metaphyseal tibial fractures (3-5 cm from the joint with zones of comminution or <3 cm from the joint) are challenging to fix and are associated with many complications.
Treatment of Fractures of Metatarsal Shaft Using a Cemented K-wire Frame
Shenghua Zhang,Kun Yang,Qi Wang,...Shi Luo,Tao Zhang,Xu Zhang
doi : 10.1053/j.jfas.2020.05.008
Volume 60, Issue 1, January–February 2021, Pages 42-46
The purpose of this retrospective study was to report on percutaneous reduction and fixation for the treatment of fractures of metatarsal shaft. Between March 2015 and October 2017, 29 patients (37 fractures of metatarsal shaft) were treated using a cemented Kirschner wire (K-wire) frame.
Anterior Ankle Incision Wound Complications Between Total Ankle Replacement and Ankle Arthrodesis: A Matched Cohort Study
Christopher W. Reb,B. Collier Watson,Corey M. Fidler,...Christopher F. Hyer,Gregory C. Berlet,Mark A. Prissel
doi : 10.1053/j.jfas.2020.04.015
Volume 60, Issue 1, January–February 2021, Pages 47-50
The anterior incision is commonly used for total ankle replacement (TAR) and ankle arthrodesis. Historically, the anterior incision has demonstrated a high incidence of complications.
Radiologic and Demographic Characteristics of Patients With Plantar Calcaneal Spur
Koray Ba?delio?lu
doi : 10.1053/j.jfas.2020.06.016
Volume 60, Issue 1, January–February 2021, Pages 51-54
Many people with heel pain in the general population are often diagnosed with plantar calcaneal spurs (PCS). The aim of this study was to evaluate the radiological and demographic characteristics of PCS patients and to compare the differences with the control group.
Outcome of Minimally Invasive Osteosynthesis for Displaced Intra-articular Calcaneal Fractures Using Cannulated Screws: A Prospective Case Series
Ahmed Shams,Osama Gamal,Mohamed Kamal Mesregah
doi : 10.1053/j.jfas.2020.06.017
Volume 60, Issue 1, January–February 2021, Pages 55-60
This prospective study sought to assess the functional and radiological outcomes of minimally invasive osteosynthesis using cannulated screws and to examine the effect of different parameters on the functional outcome.
Complication Rates Following Total Ankle Arthroplasty in Inpatient versus Outpatient Populations: A Systematic Review & Meta-Analysis
Rachel H. Albright,Ryan J. Rodela,Panah Nabili,Chris E. Gentchos,N. Jake Summers
doi : 10.1053/j.jfas.2020.08.007
Volume 60, Issue 1, January–February 2021, Pages 61-66
Total ankle arthroplasty (TAA) is used as an alternative to ankle arthrodesis for adults with severe ankle arthritis. Numerous orthopedic centers have entered the healthcare market offering fast-tracked joint replacement protocols, meanwhile, TAA has been excluded from these joint centers, and is primarily performed in the inpatient setting.
Early Experience With the CADENCE Total Ankle Prosthesis
Calvin J. Rushing,Rona Law,Christopher F. Hyer
doi : 10.1053/j.jfas.2020.08.023
Volume 60, Issue 1, January–February 2021, Pages 67-73
A number of 2-component, fourth-generation total ankle arthroplasty prostheses have been introduced to the market. The purpose of the present study was to present early experience with the CADENCE total ankle prosthesis.
A Multicenter, Retrospective, Case Series of Patients With Charcot Neuroarthropathy Deformities Undergoing Arthrodesis Utilizing Recombinant Human Platelet-derived Growth Factor With Beta-Tricalcium Phosphate
Jeffrey D. Loveland,Ryan L. McMillen,Mario A. Cala
doi : 10.1053/j.jfas.2020.08.030
Volume 60, Issue 1, January–February 2021, Pages 74-79
Charcot neuroarthropathy has traditionally been treated using both nonsurgical and surgical strategies. Recently, orthobiologics have been used to promote arthrodesis in Charcot reconstructions, obviating the need for bone graft in some cases.
The Impact of Concomitant LOW Back Pain (LBP) on Functional Outcomes in Total Ankle Arthroplasty (TAA)
Michael Symes,Alastair Younger,Mario Escudero,...Kevin Wing,Christopher S. Mulligan,Andrea Veljkovic
doi : 10.1053/j.jfas.2020.08.031
Volume 60, Issue 1, January–February 2021, Pages 80-84
Although numerous studies have demonstrated that concomitant low back pain (LBP) is associated with worse functional outcomes in patients undergoing total hip and knee arthroplasty, no study has analyzed its impact on patients undergoing total ankle arthroplasty (TAA). The aim of this study was to determine the prevalence of LBP in people undergoing TAA and analyze its impact on patient reported functional outcome measures (PROMs).
Can We Release All Calcaneal Attachments of the Superior Peroneal Retinaculum During Extensile Lateral Approach to the Calcaneus?
Amir Reza Vosoughi,Afrasiab Tamadon,Saeid Gholamzadeh,Mehran Fereidooni
doi : 10.1053/j.jfas.2020.09.005
Volume 60, Issue 1, January–February 2021, Pages 85-88
During extensile lateral approach to the calcaneus, in order to see all fractured fragments and subtalar joint, all soft tissues including insertion site of superior peroneal retinaculum (SPR) on the calcaneus should be released.
Overnight Admission After Total Ankle Replacement: Is It Safe?
Christopher Jantzen,Lars Bo Ebskov,Kim Hegnet Andersen,Mostafa Benyahia,Peter Bro Rasmussen,Jens Kurt Johansen
doi : 10.1053/j.jfas.2020.08.032
Volume 60, Issue 1, January–February 2021, Pages 89-92
To evaluate readmission, complication, and nonscheduled contact rates to the out-patient clinic within the first 3 months following total ankle replacement in patients planned for overnight admission. Data were collected retrospectively on all patients treated during the period the December 11, 2015 to the December 1, 2019 with 3 months of follow-up for all patients. In the study 116 patients were included.
ACFAS Clinical Consensus Statement: Acute Achilles Tendon Pathology
Jason Naldo,Patrick Agnew,Maryellen Brucato,Paul Dayton,Amber Shane
doi : 10.1053/j.jfas.2020.02.006
Volume 60, Issue 1, January–February 2021, Pages 93-101
Injuries to the Achilles tendon are a challenge to the foot and ankle surgeon. In recent years, research has led to a relative change in the way that many surgeons view acute Achilles tendon rupture. In an effort to fully evaluate these trends, as well as to evaluate all aspects of care for acute Achilles tendon rupture, the American College of Foot and Ankle Surgeons convened a panel of experts to create a clinical consensus statement to address selected aspects of care of the acute Achilles tendon injury.
Lisfranc Fixation Techniques and Postoperative Functional Outcomes: A Systematic Review
Andrew Philpott,Daniel J. Epstein,Simon C. Lau,George Mnatzaganian,Jack Pang
doi : 10.1053/j.jfas.2020.04.005
Volume 60, Issue 1, January–February 2021, Pages 102-108
The optimal method of fixation of acute Lisfranc injuries is yet to be established. We aim to systematically review the literature to identify the impact of fixation method on postoperative functional outcomes.
Concomitant Distal Tibia-Fibula Fractures Treated with Intramedullary Nailing, With or Without Fibular Fixation: A Meta-Analysis
Jing Peng,Xiaotao Long,Jun Fan,Shiyang Chen,Yang Li,Wei Wang
doi : 10.1053/j.jfas.2020.05.006
Volume 60, Issue 1, January–February 2021, Pages 109-113
There is no consensus on whether a fibular fracture should be fixed when a concurrent extra-articular distal tibia fracture is managed with intramedullary nails. We evaluated the use of fibular fixation in a meta-analysis of randomized trials and observational studies.
Management of Distal Fibular Fractures With Minimally Invasive Technique: A Systematic Review
Kenny Luong,Michael J. Huchital,Ali M. Saleh,Michael Subik
doi : 10.1053/j.jfas.2020.05.017
Volume 60, Issue 1, January–February 2021, Pages 114-120
Ankle fractures are extremely common, with isolated distal fibular fractures being the most common variant. The current gold standard in treating unstable distal fibular fractures is open reduction internal fixation. However, with potential risk of wound complications, minimally invasive techniques have been introduced.
Combination Lower Extremity Nerve Blocks and Their Effect on Postoperative Pain and Opioid Consumption: A Systematic Review
Arianna L. Gianakos,Filippo Romanelli,Naina Rao,...Bart Lubberts,Daniel Guss,Christopher W. DiGiovanni
doi : 10.1053/j.jfas.2020.08.026
Volume 60, Issue 1, January–February 2021, Pages 121-131
The purpose of this study was to perform a systematic review of the literature examining postoperative outcomes following single site and combined peripheral nerve blocks (PNBs), including (1) sciatic and femoral nerve, (2) popliteal and saphenous nerve, and (3) popliteal and ankle nerve, during elective foot and ankle surgery.
The Role of Deltoid Ligament Repair in Ankle Fractures With Syndesmotic Instability: A Systematic Review
Julian Wang,Devon Stride,Nolan S. Horner,...Herman Johal,Moin Khan,Bashar Alolabi
doi : 10.1053/j.jfas.2020.02.014
Volume 60, Issue 1, January–February 2021, Pages 132-139
Ankle fractures are the fourth most common fracture requiring surgical management. The deltoid ligament is a primary ankle stabilizer against valgus forces. It is frequently ruptured in ankle fractures; however, there is currently no consensus regarding repair.
Temporoparietal Fascial Flap for Soft Tissue Reconstruction of Pediatric and Young Adult Foot Defects: A Case Series
Rachel Lee,Jonathan Wheeler,Haemish Crawford
doi : 10.1053/j.jfas.2018.06.014
Volume 60, Issue 1, January–February 2021, Pages 140-145
Soft tissue defects of the foot due to trauma, infection, or malignancy are common and present a reconstructive challenge, as the foot requires specialized tissue that is thin, supple, yet durable enough to support the high demand of its function. The temporoparietal fascial flap, based on the superficial temporal artery and vein, is a reliable and versatile flap that possesses all these advantages.
Surgical Management of Arteriovenous Malformation in the Foot: A Case Study
Elizabeth M. Bonarigo,Raymond G. Cavaliere
doi : 10.1053/j.jfas.2019.05.013
Volume 60, Issue 1, January–February 2021, Pages 146-151
Arteriovenous malformations are frequently found in the head and neck, and are occasionally associated with congenital syndromes. They are rarely reported in the foot and ankle; however, when encountered in these particular locations, they may become painful and interfere with ambulation.
Talar Osteolytic Lesion as the Initial Presentation of Terminal Primary Metastatic Adenocarcinoma: A Case Report
Shrey Kanjiya,Alireza Nazemi,Megan Paulus
doi : 10.1053/j.jfas.2020.03.017
Volume 60, Issue 1, January–February 2021, Pages 152-156
The purpose of this case report is to present an osseous foot lesion as the initial presentation of advanced metastatic adenocarcinoma. A 65-year-old female presented with 5 months of atraumatic left ankle pain. Initial radiographs and computed tomography scan showed a lytic lesion in the talar dome and calcaneus.
Osteochondral Fresh Allograft Transfer to Address Osteochondral Defect of the First Metatarsal Head in Early Hallux Limitus
Shane Hollawell,Ruth Moen,Meagan Coleman,Michael Carson
doi : 10.1053/j.jfas.2020.04.003
Volume 60, Issue 1, January–February 2021, Pages 157-162
Osteochondral fresh allograft transfer of the first metatarsal can be an accepted surgical management option for early stages of hallux limitus. This study consisted of evaluating clinical outcomes with patients who underwent this procedure.
Bilateral Mirror-Symmetrical Giant Cell Tumor of the Tendon Sheath in the Foot and Ankle: A Case Report
Naji S. Madi,Said Saghieh,Ahmad Salah Naja,Rachid K. Haidar
doi : 10.1053/j.jfas.2019.09.045
Volume 60, Issue 1, January–February 2021, Pages 163-166
Giant cell tumor of the tendon sheath is a slowly growing benign tumor. It usually arises from the tendon sheath and periarticular soft tissue of small joints. However, it may infrequently involve the large joints emerging around the knee, elbow, and hip joints.
A Case of Large Calcifying Fibroma of Tendo-achilles Managed by En-block Resection and Tendon Reconstruction
Mohammed Sadiq,Mohammed Nayeemuddin,Mohammed Wajid Hussain
doi : 10.1053/j.jfas.2020.05.018
Volume 60, Issue 1, January–February 2021, Pages 167-171
Calcifying aponeurotic fibroma is a rare benign fibrous tumor with typical radiological and histopathological features seen in young children and adolescents. It commonly involves the extremities and is characterized by a very high chance of local recurrence.
Missed Fracture Dislocation of the Fifth Toe in a Two-Year-Old Child: A Case Report
Indranil V. Kushare,Ahmed Elabd,Elsayed Attia
doi : 10.1053/j.jfas.2020.06.021
Volume 60, Issue 1, January–February 2021, Pages 172-175
Fracture dislocation injuries of the toes are rare among pediatric population. These injuries when acute are mostly treated conservatively and a good reduction must be ensured.
Foot and Ankle Giant Cell Tumors Are Not so Aggressive After All: A Retrospective Study
Arun John Paul,Bhim Bahadur Shreemal,Vijay T.K. Titus
doi : 10.1053/j.jfas.2020.07.004
Volume 60, Issue 1, January–February 2021, Pages 176-181
Giant cell tumors are most commonly seen around the knee and rarely around the foot and ankle. Therefore there is a paucity of data regarding the options of surgery, outcomes and recurrence of Giant cell tumors involving the foot and ankle.
Total Talar Replacements Short-Medium Term Case Series, South Africa 2019
Michael Abramson,Thomas Hilton,Keith Hosking,Neil Campbell,Roopam Dey,Graham McCollum
doi : 10.1053/j.jfas.2020.08.015
Volume 60, Issue 1, January–February 2021, Pages 182-186
There are few surgical options available to manage complex talar pathology that result in predictably acceptable functional and patient satisfaction scores. Recently, total talar replacement has gained popularity as a viable option.
Total Talus Replacement: Case Series and Literature Review
Tenaya A. West,Shannon M. Rush
doi : 10.1053/j.jfas.2020.08.018
Volume 60, Issue 1, January–February 2021, Pages 187-193
Custom 3D printed total talus implants have been used successfully as a functional alternative to arthrodesis or amputation in cases of severe talar destruction or loss. However, the ideal material and construct still remains to be elucidated.
Treatment of Osteosarcoma of the Talus With a 3D-Printed Talar Prosthesis
Jihui Huang,Fengjiao Xie,Xinyu Tan,Weirong Xing,Yushi Zheng,Canjun Zeng
doi : 10.1053/j.jfas.2020.01.012
Volume 60, Issue 1, January–February 2021, Pages 194-198
A 31-year-old male was diagnosed with osteoblastic osteosarcoma of the talus. Limb-salvage surgery for talar osteosarcoma was performed by replacing the intact talus with a 3D-printed talar prosthesis made from medical-grade titanium. The prosthesis had 3 tunnels for simulating the ligaments around the talus.
Partial Calcaneus Reconstruction using ‘Opportunistic Grafts’: A Case Report
Rohit Bansal,Mansur Halai,Jennifer LK Matthews,Christopher Ryan Martin
doi : 10.1053/j.jfas.2020.08.025
Volume 60, Issue 1, January–February 2021, Pages 199-203
Although replantation of an amputated extremity has been successfully performed, occasionally the surgeon is forced to amputate in the case of an unsalvageable open fracture. These appendages can theoretically act as an autologous ‘bone and tissue bank’ for patients if they have reconstructable contralateral injuries.
Ilizarov Gradual Distraction Correction for Distal Tibial Severe Varus Deformity Resulting from Epiphyseal Fracture: Case Report and Literature Review
Xiao-Dong Wen,Xiao-Jun Liang,Yan Zhang,...Xin Chang,Xie-An Yang,Hong-Mou Zhao
doi : 10.1053/j.jfas.2020.09.004
Volume 60, Issue 1, January–February 2021, Pages 204-208
We present a case of a 13-year-old female with severe varus deformity and limb discrepancy resulting from epiphyseal fracture. The preoperative tibial articular surface angle was 64.1°, and the affected tibia was 14 mm shorter than the contralateral tibia.
Unilateral, Volume-expanding Os Subcalcis: Patient History and Treatment: A Case Report
Elisabeth Ellingsen Husebye,Are St?dle,Marius Lund-Iversen,Kjetil Hvaal
doi : 10.1053/j.jfas.2020.09.006
Volume 60, Issue 1, January–February 2021, Pages 209-212
Accessory bones of the foot are common, but the presence of accessory bones located at the plantar aspect of the calcaneus is rare. We present the case of a 72-year-old female that suffered with a volume expanding os subcalcis. Due to marked disability, the large os subcalcis was excised with a favorable outcome.
A Functional Chopart’s Amputation With Tendon Transfers
Christopher J. Green,Christopher Bibbo,Austin McArdle,Chad Knight
doi : 10.1053/j.jfas.2020.08.019
Volume 60, Issue 1, January–February 2021, Pages 213-217
Generally, forefoot osteomyelitis is treated with a reliable level of amputation such as at the transmetatarsal level. However, when osteomyelitis extends proximal to the midfoot and presents with significant peripheral arterial disease, it is generally thought that the next best functional level of amputation is a transtibial amputation. This is mostly in part due to the high failure rate of Chopart's amputations which can be attributed to poor biomechanical and tendon balancing. We present a new technique of tendon balancing with a Chopart's amputation that results in optimized ambulatory function, durable soft tissue envelope of amputation, and successful limb salvage.
Innovative Fixation Technique for Avulsion Fractures of the Calcaneal Tuberosity
Hiroshi Ninomiya,Makito Watanabe,Kazunari Kamimura
doi : 10.1053/j.jfas.2020.09.001
Volume 60, Issue 1, January–February 2021, Pages 218-220
Avulsion fractures of the calcaneal tuberosity, although relatively uncommon, occur more frequently in patients with osteoporosis and in the elderly. The results of closed manipulation are poor in these fractures, usually requiring open reduction and internal fixation.
